[0001] The invention relates to a seat cushion according to the introductory part of patent
claim 1. Such a cushion is known from FR-A-1 291 237.
[0002] The seat cushion is particularly designed as a wheelchair cushion for persons who
are unable to walk. The seat cushion prevents the creation of pressure sores in the
buttock area, helps the person sit in a straight posture in the wheelchair and prevents
him from being inclined either sideways or forward.
[0003] In the prior art there is known a seat cushion comprising a number of bag-like elements
filled with gas. These elements are essentially quadratic in cross-section, and their
height is larger than their width. Consequently they are upwardly oriented stud-like
bags arranged on the seat area, for instance 8 x 8 numbers in all.
[0004] A drawback with the described known seat cushion is that all elements are interconnected.
The same air pressure prevails in all elements irrespective of the spot where the
patient sits on the seat cushion. Air tends to flow from the bag-like elements from
underneath the patient towards the elements located at the sides, where the weight
pressure is weaker. Thus it is difficult for the patient to achieve a good balance
on this type of seat cushion. Another drawback with said seat cushion is that if one
of the bag-like elements is broken, the whole seat cushion immediately becomes unfit
for use.
[0005] In the prior art there is also known a seat cushion including both bag-like elements
filled with liquid or gel, and shaped and padded support elements.
[0006] A drawback with said known seat cushions is that they must generally be custom-shaped
according to the measures of the patient, wherefore they are expensive. Another drawback
is that the shaped and padded parts still can direct a high surface pressure towards
certain body parts which rest against them, so that the conditions for developing
pressure sores exist. The liquid element cannot smooth out the pressure directed to
the critical tissue spots in order to prevent the development of pressure sores.
[0007] The object of the present invention is to achieve a new seat cushion whereby the
described drawbacks can for essential parts be eliminated. The object also includes
the provision of a more comfortable seat cushion than the one known from FR-A-1 291
237. The invention is characterized by the features enlisted in the characterizing
part of the patent claim 1.
[0008] The seat cushion according to the invention comprises a number of elongate, bag-like
elements which can be filled with gas. According to the invention, the bag-like elements
are arranged into element groups, so that
- the first element group includes three elements, the first and second of which are
arranged lengthwise at the sides of the seat cushion, and the third is arranged transversally
in the rear part of the seat cushion;
- the second element group includes at least one element which is arranged in the middle
area of the seat cushion; and
- the third element group includes at least one element which is arranged transversally
in the front part of the seat cushion,
the gas pressure of the elements provided in the element groups being adjustable
from outside the seat cushion, so that the first element group supports, on an area
as large as possible, the buttocks of the patient at the sides and the region below
the lumbar spine at the back, the second element group supports the tailbone region
and essentially the back part of the thighs, and the third element group is used for
adjusting the seating angle of the patient.
[0009] An advantage of the seat cushion of the invention is that by using it, the buttocks
and thighs of the patient can be shaped and supported, so that the patient sits straight
and in a good position on the seat cushion, particularly in a wheelchair.
[0010] Another advantage is that the gas pressure in the bag-like elements of the seat cushion
is always adjustable to be individually suitable, in which case the pressure directed
to the skin can be minimized in the whole seat region.
[0011] Yet another advantage is that the location of the bony prominences of the patient,
i.e. the tailbone and the ischial bones, is arranged on the seat cushion in an area
where there is created a distinctive low-pressure zone as for the skin surface pressure.
The reason for this is that the spots of the bony prominences constitute a critical
area as for pressure sores. In the system according to the invention, particularly
the tailbone and the ischial bones are located on the area in between the elements,
and further, by adjusting the pressure in the first and second element groups, i.e.
by adjusting the gas filling volumes, the seating comfort can be individually adjusted.
[0012] Yet another advantage of the invention is that by means of the third element group
provided at the front part of the seat cushion, the patient can be supported at his
thighs, particularly at the front part thereof, and the patient's seating angle can
be adjusted to be suitable.
[0013] An advantage of the invention is the structure of its elements. The elements, which
are realized as having the shape of an upturned letter U in cross-section, conform
to the sideways movements of the sitting patient's body. This minimizes the shearing
forces (tissue-stretching forces) directed to the skin, which affect the creation
of bedsores.
[0014] Yet another advantage of the invention is its dual element structure. In cross-section,
the upper elements have the shape of an upturned letter U, so that inside them, there
is created a lengthwise tunnel where the lower elements are fitted in. Most advantageously
the gas filling volume of the lower element is optimized according to the use. The
upper elements conform completely to the buttocks and thighs of the patient. This
maximizes the contact surface between the seat and the patient. By means of the lower
elements, there is realized a fine adjustment of the interphase pressure (pressure
between the seat and the patient) and ensured that the interphase pressure is evenly
distributed throughout the whole contact surface.
[0015] Yet another advantage of the invention is that the elements of the seat cushion are
most advantageously removable and replaceable elements. Thus the maintenance and care
of the seat cushion takes place simply and quickly by replacing damaged elements.
[0016] It is yet another advantage of the invention that the elements of the seat cushion
are most advantageously prefilled in the factory, whereafter the patient can, when
putting the seat cushion to use, by means of a hand pump and a pressure meter adjust
the relative pressures of each element or element group to be individually suitable,
as well as observe and readjust the gas filling volumes whenever necessary.
