US20190231620A1 - Patient support apparatus - Google Patents

Abstract

A patient support includes a frame and a mattress supported by the frame. The frame includes a deck support and a deck supporting the mattress.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
• This application is a continuation of U.S. application Ser. No. 14/650,551, now U.S. Pat. No. 10,251,797, which is a continuation of U.S. application Ser. No. 13/421,407, filed Mar. 15, 2012, now U.S. Pat. No. 9,009,893, which is a continuation of U.S. application Ser. No. 13/014,140, filed Jan. 26, 2011, now U.S. Pat. No. 8,151,387, which is a continuation of U.S. application Ser. No. 12/507,152, filed Jul. 22, 2009, now U.S. Pat. No. 7,926,131, which is a continuation of U.S. application Ser. No. 12/137,619, filed Jun. 12, 2008, now U.S. Pat. No. 7,610,637, which is a continuation of U.S. application Ser. No. 11/257,438, filed Oct. 24, 2005, now U.S. Pat. No. 7,454,805, which is a continuation of U.S. application Ser. No. 10/731,720, filed Dec. 9, 2003, now U.S. Pat. No. 6,957,461, which is a continuation-in-part of U.S. application Ser. No. 10/657,696, filed Sep. 8, 2003, now U.S. Pat. No. 7,296,312, which claims the benefit of U.S. Provisional Patent Application No. 60/408,698, filed Sep. 6, 2002; U.S. Provisional Patent Application No. 60/409,748, filed Sep. 11, 2002; U.S. Provisional Patent Application No. 60/489,171, filed Jul. 22, 2003; and U.S. Provisional Patent Application No. 60/490,467, filed Jul. 28, 2003; the disclosures of all of the foregoing being hereby expressly incorporated by reference herein.
BACKGROUND AND SUMMARY OF THE INVENTION
• The present invention relates to a hospital bed. More particularly, the present invention relates to a hospital bed illustratively having siderails, an articulating deck, and a mattress.
• Hospital bed and other patient supports are known. Typically, such patient supports are used to provide a support surface for patients or other individuals for treatment, recuperation, or rest. Many such patient supports include a frame, a deck supported by the frame, a mattress, siderails configured to block egress of a patient from the mattress, and a controller configured to control one or more features of the bed.
BRIEF DESCRIPTION OF THE DRAWINGS
• The detailed description particularly refers to the accompanying figures in which:
• FIG. 1 is a perspective view of a patient support showing the patient support including a deck support, a deck having a plurality of sections coupled to and positioned above the deck support, a mattress supported by the deck, a headboard coupled to the deck support, a first pair of siderails coupled to the deck, a second pair of siderails coupled to the deck support, and foot pedal controls coupled to the deck support;
• FIG. 2 is a perspective view of the patient support ofFIG. 1 with the deck, mattress, first pair of siderails and second pair of siderails removed and the headboard spaced apart from the deck support, the deck support being in a raised position and comprising a base frame, an intermediate frame spaced apart from the base frame, a first pair of lifting arms configured to raise and lower a head end of the intermediate frame, and a second pair of lifting arms configured to raise and lower a foot end of the intermediate frame;
• FIG. 3 is a side elevation view of the patient support ofFIG. 1, showing the deck support in an upper position and the deck sections in a linear relationship or bed configuration;
• FIG. 4 is a side elevation view of the patient support ofFIG. 1, showing the deck support in the upper position ofFIG. 3 and a head section of the deck elevated by a head section actuator and a seat section of the deck elevated by a seat section actuator;
• FIG. 5 is a side elevation view of the patient support ofFIG. 1, showing a first chair-like configuration of the patient support with the deck support, the head section of the deck and the seat section of the deck in generally the same positions as shown inFIG. 4 and a retractable leg section of the deck in the extended position and lowered by a leg section actuator;
• FIG. 6 is a side elevation view generally similar toFIG. 5, showing the leg section of the deck in an extended position and the leg section being lowered by the leg actuator, the leg section not being fully lowered due to contact with an obstruction and the leg section and the obstruction prevented from damage by the leg section actuator traveling up an elongated slot provided in a coupling bracket between the leg section and the leg actuator;
• FIG. 7 is a partial perspective view of the patient support ofFIG. 2, showing the deck support in a lowered position wherein the intermediate frame nests within the base frame;
• FIG. 8 is a top plan view of the patient support ofFIG. 7, showing the nesting of the intermediate frame within the base frame;
• FIG. 9 is a side elevation view of the patient support ofFIG. 1, showing the deck support in a Trendelenburg position and the deck in a linear relationship;
• FIG. 10 is a side elevation view of the patient support ofFIG. 1, showing the patient support in a second chair-like position with the deck support in a Reverse Trendelenburg position, the head section raised by the head actuator, the seat section elevated by the seat actuator, the leg section lowered by the leg actuator and the leg section optionally shown in the extended position;
• FIG. 11 is a side elevation view generally similar toFIG. 10, showing the leg section of the deck is in an extended position and the leg section being lowered by the leg actuator, the leg section not being fully lowered due to contact with an obstruction, the floor, by a roller coupled to the leg section and the leg section and the obstruction prevented from damage by the roller translating the leg section along the floor, the leg section rotating relative to the seat section and by the leg section actuator traveling up the elongated slot provided in the coupling bracket between the leg section and the leg actuator;
• FIG. 12 is a side elevation view of the patient support ofFIG. 1, showing the deck support in a Reverse Trendelenburg position, the head and seat sections of the deck in a generally linear relationship with the leg section in an extended position and slightly angled relative to the head and seat sections due to contact with an obstruction by the roller coupled to the leg section and the leg section and the obstruction prevented from damage by the roller translating the leg section relative to the obstruction, the leg section rotating relative to the seat section and by the leg section actuator traveling up the elongated slot provided in the coupling bracket between the leg section and the leg actuator;
• FIG. 13 is a perspective view of the deck and weigh frame of the patient support ofFIG. 1 with the leg section removed and showing the head section elevated;
• FIG. 14 is a side view of one of the load cells which couple together the intermediate frame and the weigh frame taken along lines14-14 inFIG. 13;
• FIG. 15 is a cross sectional view taken along lines15-15 inFIG. 3, showing the coupling of the intermediate frame and the weigh frame with a load cell;
• FIG. 16 is an upper perspective view of the deck and weigh frame of the patient support ofFIG. 1, showing the foot section in an extended position, the head section elevated relative to the seat section and a partition of the head section showing the manifold assembly on a first side of the partition and first and second manifold receiving connectors on a second side of the partition;
• FIG. 17 is a perspective view of the roller coupled to the end of the foot section shown inFIG. 16;
• FIG. 18 is a lower perspective view of the deck and the weigh frame of the patient support ofFIG. 1, showing the foot section in a retracted position, the seat section upwardly angled and the head section upwardly angled;
• FIG. 19 is a cross sectional view taken along lines19-19 inFIG. 3, showing the gap between the deck and one of the foot end siderails;
• FIG. 20 is generally similar toFIG. 18 showing the foot section of the patient support in an extended position;
• FIG. 21 is a perspective view of the leg section and a portion of the seat section of the deck and the mattress ofFIG. 1, the leg section including a transverse recess positioned below retaining arms and the seat section including a pair of transverse recesses, the mattress being shown spaced apart from the deck and configured to be coupled to the retaining arms of the leg section with a leg section anchor and to the recesses of the seat section with seat section anchors;
• FIG. 22 is a side view of the deck and the weigh frame of the patient support ofFIG. 1, showing the head, seat and leg sections of the deck in a linear relationship or bed configuration;
• FIG. 23 is a detail view of a portion of the head section of the deck of the patient support ofFIG. 1 showing a portion of a CPR system comprising a handle and handle bracket rotatably coupled to the deck and further coupled to a cable which is coupled to the actuator assembly ofFIGS. 27 and 28;
• FIG. 24 is a bottom view of the deck and the weigh frame ofFIG. 22;
• FIG. 25 is a side view of the deck and the weigh frame of the patient support ofFIG. 1, showing the head section elevated, the seat section elevated and the leg section elevated and generally horizontal;
• FIG. 26 is detail view generally similar toFIG. 23 with the fasteners which couple the handle bracket to the deck not shown;
• FIG. 27 is a perspective view of a actuator assembly of the CPR system of the patient support showing a housing coupled to the cylinder rod of the actuator, a first embodiment of a slide bracket slidably coupled to the housing and coupled to the cable which is further coupled to the handle ofFIG. 23 and a release pin of the actuator, and a switch located on the housing;
• FIG. 28 is a perspective view of the actuator assembly ofFIG. 27 showing a second embodiment of the slide bracket, the slide bracket having detents positively couple the ends of the cable;
• FIG. 29 is a cross sectional view of the coupling of the second embodiment of the slide bracket and the ends of the cable taken along lines29-29 ofFIG. 28;
• FIG. 30 is a perspective view of the caster braking system of the patient support ofFIG. 1 showing four caster devices, a first pair of caster devices being interconnected by a first transverse rod, a second pair of caster devices being interconnected by a second transverse rod and the first and second pairs of caster devices being interconnected by a pair of longitudinal brake links;
• FIG. 31 is a perspective view of a portion of the deck support ofFIG. 2 showing a first pair of caster devices, a battery housing, a battery enable switch coupled to the battery housing and a communication link coupled to the battery housing;
• FIG. 32 is a perspective view of the base frame of the deck support ofFIG. 2, showing a pedal and hexagonal rod of the caster braking system spaced apart from the corresponding caster device and showing first and second brake links which interconnect a first pair of caster devices and a second pair of caster devices, the first and second brake links being received within an interior of first and second longitudinal members of the base frame;
• FIG. 33 is a perspective view of one of the caster devices ofFIG. 32 coupled to a first transverse rod and the first longitudinal brake link;
• FIG. 34 is an end view of one of the caster devices shown inFIG. 32 and showing the interconnection between the caster device, a hexagonal rod, a bracket configured to couple the hexagonal rod to the first brake link and a transverse rod coupled to the hexagonal rod;
• FIG. 35 is a block diagram illustrating the interconnection of various modules of an illustrative embodiment control system of a patient support of the present invention;
• FIG. 35A is a block diagram detailing a portion of the control system ofFIG. 35 by illustrating the interconnection between various control components and the scale/ppm module, the dynamic surface module, the left caregiver control module, and the right caregiver control module;
• FIG. 35B is a block diagram detailing a portion of the control system ofFIG. 35 by illustrating the interconnection between various control components and the logic module;
• FIG. 35C is a block diagram detailing a portion of the control system ofFIG. 35 by illustrating the interconnection between various control components and the sidecomm module;
• FIG. 35D is a block diagram detailing a portion of the control system ofFIG. 35 by illustrating the interconnection between various control components and the power supply module;
• FIG. 36 is a schematic diagram illustrating a plurality of object dictionary entries of a Process Data Objects (PDO) protocol for use in connection with a controller area network (CAN) of an illustrative embodiment patient support of the present invention;
• FIG. 37 is a waveform diagram of a message frame according to a communications protocol for use in connection with a controller area network (CAN) of an illustrative embodiment patient support of the present invention;
• FIG. 38 is block diagram of an illustrative embodiment drive control system in accordance with the present invention;
• FIG. 39 is a side elevational view, in partial schematic, of an illustrative embodiment end of travel control system in accordance with the present invention;
• FIG. 40 is a flow diagram of an illustrative embodiment process for monitoring end of travel in accordance with the present invention;
• FIG. 41 is a flow diagram of an illustrative embodiment duty cycle protection process in accordance with the present invention;
• FIG. 42 is a flow diagram of an illustrative embodiment thermal protection process in accordance with the present invention;
• FIG. 43 is a block diagram of an illustrative embodiment battery enable switch apparatus in accordance with the present invention;
• FIG. 44 is a flow diagram of a battery enable process.
• FIG. 45 is a perspective view of the weigh frame and portions of the deck of the patient support ofFIG. 1, showing the illustrative head and foot end siderails in raised positions;
• FIG. 46 is a side elevational view of the weigh frame and portions of the deck ofFIG. 45, showing the head and foot end siderails in the raised positions;
• FIG. 47 is a view similar toFIG. 46, showing the head and foot end siderail in lowered positions;
• FIG. 48 is an exploded perspective view of the illustrative embodiment head end siderail of the patient support ofFIG. 1;
• FIG. 49 is an exploded perspective view of a link of the head end siderail and a retainer or latch;
• FIG. 50 is a perspective view of the link ofFIG. 49, with the cover removed, illustrating a cord extending therethrough;
• FIG. 51 is an exploded perspective view of the illustrative embodiment foot end siderail of the patient support ofFIG. 1;
• FIG. 52 is a top plan view of the latch in a latched position;
• FIG. 53 is a view similar toFIG. 52, showing the latch in an unlatched position;
• FIG. 54 is a perspective view of the link ofFIG. 49, showing pins of the latch extending out from the link;
• FIG. 55 is a view similar toFIG. 54, showing the pins withdrawn into the link;
• FIG. 56 is an exploded perspective similar toFIG. 49, illustrating an alternative embodiment latch;
• FIG. 57 is a perspective view similar toFIG. 1, illustrating an alternative embodiment patient support including alternative embodiments of headboard, head end siderails, and foot pedal controls coupled to the deck support;
• FIG. 58 is a cross-sectional view taken along lines58-58 inFIG. 57 showing a gap defined between the deck and one of the foot end siderails and the foot end siderail including a bump to narrow the gap;
• FIG. 59 is an enlarged view of a portion ofFIG. 57 showing the headboard and one of the head end siderails cooperating to define a gap therebetween and the headboard including a bump to narrow the gap near the top portion of the head end siderail;
• FIG. 60 is an exploded perspective view of an illustrative embodiment rail member of the head end siderail;
• FIG. 61 is a cross sectional view taken along line61-61 ofFIG. 46;
• FIG. 62 is an enlarged view of a portion ofFIG. 61, showing an O-ring seal positioned between a main body of head end siderail and a cover of head end siderail;
• FIG. 63 is a partial side elevational view of an inner side of a cover of the rail member of the head end siderail ofFIG. 60, showing a circuit board coupled to the cover and a cord extending from a controller to the circuit board;
• FIG. 64 is a side elevational view of an inner side of a main body of the rail member of the head end siderail ofFIG. 60, showing the link ofFIG. 49 positioned adjacent the head end siderail and showing a cord extending through the link and head end siderail;
• FIG. 65 is an exploded perspective view of a rail member of the foot end siderail;
• FIG. 66 is a cross sectional view taken along taken along line66-66 ofFIG. 46;
• FIG. 67 is an enlarged view of a portion ofFIG. 66, showing an O-ring seal positioned between a main body of foot end siderail and a cover of foot end siderail;
• FIG. 68 is a cross-sectional view taken along line68-68 ofFIG. 45, showing a controller coupled to the head end siderail;
• FIG. 69 is an exploded perspective view of the controller ofFIG. 68;
• FIG. 70 is an exploded perspective view of a retainer or latch of the controller ofFIG. 68;
• FIG. 71 in exploded perspective view of an alternative embodiment retainer or latch for the controller ofFIG. 68;
• FIG. 72 is a perspective view of a shell of the controller ofFIG. 68, showing a cord extending into the shell;
• FIG. 73 is a side elevational view of a first interface panel;
• FIG. 74 is a side elevational view of a second interface panel;
• FIG. 75 is a side elevational view of a third interface panel;
• FIG. 76 is a side elevational view of an illustrative embodiment foot pedal control of the present invention, showing the foot of a caregiver (in phantom) positioned to step on the foot pedal control;
• FIG. 77 is a cross sectional view taken along line77-77 ofFIG. 80, showing the foot pedal control in a raised position;
• FIG. 78 is a view similar toFIG. 77, showing the foot pedal control in a lowered position;
• FIG. 79 is an exploded perspective view of the foot pedal control ofFIG. 76;
• FIG. 80 is a perspective view of the foot pedal control ofFIG. 76;
• FIG. 81 is an electrical schematic diagram of a sensor and associated circuitry for the foot pedal control ofFIG. 76;
• FIG. 82 is a perspective view of an alternative embodiment foot pedal control of the present invention;
• FIG. 83 is a partial perspective view of a further alternative embodiment foot pedal control of the present invention;
• FIG. 84 is a cross-sectional view taken along line84-84 ofFIG. 83, showing the foot pedal ofFIG. 83 in a raised position;
• FIG. 85 is a view similar toFIG. 84, showing the foot pedal ofFIG. 83 in a lowered position;
• FIG. 86 is a perspective view of another alternative embodiment foot pedal control of the present invention;
• FIG. 87 is a cross-sectional view taken along line87-87 ofFIG. 86, showing the foot pedal ofFIG. 86 in a raised position;
• FIG. 88 is a view similar toFIG. 87, showing the foot pedal ofFIG. 86 in a lowered position;
• FIG. 89 is a perspective view of another alternative embodiment foot pedal control of the present invention;
• FIG. 90 is a cross-sectional view taken along line90-90 ofFIG. 89, showing the foot pedal ofFIG. 89 in a raised position;
• FIG. 91 is a view similar toFIG. 90, showing the foot pedal ofFIG. 89 in a lowered position;
• FIG. 92 is an exploded perspective view of an illustrative embodiment of the modular mattress assembly of the present invention;
• FIG. 93 is a perspective view of a foot section of the mattress ofFIG. 92, illustrating a heel pressure relief sleeve received within a heel zone cavity, and with the outer cover, the shear liner, and the fire barrier removed for clarity;
• FIG. 94 is a perspective view of the heel pressure relief sleeve of the present invention;
• FIG. 95 is a perspective view of an alternative embodiment heel pressure relief sleeve of the present invention;
• FIG. 96 is a cross-sectional view taken along line96-96 ofFIG. 93 illustrating the foot section in an extended position;
• FIG. 97 is a cross-sectional view similar to that ofFIG. 96 illustrating the foot section in a retracted position;
• FIG. 98 is a perspective view of the receiving base of the mattress assembly ofFIG. 92;
• FIG. 99 is a top plan view of the mounting substrate of the mattress assembly ofFIG. 92;
• FIG. 100 is a perspective view similar to that ofFIG. 98, illustrating the mounting substrate and the foot section securing substrate coupled the receiving base;
• FIG. 101 is a cross-sectional view taken along line101-101 ofFIG. 100 illustrating the mounting substrate and the foot section securing substrate coupled to the base, and further illustrating a portion of the foot section;
• FIG. 102 is an end elevational view of the foam core of the mattress assembly ofFIG. 92;
• FIG. 103 is a perspective view of the turn assist bladder assembly of the mattress assembly ofFIG. 92, illustrating the bladders in an inactive, deflated mode of operation;
• FIG. 104 is a perspective view similar to that ofFIG. 103 illustrating the left turn assist bladder in an active, inflated mode of operation, and the right turn assist bladder in an inactive, deflated mode of operation;
• FIG. 105 is an end elevation view of the upper bladder assembly of the mattress assembly ofFIG. 92;
• FIG. 106 is a top plan view of the upper bladder assembly ofFIG. 105;
• FIG. 107 is a side elevational view of the upper bladder assembly ofFIG. 105;
• FIG. 108 is a perspective view of the mattress assembly ofFIG. 92 with the outer cover, the sheer liner, and the fire barrier removed for clarity;
• FIG. 109 is a cross-sectional view taken along line109-109 ofFIG. 108;
• FIG. 110 is a detail perspective of the sheer liner applied to the head end of the mattress assembly ofFIG. 92;
• FIG. 111 is a bottom perspective view of the mattress assembly ofFIG. 92, illustrating the mattress anchors and the access port;
• FIG. 112 is a side cross-sectional view, in partial schematic, illustrating the body section of the receiving base in a substantially planar position;
• FIG. 113 is a side cross-sectional view similar toFIG. 112, illustrating the body section of the receiving base with the base section elevated relative to the seat section;
• FIG. 114 is an end elevational view illustrating the upper bladder assembly in an active, inflated mode of operation;
• FIG. 115 is a end elevational view similar to that ofFIG. 114, illustrating the right turn assist bladder inflated for assisting in the turning of a patient supported on the mattress assembly;
• FIG. 116 is a block diagram illustrating various pneumatic connections between the mattress and the air control system of the present invention;
• FIG. 117 is a front elevational view of a manifold assembly of the present invention configured to supply a fluid to the air mattress assembly ofFIG. 92 and supported by the articulating deck of the patient support ofFIG. 1;
• FIG. 118 is a bottom elevational view of the manifold assembly ofFIG. 117;
• FIG. 119 is a cross-sectional view taken along line119-119 ofFIG. 117, illustrating a normally-closed spring biased valve and a normally-open spring biased valve;
• FIG. 120 is a detailed perspective view illustrating the manifold receiving fluid connector and the mating mattress fluid connector of the present invention;
• FIG. 121 is a front elevational view of the mattress fluid connector ofFIG. 120;
• FIG. 122 is a perspective view of a sealing gasket of the present invention for use with the manifold receiving fluid connector ofFIG. 120;
• FIG. 123 is a cross-sectional view illustrating the sealing gasket ofFIG. 122 coupled intermediate the partition and the manifold receiving connector;
• FIG. 124 is a block diagram of an illustrative embodiment pressure control system for controlling inflation of air bladders in accordance with the present invention;
• FIG. 125 is a flow diagram of an illustrative embodiment process for controlling inflation of air bladders in accordance with the present invention;
• FIG. 126 is a flow diagram of an illustrative embodiment process for controlling operation of turn assist bladders in accordance with the present invention;
• FIG. 127 is a flow diagram of an illustrative embodiment process for monitoring activity during the operation of turn assist bladders in accordance with the present invention;
• FIG. 128 is a flow diagram of an illustrative embodiment process for controlling inflation of air bladders in accordance with the present invention;
• FIG. 129 is an upper perspective view of the deck and weigh frame of the alternative embodiment patient support ofFIG. 57 showing the foot section in an extended position, the head section elevated relative to the seat section, a partition of the head section with portions cutaway showing a manifold assembly on a first side of the partition and a manifold connector on a second side of the partition, and patient sensors supported by the head section and the seat section;
• FIG. 130 is an exploded perspective view of an illustrative embodiment of the modular mattress assembly of the present invention, with the top cover removed for clarity;
• FIG. 131 is a perspective view of the modular mattress assembly ofFIG. 130, with the outer cover, the shear liner, and the fire barrier removed for clarity;
• FIG. 132 is a partially exploded perspective view of a foot section of the mattress assembly ofFIG. 130, illustrating a heel pressure relief bladder assembly received within a heel zone cavity, and with the outer cover, the shear liner, and the fire barrier removed for clarity;
• FIG. 133 is an end elevational view of the foot section ofFIG. 132;
• FIG. 134 is a top plan view of the foot section, the turn assist bladder assembly, and the mounting substrate of the mattress assembly ofFIG. 130, illustrating the routing of the fill tube and the sensor tube from proximate a head end of the mattress assembly to the air bladders of the heel pressure relief bladder assembly;
• FIG. 135 is a side elevational view of the partial mattress assembly ofFIG. 134;
• FIG. 136 is a fragmentary view of the partial mattress assembly shown inFIG. 135;
• FIG. 137 is a top plan view of the mounting substrate of the mattress assembly ofFIG. 130;
• FIG. 138 is a perspective view of the mounting substrate and the foot section securing substrate coupled the receiving base of the mattress assembly ofFIG. 130;
• FIG. 139 is a top plan view of the turn assist bladder assembly and the mounting substrate of the mattress assembly ofFIG. 130, illustrating the routing of the fill tubes and the sensor tubes from proximate a head end of the mattress assembly to the air bladders of the turn assist bladder assembly;
• FIG. 140 is a cross-sectional view taken along line140-140 ofFIG. 131, illustrating the left turn assist bladder and the right turn assist bladder in inactive, deflated modes of operation;
• FIG. 141 is a cross-sectional view similar to that ofFIG. 140 illustrating the right turn assist bladder in an active, inflated mode of operation, and the left turn assist bladder in an inactive, deflated mode of operation;
• FIG. 142 is an end elevation view of an air bladder of the upper bladder assembly of the mattress assembly ofFIG. 130;
• FIG. 143 is a top plan view of the upper bladder assembly of the mattress assembly ofFIG. 130;
• FIG. 144 is a top plan view of the head zone of the upper bladder assembly and the mounting substrate of the mattress assembly ofFIG. 130, illustrating the routing of the fill tube and the sensor tube from proximate a head end of the mattress assembly to the air bladders of the head zone, with the mounting substrate disconnected from the air bladders for illustrative purposes;
• FIG. 145 is a top plan view of the seat zone of the upper bladder assembly and the mounting substrate of the mattress assembly ofFIG. 130, illustrating the routing of the fill tube and the sensor tube from proximate a head end of the mattress assembly to the air bladders of the seat zone, with the mounting substrate disconnected from the air bladders for illustrative purposes;
• FIG. 146 is a bottom perspective view of the mattress assembly ofFIG. 130, illustrating the mattress anchors and the access port;
• FIG. 147 is a block diagram illustrating various pneumatic connections between the mattress air zones and the air control system of the present invention;
• FIG. 148 is a detailed perspective view of illustrative embodiment manifold fluid connector and mattress fluid connector of the present invention;
• FIG. 149 is a rear elevational view of the manifold fluid connector ofFIG. 148, with the manifold and portions of the partition removed for clarity, illustrating a mattress sensor of the present invention;
• FIG. 150 is a front elevational view of the manifold fluid connector ofFIG. 149;
• FIG. 151 is a cross-sectional view taken along line151-151 ofFIG. 150, illustrating the connection between the manifold fluid connector and the mattress fluid connector of the present invention;
• FIG. 152 is an electrical diagram of the mattress sensor and associated circuitry for the manifold fluid connector ofFIG. 148;
• FIG. 153 is a block diagram of an illustrative embodiment valve sensor configured to detect the type of valve for controlling inflation of air zones of the mattress assembly ofFIG. 130;
• FIG. 154 is a flow diagram of an illustrative embodiment process for operating the mattress sensor ofFIG. 149;
• FIG. 155 is a flow diagram of an illustrative embodiment process for controlling inflation of air zones of the mattress assembly ofFIG. 130;
• FIG. 156 is a block diagram of an illustrative embodiment system for determining the weight of a patient supported by the deck of the patient support ofFIG. 57;
• FIG. 157 is a flow diagram of an illustrative process for determining the weight of a patient supported by the deck of the patient support ofFIG. 57;
• FIG. 158 is a continuation of the flow diagram ofFIG. 157;
• FIG. 159 is a flow diagram of an illustrative embodiment process for controlling operation of turn assist bladders of the mattress assembly ofFIG. 130;
• FIG. 160 is a flow diagram of an illustrative embodiment process for boosting pressure of seat air zone in response to elevation of the head air zone of the air mattress;
• FIG. 161 is a flow diagram of an illustrative embodiment process for boosting pressure of seat air zone in response to a patient sitting up;
• FIG. 162 is a perspective view of an illustrative pump of the patient support ofFIG. 1, showing the pump supported by a strut of the intermediate frame;
• FIG. 163 is a exploded perspective view of the pump ofFIG. 162;
• FIG. 164 is a cross-sectional view taken along line164-164 ofFIG. 162, showing the pump coupled to the strut;
• FIG. 165 is a cross-sectional view taken along line165-165 ofFIG. 162, showing a filter and muffler unit of the pump;
• FIG. 166 is a cross-sectional view of a resilient foot of the pump ofFIG. 162;
• FIG. 167 is a view similar toFIG. 166, showing an alternative embodiment resilient foot;
• FIG. 168 is a perspective view of an alternative embodiment air pump, showing the air pump supported by the strut of the weigh frame;
• FIG. 169 is an exploded perspective view of the air pump ofFIG. 168;
• FIG. 170 is a cross-sectional view taken along line170-170 ofFIG. 168 showing the air pump coupled to the strut;
• FIG. 171 is a cross-sectional view taken along line171-171 ofFIG. 168 showing a filter and muffler unit of the air pump;
• FIG. 172 is another perspective view of the air pump ofFIG. 168; and
• FIG. 173 is a cross-sectional view taken along line173-173 ofFIG. 172.
DETAILED DESCRIPTION OF THE DRAWINGS
• Apatient support10 according to the present disclosure is shown inFIG. 1.Patient support10 includes aframe12, amattress14 supported byframe12, aheadboard16, afootboard18, a pair of head end siderails20, and a pair offoot end siderails22.Frame12 includes adeck support24 and adeck26 supportingmattress14 and extending between opposing head and foot ends25 and27.Deck support24 includes abase frame28 supported on thefloor29 by a plurality ofcaster wheels30, anintermediate frame32, a pair oflift arms34 configured to raise and lowerintermediate frame32 relative tobase frame28, and aweigh frame36 supported byintermediate frame32.Deck26 is supported byweigh frame36 and is configured to articulate between a plurality of positions. As illustrated inFIGS. 1 and 3-7,deck26 includes ahead section38 pivotably coupled to weighframe32, aseat section40 pivotably coupled to weighframe32, and an adjustable length leg orfoot section42 pivotably coupled toseat section40.
• Head end siderails20 are coupled tohead section38 and may be moved between raised and lowered positions. Foot end siderails22 are coupled to weighframe32 and may also be moved between raised and lowered positions.
• A control system44 is provided to control various functions ofpatient support10. Control system44 and the remainder ofpatient support10 are powered by an AC plug connection45 to a building outlet or abattery46 supported byframe12.
• Control system44 operates and monitors a plurality oflinear actuators48 provided to extend and retract adjustablelength leg section42, to moveintermediate frame32 relative tobase frame28, to movehead section38 relative to weighframe32, to moveseat section40 relative to weighframe32, and to moveleg section42 relative toseat section40.
• Control system44 includes a plurality of input devices including adetachable siderail controller50 configured to removably couple to any of head and foot end siderails20,22, a first pair ofpermanent siderail controllers52 coupled to head end siderails20, a second pair ofpermanent siderail controllers54 pivotably coupled to head end siderails20, and a pair of foot pedal controls56 coupled tobase frame28.
• Control system44 also includes anobstacle detection device58 illustratively coupled tobase frame28 to detect possible clearance issues betweenintermediate frame32 andbase frame28. Control system44 further includes a plurality of actuator position detectors or motor sensor (as discussed below) provided with each of the plurality ofactuators48. A plurality of load cells (discussed below) are also provided betweenweigh frame36 andintermediate frame32 to provide signals that indicate of the weight supported byintermediate frame32. Control system44 uses these signals to determine the weight of a patient positioned onmattress14. Additionally, control system44 includes a plurality of siderail position detectors orsensors60 configured to provide signals indicative of the position ofsiderails20,22.
• Control system44 is configured to control apump64 in fluid communication with a manifold62 supported onhead section38 ofdeck26.Manifold62 is in fluid communication withmattress14 to regulate the flow of air to and frommattress14.Mattress14 includes anouter cover66 and a first pair ofconnectors68 coupled toouter cover66. A second pair of connectors70 is provided onhead section38 ofdeck26 that align and couple with first pair ofconnectors68.
Deck Support
• As previously mentioned and as shown inFIG. 1,deck support24 includes abase frame28 supported on thefloor29 by a plurality of caster wheels orcaster devices30, anintermediate frame32, a pair oflift arms34 configured to raise and lowerintermediate frame32 relative tobase frame28, and aweigh frame36 supported byintermediate frame32.Linear actuators48aand48b, shown inFIG. 2, provide power to actuatelift arms34 and in turn to raise and lowerintermediate frame32 relative tobase frame28.
• As explained in more detail below, liftarms34 andlinear actuators48aand48b, commonly referred to as a hi/low mechanism, are configured to positiondeck support24 in at least the following positions: a raised or upper position whereinintermediate frame32 and weighframe36 are above base frame28 (FIGS. 1-6); a first lowered position wherein at least a portion ofintermediate frame32 and/or weighframe36 is nested within base frame28 (FIG. 7); a Trendelenburg position wherein ahead end102 ofintermediate frame32 is lower than afoot end104 of intermediate frame32 (FIG. 8); and a Reverse Trendelenburg position whereinfoot end104 ofintermediate frame32 is lower thanhead end102 of intermediate frame32 (FIGS. 9, 10 and 11). One skilled in the art will appreciate that the positions shown inFIGS. 1-11 are exemplary positions and thatintermediate frame32 is positionable in a wide variety of positions relative tobase frame28.
Lift Arms
• Referring toFIG. 2, liftarms34 include a pair ofhead links106 pivotably coupled to head end102 ofintermediate frame32 and slidably and pivotably coupled tobase frame28, a pair offoot links108 pivotably coupled to foot end104 ofintermediate frame32 and slidably and pivotably coupled tobase frame28, and a pair ofguide links110 pivotably coupled torespective foot links108 and pivotably coupled tobase frame28 at a fixed pivot point. Alternatively, the guide links110 are pivotably coupled to therespective foot links108, and theintermediate frame32, or pivotably coupled to therespective head links106 and thebase frame28, or pivotably coupled to therespective head links106 and theintermediate frame32. In further alternative embodiments, two sets ofguide links110 are provided, one set pivotably coupled to the foot links108 and either thebase frame28 or theintermediate frame32 and one set coupled to the head links106 and either thebase frame28 or theintermediate frame32.
• Each head link106 is slidably coupled tobase frame28 and pivotably coupled tointermediate frame32. Alternatively, each of the head links106 is slidably coupled to either thebase frame28 or theintermediate frame32. As illustratively shown inFIG. 2, eachhead link106 is slidably and pivotably coupled tobase frame28 at pivot113 by a slide block111. Slide block111 is pivotably coupled to alower portion112 ofhead link106 and slidably received in aguide114 coupled tobase frame28. In one embodiment, the material used for the slide blocks111 and theguides114 and the surface characteristics of the slide blocks111 and theguides114 are chosen to reduce the coefficient of friction between the slide blocks111 and theguides114.
• Guide114 includes anupper channel116 and a lower channel118 which define two directions oftravel120 and121 for slide block111.Upper channel116 and lower channel118 are further configured to restrict the movement of slide block111 in any direction other than directions oftravel120 and121. Slide blocks111 are preferred because they are capable of spreading the load ofintermediate frame32,deck26 and other patient support components over a larger surface area than other types of couplers. Alternative methods of coupling the head links106 to thebase frame28 can be used provided that the lower portion of the head links106 can pivot relative to thebase frame28 and can move along the directions oftravel120,121. Examples include a roller, a plurality of rollers, or interlocking members.
• Illustratively, anupper end122 of eachhead link106 is pivotably coupled tointermediate frame32 through a cross link124. Alternatively, the head links106 are directly pivotably coupled to theintermediate frame32. In a further alternative, the head links106 are pivotably coupled to thebase frame28 and slidably and pivotably coupled to theintermediate frame32.
• Cross link124 extends between eachhead link106 and is rigidly coupled to eachhead link106. As such, cross link124 coordinates the simultaneous movement of head links106. Cross link124 is received through openings (not shown) formed inintermediate frame32 and is pivotable relative tointermediate frame32. In one embodiment, a bearing or other means is used to increase the ease by which cross link124 pivots relative tointermediate frame32.
• Eachfoot link108, is slidably and pivotably coupled tobase frame28. Illustratively eachfoot link108 is coupled tobase frame28 atpivot126 byslide block128 which is pivotably coupled to alower portion130 offoot link108 and slidably received in aguide132 coupled tobase frame28.Guide132 andslide block128 are generally identical to guide114 and slide block111 discussed in conjunction withhead links106. As such, guide132 is configured to restrict the movement ofslide block128 in any direction other than directions oftravel120 and121. Alternative methods of coupling the foot links108 to thebase frame28 can be used provided that the lower portion of the foot links108 can pivot relative to thebase frame28 and can move along the directions oftravel120,121. Examples include a roller, a plurality of rollers, or interlocking members.
• Anupper end134 of eachfoot link108 is pivotably coupled tointermediate frame32 through across link136. Alternatively, the foot links108 are directly pivotably coupled to theintermediate frame32.Cross link136 is generally identical to cross link124 and cooperates withintermediate frame32 andfoot links108 in the same manner as cross link124 withintermediate frame32 and head links106. Alternatively, theupper end134 of eachfoot link108 is slidably and pivotably coupled to theintermediate frame32 and pivotably coupled to thebase frame28.
• Guide links110 restrict the motion offoot links108 such that thepivot point138 betweenfoot links108 andintermediate frame32 is restrained to move vertically without moving horizontally. This restriction prevents horizontal movement ofintermediate frame32 relative tobase frame28 during the raising and lowering ofintermediate frame32. This restrained movement preventsintermediate frame32 from moving through an arc while moving between the upper position ofFIG. 2 and the lower position ofFIG. 7 so thatintermediate frame32 can be raised and lowered without requiring additional hospital room for clearance.
• It will be appreciated that, in order forguide links110 to perform the restriction function, the distance between pivots140 (pivot betweenguide link110 and foot link108) and142 (pivot betweenguide links110 and base frame28) ofguide links110 is one half the distance between pivot126 (pivot between slide blocks128 and base frame28) and pivot138 (pivot betweenupper ends134 offoot links108 and intermediate frame32). Further, eachguide link110 is pivotably coupled to therespective foot link108 atpivot140 that is one half the distance betweenpivot126 of the associatedslide block128 and pivot138 of the upper end of therespective foot link108. Thus, the distance betweenupper pivot140 of eachguide link110 and thelower pivot142 of eachguide link110 is equal to the distance betweenupper pivot140 of eachguide link110 andupper pivot138 of eachfoot link108. As a result of this link geometry,upper pivots138 offoot links108 are maintained in vertical alignment withlower pivot142 ofguide links110 during the raising and lowering ofintermediate frame32 relative tobase frame28.
Linear Actuators
• As stated earlier,linear actuators48aand48bprovide power to actuatelift arms34 and in turn to raise and lowerintermediate frame32 relative tobase frame28. Linear actuator48ais coupled to and actuateshead links106 andlinear actuator48bis coupled to and actuates foot links108. As such,foot end104 andhead end102 ofintermediate frame32 can be raised and lowered independent of one another. Alternatively, head links106 andfoot links108 of the decking system are coupled together such that a single actuator raises and lowers thehead end102 and thefoot end104 of theintermediate frame32 at the same time.
• Illustratively, afirst end146 oflinear actuator48ais coupled tohead links106 through anextension link148 that is rigidly coupled to cross link124 which, in turn, is rigidly coupled to head links106. As shown inFIG. 2,first end146 is pivotably coupled to extension link148 through a fastener orpivot pin150. Asecond end152 oflinear actuator48ais coupled to afirst bracket154 which is rigidly coupled tointermediate frame32. As shown inFIG. 2,second end152 is pivotably coupled tofirst bracket154 through a fastener orpivot pin156.
• Similarly, afirst end158 oflinear actuator48bis coupled to footlinks108 through anextension link160 that is rigidly coupled tocross link136 which, in turn, is rigidly coupled tofoot links108. As shown inFIG. 2,first end158 is pivotably coupled to extension link160 through a fastener orpivot pin162. Asecond end164 oflinear actuator48bis coupled to asecond bracket166 which is rigidly coupled tointermediate frame32.Second end164 is pivotably coupled tosecond bracket166 through a fastener or pivot pin168.
• Each actuator48aand48bis preferably an electric linear actuator havingrespective cylinder bodies170,cylinder rods172, andmotors604 that operate to extend and retractcylinder rods172 relative tocylinder bodies170. As such,actuators48aand48bhave variable lengths and therefore adjust the distance between pivot pins150 and156 and pivot pins162 and168, respectively. In one illustrative embodiment, actuators48aand48bare Linak actuators, Model No. LA34, available from LINAK U.S. Inc. located at 2200 Stanley Gault Parkway, Louisville Ky. 40223. Further,actuators48c,48d,48eand48fare also illustratively electric linear actuators, and in one embodiment are also Linak actuators. More particularly,actuator48cis illustratively a Linak actuator, Model No. LA34 andactuators48d-48fare illustratively Linak actuators, Model No. LA31. In alternative embodiments, all of theactuators48 or any one or more of the actuators are other types of electric actuators, pneumatic actuators, hydraulic actuators, mechanical actuators, link systems or other components known to those of ordinary skill in the art for coordinating movement of components relative to one another.
• The actuation of eitheractuator48aor48balone causes either the respective head end102 ofintermediate frame32 or therespective foot end104 ofintermediate frame32 to be raised or lowered relative tobase frame28. Referring toFIG. 2, head end102 ofintermediate frame32 is lowered relative to base frame by the retraction of cylinder rod172aofactuator48a. As cylinder rod172aofactuator48ais retracted, the distance between pivot pins150 and156 is reduced. This reduction in pivot spacing causes extension link148 to move towardfirst bracket154 which in turn causes cross link124 andhead links106 to rotate in direction176 aboutpivot126. Sincelower portions112 ofhead links106 are restrained to move only in directions oftravel120 and121 ofguide114, the rotation ofhead links106 in direction176 causeslower portions112 ofhead links106 to travel indirection120. As a result upper ends122 ofhead links106 are lowered relative tobase frame28 and thereforehead end102 ofintermediate frame32 is lowered relative tobase frame28.
• Head end102 ofintermediate frame32 is raised relative tobase frame28 by the extension ofcylinder rod172 ofactuator48a. Ascylinder rod172 ofactuator48ais extended the distance between pivot pins150 and156 is increased. This increase in pivot spacing causes extension link148 to move away fromfirst bracket154 which, in turn, causes cross link124 andhead links106 to rotate in adirection178 counter to direction176 aboutpivot126. The rotation ofhead links106 indirection178 counter to direction176 causeslower portions112 ofhead links106 to travel indirection121. As a result, upper ends122 ofhead links106 are raised relative tobase frame28 and therefore, head end102 ofintermediate frame32 is raised relative tobase frame28.
• Foot end104 ofintermediate frame32 is lowered relative tobase frame28 by the retraction ofcylinder rod172bofactuator48b. Ascylinder rod172bofactuator48bis retracted the distance between pivot pins162 and168 is reduced. This reduction in pivot spacing causes extension link160 to move towardsecond bracket166 which, in turn, causescross link136 andfoot links108 to rotate indirection180 aboutpivot138. Sincelower portions130 offoot links108 are restrained to move only in directions oftravel120 and121 ofguide132, the rotation offoot links108 indirection180 causeslower portions130 offoot links108 to travel indirection121. As a result, upper ends134 offoot links108 are lowered relative tobase frame28 and therefore,foot end104 ofintermediate frame32 is lowered relative tobase frame28.
• Foot end104 ofintermediate frame32 is raised relative tobase frame28 by the extension ofcylinder rod172bofactuator48b. Ascylinder rod172bofactuator48bis extended, the distance betweenpivots162 and168 is increased. This increase in pivot spacing causes extension link160 to move away fromsecond bracket166 which, in turn, causescross link136 andfoot links108 to rotate in a direction182 counter todirection180 aboutpivot138. The rotation offoot links108 in direction182 counter todirection180 causeslower portions130 offoot links108 to travel indirection120. As a result, upper ends134 offoot links108 are raised relative tobase frame28 and therefore,foot end104 ofintermediate frame32 is raised relative tobase frame28.
• The simultaneous actuation ofactuators48aand48bcauses bothhead end102 andfoot end104 ofintermediate frame32 to raise or lower relative tobase frame28. As shown inFIG. 2, the simultaneous extension of bothactuators48aand48bcauses bothhead end102 andfoot end104 ofintermediate frame32 to raise relative tobase frame28 andintermediate frame32 to be spaced apart frombase frame28. The simultaneous retraction of bothactuators48aand48bcauses bothhead end102 andfoot end104 ofintermediate frame32 to lower relative tobase frame28. It should be appreciated thatactuator48acan be extended whileactuator48bis retracted, resulting inhead end102 being raised whilefoot end104 is lowered, or that actuator48acan be retracted whileactuator48bis extended, resulting inhead end102 being lowered whilefoot end104 is raised.
• Further, in an alternative embodiment the direction of one of theactuators48a,48bis reversed such that to raise theintermediate frame32 relative to the base frame28 a first of the twoactuators48a,48bis extended and thesecond actuator48b,48ais retracted. Further, to lower theintermediate frame32 relative to thebase frame28 thesecond actuator48b,48ais extended and thefirst actuator48a,48bis retracted.
• Referring further toFIG. 2,deck support24 is in an upper position when actuators48aand48bare both extended.Deck support24 is moved from the upper position ofFIG. 2 to the Trendelenburg position ofFIG. 8 by retractingactuator48aand thus loweringhead end102 ofintermediate frame32.Deck support24 is returned to the upper position ofFIG. 2 by extendingactuator48aback to its prior length.Deck support24 is moved from the upper position ofFIG. 2 to the Reverse Trendelenburg position ofFIGS. 9 and 10 by retractingactuator48band thus loweringfoot end104.Deck support24 is returned to the upper position ofFIG. 2 by extendingactuator48bback to its prior length.
• Deck support24 is moved from the upper position ofFIG. 2 to the lowered position ofFIG. 7 by simultaneously retractingactuators48aand48band thus lowering bothhead end102 andfoot end104 ofintermediate frame32.Deck support24 is moved back to the upper position ofFIG. 2 from the lowered position ofFIG. 7 by simultaneously extendingactuators48aand48b. It should be appreciated thatactuators48aand48bcan place thepatient support10 in a variety of positions from any starting position and that the upper position shown inFIG. 2 is simply a reference starting position used to explain the operation of the deck support.
• Sinceactuators48aand48bretract and extend at substantially the same rates, the simultaneous retraction ofactuators48aand48bcausesintermediate frame32 to be maintained in a generally horizontal position as it is vertically transitioned from the upper position ofFIG. 2 to the lowered position ofFIG. 7 and then raised back again to the upper position ofFIG. 2. Further, control system44 is configured to control each actuator48a-fand therefore can independently control the speed of each actuator48a-f. Also, as discussed above, guidelinks110 are configured to generally maintain the vertical alignment ofintermediate frame32 andbase frame28 such thatintermediate frame32 does not “swing” outwardly or inwardly relative tobase frame28 asintermediate frame32 is transitioned between various positions.
• One of the purposes ofintermediate frame32 being configured to raise and lower relative tobase frame28 is to aid in the ingress of a patient to and egress of a patient frompatient support10. To allowintermediate frame32 to lower further and thus provide additional assistance in the ingress to and egress of the patient frompatient support10,patient support10 is configured to provide a lowered position, as shown inFIG. 7, wherein portions ofdeck support24 nest within other portions ofdeck support24. Thus, anoverall height183 ofdeck support24 and, in turn, an overall height ofmattress14 is reduced. Further, by placingpatient support10 in the lowered position ofFIG. 7, the possibility of patient injury due to accidental egress frompatient support10 is reduced due to the fact that the patient is closer to thefloor29 than in conventional patient supports.
Nesting Frames
• As shown inFIGS. 7 and 8, portions ofintermediate frame32 are configured to nest withinbase frame28 and/or extend belowbase frame28 when intermediate frame is in the lowered position. Alternatively, thebase frame28 can be configured to nest within theintermediate frame32 when theintermediate frame32 is in the lowered position. As shown inFIGS. 2, 7 and 8, longitudinally-extendingmembers184,186 ofintermediate frame32 define a firstouter width188 ofintermediate frame32 that is less than aninner width190 defined by longitudinally extendingmembers192,194 ofbase frame28 and liftingarms34. Further, anouter length195 ofintermediate frame32 is less than aninner length197 ofbase frame28 and liftingarms34, illustratively shown as the separation betweencross link185, shown inFIGS. 2 and 8, ofhead links106 andcross link187 of foot links108. As such, asintermediate frame32 is lowered to the lowered position, portions ofintermediate frame32 are received within aninterior region196 defined bybase frame28 and liftingarms34, thereby reducingoverall height183 ofdeck support24.
• It should be noted that whendeck support24 is in the lowered position, head links106,foot links108 and guidelinks110 are rotated beyond horizontal, such that pivots126,138,140 are generally lower thanpivots142,143,144. In one embodiment, head links106,foot links108 and guidelinks110 are generally rotated from approximately 80 degrees above horizontal in the upper position ofFIG. 2 to approximately 100 degrees below horizontal in the lowered position ofFIG. 7. As shown inFIG. 2,intermediate frame32 includes a plurality ofgussets208 which each include astop surface210. Stopsurface210 is configured to contact and rest uponfoot links104 andhead links106, respectively, whenintermediate frame32 is fully lowered. Stop surfaces210 are configured to prevent other portions ofpatient support10, such assiderails20,22, from contactingbase frame28. Alternatively, thestop surface210 is configured to contact and rest upon thebase frame28.
