[0001] The present invention relates to a pneumatic support device and control system for
detecting air leaks in the support device. The support device finds application as
a mattress for beds, and in particular for medical beds in healthcare facilities.
[0002] Patient support devices are well-known. In particular, it is known to provide devices
in the form of mattresses for supporting a body, in particular the body of a patient.
Mattresses of this type may comprise a structure made up, at least in part, of a plurality
of inflatable elements or cells suitable for being inflated with a fluid, in particular
for being inflated with air. Such support devices and mattresses are conventionally
used in healthcare beds and in wheelchairs or other healthcare seats, and that are
made up of inflatable elements. The inflatable elements are generally in the form
of substantially cylindrical sausage-shaped tubes that extend transversely relative
to the longitudinal direction of the mattress and that are disposed side-by-side in
the longitudinal direction of the mattress. Other arrangements are also known, and
depend on the specific requirements of the support device.
[0003] In a support device of this type, which can be used, in particular, as a mattress,
each inflatable element is generally provided with an air feed orifice and with an
air discharge orifice, which orifices are equipped with or communicate in a substantially
leak-tight manner with at least one air feed means, e.g. via a solenoid valve that
is itself connected to a pneumatic control device for controlling inflation of the
inflatable elements of the mattress and for regulating the air pressures inside the
elements.
[0004] In practice, in order to fill or inflate one of the inflatable elements of the support
device, air is fed into the element via its feed orifice until the necessary pressure
is reached inside the inflatable element. Conversely, in order to empty or deflate
one of the inflatable elements, or in order to adjust the pressure inside the element,
the feed orifice is kept closed and the air is discharged via the discharge orifice
provided for that purpose, and in some instances, also provided with a solenoid valve
that is also controlled by the pneumatic control device for controlling inflation.
[0005] Support devices of this type are used as mattresses for patient care because they
make it possible to distribute appropriately the interface pressure, i.e. the pressure
exerted locally by each point of the body on the surface of the mattress, as a function
of the morphology and of the position of the patient.
[0006] In particular, such mattresses make it possible, as a function of the number of inflatable
elements implemented, to control individually the pressure, and therefore, the filling
of the inflatable elements in different zones of the mattress so as to procure an
appropriate distribution of interface pressure engaging each portion of the patient'
s body, and so as to avoid or reduce the risks of bedsores forming in zones of the
body that are at risk, such as the sacral zone and the heel zone, for example.
[0007] In principle, ideal patient comfort and optimum blood circulation for avoiding bedsore
formation or for reducing local pain in certain zones of the body that bear against
the mattress are obtained when the bearing points of the body are redistributed over
the surface of the mattress, i.e. when the pressure exerted by the various zones of
the body on the mattress (which pressure is referred to as the "interface pressure")
is substantially identical at all of the points of the surface of body that are in
contact with the mattress and if, in addition, the surface area of the body that is
contact with the mattress is as large as possible, which requires the degree to which
the inflatable elements of the mattress are inflated under the various portions of
the body to be adapted to control the depth to which the body penetrates into the
various zones of the mattress. For this purpose, the air pressures inside the inflatable
elements are distributed by controlling the filling/emptying of the elements in accordance
with certain pre-established calculations based on, and as a function of, measurements
taken with sensors in, on, or below the mattress, depending on the type of sensors
implemented.
[0008] Such sensors are known to the person skilled in the art and can measure the pressure
exerted by the patient's body or the depth to which the patient's body penetrates
into the given compartments of the mattress, as described, for example, in the Applicant's
European Patent
EP 0 676 158 and in the Applicant's European Patent
EP 1 056 372.
[0009] Controlling and regulating filling/emptying of the inflatable elements via solenoid
valves also makes it possible to obtain support devices that operate in an "alternating-pressure
mode" in which certain inflatable elements of the support device that are uniformly
distributed along the length thereof are inflated and deflated simultaneously and
in alternation. For example, one in every two elements, or two in every three elements,
or indeed one in every four elements, are deflated and re-inflated, and then the elements
adjacent to the previously deflated and re-inflated compartments are deflated and
re-inflated. Thus, each inflatable element of the support device is deflated/re-inflated
in succession, one after another, thereby creating a sort of wave moving back and
forth in the longitudinal direction of the support device and relieving the interface
pressure locally, thereby locally facilitating blood circulation through the soft
tissue at the interface with the surface of the support device.