[0017] The invention is described in more detail below with reference to the appended drawings,
wherein
- figure 1
- is a top-view illustration of a seat cushion according to the invention;
- figure 2
- shows the seat cushion of figure 1 in cross-section A-A;
- figure 3
- shows the seat cushion of figure 1 in cross-section A-A when a person is sitting on
the cushion;
- figure 4
- shows the seat cushion of figure 1 in cross-section B-B;
- figure 5
- shows the seat cushion of figure 1 in cross-section B-B when a person is sitting on
the cushion;
- figure 6
- is a top-view illustration of another seat cushion according to the invention;
- figure 7
- shows the seat cushion of figure 6 in cross-section F-F;
- figure 8
- shows the seat cushion of figure 6 in cross-section G-G; and
- figure 9
- is a top-view illustration of a third seat cushion according to the invention;
- figure 10
- shows the seat cushion of figure 9 in cross-section H-H;
- figure 11
- shows the seat cushion of figure 9 in cross-section I-I;
- figure 12
- is a top-view illustration of a fourth seat cushion according to the invention;
- figure 13
- is a schematic illustration of the fastening arrangement of one element, seen in cross-section;
- figure 14
- is a top-view illustration of the fastening arrangement of figure 13;
- figure 15
- is a cross-sectional illustration of the structure of the underlay structure; and
- figure 16
- illustrates the equipment needed for filling the elements.
[0018] The seat cushion of figure 1 includes a number of elongate bag-like elements which
are made of a flexible material and can be filled with gas. The bag-like elements
are arranged in element groups 1, 2, 3, so that the first element group 1 comprises
the interconnected elements 1a, 1b and 1c, which are located lengthwise at the sides
S of the seat cushion and transversally in a U-shape in the rear part T of the seat
cushion; the second element group 2 comprises two likewise interconnected elements
2a, 2b arranged in the middle area of the seat cushion; and the third element group
3 comprises one element 3a, which is arranged transversally in the front part E of
the seat cushion. The element groups and their elements are arranged symmetrically
with respect to an illusory vertical central plane of the seat cushion, said central
plane passing from the center of the seat cushion to the rear along the line C-C illustrated
in figure 1. The elements 1a, 1b, 1c; 2a, 2b; 3a of the element groups are advantageously
interconnected by means of joining seams 10, so that they together form a uniform
padding of the size of a seating surface, for instance for a wheelchair, i.e. a seat
cushion.
[0019] Each element group 1, 2, 3 is connected, by means of an individual gas conduit 4,
5, 6, such as a thin hose, to outside the seat cushion. The gas conduits 4, 5, 6 are
provided with valves 7, 8, 9, and further advantageously with coupling means at the
free ends of the conduits for connecting the conduits to an air pump or a similar
air or gas source (not illustrated in the drawings).
[0020] In this embodiment, the elements 1a, 1b, 1c of the first element group 1 form a uniform
element group arranged in a U-shape when seen from the top. Said elements are directly
connected to each other and in fact constitute one uniform element. The gas pressure
in said element group 1 can be adjusted to be suitable by means of air or gas to be
fed in via the gas conduit 4. When the desired gas filling volume and pressure is
achieved, the valve 7 is closed.
[0021] In this embodiment, the elements of the second element group include two parallel
elements 2a, 2b. Said elements are arranged in between the elements 1b, 1c of the
first element group 1 arranged lengthwise along the sides S of the seat cushion and
parallel to said elements 1b, 1c. These elements 2a, 2b are interconnected by means
of a connecting conduit 11, so that the elements form a uniform gas-filled element
group. The elements 2a, 2b of this element group 2 are connected, by means of a gas
conduit 5, to a suitable gas source such as an air pump. From the gas source, the
elements are filled to a suitable gas pressure, whereafter the valve 8 provided in
the conduit 5 can be closed.
[0022] The elements 1a, 1b of the first element group are relatively wide and spacious elements,
and particularly the width l of the element 1a arranged transversally in the rear
of the seat cushion is advantageously of the order 10-15 cm. All elements 1a, 1b,
1c of the first element group 1 may have the same width, but the width may also differ
to some extent. Further, the elements 1a, 1b, 1c of the first element group 1 are
designed so that their pressurized height h
1 is such that they rise higher than the height h
2 of the elements 2a, 2b of the second element group 2 in pressurized state (cf. figure
2). It will be appreciated that pressurizing here means a slight excess pressure of
the filling gas (in relation to air pressure) or most advantageously a pressure corresponding
to the surroundings, so that the gas spaces of the elements are partially filled with
gas, but they are not inflated to their maximum dimensions and/or that the element
shells are not remarkably stretched. When a person H sits on this pressurized seat
cushion, the elements 1a, 1b, 1c of the first element group 1 form around the buttocks
and the thighs an essentially U-shaped circular support open on one side, as is illustrated
in figure 3. Now the top surface of the elements 2a, 2b of the second element group
2 remains on a lower level than the top surface of the elements 1a, 1b, 1c of the
first element group 1, but they still support the tailbone region and the inner surface
of the thighs, so that the buttock region of person H does not get a bottom contact
with the top surface of the seat P proper. Thus the patient is supported in straight
posture in his position on the seat, particularly in a wheelchair or the like, where
specially the side supports and arm rests provided at the sides of the chair support
the patient and the seat cushion and help maintain a good position and posture.
[0023] The element 3a of the third element group 3 is designed so that the height h
3 of said element in pressurized state is such that its height, depending on the pressure,
can most advantageously be fitted in between the heights h
1, h
2 of the second element group 2 particularly when using the seat. Again the pressurized
element 3a means an element where the pressure of the filling gas is of the order
of the pressure of the surroundings, so that the gas space is not inflated to maximum
and its shell is not tightly stretched. Consequently, by means of the element 3a of
the third element group 3, the height h
3 (arrow D) of the front edge of the seat cushion can be adjusted, and thereby the
seating angle (arrow E) of person H sitting on the seat P, as is illustrated in figure
5.