• It is further contemplated that portions ofweigh frame36 are configured to nest withinbase frame28 whenintermediate frame32 is in the lowered position.Longitudinally extending members198,200, shown inFIGS. 3, 4 and 13, ofweigh frame36 define anouter width202 ofweigh frame36 that may be less thaninner width190 ofbase frame28 and lifting arms34 (FIG. 7). Further, anouter length204 ofweigh frame36 may be less thaninner length197 ofbase frame28 and liftingarms34. As such, asintermediate frame32 is lowered to the lowered position, portions ofweigh frame36 as well asintermediate frame32 may nest within or extend belowbase frame28 thereby further reducingoverall height183 ofdeck support24.
Weigh Frame
• As noted above,intermediate frame32 is coupled to weighframe36. As shown inFIGS. 13 and 14, weighframe36 includes longitudinally extendingmembers198,200 and transversely extendingmembers211,213.Load cells220,222,224,226 are coupled to a respective end of longitudinally extendingmembers198,200.
• Referring further toFIG. 14,load cell226 is shown. The description below ofload cell226 is descriptive of all ofload cells220,222,224,226 unless specifically noted otherwise.Load cell226 includes a load member, load beam, or cell block (hereinafter “cell block221”) that is mounted at one of the four corners of theweigh frame36. Conventional strain gages (not shown) are included inload cell226 and are coupled tocell block221. The strain gages operate in a conventional manner to provide an indication of the load supported byload cell226. That is, a known input voltage is applied to input leads (not shown) coupled to the strain gages and, ascell blocks221 deflect due to the application of a load, the resistance of the strain gages changes resulting in a change in an output signal generated on output leads (not shown) coupled to the strain gages. In the illustrative embodiment, the input and output leads are bundled together in a cable (not shown) that is routed betweenload cell226 and conventional signal conditioning circuitry (not shown).
• Block221 is coupled to a mountingbar223 ofweigh frame36 by suitable fasteners, such as bolts (not shown). Mountingbar223 and block221 are received in the interior region ofweigh frame members198,200 as shown best inFIG. 14. Astud225 is coupled to block221 and includes asocket portion227 and aball portion228.Socket portion227 is configured to captureball portion228 and to allowball portion228 to rotate relative tosocket portion227.
• Load cells220,222,224,226 are further configured to be coupled to transversely extendingmembers215,217 ofintermediate frame32, shown inFIG. 2. Assuch weigh frame36 is coupled tointermediate frame32 and supported byload cells220,222,224,226. Referring toFIGS. 2, 3 and 15, astud229 is fastened to each opposing end of transversely extendingmembers215 and217 ofintermediate frame32 and is configured to be received byball portion228 respective ofload cells220,222,224,226. As such,studs229 andball portions228 couple weighframe36 tointermediate frame32.
• The weight ofweigh frame36 and anything supported byweigh frame36, such asdeck26,mattress14, and a patient, is transmitted to loadcells220,222,224,226. This weight deflects or otherwise changes a characteristic ofload cells220,222,224,226 that is detected to determine the total weight supported thereby. By subtracting a known weight ofweigh frame36,deck26,mattress14 and any other bed components supported onweigh frame36, the weight of the patient positioned onpatient support10 can be determined. Additional description of illustrative load cells and methods for determining a patient's weight, position in the bed, and other indications provided by load cells is provided in U.S. patent application Ser. No. 09/669,707, filed Sep. 26, 2000, titled Load Cell Apparatus, to Mobley et al., the disclosure of which is expressly incorporated by reference herein. According to alternative illustrative embodiments of the present disclosure, other configurations and methods of using load cells or other devices to determine a patient's weight or other information related to the patient known to those of ordinary skill in the art are provided herein.
Mattress Deck
• As shown inFIGS. 3-5 and as previously mentioned,deck26 is coupled to weighframe36 and includesseveral sections38,40,42 that are configured to articulate between a plurality of positions.Head section38 is positioned adjacent headboard16 (FIG. 1) and is pivotably coupled to weighframe36. In the illustrated embodiment as shown inFIGS. 16 and 18, afirst end231 ofhead section38 is pivotably coupled to upwardly extendingflanges230 ofweigh frame36 such thathead section38 is rotatable about apivot232.Head section38 is further coupled toactuator48c. In the illustratedembodiment actuator48cis pivotably coupled to a downwardly extendingbracket233 ofhead section38 and to abracket234 ofweigh frame36.Actuator48cis configured to raise asecond end235 ofhead section38. As such,second end235 ofhead section38 can be raised or lowered relative tofirst end231, by the extension or retraction of the length ofcylinder172cofactuator48c.
• Seat section40 is positionedadjacent head section38 and is pivotably coupled to weighframe36. In the illustrated embodiment as shown inFIGS. 16 and 18, afirst end236 ofseat section40 is pivotably coupled toflanges230 ofweigh frame36 such thatseat section40 is rotatable about apivot237.Seat section40 is further coupled toactuator48d. In the illustrated embodiment,actuator48dis pivotably coupled to a downwardly extendingbracket238 ofseat section40 and tobracket234 ofweigh frame36.Actuator48dis configured to raise asecond end256 ofseat section40. As such,second end239 ofseat section40 may be raised or lowered relative tofirst end236, by the extension or retraction of the length of cylinder172dofactuator48d.
• Leg orfoot section42 is positionedadjacent seat section40 and is pivotably coupled toseat section40. In the illustrated embodiment as shown inFIGS. 16 and 18,second end239 ofseat section40 is pivotably coupled to afirst end244 ofleg section42 such thatleg section42 is rotatable about apivot241.Leg section42 is further coupled toactuator48e. In the illustrated embodiment,actuator48eis slidably coupled to abracket246 ofleg section42 and is pivotably coupled to abracket248 ofweigh frame36.Actuator48eis configured to raise asecond end250 ofleg section42. As such,second end250 ofleg section42 can be raised or lowered relative tofirst end244, by the extension or retraction of the length ofcylinder172eofactuator48e.
• Deck26 is configured to supportmattress14. As shown inFIG. 16,head section38 andseat section40 each includes angledside walls260a,260band262a,262b, respectively. Further,head section38 andseat section40 each includes substantially flat lower deck portions, floors orwalls264 and266 connected toside walls260a,260band262a,262b, respectively.Angled side walls260a,260bandfloor264 andangled side walls262a,262bandfloor266 each cooperate to define a support surface for a portion ofmattress14. As shown inFIG. 16, theangled walls260a,260band262a,262bare oriented to form obtuse angles with theirrespective floors264 and266. In one illustrative embodiment, the angle formed is approximately 135 degrees. According to alternative embodiments of the present disclosure, the obtuse angles between the side walls and the floor may range from slightly more than 90 degrees to slightly less than 180 degrees. According to other alternative embodiments of the present disclosure, the angles are right angles or acute angles.
• The lowered central portion, generally corresponding tofloors264 and266 ofhead section38 andseat section40, respectively, provides ample space formattress14 to be positioned. By having a lowered central portion, the pivot of a patient's hip when the patient is positioned onmattress14 is more in line withpivots232,237 ofhead section38 andseat section40 and provides ample space to provide amattress14 that provides adequate support for the patient. In one illustrative embodiment, the position of the pivot of the hip of the patient is about two inches above thepivots232,237 of the head andseat sections38 and40 of thedeck26. In another illustrative embodiment, the position of the pivot of the hip of the patient is generally in line with thepivots232,237 of the head andseat sections38 and40 of thedeck26. By minimizing the distance between the pivot of the patient's hip and thepivots232,237 of the head andseat sections38 and40, the amount of shear exerted against the patient is reduced as either the head orseat38,40 section is raised or lowered. By reducing the amount of shear exerted against the patient, the possibility of the patient experiencing skin breakdown is reduced.
• As further shown inFIG. 16,head section38 andseat section40 further have taperedadjacent end portions268,269 providing clearance therebetween during titling ofhead section38 or during tilting ofseat section40.
• In one illustrative embodiment, as previously described, the distance between the pivot of a patient's hip and pivots232,237 is about two inches. Referring toFIG. 19, this translates into about a two inchthick section270 ofmattress14 at the edge of thedeck26. The thickness of themattress14 at the edge of thedeck26, illustratively about two inches, provides needed support for the lateral transfer of the patient into and out ofpatient support10. Further, the thickness of themattress14 at the edge of thedeck26 provides agrip271 for the patient to grasp to aid in the egress frompatient support10. In one embodiment the thickness ofgrip271 is about two inches.
Head Section
• Referring again toFIG. 16,head section38 further includes apartition272 located proximate tosecond end235. A generallyvertical wall274 and a generallyhorizontal wall275form partition272. In alternative embodiments,vertical wall274 may be contoured or sloped at any angle relative tohorizontal wall275. On a mattress side ofpartition272, first and second manifold receiving connectors70 are coupled towall272.
• On the side opposite the mattress side, or manifold side ofpartition272, manifold62 is coupled topartition272. Referring toFIGS. 16 and 18, acover282 is provided to enclose the manifold side ofpartition272. Cover282 is coupled to the remainder ofhead section38 by fasteners, such as snaps, screws, hook and loop fasteners, hinges, magnets, or other suitable fasteners. In one embodiment, a noise barrier (not shown) is positioned between thecover282 and the remainder of thedeck26. An illustrative noise barrier is formed from conventional foam.
• As explained in more detail herein, first and second manifold receiving connectors70 are configured to be coupled tomattress connecters68, which are in fluid communication withmattress14.Manifold62 is configured to be in fluid communication withpump64. As such,mattress14 may be easily assembled topatient support10 by simply coupling first and second manifold receiving connectors70 withconnectors68. In alternate embodiments, a single or three or more manifold receiving connectors are coupled to the partition.
• In one embodiment, at leastvertical wall274 ofpartition272 is removably coupled tohead section38.Vertical wall274 is assembled withmanifold62 and first and second manifold receiving connectors70 to form a sub-assembly. The sub-assembly is then coupled tohead section38 by any suitable fastening means including screws, bolts, snaps, clasps, latches, or other suitable fastening means. As such, the sub-assembly may be configured for a variety of mattress configurations and assembled into the remainder ofpatient support10.
Foot Section
• Referring further toFIG. 16, leg orfoot section42 is transversely contoured similar tohead section38 andseat section40. However,leg section42 further includes a firstleg section member290 and a secondleg section member292 which are movable relative to each other and thereby allowleg section42 to be positioned in a retracted position, shown best inFIG. 18, and in an extended position shown best inFIG. 20. In alternative embodiments, one or more of thehead section38,seat section40 andleg section42 are comprised of multiple section members that are movable relative to each other to allow the respective section to lengthen or retract.
• Referring toFIGS. 16 and 21, firstleg section member290 includes a generally flat floor orwall294 andangled side walls291a,291b. Secondleg section member292 includes a generally flat floor orwall298 andangled side walls300a,300b.Floor298 andside walls300a,300bof secondleg section member292 are configured tooverlay floor294 andside walls291a,291bof firstleg section member290. As such, secondleg section member292 is configured to slide over firstleg section member290 asleg section42 is translated between an extended position (FIG. 20) and a retracted position (FIG. 18), or between a retracted position (FIG. 18) and an extended position (FIG. 20). Alternatively, the firstleg section member290 is configured to slide over the secondleg section member292 as theleg section42 is translated between an extended position and a retracted position, or between a retracted position and an extended position.
• Referring further toFIGS. 18 and 20, secondleg section member292 is translated relative to firstleg section member290 byactuator48f. Afirst end302 ofactuator48fis coupled to firstleg section member290 and asecond end304 ofactuator48fis coupled to secondleg section member292. In the illustrated embodiment,first end302 ofactuator48fis coupled to abracket303 of firstleg section member290. Similarly,second end304 ofactuator48fis coupled to abracket305 of secondleg section member292. To extend secondleg section member292 relative to firstleg section member290, cylinder rod172fofactuator48fis extended. To retract secondleg section member292 relative to firstleg section member290, cylinder rod172fofactuator48fis retracted. In the preferred embodiment,actuator48fis an electric actuator, such as a Linak actuator, and is controlled by control system44 as described herein. In alternative embodiments theactuator48fis a mechanical actuator, a pneumatic actuator, a hydraulic actuator, a link system or other suitable means to move the secondleg section member292 relative to the firstleg section member290.
• Firstleg section member290 and secondleg section member292 are maintained in longitudinal alignment at least in part byguide members306a,306b. Illustratively,guide member306a,306bare telescoping tubes that extend and retract in a linear fashion as the first and secondleg section members290 and292 move relative to each other. As shown inFIG. 20, afirst end308 ofguide members306 are coupled to firstleg section member290 and asecond end310 ofguide members306 are coupled to secondleg section member292. As such asactuator48fextends or retracts, guidemembers306 are configured to extend or retract opposite sides of secondleg section member292 at the same rate, thereby preventing thesecond leg section292 and thefirst leg section290 from binding. In alternative embodiments, the guide members may comprise slide blocks and guide channels, interlocking members, rollers and associated races, or other suitable guiding means.
• Referring toFIGS. 16 and 21, secondleg section member292 is further guided relative to firstleg section member290 by operably coupled interlockingportions312aand314aofangled walls291 and300a, respectively, and by operably coupled interlocking portions312band314bofangled walls293 and300b, respectively.
• Referring further toFIGS. 16 and 21,floor294 of firstleg section member290 andfloor298 of secondleg section member292 are separated by aseparator316.Separator316 is made of a material, such as plastic, that assists in the movement of secondleg section member292 relative to firstleg section member290. In the illustrated embodiment,separator316 includes a plurality offlexible finger members318 which are coupled to secondleg section member292 and contact firstleg section member290.Fingers318 are connected to secondleg section member292 to maintain the position offingers318 at the interface between firstleg section member290 and secondleg section member292. In alternative embodiments,separator316 may comprise a strip attached to the end of the secondleg section member292, a series of rollers, or other means to facilitate the sliding of the secondleg section member292 relative to the firstleg section member290.
• In alternative embodiments other suitableextendable foot sections42 may be used. Illustrative suitable foot sections include the patient supports and corresponding foot sections described in U.S. Pat. No. 6,212,714 issued Apr. 10, 2001 to Allen et al., the disclosure of which is expressly incorporated by reference herein, and U.S. Pat. No. 6,163,903 issued Dec. 26, 2000 to Weismiller et al., the disclosure of which is expressly incorporated by reference herein.
• As previously mentioned,leg section42 ofdeck26 is adjustable in length so that it can be moved from a retracted position to an extended position. Preferably, the length ofleg section42 is adjusted depending upon the height of the patient positioned onmattress14 so that the patient's foot is positioned adjacent to footboard18, shown inFIG. 1. For example,leg section42 is extended to position the heels of a tall patient adjacent tofootboard18.Leg section42 is retracted to position the heels of a shorter patient adjacent tofootboard18.
• Also illustratively,mattress14 is configured to be extended and retracted withleg section42 as discussed in more detail herein. As such, the heel of the patient may be maintained over a given section ofmattress14, such as heel pressure relief member2154 (FIGS. 93-95) which is configured to provide heel-pressure relief.
• According one embodiment of the present disclosure, the length ofleg section42 corresponds to the position ofhead section38. For example, ifhead section38 is raised to the titled position as shown inFIG. 21,leg section42 ofdeck26 is controlled by control system44 to automatically extend by a given distance. Ifhead section38 is lowered,leg section42 is controlled by control system44 to automatically retract to its pre-extended position. More particularly, control system44 coordinates movement ofhead section38 andleg section42 by simultaneously controllingactuators48cand48f. By corresponding the extension and retraction ofleg section42 with the movement ofhead section38, the patient's foot is maintained above heelpressure relief member2154 ofmattress14. Furthermore, iffootboard18 is used as a foot prop, the patient's foot is maintained at a steady distance relative to footboard18 during raising and lowering ofhead section38.
• Preferably, the degree of automatic extension ofleg section42 is a function of the angle ofhead section38. The further uphead section38 is raised from a generally linear relationship withseat section40, themore leg section42 is extended so that heelpressure relief member2154 is continuously positioned under the patient's heel throughout the range of motion ofhead section38.
Mattress Deck Articulation
• As stated previously,patient support10 is positionable in a plurality of positions. Referring toFIGS. 1 and 3 and 22,head section38,seat section40 andleg section42 are in a linear relationship relative to each other. In one illustrative embodiment,head section38,seat section40 andleg section42 are placed in the linear relationship by control system44 in response to a single button being depressed on one ofcontrollers50,52,54.
• Referring toFIG. 4,head section38 is rotated aboutpivot232 such thatsecond end235 is raised relative tofirst end231.Second end235 is raised by control system44 controllingactuator48cto further extendcylinder172 ofactuator48c. In one illustrative embodiment,head section38 is raised by control system44 in response a first button being depressed on one ofcontrollers50,52,54 and lowered by control system44 in response to a second button being depressed onsame controller50,52,54.
• Also, shown inFIG. 4,seat section40 is rotated aboutpivot237 such thatsecond end239 is raised relative to first end.Second end239 is raised by control system44 controllingactuator48dto further extend cylinder172dofactuator48d.Leg section42, inFIG. 4, is raised due to the rotation ofseat section40 and the coupling ofleg section42 toseat section40, butleg section42 remains in a generally horizontal position due to the rotation ofactuator48e. In one illustrative embodiment,seat section40 is raised by control system44 in response to a first button being depressed on same and lowered by control system44 in response to a second button being depressed on thesame controller50,52,54.
• Referring toFIG. 5,head section38 andseat section40 are in generally the same position as inFIG. 4. However,second end250 ofleg section42 has been lowered such thatsecond end250 is lower relative tofirst end244.Second end250 is lowered relative tofirst end244 by control system44 controllingactuator48eto further retractcylinder172eofactuator48e. In one illustrative embodiment,head section38,seat section40 andleg section42 are placed in the configuration shown inFIG. 5 by control system44 in response to a chair button on one ofcontrollers50,52,54 being depressed. In an alternate embodiment, theleg section42 is raised by control system44 in response to a leg section up button being depressed on one of thecontrollers50,52,54, and lowered by control system44 in response to a leg section down button being depressed on thesame controller50,52,54.
• Referring further toFIGS. 4, 5, 18 and 20, the weight ofactuator48eandleg section42 maintains afirst end320 ofactuator48eadjacent afirst end322 ofslot324 inbracket246 ascylinder172eofactuator48eis retracted, as opposed tofirst end320 ofactuator48etraveling towards asecond end326 ofslot324. The configuration of deck inFIG. 5 is an illustrative first chair-like position.
• Further,leg section actuator48eis lengthened by control system44 whenseat section40 is lowered from the elevated position shown inFIG. 5. Leg section actuator48eis lengthened to prevent any interference betweenleg section42 andseat section40.
• FIG. 6 illustratesleg section42 not being movable between the position ofleg section42 inFIG. 4 and the position of leg section inFIG. 5, due to anobstruction330 impeding the movement ofleg section42. Example obstructions include a cart, a wheelchair, a table, a trashcan or any other item. As shown inFIG. 6, whenleg section42 encountersobstruction330first end320 ofactuator48etravels alongelongated slot324 in the direction ofarrow325 towardsecond end326 ofslot324. As such,slot324 serves as a safety device to avoid crushingobstruction330 and to avoid destruction ofactuator48eand damage topatient support10.
• The length ofslot324 is selected to allowactuator48eto move from a fully extended position to a fully retracted position whilefirst end320 ofactuator48etravels inslot324. As such,actuator48ewill encounter the end of its range of motion or travel (fully retracted) before or coincident withfirst end320 ofactuator48ereachingsecond end326 ofslot324. Therefore,leg section42 will not crush or otherwisedamage obstruction330 due to the continued pressure applied byactuator48e,actuator48ewill not be damaged due to a larger than expected load being placed onactuator48e, andpatient support10 will not be damaged.
• Alternative methods may be used to keep theleg section42 from damaging the obstruction and to keep from damaging the actuator48e. A first example is to monitor the load placed on the actuator48ewith the control system44 and to disengage or reverse the motion of the actuator48ein response to a larger than expected load for retracting the actuator48e. A second example is to place a pressure sensor along the bottom of theleg section42 and to disengage the actuator48ewhen a higher than expected pressure is detected. An illustrative sensor may be the obstacle detection system of the present invention disclosed herein. Other known safety systems may also be used.
• In alternative embodiments, theelongated slot324 is located on thebracket248 attached to theweigh frame36 and the actuator48eis pivotably coupled to theleg section42 and slidably and pivotably coupled to theweigh frame36. In a further alternative embodiment, theelongated slot324 is located on the joint between theleg section42 and theseat section40 such that theleg section42 and theseat section40 are pivotably and slidably coupled, theleg section42 and the actuator48eare pivotably coupled and the actuator48eand theweigh frame36 are pivotably coupled. In still further alternative embodiments, theelongated slot324 feature is incorporated into the configuration for thehead section38, is incorporated into the configuration for theseat section40, or is incorporated into the liftingarms34 configuration.
• Referring toFIG. 10, a second chair-like configuration ofpatient support10 is shown.Head section38,seat section40 andleg section42 ofdeck26 are generally oriented relative tointermediate frame32 as shown inFIG. 5. However,deck support24 is positioned generally in a Reverse Trendelenburg position, whereinfoot end104 ofintermediate frame32 is lower thanhead end102 ofintermediate frame32.Deck support24 is placed in the second chair-like position by retractingactuator48b, shown inFIG. 2, and thus loweringfoot links108. In one illustrative embodiment,patient support10 is placed in the configuration shown inFIG. 10 by control system44 in response to a first button being depressed on one ofcontrollers50,52,54 and in response to a second button being depressed on one ofcontrollers50,52,54. In an alternative embodiment, the patient support is placed in the configuration shown inFIG. 10 in response to a button being depressed on the controllers. In a further alternate embodiment, thepatient support10 is placed in the configuration ofFIG. 5 in response to a first chair button on one ofcontrollers50,52,54 being depressed and is placed in the configuration ofFIG. 10 in response to a second chair button on thesame controller50,52,54 being depressed.
• Afurther safety device340 is shown inFIG. 17 and is coupled toleg section42.Safety device340 includesbracket305 rigidly coupled toleg section42 and aroller344 rotatably coupled tobracket305.Safety device340 similar to slot324 protectspatient support10 from damage and also protects an obstruction, such asobstruction330 or the floor29 (FIG. 6), from damage. Alternatively, theroller344 of thesafety device340 is directly coupled to or integrated with theleg section42, thereby eliminating thebracket305.
• InFIG. 11,patient support10 is transitioned to the second-chair like configuration, however either due to the fact thatleg section42 is extended, discussed in more detail herein, or thatdeck support24 is somewhat lowered,second end250 ofleg section42 contacts the floor and could potentially be damaged prior topatient support10 fully transitioning to the second chair like position. As shown inFIG. 11,safety device340 is configured to translatesecond end250 ofleg section42 in adirection341 whileleg section42 rotates in adirection343 to avoid damage toleg section42.
• Assecond end250 ofleg section42 is translated indirection341 andleg section42 is rotated indirection343 relative to seat section,first end320 ofactuator48eis traveling withinslot324. As discussed earlier in connection withFIG. 6,slot324 allows the actuator48eto continue to retract without further loweringleg section42. However, in the current case, whereinpatient support10 is transitioning from the first chair-like configuration ofFIG. 5 to the second chair-like configuration ofFIG. 10,actuator48eis not retracting. In the current case ofFIGS. 10 and 11,first end320 ofactuator48e, a fixed link (since not retracting or extending), travels withinslot324 and thusleg section42 rotates to avoid crushing the obstruction or causing damage to thepatient support10. As such,safety device340 functions in concert withslot324. It should be appreciated thatroller344 reduces the friction between thefloor29 andleg section42, thereby allowingleg section42 to more easily rotate and translate.
• A further instance whereinsafety device340 protects bothleg section42 and an obstruction from damage is whendeck26 is in a linear configuration withleg section42 in an extended position and thepatient support10 is moved to a Reverse Trendelenburg position from a low position. As shown inFIG. 12,patient support10 is transitioning from a low position, wherein bothactuators48aand48b, shown inFIG. 2, are generally retracted, to a Reverse Trendelenburg position, whereinactuator48bremains generally retracted andactuator48ais generally extended to raise head end102 ofintermediate frame32 relative to footend104. In such a configuration, thesecond end250 ofleg section42 could either contact thefloor29 or anobstruction348, such as a foot. In either case,safety device340 andsafety device324 cooperate to rotateleg section42 relative toseat section40 and thereby reduce the likelihood of damage to bothleg section42 and theobstruction348.
CPR Configuration
• Often it is required to configurepatient support10 in a CPR configuration which is tailored to assist a caregiver in providing CPR to the patient supported onpatient support10. In one illustrative example, a CPR configuration is defined by placing the head, seat andleg sections38,40,42 in a generally linear relationship and to inflate anupper bladder assembly2122 to an elevated or a maximum pressure in the manner further described herein. In a further illustrative CPR configuration, the head, seat andleg sections38,40,42 are placed in a generally linear relationship, theupper bladder assembly2122 is inflated to an elevated or a maximum pressure anddecking support24 is oriented such thathead end102 is lower relative to footend104, generally a Trendelenburg position as shown inFIG. 9.
• Patient support10 may be placed in the preferred CPR configuration by providing an indication to control system44 which in turn controls actuators48c,48d,48eto place head, seat, andleg sections38,40,42 in a generally linear relationship, controls pump64 to inflateupper bladder assembly2122 to the desired pressure, and controls actuators48aand48bofdeck support24 tolower head end102 relative to footend104. The details of control system44 and how control system44controls actuators48a-fand pump64 are further described herein.
• Illustratively,patient support10 is placed in the preferred CPR configuration by manually loweringhead section38 to a lowered position and providing an indication to control system44 which, in turn, controls actuators48dand48eto place head, seat andleg sections38,40,42 in a linear relationship, controls pump64 to inflateupper bladder assembly2122 to the desired pressure, and controls actuators48aand48bofdeck support24 tolower head end102 relative to footend104. Referring toFIG. 18, both the manual lowering ofhead section38 and the providing of an indication to control system44 are initiated by the actuation of a first oruser input350 from a first state corresponding to an off or inactive condition to a second state corresponding to an on or active condition and are continued as long asfirst input350 remains in the on or active condition.
• Referring toFIGS. 13, 16, 18, 23 and 24,first input350 includes ahandle352 positioned adjacent a longitudinal side ofhead section38. As shown inFIG. 24, a pair offirst inputs350 are provided, eachfirst input member350 being supported adjacent opposing right or left longitudinal sides of thehead section38. In the following description, thefirst inputs350 and related components adjacent the left and right sides will be specifically identified by the respective reference number followed by reference letter “a” or “b”. It should be appreciated that bothfirst inputs350aand350bhave identical components and are mirror images of each other. Further, eachfirst input350aand350bis configured to function independently of the otherfirst input350aand350b. Each handle352 is coupled to ahandle bracket354 which is rotatably coupled to a bracket356 which is rigidly coupled tohead section38.Handle bracket354 is rotatably coupled to bracket356 by a first fastener358. The degree of rotation ofhandle bracket354 relative to bracket356 is limited by a stop, illustratively fastener360 (FIG. 23), which is received in an elongated slot362 inhandle bracket354.
• In one illustrative embodiment, handle352 includes anindicia353, shown inFIG. 16, that indicates that the handle corresponds to a CPR condition. Illustrative indicia includes wording such as “CPR” or other text, color-coding, embossed characters or combinations thereof. In alternative embodiments, the indicia is a part of a pedal, a button, a switch, a lever arm, or other suitable actuatable members Referring further toFIG. 23, eachhandle bracket354 includes a flange364 that is configured to couple a first end366 of acable368. Bracket356 includes a flange370 configured to couple a first end372 of a cable housing374.Cable368 is free to translate or move within cable housing374. As such, ashandle bracket354 is rotated indirection376 relative to bracket356,cable368 is extended from cable housing374 generally indirection378. As explained later,cable368 biases indirection380, in the absence of an external force applied to handle352, thereby causinghandle bracket354 and handle352 to rotate indirection381,opposite direction376.
• Referring toFIGS. 24-28, a second end382 of eachcable368 and a second end384 of each cable housing374 are coupled to anactuator assembly386 which, in turn, is coupled toactuator48c.Actuator assembly386 includes ahousing388 coupled tocylinder rod172 ofactuator48cbyretainers390, shown inFIGS. 24 and 25.Flange392 extends from atop portion394 ofhousing388 and is configured to couple to second end384 of each cable housing374. Aslide bracket396 is slidably coupled totop portion394 ofhousing388.Slide bracket396 receives second end382 of eachcable368 in one of the plurality ofslots400 defined by a plurality of upwardly extendingflanges402 ofslide bracket396. Afurther flange404 ofslide bracket396 is coupled to arelease pin406 ofactuator48c. As known in the art,release pin406 ofactuator48cis configured to allowcylinder rod172cofactuator48cto freely move relative tocylinder body170c, such thatrod172ccan be freely extended from or retracted withincylinder body170c.
• Slide bracket396 is coupled to eachhandle bracket354 throughcables368. As such, the rotation of either handle352a,352bby a caregiver rotatesrespective handle bracket354a,354bwhich, in turn, translatesfirst end366a,366bofcable368a,368baway fromfirst end372a,372bofcable housing374a,374b, which translatessecond end382a,382bofcable368a,368btowardsecond end384a,384bofcable housing374a,374bin a direction408 (FIG. 26). The translation of eithercable368a,368bindirection408 translates bothslide bracket396 andrelease pin406 indirection408. As such, while the caregiver keeps either handle352a,352bin its rotated position,cylinder rod172cofactuator48cis freely moveable relative tocylinder body170cofactuator48candhead section38 may be manually lowered or raised.
• As known in the art,release pin406 is biased indirection410 counter todirection408. Asrelease pin406 moves indirection410,cylinder rod172cofactuator48cis no longer freely movable relative tocylinder body170 ofactuator48c. Therefore, when the caregiver releases bothhandles352a,352brelease pin406 due to its bias translatesslide bracket396 indirection410 which in turn throughrespective cables368a,368brotateshandle bracket354a,354band handle352a,352bin direction381 (FIG. 23). As such,actuator48cis once again actuatable by control system44 instead of manually.
• Referring toFIG. 25, as the caregiver manually lowershead section38, adamper430 is provided to reduce the rate at whichhead section38 is lowered thereby ensuring thathead section38 does not abruptly move to the lowered position. Illustratively,damper430 is agas spring432 which is pivotably coupled to weighframe36 and slidably and pivotably coupled tohead section38. Afirst end434 ofgas spring432 is received in anelongated slot436 of a bracket438 which is rigidly coupled tohead section38. Ashead section38 is lowered from the elevated position to an intermediate position,first end434 ofdamper430 travels from afirst end440 ofslot436, generally corresponding to the elevated position, towards asecond end442 ofslot436, generally corresponding to the intermediate position. In an illustrative embodiment, the intermediate position corresponds to a position approximately two-thirds of the travel distance from the elevated position to the lowered position.
• Gas spring432 has an uncompressed state generally corresponding to headsection38 being positioned between the intermediate position and the elevated position and a compressed state generally corresponding to headsection38 being positioned between the intermediate position and the lowered position. Ashead section38 moves from the intermediate position to the lowered position,first end434 ofgas spring432 stays proximate tosecond end442 ofslot436 and a rod444 ofgas spring432 is forced to slidably move into a housing446 ofgas spring432 against the biasing force exerted bygas spring432. In general,gas spring432 prefers to be in the uncompressed state and resists movement to the compressed state. As such,gas spring432 resists the movement ofhead section38 from the intermediate position to the lowered position and thereby slows the rate of travel ofhead section38 to the lowered position.
• Gas spring432 is of conventional design. In alternative embodiments, other types of dampers may be used. Example dampers include compressible foam, air bladders, compressible springs, and other suitable damping means.
• Referring toFIG. 26,housing388 further includes a second input orcontrol448 that is connected to control system44. Illustratively, second input/CPR release448 is a switch which is engaged byslide bracket396. Whenswitch448 is closed, control system44 receives an indication that switch4148sbeen closed. Control system44 proceeds to place the other portions ofpatient support10 in the preferred CPR configuration. First, control system44, if needed, actuates actuators48dand48eto placeseat section40 andleg section42 in a linear relationship withhead section38 corresponding to headsection38 being in a lowered position. Second, control system44, if needed, inflatesupper bladder assembly2122 to the desired pressure. Third, control system44, if needed, actuatesactuators48aand48btolower head end102 ofdecking support24 relative to foot end104 ofdecking support24. Ifswitch448 remains closed, control system44 preferably lowershead end102 about 12 degrees to about 15 degrees relative tofoot end104.
• Ifswitch448 is opened as a result of thecaregiver releasing handle352 before control system44 completes the aforementioned tasks, control system44 aborts the uncompleted tasks. For example, if the caregiver could release handle352 whenhead end102 is approximately 5 degrees lower thanfoot end104. It is understood thatswitch448 may be located in a variety of locations and activated in a variety of ways. For instance, switch448 may be placed onhandle352 or handlebracket354. In alternate embodiments, thehandle352 is replaced by a foot pedal, a button, a switch, a lever arm or other suitable actuatable members.
• Referring toFIG. 28, a secondembodiment slide bracket420 is shown.Slide bracket420 is made from a plastic material and generally functions similar toslide bracket396.Slide bracket420 is slidably coupled tohousing388, is coupled to releasepin406, and is configured to engageswitch448.Slide bracket420 is further coupled tosecond ends3822,382bofcable368a,368b.
• Referring toFIG. 30, second end382 of eachcable368 includes aretainer421 which is received within arecess422 onslide bracket420. Illustratively, theretainer421 may comprise a spherical member or a disk crimped on the second end382 ofcable368. In order to enterrecess422,retainer421 on second end382 must pass bydetent424 which is configured to retain second end382 inrecess422.
Caster Braking System
• Referring toFIGS. 29-33,patient support10 further includes acaster braking system450. Thecaster braking system450 interconnects eachcaster device30a,30b,30c,30dto provide simultaneous braking ofcasters devices30a,30b,30c,30d. Eachcaster device30a,30b,30c,30dis associated with afoot brake pedal452a,452b,452c,452d. To simultaneously brake allcaster devices30a,30b,30c,30d, the caregiver steps on one of foot brake pedals452 andcaster braking system450 locks all fourcaster devices30a,30b,30c,30dagainst rolling. In alternative embodiments thecaster devices30 are brake/steer caster devices opposed to simply brake caster devices.
• Eachcaster device30 includes a braking mechanism (not shown) that is coupled to a caster-brake link, illustratively a faceted shaft such ashexagonal shaft453, such that rotation ofhexagonal shaft453 engages the braking mechanism. As shown inFIG. 32, eachhexagonal shaft453 is received within asleeve454 ofcaster device30 whereinshaft453 is coupled to the braking mechanism. Additional description of a caster braking system similar to thecaster braking system450 of the present disclosure including the illustrative braking mechanism is provided in U.S. patent application Ser. No. 09/263,039, filed Mar. 5, 1999, to Mobley et al., entitled Caster and Braking System, and issued as U.S. Pat. No. 6,321,878 on Nov. 27, 2001, the disclosure of which is expressly incorporated by reference herein. According to alternative embodiments of the present disclosure other configurations of caster braking and/or steering systems with or without simultaneous locking functions are provided for use with the foot brake pedal452 and caster-brake link of the present disclosure.
• As shown inFIGS. 29 and 31, afirst end455 ofhexagonal shaft453 is coupled to foot pedal452. Asecond end456 ofhexagonal shaft453 is coupled to arod457.Rods457a,457binterconnect transversely spaced caster pairs30a,30band30c,30d, respectively.Rod457ais coupled tohexagonal shafts453aand453bandrod457 is coupled tohexagonal shafts453cand453d. As such, the braking of eithercaster device30aorcaster device30bresults in the braking of the other caster device ofcaster device30aandcaster device30b. Similarly, the braking of eithercaster device30corcaster device30dresults in the braking of theother caster device30corcaster device30d.
• Further, transversely spaced caster device pairs30a,30band30c,30dare interconnected by a longitudinally extendingbrake links458a,458b, respectively. Brake links458a,458bare configured to interact with the caster device pairs30a,30b,30c,30dsuch that the braking of any onecaster device30a,30b,30c,30dsimultaneously brakes the remainingcaster devices30a,30b,30c,30d.
• As shown inFIGS. 29 and 32, a first end460 of brake link458ais pivotably coupled to abracket462aby a fastener464.Illustratively bracket462 is a U-shaped bracket having afirst leg466 and asecond leg468. The lower portions oflegs466,468 are configured to pivotably couple to brake link458.Bracket462 further includes a generally hexagonal opening forcoupling bracket462 tohexagonal shaft453.
• In operation, a caregiver depresses one of the foot pedals452, such asfoot pedal452a, to simultaneously brake all fourcaster devices30a,30b,30c,30d. Illustratively, foot pedals452 are shown on a first side of eachcaster device30. Alternatively, the foot pedals452 may be located on the other side of thecaster devices30 or eachcaster device30 could have more than a single foot pedal452 associated with thecaster device30. The depressed foot pedal452acauses the rotation of hexagonal shaft453aindirection470 as illustrated inFIG. 29.
• The rotating of hexagonal shaft453ain turn engages the braking mechanism (not shown) ofcaster device30a, rotatesrod457aindirection470 and rotatesbracket462aindirection470. The rotation ofrod457afurther rotates hexagonal shaft453aindirection470 thereby engaging the brake mechanism ofcaster device30b. The rotation ofbracket462atranslates brake link458ain adirection472. The translation of brake link458aindirection472 results in the rotation ofbracket462cindirection470 which, in turn, rotateshexagonal shaft453cindirection470, thereby engaging the brake mechanism ofcaster device30c. The braking mechanism ofcaster device30dis engaged by the rotation ofhexagonal shaft453deither through the translation ofbrake link458bsimilar to the translation of brake link458aand/or through the rotation ofrod457bsimilar to the rotation ofrod457a. In alternative embodiments, thecaster braking system450 includes only twotransverse rods457 and asingle brake link458 or twobrake links458 and a singletransverse rod457.
• In order to unlock thecaster braking system450 of the present invention, one of the four pedals452, such aspedal452ais rotated in adirection473 counter to thedirection470, thereby disengaging the braking mechanism ofcaster device30a. The braking devices ofcasters30b,30c,30dare disengaged in a manner similar to how they are engaged throughrods457a,457bandbrake links458a,458b.
• As stated previously, it is advantageous to lowerintermediate frame32 as low as possible to the floor to aid egress from and ingress topatient support10 and to prevent injury in case of accidental fall frompatient support10. The configuration ofcaster braking system450 has a low profile which provides additional clearance fordeck26, siderails20,22 and other patient support components asdeck support24 is lowered. As such,intermediate frame32 can be further lowered. As shown inFIG. 31,brake links458a,458bofcaster brake system450 extends throughlongitudinal frame member192 and brake link458bextends throughlongitudinal frame member194. As shown inFIG. 33,brake links458 are positioned lower thanhexagonal rods453 such that atop surface474,476 oflongitudinal frame members192,194 can be lower to thefloor29. Therefore, greater clearance is provided andintermediate frame32 can be further lowered relative tobase frame28.
Control System
• Referring now toFIG. 35, control system44 includes various controls, interfaces, sensors, and actuators that communicate via a plurality of control modules (described below) connected together by anetwork510. A control system having certain characteristics in common with control system44 is described in U.S. Pat. No. 5,771,511 (hereinafter “the '511 patent”), which is hereby expressly incorporated herein by reference. Unlike the peer-to-peer network described in the '511 patent,network510 is a controller area network (CAN) having a serial bus connecting the modules, each of which includes a controller, a transceiver and associated electronics. In one embodiment, the bus includes a twisted pair of wire conductors. In general, each module is capable of transmitting data on the bus (when the bus is idle), and multiple modules can simultaneously access the bus. Information transmissions (or messages) are not addressed for receipt by a specific module. Instead, as will be further described below, each message is broadcast on the bus to all modules, and includes an identifier that each module uses to determine whether to process the message. If the message is relevant to a particular module, it is processed. Otherwise, it is ignored.
• As shown inFIG. 35, seven modules are connected to network510 for controlling the operation ofpatient support10. The modules include alogic module512, apower supply module514, a scale/ppm module516, adynamic surface module518, aleft caregiver module520, aright caregiver module522, and asidecomm module524. With reference toFIG. 35B,logic module512 is electrically coupled to detachable siderail controller50 (or patient pendant(s)),CPR release switch448,DC motors604 oflinear actuators48, and a plurality of sensors including siderail position sensors60, a head upsensor534, a head downsensor536, afoot sensor538, a foot safety detectsensor540, aknee contour sensor542, a bed-not-downsensor544, andmotor sensors546.
• As illustrated inFIG. 35D,power supply module514 is electrically coupled toobstacle detection device58, anight light548, foot pedal controls56,battery46, abattery charger552,pneumatic pump64, andpower conditioning circuitry556.Power supply module514 further includes a connector (not shown) for receiving atest device558 for performing various diagnostic and test functions.Power conditioning circuitry556 is connected to a conventional AC plug45. With reference toFIG. 35A, scale/ppm module516 is electrically coupled to theload cells220,222,224,226 connected to weighframe36, and to abed exit sensor562.
• With reference toFIG. 35A,dynamic surface module518 is electrically coupled to a plurality ofsolenoids564 for controlling characteristics ofmattress14, and a plurality ofpressure transducers566 associated withmattress14 for sensing air pressures of various components ofmattress14. Leftcaregiver control module520 is electrically coupled to first pair ofpermanent siderail controllers52 mounted to lefthead end siderail20. Rightcaregiver control module522 is similarly electrically coupled to first pair ofpermanent siderail controllers54 mounted to righthead end siderail20. The configuration and operation of first and second pair ofpermanent siderail controllers52,54 are further described elsewhere herein. Finally, with reference toFIG. 35C,sidecomm module524 is electrically coupled to room lighting controls568, anurse call control570, aremote network interface572, entertainment equipment574 (e.g., radio and television), and a brake-not-set sensor576.
• It should be understood that the configuration ofnetwork510 permits addition of new modules and subtraction of existing modules without requiring manual reconfiguration of the existing modules. When a new module is added,network510 recognizes the module and facilitates communications between the added module and the existing modules automatically. Additionally, it should be noted thatnetwork510 is implemented to operate as a masterless system, wherein eachmodule512,514,516,518,520,522,524 operates substantially autonomously. One feature ofnetwork510 is the periodic transmission of eachmodule512,514,516,518,520,522,524 of a “heartbeat” message or status message to the bus for receipt by each of the remaining modules. In this manner, control system44 periodically verifies the functionality of eachmodule512,514,516,518,520,522,524 in system44, and is able to identify a non-operational module by the absence of the module's “heartbeat” message. As further described herein, communications by and amongmodules512,514,516,518,520,522,524 are initiated by the individual modules on an event-driven basis.
• Power for control system44 is supplied throughpower supply module514. More specifically, AC plug45 of a power cord (not shown) secured to frame12 is inserted into a conventional wall outlet supplying 100 VAC, 120 VAC, or 230 VAC power.Power conditioning circuitry556 converts the AC input power to DC levels for use by the various electronic components of control system44.Power supply module514 further facilitates limited functionality ofpatient support10 viabattery46 when AC plug45 is not connected to a wall outlet.Battery46 is automatically charged bybattery charger552, which provides a status signal topower supply module514 to indicate the condition of the charge ofbattery46. In one embodiment,battery charger552 permits use ofbattery46 as a back-up power source that allowslogic module512 to perform (for 24 hours after AC power has been disconnected) a single operation of high-low up/down, head up/down, tilt/reverse tilt, foot retract/extend, Trendelenburg, and chair out. When AC power is applied topatient support10, a light emitting diode (LED)737 (FIG. 31) indicates the status ofbattery46. For example, the LED remains lit whenbattery46 has sufficient power, blinks whenbattery46 power is low, or is off whenbattery46 has lost all power or is disconnected. As indicated,power supply module514 controls the operation of pneumatic pump64 (or a blower or other type of inflating means), which supplies air to mattress14 (as described in greater detail below).
• Power supply module514 also receives the signal provided byobstacle detection device58 as described herein. Power supply module outputs a message onnetwork510 whenobstacle detection device58 outputs a signal indicating the presence of an obstacle so that appropriate action can be taken to prevent injury or damage.
• Power supply module514 also controlsnight light548. Specifically,night light548, which illustratively is mounted topatient support10 at a location to illuminate the ingress/egress area ofpatient support10, is always active or on when AC power is provided topower supply module514.Night light548 may be disabled or shut off during battery powered operation. As further described herein, the illumination element (not shown) ofnight light548 is enclosed by a housing, which also includes circuitry (not shown) to prevent flicker.
• As further described herein, eachfoot pedal1724,1726,1728,1730 of foot pedal controls56 provides a signal when depressed.Power supply module514 uses these signals to generate messages for transmission onnetwork510 indicating the status ofpedals1724,1726,1728,1730.Logic module512 processes such messages to determine whether foot pedal controls56 are enabled, and to control the operation ofDC motors604 oflinear actuators48, as further described herein. Of course, operation ofDC motors604 is conditioned upon the actual positions of the various components ofpatient support10, and upon the status of various lockout signals generated by a caregiver usingsiderail controllers52,54.
• Finally,power supply module514 functions as an input location via a connector (not shown) fortest device558.Test device558 is configured to operate as an additional module onnetwork510 for performing diagnostic operations on the various functions ofpatient support10 as is further described herein.
• Scale/ppm module516 converts the signals fromload cells220,222,224,226, described above, into actual weight measured onweigh frame32. This information is outputted for display on a scale display (not shown) and possible transmission to a hospital information network viasidecomm module524 andremote network interface572. Scale/ppm module516 further receives input frombed exit sensor562, which determines, based on the weight measured onweigh frame32, whether a patient has exitedpatient support10.
• Dynamic surface module518 controls the dynamic air surface ormattress14. It processes messages initiated by either ofsiderail controllers52,54 to operate solenoids564 (part of valve assemblies2406), which in turn adjust the level of inflation ofmattress14 during, for example, a turn assist procedure as further described herein. Additionally,dynamic surface module518 receives feedback frompressure transducers566 in the form of electrical signals that indicate pressure measurements of the various bladders ofmattress14.Dynamic surface module518 operatessolenoids564 in response to the feedback signals frompressure transducers566 to achieve the desired adjustments tomattress14.
