[0001] The present invention relates to a lift for raising persons from a seated position
to a standing position and vice versa, comprising a frame which extends vertically
in the use position and is provided close to the top end with a lifting arm, which
lifting arm is mounted on the frame such that it is movable and is connected to motor
means, the free end of the lifting arm being provided with a connection for a support
belt, support vest or the like, said lift being provided with support means for supporting
the body of said person during said lifting movement, which support means are mounted
such that they are movable relative to said frame.
[0002] A lift of this type is disclosed in DE-A 1 944 764. This publication describes a
construction with which the disabled person is supported with the aid of a movable
knee support during movement from the seated to the standing position.
[0003] A lift with which a fixed knee support is used is described in European Patent EP
0 782 430 in the name of the Applicant.
[0004] Such knee supports are necessary when replacing the armpit support of the person
concerned, consisting of a rigid metal construction, by more flexible support straps.
Such support straps do not exert force on the region under the arms of the patient
concerned but, on the other hand, introduce a certain instability. Therefore, it is
proposed to use knee supports by which means the person to be lifted does not experience
any unsteadiness during the lifting movement.
[0005] However, it has been found that as a result of the use of such a knee support a large
group of patients cannot be lifted using such a support because of physical complaints.
Examples of patients with such complaints are disabled persons with rheumatism, leg
sores, poor circulation, rigid legs and stiff legs, however, it is precisely this
group for which such lifts are intended.
[0006] In order to avoid this problem, in practice the knee support is frequently removed
or a cushion or other soft object is placed between the knee support and the patient's
knee.
[0007] It will be understood that this has the effect of restoring the unsteady position
of the person to be lifted, caused by the support belt not being rigid. Moreover,
it has been found that support at the knees does not approach the natural standing
movement, that is to say does not stimulate the disabled person to stand up using
his or her own strength as much as possible. This is partly caused because an appreciable
force is exerted by the knee support on the patient. Some of this force is transmitted
via the femur to the back of the disabled person and can give rise to further discomfort.
[0008] The aim of the present invention is further to improve the lift described above in
such a way that this lift has a broader range of application and, moreover, as far
as possible maintains the original impulses to stand up, that is to say stimulates
the disabled person as far as possible to perform him or herself the movements of
which he/she is still capable or to expand this range of movement.
[0009] This aim is achieved with a lift as described above in that said support means comprise
a pelvic support.
[0010] By engaging at the transition between the lower abdomen and the bottom of the hips,
which is indicated above as pelvic support, the stress on the disabled person during
lifting is appreciably less. Patients with the conditions described above can be lifted
without any problem. It has also been found that if patients have a stoma or the like,
these patients are not troubled, or are barely troubled, by the pelvic support according
to the invention. The force exerted on the pelvic support during lifting is appreciably
lower. Measurements have shown that this is at most 25 kg. Moreover, the distance
from the vertebrae is appreciably smaller and transmission of the forces takes place
through an appreciably stronger part of the body, as a result of which complaints
by disabled persons are appreciably reduced.
[0011] Because the pelvic support, or the point of engagement thereof on the human body,
moves with the patient during lifting, this gives a safe sensation. Moreover, the
pelvic support engages on the patient approximately "halfway" between the rest point
of the patient's feet and the point of engagement of the support belt, support vest
or the like. That is to say a more stable support is obtained than is the case with
the knee support with which, although the lower leg was supported particularly well,
the portion between the knee and the armpits was able to execute a free movement and
did execute such a movement in the case of weak patients.
[0012] The support means or pelvic support described above can comprise any construction
which can be envisaged in the state of the art. Preferably, the various features are
constructed as a support arm. This can be constructed as a single or double arm. In
the former case this arm will preferably extend between the legs of the patient to
be lifted and in the latter case the two arms will extend on either side of the patient's
legs. Movement of the support arm can be realised by any means known in the prior
art. For instance, it is possible to fit a motor or to couple the movement of the
support arm with the movement of the lifting arm with the aid of some sort of transmission.
According to an advantageous embodiment of the invention, the position of the support
arm is determined with the aid of spring pressure, said arm striving, in particular,
to assume the position for sitting the patient down. Consequently, on standing up
a certain opposing force will be generated, which provides the disabled person with
precisely the stability that is desired.
[0013] According to an advantageous embodiment of the invention, a support body is mounted
at the end of the support arm described above. This support body can comprise any
construction known in the prior art which bears on the user's body. In the case of
a single support arm this support body can be, for example, a horizontal transverse
bar which is provided with a strap at the front, that is to say on the side facing
the person to be lifted. However, a cushion-like component can also be present.