[0024] It will be appreciated that the first and second element groups 1, 2 are matched
so that the first element group 1 supports, on an area as large as possible, the buttocks
region and the region below the lumbar spine at the side and at the back, and the
second element group 2 supports the tailbone region and essentially the inner and
rear part of the thighs. This is illustrated in figures 3 and 5. It is also pointed
out that the first and second element groups 1, 2 are fitted most advantageously so
that the tailbone region of the patient essentially falls on the area of the seam
joints 10a of the element groups (for example figure 1). The transversal element 1a
of the rear part in element group 1 prevents the patient, among other things, from
sliding backwardly in the wheelchair and from pushing out of the aperture in between
the back rest and the seat.
[0025] Another seat cushion according to the invention is illustrated in figures 6, 7 and
8. Also here the seat cushion comprises elongate bag-like elements which are arranged
into a first 12, second 13 and third element group 14. The first element group 12
includes three separate elements 12a, 12b, 12c interconnected by conduits 15; 15a,
15b. The first element 12a is arranged transversally in the rear part T of the seat
cushion, and the second and third element 12b, 12c are arranged lengthwise at the
sides S of the seat cushion. Also in this embodiment, the second element group 13
comprises two elements 13a, 13b, which are fitted, parallel to the elements 12a, 12b
of the first element group 12 arranged at the sides S of the seat cushion, in the
middle area of the seat cushion. Likewise, the third element group 14 comprises only
one element 14a, and it is arranged transversally in the front part E of the seat
cushion. The elements 12a, 12b, 12c; 13a, 13b; 14a are formed as arched structures
directed upwardly from an underlay 16 and have the shape of an upturned letter U,
as is seen in the cross-sections F-F, G-G of figures 7 and 8. In this embodiment,
the seat cushion is provided with a plate-like flexible underlay 16, whereto the elements
of the element groups 12, 13 and 14 are attached either permanently or suitably removably,
in which case the elements of the element groups 12, 13 and 14 are replaceable.
[0026] The first element group 12 and respectively the second and third element group 13,
14 are connectable, via conduits 17, 18, 19, such as thin hoses, and valves 20, 21,
22 to a suitable gas source, such as an air pump or a gas tank in order to adjust
the gas filling volume and gas pressure of the element groups in similar fashion as
was explained in the description of the embodiment of figure 1.
[0027] An advantage of the arched U-shaped structure of the elements 12a, 12b, 12c; 13a,
13b; 14a of the element groups 12, 13, 14 is that their flexibility is easily adjustable
by means of the gas filling volume and hence the gas pressure, and that they are easily
attached to the underlay 16 either permanently or replaceably. Another advantage of
the elements 12a, 12b, 12c; 13a, 13b; 14a is their flexibility and movability in the
transversal sideways direction. They thus prevent the creation of shearing forces
towards the skin surface and the development of bed sores.
[0028] The elements 12a, 12b, 12c; 13a, 13b; 14a of the element groups 12, 13, 14 are advantageously
removably attached by suitable fastening means to the underlay 16, in which case a
damaged single element/element group can be easily replaced.
[0029] The heights h
1, h
2, h
3 (h
3') of the elements 12a, 12b, 12c; 13a, 13b; 14a of the element groups 12, 13, 14 are
advantageously arranged in similar fashion as above, in the embodiment of figures
1-5.
[0030] The elements 12a, 12b, 12c; 13a, 13b; 14a of the element groups 12, 13, 14 can be
partly or completely replaced by dual elements. In the middle of the elements 12a,
12b, 12c; 13a, 13b; 14a, in the lengthwise direction thereof, there is formed an elongate
tunnel-like cavity, over which the element itself arches in the shape of an upturned
letter U, particularly when gas is supplied in the seat cushion when it is being inflated.
In the cavity of each element 12a, 12b, 12c; 13a, 13b; 14a, or at least in part of
the cavities, there can be provided an additional element 12d, 12e, 12f; 13c, 13d;
14b, which can be filled with for instance gas, in similar fashion as the element
proper. As an alternative, the additional element 12d, 12e, 12f; 13c, 13d; 14b is
made of some flexible material, such as suitable foam plastic or foam rubber. The
proper element 12a, 12b, 12c; 13a, 13b; 14a, having the shape of an upturned letter
U in cross-section, is henceforth called the top element, and the additional element
12d, 12e, 12f; 13c, 13d; 14b is called the bottom element.
[0031] Among the advantages of the dual element structure, let us point out that the gas
filling to suitable pressure of the top elements 12a, 12b, 12c; 13a, 13b; 14a, in
connection whereof the bottom elements 12d, 12e, 12f; 13c, 13d; 14b are fitted, takes
place more rapidly than without the bottom elements. Moreover, either of the elements
of the dual structure, either the top or bottom element, can be a closed element with
a standard pressure, so that only the other is adjustable as for gas filling volume
and pressure. Yet another advantage is that the bottom elements also serve as effective
preventives of bottom contact, for instance when crossing over thresholds and other
bumpy areas in a wheelchair.