[0010] Currently, support devices, in particular mattresses, incorporating such inflatable
elements are frequently made up of a first air mattress layer having a casing that
is not elastic. This first layer having a thickness that is generally constant over
the entire length of the mattress, forming a "bottom" mattress on which a second layer
or "therapeutic" mattress is placed that is formed by juxtaposing inflatable elements
that are welded (e.g., heat-sealed) or otherwise bonded together, and that are in
the general shape of substantially cylindrical sausage-shaped tubes or cells extending
in a direction perpendicular to the longitudinal direction of the mattress.
[0011] Each of the zones of the therapeutic mattress is provided with solenoid valves and
with pipes or tubes adapted to be connected to an inflation and regulation device
that is generally independent from the bottom mattress.
[0012] Such mattresses make it possible to assist in preventing, and in providing effective
and increased treatment of bedsores and of other lesions or pain that develop as a
result of patients being kept in the recumbent position and almost immobile for prolonged
periods in hospital beds, in particular, by implementing cycles of alternately inflating
and deflating the cells of the therapeutic mattress and by using inflation pressures
for the cells that differ as a function of the various support zones for supporting
the patient's body.
[0013] However, such mattresses are susceptible to air leaks, such as those caused by a
puncture. Where such an air leak occurs, without intervention, the patient's safety
may be at risk. In the Applicant's US Patent
US 8,5898,893 B, the bottom mattress is provided with the safety function of a latching valve which
enables the bottom mattress to be automatically sealed when a leak is detected in
the therapeutic mattress thus preventing the patient from coming to rest on the hard
surface of the frame of the bed.
[0014] Nevertheless, such a safety system still has drawbacks, and cannot mitigate the risk
to the patient when there is a leak in the bottom mattress, nor can the system detect
which portion of the therapeutic mattress is leaking. It is therefore an object of
the present invention to provide a patient support device having an improved control
and safety system which mitigates the drawbacks of known patient support devices.
[0015] According to a first aspect of the present disclosure, there is provided a support
device for supporting the body of a person. The support device comprises: a top layer
comprising at least one individually inflatable cell, inflatable via a pneumatic inflation
and pressure regulation device; a bottom layer, arranged to support the top layer,
the bottom layer comprising at least one inflatable cell, inflatable via the pneumatic
inflation and pressure regulation device; and a pneumatic inflation and pressure regulation
device comprising a controller and a compressor, pneumatically coupled to the at least
one inflatable cell of the top layer and to the at least one inflatable cell of the
bottom layer via a manifold. The manifold comprises: a plurality of isolation valves
configured to enable the top layer and the bottom layer to be isolated from each other
and from the compressor; at least one exhaust valve pneumatically coupled to the top
layer; and at least one exhaust valve pneumatically coupled to the bottom layer. The
controller is configured to: determine if there is an air leak from the support device;
upon determining an air leak: determine the layer which has the leak; isolate the
layer which has the leak from the other layer and from the compressor; and open the
exhaust valve to the layer which has the leak.
[0016] Advantageously, controlling the system in this way enables a leak to be detected,
located in a particular portion of the support device, and for the remaining operational
portion of the support device to be used to ensure the person being supported on the
support device is protected from harm. For example, where the support device is a
mattress for a hospital bed, the system may reduce the probability of the patient
developing bed sores due to coming into contact with the hard surface of the bed frame,
or due to being supported in a non-ideal manner because one of the layers developing
a leak.
[0017] By opening the exhaust valve to the layer having the leak, the layer may exhaust
to atmosphere, enabling it to deflate.
[0018] In a preferred embodiment, the top layer comprises a plurality of individually inflatable
cells. In this way, the top layer may be a therapeutic mattress. The bottom layer
may also comprise a plurality of individually inflatable cells.
[0019] Preferably, the controller is configured to determine the layer that has the leak
by: isolating the top layer and the bottom layer from each other and from the compressor;
determining the pressure difference in either the bottom layer or the top layer between
a first time and a second time; if the pressure difference is greater than a threshold
value, opening the exhaust valve coupled to the respective layer; and if the pressure
difference is less than a threshold value, open the exhaust valve to the respective
other layer.
[0020] In this preferred embodiment, the support device further comprises a pressure sensor
pneumatically coupled to the top layer or to the bottom layer, in dependence on which
layer is having the pressure difference determined. A further pressure sensor may
be pneumatically coupled to the respective other layer.
[0021] Preferably, the controller is further configured to couple the compressor to the
layer which does not have a leak.
