[0001] The present invention relates to a bed comprising a bed frame, an upright end frame
on at least one of the two outer ends of the lying frame and at least one safety rail
along at least a part of at least one side of the bed frame, wherein the safety rail
is guidable between a lower, opened position and an upper, closed position. The invention
also relates to a locking therefor and to a method for unlocking a safety rail of
a bed.
[0002] In institutions such as hospitals, care homes and rehabilitation centres use is often
made of special beds which are provided with a safety construction so as to ensure
that the persons lying in the beds cannot fall out of bed or climb out of bed. Such
a safety construction can be formed by one or more protective elements, also referred
to in the field as safety rails or safety barriers, which are arranged around the
mattress on the bed frame. In a specific type of bed one or more such safety rails
are arranged along both longitudinal sides of the bed and can be pivoted up or downward
using a pivot construction so as to respectively close and open the passage from and
to the bed.
[0003] It is important that such safety rails cannot be easily opened by the patient him/herself,
while this should on the contrary be easy for the care staff. It is further necessary
to avoid a safety rail being opened accidentally, for instance because the locking
snaps loose as a result of a person accidentally knocking against the release mechanism.
[0004] In a known type of bed the safety rails are locked relative to the bed by means of
a locking engaging on the pivot construction. This locking is quite complex however,
and often provided at an inconvenient location for the care staff. It can moreover
be released relatively easily by a patient present in the bed, for instance by operating
a single release knob. The patient can hereby open the safety rail and leave the bed,
which may result in undesirable situations.
[0005] Document
DE 39 38 3377 A1 describes a hospital bed constructed from a bed frame, end frames and at least one
safety rail. The safety rail is constructed from an upper and lower part and is mounted
on the end frames of the bed. The safety rail can slide straight up and downward via
a number of recesses provided in the end frames. The bed likewise comprises a locking
with which the safety rail can be fixed to one of the end frames or both end frames.
In a first embodiment the locking makes use of a pull knob. Should it be wished to
release the safety rail, the pull knob is first operated and the safety rail can then
be pulled slightly upward in order to bring about release. The safety rail can then
be opened by sliding the safety rail downward. A drawback of this embodiment is that
unintentional unlocking still occurs sometimes in practice, which may result in undesirable
situations.
[0006] In an alternative embodiment use is made of a push knob. In this embodiment the safety
rail need not be brought into a release position to enable unlocking thereof, and
unlocking can take place at all times. In this embodiment the chance of unintentional
opening of the safety rail is even greater.
[0007] It is an object of the present invention to provide a locking, a bed comprising such
a locking and/or a method for unlocking such a locking, wherein at least one of the
above stated drawbacks is obviated.
[0008] It is also an object of the invention to provide a locking, a bed comprising such
a locking and/or a method for unlocking such a locking, wherein unlocking is relatively
difficult from the bed itself (for instance by a patient), but is relatively simple
from outside the bed (for instance by care staff).
[0009] It is also an object of the invention to provide a locking, a bed comprising such
a locking and/or a method for unlocking such a locking, wherein the risk of accidental
unlocking is reduced.
[0010] According to a first aspect of the invention at least one of the above stated objects
is achieved in a bed comprising:
- a bed frame;
- an upright end frame on at least one of the two outer ends of the lying frame; and
- at least one safety rail along at least a part of at least one side of the bed frame,
wherein the safety rail is guidable between a lower, opened position and an upper,
closed position;
- a locking for the purpose of locking the safety rail in the closed position;
wherein the locking is configured to lock the safety rail in the upper position by
a releasable coupling of the safety rail to the end frame.
[0011] Having the locking take place by a coupling between the rail and the end frame makes
it possible to avoid a complex construction for locking the hinges of a safety rail.
[0012] According to an embodiment of the invention, the locking comprises a control element,
for instance a press control knob or a pull knob, for the purpose of unlocking the
safety rail from the end frame. The locking is further configured so that it can be
unlocked by the control element only when the safety rail has been displaced to a
release position. In other positions no unlocking can take place.