[0032] A third seat cushion according to the invention is illustrated in figures 9, 10 and
11. Also here the seat cushion comprises elongate bag-like elements arranged in a
first 23, second 24 and third 25 element group. The first element group 23 includes
three separate elements 23a, 23b and 23c. The first element 23a is arranged transversally
in the rear part T of the seat cushion, and the second and third element 23b, 23c
are arranged lengthwise at the sides S of the seat cushion. Likewise, in this embodiment
the second element group 24 includes two elements 24a, 24b, which are located in the
middle area of the seat cushion, in parallel to the elements 23a, 23b of the first
element group 23 arranged at the sides S of the seat cushion. Also in this embodiment,
the third element group 25 includes only one element 25a, and it is arranged transversally
in the front part E of the seat cushion. The elements 23a, 23b, 23c; 24a, 24b; 25a
of the element groups 23, 24, 25 are formed as arched structures directed upwardly
from bottom to top and have the shape of an upturned letter U in cross-section, as
is seen in the cross-sections H-H, I-I of figures 10 and 11. The seat cushion is provided
with a plate-like flexible underlay 26, whereto the elements of the element groups
23, 24, 25 are attached, either permanently or most advantageously removably, in which
case the elements of the element groups are replaceable.
[0033] The elements 23a, 23b, 23c of the first element group 23 are all independent, separate
elements, each comprising a conduit 27a, 27b, 27c, such as a thin hose, to outside
the seat cushion. The elements 24a, 24b of the second element group 24 are separate
elements, but they are interconnected by means of a conduit 28. Further, the element
24b (or alternatively element 24a) of the second element group is provided with a
conduit 27d, such as a thin hose, leading to outside the seat cushion. Respectively,
the element 25a of the third element group 25 includes a conduit 27e, also leading
to outside the seat cushion. Each conduit 27a, 27b, 27c, 27d, 27e leading out of the
seat cushion is provided with a valve 29a, 29b, 29c, 29d, 29e, through which the elements
are connected to a suitable gas source, such as an air pump or a gas tank, in order
to adjust the gas filling volumes and hence gas pressure of the elements/element groups,
in similar fashion as was explained above, in the description of the embodiments of
figures 1 and 6, for example.
[0034] The elements 23a, 23b, 23c; 24a, 24b; 25a are advantageously attached removably with
suitable fastening means to the underlay 26, in which case a damaged single element
or element group is easily replaced.
[0035] The heights h
1, h
2, h
3 (h
3') of the elements 23a, 23b, 23c; 24a, 24b; 25a of the element groups 23, 24, 25 are
advantageously arranged in similar fashion as in the embodiments of figures 1-8 above.
[0036] The elements 23a, 23b, 23c; 24a, 24b; 25a of the element groups 23, 24, 25 can be
partly or completely replaced by dual elements. In this embodiment, only the elements
of the second element group 24 are provided with a dual element structure. Inside
the elements 24a, 24b of the second element group 24, in the lengthwise direction
thereof, there is formed an elongate cavity. In this embodiment, in the cavity of
each element 24a, 24b, which are henceforth called top elements, there is arranged
an additional element, i.e. a bottom element 24c, 24d that can be filled with gas
like the top element. Moreover, one of the elements of the dual structure, either
the top or the bottom element, can be a closed element with standard pressure, so
that only one of the two elements is adjustable in gas filling volume and pressure.
As an alternative, the bottom element 24c, 24d is made of some flexible material,
such as suitable foam plastic or rubber. The advantages of the dual element structure
were explained above, for instance in the description of the embodiments of figures
6-8.
[0037] An advantage of the third embodiment of the seat cushion according to the invention
is that it includes five separately and flexibly adjustable seat cushion sections;
thus the seat cushion can be effectively shaped by the user according to his personal
needs. Owing to the separate border elements, i.e. the elements 23a, 23b, 23c of the
first element group, the sitting position can be well adjusted. In principle the adjusting
takes place in similar fashion as was explained above, in connection with figures
1-5, but this embodiment has a wider range of adjusting possibilities, because the
elements 23a, 23b, 23c of the first element group 23 can be adjusted separately. The
elements 24a, 24b of the second element group 24 are realized as dual structures,
and consequently bottom contact is prevented even in a case where the other part of
the element, either the top or bottom element, is damaged. The elements are advantageously
removable, so that the seat cushion is easily maintained when one of the elements
starts to leak.
[0038] A fourth seat cushion according to the invention is illustrated in figure 12 as seen
from the top. The seat cushion comprises three element groups 30, 31, 32. Again the
first element group 30 includes elements 30a, 30b, 30c arranged lengthwise at the
sides S of the seat cushion and transversally in the rear part T in U-shape, said
elements being most advantageously independent, separate elements, as in the embodiment
of figures 9-11. The second element group 31 includes three elements 31a, 31b, 31c,
which are arranged in the middle area of the seat cushion, in parallel to the sides
S thereof. The gas spaces of the elements 31a, 31b, 31c are interconnected by conduits
33a, 33b. In this case the third element group 32 includes two elements 32a, 32b,
the gas spaces being interconnected by a conduit 34. The elements 32a, 32b of the
third element group are arranged transversally in the front part E of the seat cushion.
Each separate element 30a, 30b, 30c and each element group 31, 32 interconnected by
conduits is provided with a respective conduit 35a, 35b, 35c; 35d, 35e, such as a
thin hose, to outside the seat cushion. Each conduit 35a, 35b, 35c, 35d, 35e leading
out of the seat cushion is provided with a valve 36a, 36b, 36c, 36d, 36e, through
which the elements/element groups are connected to a suitable gas source, such as
an air pump or a gas tank, in order to adjust the gas filling volumes and hence gas
pressures of the elements/element groups, in principle in the same fashion as was
already explained in the description of the embodiments of figures 1, 6 and 9, among
others.