• Sidecomm module524 functions essentially as an environmental and communications interface. The nurse call, lighting, and entertainment functions are controlled bysidecomm module524 based on inputs fromsiderail controllers50,52,54.Sidecomm module524 outputs signals to control these functions, and communicates with the facility's communication systems viaremote network interface572.Patient support10 includes a connector575 (FIG. 30) that is configured to interface with the facility's communication system and entertainment system. Another connector (not shown) is provided to interface with thenurse call control570 and lighting controls568. As such,sidecomm module524 controls room lights, reading lights, television, radio, and communicates with the facility's nurse call network in response to activation of a nurse call switch or button mounted topatient support10. Throughremote network interface572,sidecomm module524 can provide information to the facility's information network regarding the operation ofpatient support10. For example, hours of use may be reported for billing or maintenance purposes. Moreover,sidecomm module524 can function as an interactive data link between a remote location andpatient support10. For example, the facility information network may request weight information on the patient occupyingpatient support10.Sidecomm module524 can send a message on the bus identified as a weight request. The message may be processed by scale/ppm module516, which provides a message containing the requested weight information.Sidecomm module524 processes the message and provides the weight information to the facility's information network viaremote network interface572. Additionally, brake-not-set sensor576 provides an input tosidecomm module524 to indicate that the brake preventing movement ofpatient support10 is not in a set position.
• Logic module512 controls movement ofpatient support10 and is the entry point for nearly all of the position sensors for the various components ofpatient support10. As shown,logic module512 controls the plurality ofmotors604 oflinear actuators48 connected to the moveable components (e.g., the articulatingdeck sections38,40,42, etc.) ofpatient support10, as is described in detail herein. When aDC drive motor604 is activated, amotor sensor546 associated with thedrive motor604 provides a feedback signal to logic module from whichlogic module512 can determine when to deactivate thedrive motor604. Whenlogic module512 processes a message requesting movement of a particular component ofpatient support10,logic module512 first reads the position of the component (via the appropriate sensor546). If movement of the component is necessary, thenlogic module512 determines whether a lockout signal has been generated from either of the first or second pair ofpermanent siderail controllers52,54. If no lockout is set,logic module512 controls the appropriateDC drive motor604, while monitoring theappropriate motor sensor546, to move the component to the desired position.
Controller Area Network
• In one illustrative embodiment, CAN specification 2.0B as specified in ISO 11898 is used fornetwork510.Network510 involves three of the seven network layers defined in the ISO model: the physical layer, the data link layer and the application layer. The physical layer includes the actual cabling orwires connecting modules512,514,516,518,520,522,524. The physical layer further includes the hardware present on each ofmodules512,514,516,518,520,522,524 for enabling operation according to the CAN specifications. As indicated above, the hardware includes a transceiver for communicating with the bus and a microcontroller with a built-in CAN controller. A suitable transceiver is a TJA1054 CAN transceiver manufactured by Philips Electronics. A suitable microcontroller is a T89C51CC01 microcontroller manufactured by Amtel. The microcontroller is connected to a crystal oscillator, such as a 20 MHz crystal.
• The data layer generates and receives the messages used for communications betweenmodules512,514,516,518,520,522,524 via the CAN protocol (described below).
• The application layer complies with the CANopen specification as further described below. CANopen is an open standard based on a model including communication interface and protocol software, an object dictionary, and an application program interface. The communication interface and protocol software provides a means by which a CANopen device can transmit and receive messages overnetwork510. The object dictionary is a collection of all of the system variable information communicated overnetwork510. Finally, the application program interface controls how the application software interacts with the various network parameters.
• The communication interface and protocol software includes a variety of services and protocols. One protocol that handles real-time transfer of data between modules is the Process Data Objects (PDO) protocol. Two PDO services are provided: receive (RPDO) and transmit (TPDO). RPDOs are used to obtain updated information for the object dictionary entries of amodule512,514,516,518,520,522,524. TPDOs, on the other hand, are used to transmit updated information to object dictionary entries of anothermodule512,514,516,518,520,522,524. According to one embodiment of the invention, eight PDOs can be used for eachmodule512,514,516,518,520,522,524 (four configured as RPDOs and four configured as TPDOs). Each PDO can transfer up to eight bytes of information. While both PDO services share the same basic structure, TPDOs are essentially broadcast messages (anymodule512,514,516,518,520,522,524 could receive a TPDO), and RPDOs must be unique for eachmodule512,514,516,518,520,522,524 that transmits. For example,power supply module514 may send battery status information to allother modules512,516,518,520,522,524 using a single TPDO. Eachmodule512,516,518,520,522,524 that needs to use the information must have a corresponding RPDO to receive the information frompower supply module514. Moreover, eachmodule512,514,516,518,520,522,524 that needs information from anyother module512,514,516,518,520,522,524 must have a separate RPDO for theother module512,514,516,518,520,522,524. In other words, RPDOs can only receive a message from a single module.
• PDOs are constructed from object dictionary entries in the manner depicted inFIG. 35. As shown,PDO578 is capable of including eightbytes580 of information. In this example,PDO578 includes only fivebytes580 of information. The eightbytes580 of information can come from any of a variety of different object dictionary entries (such asobject dictionary entries582 and584) associated with different modules, and the entire data type for the object dictionary entry does not have to be used. Where the entire data type is not used, then the number of bits specified (starting with the LSB) are used as shown inFIG. 35.
• PDOs of control system44 are event driven. When an object dictionary entry changes, for example, because a system variable changed, the corresponding PDO is automatically transmitted, and the object dictionary entry is automatically updated when a message is received. As explained herein,modules512,514,516,518,520,522,524 determine which messages to process by analyzing an identifier included in the message. The identifier includes three digits in the form of x8y where x is the TPDO of the transmittingmodule512,514,516,518,520,522,524 and y is the module ID of the transmittingmodule512,514,516,518,520,522,524. Thus, if amodule512,514,516,518,520,522,524 maps one of its RPDOs with theCAN identifier584, it correlates to TPDO2 frommodule4.
• Another protocol is the Service Data Objects (SDO) protocol, which is administered only by a master module. As indicated herein, control system44 includes a master only whentest device558 is coupled topower supply module514. In that case, SDOs allowtest device558 access to any object dictionary entry present in theother modules512,514,516,518,520,522,524.
• The object dictionary defines data types, communication objects, and application objects used onnetwork510. The object dictionary is essentially a group of objects that are accessible vianetwork510 in a predefined, ordered fashion, using either SDOs or PDOs. All entries in a object dictionary use a “wxyz” format where w is 2 if used by a PDO,3 if used by an SDO, x is the module identifier for thetransmitting module512,514,516,518,520,522,524, y is 0 if the entry includes error information, 1 if it includes status information, and 8 if it includes control information, and z is a unique value for multiple wxy entries. For example, an object dictionary entry of2110 indicates that the information is communicated betweenmodules512,514,516,518,520,522,524 during normal operation (i.e., using a PDO as opposed to an SDO used only during testing and diagnostics), thatmodule number 1 is the transmitter of the information (e.g., scale/ppm module516), and that it includes status information. The 0 indicates the unique value for multiple wxy entries.
• Although in a typical CANopen implementation nodes only have object dictionary entries to information generated or received by the node, in control system44, all PDO object dictionary entries (2xyz) are implemented in everymodule512,514,516,518,520,522,524 to minimize the variance in software amongmodules512,514,516,518,520,522,524. SDO entries (3xyz), however, are unique for eachmodule512,514,516,518,520,522,524 as a result of the application specific nature of built in self test (BIST) data objects.
• Messages of the type mentioned above are transmitted and received using message frames, such as themessage frame586 shown inFIG. 37. The structure of the message frames is a function of software executed by each module and configured for operation with various 8-bit8051 family microprocessors. As already indicated, in one embodiment the software conforms to CANopen protocol for the application layer ofnetwork510. As shown inFIG. 36,frame586 includes seven different bit fields including start of frame (SOF)field588, arbitration field590,control field592,data field594,CRC field596, acknowledgefield597, and end of frame (EOF)field598.SOF field588 indicates the beginning ofmessage frame586. Arbitration field590 includes an 11-bit base identifier, and an 18-bit identifier extension. Together, these identifiers provide the message identifier introduced above. The identifier also determines the priority of the message for use in resolving bus access competition between or amongmodules512,514,516,518,520,522,524 according to a non-destructive, contention-based arbitration scheme. This scheme, as is well-known in the art, ensures that messages are sent in order of priority, and that the content of each message is preserved. Arbitration field590 further includes a substitute remote request bit that is transmitted as a recessive bit and used to resolve priority conflicts between different frame formats.Control field592 includes six bits: two reserved bits (r0 and r1) and a four bit data length code (DLC) indicating the number of bytes indata field594 that follows.Data field594 may contain up to eight bytes of data.CRC field596 includes a 15-bit cyclical redundancy check code and a recessive delimiter bit. Acknowledgefield597 includes two bits: a slot bit which is transmitted as recessive but is subsequently over written by dominant bits transmitted from anymodule512,514,516,518,520,522,524 that receives the transmitted message, and a recessive delimiter bit. Finally,EOF field598 consists of seven recessive bits. After eachmessage frame586, anintermission field599 is provided that includes three recessive bits. Thereafter, the bus is considered idle.
• Linear actuators driven by DC brush motors are commonly used to perform raising and lowering movements (e.g., head, foot, hi/lo, knee, leg) of deck sections on hospital beds. For example, see U.S. Pat. Nos. 5,918,505; 5,939,803; and 6,158,295, all of which are assigned to Linak A/S of Denmark. In the hospital room environment, product safety is an important concern. DC motors used in hospital beds are configured to operate safely in the medical environment.
• As discussed above, control system44 includeslogic module512. In addition to other functions,logic module512 includes adrive control system601 which controls theDC motors604 oflinear actuators48 used to articulatedeck sections38,40,42 ofpatient support10.
Drive Control System
• FIG. 38 illustrates an embodiment ofdrive control system601. As illustrated, each actuator48 includes adrive motor604 and aposition detector606.Actuator48 is electronically coupled to apower source612, such as a primary power source coupled to AC plug connection45 or backup power source orbattery46, and amicrocontroller614.
• Microcontroller614 includesmemory616,timer618, analog-to-digital converter620 and central processing unit (CPU)622. Illustratively,timer618 may include asingle system clock624 coupled to theCPU622 and/or a plurality ofapplication timers625a,625b, . . . ,625n, as needed to execute the various features ofdrive control system601. In general,application timers625a, . . .625nare incremented at a rate which is a function of thesystem clock624 ofCPU622, as is well known.
• The above-mentioned components ofdrive control system601, e.g., actuators48,power source612, andmicrocontroller614 are well-known and one of ordinary skill in the art would readily be able to select the appropriate models and/or types of such components as needed to operate the articulation functions ofpatient support10. For example,memory616 includes volatile (e.g., flash memory, RAM) and non-volatile (e.g., on-chip EEPROM) memory for storing computer programming code and data required bycontrol system601. In the illustrated embodiment, on-chip EEPROM memory is used for long term data storage while flash based memory is used for storage of computer programming code and RAM memory is used for short term data storage, however, it is understood that other suitable memory configurations would work equally as well.
• Embodiments ofdrive control system601 include one or more of the features described below.
• End of Travel Control System In an illustrative embodiment,linear actuators48 including DC drivemotors604 are used to drive the movement of head, seat, andleg sections38,40,42 ofpatient support surface10. In general,actuators48 are activated by activation by a caregiver or patient of one or more of the control buttons illustratively located oncontrollers50,52,54 (e.g.,buttons1520,1522 ondetachable siderail controller50;buttons1550,1551,1564,1566,1574 onfirst siderail controllers52;buttons1628,1624,1626 on controllers54) or one or more of the pedals of the foot pedal controls56. As common with most linear actuators, failure of any ofactuators48 may occur if a drive or rod reaches its mechanical end of travel, for example, due to a heavy load on the actuator.
• It is known to provide an actuator with an electrical end of travel that is defined to occur earlier than the mechanical end of travel to prevent the actuator from reaching its mechanical end of travel. Using the electrical end of travel, a loss of current occurs when the driving component, such as a piston rod moves past the electrical end of travel. Many existing drives operate until the electrical end of travel is reached. However, in patient support surfaces such as hospital beds, reaching even the electrical end of travel may cause the drive to bounce back and forth due to hysteresis of the drive mechanism. Such oscillatory motion or bouncing may present a safety concern, particularly in drives used to raise and lower the head section of the patient support surface and in drives that power the hi/lo mechanism.
• To prevent the above-described oscillatory motion or bouncing inpatient support10, some or all oflinear actuators48 are coupled to a closed loop end oftravel control system626, which establishes a new end of travel setting and thus prevents the actuator from reaching either the electrical or mechanical end of travel during articulation of a section ofpatient support10. In the illustrated embodiment, at leasthead section actuator48canddeck actuators48a,48bare coupled to controlsystem626.
• Another application of end oftravel control system626 relates to the CPR function of the illustrative embodimentpatient support10. As described above, when CPR handle352 is activated by a caregiver or operator ofpatient support10,head section38 is mechanically lowered. Also, theactuator48dforseat section40 is automatically activated as needed tolower seat section40 and the actuator48eforleg section42 is automatically activated as needed to raiseleg section42, to putpatient support10 into the horizontal position shown inFIG. 3. End oftravel control system626 operates to detect whenhead section38,seat section40 andleg section42 have reached their respective bottom or zero positions, shown inFIG. 3. Upon detection of the bottom position of head, seat andleg sections38,40,42, a timer is started. If the caregiver/operator continues to keep CPR handle352 activated for a predefined period of time,patient support10 is automatically moved into the emergency Trendelenburg position shown inFIG. 9. If CPR handle352 is released before the predefined wait period expires,patient support10 does not continue into the emergency Trendelenburg position. In this way, a “single action” CPR handle for movingpatient support10 into the CPR and emergency Trendelenburg positions is provided.
• Closed loop end oftravel control system626 of the illustrative embodiment is provided in addition to any other electrical and mechanical end of travel systems. However, it is understood that in other embodiments, closed loop end oftravel control system626 may be provided in lieu of traditional end of travel systems.
• Linear actuators48a,48b,48c,48d,48e,48fare shown, for example, inFIGS. 7 and 18. Eachactuator48 includesDC drive motor604 that powers linear movement ofrespective piston rod172, as is well known in the art. InFIG. 38, it is shown that asdrive motor604 movespiston rod172 includingload connector628 in the direction ofarrow629, it approaches a mechanical end of travel. The closed loop end oftravel control system626 includes a built-in feedback mechanism that continuously monitors theactual position630 ofpiston rod172 and compares theactual position630 to a new predetermined end oftravel limit632. The new end oftravel limit632 is set to occur earlier than either the electrical end oftravel634 or the mechanical end oftravel636 of theactuator48, so that it will be reached before either the electrical or mechanical end oftravel634,636. Movement of therod172 is limited to the predetermined end of travel limit setting632 to prevent oscillating or bouncing and to preventrod172 from reaching mechanical end oftravel636.
• In the illustrated embodiment,position detector606 is a potentiometer located inside the housing ofdrive motor604, however, it is understood that other means for detecting position, such as a tachometer, may be used. Foractuators48 that are provided with end oftravel control system626,potentiometer606 has a predetermined setting approximately equal to new end oftravel limit632. Calculation of new end oftravel limit632 is discussed below.Position detector606 measures thecurrent position630 ofrod172 and compares it to new end oftravel limit632. If theactual position630 reaches new end oftravel limit632, an error message or message indicating that the limit has been reached is sent tomicrocontroller614, and subsequent actions are taken as described below.
• In certain embodiments of end oftravel control system626,timer618 includes anapplication timer625athat is programmed by software to time the operation ofdrive motor604, e.g., to track the time of occurrence of each measuredposition630, as described below. Eachtime drive motor604 starts, whether to perform an up or down/forward or backward motion,timer625ais started. Whendrive motor604 stops,timer625astops.Position information630,632,634,636 and time of occurrence information are stored inmemory616.
• FIG. 40 shows steps performed in the method of operation of end oftravel control system626 when adrive motor604 is operating. Beginning atstep646, acurrent position630 of thedrive rod172 during its operation is determined. For each actuator48, the process associated withcontrol system626 identifies a known “initial” position of thedrive rod172. In the illustrated embodiment, the initial position of thedrive rod172 is the unextended position, but it is understood that any drive position could be designated as the initial position. The initial position may be different for eachdrive actuator48. The initial position for each actuator48 is obtained by measuring the voltage acrosspotentiometer606 in a voltage divider circuit and converting the measured value to digital form using A/D converter620. Thepotentiometer606 reading is representative of the movement of the drive shaft orrod172 ofdrive motor604.
• Based on thepotentiometer606 reading at the initial position of eachdrive rod172 and the total stroke length of the drive rod172 (typically provided by the drive manufacturer), a correlation can be made between thepotentiometer606 reading and the stroke length (e.g., with stroke length illustratively measured in millimeters). In this way,current position630 ofdrive rod172 during its travel is determined by comparing thecurrent potentiometer606 reading to a table of known potentiometer readings and the corresponding stroke length fordrive rod172.
• Typically,actual position630 is measured on a recurring basis over predefined time intervals, such as every 20 milliseconds, as counted bytimer625a. In other embodiments, the time that position630 is measured is also captured. In the illustrative embodiment, ifrod172 is traveling upward, the last position captured beforecurrent position630 is kept in memory and used as detailed below. It is understood that the last position could be tracked during upward, downward, forward, and/or backward movement as needed. The last position, andcurrent position630, along with sample times associated with each of the last position andcurrent position630, are converted to digital form by A/D converter620 and stored inmemory616.
• Atstep648, new end oftravel limit632 is determined in the manner described above, e.g., based on thepotentiometer606 value when therod172 is in the extended position. For example, in one embodiment, a look-up table stored inmemory616 is used. In another embodiment, limit632 is calculated based on the anticipated amount of hysteresis ofactuator48. The anticipated amount of hysteresis can be estimated as a percentage of the total stroke length ofdrive rod172. In the illustrative embodiment, the amount of hysteresis is estimated as about 1% or less of the total stroke length, however, it is understood that other suitable methods for calculating anticipated hysteresis may be used, depending on the particular type or model ofdrive actuator48 being used and/or its particular application.New limit632 is determined, for example, by adjusting electrical end oftravel limit634 by the anticipated amount of hysteresis, so thatnew limit632 occurs earlier thanelectrical limit634.New limit632 may also be based on the height ofpatient support10 and/or the angle ofhead section38 and/or system level noise. For example, in the illustrated embodiment,new limit632 is calculated assuming a bed height of approximately 36 centimeters and 65-75 degrees of head angle. It is understood that the values obtained forlimits632 and634, stroke length, and estimated amount of hysteresis are stored inmemory616 as needed to perform the above-described calculations.
• Atstep650, the change in position ofrod172 is analyzed.Current position630 is compared to limit632 using computer programming logic. In additional embodiments, a rate of change of position ofrod172, is determined by comparing the time of measurement ofcurrent position630 to the previously measured current position and its time of measurement.
• It is understood by those skilled in the art that the rate of change of position ofrod172 is determined based on the position readings ofpotentiometer606 and is also affected by the drive's spindle pitch. Speed and pitch data for the drive are generally provided by the manufacturer.
• The rate of change of position is monitored, for example, to determine whether the drive is overloaded or whether something is interfering with the portion of the bed being moved by the drive. For instance, if a patient is attempting to raise the head end of the bed, but does not realize that the frame is caught on something, such as a window sill, the rate of change of position analysis will indicate that though the drive is running, the position has not changed as normal. As a result, an error code is generated and the motor shuts down to avoid further damage to the system or harm to the patient.
• Atdecision step652,actual position630 is compared to limit632. Additionally, the rate of change of position is compared to a predetermined rate of change position limit653 stored inmemory616. If theactual position630 ofrod172 has not reachedlimit632, or if the actual rate of change of position has not reached the rate of change of position limit663, then the process returns to step646.
• The illustrated embodiments are particularly concerned with monitoring upper position and rate of change of position limits, however, it is understood that in alternative or addition, lower limits may also be defined and controlled in similar fashion.
• Ifactual position630 has reached or exceededlimit632, or if the actual rate of change of position has reached or exceeded the rate of change of position limit653, then at step664potentiometer606 sends a fault condition or “limit reached” signal tomicrocontroller614.
• Atstep656,microcontroller614 handles the fault or limit reached condition. In certain embodiments, if position limit632 is reached or exceeded, or if the rate of change of position limit661 is reached or exceeded,microcontroller614 recovers from the error condition by initiating application code, e.g., via a software process or internal or external reset, which resetsposition632 to a zero or home position and requests actuator48 to begin motion in the opposite direction. For instance, iflimit632 is reached during downward travel,position632 is reset to zero and a signal to begin travel in the upward direction is issued. The process would occur in reverse, if theactuator48 was moving in the opposite direction.
• In other embodiments, atstep656, if position limit632 is reached or exceeded, or if the rate of change of position limit663 is reached or exceeded,microcontroller614 placespatient support10 in a safe/error state that minimizes hazards to patients, caregivers, associated individuals, equipment, and/or data. For instance,microcontroller614 may initiate a reset orsignal power source612 to interrupt, disengage, or reduce current supplied toactuator48.
• Atstep656,microcontroller614 may also set a flag to indicate to an operator that service is necessary on the affectedactuator48 or on the entire drive system. Such indication may be communicated to an operator by illuminating, blinking or flashing one or more LEDs located on one ofcontrollers50,52,54, or other suitable location onpatient support10. Different colored LEDs may be used to signal different types of errors. In the illustrated embodiment, red, green, and amber colored LEDs are used. For example, if theposition630 ofactuator48cofhead section38 has exceededlimit634, red and green LEDs may be set to blinking while an amber LED remains off. However, it is understood that any suitable combination of colors and LED activity may be used to indicate the various possible error types. Further, other conventional alarm devices may be utilized such as audible buzzers or bells.
• As discussed above, the rate of change of position is monitored to detect whether thedrive actuator48 is overloaded or when an interference condition exists, for example, ifdrive motor604 is powered on to raise adeck section38,40,42, but something, such as a window sill, piece of equipment, or utility cart, interferes with its movement or there is excessive weight on the deck section. The rate of change of position is determined using apotentiometer660 or by other suitable means known in the art. In the illustrated embodiment,potentiometer606 is used to determine the rate of change of position by measuring the rate of change of the position ofdrive rod172 over time. If the rate of position change is too high or too low, an overload or interference condition is detected. In the illustrated embodiment, “too high” or “too low” means that the rate of position change is at least approximately 200% above or below the normal operating rate of change of position ofdrive48 when actuated by a user (i.e., the normal rate when an “up” or “down” button is pressed to raise or lower a bed section). If an overload or interference condition is detected, based on comparison of rate of change of position to rate of change of position limit653, an error code will be generated atstep654 and the error condition will be handled atstep656 as described above.
Duty Cycle Protection
• For safety and warranty reasons, linear actuator drive manufacturers typically set a maximum run time for their actuators. Typically, the maximum run time is specified in terms of minutes per hour, e.g., 6 minutes per hour. In view of the safety concerns of the medical environment, a reliable mechanism is needed to detect in a preventative way when an actuator's run time is approaching the predefined run time limit to prevent thermal overload of the actuators, protect against overuse of the actuators, and prolong the life of the actuators. Thus, in certain illustrative embodiments of the present invention,logic module512 of control system44 includes a closedloop control circuit660 that monitors both current and drive run time. Dutycycle protection circuit660 measures the actual run time of anactuator48 and then prevents drive operation if amaximum run time662 is exceeded, as described below.Circuit660 is designed to prevent thermal protection circuit670 (described below) from experiencing a fault condition.
• FIG. 40 shows an illustrative embodiment method of operation of dutycycle protection circuit660. Atstep688,system660 detects whether one or moreactuator motors604 are running, e.g., by detecting a signal from amotor sensor546 or detecting that a signal to start one or more ofactuators48 has been received. In the illustrated embodiment, this occurs when any of the articulation control buttons (e.g., head upbuttons1551,1520, head downbuttons1550,1522,tilt button1564, reversetilt button1566, etc.) ofcontrollers50,52,54 are activated (i.e., pressed by a patient or caregiver). Also, in the illustrated embodiment, articulation of a bed section will typically occur in response to activation of a control button for as long as the control button remains activated (until the travel limit is reached). If the patient or caregiver releases pressure from the control button, articulation will stop until the same button is pressed again, or another articulation button is activated. In alternative embodiments, a single press of an articulation button activates the articulation function, and a second press deactivates the articulation function.
• If an articulation signal has been received,process660 proceeds to step690. Atstep690,microcontroller614 determines which actuators48a,48b,48c,48d,48e,48fhave been activated, e.g., by reference to the correspondingly activated control button and the associated articulation function. For example, if head upbutton1551 is activated, thenhead section actuator48cis actuated. Themaximum run time662 is determined for the activatedactuators48 and stored inmemory616. The maximum run time may662 vary depending on the particular actuator model used and/or its particular application. As mentioned above, themaximum run time662 is typically defined by the manufacturer of the actuator. For example, for linear actuator model LA28, made by Linak A/S, the maximum run time is currently stated as 10% or 6 minutes per hour at continuous use. In the illustrative embodiment, the duty cycles ofactuators48 range from 20% to 80%, however, it is understood that the duty cycle for a suitable actuator may fall outside this range. Further, it is understood that other methods of determining maximum run time may be used, for example, depending upon the particular function to whichactuator48 is assigned.
• Atstep692, an application timer625bforcircuit660 is started, in order to keep track of how long motor(s)604 of activated actuator(s)48 are running. Atstep694, the actual current668 is measured using an ammeter or other suitable means known in the art. Run time666 is tracked by timer625b.
• Atstep696, measured current668 and run time666 are analyzed bymicrocontroller614. In the illustrated embodiment, run time666 is evaluated by using an analysis of the rate of heat transfer indrive motor604. It is known that as current increases, temperature increases, and that the rate of heat transfer is a function of conductivity and temperature gradient. Thus, the rate of heat transfer can be assessed based on the change in current668 over time.
• Beforedrive motor604 has started running, e.g., whenpatient support10 is first plugged in, run time666 (e.g., the count of timer625b) is initialized or set to zero. Whiledrive motor604 is running, timer625bis incremented by a predefined amount which is based on the measured current668. If current668 is high, timer625bwill be incremented by a greater amount, and if current668 is low, timer625bwill be incremented by a lesser amount. In the illustrated embodiment, different time increments are specified for four different ranges of current, e.g., timer625bis incremented by 12, 14, 16 or 18 counts based on the amount of current668 being drawn bydrive motor604.
• Ifdrive motor604 stops running, timer625bis decremented by a value “L” representative of the rate of heat transfer based on the known thermodynamics equation, q=−K.DELTA.T, where q is the rate of heat transfer per unit area, .DELTA.T is the temperature gradient, and K is conductivity. The higher the level of the value of timer625b, the greater the value “L” will be. In the illustrated embodiment, L is 1, 2, or 4 depending on how high timer625bhas been incremented.
• Ifdrive motor604 is disconnected frompower source612, run time666 (e.g., the count of timer625b) is stored inmemory616. In this way,system660 accounts for the fact thatdrive motor604 may not have been disconnected from power for a significant time.
• Atdecision step698, if the drive run time666 reaches or exceeds the predeterminedrun time threshold662, the process proceeds to step702. In the illustrated embodiment, this is determined by comparing the count of timer625b(i.e., run time666) tomaximum run time662.
• Atstep702, a fault condition is signaled and, atstep704, the current motor function (e.g., chair head up, head down, etc.) is deactivated or turned off. Also atstep702, logic may be used to allow certain emergency functions, such as CPR, to be activated prior to turning off the current motor function. For example, in the illustrated embodiment, CPR mode can still be activated at least one time aftersystem660 detects a duty cycle overrun. In response to a fault condition,microcontroller614 may placepatient support10 in a “safe state” that minimizes hazards to patients, caregivers, associated individuals, equipment, and data, e.g., by signalingpower source612 to interrupt, disengage, or reduce current supplied to drivemotor604 of the activatedactuator48.Microcontroller614 may also activate an audible or visual indicator to alert an operator that service is necessary on the affected drive or on the entire system. Such indication may be communicated to an operator by, for example, illuminating, blinking or flashing one or more LEDs located on one ofcontrollers50,52,54, or other suitable location onpatient support10.
• Atstep708, a timer625cis started, which counts off a predefined wait period after which it is safe to restart the previously operating motor function. The wait period may be determined based on the value of run time666 ormaximum run time662, or other criteria. For example, the wait period may be set equal to themaximum run time662. In the illustrated embodiment, the wait period is set equal to half of themaximum run time662.
• Atdecision step710,microcontroller614 determines whether the wait period has expired. Step710 is repeated until the wait period has expired. In the illustrated embodiment, when the wait period has expired, the motor function is restarted atstep712. However, it is understood that in other illustrative embodiments, it may not be necessary or desirable to restart the motor function and thus step712 may be eliminated in those embodiments.
• Returning to step698, if run time666 has not reached or exceededmaximum run time662, the process proceeds todecision step700. Atstep700,system660 determines whetherdrive motor604 of the activatedactuator48 is still operating, e.g., by detecting a signal from amotor sensor546 or by checking to see if one of the corresponding control buttons is activated. If the activatedactuator48 is still running, the process returns to step694 to measure current668 and run time666. Ifactuator48 is not still running, the process ends atstep706.
Thermal Protection
• To protect DC drivemotors604 from thermal overload during use in a hospital room environment, amethod720 for detecting thermal failure of thedrive motors604 is provided. A thermal overload condition can occur if, for example, failure of the current overload, interference/obstruction detection, or duty cycle protection mechanisms described above occurs. The presently describedmethod720 is adapted to the specific safety risks of a medical environment. An embodiment of the method is shown inFIG. 42.
• Atstep722, a maximum temperature723 is determined for adrive motor604 of a selectedactuator48. Maximum temperature723 is typically determined by reference to the manufacturer's specifications for theparticular actuator48. However, it is understood that other means for determining maximum temperature723, including experimentation, for example, under particular environmental conditions, may be used. Maximum temperature723 is stored inmemory616.
• Typically, activation of a selectedactuator48 occurs when a patient or caregiver selects the corresponding actuator control button oncontroller50,52, or54, as described above. During operation of the selectedactuator48, a current temperature724 of thedrive604 is measured inside the housing ofdrive motor604, atstep726. Any suitable thermal sensing element, such as a conventional thermocouple, may be used to measure temperature724. An application timer625dis used to periodically sample temperature724 during operation ofactuator48 as long as the drive is in operation and maximum temperature723 has not been exceeded. Temperature724 is converted to digital form by A/D converter620 and is stored inmemory616.
• Atstep728, the temperature ofdrive motor604 is analyzed. Current temperature724 is compared to maximum temperature723. Atdecision step730,microcontroller614 determines whether operation ofactuator48 should continue in view of current temperature724. If current temperature724 reaches or exceeds maximum temperature723, theprocess720 continues to step732, where an error signal is generated. If current temperature724 is less than maximum temperature723, theprocess720 returns to step726.
• Atstep732, a fault condition is signaled and, atstep734,microcontroller614 placespatient support10 in a safe state that minimizes hazards to patients, caregivers, associated individuals, equipment, and data, e.g., by signalingpower source612 to interrupt, disengage, or reduce current supplied to drivemotor604 of the activatedactuator48.Microcontroller614 may also set a flag to indicate to an operator that service is necessary on the affected drive or on the entire system. Such indication may be communicated to an operator by illuminating, blinking or flashing one or more LEDs located on one ofcontrollers50,52,54, or other suitable location onpatient support10. In the illustrated embodiment, if measured temperature724 exceeds maximum temperature723, thermal failure is assumed and thedrive604 is automatically shut down. Typically, a bimetallic thermal switch located inside the motor housing opens to interrupt the current supply to drive604.
• Patient support surfaces, such as hospital beds, often include many features that are electrically powered. Such features include bed articulation controls that allow the various deck sections of the bed to be raised or lowered so that the bed can support patients in a number of different positions. There is a need for at least some of these bed controls to remain available when the bed's primary source of power is lost, i.e., due to a power outage, or while a patient is being transported from one hospital room to another.
Battery Backup System
• As a result of government regulations that, for example, require hospital beds to be able to assume the emergency Trendelenburg position whether or not AC power is available, and for other reasons, existing hospital beds may include a battery backup system that powers the bed functions when AC power is not available. However, because hospital beds often require a substantial amount of power to operate the various features, a method to conserve battery power while maintaining compliance with existing regulations is desired.
• As best shown inFIG. 31,frame12 supports a battery enableswitch736. Battery enableswitch736 is a normally open contact, momentary function switch. In the illustrated embodiment, battery enableswitch736 is located on the portion ofbase frame28 that is substantially underneathhead section38 ofdeck26, however, it is understood that battery enableswitch706 could be located anywhere onbase frame28 or other area ofpatient support10 as necessary or convenient. Battery enableswitch736 is electrically coupled to abattery46, shown inFIGS. 2 and 31.
• Battery enableswitch736 allows a person, such as a health care provider, to operate electrically-controlled bed functions (such as bed articulation functions) ofpatient support10 using a backup power source (in the illustrated embodiment, battery system46) when the primary power source738 (e.g., AC power coupled tobed10 by plug connection45) is not available. Such instances may occur, for example, when a power outage occurs or when abed10 is being moved from one area of a hospital to another.
• As shown inFIG. 31, battery enableswitch736 is a momentary switch, such as a push button.Switch736 includes a light-emitting diode (LED)737 or other suitable illuminating means known in the art, enclosed in or covered by a translucent or transparent housing made of plastic or other suitable material. TheLED737 is illuminated when eitherprimary power source738 is coupled tobed10 through plug connection45, or backup power orbattery46 is charged and supplying power to bed functions ofpatient support10. Whenpatient support10 is disconnected fromprimary power source738, or ifbackup power source46 is discharged, theLED737 is not illuminated. Ifprimary power source738 is disconnected andbackup power source46 is in need of power or is recharging, theLED737 blinks or flashes intermittently on and off.
• Circuitry for controlling the activation ofbackup power source46 is included in control system44. As illustrated inFIG. 43,primary power source738 is connected to switchingregulator740 throughdiode742 andconnection744.Backup power source46 is connected to switchingregulator740 viaconnection746, contact748 ofrelay750,diode752 andconnection744.Switching regulator740 provides power to at least the electrically-controlled bed functions that are required or desired to operate under backup power, such as bed articulation functions.
• Relay750 includescontact748 andcoil754. Whenprimary power source738 is operating, voltage is applied to switchingregulator740 throughconnection744 and tomicroprocessor756 throughconnection758. When voltage is not present onconnection758,microprocessor756 senses the lack of primary power and closes contact748 ofrelay750 by energizingcoil754. Closingrelay contact748 provides sufficient backup power to the bed for a predetermined amount of time to allow an orderly shutdown of the bed functions. After the predetermined period of time expires,microprocessor756 opensrelay contact748 to remove logic power from the bed functions and putpatient support10 into sleep mode.
• Whenpatient support10 is in sleep mode, activation of battery enableswitch736, e.g., by momentarily pressingswitch736, causespatient support10 to switch out of sleep mode. Activatingswitch736 whileprimary power source738 is operating has no effect.
• In the illustrated embodiment, battery enableswitch736 is activated by the application of pressure on the housing, i.e., by depressingswitch736 with one's finger. In other embodiments, activating any one of the bed function control buttons located oncontrollers50,52,54 whilepatient support736 is in sleep mode will also switch it out of sleep mode.
• Whenswitch736 is activated, sufficient power is provided frombackup power source46 so that at least certain required electrically operational functions ofpatient support10, such as articulation ofpatient support10, can be performed. In the illustrated embodiment, activation ofswitch736 selectively powers certain bed functions, including the bed articulation functions, while other features, such as scale/ppm module516 anddynamic surface module518, are not powered bybackup power source46 in order to conserve power. Also, power is always provided to nursecall control570, even whenbackup source46 is in sleep mode. It is understood however, that control system44 may be configured so that any particular combination of electrically-controlled features of patient support surface10 (including scale/ppm module516 and/or dynamic surface module518) may be powered bybackup power source46.
• Whenmicroprocessor756 detects that no power is being supplied byprimary power source738, pressingswitch736 causes microprocessor714 to apply voltage frombackup power source46 to energizerelay coil754 andclose relay contact748. Closingrelay contact748 again provides logic power to bed functions via switchingregulator740 and Vcc power tomicroprocessor756. Whenmicroprocessor756 receives power Vcc, it activates atransistor760 throughconnection762.Microprocessor756 includes a timer and holdstransistor760 in an on or activated state for a predetermined period of time, as further explained below. When the predetermined period of time expires,microprocessor756 turns off or deactivatestransistor760. Turning offtransistor760 shuts off logic power to the bed electronics, thus saving battery power.
• FIG. 44 shows a flow diagram of an embodiment of the logic process encoded inmicroprocessor756. Atdecision step770,microprocessor756 determines whetherprimary power source738 is available. Ifprimary power source738 is operating, then normal power continues to be provided to the bed functions viaprimary power source738, atstep771. Also, whileprimary power source738 is operating,backup power source46 is continuously charging as necessary.
• Ifmicroprocessor756 senses thatprimary power source738 is not operating, electrically-controlled functions ofpatient support10 are put into sleep mode as described above, atstep772.
• Atstep774,microprocessor756 monitors the system to detect whether a bed function is activated or whether battery enableswitch736 is activated, e.g., by pressing a control button, key or switch. If no such function has been activated,microprocessor756 returns to step770, checks to see ifprimary power source738 is available yet, and thereafter continues to either step771 or772 as described above.
• If a key has been pressed,microprocessor756 determines ifbackup power source46 is sufficiently charged to provide power to the bed functions, atstep776. Ifbackup power source46 is in need of recharging, theLED737 of battery enableswitch736 will begin flashing as described above, atstep778. Ifbackup power source46 is sufficiently charged,relay750 is closed so that bed functions can be activated usingbackup power source46, as described above, atstep780.
• As mentioned above,microprocessor756 includes a timer. Atstep782, whenbackup power46 is activated,microprocessor756 sets the timer to count until one of the following occurs: a bed function control button is depressed, battery enableswitch736 is depressed, or a predetermined amount of time (e.g., 5 minutes) elapses. It is understood that in different embodiments, less than all of these conditions may be tested. For example, in one embodiment, pressing battery enableswitch736 may not interrupt the timer.
• Atstep784,microprocessor756 determines whether the preset amount of time has elapsed. If the predefined time period has elapsed, the process returns to step772, where the bed functions are put into sleep mode. If the time period has not elapsed,microprocessor756 checks to see if another key (e.g., a bed function-activating key or the battery enable switch) has been pressed, atstep786. If no key has been pressed, the timer continues counting until the predetermined time period expires, atstep784.
• If another key has been pressed, as determined atstep786, then the timer is reset atstep788. The process then returns to step780 andbackup power source46 is reactivated or awakened out of sleep mode.
• In this manner, backup power is conserved and, in embodiments where abattery46 is used to support backup power system, a smaller battery can be used. At the same time, battery enableswitch736 permitspatient support10 to meet the above-mentioned regulatory requirements by enabling at least a portion of the bed's articulation features to be operable on backup power when needed.
Siderails and Headboard
• Head and foot end siderails20,22 are configured to move between upper positions, as shown inFIGS. 1, 45, and 46, and lower positions, as shown inFIG. 47, to permit entry and egress of patients into and out ofpatient support10. Head end siderails20 are coupled tohead section38 and may be moved between raised and lowered positions. Foot end siderails22 are coupled to weighframe36 and may also be moved between raised and lowered positions.
• Ashead section38 ofdeck26 rotates relative to weighframe36,head end siderail20 also rotates relative to weighframe36. However, regardless of the movement ofsections38,40,42, foot end siderails22 do not move relative to weighframe36.
• Siderails20 includerail members1110 andlinkage assemblies1114 coupled betweenrail members1110 andhead section38 ofdeck26 that permitsrail members1110 to be moved between upper and lower positions.Siderails22 includerail members1112 andlinkage assemblies1116 coupled betweenrespective rail members1112 and weighframe36 that permitsrail members1112 to be moved between upper and lower positions.
• As shown inFIGS. 45 and 48,linkage assembly1114 ofhead end siderail20 includes afirst link1118 rigidly coupled tohead section38, a pair of curvedsecond links1120 pivotably coupled tofirst link1118, athird link1122 pivotably coupled tosecond links1120, and a curvedfourth link1124 pivotably coupled to third andfirst links1122 and1118.First link1118 includes a pair offirst flanges1126 welded to headsection38 and a pair ofsecond flanges1130 welded to headsection38. Eachsecond link1120 includes a loopedfirst end1132 pivotably coupled toflanges1126,1130 by arod1134 and a loopedsecond end1136 pivotably coupled tothird link1122 by arod1138, as shown inFIG. 48.
• Third link1122 includes abase plate1140, a first pair of inwardly extendingflanges1142 coupled tobase plate1140, and a second pair of inwardly extendingflanges1144 also coupled tobase plate1140, as shown inFIG. 48.Rod1138 extends betweenflanges1142 and throughsecond ends1136 ofsecond link1120 to provide the pivotable connection therebetween.
• Referring toFIG. 49,fourth link1124 includes abase1146 and acover1148 that together define a latch-receivingvoid1150. Afirst end1152 ofbase1146 is pivotably coupled to second pair offlanges1144 ofthird link1122 by arod1154. Similarly, asecond end1156 ofbase1146 is pivotably coupled to the lower ends offlanges1130 offirst link1118 by arod1158. Axial movement of eachrod1134,1138,1154, and1158 is prevented by a C-shaped oropen retaining ring1133 of the type known in the art. Thus,linkage assembly1114 provides a four bar linkage permitting head end siderail20 to swing between the upper and lower positions.
• Abiasing device1125, illustratively a conventional gas spring, may extend intermediate thefirst link1118 and thefourth link1124 in order to assist in the raising and lowering of thesiderail20. Afirst end1127 of thebiasing device1125 is pivotably coupled to therod1134, while asecond end1129 of thebiasing device1125 is pivotably coupled to aconnector1131. Theconnector1131 is illustratively coupled to thefirst end1152 of thebase1146 of thefourth link1124. Thebiasing device1125 illustratively provides an upwardly acting force to control the rate of descent of thesiderail20 and to assist thecaregiver56 in raising thesiderail20.
• Cover1148 includes apocket1149 sized to receive arectangular magnet1151 therein.Magnet1151 is coupled to cover1148 and rotates withfourth link1124 during raising and lowering of headend side rail20.Hall effect sensor60 is coupled toflanges1130 offirst link1118 androd1134 to detect the position ofmagnet1151. Based on this position, control system44 knows whenhead end rail20 is in the raised position and the lowered position.
• With reference toFIGS. 48-50, anelectrical communication cord1153 extends into latch-receivingvoid1150 underrod1154 and is coupled tothird link1122 by acable tie1155.Cover1148 includesslits1157 configured to receivecord1153 which extends intovoid1150. Aportion1159 ofcord1153 extends down into apocket portion1161 of void1150 to provide clearance fortabs1163 ofcover1148 that snap intoapertures1165 ofbase1146.
• As shown inFIGS. 49-50,cover1148 includes a pin-receivingportion1167 positioned between pin-receiving portions1169 ofbase1146. Pin-receivingportion1167 includes a notch or slit1171 through whichcord1153 extends fromvoid1150. As shown inFIGS. 49 and 50,base1146 further includes a plurality ofnotches1173 having a width slightly smaller than the diameter ofcord1153.Cord1153 is positioned in thesenotches1173 to limit movement ofcord1153 invoid1150.
• Cord1153 includes a portion orloop1175 extending fromnotch1171 tocable tie1155.Portion1175 is about three times as long as adistance1177 fromcable tie1155 to notch1171. This additional length provides stress relief by reducing the amount of tension oncord1153 and chaffing ofcord1153 during raising and lowering ofsiderail20.
• Referring toFIGS. 45 and 51,linkage assembly1116 offoot end siderail22 is substantially similar tolinkage assembly1114 ofhead end siderail20.Linkage assembly1116 includes afirst link1160 rigidly coupled to weighframe36, pair of curvedsecond links1120 pivotably coupled tofirst link1160,third link1122 pivotably coupled tosecond links1120, and curvedfourth link1124 pivotably coupled to third andfirst links1122,1160 as shown inFIG. 51.
