EP3855980B1 - An adjustable wheelchair seat cushion apparatus - Google Patents

An adjustable wheelchair seat cushion apparatus Download PDF

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Publication number
EP3855980B1
EP3855980B1 EP19923684.5A EP19923684A EP3855980B1 EP 3855980 B1 EP3855980 B1 EP 3855980B1 EP 19923684 A EP19923684 A EP 19923684A EP 3855980 B1 EP3855980 B1 EP 3855980B1
Authority
EP
European Patent Office
Prior art keywords
seat cushion
elements
base member
cushion member
wheelchairs
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP19923684.5A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP3855980A4 (en
EP3855980A2 (en
Inventor
Susan L. Wilson
Curtis L. Landi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Supracor Inc
Supracor Systems Inc
Original Assignee
Supracor Inc
Supracor Systems Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US16/583,251 external-priority patent/US11369532B2/en
Application filed by Supracor Inc, Supracor Systems Inc filed Critical Supracor Inc
Publication of EP3855980A2 publication Critical patent/EP3855980A2/en
Publication of EP3855980A4 publication Critical patent/EP3855980A4/en
Application granted granted Critical
Publication of EP3855980B1 publication Critical patent/EP3855980B1/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/1043Cushions specially adapted for wheelchairs
    • A61G5/1045Cushions specially adapted for wheelchairs for the seat portion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/10Devices for specific treatment or diagnosis for orthopedics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/1056Arrangements for adjusting the seat

