Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
  • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
  • A61G7/02—Beds specially adapted for nursing; Devices for lifting patients or disabled persons with toilet conveniences, or specially adapted for use with toilets

Definitions

• the present invention relates to an anti-decubitus medical mattress for patients immobilized on their bed.
• the mattress For some incontinent bedridden patients, the mattress must allow the evacuation of solid and liquid excrement and facilitate the toilet.
• the medical mattress for patients who are bedridden for long periods or for incontinent bedridden people must not only be comfortable and avoid the formation of bedsores while allowing a lifestyle close to normal, but it must be of robust and rustic design. and easy to implement by unqualified personnel.
• the subject of the invention is a medical mattress consisting of: a flexible rectangular tubular envelope open at both ends, compartmentalized in a central zone extending along the longitudinal axis of the envelope, open at both ends and flanked on both sides by a relatively narrow lateral zone forming a border, also open at both ends;
• REPLACEMENT SHEET two sets of elements made of foam material capable of being inserted at will into the border compartments; two small water mattresses capable of being inserted at will into said central compartment, said foam elements and water mattress being arranged in the envelope in a manner substantially symmetrical with respect to the transverse central axis of said envelope, however that the facing edges of the water mattresses have a concavity so as to provide in the central area of the medical mattress, transverse to the latter, a bowl; an orifice made in the upper wall of the envelope, in the central part of said bowl, connected to at least one flexible conduit disposed inside the envelope and opening out to the outside of the mattress in view of the '' evacuation of droppings and contaminated water; - And a supply device, to one and / or the other of the two water mattresses, of water regulated in temperature and in flow / pressure.
• each water mattress is formed from a flexible envelope with several compartments communicating with one another through one or more orifices, the water entering and leaving up to two extreme compartments of said envelope, while the sending water under an adjustable determined pressure is carried out according to a programmable cycle comprising a phase of sending water from the supply device to the water mattresses at an adjustable predetermined flow rate and a free return phase, at a flow rate predetermined adjustable, from the mattress water to the water supply device.
• Such a mattress makes it possible to adjust to the needs of the moment the extent of the central bowl by positioning at will each water mattress inside its housing defined by the central compartment of the envelope, by relative displacement of the following mattress the longitudinal axis of the envelope, so as to bring the two concave edges opposite or away from the two water mattresses.
• the prediction of successive cycles of swelling and then deflation of the water mattresses results in micromovements on the surface of each of said mattresses, which promote the vascularization of the bedridden patient and avoid consequently the formation of bedsores.
• - Figure 2 is a partial schematic view of a small water mattress of the device of Figure 1;
• - Figure 3 is a schematic cross-sectional view along the axis T of the medical mattress of Figure 1, installed on a bed;
• FIG. 4 is a schematic view in partial section along the axis L of the medical mattress of Figure 1, installed on a bed;
• FIGS. 5a and 5b illustrate two modes of connection of the two small water mattresses to the regulated water supply device
• FIG. 6 is a block diagram of a regulated water supply device, according to a preferred embodiment.
• a tubular flexible envelope of rectangular shape, open at its two ends.
• the envelope 1 is for example produced at
• REPLACEMENT SHEET using a folded, heat-sealed polyvinyl chloride sheet to form a flattened tube.
• this envelope 1 is compartmentalized in order to delimit by two weld lines or partitions 2 parallel to the longitudinal edges of the rectangular envelope 1, on the one hand, a central compartment (3a, 3b) extending in the longitudinal axis L of the casing 1, and open at the two ends of the latter and, on the other hand, two lateral compartments (4a, 4b and 5a, 5b), at the edge of the mattress, also open at the two ends of the envelope 1.