• First link1160 includes abase1162 coupled to weighframe36 byfasteners1128 and having outer and inner pairs of upwardly extendingflanges1164a,1164brigidly coupled tobase1162. Eachsecond link1120 has its loopedfirst end1132 pivotably coupled toflanges1164a,1164boffirst link1162 byrod1134 and has its loopedsecond end1136 pivotably coupled toflanges1142 ofthird link1122 byrod1138.First end1152 ofbase1146 offourth link1124 is pivotably coupled toflanges1144 ofthird link1122 byrod1154.Second end1156 ofbase1146 is pivotably coupled to the lower ends ofinner flanges1164boffirst link1160 byrod1158. Thebase plate1140 of thethird link1122 is coupled to the body of therail member1112. Axial movement of eachrod1134,1138,1154 and1158 is prevented by a C-shaped oropen retaining ring1133 of the type known in the art. Thus,linkage assembly1116 provides a four bar linkage permitting foot end siderail22 to swing between the upper and lower positions.
• Eachsiderail20,22 further includes aretainer1166 configured to “bind” the four bar linkage to preventsiderails20,22 from moving from the upper position to the lower position. As shown inFIG. 49,retainer1166 includes a slide or handlemember1168 positioned in void1150 to slide relative to base1146 and cover1148 offourth link1124 to move between a latched position, as shown inFIG. 52, and an unlatched position, as shown inFIG. 53, a pair of L-shaped rocker arms ormembers1170 pivotably coupled tobase1146, and a pair of latch members orpins1172 pivotably coupled torespective rocker arms1170.Pins1172 extend throughapertures1174 inbase1146 intoapertures1176 inrespective flanges1130,1164 of respectivefirst links1118,1160.Pins1172 includebody members1179 andhead members1181 inserted intobody members1179.
• Handle member1168 includes afirst end1178 pivotably coupled torocker arms1170 and a second end or handleportion1180 accessible from anhandle opening1183 inbase1146 as shown inFIGS. 54 and 55.First end1178 includes a boss orlug1182 positioned inslots1184 defined inrocker arms1170. Ashoulder screw1186 is provided to retainrocker arms1170 onboss1182.First end1178 further includes a spring seat ormount1188.
• Aspring1190 is positioned in a spring-receivingchannel1192 defined bybase1146.Spring1190 is positioned betweenspring seat1188 and awall1194 ofbase1146 to biashandle member1168 downwardly in direction1196 (FIGS. 52 and 54). Becauseslide member1168 is biased indirection1196, pins1172 are biased outwardly intoapertures1176 inrespective flanges1130,1164 of respectivefirst links1118,1160. When pins1172 are positioned inapertures1176 of respectivefirst links1118,1160, respectivefourth links1124 are coupled together at two axially spaced apart locations. This prevents rotation ofrespective linkage assemblies1114,1116 to preventsiderails20,22 from swinging to the lower position.
• To unbind linkagerespective assemblies1114,1116 and permitrespective siderails20,22 to swing to the down position, pins1172 must be moved from the latched position (FIGS. 52 and 54) to the unlatched position (FIGS. 53 and 55). A caregiver can unlatchpins1172 by pulling upwardly onhandle portion1180 ofslide member1168 indirection1198. This movement causesrocker arms1170 to rotate aboutboss1182 and pullspins1172 inwardly out ofapertures1176 of respectivefirst links1118,1160 oflinkage assemblies1114,1116 so thatpins1172 no longer binds respectivefirst links1118,1160 and respectivefourth links1124.
• Because respectivefirst links1118,1160 and respectivefourth links1124 are free to pivot relative to one another,respective linkage assemblies1114,1116 are also unbound and free to permitsiderails20,22 to swing between the upper and lower positions. According to alternative embodiments of the present disclosure, other retainers are provided to hold the siderails in the upper position such as clasps, catches, locks, other latches, clamps, pins, bolts, bars, hasp, hooks, or other retainers known to those of ordinary skill in the art.
• An alternative embodiment slide or handlemember1201 is shown inFIG. 56.Handle member1201 includes abar member1202 pivotably coupled torocker arms1170 and a second end or handleportion1203 coupled tobar member1202 and accessible fromhandle opening1183 inbase1146.Shoulder screw1186 is positioned inslots1184 defined inrocker arms1170 and is coupled tobar member1202.
• As shown inFIG. 1, when siderails20,22 are in upper position,rail members1110,1112 block a patient's egress frompatient support10. As shown in FIG.19,siderail22 and a lip orupper deck portion263 ofdeck26 cooperate to define agap1185 therebetween. According to an illustrative embodiment,gap1185 is defined to be less than 60 millimeters. Similarly, the gap betweensiderail22 anddeck26 is defined to be less than 60 millimeters.
• FIG. 57 illustrates apatient support10′ including alternative embodiment siderails20′,22′ which are configured to move between upper positions and lower positions to permit entry and egress of patients into and out ofpatient support10′ in a manner similar to siderails20,22. As such, siderails20′,22′ are substantially similar to siderails20,22 and like reference numbers are used to identify like components.
• Head end siderails20′ are coupled tohead section38′ and may be moved between raised and lowered positions.Head board16′ extends between head end siderails20′. Foot end siderails22′ are coupled to weighframe36 and may also be moved between raised and lowered positions.
• Siderails20′ includerail members1110′ andlinkage assemblies1114 coupled betweenrail members1110′ andhead section38′ ofdeck26′ that permitsrail members1110′ to be moved between upper and lower positions.Siderails22′ includerail members1112′ andlinkage assemblies1116 coupled betweenrespective rail members1112′ and weighframe36 that permitsrail members1112′ to be moved between upper and lower positions.
• As shown inFIG. 57, when siderails20′,22′ are in upper position,rail members1110′,1112′ block a patient's egress frompatient support10′. As shown inFIG. 58,foot end rail22′ includes a ridge orbump1204 coupled torail member1112′.Bump1204 and a lip orupper deck portion263 of firstleg section member290 ofleg section42 ofdeck26′ cooperate to define agap1183′ therebetween.Bump1204 reduces the width ofgap1183′. According to the present disclosure,gap1183′ is less than 60 millimeters. Withoutbump1204,gap1183′ between firstleg section member290 andrail1112′ would be wider than the gap between secondleg section member292 andrail1112′ because firstleg section member290 is not as wide as secondleg section member292 as shown inFIG. 21. The gap betweenrail1112′ and secondleg section member292 is also less than 60 millimeters. The gap betweenrail1110′ anddeck26′ is also less than 60 millimeter.
• As shown inFIG. 59,headboard16′ includes amain body1205 and a shelf orbump1206 on each end ofmain body1205.Headboard16′ and head end siderail20′ cooperate to define agap1207 therebetween at each end ofmain body1205. Eachshelf1206narrow gaps1207 near the top of head end siderails20′ when siderails20′ are positionedadjacent headboard16′. According to an alternative embodiment of the present disclosure, a bump is provided on thefootboard18. According to another alternative embodiment of the present disclosure, no bump is provided on theheadboard16′.
• Returning now to the illustrative embodiment siderails20,22 ofFIGS. 45-55,rail member1110 ofhead end siderail20 includes amain body1210, acover1212, and a brace1214 (FIGS. 48 and 60). An O-ring seal1216 is provided betweenmain body1210 and cover1212 to prevent liquids from entering aninterior region1218 defined betweenmain body1210 and cover1212 as shown inFIGS. 60-62. Head end siderail20 further includes a water-proof speaker1220 coupled tomain body1210 that transmits sound through a plurality ofslots1222 defined inmain body1210.
Controllers
• As discussed above, control system44 is coupled to a first pair of controllers orcontrol panel52 rigidly coupled tomain body1210, a second controller orcontrol panel54 pivotably coupled tomain body1210, and thirddetachable controller50 that is removably received by head and foot end siderails20,22 so that it can be removed from one of foot end siderails22 and coupled to the otherfoot end siderail22 or head end siderails20 to control various functions ofpatient support10. As described below,controllers52,54,50 control various functions ofpatient support10 and are also configured to receive information from a caregiver related to a patient and to send and receive patient or bed-related data to a central computer for storage, tracking, and analysis.
• Additional details of suitable electronics and other features of controllers are provided in U.S. Pat. No. 5,715,548, titled “Chair Bed,” filed Aug. 4, 1995; U.S. Pat. No. 6,008,598, titled “Hand-Held Controller For Bed and Mattress Assembly,” filed Apr. 22, 1998; U.S. Pat. No. 6,131,868, titled “Hospital Bed Communication and Control Device,” filed Jan. 1, 1997; and U.S. Provisional Application No. 60/202,284, titled “Remote Control for a Hospital Bed,” filed May 5, 2000, the disclosures of which are expressly incorporated by reference herein.
• Cover1212 includes a plurality ofapertures1230 that match with control buttons orswitches1232 of acircuit board1233 offirst controller52 that is coupled to cover1212. The functions controlled byswitches1232 will be described in greater detail below.
• Second controller54 includes ahousing1236 and acircuit board1238 including a plurality of control buttons orswitches1240 and anLED display1242.Cover1212 includes apocket1244 configured to receivecontroller54 as shown inFIGS. 60 and 61. According to alternative embodiments of the present disclosure, the display is an LCD, plasma, or other display known to those of ordinary skill in the art. The functions ofswitches1240 will be described in greater detail below.
• Housing1236 includes first andsecond housing shells1246,1248 that cooperate to define a interior region1250 sized to receivecircuit board1238.Shells1246,1248 cooperate to define a boss orpost1252 that is pivotably received in anaperture1254 defined incover1212.Shells1246,1248 also cooperate to define anaperture1256 sized to receive atorsion spring1258, abushing1260, and apin1262. To couplesecond controller54 to cover1212,post1252 is inserted intoaperture1254, andaperture1256 is aligned with acorresponding aperture1261 incover1212.Pin1262 is then inserted intoaperture1261 andaperture1256 to pivotably couplesecond controller54 to cover1212. When coupled,spring1258 biasessecond controller54 intopocket1244.
• This coupling allows the tilting of alower edge1264 ofhousing1236 upward thereby permitting a user to better seecontrol buttons1240. According to alternative embodiments of the present disclosure, other configurations of couplers between the housing and the controller mount are provided. For example, hooks, hook-and-loop type fasteners, snaps, a detachable hinge, or other devices known to those of ordinary skill in the art are provided to pivotably or otherwise couple the controller to the siderail.
• Anelectrical communication cord1265 ofcontroller54 is coupled tocircuit board1238 and extends from interior region1250 defined byshells1246,1248 as shown inFIGS. 61 and 63.Post1252 includes a channel oraperture1253 through whichcord1265 extends. The channel is centered on an axis of rotation1263 ofcontroller54. During rotation ofcontroller54, afirst end1267 ofcord1265 rotates withcontroller54. However, asecond end1273 ofcord1265 coupled tocircuit board1238 does not rotate. Aportion1277 of cord1275 between first andsecond ends1267,1273 twists during rotation ofcontroller54 to compensate forsecond end1273 not twisting. Becausecord1265 extends throughpost1252, no portion ofcord1265 is positioned outside of theinterior regions1218,1250 ofrail member1110 andhousing1236.
• Portion1277 ofcord1265 extends frompost1252 tocircuit board1233 and has a length that is about three times as long as adistance1281 frompost1252 to where it coupled tocircuit board1238. This additional length reduces the amount of tension oncord1265 and chaffing ofcord1265 during the pivoting ofcontroller54 about axis of rotation1263.
• According to an alternative embodiment of the present disclosure, a rubber grommet is provided in thechannel1253 to provide a liquid proof seal betweencord1265 andhousing1236. According to another alternative embodiment, a rubber grommet is provided betweenpost1252 and cover1212 to provide a liquid proof seal therebetween.
• Referring now toFIG. 64,cord1153 passes throughfourth link1124 tothird link1122 in the manner detailed above. From behindthird link1122,cord1153 extends to and is coupled tocircuit board1233 ofcontroller52. Acord1271 extends fromspeaker1220 ofhead end siderail20 and is also coupled tocircuit board1233 ofcontroller52.
Fluid Sealing
• As described above,main body1210 and cover1212 ofhead end siderail20 are sealed together to prevent fluids from entering aninterior region1218 defined betweenmain body1210 andcover1212.Main body1210 and cover1212 include sealingedges1268 and1270, respectively that face each other whencover1212 is coupled to main body1210 (FIG. 62).
• With reference toFIGS. 60 and 64, sealingedge1268 includes afirst portion1272 that extends longitudinally and faces outwardly, asecond portion1274 that extends laterally and faces toward a head end ofpatient support10, athird portion1276 that extends longitudinally and faces outwardly, afourth portion1278 that extends laterally and faces toward a foot end ofpatient support10, afifth portion1279 that substantially vertically following a curved profile of ahead end1280 ofmain body1210 and faces outwardly, asixth portion1282 that extends over atop end1284 ofmain body1210, aseventh portion1286 that extends longitudinally and faces inwardly, aneighth portion1288 that extends back overtop end1284 ofmain body1210, aninth portion1290 that follows a curved profile of ahandle aperture1292 defined inmain body1210 and faces outwardly, atenth portion1294 that extends substantially vertically following a curved profile of afoot end1296 ofmain body1210 and faces outwardly, and aneleventh portion1298 that extends longitudinally and faces outwardly. Similarly, with reference toFIGS. 60 and 63, sealingedge1270 includes afirst portion1310 that extends longitudinally and faces inwardly, asecond portion1312 that extends laterally and faces toward a foot end ofpatient support10, athird portion1314 that extends longitudinally and faces inwardly, afourth portion1316 that extends laterally and faces toward a head end ofpatient support10, afifth portion1317 that extends substantially vertically following the curved profile ofhead end1280 ofmain body1210 and faces inwardly, asixth portion1318 that extends under a hooked orchannel portion1320 ofcover1212, aseventh portion1322 that extends longitudinally and faces outwardly, aneighth portion1324 that extends back under hookedportion1320 ofcover1212, aninth portion1326 that follows the curved profile ofhandle aperture1292 and faces inwardly, atenth portion1328 that extends substantially vertically following a curved profile offoot end1296 ofmain body1210 and faces inwardly, and aneleventh portion1330 that extends longitudinally and faces inwardly. Therespective portions1272,1274,1276,1278,1279,1282,1286,1288,1290,1294,1298 of sealingedge1268 ofmain body1210 face therespective portions1310,1312,1314,1316,1317,1318,1322,1324,1326,1328,1330 of sealingedge1270 ofcover1212.
• Sealing edge1268 includes achannel1332 that extends alongportions1272,1274,1276,1278,1279,1282,1286,1290,1294,1296 ofmain body1210. See, for example,FIGS. 61 and 62, showingthird portion1276 andsixth portion1286 havingchannel1332 extending therethrough. O-ring seal1216, made of rubber or other suitable material, is positioned inchannel1332. Whencover1212 is positioned overmain body1210 ofhead end siderail20, sealingedge1270 presses againstseal1216 to provide a seal between sealingedges1268 and1270 ofmain body1210 andcover1212.
• According to an alternative embodiment of the present disclosure, the sealing edges disclosed herein that press against the O-ring, such as sealingedge1270, are provided with a ridge that “bites” into the O-ring, such as O-ring1216, along the length of the O-ring to increase the compression of the O-ring and the contact pressure between the sealing surface and the O-ring. According to an alternative embodiment of the present disclosure, sealing edges and an O-ring are provided around the opening inmain body1210 that receivesthird link1122 oflinkages1114 to seal around this opening. Similar sealing edges and O-ring may also provided forfoot end rail22. According to another embodiment, these additional sealing edges extend down to the existing sealing edges.
• Shells1246,1248 ofhousing1236 ofsecond controller54 are sealed together to prevent fluids from entering interior region1250 defined betweenshells1246,1248 as shown inFIG. 61. Similar tomain body1210 and cover1212 ofhead end siderail20,shells1246,1248 include sealingedges1336,1338 that face each other whenshells1246,1248 are coupled together. Similar to sealingedge1268 ofmain body1210, sealingedge1338 ofshell1248 includes achannel1340 extending from one side ofpost1252, around the perimeter ofshell1248, to the opposite side ofpost1252. An O-ring seal1342 made of rubber or other suitable material is positioned inchannel1340. Whenshell1246 is positioned onshell1248, sealingedge1336 presses againstseal1342 to provide a seal between sealingedges1336 and1338 ofshells1246 and1248, respectively.
• Similar torail member1110 ofhead end siderail20,rail member1112 offoot end siderail22 includes amain body1211 and acover1213 as shown inFIG. 65. An O-ring seal1217 is provided betweenmain body1211 and cover1213 to prevent liquids from aninterior region1219 defined betweenmain body1211 and cover1213 as shown inFIGS. 66 and 67.Main body1211 and cover1213 include sealingedges1269,1271 that face each other whencover1213 is coupled tomain body1211.
• Sealing edge1269 includes achannel1333 as shown inFIGS. 66 and 67. O-ring seal1217, made of rubber or other suitable material, is positioned inchannel1333. Whencover1213 is positioned onmain body1211 offoot end siderail22, sealingedge1271 presses againstseal1217 to provide a seal between sealingedges1269,1271 ofmain body1211 andcover1213.
Detachable Siderail Controller
• As shown inFIG. 45 control system44 is further coupled todetachable siderail controller50 that may be a corded pendant configured to removably and slidably couple to head and foot end siderails20,22. As shown inFIG. 68controller50 includes ahousing1344, acircuit board1346 including a plurality of control buttons orswitches1348, and acord1350 coupled tocircuit board1346 and extending fromhousing1344 as shown inFIG. 69 The functions controlled byswitches1348 will be described in greater detail below.
• Controller50 is configured to slide in either handle opening1292 of head end siderails20 or handle opening1352 of foot end siderails22 between an infinite number of positions (FIG. 45). Because patients vary in size, one patient may find it more convenient to positioncontroller50 in one of the many available positions on either head or foot end siderails20,22 than another patient. Thus, various patients can positioncontroller50 in any of the infinite number of positions on any of head or foot end siderails20,22 depending on the preference of particular patient positioned onpatient support10. Furthermore, a patient may decide to adjust the position ofcontroller50 if the configuration ofdeck26 is changed. For example, ifhead section38 ofdeck26 is raised, a patient may desire to repositioncontroller50 along theparticular siderail20,22 or removecontroller50 and place it on anothersiderail20,22.
• As shown inFIGS. 45 and 68,housing1344 ofcontroller50 includes an upper or firstconcave surface1354 and a lower or secondconcave surface1356 that complementconvex surfaces1358 and1360, respectively, ofrail member1110 ofhead end siderail20. Also as shown inFIG. 45,rail member1112 offoot end siderail22 includesconvex surfaces1362 and1364 that are complemented byconcave surfaces1354 and1356, respectively. As shown inFIG. 68, a substantial portion ofcontroller50 is positioned withinrail member1110 so thatcontroller50 maintains a relatively low profile compared to aninner surface1366 ofrail member1110 when positioned inrail member1110 to avoid interference with other components ofpatient support10 or other pieces of medical equipment. According to alternative embodiments of the present disclosure, thecontroller50 is positioned further in the opening formed in therail member1110, so that little or none of the controller extends beyond an inner surface of the rail member.
• The respective pairs ofconvex surfaces1358,1360,1362,1364 ofsiderails20,22 cooperate to define a top rail and a bottom rail that define aguide1367 operably coupled to thecontroller50.Concave surfaces1354 and1356 and aretainer1368 coupled tohousing1344 cooperate to define a complementary formation configured to ride along the top and bottom rails/guide. According to alternative embodiments of the present disclosure, other configurations of rails and guides and complementary formations are provided such as raised rails, channels, slots, or other configurations of guides and complementary formations known to those of ordinary skill in the art.
• Retainer1368 is configured to retaincontroller50 in eitheropening1292,1352 to permit sliding ofcontroller50 alongsiderails20,22 and to permit removal ofcontroller50 fromopenings1292,1352, respectively. Whencontroller50 is positioned in opening1352 offoot end siderail22,retainer1368 is positioned adjacent toconcave surface1356 ofhousing1344.
• As illustrated inFIG. 68,retainer1368 includes a spring-biased retainer orlatch member1370. When a patient pulls oncontroller50 indirection1374,retainer member1370 is pushed inwardly indirection1375 so that a curveddistal end1376 ofretainer member1370 rides over the inner most portion ofconvex surface1360,1364. As such,retainer1368 no longer retainscontroller50 in therespective siderail20,22.
• To repositioncontroller50 back in one ofsiderails20,22, the patient positions secondconcave surface1354 adjacent toconvex surface1358,1362 ofrail member1110,1112 ofsiderail20,22, respectively so that apeaked tip1378 ofhousing1344 capturesrail member1110,1112. The lower end ofcontroller50 is pushed indirection1380 so thatretainer member1370 rides back over respectiveconvex surface1360,1364.Peaked tip1378 andretainer member1370 then define awidth1382 that is greater than awidth1384 ofopening1292,1352 so thatcontroller50 is retained inrespective siderail20,22. Identical procedures are followed for placing and removingcontroller50 from opening1352 in foot end siderails22 and for placing and removingcontroller50 from opening1292 in head end siderails20. Furthermore,controller50 may also be coupled torail members1110,1112 through the opposite side ofrespective opening1292,1352. According to an alternative embodiment of the present disclosure, the openings in the head and foot end siderails do not extend completely through the siderails.
• As shown inFIG. 68,housing1344 includes inner andouter shells1386 and1388 that cooperate to define aninterior region1390 configured to receivecircuit board1346.Outer shell1388 defines a retainer-receiving void1394 sized to receive portions ofretainer1368.Housing1344 further includes aretainer cover1396 that cooperates withouter shell1388 to definevoid1394.Retainer1368 further includes a biasing member orspring1398 positioned in void1394 betweenouter shell1388 andretainer member1370.Spring1398biases retainer member1370 indirection1410 towardconvex surface1360 as shown inFIG. 68. According to alternative embodiments of the present disclosure, other biasing members are provided, such as torsion springs, the retainer member being cantilevered and flexible, or other configurations of biasing members known to those of ordinary skill in the art.
• As shown inFIGS. 69 and 70,retainer member1370 includes alatch portion1412, a pair ofribs1414, a pair of lockingtabs1416, and a notchedrib1418.Latch portion1412 includes a downwardly facingsurface1420 that matches the contour of upwardly facingsurface1360,1364 ofsiderails20,22, respectively as shown inFIGS. 45 and 68.Latch portion1412 further includes a spring-receivingaperture1422 sized to receive an end ofspring1398.
• Ribs1414 slide inchannel portions1424 of void1394 so thatretainer member1370 can move up and down.Housing1344 includes a pair oflips1426 on whichlocking tabs1416 are caught preventing removal ofretainer member1370 from void1394 afterretainer member1370 is slidably moved up and lockingtabs1416 snap into place overlips1426.
• Retainer1368 further includes a lock orblocker1430 configured to slide onretainer cover1396 and block or permit movement ofretainer member1370. As shown inFIGS. 68-70,lock1430 includes aslider button1432 and a blocker orlug1434 coupled tobutton1432 by ascrew1436 so thatretainer cover1396 is positioned betweenlug1434 andbutton1432.Retainer cover1396 withslider button1432 andblocker1434 coupled thereto, is coupled tohousing1344 so thatblocker1434 is positioned above notchedrib1418 as shown inFIG. 68. A portion ofslider button1432 passes through a lock guide oropening1428 configured to guidelock1430 in movement.
• Depending on the position ofbutton1432 andblocker1434 relative to lockguide1428,blocker1434 will prevent or permit movement ofretainer member1370 relative tohousing1344. Ifbutton1432 is centered over a middle orlower portion1438 of notchedrib1418, clearance exists betweenlower portion1438 andblocker1434 andretainer member1370 is permitted to move further up indirection1375 into void1394 (FIG. 68). As mentioned above, this movement permits removal ofcontroller50 from respective head and foot end siderails20,22. However, ifbutton1432 is slidably moved so thatblocker1434 is positioned over a raisedportion1440 of notchedrib1418, there is little or no clearance between raisedportion1440 andblocker1434 andretainer member1370 is blocked from sliding further up indirection1375 into void1394 (FIG. 68).Cover1396 includes a pair ofridges1395 that restrain aridge1397 onbutton1432 to resist movement ofbutton1432 between the locked position and the unlocked position.
• Analternative embodiment retainer1442 andretainer cover1444 similar toretainer1368 andretainer cover1396 are shown inFIG. 71.Retainer cover1444 cooperates withouter shell1388 to define a void sized to receive portions ofretainer1442.Retainer1442 includes aretainer member1446 andspring1398 positioned in the void betweenouter shell1388 andretainer member1446.Spring1398biases retainer member1446 indirection1448 towardconvex surface1360,1364 ofrespective siderail20,22.
• Retainer member1446 includes alatch portion1450, a pair ofribs1452, a pair of lockingtabs1454, and a notchedrib1456.Latch portion1450 includes a downwardly facingsurface1458 that matches the contour of upwardly facingsurface1360,1364 ofsiderails20,22, respectively.Latch portion1450 further includes a spring-receivingaperture1460 sized to receive an end ofspring1398.
• Ribs1452 slide inchannel portions1424 of void1394 so thatretainer member1446 can move up and down. Lockingtabs1454 are caught onlips1426 ofhousing1344 to prevent removal ofretainer member1446 from void1394 afterretainer member1446 is slidably moved up and lockingtabs1454 snap into place overlips1426.
• Retainer1442 further includes a lock orblocker1464 configured to slide onretainer cover1444 and block or permit movement ofretainer member1446.Lock1464 includesslider button1432 and a blocker orlug1466 coupled integrally withbutton1432.Lock1464 includes a plurality offingers1468 that snap into anopening1470 incover1444 so thatlug1466 extends throughopening1470.Cover1444 withlock1464 coupled thereto, is coupled tohousing1344 so thatblocker1466 is positioned above notchedrib1456.
• Depending on the position ofbutton1432 andblocker1466 relative to cover1444,blocker1466 will prevent or permit movement ofretainer member1446 relative tohousing1344. Ifbutton1432 is centered over a middle orlower portion1472 of notchedrib1456, clearance exists betweenlower portion1438 andblocker1466 andretainer member1446 is permitted to move further up intovoid1394. This movement permits removal of thecontroller50 from respective head and foot end siderails20,22. However, ifbutton1432 is slidably moved so thatblocker1466 is positioned over a raisedportion1474 of notchedrib1456, there is little or no clearance between raisedportion1474 andblocker1466 andretainer member1446 is blocked from sliding further up into the void.
• According to other alternative embodiments of the disclosure, other retainers known to those of ordinary skill in the art are provided to retain the controller in the siderails such as tabs, clasps, catches, locks, other latches, clamps, pins, bolts, bars, hasp, hooks, or other retainers known to those of ordinary skill in the art.
• As shown inFIG. 72,cord1350 communicates electric signals to and fromcontroller50.Cord1350 includes a connector (not shown) that couples to either of twoconnectors1478 shown inFIG. 45 onweigh frame36. According to the illustrative embodiment of the disclosure, one ofconnectors1478 is coupled to a first side ofpatient support10 and theother connector1478 is coupled to an opposite second side ofpatient support10. A plurality of wires (not shown) are coupled to eachconnector1478, and are configured to communicate with the various electrically controlled devices ofpatient support10.
• Because twoconnectors1478 are provided on opposite sides ofpatient support10,controller50 may be plugged into either side ofpatient support10. Thus, if a patient or caregiver finds it more convenient to positioncontroller50 on the pair of head and foot end siderails20,22 on the first side ofpatient support10,controller50 can be plugged intoconnector1478 withoutcord1350 having to be strung over themattress14. Similarly, if a patient or caregiver finds it more convenient to positioncontroller50 on the pair of head and foot end siderails20,22 on the second side ofpatient support10,controller50 can be plugged into connector withoutcord1350 having to be strung over themattress14. Thus, acorded controller50 is provided that can be removably coupled to either side of thepatient support10 without having to string thecord1350 of thecontroller50 over themattress14 of thepatient support10.
• Controller50 further includes arubber grommet1480 that is positioned in aaperture1482 inouter shell1386 as shown inFIGS. 69 and 72.Cord1350 extends throughgrommet1480.Grommet1480 provide a water-tight seal betweenshell1388 andcord1350.
• Outer shell1388 further includes a pair of symmetric ribs orramps1482 that define a taperedchannel1484 configured to receivecord1350. Astop1486 is coupled tocord1350.Stop1486 is larger than anarrow opening1488 defined betweenramps1482 so thatcord1350 cannot be pulled axially out ofouter shell1386. This preventswires1490 ofcord1350 andconnector1492 that couples tocircuit board1346 from being stressed if force is applied tocord1350. Becausechannel1484 is tapered, an assembler can initially placecord1350 in the wider portion ofchannel1484 and then press down toposition cord1350 inopening1488. Whencord1350 is pressed down on,ramps1482guide cord1350 towardnarrow opening1488 so that the assembler does not have to be as accurate with the initial placement ofcord1350 inchannel1484. According to the presently preferred embodiment, thestop1486 is a cable tie that has had any extra length removed. According to alternative embodiments of the present disclosure, other stops are provided. For example, according to one alternative embodiment, a staple or other clip is provided.
• As shown inFIG. 68, inner andouter shells1386,1388 includesperimeter channels1494,1496. During the manufacture ofinner shell1394, aseal1498 is formed inchannel1494. Preferably,shells1386,1388 are made of rigid plastic materials andseal1498 is made of a rubber-like material that forms a liquid-proof seal betweenouter shells1386,1388.
• ControllerInterface Panels Controllers50,52,54 each includerespective interface panels1510,1512,1514, illustrated inFIGS. 73-75. Preferably, eachpanel1510,1512,1514 is made of a flexible membrane.Panel1510 couples toinner shell1386 ofcontroller50 to provide a liquid-proof seal therebetween. Similarly,panel1512 couples to cover1212 of head end siderail20 to provide a water-proof seal therebetween, andpanel1512 couples toouter housing1248 ofcontroller54 to provide a water-proof seal therebetween.
• Eachinterface panel1510,1512,1514 includes a plurality status indicators and raised button covers having indicia. When a user presses on the button covers, they also press on one of respective switches orbuttons1348,1232,1240 positioned behind the button cover and initiate a function ofpatient support10.
• As shown inFIG. 73interface panel1510 includes a plurality of membrane input control buttons or raised button covers1516 and a plurality ofstatus indicators1518 which are electrically coupled tocircuit board1346 ofcontroller50, allowingcontroller50 to be used by persons in or out ofpatient support10 to control the operation of various features ofpatient support10, including articulation ofdeck26, sending a nurse call signal, controlling entertainment devices, such as television, radio, or the like. In a preferred embodiment,status indicators1518 are light emitting diodes (LEDs) electrically coupled tocircuit board1346. According to alternative embodiments of the present disclosure, other functions of thepatient support10 or remote equipment are controlled by thecontroller50.
• Head upbutton1520 and head downbutton1522 are provided to control adjustment of the position ofhead section38 ofdeck26 between the raised and lowered positions. Knee upbutton1524 and knee downbutton1526 are provided to control adjustment of the position of leg andseat sections42 and40.
• When anurse call button1528 is pressed, a signal is sent to a nurse station or directly to predetermined caregivers that indicates that the patient needs attention. Speak indicator1529 and listenindicator1530 are provided to indicate the direction of communication between a patient inpatient support10 and nurse or other caregiver located at a nurse call station or other location. The caregiver at the nurse call station or elsewhere controls which way the communication travels. If neitherindicator1529,1530 is illuminated, the communication lines are closed. When speak indicator1529 is illuminated, the patient may speak to the caregiver. The patient speaks into a microphone (not shown) coupled tohead end siderail20. When listenindicator1530 is illuminated, the caregiver may speak to the patient inpatient support10 fromspeakers1220. A graphic of a listening ear is positioned adjacent to speak indicator1529 to indicate that a nurse or other caregiver is listening to the patient when lit. A graphic of a speaking person is positioned adjacent to listenindicator1530 to indicate the patient is to listen to a nurse or other caregiver when illuminated.
• Controller50 is also configured to control functions of other devices located within a patient's room such as a TV or lighting of a room (not shown) as further described above with reference toFIG. 35.TV button1532 controls turning on and off a TV (not shown) located in a room. WhenTV button1532 is pressed, the TV is turned on. WhenTV button1532 is pressed again, the TV is turned off. To change the channel of the TV, channel up and channel downbuttons1534,1536 are pressed. To change the TV volume up or down, volume up and volume downbuttons1538,1540 are pressed. To turn closed captioning of the TV on and off, aclosed caption button1542 is pressed.Radio button1544 controls turning on and off a radio (not shown) broadcasting fromspeakers1220 or elsewhere in the patient's room. When only the radio is on, channel up and downbuttons1534,1536 and volume up and downbuttons1538,1540 operate the channels and volume of the radio. If both the radio and TV are on, channel up and downbuttons1534,1536 and volume up and downbuttons1538,1540 operate the TV only.
• To turn on the direct lighting in a room, such a ceiling light or other lighting that shines down, adirect light button1546 is provided that is pressed to turn the light(s) on and off. Similarly, to turn on indirect lightly, such as a light on a headwall unit that shines up on the ceiling or down on the floor from a low level, anindirect light button1548 is provided that is pressed to turn the light(s) on and off.
• As shown inFIG. 74interface panel1512 includes a plurality of membrane input control buttons or raised button covers1516 and a plurality ofstatus indicators1518 which are electrically coupled tocircuit board1233 ofcontroller52, allowingcontroller52 to be used by persons out ofpatient support10 to control the operation of various features ofpatient support10, including extension, tilting, and articulation ofdeck26, sending a nurse call signal, and enablement of the other functions ofpatient support10. In a preferred embodiment,status indicators1518 are LED's electrically coupled tocircuit board1233. According to alternative embodiments of the present disclosure, other functions of the patient support or remote equipment are controlled by the controller.
• Head upbutton1550 and head downbutton1551 are provided to control adjustment of the position ofhead section38 ofdeck26 between the raised and lowered positions. Knee upbutton1552 and knee downbutton1554 are provided to control adjustment of the position of leg andseat sections42 and40.High button1556 andlow button1558 are provided to control raising and loweringintermediate frame32 relative tobase frame28.
• Foot extendbutton1560 and foot retractbutton1562cause leg section42 to extend and retract which permits the position offootboard18 ofpatient support10 to be adjusted relative to the position of the patient's foot. To extendleg section42, extendbutton1560 is pressed until the desired position offootboard18 is reached. To retractfoot section42, retractbutton1562 is pressed until the desired position is reached.
• Chair bed button1564 andflat bed button1566 are provided to control adjustment of the position ofdeck26 between the chair and bed positions. To movepatient support10 toward the chair position,chair button1564 is pressed until the degree of the chair position is achieved of untilpatient support10 reaches the full chair position. To movepatient support10 toward the bed position,flat bed button1566 is pressed until the desired degree of the chair position is removed or untilpatient support10 reaches the flat bed position.
• Tilt (Reverse Trendelenburg)button1568 and reverse tilt (Trendelenburg)button1570 are provided to control adjustment of the position ofdeck26 between head raised (Reverse Trendelenburg) and head lowered (Trendelenburg) positions. To movepatient support10 to the head raised position,tilt button1568 is pressed until the degree of the incline ofintermediate frame32 is achieved. To movepatient support10 toward the head lowered position, reversetilt button1570 is pressed until the desired degree of incline ofintermediate frame32 is achieved. When anurse call button1572 is pressed, a signal is sent to a nurse station or directly to predetermined caregivers that indicates that the patient needs attention.
• According to the illustrative embodiment of the present disclosure, most of the buttons are only operable after a key or enablebutton1584 is first pressed. This helps prevent the accidental activation and deactivation of certain functions ofpatient support10. According to the preferred embodiment of the present disclosure, enablebutton1584 must first be pressed before the functions controlled by the other buttons onpanels1512 and1514 will initiate. However, the nurse call feature controlled bynurse call button1572 will initiate without the need to first press enablebutton1584.
• To enable the other buttons, enablebutton1584 must be pressed for at least or about 0.5 seconds. By requiring that the button be depressed for a predetermined amount of time, an accidental momentary depression of enablebutton1584, such as whenpanel1512 is wiped during cleaning, will not enable the other buttons.
• Once enabled, the user has about a twenty second window to press the other buttons to initiate a function. Once the twenty second window passes without one of the other buttons being pressed, the other buttons are disabled and enablebutton1584 must be pressed again to operate the functions. However, if one of the other buttons is pressed during the initial twenty second window, the window is reset so that the user has another twenty second window to press another button. Once twenty seconds passes without any button being pressed, the twenty second window expires and enablebutton1584 must be pressed again.
• According to alternative embodiments of the present disclosure, other times required to press the enable button are provided. For example, according to one embodiment, one second is required. According to another embodiment, no time is required so that the other buttons are enabled whenever the enable button is pressed. According to other alternative embodiments of the present disclosure, other windows of time are provided during which the other buttons are enabled. For example, according to some embodiments, the window is 5, 10, 15, 25, 30 or more seconds. According to another alternative embodiment, no enablebutton1584 is provided.
• Patient control52 also enables and disables (locks out) specific features ofpatient support10. By pressing head lock-out button1586, the function of head upbuttons1520,1551 and head downbuttons1522,1550 ofrespective controllers50,52 are disabled so thathead section38 ofdeck26 cannot be raised or lowered. When disabled, anindicator1588 onbutton1586 lights up. When head lock-out button1586 is pressed again,head section38 may be raised and lowered again andindicator1588 goes off. A similar knee lock-out button1590 andindicator1592 are provided to enable and disable the function of knee upbuttons1524,1552 and knee downbuttons1526,1554 ofrespective controllers50,52.
• A similar all actuator lock-out button1594 andindicator1596 are provided that disable the function or initiate movement oflinear actuators48 operated bycontrollers50,52. When pressed, all functions controlled bycontrollers50,52 that change the configuration ofdeck26 or raise, lower, or tiltintermediate frame32 are disabled andindicator1596 lights up. When pressed again, the functions are enabled andindicator1596 turns off. By disabling certain functions ofcontrollers50,52, a caregiver can prevent accidentally articulation or other movement ofpatient support10 when such articulation may be undesirable. According to alternative embodiments of the present disclosure, the other functions ofcontrollers50,52,54 are also disabled and enabled by one or more lock-out buttons.
• Other indicators which relate to various patient support status functions are also included oninterface panel1512. Abed position indicator1598 is illuminated whenintermediate frame32 is not in the lowermost position. Whenintermediate frame32 is in the lowermost position, thisindicator1598 is off. Aservice indicator1610 is lit whenpatient support10 detects that a component needs serviced. Ifpatient support10 does not detect that a component needs serviced, thisindicator1610 is off.
• With reference toFIG. 75,interface panel1514 includes a plurality of membrane input control buttons or raised button covers1516 and a plurality ofstatus indicators1518 which are electrically coupled tocircuit board1238 ofcontroller54, allowingcontroller54 to be used by persons out ofpatient support10 to control the operation of various features ofpatient support10, including detecting the position of a patient, the patient's weight, and operation ofmattress14. In a preferred embodiment,status indicators1518 are LED's electrically coupled tocircuit board1238. According to alternative embodiments of the present disclosure, other functions of the patient support or remote equipment are controlled by the controller.
• As shown inFIG. 75, patientposition monitor buttons1612,1614,1616 are provided to control activation of a patient position monitoring system, which notifies a caregiver when the patient changes position relative topatient support10. When one ofbuttons1612,1614,1616 is selected, the otherrespective buttons1612,1614,1616 are automatically deselected.Status indicators1518 are provided with eachbutton1612,1614,1616 indicating which of the monitoring modes is on.Patient position sensors5004,5008,5010 are positioned ondeck26 underneathmattress14. Details of suitable patient position detection systems are provided in U.S. Pat. No. 6,208,250, to Dixon et al.; U.S. Pat. No. 6,067,019, to Scott; and U.S. Pat. No. 5,808,552, to Wiley et al., the disclosures of which are expressly incorporated by reference herein.
• Button1616 controls activation of the position monitoring system to detect an “exit” condition when the patient has exitedpatient support10. Whenbutton1616 is pressed to activate monitoring of the exit condition, therespective indicator1518 onbutton1616 lights up. Otherwise therespective indicator1518 onbutton1616 is off. If the exit condition is detected bybed exit sensor562, visual and audible alarms will activate notifying the caregiver that the patient has exitedpatient support10.
• Button1614 controls activation of the position monitoring system to detect a “pre-exit” condition when the patient is bearing weight primarily on an edge ofpatient support10, such as when the patient is sitting on the edge ofpatient support10. Whenbutton1614 is pressed to activate monitoring of the pre-exit condition, therespective indicator1518 onbutton1614 lights up. Otherwise therespective indicator1518 onbutton1614 is off. If the pre-exit condition is detected, the visual and audible alarms will activate notifying the caregiver that the patient has moved to the edge ofpatient support10. Furthermore, the alarms will also activate if the exit condition is detected.
• Button1612 controls activation of the position monitoring system to detect a “patient up” condition when the patient's torso moves beyond a predetermined position relative todeck26. Whenbutton1612 is pressed to activate monitoring of the patient up condition, therespective indicator1518 onbutton1612 lights up. Otherwise therespective indicator1518 onbutton1612 is off. If the patient up condition is detected, the visual and audible alarms will activate notifying the caregiver that the patient has moved to the up position.
• Alarm control button1618 andvolume indicator1620 are provided to a caregiver to control the volume of the audible alarm that sounds when the patient monitoring system detects one of the above-mentioned conditions.Alarm button1618 controls the volume of the alarm.Volume indicator1620 comprises a plurality of LED's that are lit according to the selected volume level, i.e., the higher the volume selected, the more LED's that are lit. If a user wants to turn the volume up,alarm button1618 is pressed repeatedly until the desired volume is reached. To lower the volume,alarm button1618 is pressed repeatedly until the peak volume is reached. After the peak volume is reached, continued pressing onalarm button1618 will gradually reduce the volume of the alarm until the lowest volume is reached. After the lowest volume is reached, continued pressing onalarm button1618 will gradually increase the volume. If no LED's are lit, the alarm is deactivated.
• Inflation system buttons1622,1624,1626,1628 are provided that control the function of the air pressure inflation system ofmattress14.Maximum inflation button1622 inflates the mattress zones to a predefined air pressure level and may be used to facilitate administration of CPR. Acorresponding indicator1518 onbutton1622 lights up when the maximum inflation function is activated. When pressed again, the mattress zones return to normal operating pressure and thecorresponding indicator1518 turns off.
• First turn assistbutton1624 controls the turning of a patient toward one side ofpatient support10. Second turn assistbutton1626 controls the turning of the patient toward the other side ofpatient support10. When either of thesebuttons1624,1626 are pressed, they begin the turn assist function and the associatedindicator1518 lights up. When the respective turn assist function is complete, the associatedindicators1518 turn off. A rail downindicator1627 is illuminated when any ofsiderails20,22 are not in the raised position.Patient size button1628 button permits a caregiver to set the size of the patient positioned onmattress14. Three graphics representing different sized patients are positioned next to correspondingindicators1518. Whenpatient size button1628 is pressed, a different sized patient is selected and thecorresponding indicator1518 lights up. In an illustrative embodiment, depending on which size patient is selected, different air pressures are provided tomattress14.
• Interface panel1514 further includes a plurality of buttons andLED display1242 which permit a caregiver to weigh the patient using the patient weighing function. Aunit selection button1630 enables the caregiver to choose between pounds and kilograms as the unit of weight measurement.LED display1242 displays the patient's weight and selected unit of measurement.
• Calibration button1632,change item button1634, additem button1636, and subtractitem button1638 are provided to the caregiver to calibrate the system for weighing a patient. For example, before a patient is placed onpatient support10,calibration button1632 is pressed to set the weight reading to 000.0 lbs/kg so that the initial weight ofmattress14,deck26, and any other patient support component or piece of medical equipment is negated from the weight reading. Thus, only the weight of the patient is indicated when the patient is onpatient support10.
• If a patient support component or piece of medical equipment is added to or removed frompatient support10 that may affect the weight reading,change item button1634, additem button1636, and subtractitem button1638 are illustratively used to take the additional or subtracted weight into account. For example, if a piece of medical equipment, such as an IV pole, is added topatient support10,change item button1634 and additem button1636 are pressed while the piece of medical equipment is added and the additional weight detected by the weigh system is subtracted from the measured weight so that the additional weight of the IV pole is negated from the weight displayed ondisplay1242. Similarly, if a piece of medical equipment is removed frompatient support10,change item button1634 and subtractitem button1638 are pressed while the piece of medical equipment is removed and the removed weight detected by the weigh system is added to the measured weight so that the loss of weight of the removed pieced of medical equipment is negated from the weight displayed ondisplay1242.
Foot Pedal Controls and Nightlight
• As shown inFIG. 1, foot pedal controls56 are coupled tobase frame28. Foot pedal controls56 are provided to control raising and lowering ofdeck26 relative tobase frame28 and to control raising and loweringhead section38 ofdeck26 relative to weighframe36.
• Eachfoot pedal control56 is associated with one of the above-mentioned functions and includes a pedal orcontrol member1660 appropriately labeled for the respective function. By stepping on any ofpedals1660 with the tip of one's foot as shown inFIG. 76, one of these functions ofpatient support10 is activated. Whenpedals1660 are released, they are automatically biased back to the neutral position and the function terminates.
• With reference toFIGS. 76-79,pedals1660 are pivotably coupled to apedal housing1662 that is fixedly coupled tobase frame28 in a spaced-apart relationship with thefloor29.Pedal housing1662 includes an L-shapedbody portion1664 that couples tobase frame28 and ahousing portion1666 that defines anenclosed space1668.
• Becausehousing portion1666 is centrally located and raised relative tofoot pedals1660, it acts as a locator forpedals1660. For example, a caregiver who is familiar withpatient support10 will be able to sweep their foot overpedals1660 until striking either side ofhousing portion1666. Because of their familiarity withpatient support10, they will recognize whichpedal1660 is located beneath their foot. If thispedal1660 performs the desired function, the need only step down without looking down at therespective pedal1660 for an decal or indicator that indicates the specific function of thatrespective pedal1660. If the desiredpedal1660 is not the one located under their foot, they will recognize that they need to back away fromhousing portion1666 to the nextadjacent foot pedal1660 that does perform the desired function. Preferably, the caregiver will initially sweep toward the correct side ofhousing portion1666 on which the desiredfoot pedal1660 is located.
• As shown inFIGS. 77 and 78, each pedal1660 is pivotable between a first or up position and a second or down position. Eachpedal1660 has a stepped profile and includes apedal portion1670, apivot portion1672, and asensor portion1674.Pedal portion1670 extends beyondpedal housing1662 to permit a caregiver to press down onpedal portion1670 as shown inFIG. 76. When in the first raised position, atop surface1676 ofpedal portion1670 is about 6 inches above thefloor29 so that 5.5 inches ofclearance1677 exists underpedal portion1670. Furthermore, this spacing permits a caregiver or other person to operatepedals1660 while his or her heal1680 rests onfloor29. Because the caregiver'sheal1680 is on theground29 during the movement ofpatient support10, his or her foot is further away from the moving components of the patient support. Preferably, decals or indicators (not shown) are provided oninward portions1682 oftop surface1676 that is at an angle of 45 degrees from horizontal to help a caregiver's line of sight in viewing the decal or indicator that indicates what function ofpatient support10 is controlled by theparticular pedal1660.
• As shown inFIG. 79, apin1684 is provided that extends throughpivot flanges1686 and to define apivot axis1688 about whichpedals1660 pivot onhousing1662. Eachfoot pedal control1660 includes a biaser orspring1690 through whichpin1684 extends that biases pedal1660 up toward the first raised position.
• The position of each pedal1660 is detected by asensor538. Ifsensor538 detects that any one ofpedals1660 is moved and held in the second lowered position for about one second and then returned to the first raised position,pedals1660 are enabled to operate the respective functions ofpatient support10 for twenty seconds. To activate any of these functions, arespective pedal1660 must be moved to the second lowered position within the twenty second enabled window.
• If apedal1660 is not moved back down to the second lowered position within the twenty second enabled widow,pedals1660 are disabled and must be enabled again as described above by holding one ofpedals1660 in the second lowered position for about one second. If any ofpedals1660 are lowered within the twenty second window, the function is performed and the window is reset for another twenty seconds. If twenty seconds go by without any of thepedals1660 being moved back down to the second lowered position,pedals1660 are again disabled. If twopedals1660 are simultaneously moved to the second lowered position, neither function is performed. Preferably,pedals1660 travel through an angle of 50 degrees from the first raised position to the second lowered position.