[0039] The elements 30a, 30b, 30c; 31a, 31b; 32a of the element groups 30, 31, 32 are advantageously
removably attached by suitable fastening means to an underlay 37, in which case a
damaged single element or element group is easily replaced.
[0040] The heights h
1, h
2, h
3 (h
3') of the elements 30a, 30b, 30c; 31a, 31b; 32a of the element groups 30, 31, 32 are
advantageously arranged in similar fashion as above, in the embodiments of figures
1-11.
[0041] The elements 30a, 30b, 30c; 31a, 31b; 32a of the element groups 30, 31, 32 can be
partly or completely replaced by dual elements. Most advantageously only the elements
31a, 31b, 31c of the second element group 31 are provided with dual element structure,
in similar fashion as in the embodiments of figures 9-11.
[0042] The conduits 4, 5, 6; 27a, 27b, 27c, 27d, 27e; 35a, 35b, 35c, 35d, 35e (figures 1-5,
9-11 and 12) of the elements or element groups of the seat cushion are most advantageously
arranged to lead out of the seat cushion through its side S. Alternatively, the conduits
17, 18, 19 can be arranged to lead out of the seat cushion at its front E, particularly
at the right edge of the front, as is illustrated in the embodiments of figures 6-8.
Thus the free ends of the conduits can easily be brought out when it is necessary
to adjust the gas filling volume and pressure of the elements (or element groups).
[0043] Figures 13 and 14 illustrate an arrangement for fastening the elements 38 (12a, 12b,
12c, 13a, 13b, 14a; 23a, 23b, 23c, 24a, 24b, 25a; 30a, 30b, 30c, 31a, 31b, 31c, 32a,
32b) of the second, third and fourth embodiment removably to the underlay 39 (16;
26; 37). On both long sides of the elongate, bag-like element 38, there are provided
fastening straps 40; 40a, 40b, extending in this embodiment along the whole length
of the element 38, but they can also be short fastening lugs or the like, spaced apart
at short intervals at the sides of the element. In the underlay 39, there are provided
grooves 41, 41, 41, wherein the fastening straps 40, 40a, 40b of the elements are
fitted. Each element 38 is attached, by the fastening straps 40, to the grooves 41
of the underlay 39. The grooves 41; 41a, 41b are arranged in the underlay 39 at such
distances that the element forms a tunnel-like structure having the shape of an upturned
letter U in cross-section, said structure being directed upwardly from the underlay
39, when it is inflated to suitable pressure with gas.
[0044] For fastening the elements 38 in place in the underlay 39, there are used special
fastening means 42. The fastening means 42 include fastening bits 43 and fastening
members 44. The element 38 is attached at the fastening straps 40 to the underlay
39, particularly to its grooves 41, so that in the grooves 41 and the fastening straps
40, and respectively in the fastening bits, there are arranged perforations 45 spaced
apart, most advantageously at regular distances, said distances being most advantageously
regular, and the fastening means 44 are fitted in the perforations in order to bind
the different parts together. The fastening bits 43 are narrow, advantageously rectangular
plates always provided with two holes 45 located at the same distance from each other
as in the underlay 39 and in the fastening straps 40 of the elements 38. The fastening
means 44 are pins, tapes or the like to be inserted in the perforations 45, and in
the fastening process, they are arranged to proceed through the perforations 45 of
the underlay 39, through the fastening straps 40 and the fastening bits 43 and to
bind these together.
[0045] In the embodiments of figures 6-12, 13, the seat cushion comprises a plate-like flexible
underlay 16; 26; 37; 39, including at least two overlapping and at least partly detachable
underlay parts 26a, 26b; 39a, 39b, as is illustrated in figures 10 and 13. The underlay
parts 26a, 26b; 39a, 39b are most advantageously connected in a hinge-like fashion
at the side of the seat cushion, so that they can be turned apart along the side,
as is illustrated by the dotted lines in figure 10. In between the underlay parts
26a, 26b; 39a, 39b there are provided grooves 46 or recesses for the conduits 47,
such as hoses, of the elements or element groups, as is seen for instance in the cross-sectional
illustration of figure 15. In this embodiment, in the first underlay part 39a, there
is provided a perforation 48, and in the second part 39b a groove 46, which extends
to the sides of the underlay 39 of the seat cushion. The conduit 47 passes at the
junction 49 of the element 38 through the perforation 48 to the groove 46 and further
to the side of the seat cushion.
[0046] At least part of the elements 12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c, 24a, 24b,
25a; 30a, 30b, 30c, 31a, 31b, 31c, 32a, 32b of the element groups 12, 13, 14; 23,
24, 25; 30, 31, 32 are formed as upwardly directed arch-like structures having the
shape of an upturned letter U in cross-section. Particularly the elements 12a, 12b,
12c; 23a, 23b, 23c; 30a, 30b, 30c of the first element group have this kind of structure.
The advantage is that the elements are effectively flexible both in the vertical and
sideways direction, and thus reduce the shearing forces directed to the skin surface
of the seated person.
[0047] At least part of the elements 12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c, 24a, 24b,
25a; 30a, 30b, 30c, 31a, 31b, 31c, 32a, 32b of the element groups 12, 13, 14; 23,
24, 25; 30, 31, 32 are provided with additional elements and thus formed to be dual
elements. Particularly the elements 13a, 13b; 24a, 24b; 31a, 31b, 31c of the second
element group 13; 24; 31 are such dual elements. This ensures the supportive capacity
of the seat cushion's middle area, where the main part of the weight of the seated
person rests. Moreover, the breaking of one element of a dual element structure does
not yet lead to a catastrophe, because the other element still supports the patient.