[0013] The locking can comprise a control element provided in the end frame for the purpose
of unlocking the safety rail from the end frame, for instance a push-knob in the end
frame. Additionally or alternatively, the locking can comprise a control element provided
in the safety rail for the purpose of unlocking the safety rail from the end frame,
for instance a pull knob in the safety rail.
[0014] The locking is preferably arranged close to the upper outer end of the safety rail.
This has the advantage that in locked position the safety rail and bed frame are firmly
connected to each other and the entity of safety rail and bed frame allows only limited
mutual displacements.
[0015] The safety rail is connected via a pivot construction to the bed frame. This pivot
construction can be embodied here such that the safety rail is pivotable between the
open and closed position. The pivot construction can further be embodied such that
the safety rail always tends to move toward the locked position. Starting from a closed
safety rail, the safety rail has to be displaced by the user from this locked position
to the release position in order to enable unlocking of the locking by operating the
control element. Starting from an opened safety rail the rail can be closed, after
which locking takes place (and the safety rail is in the locking position). The chance
of undesired release is reduced because the safety rail tends to move toward the locking
position. After all, the locking cannot be unlocked in the locking position. In determined
embodiments the safety rail presses toward the locking position, for instance in outward
direction, wherein the safety rail remains firmly locked, with less chance of rattling.
[0016] In a further embodiment the safety rail is coupled only via the locking to the end
frame (at least in locked position), while for the upward and downward displacement
use is made of a pivot construction coupled only to the bed frame. This construction
has a number of advantages. The pivot construction on (a lying part of) the bed frame
provides for a good support of the safety rail with an improved guiding thereof. With
safety rails which are guided in rails on the end frames the safety rail can after
all occasionally become jammed, for instance as a result of bed linen finding its
way between the rails.
[0017] Described above is that, starting from a closed safety rail, the safety rail can
be displaced from the locked position to the release position by the user. In a determined
embodiment the safety rail is displaced inward over a predetermined distance from
the locked position, preferably in embodiments wherein the safety rail does tend to
displace outward and the safety rail is opened in outward direction. The risk of undesired
opening of the safety rail is hereby reduced still further.
[0018] According to a further embodiment, the end frame comprises an end plate and the control
element protrudes at least partially relative to the side of the end plate remote
from the mattress of the bed. This makes the control element less easy to operate
and invisible or less visible from the bed itself, which can reduce the risk of the
patient opening the safety rail him/herself.
[0019] In an embodiment of the invention the locking comprises:
- a slidable locking pin provided on the safety rail;
- an opening provided in the end frame into and out of which an outer end of the locking
pin is slidable for the purpose of respectively locking and unlocking the safety rail;
wherein the control element is arranged slidably in the opening for the purpose of
sliding the locking pin.
[0020] The outer end of the locking pin comprises a widened part. The dimensions of the
widened part are however such that the widened part can slide through the opening.
The widened part can take different forms, although it is important that it is formed
such that, once it has been moved in a first direction through the opening, it can
come to rest against the edge of the opening such that the widened part remains caught
behind this edge and the locking pin can no longer be displaced in a second, opposite
direction. The widened part is more particularly embodied such that in the locked
position it remains caught behind the opening edge and in the release position it
is released and is thus slidable out of the opening. In a determined embodiment the
user pushes for instance against the safety rail in order to displace the locking
pin over a short distance (about 0.5 - 5 cm) relative to the opening so that the locking
pin is released. The locking pin can now be slid out of the opening, for instance
by pressing the control element, whereby the safety rail is unlocked and can be lowered.
In the reverse operation the locking pin snaps into the opening under the spring action
when the safety rail is displaced from the opened position to the closed position.
[0021] In a further embodiment the pivot construction comprises a parallelogram mechanism.
The mechanism comprises four pivot arms arranged in parallelogram arrangement. In
a determined embodiment such a mechanism comprises a first set of short arms of essentially
equal length and a set of long arms of essentially equal length. This geometry enables
the safety rail to be pivoted in a substantially upright orientation between the lower
and upper positions.