• the central compartment (3a, 3b) of the envelope 1 has a width of the order of 55 to 60 cm and each border compartment (4a, 4b; 5a, 5b) has a width of l '' from 15 to 17.5 cm.
• the envelope 1 is, either fictitiously or effectively using a heat-sealing line as illustrated at 6 in FIG. 1, along the transverse axis T of the envelope 1, divided into two half-parts, called half part of the head and half part of the feet.
• the central compartment is divided into two parts 3a, 3b and the two border compartments are each divided into two parts respectively 4a, 4b and 5a, 5b.
• Each central half-compartment 3a, 3b forms like a pocket into the opening of which a small water mattress 7a, 7b can be inserted respectively.
• FIG. 1 a water mattress 7a is shown outside of the envelope 1, ready to be inserted in the compartment or pocket 3a and the other mattress 7b is shown completely inserted in the compartment or pocket 3b.
• Each tubular compartment 4a, 4b, 5a, 5b is moreover capable of receiving an element 8 of foam material, for example polyurethane foam, either of a block, of approximately rectangular section, or, as shown in the drawings, consisting of two associated solid tube sections 8a, 8b.
• foam material for example polyurethane foam
• the dimensions of the elements 8 are determined so that they slide with gentle friction in their tubular housing and occupy it entirely.
• the water mattresses 7a, 7b have a flexible, deformable structure and a width such that once inserted in their compartment 3a, 3b, the pressure of the water in the mattress 7a, 7b presses the wall of the latter against the inner wall of compartment 3a, 3b and prevents any untimely movement of the water mattress once in place in the envelope 1.
• the water mattresses 7a, 7b consist, as illustrated by FIGS. 1 and 2, of a flexible envelope made of partitioned thermoplastic material, for example by welding lines or partitions 9 , in juxtaposed compartments 9a, 9b, 9c, 9d, 9e, 9f, communicating with each other by through orifices 10.
• the two extreme compartments 9a and 9f have an orifice, respectively for water inlet 11 and outlet water 12, connected by flexible pipes 13a, 13b to a source 14 of water supply regulated in temperature as well as in flow / pressure.
• the front edge 15 (center side of the envelope 1) is concave so that once the two water mattresses 7a, 7b completely engaged in their compartment 3a, 3b, the two edges 15 facing the two mattresses 7a, 7b define a bowl 16 of lenticular shape, in the central area of the medical mattress, said bowl 16 having its axis coincident with the transverse axis T of the envelope 1.
• the end portion of the mattresses 7a, 7b facing the bowl 16 has an inclined flank 16 'to give the bowl a flared configuration.
• this bowl 16 is advantageously made in the upper wall of the envelope 1 (see also Figures 3 and 4) an orifice 17 optionally closable for example by a perforated medical adhesive strip 18 and connected to a flexible pipe 19 disposed between the two walls of the envelope 1 and opening at
• the pipe 19 is not shown in FIG. 1 and in FIGS. 3 and 4, the casing 1 does not have a weld line 6 between the upper wall 1a and the lower wall 1b.
• the medical mattress is shown placed on a conventional mattress 20, preferably hard, resting on the metal base 21 of a bed 22.
• the central bowl 16 whose width 1 can be adjusted at will by moving inside the compartments 3a, 3b the water mattresses 7a, 7b, in the axis L, so as to distance or on the contrary bring the two edges 15 opposite opposite and d 'other from the orifice 17 for evacuating waste and contaminated water.
• the displacement of the water mattresses 7a, 7b is possible due to the distance separating the rear edges 23 of said mattresses from the head and foot panels (24) of the bed 22.
• FIG. 4 also shows at 25 a tubular element, made for example from the same material as the casing 1 and welded to the end of the upper wall 1a of the compartment 3a.
• the tubular element 25 can be filled with particularly hot water and for this purpose comprises two suitable closable connections 26, arranged at the ends of the element 25.
• the element 25 extends only over the width of the compartment 3a and serves to wedge and possibly warm the feet of the patient lying on the mattress.
• the element 25 can be emptied of its water and partially folded under the medical mattress when not in use.
• the water in element 25 is supplied from device 14 or independently of this device.
