TECHNICAL FIELD
[0001] The present invention relates generally to a cushion used in a wheelchair, bed or
the like, and more particularly to a cushion suitable for preventing pressure ulcers
from occurring due to bottom out.
BACKGROUND ART
[0002] In medical and health care fields, when a patient maintains the same position in
a wheelchair, bed or the like for a long time, a problem occurs that the patient's
own weight causes blood flow inhibition in blood vessels, resulting in pressure ulcers
in tissues. To obviate this problem, a care-giver must periodically change position
of a patient, which puts significant physical and mental loads on both patient and
care-giver.
[0003] Methods of reducing the aforementioned loads include a method of interposing a cushion
between a patient and a wheelchair to distribute interface pressure. Such cushions
include an air cushion which fills a sack with air, a water cushion which fills a
sack with liquid, and a cushion which combines elastic bodies such as polyurethane
foam or fiber.
[0004] For such cushions to effectively function, the degree of elasticity of cushions is
important. While too hard cushions can not prevent pressure ulcers, too soft cushions
can not support a body and the weight of a patient crushes a cushion to cause a so-called
bottom out state, again losing the effect of preventing pressure ulcers. Pressures
acting on a cushion vary in configuration of a patient or uses of a cushion.
[0005] Since conventional typical cushions have no adjustment functions for the degree of
elasticity, effects for preventing pressure ulcers are not sufficiently exerted in
many cases. Although some cushions have adjustment functions for the degree of elasticity,
they are not freed from the inconvenience of making fine adjustment manually.
[0006] The present invention is made in view of the aforementioned problems, and it is an
object thereof to provide an internal pressure adjustment valve and a cushion having
the valve for automatically optimizing the degree of elasticity of the cushion in
accordance with uses of a patient or the like.
DISCLOSURE OF THE INVENTION
[0007] An internal pressure adjustment valve according to the present invention is attached
to a casing material which air-tightly surrounds an elastic body with air permeability,
and comprises intake means for opening to introduce outside air into the casing material
when a pressure in the casing material becomes equal to or lower than a predetermined
value, and exhaust means for opening to discharge air in the casing material to the
outside when the pressure in a casing material becomes equal to or higher than a predetermined
value.
[0008] A cushion according to the present invention comprises an elastic body with air permeability
surrounded air-tightly by a casing material with no air permeability, in which a valve
having intake means and exhaust means is attached to the casing material to automatically
adjust an internal pressure in the cushion by the valve. Said intake means is opened
to introduce outside air into the cushion when a pressure in the cushion becomes equal
to or lower than a predetermined value which is lower than an outside air pressure.
The exhaust means is opened to discharge air in the cushion to the outside when a
pressure in the cushion becomes equal to or higher than a predetermined value which
is higher than an outside air pressure. Exhaust means and intake means may be separately
attached to the cushion.
[0009] The elastic body in the cushion preferably comprises a high elastic member and a
low elastic member which are bonded together. The low elastic member is preferably
placed in and bonded to a recess portion formed from a frame of the high elastic member.
This can maintain the shape of the cushion with a soft texture being kept and increase
recovering ability. A favorable maintaining property of shape is advantageous for
automatic introduction of discharged air into the cushion.
[0010] The cushion having the internal pressure adjustment valve according to the present
invention can automatically control the internal pressure of the cushion accurately
in an arbitrary range under various usage conditions. Additionally, it maintains a
soft texture and has a sufficient body support ability with no bottom touch and without
losing shape.
BRIEF DESCRIPTION OF THE DRAWINGS
[0011]
Fig. 1 is an external view of a cushion having an internal pressure adjustment valve
according to the present invention;
Fig. 2 is a sectional view taken along II-II line in Fig. 1 and showing a configuration
of the internal pressure adjustment valve;
Fig. 3 is a schematic diagram of a supporting board of exhaust means;
Fig. 4 is a schematic diagram of the exhaust means;
Fig. 5 is a graph showing a relationship between pressure differences between the
inside and outside of a cushion and displacement of an umbrella portion of a check
valve;
Fig. 6 is a sectional view taken along VI-VI line in Fig. 1 and showing a configuration
of the cushion;
Fig. 7 is a diagram showing a state where a valve having intake means and a valve
having exhaust means are attached to a casing material; and
Fig. 8 is a diagram showing an example of an open/close valve which linearly displaces
with respect to pressure differences.