[0022] Provided according to a further aspect of the invention is a method for unlocking
a safety rail of a bed, the method comprising of:
- displacing the safety rail from a locked position, in which the locking is locked
and non-releasable, to a release position in which the locking can be unlocked;
- displacing a control element in the release position for the purpose of unlocking
the locking. Following unlocking the safety rail can be displaced from the upper,
closed position of the rail to the lower, open position thereof.
[0023] In a preferred embodiment the displacement from the locked position to the release
position comprises of pivoting the safety rail inward, for instance over a short distance
which is sufficient to enable unlocking. After the locking in the release position
has been unlocked, the safety rail can be opened, for instance by pivoting the safety
rail outward.
[0024] Further advantages, features and details of the present invention will be elucidated
on the basis of the following description of several embodiments thereof. Reference
is made in the description to the figures, in which:
Figure 1 is a perspective view of a hospital bed provided with an embodiment of the
locking according to the invention;
Figure 2 is a partially cut-away perspective view of two safety rails (in the open
position on the left, in the closed position on the right) and the end surfaces at
the foot and head of the bed;
Figure 3 is a partially cut-away top view in cross-section of an embodiment of the
locking provided in a safety rail and in one of the end surfaces;
Figure 4 shows a detail of the locking of figure 3;
Figure 5 is a schematic side view of a safety rail which can be displaced up and downward
relative to the rest of the bed using a parallelogram mechanism;
Figure 6 shows the top view of figure 3, wherein the safety rail 19 has been displaced
inward;
Figure 7 is a cross-sectional side view of the locking device in the position shown
in figure 6;
Figure 8 shows a cross-sectional side view with pressed-in control knob;
Figure 9A is a schematic view of an embodiment of the pivot construction (on the left)
and an even more schematic figure (on the right), wherein the safety rail is in the
closed position;
Figure 9B shows corresponding views with the safety rail in the opened position.
Figures 1-9 show a mobile hospital bed assembly 1 provided with a locking according
to a specific embodiment of the invention. Assembly 1 comprises a mobile frame 2 on
which the actual bed 3 is arranged. Frame 2 comprises a number of profiles 5 on which
four swivel wheels 6 are arranged. Further mounted on profiles 5 are a number of pivotable
profiles 8 which can be operated in known manner by means of control handle 7. Profiles
8 form a scissor construction with which bed 3 is displaceable in up and downward
direction.
[0025] Bed 3 comprises a frame 11 on which a slatted base 13 is arranged. The slatted base
comprises two frames 15 in which a number of parallel flexible slats 14 are arranged.
Bed element 3 has a substantially elongate rectangular form. End frames 18, 19 are
provided on the two outer ends of the bed element. End frames 18, 19 are formed in
the shown embodiment by upright panels arranged substantially fixedly (though optionally
removably) on frame 11. Arranged transversely of end frames 18, 19 and along the longitudinal
side of bed element 3 are a number of safety rails 20, 20', 20", 20"'. In the shown
embodiment two safety rails are arranged per longitudinal side. In other embodiments
this number can vary, for instance a single safety rail per longitudinal side or more
than two safety rails per longitudinal side. It is also possible to provide per longitudinal
side only a part with a safety rail, wherein the other part thereof then comprises
a more permanent rail, or to embody safety rails in different lengths. The safety
rails can be partially open, for instance by being embodied with a number of horizontal
parts with intermediate spaces, or be closed. Safety rails 20-20"' are further each
individually displaceable in upward and downward direction. Shown in figure 1 for
instance is the situation where only safety rail 20" on the left front side of the
bed has been moved downward, while the other safety rails 20, 20' and 20"' have been
moved upward.
[0026] Each of the safety rails is arranged on frame 11 of bed 3 using two pivot mechanisms
34 arranged on either side. In the upward (upper) position each of the safety rails
20-20"' can be locked via a single locking mechanism 50 relative to the respective
end frame 18, 19, in particular an upright element 30 thereof.