[0022] The controller may alternatively be configured to determine the layer that has the
leak by: isolating the top layer and the bottom layer from each other and from the
compressor; determining the pressure difference in both the bottom layer and the top
layer between a first time and a second time; if the pressure difference is greater
in the top layer, opening the exhaust valve coupled to the top layer; and if the pressure
difference is greater in the bottom layer, opening the exhaust valve to the bottom
layer.
[0023] In this alternative embodiment, the support device preferably further comprises at
least two pressure sensors, a first pressure sensor pneumatically coupled to the top
layer and a second pressure sensor pneumatically coupled to the bottom layer.
[0024] Preferably, the controller is further configured to activate an alarm. The alarm
may be local to the support device, or may be remote from the support device. The
alarm may be audible or visible or both audible and visible. Where the alarm is remote
from the support device, an alarm signal may be transmitted to a remote monitoring
station. The alarm signal may be transmitted by a wired connection or a wireless connection.
For example, the wireless connection may be use a 802.11, Wi-Fi, protocol over a local
area network (LAN), an infrared transmission protocol, such as an IrDA protocol, Bluetooth
®, or any other suitable wireless transmission method. Where the connection is a wired
connection, the system may use any standard transmission protocol such as TCP/IP,
RS232.
[0025] Preferably, the controller is further configured to: if the pressure difference is
greater than the threshold value, couple the compressor to the bottom layer; and if
the pressure difference is less than the threshold value, couple the compressor to
the top layer. In this preferred embodiment, the controller is preferably further
configured to regulate the pressure in the layer coupled to the compressor. The regulation
pressure may be greater than the operating pressure of the layer. In this way, once
the leak is detected, and the layer having the leak is detected, the air pressure
in the layer without the leak can be regulated to ensure that the person being supported
by the support device does not come into contact with a supporting frame which supports
the supporting device.
[0026] In the embodiment which enables the layer having the leak to be identified, the controller
may be configured to indicate which layer has the leak. In this way, the controller
can inform a maintenance technician, or the like, which layer the leak is in to increase
the speed of repair. Where the system comprises a visible alarm, the visible alarm
may provide the indication as to which layer has the leak.
[0027] The controller may comprise a communication port for coupling with an external device,
the communication port being adapted to communicate status information to the external
device. For example, the external device may be a computer, terminal, PDA, smartphone,
or the like utilised by a maintenance technician. The status information may comprise
data relating to the layer in which the leak has been detected.
[0028] Each of the isolation valves may be an electrically operated solenoid valve. Each
of the electrically operated solenoid valves are operatively coupled to the controller.
[0029] The manifold may comprise a further pressure sensor, pneumatically coupled to at
least one of the inflatable cells of the top layer, the controller being configured
to determine a pressure difference between a first time and a second time to determine
whether there is a leak in the at least one inflatable cells of the top layer.
[0030] One or more of the individual inflatable cells may each be pneumatically coupled
to an isolation valve configured to isolate the respective inflatable cell from the
other inflatable cells and from the compressor. By isolating the respective inflatable
cells, the location of the leak may be more accurately determined. In this embodiment,
each of the plurality of individually inflatable cells may be operatively coupled
to a pressure sensor, such that the location of the leak may be determined. The information
determined by the controller as to the location of the leak can then be used by the
maintenance technician to repair the leak more quickly.
[0031] According to a further aspect of the present invention, there is provided a method
of controlling a support device, for supporting the body of a person, the support
device comprising a top layer having at least one individually inflatable cell, a
bottom layer having at least one inflatable cell and a pneumatic inflation and pressure
regulation device comprising a compressor. The method comprises: determining if there
is an air leak from the support device; upon determining an air leak: determining
the layer which has a leak; isolating the layer which has the leak from the other
layer and from the compressor, and opening the exhaust valve to the layer which has
a leak.
[0032] Advantageously, providing such a method enables a leak to be detected, located in
a particular portion of the support device, and enables the remaining operational
portion of the support device to be used to ensure the person being supported on the
support device is protected from harm. For example, where the support device is a
mattress for a hospital bed, the method may reduce the probability of the patient
developing bed sores due to coming into contact with the hard surface of the bed frame,
or due to being supported in a non-ideal manner because one of the layers developing
a leak.