[0014] According to a further advantageous construction, the support arm is hingeably mounted
on the frame and the hinge point is lower than or at the same height as the seat of
the patient concerned. This means that the support arm extends somewhat obliquely
upwards even in the seated position, so that movement to a more vertical position
is possible fairly simply, which movement takes place when the patient stands up.
The support arm can have any desired shape and in a preferred embodiment is constructed
as a curved arm. With this arrangement a more vertical section extends from the frame,
on to which more vertical section a horizontal section abuts which is optionally connected
to the support body described above.
[0015] According to a further variant of the invention, the support arm is connected to
an auxiliary arm. This auxiliary arm can, for example, be connected to the lifting
arm. By this means it is possible to achieve a more forced movement of the support
body, which is optionally mounted close to the end of the support arm or auxiliary
arm.
[0016] Furthermore, it is possible, both in the first embodiment described above and in
the embodiment described thereafter, to construct the support arm, and in the last
embodiment also the auxiliary arm, as a telescopic arm. If, moreover, the aim is for
a resilient nature, it is particularly simple to construct these components as a gas
spring.
[0017] The invention also relates to a support vest which in a particularly effective manner
engages both on the connection of the lifting arm of the lift and on the pelvic support
according to the invention. By this means the position of the person to be lifted
is virtually completely fixed and a particularly broad support on the body of such
a person is obtained.
[0018] The invention also relates to a method for moving a person from a seated to a standing
position and vice versa, comprising engaging said patient around the back by means
of a strap, vest or the like and moving the person from a seated to a standing position,
and vice versa, by moving said strap, vest or the like forwards and upwards, the feet
of said person resting on the ground and a further part of the body being supported,
characterised in that during lifting the body is supported close to the transition
from thigh to lower abdomen.
[0019] According to an advantageous embodiment, this support takes place dynamically, that
is to say the support moves at least partially with the movement of the strap, vest
or the like.
[0020] The invention will be explained in more detail below with reference to illustrative
embodiments shown in the drawing. In the drawing:
Fig. 1a shows, diagrammatically, a side view of a first embodiment of the invention
with the patient seated;
Fig. 1b shows, in perspective, a detail of the support body according to Fig. 1a;
Fig. 2 shows the lift according to Fig. 1 with the patient in the standing position;
Fig. 3 shows a further embodiment of the lift according to the invention with the
patient in the seated position; and
Fig. 4 shows the lift according to Fig. 3 with the patient in the standing position.
[0021] In Fig. 1 a lift is indicated in its entirety by 1. For details of such a lift reference
is made to EP 0 782 430 B1. The embodiments described in the latter patent are applicable
in full to the present application with the exception of the knee support shown in
that patent. According to the invention this knee support is now replaced by a pelvic
support to be described below.
[0022] The device indicated by 1 is provided with a frame 2 which extends in the vertical
direction and is mounted on a mobile sub-frame, the wheels of which are indicated
by 15. Two parts of a lifting arm are indicated by 3 and 4. Movement of lifting arm
3 is controlled by motor 10, whilst the movement of lifting arm 4 is controlled by
motor 11. Details of the transmission from lifting arm 4 to motor 11 can be seen from
European Patent 0 782 430 B1 described above. The disabled person can place his or
her feet either on the existing floor or on a footplate which is mounted on the frame.
[0023] 7 shows a grab bar which can be gripped by the disabled patient. It must be understood
that gripping with the hands is not necessary for the lift to function. A connection
for a strap 13 is indicated by 8. This connection can consist of pins, hooks and the
like. Furthermore, it is possible to use a safety closure, such as is found with safety
belts in cars. Operation of lift 1 takes place with the aid of a control 16 mounted
on a console 19. This control comprises a memory in which manipulations possibly related
to the patient can be stored. Moreover, it is possible to store operating data in
the event of malfunction. The results can be read out with the aid of a read-out socket
21 to which a PC can be connected. A handle for moving the device is indicated by
18.
[0024] The pelvic support according to the invention is indicated in its entirety by 27.
This support consists of two arms; a support arm 28 and an auxiliary arm 29. Support
arm 28 is hingeably attached to the frame at 32. Both arms consist of telescopic gas
springs and the ends are connected to a support 30. The support 30 extends over the
width of the front of the patient's body and is provided at the front, that is to
say on the side facing the patient, with a strap 26 which is in contact with the patient's
lower abdomen or thighs, as shown in Fig. 1. The strap 26 can be depressed approximately
5 cm with respect to the connections at the ends of support 30.
[0025] If the patient is moved from the seated position shown in Fig. 1 to the standing
position shown in Fig. 2, the lifting arm assembly 3, 4 will execute a complex movement
as described in the abovementioned European Patent 0 782 430 B1. It must be understood
that auxiliary arm 29 can be connected to any lifting arm known from the prior art
for any lift. As arm 4 moves upwards auxiliary arm 29 will move upwards with it and
support 30 will be pulled to the left in the drawing, as can be seen from Fig. 2.
