[0001] This invention relates to hospital beds of the kind described in GB 2 252 495-A and
GB 2 250 189-A for example. Such beds comprise a plurality of electric actuators,
motors or the like connected to a control mechanism so that the bed may be raised
and lowered and possibly also tilted either longitudinally or from side to side or
both, and/or profiled so as to have an upwardly inclined backrest and possibly also
a knee break.
[0002] Many different beds of the kind are known. They may be made using continuously rated
electric motors and the like, that is ones capable of running continuously. This will
be expensive, and is also considered unnecessary in practice, since only occasional
usage is required to adjust the position of the bed parts.
[0003] It is therefore usual to employ smaller motors which can be supplied from small transformers
(hospital equipment usually low voltage and DC so that battery back-up is possible)
having a specific duty cycle, that is to say intended to run for a maximum of perhaps
five or six minutes per hour. This still allows the bed to be adjusted through any
normal cycle. Such smaller transformers and motors are substantially cheaper.
[0004] However, if the duty cycle is exceeded, as may occur if a visitor to the hospital
plays with the controls, over-use which might lead to overheating and damage is prevented
by a cut-out of some kind. In the prior art this has been a thermal cut-out which
automatically resets when temperature falls to a predetermined level. After cut-out
the bed is unusable until the switch is reset. This creates a risk of inconvenience
for example if cut-out occurs when the bed is in a position unsuitable for some reason,
for example at an undesired tilt angle, but it is even more serious in that cut-out
prevents adjustment of the bed which may be needed for urgent medical procedures.
[0005] The object of the invention is to solve this problem, avoid the use of continuously
rated motors and the like, but avoid the risks referred to.
[0006] According to the invention a hospital bed comprises at least one electric motor or
the like having a duty cycle, a first control set for the bed connected in a circuit
including cut-out means automatically operable after the first predetermined period
of continuous usage and automatically resettable after a period of non-use, and a
second control set for the bed connected in a circuit including cut-out means automatically
operable after a second predetermined period of continuous usage which is longer than
said first predetermined period of continuous usage and likewise automatically resettable
after a period of non-use.
[0007] Hence, the first set may be for use by the patient, and the second set for use by
medical staff. If the patient exceeds the available time from that handset, the extra
time available from the medical staff handset allows an unsuitable position of the
bed to be changed, and also allows for operation for emergency procedures.
[0008] In a presently preferred embodiment of the bed, motors are provided to raise and
lower the mattress frame. Typically the mattress is required to be in a high position
for ordinary nursing procedures, so as to avoid stooping on the part of the medical
staff, and in a low position to enable the patient to get in and out of bed easily.
[0009] Additionally the mattress may be tiltable so as to have the feet lower than the head
or vice versa. For some medical procedures lateral tilt is required.
[0010] Some patients prefer or need to sit up in bed and an inclinable backrest is provided
driven possibly by a separate motor, and this may be assisted by a so-called knee
break in which a portion of the mattress is profiled to extend upwardly under the
thighs to the patient's knees and then downwardly to the feet. This may require yet
another motor.
[0011] All of these adjustments, according to the invention, are effected by electric actuators
or motors which have a specific duty cycle and are not designed for continuous running.
[0012] In the invention, two handsets are provided for controlling the motors. They may
be identical in the sense of each being capable of controlling any or all of the motors,
but it is preferred to provide the patient's handset with a more limited facility
perhaps amounting to control of raise and lower and profiling only. Alternatively
or additionally the nursing staff handset may have control switches which effectively
enable or disable the patient's set controls one by one, as well as providing for
control of the movements from the nursing staff set. The enabling and disabling facility
may be used so that for example when a patient is in intensive care, or is newly emerged
from the operating theatre, the patient's set may be totally disabled, and as recovery
takes place the patient may be given control over perhaps profiling initially, and
then mattress raising and lowering, and so on.
[0013] There are two possibilities for the arrangement of the time control system. In one
arrangement, the nursing staff handset allows continuous operation for a time equal
to the rated duty cycle of the motors and other equipment, with an alarm or warning
lamp lit when a predetermined portion of such time is used up. For example with 7.5
minutes rating, the nursing set warning may be activated after 6 minutes has been
used. In this case the patient set may allow usage for only the same 6 minutes and
possibly with a warning after a shorter period, for example 5 minutes.
[0014] In the alternative, the patient's control set is capable of usage for the full normal
rated duty cycle for example the 6 minute period, again with a warning: and the nurse's
set allows override for an additional one of the half minutes, for emergency purposes,
again with some kind of alarm to show that there is little reserve.
[0015] When the motors run continuously for a shorter time, for example two minutes, it
will be clear that 4 or 5 1/2 minutes (in the mentioned example) remain. If a further
usage period starts before any additional availability is restored by the passage
of time, the additional usage is effectively added to the first period of use. Thus,
after the first 2 minutes, and a further 4 minutes, the patient's control would become
unusable.
[0016] Restoration is effected according to the motor rating. If a one hour period of non-use
is needful after the full usage capability, then preferably this is apportioned so
that each continuous 5 minutes of non usage adds half a minute to the usage capability.
Thus with non-use for more than one hour and then 2 minutes' use, 4 minutes is immediately
available until there has been a period of 5 minutes of non-use, when 4 1/2 minutes
become available, and so on. After the full 6 minutes (or 7 1/2 in the case of the
nursing staff set) a 5 minute period of non-usage restores a 1/2 minute availability
for use.
[0017] Each motor may be individually monitored, so that for example excess usage of one
motor may disable it, without affecting the other motors which remain enabled.
[0018] Preferably the timers and cut-out switches are connected in circuits with a memory
and a controlling microprocessor.
1. A hospital bed comprising at least one electric motor or the like having a duty cycle,
a first control set for the bed connected in a circuit including cut-out means automatically
operable after the first predetermined period of continuous usage and automatically
resettable after a period of non-use, and a second control set for the bed connected
in a circuit including cut-out means automatically operable after a second predetermined
period of continuous usage which is longer than said first predetermined period of
continuous usage and likewise automatically resettable after a period of non-use.
2. A bed as claimed in Claim 1 wherein said first and second sets are both operable to
control certain adjustments of the bed and the second set is also operable to control
further adjustments of the bed.
3. A bed as claimed in Claim 1 or Claim 2 arranged so that each unit of a lapsed time
of non-use increases the available usage time by a specific amount up to the maximum
of the duty cycle.
4. A bed as claimed in any preceding claim wherein operation of the cut-out means by
the first control set provides a visible and/or audible indication on both control
sets.