• Each of the foursensors538 is preferably mounted to one of a pair of mountingstrips1694 as shown inFIGS. 79 and 80 (only one is shown inFIG. 79) mounted tohousing1662. Acable1696 is coupled to each sensor538 (only one is shown inFIG. 79) to send signals indicative of the position of pedal1660 detected bysensor538.Cables1696 extend intoenclosed space1668. Eachcable1696 is coupled to a circuit board1698 positioned inenclosed space1668 and a single cable is coupled to control system44 to control respectivelinear actuators48. Acover1699 is also provided that enclosesinterior space1668.
• According to the preferred embodiment of the present disclosure,sensor538 is a Hall effect field sensor that detects change in the characteristics of a magnetic field generated bypedal1660. Amagnet1710 is positioned onsensor portion1674 of each pedal1660 in a position spaced apart fromsensor538.Sensor538 detects the change in position ofmagnet1710 during movement of therespective pedal1660 by detecting the change in magnetic field. Based on this change in magnetic field,sensor538 sends a signal indicative of the first raised and second lowered positions of therespective pedal1660 to the control system44. Control system44 then initiates the application of power to actuators48 to control and power the function of the respective components ofpatient support10.
• An illustrative circuitry associated withsensor538 is shown inFIG. 81. The circuitry includes an op-amp1714 coupled tosensor538, anopen collector1716, atransistor1718, and aresistor1720.Sensor538, op-amp1714,open collector1716, andtransistor1718 are coupled toground1722.Sensor538, op-amp1714,open collector1716, andresistor1720 are coupled to a 5 volt source.Transistor1718 andresistor1720 are coupled to the output of the circuit. Illustratively,resistor1720 is 470 ohms andsensor538 is a Cherry MP1013 snap fit proximity sensor sold by The Cherry Corporation, 3600 Sunset Avenue, Waukegan, Ill. that detects magnetic fields.
• As shown inFIG. 80, fourpedals1660 are provided to control various functions ofpatient support10 when pushed down. For example, afirst pedal1724 is provided that when pivoted down, raiseshead section38 ofdeck26. Asecond pedal1726 is provided for loweringhead section38 relative to weighframe36 when pivoted down. Series ofpedals1660 also includes athird pedal1728 for raisingintermediate frame32 relative tobase frame28 when pivoted down, and afourth pedal1730 is provided for loweringintermediate frame32 when pivoted down. According to an alternative embodiment, the plurality ofpedals1660 also includes a pedal for extending and retractingleg section42 of thepatient support10 or for activating any other feature of thepatient support10.
• As shown inFIGS. 79 and 80, a light1732 is provided oncover1699.Light1732 illustratively includes four LED's (not shown) and is coupled to circuit board1698. Preferably, light1732 shines on floor1678 so that a silhouette ofpedals1660 is provided in a semi-dark or dark room. Therefore, enough light is provided that a caregiver can locatefoot pedals1660 without producing enough light that would disturb a resting patient.
• An alternative embodimentfoot pedal control56′ is illustrated inFIG. 82.Foot pedal control56′ is substantially similar tofoot pedal control56, such that like reference numbers are used to identify like components.
• As shown inFIGS. 57 and 82,foot control pedal56′ includes light1732′ which is provided onpedal housing1662′.Light1732′ includes four LED's (not shown) and is coupled to circuit board1698. According to the illustrative embodiment ofFIG. 57, light1732′ is positioned at the end ofpedal housing1662′ positioned nearest the longitudinal center ofpatient support10′.
• According to alternative embodiments of the present disclosure, light1732 is placed elsewhere on thepatient support10 to shine directly onfoot pedals1660. For example, according to one alternative embodiment, light1732 is provided on the sides of housing portion1666 (seeFIGS. 1 and 58) ofpedal housing1662 so that light1732 shines directly onpedals1660. According to another alternative embodiment, a light1732 is provided abovepedals1660. For example, according to one embodiment, light1732 is mounted on the outwardly facing surface of thebody portion1664 ofpedal housing1662. In other alternative embodiments, light1732 is mounted on the bed frame or other components ofpatient support10, such assiderails20,22 ordeck26, to shine directly down onpedals1660. As shown inFIG. 8, a set of foot pedal controls56 are supported onbase frame28 on the opposite side ofpatient support10. Pedal controls56 on opposite sides ofpatient support10 are mirror images of each other.
• According to alternative embodiments of the present disclosure, other sensors are provided to detect the position of thepedals1660 and to control the respective functions of thepatient support10, such as other proximity switches, a three-position mechanical switch, other mechanical switches, other electrical switches, other field sensors that detect changes in an electric field due to changes in capacitance or inductance, other field sensors known to those of ordinary skill in the art, or any other sensor known to those of ordinary skill in the art.
• One suchalternative embodiment sensor1734 is shown inFIGS. 83-85.Sensor1734 is preferably a tape sensor embedded in aresilient material1736, such as potting material, that provides a water proof cover tosensor1734.Pedals1660′ are provided with arubber plunger1738 that presses down onresilient material1736 and movescontact strips1740 ofsensor1734 to close a circuit. When the circuit is closed, control system44 detects that therespective pedal1660 is in the second lowered position. When therespective pedal1660′ is released,contact strips1740 separate and the circuit is open. Control system44 detects the open circuit and recognizes that therespective pedal1660′ has moved away from the second lowered position. Additional detail of a tape switch are provided in U.S. Pat. No. 4,539,560, to Fleck et al, the disclosure of which is expressly incorporated by reference herein.
• Another suchalternative embodiment sensor1742 is shown inFIGS. 86-88.Sensor1742 is preferably a dome switch sensor embedded in aresilient material1736, such as potting material, that provides a water proof cover tosensor1742.Pedals1660′ are provided withrubber plunger1738 that presses down onresilient material1736 and movesdome1744 ofsensor1734 that is mounted to acircuit board1746 to close a circuit. An alternative plunger oractuator1748 is shown inFIG. 86 that has a diameter of 0.118 inches. When the circuit is closed, control system44 detects that therespective pedal1660′ is in the second lowered position. When therespective pedal1660′ is released,dome1744 returns to its normal position and the circuit is open. Control system44 detects the open circuit and recognizes that therespective pedal1660′ has moved away from the second lowered position. The preferred embodiment dome switch sensor is aCannon SD350 Dome Switch that requires 2.25 N operating forces and is sold by Cannon, ITT Industries.
• Another suchalternative embodiment sensor1750 is shown inFIGS. 89-91.Sensor1750 is preferably a force sensing resistor having its contacts with acable1752 embedded in aresilient material1754, such as potting material, that provides a water proof cover to the contact.Pedals1660′ are provided withrubber plunger1738 that presses down onsensor1750 and creates force onsensor1750. When force is applied tosensor1750, the overall electrical resistance ofsensor1750 changes. This change is resistance is monitored by the control system44. When the resistance reaches a predetermined value, control system44 detects that therespective pedal1660′ is in the second lowered position. When therespective pedal1660′ is released, the resistance returns to its normal value and control system44 recognizes that therespective pedal1660′ has moved away from the second lowered position. Preferably, enough force is required that accidental lowering of therespective foot pedal1660′ will not change the resistance to the predetermined value. Furthermore, this force will preferably be greater that what a typical child can generate to avoid activation by children. According to an alternative embodiment, once the predetermined resistance is reached, the speed at which the function operates is controlled by the amount of force applied to thepedal1660′ which controls the amount of resistance of thesensor1750 above the predetermined value. For example, if the force applied creates a resistance just above or at the predetermined value, the function, such as lowering thepatient support10, will occur slowly. However, if more force is applied and the resistance is increased above the predetermined value, the speed of the patient support lowering will increase proportionally with the amount of force applied to thepedal1660′. Thus, if a smaller force is applied, thepatient support10 will lower slowly. If a greater force is applied, thepatient support10 will lower faster. If an even greater force is applied, thepatient support10 will lower even faster. Preferably, the function will have a maximum speed that cannot be exceeded regardless of the amount of force applied.
Obstacle Detection Device
• Referring now toFIGS. 1, 2, and 57, the obstacle orinterference detection device58 is shown as coupled to thebase frame28 of thepatient support10. Theobstacle detection device58 illustratively includes first andsecond sensors1802 and1804 which are coupled totop surfaces474 and476 of the longitudinally extending first andsecond side members192 and194 of thebase frame28, respectively. While in the following description, first andsecond sensors1802 and1804 are illustrated as being associated with theside members192 and194 of thepatient support10, it should be appreciated that additional sensors could be positioned adjacent the head end25 and the foot end27 of thepatient support10.
• Eachsensor1802 and1804 is configured to provide an obstacle detection signal to control system44 in the event that it detects an obstacle or determines that a fault condition exists. More particularly, eachsensor1802 and1804 is configured to provide the obstacle detection signal to control system44 upon detecting that an object, such as an individual's foot, is supported on one of theupper surfaces474 and476 of thebase frame28.
• In response to the obstacle detection signal from either ofsensors1802 or1804, control system44 will prevent the lowering of theintermediate frame32 relative to thebase frame28. Moreover, the obstacle detection signal indicates that either an obstacle is supported on thebase frame28 or that at least one of thesensors1802 or1804 is not operating properly and is in a fault condition. As such, in order to avoid potential damaging impact with the detected obstacle, control system44 preventsactuators48aand48bfrom operating to lower theintermediate frame32. In an illustrative embodiment, control system44 permits continued operation of theactuators48aand48bto raise theintermediate frame32. Further, upon receiving the obstacle detection signal, control system44 may instruct theactuators48aand48bto raise theintermediate frame32 for a predetermined time period, illustratively 2 seconds, while preventing operation of theactuators48aand48bto lower theintermediate frame32. Raising theintermediate frame32 for a time period after an obstacle has been detected, provides for the immediate and automatic movement of theframe32 in a direction away from the detected obstacle.
• While thesensors1802 and1804 of theobstacle detection device58 are illustratively positioned on thebase frame28, it should be appreciated that thesensors1802 and1804 could likewise be positioned on a lower surface of theintermediate frame32. Further, theobstacle detection device58 may be utilized to detect obstacles between any two portions of apatient support10 which move relative to each other. For example, theobstacle detection device58 may be used between the head end and foot end siderails20 and22, between the head end siderails20 and theheadboard16, and between the foot end siderails22 and thefootboard18.
• Additional details of suitable obstacle detection devices are provided in U.S. Provisional Patent Application No. 60/373,819, title “Hospital Bed Obstacle Detection Device and Method”, filed Apr. 19, 2002, and PCT International Patent Application No. PCT/US03/12166, titled “Hospital Bed Obstacle Detection Device and Method”, filed Apr. 21, 2003, the disclosures of which are expressly incorporated by reference herein.
First Illustrative Embodiment Mattress Assembly
• Referring now to theFIG. 92, themodular mattress14 according to an illustrative embodiment of the present invention includes anouter cover2102 having abottom cover portion2104 and atop cover portion2106 configured to encapsulate a plurality of internal components including afoam receiving base2108. The receivingbase2108 includes afoot section2110 and abody section2112 coupled to thefoot section2110 by a footsection securing substrate2114. Acomponent mounting substrate2116 is coupled to thebody section2112 of thebase2108. Afoam crowning core2118 is supported above the mountingsubstrate2116 and is received within thebase2108. A turn assistbladder assembly2120 is received above thefoam core2118 and is coupled to the mountingsubstrate2116. Anupper bladder assembly2122 is received above the turn assistbladder assembly2120 and is likewise coupled to the mountingsubstrate2116. A fire sock orbarrier2124 is configured to surround thereceiving base2108, including thefoot section2110 and thebody section2112, the mountingsubstrate2116, thefoam core2118, the turn assistbladder assembly2120, and theupper bladder assembly2122. Ashear cover2125 is configured to be received over thefire barrier2124. Thetop cover portion2106 provides a patient rest surface and is configured to be coupled to thebottom cover portion2104 to define theouter cover2102 and receive the other mattress components.Connectors68 include a pair ofmattress fluid connectors2126 and2127 coupled to thebottom cover portion2104 and provide fluid communication between themanifold assembly62, which is coupled to thepump64, and themattress14.
Mattress Foot Section Assembly
• As detailed above, theleg section42 of thedeck26 is extendable and retractable.FIGS. 93, 96, and 97 further illustrate thefoot section2110 of themattress14 which is configured to extend and retract with the movement of the adjustablelength leg section42 of the articulatingdeck26. Thefoot section2110 includes abase portion2128 and a pair of opposingflange portions2130 and2132 supported above thebase portion2128. Thebase portion2128 includes angledside walls2134 and2136 which are configured to conform to theangled side walls291a,300aand291b,300bof thedeck26. Theflange portions2130 and2132 are configured to extend out beyond theangled side walls291a,300aand291b,300bof thedeck42. Illustratively, thefoot section2110 is made of a resilient polyurethane foam.
• Thefoot section2110 is perforated to facilitate its longitudinal extension and retraction. More particularly, thefoot section2110 is formed to include a plurality of apertures, illustratively transversely extendingslots2138 extending in a generally vertical direction through the base andflange portions2130 and2132, to facilitate compressibility of thefoot section2110 in response to the retraction of theleg section42 of thedeck26. More particularly, the plurality ofslots2138 are arranged in a plurality of laterally extendingrows2140 wherein theindividual slots2138 of each row are laterally offset from thoseslots2138 of longitudinallyadjacent rows2140.FIG. 96 illustrates thefoot section2110 when theleg section42 of thedeck26 is in an extended position, wherein eachslot2138 widens to accommodate the extension. As illustrated inFIG. 97, as theleg section42 of thedeck26 is retracted in the direction ofarrow2141, thefoot section2110 likewise retracts and theslots2138 narrow.
• While in the illustrative embodiment, a plurality of discrete laterally and longitudinally spacedtransverse slots2138 are illustrated to facilitate retraction and extension of thefoot section2110, it should be appreciated that other structures may be readily substituted therefor. More particularly, thefoot section2110 may be formed to include serpentine channels or other forms of openings, such as a plurality of slots extending substantially the full width of thefoot section2110 between opposing side edges of theflange portions2130 and2132.
• A footsection mounting plate2142 is secured to alower surface2144 of thefoot section2110, illustratively through an adhesive bond. As described in greater detail below, the footsection mounting plate2142 provides a securing platform for afoot section anchor2146 which couples the foot section to theleg section42 of thedeck26 to facilitate movement in cooperation therewith.
Heel Pressure Relief Member
• Thefoot section2110 includes areceiving recess2148 extending downwardly from anupper surface2150 of thebase portion2128 at afoot end2152 thereof. A heelpressure relief member2154 is configured to be received within therecess2148. As illustrated inFIGS. 94-97, the heelpressure relief member2154 includes a sleeve orcase2156 and afiber fill2158 received within thesleeve2156. With further reference toFIG. 94, thesleeve2156 includes a closedfirst end2160 and an opposing releasably closablesecond end2162. More particularly, areleasable fastener2164, such as a hook and loop fastener, may be utilized to secure thesecond end2162 of thesleeve2156. Illustratively, thesleeve2156 is formed from a substantially air impermeable material, such as a urethane coated twill. The fiber fill2158 illustratively comprises a material having high loft properties, such as a layered polyfill material. In operation, air enters thesleeve2156 through the hook andloop fastener2164, thereby supplying thesleeve2156 with air and providing air pressure for supporting the heels of a patient. The air pressure within thepressure relief member2154 is self-regulating as changes in force applied by the patient's heels will cause air to enter or exit thesleeve2156 through thereleasable fastener2164.
• An alternative embodiment heelpressure relief member2154′ is illustrated inFIG. 95. In the alternative embodiment, a check valve2166 and ableed orifice2168 are received within thesleeve2156. The remainder of themember2154′ is substantially air impermeable. Rapid inflation of thesleeve2156 is provided by air passing through the check valve2166. However, the check valve2166 prevents the passage of air therethrough from inside thesleeve2156 to atmosphere. Thebleed orifice2168 permits for the slow passage of air from within thesleeve2156 to atmosphere, such that pressure within thepressure relief member2154′ may be optimized and self-regulated for each individual patient.
• The heelpressure relief member2154 is configured to reduce the level of raised pressure between the patient's foot and the mattress. More particularly, thepressure relief member2154 provides for a region of reduced pressure below the patient's heels. Thefoot section2110 includes a calf portion2170 (FIG. 93) which supports the portion of the patient's weight that would otherwise be supported by the patient's heel and thus reduces the overall interface pressure between the patient's heel and themattress14. It is envisioned that thecalf portion2170 of themattress14 may include a transition zone where the material stiffness of thefoot section2110 decreases in a longitudinal direction extending from ahead end2172 to thefoot end2152.
Mattress Body Section Assembly
• Thebody section2112 of the receivingbase2108 is further illustrated inFIG. 98 as including abottom layer2174 secured to longitudinally extending first and second sidewalls or bolsters2176 and2178. Likewise, an end wall or bolster2180 is coupled to the first andsecond sidewalls2176 and2178. As such, thebody section2112 defines a longitudinally extending channel orbucket2182 configured to receive various components of themattress14. As described in greater detail below, afluid connector recess2184 is formed near thehead end2186 of thebody section2112 and is configured to receive themattress fluid connectors2126 and2127.
• Thesidewalls2176 and2178 each include an angled orinclined portion2188 coupled to aflange portion2190. Theangled portions2188 are configured to conform to theangled sidewalls260 and262 of thedeck26, while theflange portions2190 are configured to extend above and out beyond thesidewalls260 and262 of thedeck26. Thebody section2112 of the receivingbase2108 includes ahead portion2192 and aseat portion2194 separated by a laterally extendingslit2196. Opposing ends of theslit2196 includestress relief apertures2198 formed within thesidewalls2176 and2178. As described in greater detail below, theslit2196 facilitates relative movement of the head andseat portions2192 and2194 of thebody section2112 during articulation of the head andseat sections38 and40 of thedeck26.
Mattress Mounting Substrate
• Turning now toFIGS. 99-101, the mountingsubstrate2116 is received withinchannel2182 defined by thebody section2112 of the receivingbase2108. Opposing first andsecond end portions2202 and2204 of the mountingsubstrate2116 are secured to first and secondlower mounting plates2206 and2208 (FIG. 98). Thelower mounting plates2206 and2208 are secured to alower surface2210 of the receivingbase2108. More particularly, a plurality of fasteners,illustratively buttons2212 are secured to thelower mounting plates2206 and2208. Thebuttons2212 are releasably received within a plurality ofsubstrate securing apertures2214 formed within the mountingsubstrate2116, thereby connecting the mountingsubstrate2116 to thereceiving base2108 through thelower mounting plates2206 and2208. As detailed below, thelower mounting plate2208 further provides a coupling platform for seat section anchors2219 which secure theseat portion2194 of the receivingbase2108 to theseat section40 of thedeck26.
• A plurality of turn assist bladder securing slots orapertures2216 are formed proximate opposing longitudinally extendingside edges2222 and2224 of the mountingsubstrate2116. As detailed below, theapertures2216 are configured to receive fasteners, such asbuttons2225 for securing the turn assistbladder assembly2120 to the mounting substrate2116 (FIGS. 103, 114, and 115). Likewise, a plurality of upper bladder assembly securing slots orapertures2226 are formed within the mountingsubstrate2116 and are laterally spaced outside of theapertures2216. Again, as detailed below, theapertures2226 are configured to receive fasteners, such asbuttons2227 for securing theupper bladder assembly2122 to the mounting substrate2116 (FIGS. 103, 114, and 115).
• Foot Section Securing Substrate With reference now toFIGS. 100 and 101, the footsection securing substrate2114 includes afirst portion2228 secured to theseat portion2194 of the receivingbase2108 above theupper surface2229 of the mountingsubstrate2116, and asecond portion2230 secured to thelower surface2144 of thefoot section2110. More particularly, thefirst portion2228 of the footsection securing substrate2114 includes a plurality of mountingapertures2232 configured to receive fasteners, such asbuttons2234. Thebuttons2234 are secured to anupper mounting plate2236 which is coupled to theupper surface2237 of the receivingbase2108, illustratively through an adhesive. Thesecond portion2230 of the securingsubstrate2114 is directly coupled to thelower surface2144 of thefoot section2110, illustratively through an adhesive. Thesecond portion2230 includes a plurality oftransverse slots2238 configured to be received in parallel disposition with thetransverse slots2138 formed within thefoot section2110.
• Illustratively, the footsection securing substrate2114 is formed from a flexible sheet material, such as pack cloth or urethane coated twill. As a flexible sheet material, the footsection securing substrate2114 may follow a serpentine path generally from a horizontal first plane of theupper surface2229 of the mountingsubstrate2116, vertically down around afoot end edge2240 of the receivingbase2108, and back along a horizontal plane of thelower surface2144 of thefoot section2110.
Foam Crowning Core
• Thefoam crowning core2118 is received within thechannel2182 defined by thesidewalls2176 and2178 of the body section of the receivingbase2108. As shown inFIG. 102, thecore2118 may be composed of a plurality of substantiallyplanar layers2244,2246,2248,2250 of foam which are affixed together using conventional means, such as an adhesive. Similarly, anupper crown layer2251 is affixed to the upper surface oflayer2250. Illustratively, thecore2118 is made of polyurethane foam having an indention force deflection (IFD) of between approximately 23 to approximately 29. Thecrowning core2118 defines a crownedupper surface2252 as illustrated inFIG. 102. Illustratively, acenter portion2254 of theupper surface2252 proximate thelongitudinal center axis2255 of thecore2118 is positioned vertically above theside portions2256 and2258 of the crownedsurface2252 proximate opposingside walls2260 and2261 of thecore2118. More particularly, the vertical distance of the crownedsurface2252 between thecenter axis2255 and theside walls2260 and2261 is represented by the reference letter A as shown inFIG. 102. Illustratively, the distance A is defined to be approximately 2 inches. In an alternative embodiment the distance A is defined to be approximately 3 inches. Theupper surface2252 is arcuate as it extends from theside walls2260 and2261 toward thelongitudinal center axis2255. Theside walls2260 and2261 are angled to conform with theangled walls2176 and2178 of the receivingbase2108.
• The crownedsurface2252 is configured to facilitate lateral patient transfer from thebed10 to another patient support device positioned adjacent to thebed10 by creating an inclined surface which provides a slight amount of gravity assistance when the caregiver is moving the patient toward the side of themattress14. Additionally, since thesurface2252 at theside walls2260 and2261 is lower than thecenter portion2254 of themattress14, the siderails20 and22 may have a lower profile and still fulfill minimum height requirements. More particularly, the distance from thetop cover portion2106 of themattress14 above theside walls2260 and2261 of thecrowning core2118 to the top of the siderails20 and22 is configured to be at least approximately 9 inches.
Turn Assist Bladder Assembly
• With reference toFIGS. 92, 103, and 104, the turn assistbladder assembly2120 is positioned above the crowningfoam core2118 and includes partially overlapping first, or right and second, or left inflatable turn assistbladders2262 and2264. As described in greater detail herein, each of the right and left turn assistbladders2262 and2264 are selectively and individually inflatable to assist in the turning of a patient supported on themattress14.FIG. 103 illustrates both the right and left turn assistbladders2262 and2264 in deflated positions, whileFIG. 104 illustrates the right turn assistbladder2262 in a deflated position and the left turn assistbladder2264 in an inflated position.
• Each of the turn assistbladders2262 and2264 include anupper layer2266 and alower layer2268 coupled to theupper layer2266.Inlet tubes2270 and2272 are coupled to themanifold assembly62 which, in turn, is coupled to thepump64 that provides pressurized air to inflate the chamber defined between the upper andlower layers2266 and2268.Sensing ports2274 and2276 are also provided in fluid communication with the chamber defined between the upper andlower layers2266 and2268 of the turn assistbladders2262 and2264. Thesensing ports2274 and2276 are likewise in fluid communication with themanifold assembly62 which, in turn, is in fluid communication with a pressure sensor ortransducer566 for detecting the pressure of air within thebladders2262 and2264. Thefill tubes2270 and2272 extend in a longitudinal direction toward thehead end2186 of the receivingbase2108. Mountingtabs2277 and2279 are coupled to thefill tubes2270 and2272 and extend through theend wall2180 of the receivingbase2108. Conventional fill ports orconnectors2281 are provided in fluid communication with thefill tubes2270 and2272. As illustrated inFIG. 103, thefill tubes2270,2272 and thesensing ports2274,2276 are positioned at opposing ends of thebladders2262,2264 in order for thepressure sensor566 to receive a pressure reading from a location remote from thefill tubes2270,2272, thereby facilitating adequate pressure throughout thebladders2262,2264.
• As illustrated inFIG. 103, each turn assistbladder2262 and2264 includes opposing longitudinally extending first, or right and second, orleft side edges2280 and2282. The side edges2280 and2282 define a point where theupper layer2266 is coupled to the respectivelower layer2268. Theright side edge2280 of theleft bladder2264 overlaps theleft side edge2282 of theright bladder2262. In other words, each of thebladders2262 and2264 have a portion extending over thelongitudinal center axis2284 of the turn assistbladder assembly2120.
• Right and left mountingflanges2286 and2288 are coupled to opposing edges of the right and left turn assistbladders2262 and2264, respectively. Illustratively the mountingflanges2286 and2288 are secured to thelower layers2268 of thebladders2262 and2264 through radio frequency (RF) welding. The mountingflanges2286 and2288 include a plurality of mountingapertures2290 proximate theiroutside side edges2294 and2296. Releasable fasteners, such as thebuttons2225 identified above, are received within theapertures2290 of the mountingflanges2286 and2288, and likewise are received within theapertures2216 of the mountingsubstrate2116. As such, the turn assistbladder assembly2120 is secured to the mountingsubstrate2116. The turn assistbladder assembly2120 may be made from a polyurethane film.
Upper Bladder Assembly
• With reference toFIGS. 92 and 105-108, theupper bladder assembly2122 is positioned above the turn assistbladder assembly2120, such that the turn assistbladder assembly2120 is sandwiched between thefoam crowning core2118 and the upper bladder assembly2122 (FIG. 115). Theupper bladder assembly2122 includes a head section orair zone2302 and a seat section orair zone2304, wherein eachzone2302 and2304 includes a plurality of laterally extendingbladders2306. A plurality of baffles orwalls2308 separate theindividual bladders2306 in eachzone2302 and2304. Fluid passageways orports2310 are provided within thewalls2308 to provide for fluid communication between thebladders2306 within eachzone2302 and2304. A solid wall ordivider2312 seals thebladders2306 of thehead zone2302 from thebladders2306 of theseat zone2304.
• Theupper bladder assembly2122 includes a longitudinally extendingcenter portion2314 positioned intermediate longitudinally extending first andsecond side portions2316 and2318. First and second longitudinally extendinghinges2320 and2322 connect thecenter portion2314 to the first andsecond side portions2316 and2318, respectively. Thehinges2320 and2322 provide increased flexibility to the inflatedupper bladder assembly2122, thereby allowing theindividual bladders2306 to generally follow the arcuate contour of thecrowning core2118. Further, thehinges2320 and2322 allow the inflatedupper assembly2122 to conform to the general contour defined by the turn assistbladder assembly2120 when it is inflated (FIGS. 114 and 115).
• Theupper bladder assembly2122 further includes aperipheral mounting flange2324 including a plurality of securingapertures2326 for receiving fasteners, such asbuttons2227. More particularly, thebuttons2227 pass through theapertures2218 formed in the mountingsubstrate2116 and through theapertures2326 formed in the mountingflange2324, thereby securing theupper bladder assembly2122 to the mounting substrate2116 (FIGS. 108 and 115). A pair of securingstraps2330 and2332 secure the head end of theupper bladder assembly2122 to theend wall2180 of the receivingbase2108. More particularly, as shown inFIG. 109, afirst end2334 of eachstrap2330 and2332 is coupled to the head end of the mountingflange2324 through conventional fasteners, such asbuttons2336. Asecond end2338 of eachstrap2230 and2232 is coupled to one of the mountingtabs2277 and2279 of thefill tubes2270 and2272 of the turn assistbladder assembly2120, again through conventional fasteners, such asbuttons2340.
• Theupper bladder assembly2122 may be formed by anupper sheet2342 and alower sheet2344 coupled together at various locations by seals, such as RF welds. More particularly, the welds may define thewalls2308 of thebladders2306, thewall2312 separating thehead zone2302 and thefoot zone2304, and the mountingflange2324.
• Thehead zone2302 is in fluid communication with asupply tube2346 that delivers pressurized air to thebladders2306 and alternatively exhausts pressurized air from thebladders2306. Asensing line2348 is also provided in fluid communication with thehead zone2302 and provides pressurized air to thepressure sensor566 as detailed herein. Likewise, theseat zone2304 is in fluid communication with asupply tube2350 that delivers pressurized air to thebladders2306 and alternatively exhausts pressurized air from thebladders2306. Asensing line2352 is also provided in fluid communication with theseat zone2304 and provides pressurized air to thepressure sensor566.
Fire Barrier
• Referring further toFIG. 92, thefire barrier2124 receives thereceiving base2108, the mountingsubstrate2116, the crowningcore2118, the turn assistbladder assembly2120, and theupper bladder assembly2122. Thefire barrier2124 includes anopen end2356 configured to permit thefire barrier2124 to slide over the other mattress components. Upon assembly, theopen end2356 of thefire barrier2124 is closed utilizing conventional means, such as fasteners. Thefire barrier2124 may be made from a conventional fire-resistant mesh material, such as a fiberglass knit.
Shear Cover
• With reference toFIGS. 92 and 110, theshear cover2125 is configured to fit over the above-identified mattress components as received within thefire barrier2124. Theshear cover2125 is substantially planar, but folded during assembly to form atop surface2360, asidewall2362, and bottom inwardly extending flaps2364. RF welded seams are utilized to form the four corners of theshear cover2125 about the mattress components. A belly band (not shown) may be wrapped laterally around the outer surface of theshear cover2125 to assist in securing a mid-portion thereof. Theshear cover2125 is configured to be located between the internal components and thetop cover portion2106 to permit thetop cover portion2106 to slide easily over the mattress components and reduce shear forces between the patient's body and themattress14 and reduce the likelihood of sacral breakdown.
• Theshear cover2125 is formed from a material having a low coefficient of friction so that the mattressouter cover2102 can slide relative to the other mattress components. As themattress14 is articulated or as the patient moves, theshear cover2125 minimizes shear forces acting between the mattresstop cover portion2106 and the patient's body. Theshear cover2125 may be made from a woven nylon or parachute material. Illustratively, theshear cover2125 is made from a polyurethane material such as Deerfield urethane PT611OS having a thickness of approximately 0.002 inches. The polyurethane material provides an inexpensive shear material which reduces shear forces applied to the patient's body situated on themattress14.
Outer Cover
• Referring now toFIGS. 92 and 111, thetop cover portion2106 of theouter cover2102 includes atop wall2363 and asidewall2365. Thetop cover portion2106 is illustratively formed from a ticking material, such as a stretchable polyurethane material which is resistant to fluids and chemical stains.
• Thebottom cover portion2104 includes abottom wall2366 and asidewall2368. Thesidewall2368 is illustratively formed from a ticking material similar to thesidewall2365 of thetop cover portion2106. Thesidewall2368 of thebottom cover portion2104 is coupled to thesidewall2365 of thetop cover portion2106, illustratively through RF welding. Illustratively, thebottom wall2366 of thebottom cover portion2104 is formed from a polyurethane coated twill material for enhanced wear resistance and to protect other components of themattress14 from contamination. Thebottom wall2366 includes anaccess panel2370 defined by azipper2372. Theaccess panel2370 is utilized during assembly of themattress14 and further facilitates removal of the replacement of the modular components of themattress14. Illustratively, thezipper2372 is RF welded to thebottom wall2366. In an alternative embodiment of the invention, thezipper2372 may be utilized to couple thesidewall2368 of thebottom cover portion2104 to thesidewall2365 of thetop cover portion2106.
• With further reference toFIGS. 111-113, thebottom cover portion2104 includes astress relief zone2374 of extra material, which is illustratively pleated, to accommodate movement of thehead section38 of thedeck26 relative to theseat section40 of thedeck26. More particularly, as thehead section38 is elevated relative to theseat section40, thehead portion2192 of the receivingbase2108 moves relative to theseat portion2194 of the receivingbase2108. Theslit2196 andstress relief apertures2198 and2200 reduce the stress applied to thereceiving base2108 during this movement. Likewise, thestress relief zone2374 of thebottom cover portion2104 reduces stress within theouter cover2102 of themattress14. As themattress14 bends to follow the contour of thedeck26, the extra material within thestress relief zone2374 accounts for the increased distance between thehead portion2192 and theseat portion2194 proximate thebottom cover portion2104 as illustrated inFIGS. 112 and 113.
Mattress Anchors
• Referring now toFIGS. 98 and 111, the seat section anchors2219 are positioned below thebottom cover portion2104 of themattress14 and are coupled to the mountingplate2208 fixed to thereceiving base2108. Illustratively, theanchors2219 comprise laterally extending magnets received withinrecesses2376 formed in theseat section40 of thedeck26. As such, theanchors2219 are attracted to themetal deck26 and essentially “stick” thereto. Eachanchor2219 includes a plurality of mountingapertures2378 for receiving conventional fasteners, such asscrews2379, which are threadably received within mountingapertures2380 formed in the mountingplate2208. The mountingapertures2380 are illustratively concentrically formed within locating protuberances or cones2382 (FIG. 96). The locatingcones2382 facilitate proper placement of the anchors2119 during assembly.
• With reference toFIGS. 93 and 111, thefoot section anchor2146 is secured to thefoot section2110 of themattress14 below thebottom cover portion2104 through conventional fasteners, such as screws2383. Thefoot section anchor2146 illustratively comprises a resilient tab having opposingends2384 and2386 which may be flexed away from themattress14 and placed under retainingarms2387 formed within theleg section42 of thedeck26.
Manifold Assembly and Mattress Connectors
• The pair ofmattress fluid connectors2126 and2127 are secured to thebottom cover portion2104 and are received within theconnector recess2184 formed within the receivingbase2108. Eachconnector2126 and2127 includes a plurality ofbarbed fittings2388 which are sealingly received withinflexible tubing2390 illustratively connected to one of the right turn assistbladder2262, the left turn assistbladder2264, thehead zone2302 of theupper bladder assembly2122, and theseat zone2304 of theupper bladder assembly2122. Additional details regarding themattress fluid connectors2126 and2127 are provided below in connection with themanifold assembly62.
• FIGS. 114 and 115 illustrate operation of themattress14 including theupper bladder assembly2122 and the turn assistbladder assembly2120. More particularly,FIG. 114 illustrates a normal mode of operation with thehead zone2302 of theupper bladder assembly2122 inflated, and the turn assistbladders2262 and2264 deflated.FIG. 115 illustrates a left turn assist mode of operation wherein the left turn assistbladder2264 is inflated. Since the left turn assistbladder2264 is laterally offset from thelongitudinal center axis2284 of themattress14, inflation of thebladder2264 causes one side of theupper bladder assembly2122 to raise above the other side. Thehinges2320 and2322 between theside portions2316 and2318 and thecenter portion2314 of thebladders2306 of theupper bladder assembly2122 permit themattress14 to substantially conform to the shape resulting from the inflation of the left turn assistbladder2264. In an illustrative embodiment, upon inflation of one of the turn assistbladders2262 and2264, a patient supported on themattress14 is rotated by an angle alpha of approximately 20 degrees from horizontal. Upon completion of the turn assist, the control system44 causes the inflated turn assistbladder2262,2264 to vent to atmosphere. Simultaneously, theupper bladder assembly2122 is instructed by the central system44 to inflate to a maximum pressure. Since the turn assistbladder assembly2120 is sandwiched intermediate theupper bladder assembly2122 and thecrowning core2218, inflation of theupper bladder assembly2122 facilitates the rapid venting of air within the turn assistbladders2262 and2264 to atmosphere.
• Referring now toFIGS. 116-119, an illustrative embodimentmanifold assembly62 for use in connection with themattress14 is shown. Themanifold assembly62 is configured to provide fluid communication between thepump64 and theair mattress14. Themanifold assembly62 includes first andsecond manifolds2402 and2404 configured to control the supply of air to and the exhaust of air from the controlled air zones of themattress14. Air is supplied to themanifolds2402 and2404 by thepump64, while air is exhausted toatmosphere2405 through themanifolds2402 and2404. More particularly, the manifolds control air pressure within the right turn assistbladder2262, the left turn assistbladder2264, thehead zone2302 of theupper bladder assembly2122, and theseat zone2304 of theupper bladder assembly2122. While inFIGS. 116-119, first andsecond manifolds2402 and2404 are positioned in spaced relation, it should be appreciated that in other embodiments, such as described herein, a single manifold may be utilized.
• With further reference toFIGS. 116 and 117, aseparate valve assembly2406, comprising first and second solenoid actuated pilot valves2408 and2410, are provided for each controlledair zone2262,2264,2302, and2304 of themattress14. The valve assembly2406afor controlling thehead zone2302 of theupper bladder assembly2122 is coupled to thefirst manifold2402 and includes a normally closed pilot valve2408afor controlling the air intake and a normally closed pilot valve2410afor controlling the air exhaust. Thevalve assembly2406bfor controlling theseat zone2304 of theupper bladder assembly2122 is likewise coupled to thefirst manifold2402 and includes a normally closedpilot valve2408bfor controlling the air intake and a normally closedpilot valve2410bfor controlling the air exhaust.
• Thevalve assembly2406cfor controlling the right turn assistbladder2262 is coupled to thesecond manifold2404 and includes a normally closedpilot valve2408cfor controlling air intake and a normallyopen pilot valve2410cfor controlling the air exhaust. Likewise, thevalve assembly2406dfor controlling the left turn assistbladder2264 is coupled to thesecond manifold2404 and includes a normally closedpilot valve2408dfor controlling air intake and a normallyopen pilot valve2410dfor controlling the air exhaust. An optional valve assembly2406eis illustrated as coupled to thefirst manifold2402 and may includepilot valves2408eand2410e, as desired, to control optional additional air zones within themattress14.
• In an illustrative embodiment, the normally closed pilot valves comprise SY series piloted valves, Model No. SY114-5GZ available from SMC Corporation of Indianapolis, Ind. Likewise, in an illustrative embodiment of the invention, the normally open pilot valves comprise SY Series piloted valves, Model No. SY124-5GZ available from SMC Corporation of Indianapolis, Ind.
• With further reference now toFIGS. 116-119, air supplied from thepump64 passes through a conventional fluid T-connector2412 which separates the air flow to the first andsecond manifolds2402 and2404 through first andsecond supply tubes2414 and2416. Once entering each manifold2402 and2404, the supplied air is routed through to thevarious valve assemblies2406.
• Details of thevalve assembly2406cfor controlling air pressure within the right turn assistbladder2262 is illustrated inFIG. 119. It should be appreciated that thevalve assembly2406dfor use with the left turn assistbladder2264 is identical. Further, thevalve assemblies2406aand2406bfor use with thehead zone2302 and theseat zone2304 of theupper bladder assembly2122 are substantially the same except for the substitution of a second normally closed pilot valve for the normallyopen pilot valve2410cof thevalve assembly2406c.
• With reference toFIG. 119, air is supplied to thevalve assembly2406cby afill port2418 which is in communication with thepump64. Thefill port2418 is in fluid communication with anaccumulator port2420 through a check valve (not shown). The check valve provides for air flow from thefill port2418 to theaccumulator port2420 but prevents air flow in the reverse direction. The check valve therefore helps maintain pressure within theaccumulator port2420 should pressure be lost in thefill port2418, for example, if thepump64 would stop operating. Theaccumulator port2420, in turn, is in fluid communication with the upperpilot pressure chamber2422 of thefirst pilot valve2408c.
• Eachpilot valve2408cand2410cincludes a conventional solenoid (not shown) received within abody portion2424 and configured to move apin2426. Thefirst pilot valve2408cis normally closed, such that adiaphragm2428 coupled to thepin2426 sealingly engages avalve seat2430. The normally closedvalve2408cincludes aspring2432 concentrically disposed around thepin2426 and biasing thediaphragm2428 downwardly into sealing engagement with thevalve seat2430. As such, air from thefill port2418 may not pass to asupply port2434 connected to the right turn assistbladder2262 of themattress14. However, upon activation, the solenoid is energized such that thepin2426 is pulled upwardly and thediaphragm2428 moves away from thevalve seat2430. As such, a passageway represented byarrow2436 is defined such that air may pass through thefill port2418 over thevalve seat2430 and through thesupply port2434 to the right turn assistbladder2262.
• At the same time that the normally closedvalve2408cis activated, the normallyopen valve2410cis likewise activated such that the solenoid is energized to push itspin2426 downwardly thereby causing thediaphragm2418 to sealingly engage thevalve seat2430. As such, thesupply port2434 is sealed off from anexhaust port2438 in fluid communication with atmosphere. In the normally open valve2410, thespring2432 is concentrically received within a portion of thesupply port2434 and is configured to bias against thediaphragm2428 to push thediaphragm2428 away from thevalve seat2430 such that thesupply port2434 is in fluid communication with theexhaust port2438.
• The sensing ports orlines2274,2276,2348, and2352 from the controlledair zones2262,2264,2302, and2304 of themattress14 are coupled in fluid communication with the first andsecond manifolds2402 and2404 as shown inFIG. 116. Eachsensing line2274,2276,2348, and2352 supplies air which illustratively passes throughfluid sensing ports2439 formed within the first andsecond manifolds2402 and2404 and then exits throughpressure sensing tubes2440. Eachtube2440 is coupled to a pressure sensor ortransducer566 supported on a valvecontroller circuit board2444. Thecircuit board2444 is illustratively positioned intermediate the first andsecond manifolds2402 and2404. Thecircuit board2444 is in communication with the control system44 and, as such, provides signals to the control system44 indicative of pressure within the various controlledair zones2262,2264,2302, and2304 of themattress14. Additional details regarding the control of thevalve assemblies2406 in response to pressure within the various controlled air zones of themattress14 is provided herein.
• With reference toFIGS. 16, 118, 120, and 121, connectors70 include first and second manifold or receivingconnectors2450 and2452 coupled to the first andsecond manifolds2402 and2404. Thepartition wall274 coupled to thedeck26 is positioned intermediate themanifold connectors2450 and2452 and themanifolds2402 and2404. Themanifold connectors2450 and2452 are configured to sealingly mate with themattress connectors2126 and2127, respectively. Eachmanifold connector2450 and2452 includes a plurality ofoutlets2454 and2456 configured to sealingly receiveplugs2458 and2460, respectively, of themating mattress connector2126 and2127. WhileFIG. 120 illustratesmanifold connector2450 andmattress connector2126, it should be noted thatmanifold connector2452 andmattress connector2127 are substantially identical tomanifold connector2450 andmattress connector2126.
• Theoutlets2454 are in fluid communication with thesupply ports2434 of thevalve assemblies2406, while theplugs2458 are in fluid communication with theintake ports2270,2272,2346, and2350 of the various controlledair zones2262,2264,2302 and2304 of themattress14 in the manner detailed herein. Theoutlets2456 are in fluid communication with thepressure sensing tubes2440 through themanifolds2402 and2404, while theplugs2460 are in fluid communication with thesensing lines2274,2276,2348, and2352 of the controlled air zones of themattress14. In an alternative embodiment of the invention, thesensing lines2274,2276,2348, and2352 may bypass themanifolds2402 and2404 and be directly connected to thepressure sensors2442.
• Each of theplugs2458 and2460 illustratively includes an O-ring gasket2462 and2463 to promote sealing with amating outlet2454 and2456, respectively. Themattress connectors2126 and2127 each include a peripheralinner flange2464 which is configured to be received within a peripheralouter flange2466 of a respectivemanifold receiving connector2450 and2452. A fastener, illustratively au-shaped staple2468 locks theperipheral flanges2464 and2466 together. More particularly, theinner flange2464 includesapertures2470 and theouter flange2466 includesapertures2472 which are coaxially aligned with theapertures2470 when themattress connector2126,2127 is properly seated within the matingmanifold receiving connector2450,2452. Thestaple2468 includes a pair oflegs2474 which are received within the alignedapertures2470 and2472 to lock the connectors. While astaple2468 is illustrated, it should be appreciated that other fasteners, such as latches, may be readily substituted therefor.
• As described above, themanifold receiving connectors2450 and2452 are coupled to themanifolds2402 and2404, respectively, through thepartition wall272. Conventional fasteners, such asscrews2476, may be utilized to secure themanifold receiving connectors2450 and2452 and the first andsecond manifolds2402 and2404 relative to thepartition wall272. In one illustrative embodiment, cylindrical gaskets may be positioned intermediate eachoutlet2454 of the receivingconnectors2450 and2452 and the manifold2402 and2404 in order to effect sealing therebetween.
• In a further illustrative embodiment, agasket2502 such as that shown inFIGS. 122 and 123 may be positioned intermediate themanifold connectors2450 and2452 and thevertical wall274 ofpartition272. Thegasket2502 includes arigid substrate2504 supporting aperimeter seal2506. Likewise, thesubstrate2504 supports a plurality of outlet seals2508. The outlet seals2508 extend outwardly from afirst surface2510 of thesubstrate2504. Illustratively, thesubstrate2504 is molded as a single piece of vulcanized fiber paper. Further illustratively, theperimeter seal2506 and the outlet seals2508 are formed from a neoprene material of approximately 25 durometer.
• The outlet seals2508 pass through apertures formed within thevertical wall274 ofpartition272 and are compressed between themanifold connectors2450 and2452 and themanifolds2402 and2404. Eachoutlet seal2508 includes first and second pairs of annular sealing rings2512 and2514 which extend in opposite directions (FIG. 123). More particularly, the first pair of sealingrings2512 is configured to be compressed against therespective manifold connector2450 and2452, while the second pair of sealingrings2514 is configured to be compressed against therespective manifold2402 and2404.FIG. 123 illustrates anoutlet seal2508 in an uncompressed state in order to illustrate the expected amount of compression by themanifold2402 and themanifold connector2450.
• Thegasket assembly2502 provides for arigid substrate2504 which does not compress during assembly and thereby provides for a definite torque specification or tightening of the receivingconnectors2450 and2452 against therespective manifolds2402 and2404. Likewise, therigid substrate2504 provides for a positive seal and accounts for variations or discrepancy in material dimensions. The individual cylindrical outlet seals2508 provide for zone controlled sealing and prevent cross-communication between thevarious outlets2454. Finally, theperimeter seal2506 provides secondary sealing and prevents contamination within the receivingconnectors2450 and2452 by dirt or other contaminants.
Pressure Control System
• As mentioned elsewhere in this disclosure, control system44 includesdynamic surface module518. In addition to other functions,dynamic surface module518 includes apressure control system3000. As shown inFIG. 124,pressure control system3000 includes aplurality valve solenoids564, a plurality of pressure sensors ortransducers566, an analog todigital converter3002, amicrocontroller3004, apower supply3006 and pump64.Microcontroller3004 includesmemory3010 andcentral processing unit3012.
• Pressure sensors,illustratively transducers566, periodically sense the pressure in one or more of controlledair zones2262,2264,2302,2304 ofmattress14 and output a voltage proportional to the amount of pressure that is sensed. Analog-to-digital converter3002 converts the voltage to digital form and feeds the digital value tomicrocontroller3004.Microcontroller3004 analyzes the current pressure and determines whether the current pressure in controlledair zones2262,2264,2302,2304 is correct, too high, or too low in comparison to a desired pressure.Memory3010 stores data, e.g. in the form of look-up tables, which is used in this analysis. For example, the desired pressure of anair zone2262,2264,2302,2304 may depend upon the particular operating mode of the system3000 (e.g., pressure relief, max-inflate, CPR, right turn assist, or left turn assist), whetherhead section38 is elevated and the degree of elevation, and/or the size of the patient. Tables 1, 2, and 3 show examples of desired pressures for controlledair zones2262,2264,2302,2304 based on the air system operating mode, patient size, and, forseat section42, head section elevation.