Definitions

  • the present invention relates generally to anatomical support cushions adapted for use in improving pelvic and spinal alignment issues during use of a wheelchair apparatus.
  • Non-ambulatory patients suffering with minor illness or simple leg bone injuries, or the like do not normally require the use of special purpose wheelchair cushions.
  • LTC long term care
  • the use of specially configured cushioning or other body positioning, orienting or supporting means may be required.
  • the present invention is intended to address this need and to provide an adjustable wheelchair cushion that can be specified, prescribed and/or used by LTC therapists to improve the efficacy of wheelchair cushioning used in this environment. The following is included to provide background information relating to some of the postural abnormalities toward which the present invention is directed, and how an LTC therapist has sought to provide, or has in fact provided, patient relief during use of a standard wheelchair and cushioning means.
  • ASIS & PSIS at equal height no pelvic tilt.
  • an LTC therapist When fitting an LTC user for a wheelchair, an LTC therapist will usually try to maintain proper patient postural alignment with a STANDARD cushion (and back support).
  • the pelvis sits with the L or R ASIS higher than the other, causing the raising up of one hip.
  • the thoracic spine curves away from the higher side creating a scoliosis over time.
  • the neck will go into lateral flexion as if the person is dropping an ear to his or her shoulder.
  • the lateral flexion will usually be towards the side where the hip is higher.
  • Pressure redistribution is the therapist's support goal whether the deformity is FIXED or FLEXIBLE.
  • FIXED the deformity should be accommodated by protecting the bony prominences from pressure by "filling in” the higher side and immersing the lower side IT.
  • the pelvis sits with ASIS higher than the PSIS resulting in the posterior pelvic tilt which produces the sacral sitting posture.
  • the patient hyperextends his or her back over the sling back of the chair, placing him or her at risk to tip the chair backwards.
  • lordosis in cervical spine causes forward neck flexion & downward eye gaze to floor/lap.
  • a cushion with medial and lateral contour is often used to promote LE alignment and pelvic stability. Appropriate cushion depth should be used to prevent the patient from sliding forward as he seeks reduced pressure behind the knees.
  • a rigid insert is often used to prevent hammocking of the seat and cushion and to keep the pelvis from collapsing into a posterior pelvic tilt.
  • a cushion with tapered adductors can be used to load the trochanters, stabilizing the pelvis in the resident's most neutral alignment.
  • a cushion with an anti-thrust component can be used to reduce forward sliding of the pelvis into posterior pelvic tilt.
  • FIXED An immersion style cushion that contours to the shape of the patient used to promote maximum pressure redistribution, minimizing peak pressures.
  • FIXED Opening seat-to-back angle in conjunction with a fixed tilt in the wheelchair is often used to match the patient's ROM limitations and minimize forward sliding.
  • the thoracic spine follows and rotates in the same direction as the pelvis. Therefore, if the right side of the pelvis is rotated more forward, the right side of the spine is rotated more forward as well. The neck will go into lateral flexion as if the person is dropping the ear to his or her shoulder.
  • the objective is to stabilize the pelvis in the patient's most neutral position - adjusting for flexible or fixed postures - to prevent further pelvic rotation.
  • One option is to apply an anti-thrust force to reduce forward migration of the pelvis.
  • FLEXIBLE use tapered adductors and a medial abductor to create leg troughs for midline LE alignment and to maintain a pelvic neutral position.
  • FIXED use a cushion with less aggressive contouring. Protect the bony prominences with an immersion-style cushion.
  • US 2003/0205920 A1 is an example of the background art.
  • This document teaches a cushion having a shaped base on which is positioned a resilient, cushioning layer.
  • the shaped base is constructed from a supportive foam and has front and lateral bolsters,
  • the cushioning layer is an inflatable air cushion having a flexible base and an array of individual air cells arranged in rows across the flexible base.
  • An object of the present invention is to provide an adjustable wheelchair cushion apparatus that can be adapted to accommodate the particular anatomical support needs of a user having postural abnormalities.
  • Another object of the present invention is to provide an improved anatomical support cushion apparatus including at least one thermoplastic elastomer honeycomb cushion panel and a plurality of selectable inserts that serve to conform, support and/or stabilize a wide variety of wheelchair user sitting positions, user anatomies and disabilities.
  • Another object of the present invention is to provide an improved adjustable anatomical support cushion apparatus for providing pelvic and trunk stability for a wheelchair user having postural abnormalities.
  • Still another object of the present invention is to provide an adjustable anatomical support cushion apparatus for maximizing functional activities of daily living for a wheelchair user having postural abnormalities.
  • Yet another object of the present invention is to provide an improved anatomical support cushion apparatus for protecting skin and preventing wounds, and/or promoting the healing of existing wounds suffered by a wheelchair user having postural abnormalities.
  • a further object of the present invention is to provide an adjustable support cushion apparatus for maximizing comfort for a wheelchair user having postural abnormalities.
  • Another object of the present invention is to provide an adjustable anatomical support cushion apparatus for minimizing unwanted skeletal movement by a wheelchair user having postural abnormalities.
  • Yet another object of the present invention is to provide an adjustable support cushion for preventing progression of postural abnormalities.
  • a still further object of the present invention is to provide an adjustable anatomical support apparatus that is breathable to permit cooling of the user.
  • Still another object of the present invention is to provide an adjustable anatomical support apparatus constructed of materials that are fast drying, and can be easily disinfected and sterilized by chemical wash, microwave treatment, detergent wash, or other means.
  • the invention is defined by the independent claim 1.
  • the present invention is directed to an adjustable wheelchair seat cushion apparatus including a resilient thermoplastic honeycomb seat cushion member and a pivotally attached base member forming a planar base upon which the upper cushion member will rest when folded about the pivot to engage and lay thereupon.
  • the base member may also be made of one or more layers of a more rigid thermoplastic honeycomb material.
  • Positioned upon the base member and disposed between it and the overlying cushion member are user and/or LTC therapist installable, prescriptively sized and shaped pelvic obliquity elements, pommel elements and/or wedge elements operative to deform the cushion member when engaged therewith.
  • Another advantage of the present invention is that in fitting the cushion apparatus for a particular user, an LTC therapist may select from a wide variety of preformed shaping elements and cushion positions therefor to customize and individually tailor the cushion apparatus for an individual user.
  • Yet another advantage of the present invention is that a single size and shape of cushion can be matched with a variety of individually selectable, preformed shaping elements to support the specific requirements of a particular wheelchair user.
  • the anatomical support apparatus may be constructed from a perforated core thermoplastic elastomer honeycomb panel that is breathable to allow perspiration removal and cooling of the apparatus user.
  • thermoplastic elastomeric honeycomb core designs and/or multiple panels of different thermoplastic honeycomb core designs may be utilized to maximize design flexibility of the improved anatomical support apparatus.