[0027] Figure 2 shows the safety rail and the associated locking mechanism 50 in more detail.
The safety rail is constructed from two upright parts 26, 27 with parallel slats 23,
24, 25 arranged therebetween. A first pivot construction 34 is arranged at the position
of the right-hand upright element 27, while a second pivot construction 34 is arranged
on the left-hand upright element 26. The two pivot constructions are in principle
identical. Pivot construction 34 is shown in more detail in figures 9A and 9B.
[0028] Each of the pivot constructions 34 is constructed substantially from a number of
arms. In the shown embodiment the arms are manufactured from relatively thin metal
strips which are pivotable relative to each other using a number of pivots. Figure
9A shows that pivot construction 34 comprises an upright support part 35 which can
be attached to frame 11 of bed 3 using a bracket 36 and a pin 37. A first pivot arm
38 and a second pivot arm 39 are arranged on the support part by means of respectively
a first pivot 42 and second pivot 43. Pivot arms 38, 39 are in turn mounted pivotally
on a fastening part 40 via pivots 45 and 44. Fastening part 40 is fixed in the end
surfaces of a safety rail (i.e. on upright elements 26 or 27) using screws 41.
[0029] The pivot arms form a so-called parallelogram construction with which the safety
rail can be displaced up and downward. Figure 9A shows the upward (upper) position,
while figure 9B shows the downward (lower) position. During the up and downward displacement
of the safety rail for the purpose of respectively closing and opening the safety
rail, the safety rail extends substantially vertically relative to the ground as a
result of a suitable choice of the lengths and positions of the pivot points of the
parallelogram construction. This has the advantage, among others, that the safety
rail always takes up little lateral space. Although the shown parallelogram construction
provides advantages when applied to hospital beds, other pivot constructions also
fall within the scope of the present invention. What is important is that the safety
rail can be displaced between an upper position in which the bed is closed and a lower
position in which the bed is at least partially opened, so that the patient can get
into or out of the bed.
[0030] In order to prevent the pivot construction making it possible to displace the safety
rail further than said opened and closed positions, one or more stops are provided
which limit the pivoting movement of the pivot construction.
[0031] Figure 3 shows locking mechanism 50 in more detail. Figure 3 is a cross-sectional
top view at the position of locking mechanism 50. The locking mechanism comprises
an assembly 51 arranged in the relevant end frame, in particular upright element 30,
and an assembly 52 arranged in the relevant safety rail. Assembly 51 comprises a control
knob 75 which can be operated manually by being pressed (with a finger V). Control
knob 75 comprises an outer end 76, the end surface of which is provided with a bore.
A pin 77 can be fixed in this bore. Control knob 75 is movable in a housing 74 using
a helical spring 78. Housing 74 is arranged in a recess in end frame 30. The housing
also comprises a cover 79 provided with a central opening 80 along which control pin
77 can be displaced. Control pin 77 can in principle be displaced by pressing control
knob 75. When the finger releases knob 75, the control knob will once again return
to its original position under the influence of spring 78, whereby control pin 77
is again retracted.
[0032] On the opposite side, i.e. on the side of the safety rail, assembly 52 comprises
a casing 55 arranged in the end surface. The inner space of casing 55 is closable
using a closing element 56. Closing element 56 comprises a central opening through
which an elongate locking pin 57 can move. The elongate locking pin 57 comprises a
relatively wide rear body part 58, a relatively narrow middle body part 59 and a substantially
toadstool-like wide body part 60 arranged on the outer end. Casing 55 is closed on
the rear side using a support part 64 into which pin 57 extends. The outer end of
pin 57 comprises a number of stops 65 which prevent pin 57 displacing too far outward.
The part of pin 57 provided with the toadstool-like outer end can be guided into an
elongate opening 71 in a closing plate 68 (figure 4) of assembly 51. Referring to
figure 4, closing plate 68 comprises a substantially flat plate part 69 and a flat
plate part 70 extending at a slight angle thereto. Arranged in flat plate part 69
are two openings 72 with which closing plate 68 can be screwed fixedly to a safety
rail 20 using screws 73 (figure 2).