BEST MODE FOR CARRYING OUT THE INVENTION
[0012] The present invention will be described according to the accompanying drawings for
more detailed description thereof.
[0013] Fig. 1 is an external view of a cushion which has an internal pressure adjustment
valve according to the present invention and is suitable for placement on a sitting
surface of a wheelchair.
[0014] As shown in Fig. 1, the cushion comprises casing material 1 with no air permeability
which air-tightly surrounds elastic body 2 with air permeability, in which casing
material 1 is provided with at least one internal pressure adjustment valve 3 for
communicating the inside and outside of cushion 1.
[0015] Fig. 2 is a sectional view taken along II-II line in Fig. 1 and showing a configuration
of the internal pressure adjustment valve.
[0016] As shown in Fig. 2, internal pressure adjustment valve 3 has a shape in which body
portion 6 in cylindrical form is fitted by a screw with cap portion 7 having exhaust
hole 7a in the center thereof. Body portion 6 overlaps and is attached to casing material
1 of the cushion with flange 10 formed at the root thereof. Said body portion 6 and
cap portion 7 are preferably made from rigid resin molding, for example, polyacetal,
polyamide, or rigid PVC.
[0017] Said body portion 6 has intake means 4 attached thereto for introducing outside air
into the cushion. Intake means 4 comprises barrel 12 having through hole 13 and lid
14 having an end fixed to barrel 12 so as to cover said through hole 13. Said barrel
12 is made from resin such as silicone resin, and with the help of its elasticity,
it is fitted into aperture 15 formed in body portion 6 such that lid 14 is placed
inside.
[0018] In said intake means 4, when an internal pressure of the cushion becomes equal to
or lower than a predetermined value with respect to an external pressure and a pressure
difference occurs over the elasticity of lid 14 between the inside and outside of
the cushion, lid 14 is opened to introduce outside air into the cushion as shown with
arrow A. A critical value above which lid 14 is opened can be determined by the coefficient
of elasticity and shape of lid 14.
[0019] Exhaust means 5 is interposed between said body portion 6 and cap portion 7 for emitting
the air in the cushion to the outside. Exhaust means 5 comprises supporting board
9 and check valve 16. As shown in Fig. 3, supporting board 9 is of circular shape
and has central hole 17 formed in the center around which a plurality of air vents
8 are formed. Check valve 16 is fitted into central hole 17 of supporting board 9
from cap portion 7 side toward body portion 6. Preferably, said supporting board 9
is made from hard resin and check valve is made from silicone resin. An O-ring 11
made from rubber is interposed between said supporting board 9 and body portion 6
for increasing air-tightness.
[0020] As shown in Fig. 4, check valve 16 comprises central shaft 18, umbrella portion 19
at the end of the central shaft, and thick portion 20 at the root of the central axis.
Umbrella portion 19 has an outside diameter covering at least air vents 8 of supporting
board 9. The outside diameter of central shaft 18 is equal to or slightly larger than
the inside diameter of central hole 17 of supporting board 9. Thick portion 20 has
a tapered outside diameter toward an end thereof. The smoothness of the shape of thick
portion 20 is utilized to pass thick portion 20 of central shaft 18 through central
hole 17 of supporting board 9 to fix check valve 16 to supporting board 9. The area
of air vents 8 and the elasticity and shape of umbrella portion 19 of check valve
16 may be used to determine a pressure difference between the inside and outside of
the cushion for actuating exhaust means 5.
[0021] Exhaust means 5 may be replaced by removing said cap portion 7. This enables setting
of exhaust means 5 having a different actuating pressure difference value.
[0022] Check valve 16 is most preferably made from silicone resin as mentioned above for
increasing the accuracy of pressure adjustment of said exhaust means 5. Umbrella portion
19 of check valve 16 functions such that it is deformed as shown with arrow B by the
pressure difference between the internal pressure in the cushion and the outside air
pressure to emit the air in the cushion to the outside through exhaust hole 7a of
cap 7 as shown with arrow C (see Fig. 2), and the shape returns to its original state
after the elimination of the pressure difference to again cover air vents 8. At this
point, umbrella portion 19 is nonlinearly deformed with respect to an increased pressure
difference due to its shape. Specifically, no deformation occurs until the pressure
difference reaches a boundary value, and at the instance when the boundary value is
exceeded, deformation occurs to open air vents 8. In the case of a linear exhaust
valve, it is difficult to provide open and close in response to a pressure difference
sharply with respect to a boundary value, thereby making it impossible to obtain high
accuracy of pressure adjustment.