  • thermoplastic elastomeric honeycomb core is fabricated from recyclable materials that are fast drying, and easily disinfected and sterilized.
  • FIG. 1 of the Drawings depicts a conventional wheelchair 10 having disposed thereon a removable, improved anatomical support cushion 12.
  • the cushion 12 is constructed of at least one flexible thermoplastic elastomer honeycomb core panel built in accordance with the present invention. It should also be noted that although the cushion assembly 12 is particularly well suited for wheelchair applications, the cushion assembly, or analogs thereof, may also be used in a variety of other anatomical support applications (e.g., mattresses, automobile and airline seats, arm rests, etc.).
  • Fig. 2 is provided to illustrate optimal user posture when seated in a standard wheelchair.
  • Figs. 3-6 are provided to respectively illustrate postural conditions identified as pelvic obliquity, anterior pelvic tilt, posterior pelvic tilt and pelvic rotation; all are conditions that can be aided through use of the present invention.
  • Fig. 7 generally depicts the principal components of an adjustable wheelchair seat cushion apparatus 12 including a multi-layered resilient thermoplastic honeycomb seat cushion member 14 and a pivotally attached base member 16 forming a planar base upon which the upper cushion member 14 will rest when folded about the pivot 18 to engage and lay thereupon.
  • the base member 16 may also be made of one or more layers of a more rigid thermoplastic honeycomb material.
  • Positioned upon the base member 18 and disposed between it and the overlying cushion member 14 are user and/or LTC therapist installable, prescriptively sized and shaped pelvic obliquity elements 20, pommel elements 22 and/or wedge elements 24 operative to deform the cushion member 14 when engaged therewith.
  • the cushion member 14 is rotated into engagement therewith and deformed thereby, and the assembly is inserted into its fabric cover 30, ( Fig. 12 ), the cover zipper 32 ( Fig. 11 ) is retracted and the cushion assembly is ready for use.
  • an ischial pad 23 may also be inserted into a pocket 28 provided in the back-center portion of the cover 30 to protect the patient's ischial bone.
  • FIG. 13 illustrates a multi-layered honeycomb panel structure constructed from thermoplastic elastomer materials.
  • the panels include a honeycomb-like core preferably made of bonded together and expanded strips or ribbons of plastic material to which facing sheets of perhaps heavier gauge material are thermo-compression bonded.
  • the illustrated cover member 14 is an anisotropic three-dimensional structure having predetermined degrees of flex along the X, Y and Z axes.
  • Each cell is formed, in part, by four generally S-shaped wall segments each of which is bonded to and shared by an adjacent cell. In addition, each cell shares a double thickness wall segment with two adjacent cells.
  • Panel 14 has high tear and tensile strength and is highly resilient, with optimal compression load and shock absorption or distortion characteristics, yet is extremely light weight. Selected combinations of elastomer material, honeycomb cell configurations, core thicknesses and facing material variables will determine the panel's characteristics of softness or hardness, resilient recovery rate and rigidity or flex as required for a particular application.
  • the facing materials can be selected from a wide variety of films, including thermoplastic urethanes, foams, EVAs, rubber, neoprene, elastomer impregnated fibers and various fabrics, etc. The manufacturing and fabrication of the panel14 is described in greater detail in our U.S. Pat. No. 5,039,567 .
  • an adjustable seat cushion assembly including an upper component preferably made of multiple layers of resilient thermoplastic honeycomb material, shaped and bonded together to form a user supporting cushion member, and a generally planer lower component preferably made of at least one relatively thin sheet of more rigid honeycomb material, and having an edge thereof hingedly connected to the cushion member, preferably along it's rearmost extremity.
  • the lower component is adapted to form a relatively rigid base member upon which the overlying cushion member will be supported when folded about the hinged connection to lie thereover.
  • Removably disposed between the base member and the cushion member, and preferably attached to the upper surface of the base member at predefined locations, are one or more cushion deforming elements selected to define the user support characteristics of the cushion assembly.
  • the upper surface of the base member forms a supporting surface for an assortment of prescriptively sized and shaped pelvic obliquity elements, pommel elements and/or wedge elements.
  • These elements are selected, positioned and secured by the user and/or assisting therapist or clinician on the upwardly facing base member surface so as to deform the overlying resilient cushion member to support, raise, align, orient or otherwise adjust the user's skeletal components supported by the cushion assembly to provide pelvic and trunk stability, maximize the user's comfort and function during ADLs, protect the user's skin and prevent wounds, or assist in the healing of existing wounds, minimize unwanted movement of the user on the cushion surface, correct or accommodate postural abnormalities and/or prevent or mediate progression of postural abnormalities.
  • these elements are adapted to deform the cushion member as it is lowered (folded down) into supporting engagement therewith.
  • the preformed obliquity elements, pommels_and wedges are carefully selected and positioned to provide a desired customizing deformation of the overlying cushion member so that the cushion provides the supporting needs of the user when the assembly is folded into its closed, or folded, configuration.
  • the cushion assembly is inserted into an enveloping fabric cover that is configured to conform to the shape of the cushion assembly and is provided with perimeter zippering means, or the like, to securely house the cushion assembly and maintain it in its closed and functional configuration.
  • the cover may also be provided with internal and/or external pockets for receiving additional ischial pads, pommels or wedges, etc.
  • a multi-layered cushion member embodiment the details of which are more fully disclosed in Applicant's US Patent No. 5,617,595 , is shown modified to include a lower flap or base member as described above to more clearly illustrate attachment of the flap edge by thermocompression bonding along the rear side of the upper cushion. member.
  • the flap edge may be otherwise attached to the upper cushion member.
  • FIGs. 14 and 15 side views of the above described cushion assembly are shown in more detail.
  • Fig. 16 a frontal view is depicted and in in Fig. 17 , a partially broken side view is shown further illustrating the cushion assembly disposed within its fabric cover.
  • a closing zipper is provided around three sides of the lower edge of the cover, and a second, medially disposed expansion zipper and excess material facility_is suggested to accommodate an assembly of larger cushion deforming elements should that be necessary.
  • anatomical support cushions may be configured in any appropriate shape, with multiple panels and with various combinations of perforated and non-perforated core panels, and with core walls and/or face sheet perforations the number and/or hole size of which are tailored to achieve desired damping characteristics.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Chair Legs, Seat Parts, And Backrests (AREA)
  • Mattresses And Other Support Structures For Chairs And Beds (AREA)
  • Invalid Beds And Related Equipment (AREA)
EP19923684.5A 2018-09-25 2019-09-26 An adjustable wheelchair seat cushion apparatus Active EP3855980B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201862736452P 2018-09-25 2018-09-25
US16/583,251 US11369532B2 (en) 2018-09-25 2019-09-25 Adjustable anatomical support and seat cushion apparatus for wheelchairs
PCT/IB2019/001463 WO2020201805A2 (en) 2018-09-25 2019-09-26 An adjustable wheelchair seat cushion apparatus