[0033] Figure 4 also shows a part of pin 57. The figure makes clear that in determined positions
of the safety rail the pin 57, at least the toadstool-like outer end 60 thereof, remains
caught with a peripheral edge behind the edge around opening 71 of closing plate 68.
[0034] The unlocking of locking mechanism 50 is described below.
In the position shown in figure 3 the pin 57 extends into opening 71 in closing plate
68 so that the relevant safety rail cannot be pivoted out of the upper position. Pressing
control knob 75 is pointless since control pin 77, which presses against the toadstool-like
outer end 60 of pin 57, cannot slide mounting pin 77 out of opening 71 because the
peripheral edge of the toadstool-like outer end 60 remains caught behind edge 81 (figure
4) of opening 71. The locking cannot therefore be unlocked solely by pressing control
knob 75.
[0035] When the safety rail is however displaced slightly inward (direction P
1, figure 3), pin 57 comes to lie in the position shown in figure 6. In this position
control knob 75 can be pressed (direction P
2, figure 6/7) so that control pin 77 can slide. The control pin now pushes against
the toadstool-like outer end 60 of locking pin 57 until the outer end 60 has been
displaced beyond opening 71 in closing plate 68. This latter end position is shown
in figure 8. In this position pin 57 is pressed so far counter to the action of helical
spring 63 that the widened outer end 60 of pin 57 can no longer stop the displacement
of safety rail 20. In this position of the locking mechanism the safety rail is thus
able to pivot from the upper position shown in figure 9A to the lower position shown
in figure 9B. In the lower position the outer end 60 of pin 57 rests in a recess 53
provided specially for this purpose in the upright element 30 of end frame 18, 19
(figure 2).
[0036] It will be apparent from the foregoing that two operations have to be performed to
unlock the locking device. The safety rail firstly has to be displaced inward to some
extent. Secondly, following displacement of the safety rail, control knob 75 has to
be pressed. Only when both operations have been successively performed (in this sequence)
can the safety rail be opened, this enhancing the safety of the locking and reducing
the risk of undesired unlocking.
[0037] In the shown embodiment the control knob is provided on the outside of end frame
18, 19. This means that in practice release cannot take place with one hand. The safety
rail is moved inward and held in the moved-inward position with a first hand, while
the control knob is then pressed with the other hand. For a person operating outside
the bed this is no problem, since this person has both hands free. For a patient in
the bed, having to use both hands forms an extra obstacle to being able to open the
safety rail.
[0038] In other embodiments (not shown) the construction with control knob and locking pin
can be embodied the other way round, i.e. with a locking pin in end frame 18, 19 and
a control knob in the safety rail. In this embodiment two operations also have to
be performed, being firstly the inward displacement of the safety rail followed by
operation of the control knob. In this embodiment however the control knob is slightly
easier for the patient to operate, which is undesirable in specific situations. In
other embodiments (not shown) a pull-out element is applied instead of making use
of a press-in control knob. When the locking pin for instance takes a pull-out form,
the locking can be released by pulling the pin outward when the safety rail has been
pivoted slightly inward. If the safety rail is not pivoted inward a widened part provided
at the outer end of the pin would remain caught behind the edge of an opening provided
in end frame 18, 19 or in the safety rail itself.
[0039] In such embodiments it is for instance even possible to combine the control pin and
the locking pin with each other to form a single pin. When the pin is pulled out without
the safety rail being displaced inward (or outward), the toadstool-like outer end
of the control pin/locking pin remains caught behind a closing plate (or similar element)
so that the locking is maintained. Only when the safety rail has been displaced (for
instance inward or outward), so that the toadstool-like outer end can no longer remain
caught behind the closing plate, can the control/locking pin be displaced by being
pulled, whereby the outer end of the pin is moved to the opening in the closing plate.
In this situation the safety rail is unlocked.
[0040] The invention is otherwise not limited to the embodiments thereof described herein.