[0048] The additional element, such as 24c, 24d, belonging to the dual element, i.e. the
bottom element, is most advantageously also a gas-filled element, like the element
proper located above it and at its sides and being U-shaped in cross-section, i.e.
the top element, such as element 24a, 24b (cf. figures 10 and 11).
[0049] The top elements proper 24a, 24b of the dual element 24a, 24c; 24b, 24d are advantageously
standard-pressure elements, whereas the bottom elements 24c, 24d are gas-filled elements
with adjustable gas pressure. The top elements 24a, 24b are adjusted to optimum pressure
and closed. The supportive capacity of the dual element is adjusted by adjusting the
gas pressure of the bottom element 24c, 24d from outside the seat element. Most advantageously
the supportive capacity is adjusted by the person seated on the cushion.
[0050] In the conduits 4, 5, 6; 17, 18, 19; 27a-27e; 35a-35c; 47, such as hoses, of the
elements or element groups of the seat cushion, there are fitted valves, advantageously
back pressure valves 53. Thus gas can be fed to each element or element group interconnected
by conduits, so that gas cannot be uncontrollably discharged back the way it came.
Each conduit, such as hose, is similar in cross-section, or the conduits are at least
provided with identical end pieces, so that they can be connected to a gas source
with a similar joining piece. The employed gas is most advantageously air, and the
gas source is a manually operated air pump, i.e. a hand pump 50, as is illustrated
in figure 16. In connection with the hand pump 50, there is also provided a pressure
meter 51, whereby the gas pressure in an element or element group is observed. In
connection with coupling, the joining piece 52 eliminates the influence of the back
pressure valve 53 in order to measure the pressure of an element or element group.
The gas pressure of each element or element group is adjusted separately by connecting
the hand pump 50 and the pressure meter 51 to said conduit 54, i.e. hose. When one
element or element group is adjusted to suitable pressure, the hand pump 50 and the
pressure meter 51 are connected to the conduit 54 or hose of the next element or element
group, and this procedure is continued until all elements or element groups are adjusted.
[0051] The element groups of the seat cushion are advantageously covered with cloth or the
like. Thus the seat cushion includes for instance a cloth bag 55 (figure 11) in which
the element groups and a possible underlay are arranged.
[0052] The gas pressure of the element groups 1, 2, 3; 12, 13, 14; 23, 24, 25; 30, 31, 32
and/or of separate elements of the seat cushion according to the invention is advantageously
adjusted to a low basic pressure in connection with manufacturing the seat cushion.
When the seat cushion is put to use, it is first set on the seat P of a wheelchair
or the like, whereafter the user sits on the seat cushion. Then the gas pressures
of the elements in the separate element groups are adjusted by utilizing a gas source,
such as a hand pump 50, and a pressure meter 51 as follows. The gas pressures of the
first and second element group 1, 2; 12, 13; 23, 24 are adjusted with respect to each
other, so that in the region of the buttocks and thighs of person H, the skin surface
that rests against the elements is maximized (cf. figure 3). Thus the skin surface
pressure is minimized. At the same time, the gas pressure in the elements of the second
element group 2; 13; 24 is adjusted to be such that the tailbone and/or buttocks of
the patient H do not get bottom contact with the seat P. By adjusting the gas pressure
of the elements 1a, 1b, 1c; 12a, 12b, 12c; 23a, 23b, 23c of the first element group
1; 12; 23, there is set a U-shaped supportive frame at the sides and at the back,
so that it forms a support around the lumbar spine, buttock region and thighs of person
H. The gas pressure of the elements of the third element group 3; 14; 25 is adjusted
so that the seating angle and posture of person H are arranged to be suitable (cf.
figure 5). The above described measures can be repeated when necessary, so that the
patient is always seated in a position as comfortable and appropriate as possible,
particularly in a wheelchair or any other seat in use.
[0053] In the above specification, the invention is described with reference to a few preferred
embodiments only, but it is obvious that the invention can be modified in many ways
within the scope of the inventional idea defined in the appended patent claims.
1. A seat cushion comprising a number of elongate, bag-like elements which can be filled
with gas,
characterized in that the bag-like elements are arranged in element groups (1, 2, 3; 12, 13, 14; 23, 24,
25; 30, 31, 32), so that
- the first element group (1; 12; 23; 30) includes three elements, the first and second
(1b, 1c; 12b, 12c; 23b, 23c; 30b, 30c) of which is arranged lengthwise along the sides
(S) of the seat cushion, and the third (1a; 12a; 23a; 30a) is arranged transversally
in the rear part (T) of the seat cushion;
- the second element group (23; 13; 24; 31) includes at least one element (2a, 2b;
13a, 13b; 24a, 24b; 31a, 31b, 31c) provided in the middle area of the seat cushion;
and
- the third element group (3; 14; 25; 32) includes at least one element (3a; 14a;
25a; 32a; 32b) arranged transversally at the front (E) of the seat cushion, and that
the gas pressure of the elements of said element groups is adjustable from outside
the seat cushion, so that the first element group supports, on an area as large as
possible, the patient's buttocks from the sides and the region below the lumbar spine
from the back, the second element group supports the tailbone region and essentially
the back part of the thighs, and the third element group is used for adjusting the
seating angle of the patient.