• TABLE 1
  HEAD SECTION
  (Pressure measured in inches H, 0)

  PT. SIZE

  	MODE	SM	MED	LG
  	Pressure Relief*	5-7	7-9	11-13

  	Max Inflate	26.5-27.5
  	CPR	20-30

  Right-Left Turn Assist*

  5-7

  7-9

  11-13

  	Post-Turn Assist	20-22
  	*May vary according to head angle.

• TABLE 2
  SEAT SECTION**
  (Pressure measured in inches H20)

  PT. SIZE

  	MODE	SM	MED	LG
  	Pressure Relief	7-21	9-25	13-31

  	Max Inflate	25-29
  	CPR	20-30

  Right-Left Turn Assist

  7-21

  9-25

  13-31

  Post-Turn Assist

  20-22

  	Seat Boost	23-25	27-29	33-35
  	**Pressure also varies with head elevation - see Table 4.

• TABLE 3
  TURN ASSIST BLADDERS
  (Pressure measured in inches H2O)

  PT. SIZE

  	MODE	SM	MED	LG
  	Pressure Relief	—	—	—
  	Max Inflate	—	—	—
  	CPR	—	—	—
  	Right-Left Turn Assist	18-24	22-28	27-33

• If the pressure of anair zone2262,2264,2302,2304 is too high,microcontroller3004 actuates theappropriate valve assembly2406 to allow air to escape from theair zone2262,2264,2302,2304. If the pressure is too low,microcontroller3004 sends a message overnetwork510 topower supply module514 of patient support10 (parts of which are generally depicted inFIG. 124 as power supply3006), andpower supply3006 activatespump64. Whenmicrocontroller3004 detects thatpump64 is turned on, it actuates theappropriate valve assembly2406 to allow air to enter the appropriate controlledair zone2262,2264,2302,2304.
• Among other things, embodiments ofpressure control system3000 illustratively include one or more of the following features: aprocess3030 for controlling the inflation of controlledair zones2262,2264,2302,2304 according to the size of a patient, aprocess3032 for controlling inflation of turn assistbladders2262,2264, and/or aprocess3070 for controlling inflation ofseat section40 in response to elevation ofhead section38.
Mattress Pressure Determination
• In certain embodiments ofpressure control system3000 ofdynamic surface module518, aprocess3030 for controlling the inflation of controlledair zones2262,2264,2302,2304 according to the size of a patient disposed onpatient support10 is provided. One embodiment ofprocess3030 is shown inFIG. 125 and described below.
• Process3030 begins atstep3014 ofFIG. 125, where themicrocontroller3004 detects whether it has been activated to determine patient size. In one illustrative embodiment,patient size button1628 ofsiderail controllers52,54 is optional. In other embodiments,button1628 is not optional and the operator or caregiver is required to select an appropriate patient size. In still other illustrative embodiments,button1628 automatically selects a default setting, e.g., the “medium” size, if a patient size is not selected by the operator or caregiver.
• In the illustrative embodiment ofFIG. 125, there are three possible patient sizes that can be selected by using button1628: “small,” “medium,” and “large.” In general, the determination of whether a patient is of small, medium, or large size is made by the caregiver. However, it is understood that there are any number of different ways to indicate a patient's size. For example, in lieu ofbutton1628,pressure control system3000 may provide the ability to automatically determine the patient's size based on the patient's weight, which may be determined byweigh frame36 and/or by a force sensor located inseat section40 in the manner detailed herein. Another alternative is to provide a user interface onsiderail controllers52,54 whereby the caregiver may enter the patient's height, andsystem3000 determines the patient's size based on the entered height value and the patient's weight.
• Atstep3016, the controlled air zone(s)2262,2264,2302,2304 being monitored is determined. All of headsection air zone2302, seatsection air zone2304, and turn assistbladders2262,2264 may be inflated to varying pressures based on patient size. However, it is understood that in alternative embodiments not all ofair zones2262,2264,2302,2304 may be inflated based on patient size.
• Atstep3018,process3030 determines the desired inflation pressure for the respective air zone(s)2262,2264,2302,2304 being monitored based on the patient size. In the illustrated embodiment,microcontroller3004 obtains the desired pressure for the air zone(s)2262,2264,2302,2304 from at least one look-up table stored inmemory3010. The desired pressure may be a discrete value or a range of permissible values. Also, the desired pressure may be different for eachair zone2262,2264,2302,2304. Further, various other factors, including environmental factors such as temperature and/or altitude, may affect the desired pressure values and be reflected in data in the look-up table. As an example, in one embodiment, under normal hospital room conditions, for a patient considered “small,” the appropriate pressure is about 4-7 inches in water for headsection air zone2302, about 7 to 21 inches in water for seatsection air zone2304, and about 18-24 inches in water for turn assistbladders2262,2264. Tables 1, 2, and 3 show examples of desired pressure values based upon patient size.
• As indicated bydecision step3020, in the illustrative embodiment ofFIG. 125, the appropriate pressure for seatsection air zone2304 also depends on the elevation ofhead section38. Ifprocess3030 causes inflation of seatsection air zone2304, then atstep3022 the pressure of seatsection air zone2304 is adjusted based on the angle ofhead section38. This adjustment is discussed in connection withFIG. 128 below. Thus, for seatsection air zone2304, the appropriate pressure is determined by reference to both patient size and head angle. However, adjusting the pressure of seatsection air zone2304 based on only one of these criteria is also within the scope of the present invention.
• Atdecision step3024,microcontroller3004 measures the current pressure as described above and determines whether the current pressure is less than, equal to, or greater than the desired pressure determined as described above. If the current pressure is less than the desired pressure atstep3026,microcontroller3004 commandspower supply3006 to activatepump64 to inflateair zone2304 to the desired pressure as described above. If the current pressure is greater than the desired pressure, then atstep3028,air zone2304 are deflated as described above.
Patient Turn Assist
• In addition to other functions discussed above and elsewhere in this disclosure,pressure control system3000 ofdynamic surface module518 controls the operation of turn assistbladders2262,2264. Turn assistbladders2262,2264 illustratively are bladders ofmattress14 that selectively inflate to assist a caregiver in turning or rotating a patient, e.g., for therapy or treatment reasons. One embodiment of aprocess3032 for controlling operation of turn assistbladders2262,2264 is shown inFIGS. 126 and 127 as described below.Process3032 is implemented using application software stored inmemory3010 ofmicrocontroller3004. The structure of illustrative turn assistbladders2262,2264 is described above.
• Process3032 begins atstep3034 ofFIG. 126, wheremicrocontroller3004 detects whether a request has been received to activate one of turn assistbladders2262,2264. In the illustrated embodiment, such a request is initiated by an operator or caregiver activating one of turn assistbuttons1624,1626 located onsiderail controllers52,54. However, it is understood that other means for activating the turn assist may be used. For example, control system44 may be programmed to automatically activate one or more of turn assistbuttons1624,1626 at scheduled times during the day or night.
• Atdecision step3036, prior to initiating the turn assist function,process3032 checks to make sure that the siderail(s)20,22 toward which the patient is being turned is in the up or raised position, based on signals provided by siderail position detector(s)60. If one or more ofsiderails20,22 toward which the patient is being turned is not in the up position (i.e. in down or lowered position), an error signal is generated atstep3038 andprocess3032 returns to step3034 without activating the turn assistbladders2262,2264. In the illustrative embodiment, an audible or visual signal is generated for a brief period or until the siderail orsiderails20,22 are brought to the up position. Thus, in the illustrative embodiment, thesiderails20,22 toward which the patient is being turned must be in the up position in order for the turn assist process to initiate. It is possible, however, that in other embodiments, a caregiver or operator may override this restriction, or that this restriction may be made optional, for example, depending on the circumstances of a particular patient.
• Atdecision step3040,microcontroller3004 checks to see if the angle of head section38 (head angle) is less than, equal to, or greater than a predetermined maximum angle. In the illustrated embodiment, the maximum head angle is about 40.degree. The head angle determination is made bylogic module512 and is discussed in connection withFIG. 128 below.Logic module512 reports the head angle todynamic surface module518 for use inprocess3032, vianetwork510. If the head angle is less than or equal to 40.degree., then the turn assist process continues to step3044. However, if the head angle is greater than about 40.degree., an error signal is generated atstep3042, and the turn assist process returns to block3034 without activating the turn assistbladders2262,2264.
• Atstep3044, the size of the patient being supported by patient support10 (e.g., small-medium-large) is determined as described above so that a desired pressure based on patient size is applied to the selected turn assistbladder2262,2264.
• Atstep3046, if first turn assistbutton1624 is activated, first turn assistbladder2262 inflates to rotate a person inpatient support10 upwardly in a counter-clockwise from the perspective of a person standing behindhead section38. If second turn assistbutton1626 is activated, second turn assistbladder2264 inflates to rotate the person upwardly in the opposite direction as rotated in response to activation of first turn assistbutton1624. Inflation of the selected turn assistbladder2262,2264 raises one side of the patient to a predetermined angle. In the illustrated embodiment, the selected turn assistbladder2262,2264 inflates to rotate the patient onto his or her side at about a 20 degree angle with respect tomattress14, in approximately 20-50 seconds, depending on the size of the patient. It is understood that the predetermined angle and speed of inflation may be changed or modified as needed based on a variety of factors, including the purpose for rotating the patient.
• A timer, illustratively part of thecentral processing unit3012, is set atstep3048 when the selected turn assistbladder2262,2264 is inflated. The selected turn assistbladder2262,2264 remains inflated for a predetermined period of time, for example 5-30 seconds. In the illustrated embodiment, the duration of turn assist inflation is about 5 seconds. Atstep3050 the timer counts out this wait period. After the wait period is complete (e.g., after 5 seconds), an audible or visual signal is generated to indicate to the patient and caregiver that the selected turn assist bladder is about to enter a “post-turn assist” phase.Process3032 then begins deflating the selected turn assistbladder2262,2264 atstep3052. In the illustrated embodiment, deflation is expedited by quickly “hyperinflating”bladders2302,2304 to a firm, “post-turn assist” inflation pressure (see, e.g., Table 1 and Table 2). Inflation ofbladders2302,2304 exerts pressure on turn assistbladders2262,2264, causing turn assistbladders2262,2264 to expel air more rapidly. Alternatively, a vacuum mechanism may be coupled to turn assistbladders2262,2264 to accelerate deflation.
• The post-turn assist inflation and deflation processes may be interrupted under certain circumstances. For example, when a patient'sbed10 needs a linen change, it may be desirable for first and second turn assistbladders2262,2264 to be activated in more rapid succession than would be possible if the full post-turn assist process were performed. In such instances, if one of turn assistbuttons1624,1626 is activated, and then the other turn assistbutton1624,1626 is activated before the previous turn assist process is complete, the previous process is interrupted and, as long as the turned-to-side siderails20,22 are in the up position as described above, andhead section38 is positioned at an angle less than or equal to 40 degrees, the new turn assist mode is started.
• For example, assume a caregiver presses first turn assistbutton1624. If the caregiver then presses second turn assistbutton1626 while first turn assistbladder2262 is inflating, thenprocess3032 will interrupt the inflation, bypass the post-turn assist phase (i.e., head andseat bladders2302,2304 will not be inflated), and begin inflating second turn assistbladder2264 as long as siderails20,22 are up on the side of the bed the patient is being turned to, and the head angle is less than or equal to the maximum head angle. If the caregiver presses second turn assistbutton1626 while first turn assistbladder2262 is in post-turn assist mode, post-turn assist mode is interrupted and second turn assistbladder2264 begins inflating as discussed above.
• Monitor activity step3060 is a step that is periodically executed during the turn assist operation. Themonitor activity process3060 is shown in more detail inFIG. 127. Thisprocess3060 detects whether a patient or caregiver attempts to utilize other bed features while either turn assistbladder2262,2264 is in operation. For example, atstep3062,process3032 checks to see ifsiderail20,22 on the side to which the patient is being turned is raised or lowered. In the illustrated embodiment, if siderails20,22 are in the raised position at the beginning of turn assist, but one or more of them are lowered during turn assist, an audible signal or alarm is generated for a brief period atstep3064, or until thesiderail20,22 is returned to the raised position, but the turn assistprocess3032 is not interrupted. In alternative embodiments, however, upon detecting a lowering ofsiderail20,22, the turn assistprocess3032 may be suspended for a brief period or stopped until or unless the loweredsiderail20,22 is returned to the raised position.
• Atstep3066,process3060 detects whether a patient or caregiver has selected another mode, e.g., turn assist for the other side of the patient, max inflate, or pressure relief. During the turn assist operation, the selection of another mode causesprocess3060 to begin exiting the turn assist mode at block3067. If the other turn assist mode is selected, the current turn assistbladder2262,2264 is deflated and the other turn assist mode is entered substantially immediately. If the pressure relief mode or the max-inflate mode is selected,process3060 immediately enters the post-turn assist operation and enters the newly selected mode upon completion of the post-turn assist phase. However, if the CPR function is activated,process3060 immediately deflates turn assistbladder2262,2264 and enters the CPR mode substantially immediately. If no mode is selected during turn assist,process3060 will exit as described previously and enter the pressure relief mode upon completion of the post-turn assist phase.
• Atstep3068,process3060 detects whether the angle ofhead section38 has been increased above the maximum head angle as described above. If the head angle increases above the maximum head angle, an error message, e.g., in the form of an audible or visual signal, is generated atstep3069. In the illustrated embodiment, the turn assistprocess3032 is interrupted if the head angle exceeds the maximum angle. In alternative embodiments, the turn assistprocess3032 is not interrupted.
Head Section Elevation
• In addition to other functions discussed above and elsewhere in this disclosure,pressure control system3000 may include anotherprocess3070 for controlling the inflation of seatsection air zone2304 according to the position ofhead section38. One embodiment of such method is shown inFIG. 128 and described below.
• Whenhead section38 is elevated, a portion of the patient's weight naturally shifts fromhead section38 toseat section40. To anticipate this weight shift and prevent “bottoming out,” the inflation pressure of seatsection air zone2304 is adjusted in response to changes in the position ofhead section38. Table 4 below shows pressure ranges for seatsection air zone2304 depending on both patient size and angle of elevation ofhead section38.

• TABLE 4
  SEAT SECTION PRESSURE RANGES
  BY HEAD ANGLE

  HEAD

  PT. SIZE

  	ANGLE (°)	SM	MED	LG
  	0-10	7-9	9-11	13-15
  	6-20	9-11	11-13	15-17
  	16-30	11-13	13-15	17-19
  	26-40	13-15	15-17	19-21
  	36-50	15-17	17-19	21-23
  	46-60	17-19	19-21	25-27
  	56-65+	19-21	23-25	29-31

• Atstep3072 ofFIG. 128, the position ofhead section38, or head angle, is determined byposition detector606. In the illustrative embodiment, a potentiometer reading corresponding to the head angle is determined bylogic module512 and reported todynamic surface module518 vianetwork510 for use inprocess3070. In the illustrated embodiment the potentiometer reading is a value ranging from 0 to 255. A change of 10 counts has been determined to indicate a change of approximately 3 degrees of head angle in the illustrated embodiment. Thepotentiometer624 in the motor housing ofactuator48c, which operates to raise andlower head section38 varies proportionally with movement of themotor drive shaft172cwhileactuator48cis operating. Thelogic module512 measures a change in voltage acrosspotentiometer624 in a voltage divider circuit and converts it to a digital value using A/D converter620. The corresponding head angle is determined inprocess3070 by reference to a look-up table stored inmemory3010. Table 5 below shows examples of the head angle values and their corresponding potentiometer readings. While apotentiometer624 is used in the illustrated embodiment, it is understood that a tachometer or other means for determining head angle are equally suitable.

• TABLE 5
  HEAD ANGLE VALUES

  REGION	POT. VALUE	HEAD ANGLE °
  0	0-51	0-10
  1	41-76	6-20
  2	60-100	16-30
  3	90-122	26-40
  4	112-142	36-50
  5	132-157	46-60
  6	147-255	56-65+