[0023] This will be described with reference to a graph shown in Fig. 5. In Fig. 5, the
horizontal axis represents ΔP (=P
i-P
o) which is a difference between internal pressure P
i and external pressure P
o (atmospheric pressure) of the cushion. The vertical axis represents ΔL (see Fig.
4) which is a displacement amount of an end of umbrella portion 19 of check valve
16.
[0024] In check valve 16 of the present invention, even as ΔP is increased from zero, the
end of umbrella portion 19 is hardly deformed and ΔL maintains values near zero until
predetermined critical value ΔP
1 is reached. Thus, no air in the cushion is emitted. Immediately after ΔP exceeds
critical value ΔP
1, check valve 16 is abruptly deformed to rapidly increase ΔL (the air in the cushion
is emitted).
[0025] In this manner, utilizing the nature of check valve 16 which is nonlinearly deformed
with respect to the difference between the internal and external air pressure of the
cushion, the internal pressure in the cushion can be accurately controlled. A change
in a combination of air vents 8 formed in supporting board 9 and check valve 9 can
change the critical value to ΔP
2, ΔP
3 ..., and the internal pressure in the cushion can fall within an arbitrary predetermined
pressure range.
[0026] Fig. 6 is a sectional view taken along VI-VI line in Fig. 1 and showing a configuration
of elastic body 2 surrounded by casing material 1 with no air permeability.
[0027] For casing material 1 with no air permeability, it is preferable to select a resin
sheet in consideration of proper flexibility and durability, for example, a vinyl
chloride resin sheet having a thickness of 0.10 to 0.3 mm or an urethane resin sheet
having a thickness of 0.01 to 0.3 mm is preferable. The outside of said casing material
1 may be coated with a cloth having good design and texture.
[0028] A form of elastic body 2 preferable for the present invention is low elastic member
22 contained in a recess portion formed from a frame of high elastic member 21. A
combination as a typical example is a cut polyurethane foam serving as low elastic
member 22 attached to a recess portion formed from urethane mold foam serving as high
elastic member 21. Said mold foam is obtained by molding semi-rigid elastic foam into
frame shape or by bonding planar foams to form a frame. Such a configuration of elastic
body 2 can keep elastic body 2 in shape as well as provide a soft texture. Deformation
of low elastic member 22 in the frame causes an air suction force like a vacuum pump,
and air is again introduced into elastic body 2 after air is once discharged. While
urethane foam is most preferable for low elastic member 22, fiber cotton materials
can be used.
[0029] In the aforementioned embodiment, the internal pressure adjustment valve having the
intake means and the exhaust means is attached to the cushion. However, at least one
valve having exhaust means and at least one valve having intake means, or at least
one valve obtained by coupling and integrating both valves may be attached to a cushion
to automatically adjust the internal pressure of the cushion.
[0030] Fig. 7 is a diagram showing a state where a valve having intake means and a valve
having exhaust means are attached to a casing material.
[0031] The valve having the intake means shown in the upper portion in Fig. 7 has body portion
6a of cylindrical shape and intake means 4a. Said body portion 6a is formed to overlap
and be attached to casing material 1a of a cushion with flange 10a formed on the outer
periphery of an end thereof and located in casing material 1a. Said intake means 4a
comprises barrel 12a having through hole 13a and lid 14a having an end fixed to barrel
12a so as to cover said through hole 13a. Said barrel 12a is fitted into aperture
15a of body portion 6a formed in the inner periphery near a surface such that lid
14a is placed inside. Since the remaining configuration is similar to that in the
aforementioned embodiment, the description thereof is omitted.
[0032] The valve having the exhaust means shown in the lower portion in Fig. 7 has body
portion 6b of cylindrical shape and exhaust means 5b. Said body portion 6b is formed
to overlap and be attached to casing material 1a of a cushion with flange 10b formed
on the outer periphery of an end thereof and located in casing material 1a. Said exhaust
means 5b comprises supporting board 9b and check valve 16b having umbrella portion
19b. Supporting board 9b is of cylindrical shape and has central hole 17b formed at
the bottom around which a plurality of air vents 8b are formed. Central shaft 18b
of check valve 16b is fitted into central hole 17b of supporting board 9b. Since the
remaining configuration is similar to that in the aforementioned embodiment, the description
thereof is omitted.