[0033] Preferably, the step of determining the layer that has the leak, comprises: isolating
the top layer and the bottom layer from each other and from the compressor; determining
the pressure difference in either the bottom layer or the top layer between a first
time and a second time; if the pressure difference is greater than a threshold value,
opening the exhaust valve coupled to the respective layer; and if the pressure difference
is less than a threshold value, open the exhaust valve to the respective other layer.
[0034] Alternatively, the step of determining the layer that has the leak, comprises: isolating
the top layer and the bottom layer from each other and from the compressor; determining
the pressure difference in both the bottom layer and the top layer between a first
time and a second time; if the pressure difference is greater in the top layer, opening
the exhaust valve coupled to the top layer; and if the pressure difference is greater
in the bottom layer, opening the exhaust valve to the bottom layer.
[0035] In a yet further alternative, the step of determining the layer that has the leak
comprises: isolating the top layer from the bottom layer; isolating one of the top
layer and the bottom layer from the compressor; regulating the pressure in the remaining
layer pneumatically coupled to the compressor; determining whether the pressure in
said layer can be regulated at the operating pressure; if the pressure can be regulated,
the leak is in the other layer; if the pressure can not be regulated, the leak is
in the layer coupled to the compressor. In this embodiment, if the leak is in the
other layer, the configuration is maintained. If the leak is in the layer coupled
to the compressor, the layer is isolated from the compressor and exhausted to atmosphere,
and the other layer is pneumatically coupled to the compressor and regulated at a
pressure.
[0036] The method preferably further comprises activating an alarm upon determining an air
leak. The alarm may be local to the support device, or may be remote from the support
device. The alarm may be audible or visible or both audible and visible. Where the
alarm is remote from the support device, the method may comprise transmitting the
alarm signal to a remote monitoring station. The alarm signal may be transmitted by
a wired connection or a wireless connection. For example, the wireless connection
may be use a 802.11, Wi-Fi, protocol over a local area network (LAN), an infrared
transmission protocol, such as an IrDA protocol, Bluetooth
®, or any other suitable wireless transmission method. Where the connection is a wired
connection, the system may use any standard transmission protocol such as TCP/IP,
RS232.
[0037] The step of determining if there is an air leak from the support device preferably
comprises: monitoring the continuous activation time of the compressor to maintain
an operating pressure; if the activation time is greater than a threshold value, determining
that there is a leak. Operating the support device in this way minimises the requirement
for additional hardware, while still providing the advantage of determining whether
there is a leak.
[0038] The threshold value for the activation time may be about 5 minutes, about 8 minutes,
about 10 minutes, about 15 minutes, or longer. In a preferred embodiment, the threshold
value for the activation time is about 10 minutes.
[0039] The step of determining if there is a leak may alternatively comprise: monitoring
the pressure in the top layer and in the bottom layer while the compressor is activated;
if the pressure in either layer does not increase within a predetermined time interval,
determine that there is a leak. In this embodiment, the pressure may be monitored
in each layer separately, such that the layer having the leak may be determined, by
corresponding the increase in pressure with the layer which does not have a leak.
In this embodiment, the method may comprise determining there is a leak if the pressure
does not increase by a predetermined amount within the predetermined time interval.
[0040] The step of determining if there is a leak may alternatively comprise monitoring
the pressure in the top layer and the bottom layer, wherein it is determined that
there is a leak if the internal pressure of either layer drops below a predetermined
threshold. In one example, the predetermined threshold may be between about 5 mbar
and about 30 mbar, and in one preferred example the predetermined threshold may be
about 10 mbar.
[0041] In one embodiment, upon determining an air leak: if the pressure difference is greater
than the threshold value, couple the compressor to the bottom layer; and if the pressure
difference is less than the threshold value, couple the compressor to the top layer.
In this embodiment, upon determining an air leak the pressure in the layer coupled
to the compressor is regulated. Preferably, the regulation pressure is greater than
the operating pressure of the layer. By regulating the pressure to above the operating
pressure, the support device prevents the person being supported from contacting a
bed frame, or the like, underneath the support device.
[0042] Where the pressure difference is determined between a first time and a second time,
the time difference between the first time and the second time may be between about
30 seconds and about 180 seconds, preferably between about 45 seconds and about 90
seconds. In one particular embodiment, the time difference is about 60 seconds.
[0043] In the embodiment which enables the layer having the leak to be identified, the method
may further comprise indicating which layer has the leak. In this way, the method
informs a maintenance technician, or the like, which layer the leak is in to increase
the speed of repair. Where the method comprises activating a visible alarm, the visible
alarm may provide the indication as to which layer has the leak.