Other constructions can be envisaged wherein the safety rail is fixed at only one
outer end to the end frame, and particularly where (at least) two operations are necessary
to bring about unlocking, and still more particularly where two operations are necessary
with different hands. The rights sought are not therefore limited to the specific
embodiments described herein, but are rather defined by the following claims, within
the scope of which many modifications and adjustments can be envisaged.
1. Bed comprising:
- a bed frame;
- an upright end frame on at least one of the two outer ends of the lying frame; and
- at least one safety rail along at least a part of at least one side of the bed frame,
wherein the safety rail is displaceable between a lower, opened position and an upper,
closed position;
- a locking for the purpose of locking the safety rail in the closed position, wherein
the locking is configured to lock the safety rail in the upper position by a releasable
coupling of the safety rail to the end frame;
characterized in that
- a pivot construction is provided between the safety rail and the bed frame which
is configured to pivot the safety rail in a substantially upright position between
the lower and the upper position; and that
- the locking comprises a control element for unlocking the safety rail from the end
frame, wherein the control element can be operated only when the safety rail has been
displaced to the release position.
2. Bed as claimed in claim 1, wherein the control element is provided in the end frame
or in the safety rail.
3. Bed as claimed in claim 1 or 2, wherein the safety rail can be coupled only via the
locking to the end frame and is coupled only via the pivot construction to the bed
frame.
4. Bed as claimed in any of the foregoing claims, wherein the pivot construction is embodied
in order to displace the safety rail from the release position to a locked position
under the influence of gravitational force.
5. Bed as claimed in any of the foregoing claims, wherein in the release position the
safety rail is displaced inward over a predetermined distance from the locked position.
6. Bed as claimed in any of the foregoing claims, wherein the pivot construction is configured
to pivot the safety rail outward from an upper, closed position to a lower, opened
position of the safety rail.
7. Bed as claimed in any of the foregoing claims, wherein the end frame comprises an
end plate and wherein the control element protrudes at least partially relative to
the side of the end plate remote from the mattress of the bed.
8. Bed as claimed in any of the foregoing claims, wherein the locking is arranged at
only one outer end of the safety rail and/or wherein the locking is arranged close
to the upper outer end of the safety rail.
9. Bed as claimed in any of the foregoing claims, wherein the locking comprises:
- a slidable locking pin provided on the safety rail;
- an opening provided in the end frame into and out of which an outer end of the locking
pin is slidable for the purpose of respectively locking and unlocking the safety rail;
wherein the control element is arranged slidably in the opening for the purpose of
sliding the locking pin, wherein the outer end of the locking pin is preferably provided
with a widened part and/or wherein in the locked position the widened part remains
caught behind an edge of the opening and in the release position is slidable out of
the opening.
10. Bed as claimed in any of the foregoing claims, wherein the pivot construction comprises
a number of pivot arms for pivoting the safety rail in substantially upright position
between the lower and the upper position, wherein the pivot arms preferably extend
in parallelogram arrangement and/or wherein the pivot arms are mounted rotatably on
a longitudinal beam of the bed frame and on both end surfaces of the safety rail.
11. Bed as claimed in any of the foregoing claims, wherein the pivot construction comprises
a set of pivot arms on both outer ends of the safety rail.
12. Bed as claimed in any of the foregoing claims, wherein the safety rail extends parallel
to the long side of the bed frame and/or the pivot construction is configured to displace
the safety rail upward and downward in parallel arrangement.
13. Locking as defined in any of the foregoing claims.
14. Method for opening a safety rail of a bed, in particular a bed as claimed in any of
the foregoing claims, the method comprising of:
- pivoting the safety rail from a locked position, in which the locking is locked
and non-releasable, to a release position in which the locking can be unlocked;
- unlocking the locking in the release position.
15. Method as claimed in claim 14, wherein the displacement from the locked position to
the release position comprises of pivoting the safety rail inward, and/or wherein
the opening of the safety rail comprises of pivoting the safety rail outward until
the safety rail is located in the lower position.