2. A seat cushion according to claim 1, characterized in that at least part of the elements (23a, 23b, 23c, 24a, 24b, 25a; 30a, 30b, 30c, 31a,
31b, 31c, 32a, 32b) of the element groups (23, 24, 25; 30, 31, 32), particularly the
elements (23a, 23b, 23c; 30a, 30b, 30c) of the first element group are separate independent
elements which are connected by conduits (27a, 27b, 27c, 27d, 27e; 35a, 35b, 35c,
35d, 35e) to outside the seat cushion, the gas pressure of said elements being separately
adjustable from outside the seat cushion.
3. A seat cushion according to claim 1, characterized in that the elements (1a, 1b, 1c, 2a, 2b, 3a; 12a, 12b, 12c, 13a, 13b, 14a) of each element
group (1, 2, 3; 12, 13, 14) are connected to each other and further by conduits (4,
5, 6; 17, 18, 19) to outside the seat cushion, and that the gas pressure of said element
groups is separately adjustable from outside the seat cushion.
4. A seat cushion according to any of the preceding claims, characterized in that at least part of the elements (12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c, 24a,
24b, 25a; 30a, 30b, 30c, 31a, 31b, 31c, 32a, 32b) of the element groups (12, 13, 14;
23, 24, 25; 30, 31, 32) are formed as arch-like structures protruding upwardly from
the base and having the shape of an upturned letter U in cross-section.
5. A seat cushion according to claim 4, characterized in that at least part of the elements (12a, 12b, 12c, 13a, 13b, 14a; 24a, 24b) of the element
groups (12, 13, 14; 23, 24, 25) are provided with additional elements (12d, 12e, 12f;
13c, 13d, 14b; 24c, 24d) and are thus formed as dual element structures.
6. A seat cushion according to claim 5, characterized in that the additional elements (12d, 12e, 12f; 13c, 13d, 14b; 24c, 24d) are gas-filled elements.
7. A seat cushion according to claim 5 or 6, characterized in that the elements proper (24a, 24b) are standard-pressure elements, whereas the additional
elements (24c, 24d) have an adjustable gas pressure.
8. A seat cushion according to any of the preceding claims, characterized in that the elements of the second element group (2; 13; 24) include two adjacent elements
(2a, 2b; 13a, 13b; 24a, 24b).
9. A seat cushion according to any of the preceding claims, characterized in that the first and second element groups (1, 2) are matched so that the patient's tailbone
region rests essentially on the area of the seam joints (10a) of the element groups.
10. A seat cushion according to any of the preceding claims, characterized in that the elements (1a, 1b, 1c; 12a, 12b, 12c; 23a, 23b, 23c) of the first element group
(1; 12; 23) are designed so that the height (h1) of the elements in pressurized state is greater than the height (h2) of the elements (2a, 2b; 13a, 13b; 24a, 24b) of the second element group (2; 13;
24) in pressurized state.
11. A seat cushion according to claim 10, characterized in that the elements (3a; 14a, 25a) of the third element group (3; 14; 25) are designed so
that the height (h3) of the elements in pressurized state is adjustable, by means of the gas filling
volume and thus the gas pressure, advantageously in the region between the heights
(h1, h2) of the first (1; 12; 23) and second (2; 13; 24) element group.
12. A seat cushion according to any of the preceding claims, characterized in that the seat cushion comprises a plate-like flexible underlay (16; 26; 37) to which the
elements (12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c, 24a, 24b, 25a; 30a, 30b, 30c,
31a, 31b, 31c, 32a, 32b) of the element groups (12, 13, 14; 23, 24, 25; 30, 31, 32)
are attached.
13. A seat cushion according to claim 12, characterized in that the elements (38) are removably fastened to the underlay (39) by means of fastening
members (42).
14. A seat cushion according to any of the preceding claims, characterized in that the seat cushion comprises a plate-like flexible underlay (26; 39) including two
overlapping and at least partly detachable underlay elements (26a, 26b; 39a, 39b),
and that in between said elements there are provided grooves (46) or recesses for
conduits (47) of the elements or element groups.
15. A seat cushion according to any of the preceding claims, characterized in that conduits (47) of the elements or element groups of the seat cushion include a back
pressure valve (53), and that the conduits (47) can most advantageously be provided
with a pressure meter (51) and a hand pump (50) for pumping air into the elements
in order to adjust the pressure therein.
1. Sitzkissen umfassend eine Anzahl länglicher, beutelartiger Elemente, die mit Gas gefüllt
sein können,
dadurch gekennzeichnet, daß die beutelartigen Elemente in Gruppen (1, 2, 3; 12, 13, 14; 23, 24, 25; 30, 31, 32)
von Elementen angeordnet sind, derart daß
- die erste Elementgruppe (1; 12; 23; 30) drei Elemente enthält, von denen das erste
und zweite (1b, 1c; 12b, 12c; 23b, 23c; 30b, 30c) der Länge nach entlang den Seiten
(S) des Sitzkissens angeordnet sind, und das dritte (1a; 12a; 23a; 30a) transversal
in dem hinteren Teil (T) des Sitzkissens angeordnet ist;
- die zweite Elementgruppe (2; 13; 24; 31) zumindest ein Element (2a, 2b; 13a, 13b;
24a, 24b; 31a, 31b, 31c) enthält, das in der mittleren Zone des Sitzkissens vorgesehen
ist; und
- die dritte Elementgruppe (3; 14; 25; 32) zumindest ein Element (3a; 14a; 25a; 32a;
32b) enthält, das transversal an der Vorderseite (E) des Sitzkissens angeordnet ist,
und daß der Gasdruck der Elemente der besagten Elementgruppen von außerhalb des Sitzkissens
einstellbar ist, so daß die erste Elementgruppe das Gesäß eines Patienten auf einer
möglichst großen Fläche von den Seiten und den Bereich unterhalb der Lendenwirbelsäule
von der Rückseite abstützt, die zweite Elementgruppe den Bereich des Steißbeins und
im wesentlichen den rückwärtigen Teil der Oberschenkel abstützt, und die dritte Elementgruppe
benutzt wird, um den Sitzwinkel des Patienten einzustellen.