Publications (3)

Publication Number Publication Date
EP3855980A2 EP3855980A2 (en) 2021-08-04
EP3855980A4 EP3855980A4 (en) 2022-08-31
EP3855980B1 true EP3855980B1 (en) 2025-04-02

Family

ID=72667072

Family Applications (1)

Application Number Title Priority Date Filing Date
EP19923684.5A Active EP3855980B1 (en) 2018-09-25 2019-09-26 An adjustable wheelchair seat cushion apparatus

Country Status (5)

Country Link
EP (1) EP3855980B1 (da)
AU (2) AU2019438812B2 (da)
DK (1) DK3855980T3 (da)
IL (1) IL281772A (da)
WO (1) WO2020201805A2 (da)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12064382B2 (en) 2018-09-25 2024-08-20 Supracor, Inc. Adjustable anatomical support and seat cushion apparatus for wheelchairs

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0713370B1 (en) * 1993-08-13 2001-11-21 Sunrise Medical HHG Inc. Self-adjusting seating system

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5039567A (en) 1989-12-04 1991-08-13 Supracor Systems, Inc. Resilient panel having anisotropic flexing characteristics and method of making same
US5617595A (en) * 1989-12-04 1997-04-08 Supracor Systems Corporation Contoured seat cushion comprised of honeycomb cores
US5378045A (en) * 1991-11-13 1995-01-03 Invacare Corporation Seat cushion for wheelchairs
US5613257A (en) * 1992-02-20 1997-03-25 Graebe; Robert H. Modular cushion construction with detachable pommel
US6625830B2 (en) * 2001-10-02 2003-09-30 Neal Lampel Wheelchair cushion
WO2003094666A2 (en) * 2002-05-06 2003-11-20 Roho, Inc Multi-layer cushion and cover
US20050231014A1 (en) * 2004-03-22 2005-10-20 Carlisle Arthur L Orthopedic appliance
WO2007045833A2 (en) * 2005-10-17 2007-04-26 Invacare Uk Operations Limited Pressure relieving cushion
NZ602419A (en) * 2010-03-16 2014-10-31 Invacare Corp Wheelchair seat assembly

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0713370B1 (en) * 1993-08-13 2001-11-21 Sunrise Medical HHG Inc. Self-adjusting seating system

Also Published As

Publication number Publication date
WO2020201805A2 (en) 2020-10-08
AU2019438812A1 (en) 2021-04-29
NZ774353A (en) 2025-10-31
WO2020201805A3 (en) 2020-12-03
DK3855980T3 (da) 2025-07-07
EP3855980A4 (en) 2022-08-31
WO2020201805A4 (en) 2021-01-21
EP3855980A2 (en) 2021-08-04
IL281772A (en) 2021-05-31
AU2025234226A1 (en) 2025-10-09
AU2019438812B2 (en) 2025-09-11

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