[0044] The method may comprise communicating status information to a maintenance technician
via a communications port on the support device. The status information may comprise
data relating to the layer in which the leak has been detected.
[0045] The manifold may comprise a further pressure sensor, pneumatically coupled to at
least one of the inflatable cells of the top layer, the method further comprising
determining a pressure difference between a first time and a second time to determine
whether there is a leak in the at least one inflatable cells of the top layer.
[0046] One or more of the individual inflatable cells may each be pneumatically coupled
to an isolation valve configured to isolate the respective inflatable cell from the
other inflatable cells and from the compressor. By isolating the respective inflatable
cells, the location of the leak may be more accurately determined. In this embodiment,
each of the plurality of individually inflatable cells may be operatively coupled
to a pressure sensor, such that the location of the leak may be determined. The information
determined by the method as to the location of the leak can then be used by the maintenance
technician to repair the leak more quickly.
[0047] Any feature in one aspect of the invention may be applied to other aspects of the
invention, in any appropriate combination. In particular, method aspects may be applied
to apparatus aspects, and vice versa. Furthermore, any, some and/or all features in
one aspect can be applied to any, some and/or all features in any other aspect, in
any appropriate combination.
[0048] It should also be appreciated that particular combinations of the various features
described and defined in any aspects of the invention can be implemented and/or supplied
and/or used independently.
[0049] The invention will be further described, by way of example only, with reference to
the accompanying drawings in which:
- Figure 1 shows a schematic view of a support device having a therapeutic mattress
and an under mattress;
- Figure 2 shows a schematic view of a manifold for use with the support device of Figure
1;
- Figure 3 shows a leak detection configuration of the manifold of Figure 2;
- Figure 4 shows a configuration of the manifold of Figure 2 when a leak is detected
in the therapeutic mattress;
- Figure 5 shows a configuration of the manifold of Figure 2 when a leak is detected
in the under mattress; and
- Figure 6 shows a schematic view of the support device system.
[0050] Figure 1 shows a schematic view of a support device 100. The support device 100 of
forms a mattress that is suitable for supporting the body of an individual, in particular
of a patient, and that comprises a removable cover 102 containing a top layer formed
by a therapeutic mattress 104 resting on a bottom layer formed by a bottom support
mattress 106. The therapeutic mattress is made up of inflatable air elements or cells
108, 110, 112 that are adjacent to one another and that extend in a direction that
is perpendicular to the longitudinal direction of the device 100. The inflatable cells
are distributed into three adjacent support zones for supporting respective main portions
of the body of an individual who is recumbent on the device 100, namely: a first zone
114 for supporting the torso and the head; a second zone 116 for supporting the legs
and the feet; and a third zone 118 interposed between the zones 114 and 116 and for
supporting the pelvis.
[0051] In a known manner, regardless of whether it is in the central zone 118 or in one
of the zones 114 or 116, each of the inflatable cells 108, 110, 112 is provided with
or co-operates with at least one pneumatic air feed and/or discharge means connected
to and suitable for being actuated by a pneumatic inflation and pressure regulation
device (not shown) received under the end of the support zone 116 and in alignment
with the bottom mattress 106. Alternatively, the pneumatic inflation and pressure
regulation device can be entirely external to the support device.
[0052] In some embodiments of the device, the inflatable cells of the top layer are made
of a thermoplastic polymer material, in particular a material based on polyurethane
(PU). Such a material offers the characteristics of being both flexible and strong
and, by being thermoplastic, of being sensitive to human body heat, thereby enhancing
the comfort and the flexibility of the support procured for an individual on the mattress.
[0053] The bottom mattress 106 of the device is, like the therapeutic mattress 104, made
up of interconnected inflatable cells 120 suitable for being connected to the pneumatic
inflation and pressure regulation device. The inflatable cells 120 of the bottom layer
106 of the mattress 100 may be made of a material of flexibility and of heat-sensitivity
lower than those of the material of which the inflatable cells of the therapeutic
mattress are formed, so that an unchanging geometrical shape is maintained.
[0054] The casing of the inflatable cells 120 of the bottom mattress 104 can be made of
a woven fabric, such as a polyurethane-coated Nylon® fabric. The alternation of materials,
such as polyurethane for the therapeutic mattress 104 and polyurethane-coated Nylon®
for the bottom mattress 106, makes it possible for the therapeutic mattress to offer
the desirable comfort and for the bottom mattress to maintain a stable geometrical
shape.