By constructing the arms as a resilient construction, geometrical differences can
easily be taken up. The construction is designed such that on standing up the patient
will always experience a certain support, ranging from a few kilograms to approximately
25 kg, by the support 30 and more particularly by the belt 26 attached thereto.
[0026] A further variant of the invention is shown in Figs 3 and 4. With this variant there
is no auxiliary arm and the pelvic support 37 consists of a curved support arm 38
made up of arm sections 39 and 40, arm section 39 being hingeably joined to frame
2 at 41, whilst arm section 40 is fixed to support 30, which can be constructed in
a manner corresponding to that in Fig. 1a. Arrow 42 shows the effect of a spring,
which is not shown, which drives pelvic support 37 towards the patient. Because of
the presence of the pelvic support, on standing up the patient will experience an
opposing force, by which means stabilisation is provided. It is, of course, possible
to fit the motorised construction, optionally coupled with the effect of the operating
motors 10 and 11, instead of or as well as the spring construction, which is not shown.
[0027] In the embodiment according to Figs 3 and 4 the support strap is indicated by 34.
This strap can be provided with linking strap 35, which in turn can be connected to
a flexible hip strap 36. Hip strap 36 is connected to the support 30. A sort of support
vest is produced by this means. It is, of course, possible to make linking strap 35
a rigid construction. The only essential aspect of this construction is that a sort
of vest is obtained by means of which the patient can be brought from a seated to
a standing position. It is, of course, possible to provide further support at the
front of the body of the disabled person by suitable design of the vest.
[0028] It has been found that a particularly large number of disabled patients with a wide
variety of complaints are moved from a seated to a standing position using the above
construction and in doing so are always stimulated to be as active as possible themselves.
It will be understood that the construction of the pelvic support described above
can be employed with any other type of lift that is known from the prior art without
going beyond the scope of the claims as appended.
1. Lifting device (1, 31) for raising persons from a seated position to a standing position
and vice versa, comprising a frame (2) which extends vertically in the use position
and is provided close to the top end with a lifting arm (3, 4), which lifting arm
is mounted on the frame such that it is movable and is connected to motor means (10,
11), the free end of the lifting arm being provided with a connection (5) for a support
belt (13), support vest (33) or the like, said lift being provided with support means
for supporting the body of said person during said lifting movement, which support
means are mounted such that they are movable relative to said frame, characterised
in that said support means comprise a pelvic support (27, 37).
2. Lift according to Claim 1, wherein said pelvic support comprises a support arm (28,
38).
3. Lift according to Claim 2, wherein said support arm is spring-loaded in such a way
that it biasses the free end in the horizontal direction.
4. Lift according to Claim 2 or 3, wherein the end of said support arm comprises a support
body (26, 30).
5. Lift according to one of Claims 2 - 4, wherein said support arm is hingeably (32,
42) mounted on said frame at a point at the same height as or lower than the height
of the seat.
6. Lift according to one of Claims 2 - 5, wherein the support arm comprises a curved
arm, that part of which that is joined to the frame extending more vertically than
the part located close to the free end of the arm.
7. Lift according to one of the preceding claims, wherein said support comprises a support
arm and an auxiliary arm (29) which is joined to said support and influences the movement
of said support arm (28).
8. Lift according to Claim 7, wherein the end of said support arm comprises a support
body, which support body is mounted such that it is movable relative to said support
arm.
9. Lift according to Claim 8, wherein said support body is mounted such that it is telescopic
with respect to said support arm.
10. Lift according to one of Claims 7 - 9, wherein said auxiliary arm is attached to said
lifting arm.
11. Lift according to one of Claims 7 - 10, wherein said auxiliary arm is attached to
said support body.
12. Support vest to be used in a lift according to one of the preceding claims, which
support vest comprises a support strap (34) to be fitted beneath the armpits of the
user and to be fixed to the lifting arm of the lift, a hip strap (36) to be fitted
around the hips of the user and to be attached to the pelvic support of the lift and
a component (35) which links the hip strap and support strap.
13. Method for moving a person from a seated to a standing position and vice versa, comprising
engaging said patient around the back by means of a strap, vest or the like and moving
the person from a seated to a standing position, and vice versa, by moving said strap,
vest or the like forwards and upwards, the feet of said person resting on the ground
and a further part of the body being supported, characterised in that during lifting
the body is supported close to the transition from thigh to lower abdomen.
14. Method according to Claim 13, wherein said support takes place dynamically.