• Atdecision step3074,process3070 evaluates the input received fromlogic module512 and determines whetherhead section38 has experienced at least a 3 degree change in position by comparing the current head angle to the previous head angle. If the head angle has changed at least approximately 3 degrees, theprocess3070 continues to step3076. If no change or less than approximately 3 degrees change in either direction has occurred,process3070 returns to step3072. It is understood that 3 degrees is an exemplary value and that a change in the head angle may be indicated by a greater or lesser value as appropriate. Of course, during this time,pressure control system3000 continues to periodically measure the pressure of seatsection air zone2304 to make sure that it is within the desired ranges.
• Atdecision step3076, it is determined whether the change in position ofhead section38 occurred in the upward or downward direction. This determination is derived from the comparison of the current head angle to the previous head angle. As shown in Table 5, the ranges of values indicating a change in head elevation overlap, in order to take into consideration hysteresis in the head angle evaluation.
• For example,head section38 will be considered to have moved from region zero toregion 1 if a potentiometer value of about 52 is received by process3070 (corresponding to a head angle of 1-10 degrees). However, oncehead section38 is inregion 1, it will not be considered to have moved back to region zero unless a potentiometer reading outside the specified range forregion 1, e.g., approximately 40 or less, is received.
• If a change in position occurs in the downward direction, i.e.,head section38 is lowered, then atstep3078 the inflation pressure of seatsection air zone2304 is decreased according to the size of the patient and the current head angle. The desired pressure range is determined by reference to a look-up table stored inmemory3010. Table 4 above is an example of such a table.
• If a change in position occurs in the upward direction, i.e.,head section38 is elevated, then atstep3080 the inflation pressure of seatsection air zone2304 is increased. First, a “seat boost” is applied to seatsection air zone2304, meaning that seatsection air zone2304 is initially over-inflated for a brief period of time to compensate for the above-mentioned weight shift. Examples of the initial “seat boost” pressures are shown in Table 2 above. In the illustrated embodiment, the period of time for the seat boost is about 15 seconds. After the seat boost period expires,process3070 adjusts the pressure ofseat section bladders2304 to the desired level based on patient size and head angle, as determined by the look-up table mentioned above.
Second Illustrative Embodiment Mattress Assembly
• A second illustrative embodimentmodular mattress assembly4014 of the present invention is configured to be supported bydeck26′, as shown inFIG. 129, of the illustrativepatient support10′ ofFIG. 57. Referring now toFIGS. 130 and 131, themattress assembly4014 includes first andsecond sides4017aand4017bextending substantially parallel to alongitudinal center axis4019 between head and foot ends4018aand4018b. Themodular mattress assembly4014 includes anouter cover2102 having abottom cover portion2104 and a top cover portion2106 (FIG. 146) configured to encapsulate a plurality of internal components including afoam receiving base4208. The receivingbase4208 includes afoam foot section4210 and afoam body section4212 coupled to thefoot section4210 illustratively by a foot section securing substrate4340 (FIG. 138).Component mounting substrates4214,4216 are coupled to thefoot section4210 and thebody section4212, respectively, of thebase4208. A foot orheel bladder assembly4215 is coupled to the mountingsubstrate4214. A foam filler orpanel4218 is supported above the mountingsubstrate4216 and is received within thebase4208. A turn assistbladder assembly4220 is received above thefoam filler4218 and is coupled to the mountingsubstrate4216. Anupper bladder assembly4222 is received above the turn assistbladder assembly4220 and is likewise coupled to the mountingsubstrate4216. A fire sock orbarrier2124 is configured to surround thereceiving base4208, including thefoot section4210 and thebody section4212, the mountingsubstrates4214 and4216, theheel bladder assembly4215, thefoam filler4218, the turn assistbladder assembly4220, and theupper bladder assembly4222. Ashear cover2125 is configured to be received over thefire barrier2124. Thetop cover portion2106 is configured to be coupled to thebottom cover portion2104 to receive the other mattress components and to define theouter cover2102. Amattress fluid connector4068 is coupled to thebottom cover portion2104 and is configured to provide fluid communication between a manifold4063, which is coupled to apump4064, and themattress4014.
Mattress Foot Section Assembly
• As detailed above with respect toleg section42 ofdeck26, theleg section42′ of thedeck26′ is likewise extendable and retractable.FIGS. 132 and 133 further illustrate thefoot section4210 of themattress4014 which is configured to extend and retract with the movement of theadjustable leg section42′ of the articulatingdeck26′. Thefoot section4210 includes abase portion4228 and a pair of opposingflange portions4230 and4232 supported above thebase portion4228. Thebase portion4228 includes angled sidewalls4234 and4236 which are configured to conform to theangled sidewalls291,300 of thedeck26′. Theflange portions4230 and4232 are configured to extend out beyond theangled sidewalls291,300 of thedeck26′. Illustratively, thefoot section4210 is made of a resilient polyurethane foam.
• Thefoot section4210 is perforated to facilitate its longitudinal extension and retraction. More particularly, thefoot section4210 is formed to include a plurality of apertures, illustratively transversely extendingslots4238 extending in a generally vertical direction through thebase portion4228 and theflange portions4230 and4232, to facilitate compressibility of thefoot section4210 in response to the retraction of theleg section42′ of thedeck26′. More particularly, the plurality ofslots4238 are arranged in a plurality of laterally extendingrows4240 wherein theindividual slots4238 of eachrow4240 are laterally offset from thoseslots4238 of longitudinallyadjacent rows4240. It may be readily appreciated, eachslot4238 widens to accommodate the extension of theleg section42′ and narrows to accommodate the retraction of theleg section42′ of thedeck26′.
• While in the illustrative embodiment a plurality of discrete laterally and longitudinally spacedtransverse slots4238 are illustrated to facilitate retraction and extension of thefoot section4210, it should be appreciated that other structures may be readily substituted therefor. More particularly, thefoot section4210 may be formed to include serpentine channels or a plurality of slots extending substantially the full width of thefoot section4210 between opposing side edges of theflange portions4230 and4232.
• A footsection mounting plate4242 is secured to alower surface4244 of thefoot section4210, illustratively through anadhesive tape4245. As described in greater detail below, the footsection mounting plate4242 provides a securing platform for afoot section anchor4246 which couples thefoot section4210 to theleg section42′ of thedeck26′ to facilitate movement in cooperation therewith.
• Thefoot section4210 further includes areceiving recess4248 extending downwardly from anupper surface4250 of thebase portion4228 at afoot end4252 thereof. Theheel bladder assembly4215 defines a heel pressure relief zone4254 and is coupled to thefoot mounting substrate4214 and is received within therecess4248. Opposing first and second ends of thefoot mounting substrate4214 are coupled to a pair of foot attachment straps4256. The attachment straps4256 each have acenter mounting aperture4257 coupled to the footsection mounting member4242 through a conventional fastener, such as abutton4258. Similarly, opposing ends of thefoot attachment straps4256 including mountingapertures4259 which are secured to the opposing ends of thefoot mounting substrate4214 through conventional fasteners, such as buttons4258 (FIGS. 133 and 136).
Heel Bladder Assembly
• As noted above, theheel bladder assembly4215 is supported within therecess4248 and is coupled to thefoot mounting substrate4214. As illustrated inFIGS. 132, 134 and 135, theheel bladder assembly4215 includes a total of four laterally extending air bladders4264. However, it should be appreciated that any number of bladders4264 may be provided in thefoot section4210 depending upon the area required for the heel pressure relief zone4254. Each bladder4264 includes a fluid chamber illustratively defined by asheet4265 which is generally folded in half to form a tubular member, wherein the open side edges and bottom edges are sealed through conventional means, such as radio-frequency (RF) welding, to form the fluid chamber. The bladders4264 are illustratively formed of a polymer material, such as a polyolefin. The plurality of air bladders4264 are fluidly connected. More particularly, the first bladder4264ais fluidly connected to thesecond air bladder4264bthrough a conventional U-shaped fluid connector4266a, thesecond bladder4264bis fluidly connected to thethird bladder4264cthrough a conventionalU-shaped fluid connector4266b, and thethird bladder4264cis fluidly connected to thefourth bladder4264dthrough a conventionalU-shaped fluid connector4266c(FIGS. 130 and 134).
• Referring further toFIGS. 130 and 133-135, a plurality of outer andinner fasteners4268 and4270, illustratively snaps, are secured to thefoot mounting substrate4214 proximate opposing side edges thereof. Thefoot mounting substrate4214 is formed from a flexible sheet material, such as polyurethane coated twill. Opposing ends of each bladder4264 include anupper fastener4272 and alower fastener4274, illustratively snaps, which cooperate with theouter fastener4268 and theinner fastener4270 of the foot mounting substrate4255.
• Afoot fill tube4276 is fluidly connected to the first bladder4264awhile afoot sensor tube4278 is fluidly connected to thefourth fluid bladder4264d. As illustrated inFIGS. 134 and 135, thefoot fill tube4276 and thefoot sensor tube4278 extend from theheel bladder assembly4215 toward thebody section4212 of the receivingbase4208 and from proximate the first side4017aof themattress4014 to proximate thesecond side4017bof themattress4014. In other words, respective portions of thetubes4276 and4278 extend diagonally below thelower surface4244 of thefoot section4210 of the base4208 in order to accommodate extension and retraction thereof without kinking or pulling. Thetubes4276 and4278 next extend toward the head end4018aof themattress4014 by passing between the mountingsubstrate4216 and thebody section4212 ofbase4208 proximatesecond side4017bof themattress4014. Thetubes4276 and4278 pass through a slit4275 formed in the mountingsubstrate4216 and pass between the mountingsubstrate4216 and the turn assistbladder assembly4220 to themattress connector4068.
• Thetubes4276 and4278 may be coupled to the footsection mounting member4242 through a conventional cable tie (not shown). Further retention of thetubes4276 and4278 to the mountingsubstrate4216 may be provided by asecuring loop4338 coupled to the mountingsubstrate4216.
• Theheel bladder assembly4215 is configured to provide heel pressure relief by reducing the level of raised pressure between the patient's foot and the mattress. More particularly, theheel bladder assembly4215 provides for a region of reduced pressure below the patient's heels. Thefoot section4210 includes acalf portion4279 which supports the portion of the patient's weight that would otherwise be supported by the patient's heel and thus reduces the overall interface pressure between the patient's heel and themattress4014. It is envisioned that thecalf portion4279 of themattress4014 may include a transition zone where the material stiffness of thefoot section4210 decreases in a longitudinal direction extending generally from head end4018ato thefoot end4018bofmattress4014.
Mattress Body Section Assembly
• Thebody section4212 of the receivingbase4208 is further illustrated inFIGS. 138 and 140 as including abottom layer4280 secured to longitudinally extending first and second sidewalls or bolsters4281 and4282. Likewise, an end wall or bolster4283 is coupled to the first andsecond sidewalls4281 and4282 and thebottom layer4280. As such, thebody section4212 defines a longitudinally extending channel orbucket4284 configured to receive various components of themattress4014. As described in greater detail below, afluid connector recess4285 is formed near thehead end4286 of thebody section4212 and is configured to receive themattress fluid connector4068.
• Thesidewalls4281 and4282 each include an angled orinclined portion4288 coupled to aflange portion4290. Theangled portions4288 are configured to conform to theangled sidewalls260 and262 of thedeck26′, while theflange portions4290 are configured to extend above and out beyond thesidewalls260 and262 of thedeck26′. Thebody section4212 of the receivingbase4208 includes ahead portion4292 and aseat portion4294 separated by a laterally extending slit4296 (FIG. 130). Opposing ends of theslit4296 include stress relief apertures (not shown) formed within thesidewalls4281 and4282. As described in greater detail below, theslit4296 facilitates relative movement of the head andseat portions4292 and4294 of thebody section4212 during articulation of the head and seat sections4038 and4040 of thedeck26′.
Mattress Mounting Substrate
• With reference toFIGS. 130, 137 and 138, the mountingsubstrate4216 is received withinchannel4284 defined by thebody section4212 of the receivingbase4208. Opposing first andsecond end portions4302 and4304 of the mountingsubstrate4216 are coupled to first and second upper mountingplates4306 and4308. In turn, theupper mounting plates4306 and4308 are secured to an upper surface of the receivingbase4208, illustratively through double sidedadhesive tape4307 and4309, respectively. A plurality of fasteners,illustratively buttons4312 are secured to theupper mounting plates4306 and4308. Thebuttons4312 are releasably received within a plurality ofsubstrate securing apertures4314 formed within the mountingsubstrate4216, thereby connecting the mountingsubstrate4216 to thereceiving base4208 through theupper mounting plates4306 and4308. A headsection mounting plate4316 is secured to a lower surface of the receivingbase4208, illustratively through means of a double sidedadhesive tape4318. As detailed below, the headsection mounting plate4316 provides a coupling platform for ahead anchor strip4320 which secures thebody section4212 of the receivingbase4208 to the head section4038 of thedeck26′.
• The mountingsubstrate4216 includes a base portion4322 and first and second mountingportions4324 and4326 extending along opposing longitudinal side edges of the base portion4322. Each mountingportion4324 and4326 includes a outer mountingmember4328 and aninner mounting member4330 hingedly connected to the outer mountingmember4328 through ahinge4329. The mountingmembers4328 and4330 include a plurality of longitudinally spaced outer andinner fasteners4332 and4334, illustratively snaps, configured to couple to corresponding fasteners of theupper bladder assembly4222 as detailed below. A plurality of turn assist bladderassembly securing apertures4336 are formed proximate opposing longitudinally extending side edges of the mountingsubstrate4216. As detailed below, theapertures4336 are configured to receive fasteners, such asbuttons4337 for securing the turn assistbladder assembly4220 to the mountingsubstrate4216. First andsecond securing loops4338 and4339 are coupled to the base portion4322 and are configured to receive various fluid tubes for retention therein.
Foot Section Securing Substrate
• With further reference toFIG. 138, thefoot section4210 may be secured to thereceiving base4208 through the use of a footsection securing substrate4340. The footsection securing substrate4340 includes afirst portion4342 secured to theupper mounting plate4308 of the seat portion of the receivingbase4208 and a second portion4344 secured to lower surface4277 of thefoot section4210. More particularly, thefirst portion4342 of the footsection securing substrate4340 includes a plurality of mounting apertures configured to receive fasteners, such asbuttons4312. Thebuttons4312 are secured to theupper mounting plate4308, which is coupled to the upper surface of receivingbase4208 as detailed above. The second portion4344 of the securingsubstrate4340 is directly coupled to a lower surface of thefoot section4210, illustratively through an adhesive. The second portion4344 includes a plurality oftransverse slots4350 configured to be received in parallel disposition with thetransverse slots4238 formed within thefoot section4210.
• Illustratively, the footsection securing substrate4340 is formed from a flexible sheet material, such as pack cloth urethane coated twill. As a flexible sheet material, the footsection securing substrate4340 may follow a serpentine path from a horizontal first plane of thebottom layer4280 of the receivingbase4208 and vertically down around a foot end edge4352 of the receivingbase4208, and back along a horizontal plane of the lower surface4277 of thefoot section4210.
Foam Filler
• The foam filler orpanel4218 is received within thechannel4284 defined by thesidewalls4281 and4282 of thebody section4212 of the receivingbase4208. Illustratively, thefiller4218 is made of polyurethane foam having an indention force deflection (IFD) of between approximately 23 pounds to approximately 29 pounds. IFD is commonly defined in the art as the amount of force necessary to indent an 8 inch disc plate 25 percent into the foam of a 4 inchthick sample 15 inches by 15 inches square. Further illustratively, thefiller4218 includes sidewalls4354 and4355 which are angled to conform with theangled walls4281 and4282 of the receivingbase4208. A fastener, illustratively aloop portion4356 of a conventional hook and loop fastener, is secured to a lower surface of thefoam filler4218 and is configured to couple with amating hook portion4357 secured to an upper surface of the receivingbase4208. Aclearance opening4359 is formed within the mountingsubstrate4216 to allow for coupling of thefastener portions4356 and4357.
Turn Assist Bladder Assembly
• Referring toFIGS. 130 and 139-141, the turn assistbladder assembly4220 is positioned above thefoam filler4218 and includes a first, or right, inflatable turn assistbladder4358 and a second, or left, inflatable turn assistbladder4360. As described in greater detail herein, each of the right and left turn assistbladders4358 and4360 are selectively and individually inflatable to assist in the turning of a patient supported on themattress4014.FIG. 140 illustrates both the right and left turn assistbladders4358 and4360 in deflated positions, whileFIG. 141 illustrates the left turn assistbladder4360 in a deflated position and the right turn assistbladder4358 in an inflated position.
• Each of the turn assistbladders4358 and4360 include anupper layer4362 and alower layer4364 coupled to theupper layer4362. Right and left turn assistfill tubes4366 and4368 are configured to be coupled to themanifold assembly4063 which, in turn, is coupled to thepump4064 that provides pressurized air to inflate the chamber defined between the upper andlower layers4362 and4364 of the turn assistbladders4358 and4360, respectively. Right and left turn assistsensor tubes4370 and4372 are also provided in fluid communication with the chamber defined between the upper andlower layers4362 and4364 of the turn assistbladders4358 and4360, respectively. Thesensor tubes4370 and4372 are likewise configured to be placed in fluid communication with themanifold assembly4063 which, in turn, is in fluid communication with apressure sensor566 for detecting the pressure of air within thebladders4358 and4360. Thefill tubes4366 and4368 extend generally in a longitudinal direction from proximate the head end of therespective bladders4358 and4360 to themattress connector4068 proximate the head end of the receivingbase4208. Thesensor tubes4370 and4372 extend from a foot end of therespective bladders4358 and4360 laterally to proximate first side4017aof themattress4014 and intermediate the turn assistbladder assembly4220 and the mountingsubstrate4216. Thesensor tubes4370 and4372 continue through securingloop4339 and are coupled tomattress connector4068.
• Right and left mountingflanges4376 and4378 extend in directions outwardly from opposing edges of the right and left turn assistbladders4358 and4360, respectively. Illustratively the mountingflanges4376 and4378 are secured to thelower layers4364 of thebladders4358 and4360 through radio frequency (RF) welding. The mountingflanges4376 and4378 include a plurality of mounting apertures4380 proximate their respective side edges4382 and4384. Releasable fasteners, such as thebuttons4337, are received within the apertures4380 of the mountingflanges4376 and4378, and likewise are received within theapertures4336 of the mountingsubstrate4216. As such, the turn assistbladder assembly4220 is secured to the mountingsubstrate4216. The turn assistbladder assembly4220 may be made from polyurethane film.
Upper Bladder Assembly
• Theupper bladder assembly4222 is positioned above the turn assistbladder assembly4220, such that the turn assistbladder assembly4220 is sandwiched between thefoam filler4218 and the upper bladder assembly4222 (FIGS. 130, 140 and 141). Referring toFIGS. 142 and 143, theupper bladder assembly4222 defines a head section orair zone4390 and a seat section orair zone4392, wherein eachzone4390 and4392 includes arespective bladder assembly4394 and4396. Bothbladder assemblies4394 and4396 include a plurality of laterally extendingbladders4398 and4400, respectively. Eachbladder4398,4400 is movable independently from everyother bladder4398,4400 and is separately coupled to the mountingsubstrate4216. In the illustrated embodiment, a total of nine (9)bladders4398a-4398idefine thehead section4390, while a total of six (6) bladders4400a-4400fdefine theseat section4392. However, it should be appreciated that any number ofbladders4398,4400 may be included within the various sections orzones4390,4392 of themattress4014.
• Eachbladder4398,4400 is substantially identical to the bladders4264 of theheel bladder assembly4215. As such, similar or identical reference numbers are utilized to indicate similar or identical components inbladders4264,4398 and4400.Bladders4398,4400 each includes upper and lowerinflatable center portions4402 and4404 and opposing upperinflatable end portions4406 and4408. The upperinflatable center portion4404 is separated from theend portions4406 and4408 byhinge portions4403 and4405. Theend portions4406 and4408 define first and second notches orspaces4407 and4409 which are configured to provide clearance for movement of thebladder4398 about thehinge portions4403 and4405.Webs4415 and4417 are located in thenotches4407 and4409 and connect thelower center portion4404 to theend portions4406 and4408, respectively.
• Thebladders4398,4400 each include anupper fastener4272 and alower fastener4274, illustratively snaps, configured to cooperate with the outer andinner fasteners4332 and4334 of the mountingsubstrate4216. As illustrated inFIGS. 17 and 18, the inner mountingmember4330 is configured to move vertically relative to the outer mountingmember4328 throughhinge4329, thereby facilitating movement of theend portions4406 and4408 of thebladders4398 relative to thecenter portions4402 and4404 of thebladders4398. More particularly, the inner mountingmember4330 is configured to pivot relative to the outer mountingmember4328 about thehinge4329. This coupling structure permits theend portions4406 and4408 of thebladders4398 to hinge during operation of the turn assistbladder assembly4220 and prevent undesirable raising of theend portions4406 and4408 or uncoupling from the mountingsubstrate4216.
• Further, the couplings between thebladders4398 of theupper bladder assembly4220 and the mountingsubstrate4216 define anupper crowning surface4410. More particularly, theupper surface4410 of thebladder assembly4220 proximate thelongitudinal center axis4019 of theassembly4220 is positioned vertically above theupper surface4410 proximate the opposinglongitudinal side edges4412,4413 of thebladder assembly4220. Illustratively, the vertical distance of the crowningupper surface4410 from thecenter axis4019 to therespective side edges4412,4413, as represented by reference letter “d” inFIG. 140, is approximately 2 inches. Theupper surface4019 is arcuate as it extends from thecenter axis4410 to the side edges4412,4413.
• Thecrowning surface4410 is configured to facilitate lateral patient transfer from the bed4010 to another patient support device positioned adjacent to the bed4010 by creating an inclined surface which provides a slight amount of gravity assistance when the caregiver is moving the patient toward the side of themattress4014. Additionally, since thesurface4410 at the side edges4412 and4413 is lower than proximate the center axis4411, the siderails4020 and4022 may have a lower profile and still fulfill minimum height requirements.
• FIG. 141 illustrates a right turn assist mode of operation wherein the right turn assistbladder4358 is inflated. Since the right turn assistbladder4358 is laterally offset from thelongitudinal center axis4019 of themattress4014, inflation of thebladder4358 causesside edge4413 of theupper bladder assembly4222 to raise above the opposingside edge4412. Thehinge portions4403 and4405 between theend portions4406 and4408 and thecenter portion4407 of thebladders4398,4400 of theupper bladder assembly4222 permit themattress4014 to substantially conform to the shape resulting from the inflation of either turn assistbladder4358,4360. In an illustrative embodiment, upon inflation of one of the turn assistbladders4358 and4360, a patient supported on themattress4014 is rotated by an angle of approximately 20 degrees from horizontal. Upon completion of the turn assist, the control system44 causes the inflated turn assistbladder4358,4360 to vent to atmosphere. Simultaneously, theupper bladder assembly4222 is instructed by the central system44 to inflate to a maximum pressure, also known as a max inflate mode of operation. Since the turn assistbladder assembly4220 is sandwiched intermediate theupper bladder assembly4222 and thefiller4218, inflation of theupper bladder assembly4222 facilitates the rapid venting of air within the turn assistbladders4358 and4360 to atmosphere.
• A pair of seat attachment straps4425 are configured to couple together selected air bladders4440 of theseat bladder assembly4396, illustratively bladders4400a-4400c. Thestraps4425 illustratively wrap around the bladders4440a-4440cand have ends coupled together with conventional fasteners, such asbuttons4427.
Fluid Tube Routing
• A headsection fill tube4414 and a headsection sensor tube4416 are coupled to thehead section4390. More particularly, thefill tube4414 is fluidly coupled to theair bladder4398eproximate the longitudinal center of thehead section4390, and thesensor tube4416 is fluidly coupled to the air bladder4398iproximate theseat section4392. Both thefill tube4414 and thesensor tube4416 travel fromrespective bladders4398eand4398iin a generally longitudinal direction, to themattress connector4068 at the head end of the receivingbase4208, intermediate thebladders4398 and the turn assistbladder assembly4220. Bothtubes4414 and4416 are received within securingloop4338. A headsection connection assembly4418 fluidly connects each of thebladders4398 and illustratively comprises a plurality of conventional T-shapedfluid connectors4420 and L-shapedfluid connectors4422.
• A seatsection fill tube4424 and a seatsection sensor tube4426 are coupled to theseat section4392. More particularly, thefill tube4424 is fluidly coupled to a seatsection connection assembly4428 which, in turn, is fluidly coupled to each air bladder4400 of theseat bladder assembly4396. The seatsection connection assembly4428 illustratively comprises a plurality of T-shapedfluid connectors4420 and an L-shapedfluid connector4422. Thesensor tube4426 is fluidly coupled toair bladder4400dlocated proximate the longitudinal center of theseat section4392. Both thefill tube4424 and thesensor tube4426 travel from theseat bladder assembly4396 in a generally longitudinal direction to themattress connector4068 at the head end of the receivingbase4208. Thefill tube4424 travels alongsidewall4282 of the receivingbase4208 intermediate theupper bladder assembly4222 and the turn assistbladder assembly4220, and is received within securingloop4339 of the mountingsubstrate4216. Similarly, thesensor tube4426 travels alongsidewall4281 of the receivingbase4208 intermediate theupper bladder assembly4222 and the turn assistbladder assembly4220, and is received within securingloop4338 of the mountingsubstrate4216.
Fire Barrier
• Referring again toFIG. 130, thefire barrier2124 receives the internal mattress components including thereceiving base4208, the mountingsubstrates4214 and4216, thefoam filler4218, the turn assistbladder assembly4220, theupper bladder assembly4222, and theheel bladder assembly4215. Thefire barrier2124 includes anopen end2356 configured to permit thefire barrier2124 to slide over the other mattress components. Upon assembly, theopen end2356 of thefire barrier2124 is closed utilizing conventional means, such as fasteners. Thefire barrier2124 may be made from a conventional fire-resistant mesh material, such as a fiberglass knit.
Shear Cover
• Theshear cover2125 is configured to fit over the above-identified mattress components as received within thefire barrier2124. Theshear cover2125 is configured to be located between thefire barrier2124 and theouter cover2102 to permit thetop cover portion2106 to slide easily over thefire barrier2124 and move relative to the other internal mattress components, thereby reducing shear forces between the patient's body and themattress4014 and reducing the likelihood of sacral breakdown.
• Theshear cover2125 is formed from a material having a low coefficient of friction so that the mattressouter cover2102 can slide relative to the other mattress components. As themattress4014 is articulated or as the patient moves, theshear cover2125 minimizes shear forces acting between the mattresstop cover portion2106 and the patient's body. Theshear cover2125 may be made from a woven nylon or parachute material. Illustratively, theshear cover2125 is made from a polyurethane material such as Deerfield urethane PT611OS having a thickness of approximately 0.002 inches. The polyurethane material provides an inexpensive shear material which reduces shear forces applied to the patient's body situated on themattress4014.
• Additional details of theshear cover2125 and thetop cover portion2106 are described above.
Outer Cover
• Referring now toFIGS. 57 and 146, thebottom cover portion2104 includes abottom wall2366 and asidewall2368. Thesidewall2368 is illustratively formed from a ticking material and is coupled to thesidewall2364 of thetop cover portion2106, illustratively through RF welding. Illustratively, thebottom wall2366 of thebottom cover portion2104 is formed from a polyurethane coated twill material for enhanced wear resistance and to protect other components of themattress4014 from contamination. Thebottom wall2366 includes anaccess panel2370 defined by azipper2372. Theaccess panel2370 is utilized during assembly of themattress4014 and further facilitates removal of the replacement of the modular components of themattress4014. Illustratively, thezipper2372 is RF welded to thebottom wall2366. In an alternative embodiment of the invention, thezipper2372 may be utilized to couple thesidewall2368 of thebottom cover portion2104 to thesidewall2364 of thetop cover portion2106.
• With further reference toFIG. 146, thebottom cover portion2104 includes astress relief zone2374 of extra material, which is illustratively pleated, to accommodate movement of the head section4038 of thedeck26′ relative to the seat section4040 of thedeck26′. More particularly, as the head section4038 is elevated relative to the seat section4040, thehead portion4292 of the receivingbase4208 moves relative to theseat portion4294 of the receivingbase4208. Theslit4296, and connected stress relief apertures, reduce the stress applied to thereceiving base4208 during this movement. Likewise, thestress relief zone2374 of thebottom cover portion2104 reduces stress within theouter cover2102 of themattress4014. As themattress4014 bends to follow the contour of thedeck26′, the extra material within thestress relief zone2374 accounts for the increased distance between thehead portion4292 and theseat portion4294 proximate thebottom cover portion2104.
Mattress Anchors
• With further reference toFIGS. 7130, 132, 133, and 146, thefoot section anchor4246 is coupled to thefoot section4210 of the receivingbase4208 below thebottom cover portion2104, illustratively throughfasteners4247 threadably received within the footsection mounting plate4242. Likewise, thehead section anchor4320 is secured to thehead portion4292 of the receivingbase4208 below thebottom cover portion2104, illustratively throughfasteners4247 threadably received within the headsection mounting plate4316. Thefoot section anchor4246 and thehead section anchor4320, each illustratively comprises a resilient tab orstrip4429 having opposing first andsecond ends4430 and4431 which may be flexed away from thebottom cover portion2104 of themattress4014, and placed under therespective retaining brackets4082 and4080 formed within theleg section42′ and thehead section38′ of thedeck26′, respectively, as illustrated inFIG. 129.
Manifold Assembly and Mattress Connectors
• Referring now toFIGS. 130, 138 and 148-150, themattress fluid connector4068 is secured to thebottom cover portion2104 and is received within theconnector recess4285 formed within the receivingbase4208. Themattress connector4068 includes a plurality of barbed fittings4432 and4434, each of which is sealingly received within flexible tubing illustratively connected to one of theheel bladder assembly4215, the right turn assistbladder4358, the left turn assistbladder4360, thehead section4390 of theupper bladder assembly4222, and theseat section4392 of theupper bladder assembly4222. More particularly, fitting4432ais fluidly coupled to right turn assistfill tube4366, fitting4432bis fluidly coupled to left turn assistfill tube4368, fitting4432cis fluidly coupled to footsection fill tube4276, fitting4432dis fluidly coupled to seatsection fill tube4424, and fitting4432eis fluidly coupled to headsection fill tube4414. In a similar fashion, fitting4434ais fluidly coupled to the footsection sensor tube4278, fitting4434bis fluidly coupled to the headsection sensor tube4416, fitting4434cis fluidly coupled to the seatsection sensor tube4426, fitting4434dis fluidly coupled to the left turn assistsensor tube4372, and fitting4434eis fluidly coupled to the right turn assistsensor tube4370.
• The pneumatic connections to themanifold assembly4063 of the present invention is further illustrated inFIG. 147. Themanifold assembly4063 is configured to provide fluid communication between thepump4064 and theair mattress4014. Themanifold assembly4063 is configured to control the supply of air to and the exhaust of air from the controlled air zones of themattress4014. Air is supplied to the manifold4063 by thepump4064, while air is exhausted toatmosphere2405 through themanifold4063. More particularly, the manifold4063 controls air pressure within the right turn assistbladder4358, the left turn assistbladder4360, the head zone of theupper bladder assembly4222 and the seat zone of theupper bladder assembly4222. While in the following description, asingle manifold4063 is utilized, it should be appreciated that in other embodiments multiple manifolds may be substituted therefore.
• With further reference now toFIG. 147, air supplied from thepump4064 passes to the manifold4063 though a supply tube. Once entering the manifold4063, the supplied air is routed through to various valve assemblies in the manner detailed above with respect tovalve assemblies2406.
• Thesensing lines4278,4370,4372,4416, and4426 from the controlled air zones of themattress4014 are coupled in fluid communication with themanifold4063. In the illustrative embodiment, eachsensing line4278,4370,4372,4416, and4426 supplies air to themattress connector4068 which, in turn, provides air to themanifold connector4070. The air exits themanifold connector4070 throughpressure sensing tubes2440. Eachtube2440 is coupled to apressure sensor566 supported on a valvecontroller circuit board2444. Thecircuit board2444 is in communication with the control system44 and as such, provides signals to the control system44 indicative of pressure within the various controlled air zones of themattress4014. In an alternative embodiment, eachsensing line4278,4370,4372,4416, and4426 supplies air which passes through fluid sensing ports (not shown) formed within themanifold4063 and then exits throughpressure sensing tubes2440.
• Themattress connector4068 is configured to couple to themanifold connector4070 which is in fluid communication with themanifold4063. Thepartition wall272 coupled to thedeck26′ is positioned intermediate themanifold connector4070 and themanifold4063. Themanifold connector4070 is configured to sealingly mate with themattress connector4068. Themanifold connector4070 includes a plurality ofoutlets4436,4438 configured to sealingly receive plugs4440,4442, respectively, of themating mattress connector4068. The outlets4436 of themanifold connector4070 are in fluid communication with the valve assemblies of the manifold4063, while theplugs4440a,4440b,4440c,4440d, and4440eare in fluid communication with the controlledair zones4358,4360,4254,4392, and4390 of themattress4014 through respective fittings4432 and filltubes4366,4368,4276,4424, and4414 in the manner detailed above. Theoutlets4438 of the manifold connector are in fluid communication with thepressure sensors566 through the manifold4063, while theplugs4442a,4442b,4442c,4442d, and4442eare in fluid communication with the controlledair zones4358,4360,4254,4392, and4390 of themattress4014 through fittings4434 andsensor tubes4278,4416,4426,4372, and4370. As may be readily appreciated, in alternative embodiments, the sensor tubes may bypass themanifold4063 and be directly connected to therespective pressure sensors566.
• Each of the plugs4440 and4442 illustratively includes a conventional O-ring gasket4444 to promote sealing with amating outlet4436 and4438. Themattress connector4068 includes a peripheralinner flange4446 which is configured to be received within a peripheralouter flange4448 of themanifold connector4070. Illustratively, a plurality offasteners4450 lock theperipheral flanges4446 and4448 together. Illustratively, eachfastener4450 comprises a spring-biasedU-shaped tab4452 extending outwardly from themattress connector4068 and including anopening4454 configured to be received over alocking tab4456 supported by themanifold connector4070. A U-shaped retaining member4457 is supported by themanifold connector4070 in spaced relation to thelocking tab4456 such that thetab4452 of themattress connector4068 may be received therebetween. In the illustrative embodiment ofFIG. 148, thelocking tab4456 in anupper fastener4450 is removed to assist in the uncoupling and removal of theconnectors4068 and4070. It should be appreciated that other conventional fasteners, such as hook and loop fasteners, clamps or staples may be readily substituted therefor.
• As described above, themanifold connector4070 is coupled to themanifold4063, respectively, through thepartition wall272. Conventional fasteners, such asscrews4058, may be utilized to secure themanifold connector4070 and the manifold4063 relative to thepartition wall272. In one illustrative embodiment, cylindrical gaskets may be positioned intermediate eachoutlet4436,4438 of themanifold receiving connector4070 and the manifold4063 in order to effect sealing therebetween. In a further illustrative embodiment, agasket2502′ (FIG. 151) may be positioned intermediate themanifold connector4070 and thepartition272.Gasket2502′ may be of a design substantially similar togasket2502 as shown inFIGS. 122 and 123.
Mattress Sensor
• With reference toFIGS. 35A, 150, and 151, the connection between themattress connector4068 and themanifold connector4070 is detected by amattress sensor4462. If thesensor4462 does not detect that amattress4014 has been connected to the control system44 by the coupling of themattress connector4068 to themanifold connector4070, then the control system44 does not permit operation of the air mattress functions.
• According to an illustrative embodiment, thesensor4462 comprises a Halleffect field sensor4464 that detects the characteristics of a dynamic field generated by themattress connector4068. More particularly, amagnet4466 is positioned within a receivingboss4468 of the mattress connector4068 (FIG. 151). Themanifold connector4070 includes anopening4470 configured to receive theboss4468, and themagnet4466 received therein, when themattress connector4068 is fluidly coupled with themanifold connector4070. As such, theHall effect sensor4464 detects the magnetic field generated by themagnet4466. Based upon the detection of the predetermined magnetic field, thesensor4464 sends a signal indicative of therespective mattress4014 to the control system44. The control system44 then permits operation of the air mattress functions.
• An illustrative circuitry associated with thesensor4464 is shown inFIG. 152. The circuitry includes an op-amp4474 coupled to thesensor4464, anopen collector4476, atransistor4478, and aresistor4480. Thesensor4464, the op-amp4474, theopen collector4476, and thetransistor4478 are coupled toground4482. Thesensor4464, the op-amp4474, theopen collector4476, and theresistor4480 are illustratively coupled to a five volt source. Thetransistor4478 and theresistor4480 are coupled to the output of the circuit. Illustratively, theresistor4480 has a value of 470 ohms, and thesensor4464 is a Cherry MP1013 Snap Fit Proximity Sensor that detects magnetic fields and is sold by the Cherry Corporation, 3600 Sunset Avenue, Waukegan, Ill. It should be appreciated that based upon the desired control characteristics, the value of theresistor4480 and theproximity sensor4464 may be varied.
• Further, the type and functionality of anair mattress4014 connected to themanifold connector4070 may be associated with a predetermined sensitivity ofHall effect sensor4464 or strength ofmagnet4466. Alternatively,multiple magnets4466 and associatedHall effect sensors4464 may be used to distinguish between different types ofmattresses4014. Upon sensing a particular type ofmattress4014, the control system44 may deactivate and/or activate selected functions. For example, should the control system44 receive a signal from themattress sensor4462 indicating that themattress4014 has no turn assistbladder assembly4220, then the left and right turn assist functionality may be deactivated.
• In a further illustrative embodiment, the presence of thefluid connector4068 of themattress4014 may be detected by the pressure sensors,illustratively pressure transducers566, which are in communication with the control system44. More particularly, the control system44 can initiate a diagnostic routine or process at predetermined intervals by supplying pressure to the outlets4436 in themanifold connector4070. Should nomattress4014 be connected to themanifold connector4070, then thepressure transducers566 connected to thesensor outlets4438 will measure atmospheric pressure (i.e., no back pressure). However, if amattress4014 is connected, then thesensor outlets4438, upon the application of fluid through the fill outlets4436, will measure a certain amount of back pressure. As such, through this diagnostic routine, the control system44 can determine if amattress4014 is connected to themanifold4063, and also which outlets4436 are connected torespective air zones4254,4358,4360,4390 and4392. Again, if the control system44, through operation of thepressure sensors566, determines that onlycertain air zones4254,4358,4360,4390, and4392 are coupled to themanifold4063, then certain functions may be activated and others deactivated.
• It should be further noted that other mattress detection devices or sensors may be readily substituted for those detailed herein. For example, mechanical switches, conducting pins, and other proximity sensors may be readily substituted therefor.
Pressure Control System
• As detailed above with respect toFIG. 124, control system44 includesdynamic surface module518. In addition to other functions,dynamic surface module518 includes apressure control system3000. As shown inFIG. 124,pressure control system3000 includes a plurality ofvalve solenoids564, a plurality of pressure sensors ortransducers566, an analog todigital converter3002, amicrocontroller3004, apower supply3006 andpump4064.Microcontroller3004 includesmemory3010 andcentral processing unit3012.
• Pressure sensors,illustratively transducers566, periodically sense the pressure in one or more of controlledair zones4254,4358,4360,4390, and4392 ofmattress4014 and output a voltage proportional to the amount of pressure that is sensed. Analog-to-digital converter3002 converts the voltage to digital form and feeds the digital value tomicrocontroller3004.Microcontroller3004 analyzes the current pressure and determines whether the current pressure in controlledair zones4254,4358,4360,4390, and4392 is correct, too high, or too low in comparison to a desired pressure.Memory3010 stores data, illustratively in the form of look-up tables or algorithms, which is used in this analysis. For example, the desired pressure ofair zones4254,4358,4360,4390, and4392 may depend on the particular operating mode of the system3000 (e.g., pressure relief, max-inflate, CPR, turn assist, and post-turn assist), whether head section4038 is elevated and the degree of elevation, and/or the size or weight of the patient. Themicrocontroller3004 operatesvalve solenoids564 in response to the feedback signals frompressure transducers566 to achieve the desired adjustments tomattress4014. Thevalve solenoids564 control the flow of air to and resulting pressure within themattress4014. Additional details regarding thevalve solenoids564 are provided above.
Valve Sensor
• With reference now toFIG. 153, avalve sensor4484 is operably coupled to thevalve solenoids564 to determine the type ofpneumatic valve2406 application or technology. More particularly, thevalve sensor4484 determines the presence of either (1) a direct acting solenoid valve or (2) a pilot operated, or pilot assisted, solenoid valve. The operational requirements for these two types of valves differ. The direct acting solenoid valve pulls more current from asolenoid voltage source4486, and therefore pulse modulation of the current is employed. The pilot operated solenoid valve requires the application and maintenance of a pilot air pressure.
• The determination of the particular type ofvalve2406 is achieved by energizing eachconnected solenoid564 individually. When avalve2406 is actuated by the closing of avalve control relay4488, the current pulled by therespective solenoid564 is measured by acurrent transducer4490. This measurement is supplied to an analog todigital converter4492 which, in turn, supplies the measurement to a microcontroller, illustratively themicrocontroller3004 of thepressure control system3000. Alternatively, the microcontroller may be independent of themicrocontroller3004. Themicrocontroller3004 compares the measurement to known operating current values which are representative of the direct acting solenoid valve and the pilot operated solenoid valve. This comparison is the basis for deciding the type of valve2406 (i.e. direct acting solenoid valve or pilot operated solenoid valve).
• If themicrocontroller3004 determines that the number and types ofvalves2406 equal a predetermined configuration, then thevalves2406 are driven by themicrocontroller3004 as appropriate for those types. If themicrocontroller3004 determines that the number and types ofvalves2406 does not equal the predetermined configuration, then an error is reported by themicrocontroller3004. In one illustrative embodiment, the predetermined configuration is defined such that all of thevalves2406 coupled to the manifold4063 are pilot operated solenoid valves. As such, themicrocontroller3004 queries whether all of thevalves2406 are pilot operated solenoid valves. If so, then thevalves2406 are driven by themicrocontroller3004 as appropriate for pilot operated solenoid valves. If thevalves2406 collectively are determined not to be of the predetermined configuration, in this illustrative embodiment meaning that all of thevalves2406 are not pilot operated solenoid valves, then themicrocontroller3004 reports an error. It should be appreciated that the predetermined configuration may comprise all direct acting solenoid valves, all pilot operated solenoid valves, or any combination thereof.
• As further illustrated inFIG. 153, asupervisor relay4496 may be positioned intermediate thesolenoid voltage source4486 and thecurrent transducer4490. Further, thesolenoid564 is coupled toground4498 through thevalve control relay4488.
• Thevalve sensor4484 permits the utilization of different predetermined configurations ofvalves2406 in different patient supports. More particularly, the configuration ofvalves2406 may be varied for different types or model years of patient supports in order to facilitate cost effectiveness and to take advantage of technological developments in valve design. For example, in a first patient support, all pilot operated valves may be utilized and the predetermined configuration stored in themicrocontroller3004 reflects this situation. However, in a later second patient support, all direct acting solenoid valves may be utilized. As such, themicrocontroller3004 may be modified or re-programmed to detect this new predetermined configuration.
Mattress Pressure Determination
• As detailed herein, the various modes of operation include a pressure relief mode, which is a standard operating mode of the respective air zones for providing pressure relief to the body of the patient. The max inflate mode of operation is the operating mode for providing maximum inflation of the respective air zones. The CPR mode of operation is the operating mode for providing a firm pressure in the respective air zones for assisting in the delivery of CPR to the patient. The turn assist mode of operation is the operating mode for providing pressure in the respective air zones for assisting in the left or right turning or rotation of the patient. Finally, the post-turn assist mode of operation is the operating mode for providing pressure in the respective air zones for assisting in the deflation of the turn assist bladders.
• Tables 6-9 illustrating examples of desired pressures ofair zones4254,4358,4360,4390, and4392 based on the air system operating mode, patient weight, and, forseat air zone4392, head section elevation, are provided as follows:

• TABLE 6
  HEAD SECTION

  		Head Section Pressure (in H2O)
  	MODE	(Pressure-Head range)
  	Pressure Relief	$\left[\left(\frac{\mathrm{Patient\_Weight}}{100}+1\right)\times 3\right]\pm 1$
  	Max Inflate	25.0-29.0
  	CPR	20.0-30.0
  	Turn Assist	$\left[\left(\frac{\mathrm{Patient\_Weight}}{100}+1\right)\times 3\right]\pm 1$
  	Post-Turn Assist	25.0-29.0
  	*Minimum Calculated: 65 lbs.; Maximum Calculated: 350 lbs.; Weight used for greater than 350 lbs.; 400 lbs.; Default Weight incase of error condition: 200 lbs.

• TABLE 7
  SEAT SECTION

  	Seat Section Pressure (in H20)
  MODE	(Pressure-Seat range)
  Pressure Relief	$\left[\left(\frac{\mathrm{<figure-callout\; label="Patient\_Weight"\; filenames="US20190231620A1-20190801-D00000.png,US20190231620A1-20190801-D00001.png"\; state="\{\{state\}\}">Patient\_Weight</figure-callout>}}{50}+4\right)\times \left(\frac{\mathrm{<figure-callout\; label="Head\_Elevation"\; filenames="US20190231620A1-20190801-D00032.png,US20190231620A1-20190801-D00047.png"\; state="\{\{state\}\}">Head\_Elevation</figure-callout>}}{60}+1\right)\right]\pm 1$
  Max Inflate	25.0-29.0
  CPR	20.0-30.0
  Turn Assist	$\left[\left(\frac{\mathrm{<figure-callout\; label="Patient\_Weight"\; filenames="US20190231620A1-20190801-D00000.png,US20190231620A1-20190801-D00001.png"\; state="\{\{state\}\}">Patient\_Weight</figure-callout>}}{50}+4\right)\times \left(\frac{\mathrm{<figure-callout\; label="Head\_Elevation"\; filenames="US20190231620A1-20190801-D00032.png,US20190231620A1-20190801-D00047.png"\; state="\{\{state\}\}">Head\_Elevation</figure-callout>}}{60}+1\right)\right]\pm 1$
  Post-Turn Assist	25.0-29.0

• TABLE 8
  TURN ASSIST BLADDER ASSEMBLY

  		Turn Assist Pressure (in H20)
  	MODE	(Pressure-TA range)

  	Pressure Relief	0-2.0
  	Max Inflate	0-2.0
  	CPR	0-2.0
  	Turn Assist	0-2.0
  	(Inactive Bladder)
  	Turn Assist (Active Bladder)	$\left(\frac{\mathrm{Patient\_Weight}}{25}+10\right)\pm 5$
  	Post-Turn Assist	0-2.0

• TABLE 9
  HEEL PRESSURE RELIEF MEMBER

  		Heel Pressure (in H2O)
  	MODE	(Pressure-Heel range)
  	Pressure Relief	$\left(\frac{\mathrm{<figure-callout\; label="Patient\_Weight"\; filenames="US20190231620A1-20190801-D00013.png,US20190231620A1-20190801-D00014.png"\; state="\{\{state\}\}">Patient\_Weight</figure-callout>}}{200}+1\right)\pm 0.5$
  	Max Inflate	$\left(\frac{\mathrm{<figure-callout\; label="Patient\_Weight"\; filenames="US20190231620A1-20190801-D00013.png,US20190231620A1-20190801-D00014.png"\; state="\{\{state\}\}">Patient\_Weight</figure-callout>}}{200}+1\right)\pm 0.5$
  	CPR	—
  	Turn Assist	—
  	Post Turn Assist	—