[0055] The air cells in the therapeutic mattress may be secured to one another and formed
by flat butt welding (e.g., heat-sealing) together two sheets of polyurethane, along
weld lines that are mutually parallel.
[0056] Each air cell may be provided with a plastic connector making it possible to connect
a pneumatic pipe or tube communicating with other air cells of the same segment 114,
116 or 118, the odd cells being connected together and the even cells also being connected
together. At the opposite end of the connector a tubular orifice is provided making
it possible to connect the air distribution connection pipe.
[0057] This configuration for hydraulically linking together the various cells guarantees
mechanical stability for all of the individualized cells of each zone. The therapeutic
mattress 104 comprising the two segments 114 and 116 and the central zone 118 is held
together physically by plastics press studs on the outer casing, which press studs
are placed in such a manner as to guarantee that the therapeutic mattress 104 is held
together mechanically with effective strength while also being releasable. The plastics
press studs make disassembly possible in the event that the therapeutic mattress 104
is replaced in full, or in part, by replacing the segment(s) 114 and/or 116 and/or
the central zone 118.
[0058] The air pressures within the cells of the various support zones 114, 116, 118 of
the therapeutic mattress 104 may be regulated by the pneumatic inflation and regulation
device in an alternating low-pressure mode as a function of the information received
from a morphology sensor.
[0059] The support device 100 is pneumatically coupled to a manifold and pneumatic inflation
and pressure regulation device. The manifold 200 and pneumatic inflation and pressure
regulation device 202 are shown in Figure 2 pneumatically coupled to the support device
100. The manifold comprises a plurality of coupling ports 204A, 204B, 204C, 204D,
204E, 204F and 204G for pneumatically coupling each of the layers and zones of the
support device 100 to the manifold 200. The manifold 200 further comprises a plurality
of coupling ports 206A, 206B, 206C, 206D and 206E for pneumatically coupling the manifold
to the pneumatic inflation and pressure regulation device 202, a pressure relief valve
208, equipment used by a technician during maintenance 210 and 212, and a pressure
sensor 214 respectively. The manifold also comprises a plurality of solenoid valves
215, 216, 218, 220, 222, 224, 226, 228, and 230 for selectively isolating various
components of the support device from each other and/or from the pneumatic inflation
and pressure regulation device 202. Each solenoid valve is configured to enable exhaust
to atmosphere.
[0060] The solenoid valve 215 is configured to isolate the support device from the pneumatic
inflation and pressure regulation device, and to couple the pneumatic inflation and
pressure regulation device to a micro-climate management (MCM) cover 232. The MCM
232 cover may be provided on top of the support device 100 to regulate the temperature
and moisture adjacent the person being supported by the device 100.
[0061] The solenoid valve 220 is configured to isolate the under, bottom support, mattress
106. Solenoid valves 216 and 218 enable the bottom support mattress to be exhausted
to atmosphere. The bottom support mattress may be exhausted to atmosphere because
a leak has been detected in that layer.
[0062] The solenoid valves 222 and 224 are configured to isolate and/or exhaust to atmosphere
the central zone 118 of the therapeutic layer 104. This enables the zone to be exhausted
in the event of a leak.
[0063] The solenoid valve 226 enables the heel zone 116 to be exhausted to atmosphere in
the event a leak is detected.
[0064] The solenoid valve 228 enables the heel zone 116 to be isolated from the pneumatic
inflation and pressure regulation device, and from other portions of the support device.
[0065] The solenoid valve 230 enables some or all of the inflatable cells of the support
device to be exhausted to atmosphere in dependence on the configuration of the other
of the solenoid valves. This can enable the zones to be exhausted in the event of
a leak or for generally exhausting the mattress.
[0066] As can also be seen from Figure 2, the bottom support mattress 106 is provided with
a pressure sensor 234 for determining the air pressure therein. A pressure relief
valve 236 is pneumatically coupled to the head zone 114 of the therapeutic mattress
104 to prevent the therapeutic mattress from being over-inflated which may cause damage.
The pressure relief valve 208 prevents the bottom support mattress 106 from being
over-inflated which may cause damage.
[0067] In use, the manifold and pneumatic inflation and pressure regulation device are controlled
to pressurise the bottom support mattress and the therapeutic mattress as required,
and as described above. In addition to the standard control method, the controller
is configured to monitor whether either of the therapeutic layer 104 or the bottom
support layer 106 develop an air leak.