• FIG. 1 are also shown other flexible tabs 28, arranged in the axis L and no longer in the axis T like the tabs 27, and intended to wedge the mattress
• FIGS. 5a and 5b are illustrated two modes of circulation of water in the two water mattresses 7a, 7b, from the source 14.
• connection makes it possible to supply the mattresses 7a and 7b in parallel, while in FIG. 5b the mattresses 7a, 7b are supplied in series.
• the transition from one mode to the other takes place by a set of valves or taps with one or more channels (29, 30) arranged in the appropriate circuit branches.
• FIG. 6 is shown atically and functionally a device for supplying water regulated in temperature and in flow / pressure according to the invention.
• This device comprises a certain number of components advantageously grouped in a cabinet-box 31 for example hung on the foot (24) of the bed and connected by pipes 13a, 13b to the water mattresses 7a, 7b.
• Said components include a water reserve 32 in which are arranged an electric heating device 33 with a temperature display control 34 and a basket 35 capable of receiving ice cubes.
• a solenoid valve 36 and a pump 37 actuated by an electric motor 38 are arranged in the supply circuit (13a) of the mattresses 7a, 7b from the reserve 32.
• a programmable microprocessor 39 is connected to the heating device 33 and to the solenoid valve 36 and to the motor 37, via a delay device 40 and makes it possible to adjust the cycles of sending water to the mattresses 7a, 7b and rest during which the pump is not in service and the water from the mattresses 7a, 7b returns, by gravity, in particular under the weight of the patient lying on the medical mattress, in the reserve 32.
• the dimensions of the circuits of water and the operating parameters water flow / pressure and duration respectively of the water sent by the pump 37 and the gravity return of the water to the reserve 32) are determined from
• the timing device 40 and the pump 37 are provided with means 41, 42 for timing and flow / pressure adjustment respectively.
• the ice cube basket 35 makes it possible, by eliminating the heating of the water in the reserve 32, to lower the temperature of the water sent to the mattresses 7a, 7b if desired.
• FIG. 6 a part 13′b of the water return pipe has been shown outside the box 31.
• This part 13'b is made of transparent or translucent material in order to allow visual control of the water circulation.
• the mattresses 7a, 7b two independent water circuits. This is how the two mattresses can be supplied with water at different temperatures.
• passage holes 10 are calibrated and distributed so as to be more numerous on the side of the edge 15 in order to force the water to circulate well in the vicinity of the central bowl 16.
• the water circulation cycles by the pump 42 and gravity return can be separated by adjustable time intervals, during which no water circulation takes place, the mattresses 7a, 7b remaining static. In successive cycles, the mattresses 7a, 7b swell and deflate, which results in micromovements on the surface of each of said mattresses, which promote the vascularization of the bedridden patient and consequently prevent the formation of bedsores.
• the two half-parts, of head and feet, of the casing 1 can be separated by the transverse weld line 6 or a partition formed between the walls la and lb.
• the pipe 19 can be doubled by another similar pipe directed on the other side of the mattress, the pipe or pipes 19 being arranged between the walls 1a, 1b.
• the shapes and dimensions of the foam elements 8 and of the water mattresses 7a, 7b can of course vary, as can the internal structure of said water mattresses.

Landscapes

• Health & Medical Sciences (AREA)
• Nursing (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Invalid Beds And Related Equipment (AREA)
• Mattresses And Other Support Structures For Chairs And Beds (AREA)

Applications Claiming Priority (1)

Publications (2)

Family

ID=9443489

Family Applications (1)

Country Status (5)

Families Citing this family (16)

Family Cites Families (6)

• 1993
  • 1993-09-23 WO PCT/FR1993/000927 patent/WO1995008285A1/fr not_active Ceased
  • 1993-09-23 US US08/446,604 patent/US5594962A/en not_active Expired - Fee Related
  • 1993-09-23 ES ES93920923T patent/ES2136127T3/es not_active Expired - Lifetime
  • 1993-09-23 EP EP93920923A patent/EP0670688B1/de not_active Expired - Lifetime
  • 1993-09-23 DE DE69325590T patent/DE69325590T2/de not_active Expired - Fee Related

Non-Patent Citations (1)

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