• With reference now toFIG. 154, anillustrative process4710 of operation of thedynamic surface module518 incorporating themattress sensor4462 begins atblock4712 with the operator or caregiver depressing appropriate keys or buttons on the one of thecontrollers50,52,54 to deactivate or turn off the airpressure control system3000. For example, in one embodiment, the operator simultaneously depresses the “Pressure Relief”button1628 and the “Max Inflate”button1622 on thecontroller54 for a minimum of five (5) seconds in order to cause thepressure control system3000 to deactivate or enter into an OFF mode. By deactivating thepressure control system3000, continuous alarms or error messages for alerting the operator of the absence of anair mattress4014 coupling are eliminated. In other words, if thepressure control system3000 is active or in an ON mode when theair mattress4014 is uncoupled from the control system44 of the bed4010, then themattress sensor4462 detects the absence of theair mattress4014 andcontroller3004 causes an error code to display onpanel1242 of thecontroller54 and causes the activation of an audible alarm for a preset time period.
• Next, as indicated atblock4714, the pressures in the head, seat, right turn assist and leftturn assist zones4390,4392,4360 and4362 are not regulated by thepressure control system3000. Further, allair mode indicators1518 on thecontroller54 are deactivated or off. Atblock4716, thecontroller3004 queries whether amode button1622,1624,1626,1628 for operation of thepressure control system3000, has been selected on thecontroller54. If not, then the process returns to block4714. If amode button1622,1624,1626,1628 has been selected, then the process continues to decisionblock4718, where thecontroller3004 determines if themattress sensor4462 detects amattress4014.
• If atblock4718, themattress sensor4462 does not detect a coupledmattress4014, then thecontroller3004 atblock4720 flashes selectedmode indicators1518 on thecontroller54 and also sounds an audible alarm for a selected time period. The process then returns to block4714. If atblock4718, themattress sensor4462 detects a coupledmattress4014, then the process continues to block4722 when thepressure controller3000 enters or initiates the selected mode of operation.
• As such, it may be appreciated that themattress sensor4462 of the present invention provides the operator with the flexibility of utilizing thebed10′ with adynamic air mattress4014 or some other support surface, such as a static foam mattress. If thebed10′ is to be used with a static foam mattress, for example, then themattress sensor4462 signals thecontroller3004 which, in turn, cannot be activated by the operator. Thepressure control system3000 remains in an inactive or OFF mode, thereby locking out an operator from activating or turning ON thepressure control system3000 and attempting to use the system on a foam mattress.
• Thecontroller3004 ofpressure control system3000 regulates pressure within theair mattress4014. If the pressure of anair zone4254,4358,4360,4390, and4392 is too high,controller3004 actuates the appropriatevalve assembly actuator564 to allow air to escape from theair zone4254,4358,4360,4390, and4392. If the pressure is too low,microcontroller3004 sends a message overnetwork510 topower supply module514 of patient support4010 (parts of which are generally depicted inFIG. 124 as power supply3006), andpower supply3006 activatespump4064. Whenmicrocontroller3004 detects thatpump4064 is turned on, it actuates the appropriatevalve assembly actuator564 to allow air to enter therespective air zone4254,4358,4360,4390,4392.
• Among other things, embodiments ofpressure control system3000 include one or more of the following functionalities: aprocess3030 for controlling the inflation ofair zones4254,4358,4360,4390, and4392 according to the size or weight of a patient, aprocess3032 for controlling inflation ofturn assist bladders4358,4360, aprocess3070 for controlling inflation ofseat section4392 ofmattress4014 in response to elevation of the head section4038 of thedeck26′ and/or a process for controlling inflation ofseat section4392 ofmattress4014 in response to the patient sitting up on thebed4014 with little or no support by the head section4038 of thedeck26′.
Mattress Pressure Dependency on Patient Weight
• In certain illustrative embodiments ofpressure control system3000 ofdynamic surface module518, aprocess4730 for controlling the inflation ofair zones4254,4358,4360,4390, and4392 according to the size or weight of a patient disposed on patient support4010 is provided. One illustrative embodiment ofprocess4730 is shown inFIG. 155 and described below.
• In certain illustrative embodiments as detailed above, an operator or caregiver is required to select an appropriate patient weight. In still other embodiments, thecontroller3004 automatically selects a default setting, e.g., the “medium” size, if a patient weight is not selected by the operator or caregiver.
• In yet another illustrative embodiment,pressure control system3000 automatically determines the patient's weight through measurements byweigh frame36 and/or by a force sensor supported byseat section40′. More particularly, and with reference toFIGS. 129 and 156, the patient's weight is derived from an algorithm whose inputs include force sensing resistors (FSRs)5002,5004,5006,5008, and5010 supported on thedeck26′ below themattress4014, and the fourload cells220,222,224, and226 forming a portion of the in-bed scale weighing system. Theload cells220,222,224,226 are coupled to thescale controller5012, which is configured to perform diagnostic evaluations of the load cells to determine if they are working properly. In the illustrative embodiment, there are a total of five FSRs, including threeFSRs5002,5004, and5006 supported by thehead section38′ of thebed deck26′, and two FSRs5008 and5010 supported by theseat section40′ of thebed deck26′. The twoFSRs5008 and5010 in theseat section40′ and one of theFSRs5004 in thehead section38′ are connected to ascale controller5012. TheseFSRs5004,5008, and5010 are used for a patient position monitoring (PPM) system operated by thescale controller5012 and which is configured to notify a caregiver when the patient changes position relative to thepatient support10′. The twoadditional FSRs5002 and5006 in thehead section38′ are connected to theair controller3004. These twoadditional FSRs5002 and5006 provide additional detection coverage in the head section4038, and also provide a diagnostic function in order to allow theair controller3004 to determine when theseFSRs5002 and5006 are disconnected or malfunctioning.
• The FSRs are of conventional design and have resistance values which change depending upon the amount of force applied thereto. FSRs generally comprise polymer thick film (PTF) devices which exhibit a decrease in resistance with an increase in the force applied to an active surface. More particularly, the resistance of the FSRs drop below a predetermined value when a certain force is applied. While force sensing resistors (FSRs) are utilized in the illustrated embodiment, it should be appreciated that other sensors for detecting the presence of a patient supported on thehead section4390 and theseat section4392 of themattress4014 may be substituted therefore. Illustratively, the FSRs are available from Interlink Electronics of Camarillo, Calif. aspart number 408.
Patient Weight Determination
• As noted above, fourload cells220,222,224, and226 are attached to the four corners of theweigh frame36 of thebed10′. The summation of these fourload cells220,222,224, and226, when their output is converted to a weight, provide the total weight supported by theweigh frame36. The weight ofweigh frame36 and anything supported byweigh frame36, such asdeck26′,mattress4014, any other bed components supported onweigh frame36, and a patient, is transmitted toload cells220,222,224,226. This weight deflects or otherwise changes a characteristic ofload cells220,222,224,226 that is detected to determine the total weight supported thereby. By subtracting a known weight ofweigh frame36,deck26′,mattress4014 and any other bed components supported onweigh frame36, the weight of the patient positioned onpatient support10 can be determined. Additional description of load cells and methods for determining a patient's weight, position in the bed, and other indications provided by load cells is provided in U.S. patent application Ser. No. 09/669,707, filed Sep. 26, 2000, titled Load Cell Apparatus, to Mobley et al., and PCT international Patent Application No. PCT/US/08189, titled Hospital Bed Control Apparatus, to Dixon et al., the disclosures of which are expressly incorporated by reference herein. In one illustrative embodiment, the load cells are available from HBM, Inc. of Marlborough, Mass. According to alternative embodiments of the present disclosure, other configurations and methods of using load cells or other devices to determine a patient's weight or other information related to the patient known to those of ordinary skill in the art are provided.
• Information from thescale controller5012 is transmitted to theair controller3004 through the controller area network (CAN)510. The information is parsed into seven data sets (fourload cells220,222,224,226, threeFSRs5004,5008,5010) with each transmission being spaced apart by approximately 100 milliseconds. Along with each data set is an error byte that contains diagnostic information pertaining to theload cells220,222,224,226.
• Referring further to the flow chart ofFIG. 155, the illustrative process begins upon appropriate activation of thecontroller3004 and with the initialization of all variables. Next, the process continues atblock4734, where thescale controller5012 determines the weight of the patient, as represented by the variable Patient_Weight. In theillustrative process4730, the value of Patient_Weight is determined by thesubprocess5020 illustrated inFIGS. 157 and 158.
• Process5020 begins atblock5022 with the initialization of all variables. As detailed below, the variable Load_Beam_Offset is set to equal a value from the most recent operation of thecontroller3004. Atdecision block5024, thecontroller3004 queries whether it is ready for processing data. More particularly, thecontroller3004 determines whether a complete set of data from the FSRs5002,5004,5006,5008,5010 andload cells220,222,224,226 is available for utilization. As noted above, a complete set of updated data is received every 700 milliseconds. More particularly, seven packages of data are received from thescale controller5012 at the rate of one package every 100 milliseconds. Two additional packages of information are received from the first and thirdhead section FSRs5002 and5006, one every 350 milliseconds. If a complete new set of data from the FSRs5002,5004,5006,5008,5010 and theload cells220,222,224,226 is not available, then the process returns atblock5026 to startblock5022. Ifdecision block5024 is answered in the affirmative, then the process continues to decisionblock5028 where thecontroller3004 processes data from the FSRs5002 and5006 and thescale controller5012. More particularly, theprocessor3004 determines the value of the variable Load_Beam_Total to be equal to the sum of the four inputs from theload cells220,222,224,226. Thecontroller3004 further analyzes the values from the FSRs5002,5004,5006,5008,5010. If any of the FSRs5002,5004,5006,5008,5010 have a resistance indicating the presence of a patient, then thecontroller3004 sets the flag Patient_Present to TRUE.
• Theprocess5020 next continues to block5030 where thecontroller3004 queries whether the data from both the FSRs5002,5004,5006,5008,5010 and thescale controller5012 are stable. More particularly, thecontroller3004 queries whether the patient has been consistently detected as being present or not present for a minimum predetermined amount of time. In the illustrative embodiment, if (1) the patient has been detected for at least approximately 3.5 seconds as indicated by the flag Patient_Present being set to TRUE, or (2) the patient has not been detected for at least approximately 3.5 seconds as indicated by the flag Patient_Present being set to FALSE, then the FSR data is considered stable. Similarly, if the Load_Beam_Total variable has not changed by more than five pounds for at least approximately 3.5 seconds, then the scale data is considered stable. If thecontroller3004 determines that the data is not stable atblock5030, then the process proceeds to block5026. If the data is considered stable, then theprocess5020 then continues to processblock5032.
• In one illustrative embodiment, the FSRs5002,5004,5006,5008,5010 are grouped into two sets, with the first group comprising all of the FSRs5002,5004,5006,5008,5010, and the second group comprising the head section FSRs5002,5004,5006. In order for the FSR data to be considered stable by thecontroller3004, then (1) all of the FSRs in either the first group or the second group must not detect a patient for at least approximately 3.5 seconds, or (2) any of the FSRs in either the first group or the second group must detect a patient for at least approximately 3.5 seconds.
• Atblock5032, thecontroller3004 recalculates the variable Load_Beam_Adj. More particularly, the controller sets Load_Beam_Adj to be equal to the variable Load_Beam_Total minus the variable Load_Beam_Offset. As mentioned above, the variable Load_Beam_Offset is saved from the prior operation of thecontroller3004. The Load_Beam_Offset is defined as the weight measured by thescale controller5012 prior to a patient getting on thebed10′ and being supported by theweigh frame36, and following the addition of themattress4014,footboard18 and any other equipment supported by theweigh frame36. The Load_Beam_Offset takes into consideration the factory calibration, typically the zeroing or initializing of the weight measured by thescale controller5012 without themattress4014,footboard18, or other equipment supported by theweigh frame36. In summary, the Load_Beam_Offset is equal to a load applied to theweigh frame36 in excess of that when thebed10′ is calibrated during manufacture and without the patient supported by theweigh frame36.
• Theprocess5020 then continues todecision block5034, where thecontroller3004 queries whether the conditions have been satisfied to “zero” thebed10′. In other words, thecontroller3004 determines whether conditions are satisfied for recalculating the offset (Load_Beam_Offset) for thebed10′. More particularly, thecontroller3004 queries whether (1) the variable Load_Beam_Adj is less than zero or (2) the variable Load_Beam_Adj is less than a maximum detected offset value and the flag Patient_Present is FALSE. The first instance, where the Load_Beam_Adj is negative, could occur where equipment has been removed from theweigh frame36 since the last operation of thecontroller3004. As such, the value of the variable Load_Beam_Total could be less than the value of the variable Load_Beam_Offset as saved from the prior operation. The second instance, where the variable Load_Beam_Adj is less than a maximum detected offset value and the Patient_Present flag is FALSE could occur where equipment has been added to the bed4010 and is supported by theweigh frame36 since the last operation of thecontroller3004, and no patient is detected as being supported by thedeck26′. If atblock5034, thecontroller3004 determines that the conditions are right to zero thebed10′ then theprocess5020 continues to block5036. Illustratively, the maximum detected offset value is defined as approximately 50 pounds.
• Atprocess block5036, thecontroller3004 calculates a new offset and clears the flag New_Offset_Pending. More particularly, thecontroller3004 equates the variable Load_Beam_Offset to the variable Load_Beam_Total, and sets the New_Offset_Pending flag to FALSE. As such, thecontroller3004 resets the Load_Beam_Offset to be equal to the value of the Load_Beam_Total. The process then continues atblock5038 where thecontroller3004 recalculates the variable Load_Beam_Adj. More particularly, thecontroller3004 equates the variable Load_Beam_Adj to be equal to the variable Load_Beam_Total minus the variable Load_Beam_Offset.
• Theprocess5020 then continues to block5040 where thecontroller3004 applies output filter and weight limits. More particularly, thecontroller3004 updates the variable Patient_Weight only if (1) the variable Load_Beam_Adj is greater than the variable Patient_Weight plus a minimum patient weight change or (2) the variable Load_Beam_Adj is less than the variable Patient_Weight minus the minimum patient weight change. Illustratively, the minimum patient weight change is defined as approximately ten pounds. If the variable Load_Beam_Adj is greater than a maximum patient weight, then thecontroller3004 sets Patient_Weight to be equal to a default maximum patient weight. Illustratively, the maximum patient weight is defined as approximately 350 pounds, while the default maximum patient weight is defined as approximately 400 pounds. If the variable Load_Beam_Adj is less than a minimum patient weight, then the variable Patient_Weight is set to be equal to a default minimum patient weight. Illustratively, the minimum patient weight and the default minimum patient weight are both set to be equal to approximately 65 pounds. Theprocess5020 then continues to returnblock5026 and subsequently todecision block5024.
• Referring again todecision block5034 ofFIG. 157, if the conditions are not proper for resetting the bed4010 as detailed above, then theprocess5020 continues todecision block5042. Atdecision block5042, thecontroller3004 queries whether there is a possible large offset to record. More particularly, thecontroller3004 determines whether (1) the variable Load_Beam_Adj is greater than or equal to the maximum detected offset value and (2) the flag Patient_Present is FALSE. In other words, thecontroller3004 determines whether a large load has been measured by theweigh frame36 and no patient is detected on thedeck26′. As noted above, the maximum detected offset value is illustratively defined as approximately 50 pounds. Ifdecision block5042 is answered in the affirmative, then theprocess5020 continues to processblock5044.
• Atblock5044, thecontroller3004 stores the pending offset and sets the New_Offset_Pending flag. More particularly, the variable Pending_Offset is set equal to the Load_Beam_Total and the flag New_Offset_Pending is set to TRUE. Theprocess5020 then continues to processblock5040 and continues to operate as detailed herein as if a patient is present on thedeck26′.
• Referring again todecision block5042, if there is no possible large offset to record, then the process continues to decision block5046 (FIG. 158). Atdecision block5046, thecontroller3004 queries whether there is an existing pending offset. More particularly, thecontroller3004 queries whether the flag New_Offset_Pending is set to TRUE. Ifdecision block5046 is answered in the negative, then theprocess5020 continues to process block5040 (FIG. 34). Ifdecision block5046 is answered in the affirmative, then theprocess5020 continues todecision block5048.
• Atdecision block5048 ofFIG. 158, thecontroller3004 queries whether the variable Load_Beam_Adj is much greater than the pending offset. More particularly, thecontroller3004 determines whether the variable Load_Beam_Adj is greater than the variable Pending_Offset plus a minimum new patient weight. Illustratively, the value of the minimum new patient weight is defined as approximately 90 pounds. Ifdecision block5048 is answered in the negative, then theprocess5020 continues to processblock5050 where the New_Offset_Pending flag is cleared or set to FALSE. Theprocess5020 then continues to process block5040 (FIG. 157). If thedecision block5048 is answered in the affirmative, then the process continues to block5052.
• Atblock5052, thecontroller3004 updates the offset with the pending offset. More particularly, thecontroller3004 sets a variable Load_Beam_Offset to be equal to the variable Pending_Offset. The situation could occur where a patient is now present on thedeck26′ and the prior pending offset value was equipment supported by theweigh frame36. The process then continues to processblock5054. Atprocess block5054, thecontroller3004 recalculates the variable Load_Beam_Adj. Again, Load_Beam_Adj is equal to the variable Load_Beam_Total minus the variable Load_Beam_Offset. Theprocess5020 then continues to block5050 where the New_Offset_Pending flag is cleared or set to FALSE. Theprocess5020 then continues to process block5040 (FIG. 157) where thecontroller3004 applies output filter and weight limits and updates the patient weight if appropriate. Theprocess5020 then continues to thereturn block5026 and subsequently todecision block5024.
• Once the value of the variable Patient_Weight has been determined, for example by the abovedetailed process5020, theprocess4730 ofFIG. 155 continues atblock4736. Atstep4736, the air zone(s)4254,4358,4360,4390, and4392 being monitored is determined. The bladders in the heel pressure relief member4254, thehead section4390, theseat section4392, and the turn assistbladders4358,4360 may be inflated to varying pressures based on patient weight, as represented by the variable Patient_Weight. However, it is understood that in alternative embodiments not all of theair zones4254,4358,4360,4390, and4392 may be inflated based on patient weight.
• Atstep4736,process4730 determines the desired inflation pressure for the air zone(s)4254,4358,4360,4390, and4392 being monitored based on the patient weight. In the illustrated embodiment,microcontroller3004 obtains the desired pressure for the air zone(s)4254,4358,4360,4390, and4392 from data, such as one or more look-up tables, stored inmemory3010. The desired pressure may be a discrete value, a range of permissible values, or calculated from an equation or algorithm as a function of patient weight. Also, the desired pressure may be different for eachair zone4254,4358,4360,4390, and4392. Further, various other factors, including environmental factors such as temperature and/or altitude, may affect the desired pressure values and be reflected in data in the look-up table.
• As detailed in Table 7, in the illustrated embodiment the appropriate pressures for theseat section4392, in pressure relief and turn assist modes of operation, also depends on the elevation ofhead section38′, as represented by the variable Head_Elevation. Thus, forseat section4392, the appropriate pressure is determined by reference to both patient weight and head angle. However, adjusting the pressure ofseat section4392 based on only one of these criteria, regardless of the mode of operation, is also within the scope of the present invention.
Mattress Seat Section Boost
• As may be appreciated, when thehead section38′ is elevated, a portion of the patient's weight naturally shifts from being supported by thehead section4390 of themattress4014 to theseat section4392 of themattress4014. To compensate for this weight shift, the inflation pressure of theseat section4392 is adjusted in response to changes in the position of the head section4038. In the illustrated embodiment, and as shown in Table 7, the pressure in theseat section4392 is dependent upon the elevation of thehead section4390 only during the pressure relief and turn assist modes of operation. In other words, the pressure in theseat section4392 is not varied in response to changes in elevation of thehead section4390 in the max inflate, CPR, or post-turn assist modes of operation.
• Illustratively, the position ofhead section38′, or head angle, is determined byposition detector606. In the illustrated embodiment, a potentiometer reading corresponding to the head angle is determined bylogic module512 and reported todynamic surface module518 vianetwork510 for use inprocess4730. Additional details regarding operation of the potentiometer for determining head angle is detailed above.
• In determining the pressure for theseat section4392 atblock4738, themicrocontroller3004 compares the angle as determined by theposition detector606 to data stored inmemory3010, such as those values contained in Table 10 below. The ranges of values for adjacent angular regions indicating a change in head elevation in Table 10 overlap, in order to take into consideration hysteresis (dependence of the state of a system on its previous history, generally in the form of a lagging of a physical effect behind its cause) in the head angle evaluation.

• TABLE 10
  HEAD ELEVATION ANGLE
  Head Elevation Angle Regions

  				Angle Used in
  Angular	Minimum	Maximum		Calculations for
  Region	Angle	Angle	Tolerance	Head Elevation
  0	0°	30°	+/−3°	30°
  1	26°	40°	+/−3°	40°
  2	36°	50°	+/−3°	50°
  3	46°	60°	+/−3°	60°
  4	56°	65°	+/−3°	65°

• For example,head section38′ will be considered to have moved from region 0 (zero) to region 1 (one) if theposition detector606 measures a head angle of between approximately 30 and 40 degrees. However, oncehead section38′ is in region 1 (one), it will not be considered to have moved back to region 0 (zero) unless theposition detector606 measures a head angle below region 1 (one), e.g., approximately 26 degrees or less, is received. Further, as indicated in Table 10, the variable Head_Elevation for use in pressure calculations is set to a predetermined value for each region of measured head elevation. For example, in region 1 (one), the variable Head_Elevation is set to 40 degrees, while in region 2 (two), the variable Head_Elevation is set to 50 degrees.
• If a change in position occurs in the downward direction, from one angular region to a different angular region, i.e., head section4038 is lowered from region 2 (two) to region 1 (one) in Table 10, then atstep4738 the desired pressure ofseat section4392 is decreased according to the weight of the patient, represented by Patient_Weight, and the current head angle set as Head_Elevation. The desired pressure range (Pressure_Seat range) is determined by reference to a look-up table stored inmemory3010. Table 7 is an example of such a table.
• If a change in position occurs in the upward direction, from one angular region to a different angular region, i.e.,head section38′ is elevated from region 0 (zero) to region 1 (one) in Table 10, then atstep4738 the desired pressure ofseat section4392 is increased according to the weight of the patient, represented by the variable Patient_Weight, and the current head angle set as Head_Elevation. In addition, a “seat boost” may be applied to seat section, as detailed below, meaning thatseat section4392 is initially over-inflated for a brief period of time to compensate for the above-mentioned weight shift.
• Atstep4740,microcontroller3004 measures the current pressure as described above and determines whether the current pressure is less than, equal to, or greater than the desired pressure determined as described above. Atblock4742, themicrocontroller3004 queries whether the actual pressure is greater than the desired pressure determined atstep4738 above. If so, then atstep4744, the zone is deflated to the desired pressure. Atblock4746, themicrocontroller3004 queries whether the current pressure is less than the desired pressure. If so, themicrocontroller3004 commandspower supply3006 to activatepump4064 to inflatebladders2304 to the desired pressure as described above, atstep4738.
• After the pressure is decreased or increased atblocks4744 and4748, respectively, theprocess4730 continues to block4750. Atblock4750, thecontroller3004 determines if theseat section4392 requires a pressure “boost.”
• In addition to other functions discussed above and elsewhere in this disclosure,pressure control system3000 may performadditional processes4800,4900 for increasing or “boosting” the inflation of seat section according to the elevation of head section4038. One embodiment of such method is shown inFIG. 160 and described below.
• As noted above, whenhead section38′ is elevated, a portion of the patient's weight naturally shifts fromhead section4390 of themattress4014 toseat section4392 of themattress4014. A similar weight shift occurs when the patient sits up in thebed10′ such that the patient's weight is supported mostly or entirely by theseat section4392. To anticipate this weight shift and prevent “bottoming out,” the inflation pressure ofseat section4392 is boosted in response to changes in the position ofhead section38′. Table 11 shows boost pressure ranges for seat section depending on ranges of patient weight.

• TABLE 11
  SEAT BOOST PRESSURE (in H2O)

  Patient-Weight

  MODE	>0, ≤140	>140, ≤260	>260
  Head Angle Increase *	10.0-20.0	15.0-21.0	19.0-29.0
  Sitting-Up	10.0-20.0	15.0-21.0	19.0-29.0
  * Duration of Head Angle Increase Boost: 15 seconds ± 5 seconds; Head Angle Change Required for Boost: +3° ± 1.50

• Process4800 begins atblock4802 with the determination of the elevation of the head section (Head_Elevation), in the manner detailed above. Atdecision step4804,process4800 evaluates the input received fromlogic module512 and determines whetherhead section38′ has experienced at least a 3 degree increase in position by comparing the current head angle to the previous head angle. If the head angle has increased by at least approximately 3 degrees, theprocess4800 continues to step4806. If thehead section38′ has not been elevated by at least approximately 3 degrees, then process4800 returns to step4802. It is understood that 3 degrees is an exemplary value and that a change in the head angle may be indicated by a greater or lesser value as appropriate. Of course, during this time,pressure control system3000 continues to periodically measure the pressure of theseat section4392 to make sure that it is within the desired ranges.
• It should be appreciated that if a change in position occurs in the downward direction, i.e.,head section38′ is lowered, then atstep4804 no pressure increase in theseat section4392 is triggered. If a change in position occurs in the upward direction by at least 3 degrees, i.e.,head section38′ is elevated, then atstep4806 the inflation pressure of seat section is increased. In other words, a “seat boost” is applied toseat section4392, meaning thatseat section4392 is initially over-inflated for a brief period of time to compensate for the above-mentioned weight shift. Atblock4808, a timing decision is executed by thecontroller3004 to determine if the pressure boost exceeds a predetermined time, illustratively between 1 second and 30 seconds. In one illustrative embodiment, the predetermined time is set at approximately 15 seconds. If the pressure boost does not exceed the predetermined time, then the pressure boost continues atblock4806. If the predetermined time has passed, then theprocess4800 continues to block4810, where the pressure boost is terminated.
• Examples of the initial “seat boost” pressures are shown in Table 11. After the seat boost period expires,process4800 adjusts the pressure ofseat section4392 to the desired level based on patient weight and head angle, as determined by the look-up Table 7 as detailed above.
• Referring now toFIG. 161,process4900 for providing a sudden elevation or “boost” of pressure in theseat section4392 likewise is triggered when the patient Sits up in thebed10′ such that the patient's weight is supported mostly or entirely by theseat section4392.Process4900 begins atblock4902 with thecontroller3004 monitoring the patient sensors or FSRs5002,5004,5006,5008,5010. Atdecision block4904, thecontroller3004 queries whether the head section patient sensors or FSRs5002,5004,5006 detect the presence of a patient in thehead section38′. Ifblock4904 is answered in the affirmative, then the process returns to block4902 and thecontroller3004 continues monitoring the FSRs5002,5004,5006,5008,5010. If atblock4904 the head section FSRs5002,5004,5006 do not detect a patient, then the process continues to block4906.
• Atdecision block4906, thecontroller3004 queries whether the patient weight (Patient_Weight) is greater than a predetermined amount. In the illustrative embodiment, the predetermined amount is approximately 100 pounds. If the value of Patient_Weight is not greater than approximately 100 pounds, then the process returns to block4902. In other words, the no pressure boost will occur in theseat section4392 if the determined patient weight is not greater than approximately 100 pounds. If the value of Patient_Weight is greater than approximately 100 pounds, then theprocess4900 continues to block4908 where the inflation pressure ofseat section4392 is increased. In other words, a “seat boost” is applied toseat section4392, meaning thatseat section4392 is initially over-inflated for a brief period of time to compensate for the above-mentioned weight shift. The seat boost continues indefinitely as long as the decision blocks4904 and4906 are answered affirmatively. Of course, during this time,pressure control system3000 continues to periodically measure the pressure of theseat section4392 to make sure that it is within the desired ranges.
• Examples of the initial “seat boost” pressures are shown in Table 11. After the seat boost period expires,process4900 adjusts the pressure ofseat section4392 to the desired level based on patient weight and head angle, as determined by the look-up Table 7 as detailed above.
Patient Turn Assist
• In addition to other functions discussed above and elsewhere in this disclosure,pressure control system3000 ofdynamic surface module518 controls the operation of turn assistbladder assembly4220 during the turn assist mode of operation. Turn assistbladders4358,4360 are configured to be selectively inflated to assist a caregiver in turning or rotating a patient, e.g., for therapy or treatment reasons. One embodiment of aprocess3032 for controlling operation of turn assistbladders4358,4360 is shown inFIG. 159 described below.Process3032 is implemented using application software stored inmemory3010 ofmicrocontroller3004. The structure of turn assistbladders4358,4360 is described elsewhere in this application.
• Atstep3034 ofFIG. 159,process3032 detects whether a request has been received to activate one of turn assistbladders2262,2264. In the illustrated embodiment, such a request is initiated by an operator or caregiver activating one of the turn assistbuttons1624,1626 (FIG. 75) located onsiderail controllers52,54. However, it is understood that other means for activating the turn assist may be used. For example, control system44 may be programmed to automatically activate one or more of the turn assistbuttons1624,1626 at scheduled times during the day or night.
• Atdecision step3036, prior to initiating the turn assist function,process3032 checks to make sure that the siderails4020,4022 located on the side ofpatient support10′ that the patient is being turned toward are in the up position, based on signals provided bysiderail position detectors60. If one or more of siderails4020,4022 on the side ofpatient support10′ toward which the patient is being turned is not in the up position, an error signal is generated atstep3038 andprocess3032 ends. In the illustrated embodiment, an audible or visual signal is generated for a brief period or until the siderail or siderails4020,4022 are brought to the up position. Thus, in the illustrated embodiment, the siderails4020,4022 toward which the patient is being turned must be in the up position in order for the turn assist process to initiate. It is possible, however, that in other embodiments, a caregiver or operator may override this restriction, or that this restriction may be made optional, for example, depending on the circumstances of a particular patient.
• Atstep3040,process3032 checks to see if the angle ofhead section38′ (Head_Elevation) is less than, equal to, or greater than a predetermined maximum angle. In the illustrated embodiment, the maximum head angle is about 25 degrees. In one embodiment, signals are provided by theposition detector606 directly to thedynamic surface module518, which determines the head angle. Alternatively, the head angle determination is made bylogic module512 which reports the head angle todynamic surface module518 for use inprocess3032, viaCAN network510. If the head angle is less than or equal to 25 degrees, then the turn assist process continues to step3044. However, if the head angle is greater than about 25 degrees, an error signal is generated atstep3042, and the turn assist process is not permitted to continue.
• Atstep3044, the weight of the patient (Patient_Weight) being supported bypatient support10′ is determined as described above so that a desired pressure based on patient weight is applied to the selected turn assistbladder4358,4360.
• Atstep3046, if first turn assistbutton1624 is activated, first turn assistbladder4358 inflates to rotate a person inpatient support10′ upwardly in a counter-clockwise from the perspective of a person standing behindhead section38′. If second turn assistbutton1626 is activated, second turn assistbladder4360 inflates to rotate the person upwardly in the opposite direction as rotated in response to activation of first turn assistbutton1624. Inflation of the selected turn assistbladder4358,4360 raises one side of the patient to a predetermined angle. In the illustrated embodiment, the selected turn assistbladder4358,4360 inflates to rotate the patient onto his or her side at about a 20 degree angle with respect tomattress4014, in approximately 20-50 seconds, depending on the weight or size of the patient. It is understood that the predetermined angle and speed of inflation may be changed or modified as needed based on a variety of factors, including the purpose for rotating the patient.
• A timer is set atstep3048 when the selected turn assistbladder4358,4360 is inflated. The selected turn assistbladder4358,4360 remains inflated for a predetermined period of time and is then automatically “reset” or deflated. The predetermined time is empirically determined by the needs and desires of the patient and caregiver in an operating environment and illustratively is a time within a range of approximately 5 seconds to approximately 5 minutes. In the illustrative embodiment, the duration of turn assist inflation is about 10 seconds. Atstep3050 the timer counts out this wait period. After the wait period is complete (e.g., after 10 seconds), an audible or visual signal is generated to indicate to the patient and caregiver that the selected turn assistbladder4358,4360 is about to enter a “post-turn assist” mode or phase.
• In the post-turn assist mode,process3032 begins deflating the selected turn assistbladder4358,4360 atstep3052. In the illustrated embodiment, deflation is expedited by quickly “hyperinflating” bladders of the head andseat sections4390 and4392 to a firm, “post-turn assist” inflation pressure (see, e.g., Table 6 and Table 7). Inflation of head andseat sections4390 and4392 exerts pressure on turn assistbladders4358,4360 causing turn assistbladders4358,4360 to expel air more rapidly. Alternatively, a vacuum mechanism may be coupled to turn assistbladders4358,4360 to accelerate deflation.
• Monitor activity step3060 is a step that is periodically executed during the turn assist operation. This process detects whether a patient or caregiver attempts to utilize other bed features while the turn assist is in operation. Additional details regarding the operation of the dynamic surface module are provided above.
CPR Configuration
• Patient support10′ may be placed in the preferred CPR configuration by providing an indication to control system44 which in turn controls actuators48c,48d,48eto place head, seat, and leg sections in a generally linear relationship, controlspump4064, to inflateupper bladder assembly4222 to the desired pressures, and controlsdeck support24 to lower a head end relative to a foot end. In the illustrative embodiment, the control system44 inflates thebladder assembly4394 of thehead section4390 to its desired CPR pressure before it inflates thebladder assembly4396 of theseat section4392 to its desired CPR pressure. As such, thehead section4390 reaches its desired firmness prior to theseat section4392. This functionality is desirable since CPR procedures typically require pressure to be applied to the upper torso or chest of a patient.
Mattress Air Pump
• Pump64 is configured to provide pressurized air tomanifold62 and the pneumatic devices ofmattresses14,4014. As shown in the illustrative embodiment ofFIGS. 162 and 163, pump64 includes asupport bracket5440 coupled to astrut211 ofweigh frame36, a pump cover support plate orbracket5444 supported bysupport bracket5440, apump cover5446 supported byhousing support bracket5444, a pumpunit support bracket5448 also supported byhousing support bracket5444, apump unit5450 supported by pumpunit support bracket5448, and a filter andmuffler unit5452 supported on the outside ofpump cover5446.
• Many pump units, such aspump unit5450, create noise and vibration during operation. Several of the components ofpump64 are configured to reduce the transmission of the noise and vibration generated bypump unit5450.
• As shown inFIGS. 113 and 162-164,support bracket5440 includes a pair of saddle-shapedportions5454 that hook or loop overstrut211 and fourarms5456 that extend down from saddle-shapedportions5454. U-shaped rubber or elastic members5458 (only one is shown inFIG. 163) are positioned between saddle-shapedportions5454 and strut211 as shown inFIG. 164 to reduce the vibration transmitted frompump64 to strut211.
• Saddle-shape portions5454 includesapertures5460 sized to receivefasteners5462 thatcouple bracket5440 to strut211. Similarly, strut211 includesapertures5464 sized to receivefasteners5462. Howeverapertures5464 are large enough that strut211 does not come into contact withfasteners5462 to avoid a direct, rigid coupling betweenbracket5440 and strut211 (FIG. 164). Rather coupling occurs throughU-shaped rubber members5458.
• Pumpcover support bracket5444 includes fourarms5466 that include fastener-receivingnotches5468. Rubber or elastic grommets5470 (only one is shown inFIG. 163) are provided that are received in each ofnotches5468. Eachgrommet5470 includes twohead portions5472, anannular groove5474 defined betweenhead portions5472, and a fastener-receiving aperture (not shown) sized to receivefasteners5476 therethrough.
• Grommets5470 are positioned innotches5468 so thathead portions5472 overlaps portions ofarms5466 and portions ofarms5466 are positioned ingrooves5474. As shown inFIG. 162,lower head portions5472 ofgrommets5470 are positioned on top ofarms5456 ofsupport bracket5440 so thatlower head portions5472 are positioned betweensupport bracket5440 and pumpcover support bracket5444.Fasteners5476 extends throughgrommets5470 so thatupper head portions5472 are positioned between head portions offasteners5476 andarms5466 and a nut (not shown) coupled to lower thread portions offasteners5476 abut the undersides ofarms5456. Because portions ofgrommets5470 are positioned betweenfasteners5476 andarms5466,5456, no rigid, direct coupling is provided between pumpcover support bracket5444 andsupport bracket5440.
• Pump cover5446 is coupled to pumpcover support bracket5444 by a plurality offasteners5478. Afoam gasket5480 is compressed betweenpump cover bracket5444 and pumpcover5446 to reduce the transmission of noise and vibration. Similarly, afoam lining5482 is provided on the interior surfaces ofpump cover5446. According to an alternative embodiment of the present disclosure a foam lining is also provided on the underside of pumpcover support bracket5444.
• Pumpunit support bracket5448 is welded or otherwise rigidly coupled to the underside of pumpcover support bracket5444 so that pumpunit support bracket5448 is suspended within aninterior region5484 defined byfoam lining5482. Preferably, no portion of pumpunit support bracket5448 orpump unit5450touch foam lining5482.
• Pump unit5450 is supported on pumpunit support bracket5448 by at least four resilient feet5486 (only one such foot is shown inFIG. 163) made of a rubber material. As shown inFIG. 166, eachfoot5486 includes fourannular head portions5488 that defineannular grooves5490 therebetween, asupport portion5492 positioned betweenhead portions5488, and two pullportions5494 positioned at opposite ends. As shown inFIGS. 163 and 166,pump unit5450 illustratively includes a plurality ofapertures5496 and pumpunit support bracket5448 includes a plurality ofapertures5498 sized to receivefeet5486. To installfeet5486, an assembler inserts pullportions5494 throughrespective apertures5496,5498 and pulls onpull portions5494 until the upper-most and lowermost head portions5488 are pulled throughrespective apertures5496,5498. After assembly, portions of pumpunit support bracket5448 andpump unit5450 are positioned inannular grooves5490 as shown inFIG. 166.
• An alternative embodimentresilient foot5510 is shown inFIG. 167 coupled to pumpunit5450 and pumpunit support bracket5448.Resilient foot5510 includes abody portion5512 made of a rubber or elastic material, anut5514, and a threadedstud5516.Body portion5512 is molded aroundnut5514 and threadedstud5516. To couplefoot5510 to pumpunit5450 and pumpunit support bracket5448, abolt5518 is threaded intonut512 and anut5520 is threaded ontostud5516. Preferably, portions ofbody portion5512 are positioned betweennut5514 andpump unit5450 and betweenstud5516 and pumpunit support bracket5448 to provide increased frictional contact therebetween.
• As shown inFIG. 162, a lower end of filter andmuffler unit5452 is positioned in an inverted cover or pan5522 ofpump cover5446.Pan5522 includes threeside walls5524,5526,5528 and abottom wall5530.Side walls5524,5526,5528 cooperate to form a pair of slits orinlets5532 therebetween andside wall5526 includes a pair ofapertures5534. As shown inFIG. 165, lower end of filter andmuffler unit5452 is spaced apart frombottom wall5530 by adistance5531 so that a downwardly facinginlet5536 of filter andmuffler unit5452 is spaced apart and facingbottom wall5530. Acable tie5538 is provided that wraps around filter andmuffler unit5452 and extends throughapertures5534 to couple filter andmuffler unit5452 toside wall5526.
• If liquid is sprayed into or otherwise enterspan5522, it will drain out ofslits5532. Furthermore, becauseinlet5536 is facing and relative close tobottom wall5530, liquid cannot be sprayed intoinlet5536 throughslits5532 from outside ofpan5522 because the path betweenslits5532 andinlet5536 is non-linear. Thus, pan5522 blocks any direct spray path intoinlet5536 so that it is difficult for liquid to inter filter andmuffler unit5452.
• Preferably, filter andmuffler unit5452 is configured to filter out many impurities in the air so that these impurities are not introduced to pumpunit5450,manifold62, ormattress14. With further reference toFIGS. 163 and 165, air from filter andmuffler unit5452 is communicated to pumpunit5450 throughtube5540 coupled to anoutlet5542 of filter andmuffler unit5452.Tube5540 extends through a tube-receivingnotch5544 in pumpcover support bracket5444 shown inFIG. 103 and couples to an inlet fitting5546 ofpump unit5450.
• During operation,pump unit5450 generates noise that can travel throughtube5540. Filter andmuffler unit5452 is configured to attenuate this noise so that it is not introduced into the patient environment.
• Anothertube5548 is coupled to an outlet fitting5550 ofpump unit5450 that supplies pressurized air tomanifold62.Tube5548 extends through another tube-receivingnotch5552 in pumpcover support bracket5444.Tube5548 extends alongstrut211 ofweight frame36 as shown inFIG. 18 until it reaches longitudinally extendingmember198 ofweigh frame36. As shown in phantom inFIG. 18,tube5548 extends toward foot end ofpatient support10 along an inner side of longitudinally extendingmember198 until it reaches a middle portion thereof. Then,tube5548 turns inward toward the center ofpatient support10. As shown inFIG. 13,tube5548 extends through anaperture5556 and extends uphead section38 ofdeck26 between two strut members5558 (shown best inFIG. 45) ofhead section38 until it reaches T-connector2412 ofmanifold62 as shown inFIGS. 117 and 118.
• A further illustrative embodimentmattress air pump4064, as shown inFIGS. 168 and 170, includes asupport bracket5640 coupled to strut211 ofweigh frame36, a pump cover support plate orbracket5644 supported bysupport bracket5640, apump cover5646 supported byhousing support bracket5644, a pumpunit support bracket5648 also supported byhousing support bracket5644, apump unit5650 supported by pumpunit support bracket5648, and a filter andmuffler unit5652 supported insidepump cover5646.Pump unit5650 draws air through filter andmuffler unit5652 from outside ofpump4064 and provides the air tomanifold62.
• As shown inFIGS. 169 and 170,support bracket5640 includes asaddle member5654 that hangs fromstrut211 and asupport member5657 having fourarms5656 that extend away fromsaddle member5654. A pair of rubber orelastic grommets5658 are positioned between respective tab sets5659 ofsaddle member5654 and strut211 as shown inFIG. 170 to reduce the vibration transmitted frompump4064 to strut211. Steel sleeves5661 (only one is shown inFIG. 169) are welded in place withinstrut211 to receivegrommets5658.
• Tab sets5659 includesapertures5660 sized to receivefasteners5662 thatcouple bracket5654 to strut211. Similarly, strut211 includes apertures5664 sized to receivesteel sleeve5661. When positioned in apertures5664, portions ofsteel sleeves5661 extend below the bottom ofstrut211 as shown inFIG. 170.Steel sleeves5661 are welded to strut211 along two lines5665 (as shown inFIG. 169) defined between the bottom ofstrut211 andsleeve5661.
• Steel sleeves5663 (only one is shown inFIG. 169) are positioned inrespective grommets5658 to receivefasteners5662.Grommets5658 are sandwiched or positioned betweenstrut211 andbracket5654 and strut211 andfasteners5662 to avoid a direct, rigid coupling betweenbracket5654 and strut211. Rather, the coupling occurs throughgrommets5658.
• Pumpcover support bracket5644 includes fourarms5666 that include fastener-receivingnotches5668.Resilient bushings5670 and provided that are received in each ofnotches5668.Bushings5670 are positioned innotches5668 so thatupper head portions5671 ofbushings5670 overlap portions ofarms5666 and ashank portions5673 are positioned innotches5668 as shown inFIG. 173.Resilient washers5675 are positioned on top ofarms5656 ofsupport bracket5640 so that the lower head portions are positioned betweensupport bracket5640 and pumpcover support bracket5644.Fasteners5676, such as machine screws, extend throughmetal washers5677 andbushings5670 so thatwashers5677 andupper head portions5671 ofbushings5670 are positioned between head portions offasteners5676 andarms5666.Fasteners5676 are screwed intoarms5656. Because portions ofbushings5670 andwashers5675 are positioned betweenfasteners5676 andarms5666,5656, no rigid, direct coupling is provided between pumpcover support bracket5644 andsupport bracket5640.
• Bushings5670 andwasters5675 are preferable made of thermoset, polyether-based, polyurethane material sold under the name SORBOTHANE by Sorbothane, Inc. of Kent, Ohio. SORBOTHANE-brand material is a visco-elastic material. According to alternative embodiments, other resilient or elastic materials such as rubber are used for the bushings and washers.
• Pump cover5646 is coupled to pumpcover support bracket5644 by a plurality offasteners5678. As shown inFIG. 171, afoam lining5680 is provided in aninterior region5684 defined bypump cover5646 and pumpcover support bracket5644 to reduce the transmission of noise and vibration.Foam lining5680 includes afoam top5682 adhered to pumpcover support bracket5644, afoam wall5683 adhered to the walls ofpump cover5646, and afoam bottom5685 adhered to the bottom ofpump cover5646.Foam top5644 provides a seal betweenpump cover5646 and pumpcover support bracket5644.Foam lining5680 is made of acoustic damping material to attenuate noise introduced insidepump cover5646.
• Pumpunit support bracket5648 is welded or otherwise rigidly coupled to the underside of pumpcover support bracket5644 so that pumpunit support bracket5648 is suspended within aninterior region5684 defined byfoam lining5680. As shown in phantom inFIG. 171,pump unit5650 extends into and compresses portions offoam lining5680.
• Pump unit5650 is supported on pumpunit support bracket5648 by at least four resilient feet5686 (only two such feet are shown inFIG. 169) made of a rubber or elastic material. Additional description of suitableresilient feet5686 is provided above.
• As shown inFIG. 171, filter andmuffler unit5652 is held ininterior region5684 by aflange5688 welded to asidewall5690 ofpump cover5646. Before assembly,flange5688 toward the center ofpump cover5646. During assembly, filter andmuffler unit5652 is positionedadjacent flange5688.Flange5688 is then bent towardsidewall5690 to the position shown inFIG. 169 to press filter andmuffler unit5652 intofoam lining5680 as shown inFIG. 171.
• As shown inFIG. 171, aninlet5710 of filter andmuffler unit5652 is coupled to a tube orhose5712 that extends through an aperture orinlet5714 inpump cover5646. Agrommet5716 is positioned inaperture5714 to provide a seal betweentube5712 and pumpcover5646. Atube cover5718 is welded to pumpcover5646 that cover anend5713 oftube5712 extending out ofpump cover5646.Tube cover5718 includes threesidewalls5720,5722,5724 and atop wall5726.Sidewalls5720,5722,5724 cooperate withpump cover5646 to form an aperture orinlet5728.
• If liquid is sprayed into or otherwise enterscover5646, it will drain out ofaperture5728. Furthermore, becauseend5713 oftube5712 is facing and relative close towall5722 ofcover5718, liquid cannot be directly sprayed intoinlet end5713 oftube5712 throughaperture5728 from outside ofpan cover5718 because the path betweenaperture5714 andaperture5728 is non-linear. Thus, cover5718 blocks any direct spray path intoend5713 oftube5712 so that it is difficult for liquid to enter filter and muffler unit4652.
• Interior components (not shown) of filter andmuffler unit5652 filter out many impurities in the air so that these impurities are not introduced to pumpunit5650,manifold62, ormattress4014. Air from filter andmuffler unit5652 is communicated to pumpunit5650 throughinterior region5684 from anoutlet5642 of filter andmuffler unit5652. During operation ofpump unit5650, air frominterior region5684 is drawn into aninlet5730 ofpump unit5650 that is spaced apart from filter andmuffler unit5652. This creates negative pressure withininterior region5684. Because of the pressure difference betweeninterior region5684 and the environment outside ofpump5660, air is drawn intointerior region5684 through filter andmuffler unit5652. This air entersinterior region5684 defined byfoam lining5680 before entering intoinlet5730 ofpump unit5650. Thus,foam lining5680 defines a portion of the path of travel of the air throughpump unit5650.
• Becauseinlet5730 ofpump unit5650 is not directly coupled to filter andmuffler unit5652, noise exitingpump unit5650 is not directly transmitted to filter andmuffler unit5652. This noise exitspump unit5650 intointerior region5684 and is attenuated byfoam lining5680. Any noise that entersoutlet5642 of filter andmuffler unit5652 frominterior region5684 is attenuated further by filter andmuffler unit5652. Furthermore, becausepump unit5650 is not directly coupled to filter andmuffler unit5652, most vibration generated bypump unit5650 is not transmitted outside ofpump4064 bytube5712.
• Anothertube5732 is coupled to an outlet fitting5734 ofpump unit5650 that supplies pressurized air tomanifold62.Tube5732 extends through an aperture5736 in pumpcover support bracket5644. A grommet5738 is positioned in aperture5736 to provide a seal betweentube5732 and pumpcover support bracket5644. As shown inFIG. 172,support member5657 includes anotch5739 that provides clearance fortube5732 to extend throughsupport member5657.Pump unit5650 also includes apower cord5740 that extends through a cord-receiving notch5742 in pumpcover support bracket5644 and couples to the power supply.
• Although the invention has been described in detail with reference to certain preferred embodiments, variations and modifications exist within the spirit and scope of the invention as described and defined in the following claims.

Claims (20)

What is claimed is:

1. A patient support comprising

a frame including a base frame supported by a floor, an intermediate frame positioned over the base frame to move relative to the base frame, and an actuator interconnecting the base frame and the intermediate frame to cause the intermediate frame to move relative to the base frame,

a control system coupled to the actuator to provide a signal to cause the actuator to move, and

an obstacle detection device coupled to the intermediate frame and to the control system, the obstacle detection system being configured to provide an obstacle detection message to the control system to cause the control system to take an action when the obstacle detection device detects an obstacle positioned between the base frame and the intermediate frame.

2. The patient support ofclaim 1, wherein the obstacle detection device is a pressure sensor.

3. The patient support ofclaim 2, wherein the pressure sensor is configured to provide the obstacle detection signal when a higher than expected pressure is detected by the pressure sensor.

4. The patient support ofclaim 2, wherein the pressure sensor is a pressure switch.

5. The patient support ofclaim 1, wherein the obstacle detection device includes a first sensor coupled to the intermediate frame and a second sensor coupled to the intermediate frame and spaced-apart laterally from the first sensor.

6. The patient support ofclaim 5, wherein the intermediate frame includes first and second longitudinally extending members spaced apart laterally from one another and the first sensor is coupled to a bottom surface of the first longitudinally extending member and the second sensor is coupled to a bottom surface of the second longitudinally extending member.

7. The patient support ofclaim 1, wherein the obstacle detection is coupled to a surface of the intermediate frame that is arranged to face toward the floor.

8. The patient support ofclaim 1, wherein the action includes a stop signal sent from the control system to the actuator to cause the actuator to stop moving.

9. The patient support ofclaim 8, wherein the action further includes an alarm signal sent from the control system to an alarm device to cause the alarm device to communicate to a caregiver that the obstacle has been detected.

10. The patient support ofclaim 8, wherein the stop signal further allows movement of the actuator to cause the intermediate frame to move away from the base frame.

11. The patient support ofclaim 8, wherein the stop signal sent by the controller only blocks movement of the actuator that causes the intermediate frame to move toward the base frame.

12. The patient support ofclaim 1, wherein the action includes a raise signal sent from the control system to the actuator to cause the actuator to move the intermediate frame away from the base frame for a predetermined time period.

13. The patient support ofclaim 1, wherein the base frame has a perimeter and the obstacle detection device is further configured to detect an obstacle positioned to lie outside the perimeter of the base frame.

14. A patient support comprising

a frame including a base frame supported by a floor, an intermediate frame coupled to the base frame to move relative to the base frame, a deck coupled to the intermediate frame to articulate between a plurality of positions relative to the intermediate frame, and an actuator interconnecting the base frame and the intermediate frame to cause the intermediate frame to move relative to the base frame,

a control system coupled to the actuator to provide a signal to cause the actuator to move, and

an obstacle detection device coupled to a lower surface of the deck and to the control system, the obstacle detection system being configured to provide an obstacle detection message to the control system to cause the control system to take an action when the obstacle detection device detects an obstacle positioned between the deck and the floor.

15. The patient support ofclaim 14, wherein the deck includes a head section pivotably coupled to the intermediate frame, a seat section pivotably coupled to the intermediate frame, and a foot section pivotably coupled to the seat section and the obstacle detection device is coupled to the lower surface of the foot section.

16. The patient support ofclaim 15, wherein the foot section includes a first leg section and a second leg section coupled to the first leg section to move relative to the first leg section between a first position in which the foot section has a first length and a second position in which the foot section has a relatively greater length.

17. The patient support ofclaim 16, wherein the obstacle detection device is coupled to the second leg section of the foot section to move therewith.

18. The patient support ofclaim 14, wherein the base frame has a perimeter, the deck extends outwardly beyond the perimeter of the base frame, and the obstacle detection device is further configured to detect an obstacle positioned to lie outside the perimeter of the base frame.

19. The patient support ofclaim 14, wherein the obstacle detection device is a pressure sensor.

20. The patient support ofclaim 19, wherein the pressure sensor is configured to provide the obstacle detection signal when a higher than expected pressure is detected by the pressure sensor.

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