[0068] The controller is configured to: determine if there is an air leak from the support
device; upon determining an air leak: isolate the top layer 104 and the bottom layer
106 from each other and from the compressor 202 by closing solenoid valves 215 and
220; determine the pressure difference in the bottom layer between a first time and
a second time using the pressure sensor 234; if the pressure difference is greater
than a threshold value, open the solenoid exhaust valves 216 and 218 coupled to the
bottom layer; and if the pressure difference is less than a threshold value, open
the solenoid exhaust valves, 222, 224, 226 and 230 to the top layer 106. Before the
top, therapeutic mattress 104 is exhausted to atmosphere it is ensured that it is
isolated from the bottom layer 104 by closing solenoid valve 220. The configuration
of the manifold when determining whether there is a leak is shown in Figure 3.
[0069] The time difference between taking the first pressure reading and the second pressure
reading may be about 60 seconds.
[0070] Controlling the system in this way enables a leak to be detected, located in a particular
portion of the support device, and for the remaining operational portion of the support
device to be used to ensure the person being supported on the support device is protected
from harm. For example, where the support device is a mattress for a hospital bed,
the system may reduce the probability of the patient developing bed sores due to coming
into contact with the hard surface of the bed frame, or due to being supported in
a non-ideal manner because one of the layers developing a leak.
[0071] Alternatively, or in addition, to determine whether there is a leak the controller
is configured to monitor the continuous activation time of the compressor of the pneumatic
inflation and pressure regulation device 202. If the continuous activation time is
greater than a threshold, for example 10 minutes, the controller determines that there
is an air leak. At this point, the controller then proceeds to configure the manifold
as described above to determine in which layer of the support device 100 the leak
is.
[0072] Figure 4 shows the configuration of the manifold when the controller determines that
there is a leak in the therapeutic mattress 104. As can be seen, the solenoid valve
220 has isolated the bottom mattress 106 from the therapeutic mattress 104. Further,
the solenoid valves 222, 224, 226 and 230 have been opened to atmosphere to enable
the therapeutic mattress to be deflated to prevent an uneven support surface from
developing and harming the person being supported on the mattress.
[0073] Figure 5 shows the configuration of the manifold when the controller determines that
there is a leak in the bottom support mattress 106. As can be seen, the solenoid valves
216 and 218 have isolated the bottom mattress 106 from the therapeutic mattress 104
and from the compressor. Further, those solenoid valves 216 and 218 have been opened
to atmosphere to enable the bottom mattress 106 to be deflated to prevent an uneven
support surface from developing and harming the person being supported on the mattress.
[0074] In Figures 4 and 5, once the leak is detected, and the layer having the leak is determined,
the layer not having the leak is pneumatically coupled to the compressor and regulated
to a pressure such that the person being supported is not allowed to come into contact
with the bed frame, or the like, supporting the support device. In this example, pressure
sensor 214 is used to monitor and regulate the pressure in the top, therapeutic, layer,
and pressure sensor 234 is used to monitor and regulate the pressure in the bottom,
support, layer.
[0075] Figure 6 shows the support device system as a whole. As can be seen, the support
device 100 is coupled pneumatically to the manifold 200 by hoses 600, the compressor
202 is pneumatically coupled to the manifold 200 and the controller 602 is electrically
coupled to both the compressor 202 and the solenoid valves of the manifold 200. In
addition, an alarm 604 is electrically coupled to the controller 602.
[0076] When a leak is detected as described above, the alarm 604 is activated to alert a
healthcare professional and/or a maintenance technician that the support device 100
has developed a leak. The alarm may be visual and/or audible. The alarm 604 may be
coupled to the support device 100 itself, to a bed or the like supporting the support
device 100. Alternatively, or in addition a remote alarm may be provided. The remote
alarm may be at a central location, such as a nurse station, or in a maintenance office,
or the like.
[0077] Where the alarm is remote, the controller may communicate with the alarm by a wireless
or a wired communication connection. For example, the wireless connection may be use
a 802.11, Wi-Fi, protocol over a local area network (LAN), an infrared transmission
protocol, such as an IrDA protocol, Bluetooth
®, or any other suitable wireless transmission method. Where the connection is a wired
connection, the system may use any standard transmission protocol such as TCP/IP,
RS232.