[0033] The valve having the intake means and the valve having the exhaust means shown in
Fig. 7 have an advantage that they present no obstacle since they are located inside
the casing material. The valves may be open/close valve 25 for opening/closing air
vent 28 with coil spring 26 and ball 27 shown in Fig. 8. However, since this valve
is linearly displaced with respect to pressure differences as mentioned above, the
control accuracy of pressure is reduced.
INDUSTRIAL AVAILABILITY
[0034] As described above, the cushion according to the present invention can be used for
a wheelchair, bed or the like in medical and health care fields, or can be applied
in the field of automobile seats or the like which involves sitting in the same position
for a long time.
1. A cushion including an air-permeable elastic body (2) surrounded by a casing (1, 1a)
of impermeable material, comprising an internal pressure adjustment valve including
intake means (4,4a) which opens to introduce outside air into said casing (1, 1a)
when a pressure in said casing (1, 1a) becomes equal to or lower than a first predetermined
value and exhaust means (5, 5b) which opens to discharge air from said casing (1,
1a) to the outside when a pressure in said casing (1, 1a) becomes equal to or higher
than a second predetermined value, wherein said exhaust means (5, 5b) includes a check
valve (16,16b) which responds non-linearly to a pressure difference between the inside
and the outside of said cushion so as to open abruptly when said pressure difference
exceeds a predetermined value.
2. The cushion according to Claim 1, wherein the exhaust means (5,5b) further comprises
a supporting member (9, 9b) for supporting the check valve (16, 16b).
3. The cushion comprising an internal pressure adjustment valve according to claim 2,
wherein the supporting member (9, 9b) of said exhaust means (5, 5b) has a central
hole (17, 17b) and a plurality of air vents (8, 8b) formed around the central hole
(17, 17b), and said check valve (16, 16b) includes a central shaft (18, 18b) inserted
into the central hole (17, 17b) of the supporting member (9, 9b) and an umbrella-shaped
portion (19, 19b) provided at the end of the central shaft (18, 18b) and covering
the air vents (8, 8b).
4. The cushion comprising and internal pressure adjustment valve according to any preceding
Claim, wherein said intake means (4, 4a) includes means (12, 12a) defining a through
hole (13, 13a) and a lid (14, 14a) having an end fixed to the hole defining means
(12, 12a) to cover the through hole (13, 13a), and the first predetermined value for
opening the lid (14, 14a) is determined by the coefficient of elasticity and shape
of the lid (14, 14a).
5. The cushion comprising an internal pressure adjustment valve according to any preceding
Claim, wherein said elastic body (2) includes a member (21) of low elasticity and
a member (22) of high elasticity which are bonded together.
6. The cushion comprising an internal pressure adjustment valve according to claim 5,
wherein the member (22) of high elasticity is placed in a frame of member (21) of
low elasticity, and said intake means (4, 4a) and said exhaust means (5, 5b) are provided
at said casing (1, 1a) on the side of the member (22) of high elasticity.
7. The cushion comprising an internal pressure adjustment valve according to any preceding
Claim, further comprising at least one body portion (6) overlapping and attached to
said casing (1) such that it is placed outside said casing (1) with a flange (10)
formed at an end of the body portion (6), and a cap portion (7) having an exhaust
hole (7a) fixed to the body portion (6), wherein said intake means (4) is attached
to the body portion (6), and said exhaust means (5) is interposed between the body
portion (6) and the cap portion (7).
8. The cushion comprising an internal pressure adjustment valve according to Claim 3
or any of Claims 4 to 6 as dependent thereon, further comprising at least one body
portion (6b) overlapping and attached to said casing (1a) such that it is placed inside
said casing (1a) with a flange (10b) formed at an end of the body portion (6b), wherein
the supporting member (9b) of said exhaust means (5b) is of generally cylindrical
shape and fitted into the body portion (6b), and the central hole (17b) and the air
vents (8b) are formed at the bottom of the supporting member (9b).
9. The cushion comprising an internal pressure adjustment valve according to claim 4,
further comprising at least one body portion (6a) overlapping and attached to said
casing (1a) such that it is placed inside said casing (1a) with a flange (10a) formed
in an end of the body portion (6b), wherein the hole defining means (12a) of said
intake means (4a) is fitted into the body portion (6a) such that the lid (14a) is
placed inside.
10. Cushioning equipment comprising the cushion according to any of the preceding Claims;
and a replacement check valve having a different non-linear characteristic to that
of the check valve (16, 16b) installed in the cushion so as to open abruptly at a
pressure difference different to that at which the installed check valve (16,16b)
opens.