1. A support device for supporting the body of a person, the support device comprising:
a top layer comprising at least one individually inflatable cell, inflatable via a
pneumatic inflation and pressure regulation device;
a bottom layer, arranged to support the top layer, the bottom layer comprising a at
least one inflatable cell, inflatable via the pneumatic inflation and pressure regulation
device; and
a pneumatic inflation and pressure regulation device comprising a controller and a
compressor, pneumatically coupled to the at least one inflatable cell of the top layer
and to the at least one inflatable cell of the bottom layer via a manifold,
wherein, the manifold comprises:
a plurality of isolation valves configured to enable the top layer and the bottom
layer to be isolated from each other and from the compressor;
at least one exhaust valve pneumatically coupled to the top layer; and
at least one exhaust valve pneumatically coupled to the bottom layer;
and wherein, the controller is configured to:
determine if there is an air leak from the support device;
upon determining an air leak:
determine the layer which has a leak;
isolate the layer which has the leak from the other layer and from the compressor;
and
open the exhaust valve to the layer which has the leak.
2. A support device according to Claim 1, wherein the controller is configured to determine
the layer that has the leak by:
isolating the top layer and the bottom layer from each other and from the compressor;
determining the pressure difference in either the bottom layer or the top layer between
a first time and a second time;
if the pressure difference is greater than a threshold value, opening the exhaust
valve coupled to the respective layer; and
if the pressure difference is less than a threshold value, open the exhaust valve
to the respective other layer.
3. A support device according to Claim 1, wherein the controller is configured to determine
the layer that has the leak by:
isolating the top layer and the bottom layer from each other and from the compressor;
determining the pressure difference in both the bottom layer and the top layer between
a first time and a second time;
if the pressure difference is greater in the top layer, opening the exhaust valve
coupled to the top layer; and
if the pressure difference is greater in the bottom layer, opening the exhaust valve
to the bottom layer.
4. A support device according to Claim 1, 2 or 3, wherein the controller is further configured
to activate an alarm when a leak is detected.
5. A support device according to any of Claims 1 to 4, wherein the controller is further
configured to:
couple the compressor to the layer which does not have a leak.
6. A support device according to Claim 5, wherein the controller is further configured
to regulate the pressure in the layer coupled to the compressor.
7. A support device according to any of the preceding claims, one or more of the individual
inflatable cells each being pneumatically coupled to an isolation valve configured
to isolate the respective inflatable cell from the other inflatable cells and from
the compressor.
8. A method of controlling a support device, for supporting the body of a person, the
support device comprising a top layer having at least one individually inflatable
cell, a bottom layer having at least one inflatable cell and a pneumatic inflation
and pressure regulation device comprising a compressor, the method comprising:
determining if there is an air leak from the support device;
upon determining an air leak:
determine the layer which has a leak;
isolate the layer which has the leak from the other layer and from the compressor,
and
open the exhaust valve to the layer which has a leak.
9. A method according to Claim 8, wherein the step of determining the layer that has
the leak, comprises:
isolating the top layer and the bottom layer from each other and from the compressor;
determining the pressure difference in either the bottom layer or the top layer between
a first time and a second time;
if the pressure difference is greater than a threshold value, opening the exhaust
valve coupled to the respective layer; and
if the pressure difference is less than a threshold value, open the exhaust valve
to the respective other layer.
10. A method according to Claim 8, wherein the step of determining the layer that has
the leak, comprises:
isolating the top layer and the bottom layer from each other and from the compressor;
determining the pressure difference in both the bottom layer and the top layer between
a first time and a second time;
if the pressure difference is greater in the top layer, opening the exhaust valve
coupled to the top layer; and
if the pressure difference is greater in the bottom layer, opening the exhaust valve
to the bottom layer.
11. A method according to Claim 9 or 10, further comprising activating an alarm upon determining
an air leak.
12. A method according to Claim 9 or 10, wherein the step of determining if there is an
air leak from the support device, comprises:
monitoring the continuous activation time of the compressor to maintain an operating
pressure;
if the activation time is greater than a threshold value, determining that there is
a leak.
13. A method according to Claim 9, 10 or 11, wherein, upon determining an air leak:
if the pressure difference is greater than the threshold value, couple the compressor
to the bottom layer; and
if the pressure difference is less than the threshold value, couple the compressor
to the top layer.
14. A method according to Claim 12, wherein, upon determining an air leak regulating the
pressure in the layer coupled to the compressor.
15. A method according to any of Claims 9 to 14, wherein the time difference between the
first time and the second time is between about 30 seconds and about 180 seconds,
preferably between about 45 seconds and about 90 seconds.