2. Sitzkissen nach Anspruch 1, dadurch gekennzeichnet, daß zumindest ein Teil der Elemente (23a, 23b, 23c, 24a, 24b, 25a; 30a, 30b, 30c, 31a,
31b, 31c, 32a, 32b) der Elementgruppen (23, 24, 25; 30, 31, 32), insbesondere die
Elemente (23a, 23b, 23c; 30a, 30b, 30c) der ersten Elementgruppe getrennte, unabhängige
Elemente sind, die durch Leitungen (27a, 27b, 27c, 27d, 27e; 35a, 35b, 35c, 35d, 35e)
mit dem Äußeren des Sitzkissens verbunden sind, wobei der Gasdruck besagter Elemente
von außerhalb des Sitzkissens getrennt einstellbar ist.
3. Sitzkissen nach Anspruch 1, dadurch gekennzeichnet, daß die Elemente (1a, 1b, 1c, 2a, 2b, 3a; 12a, 12b, 12c, 13a, 13b, 14a) jeder Elementgruppe
(1, 2, 3; 12, 13, 14) miteinander verbunden sind, und weiter durch Leitungen (4, 5,
6; 17, 18, 19) mit dem Äußeren des Sitzkissens verbunden sind, und daß der Gasdruck
der besagten Elementgruppen von außerhalb des Sitzkissens getrennt einstellbar ist.
4. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß zumindest ein Teil der Elemente (12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c; 24a,
24b, 25a; 30a, 30b, 30c; 31a, 31b, 31c; 32a, 32b) der Elementgruppen (12, 13, 14;
23, 24, 25; 30, 31, 32) als bogenartige Strukturen ausgebildet sind, die von der Grundfläche
nach oben vortreten und im Querschnitt die Form eines umgedrehten Buchstabens U haben.
5. Sitzkissen nach Anspruch 4, dadurch gekennzeichnet, daß zumindest ein Teil der Elemente (12a, 12b, 12c, 13a, 13b, 14a; 24a, 24b) der Elementgruppen
(12, 13, 14; 23, 24, 25) mit zusätzlichen Elementen (12d, 12e, 12f; 13c, 13d, 14b;
24c, 24d) versehen sind, und daher als Doppelelementstrukturen ausgebildet sind.
6. Sitzkissen nach Anspruch 5, dadurch gekennzeichnet, daß die zusätzlichen Elemente (12d, 12e, 12f; 13c, 13d, 14b; 24c, 24d) gasgefüllte Elemente
sind.
7. Sitzkissen nach Anspruch 5 oder 6, dadurch gekennzeichnet, daß die eigentlichen Elemente (24a, 24b) Elemente mit Standarddruck sind, wohingegen
die zusätzlichen Elemente (24c, 24d) einen einstellbaren Gasdruck haben.
8. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß die Elemente der zweiten Elementgruppe (2; 13; 24) zwei aneinandergrenzende Elemente
(2a, 2b; 13a, 13b; 24a, 24b) enthält.
9. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß die erste und zweite Elementgruppe (1, 2) aufeinander abgestimmt sind, so daß der
Bereich des Steißbeins des Patienten im wesentlichen auf dem Bereich der Verbindungsnähte
(10a) der Elementgruppen ruht.
10. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß die Elemente (1a, 1b, 1c; 12a, 12b, 12c; 23a, 23b, 23c) der ersten Elementgruppe
(1; 12; 23) so ausgestaltet sind, daß die Höhe (h1) der Elemente im Zustand unter Druck größer ist als die Höhe (h2) der Elemente (2a, 2b; 13a, 13b; 24a, 24b) der zweiten Elementgruppe (2; 13; 24)
im Zustand unter Druck.
11. Sitzkissen nach Anspruch 10, dadurch gekennzeichnet, daß die Elemente (3a; 14a; 25a) der dritten Elementgruppe (3; 14; 25) so ausgestaltet
sind, daß die Höhe (h3) der Elemente im Zustand unter Druck vermittels des Gasfüllvolumens und demgemäß
des Gasdrucks, mit Vorteil in dem Bereich zwischen den Höhen (h1, h2) der ersten (1; 12; 23) und zweiten (2; 13; 24) Elementgruppe, einstellbar ist.
12. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß das Sitzkissen eine plattenartige, flexible Unterlage (16; 26; 37) umfaßt, an die
die Elemente (12a, 12b, 12c, 13a, 13b, 14a; 23a, 23b, 23c; 24a, 24b, 25a; 30a, 30b,
30c, 31a, 31b, 31c; 32a, 32b) der Elementgruppen (12, 13, 14; 23, 24, 25; 30, 31,
32) angebracht sind.
13. Sitzkissen nach Anspruch 12, dadurch gekennzeichnet, daß die Elemente (38) mittels Befestigungsgliedern (42) lösbar an der Unterlage (39)
befestigt sind.
14. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß das Sitzkissen eine plattenartige, flexible Unterlage (26; 39) umfaßt, die zwei überlappende
und zumindest teilweise lösbare Unterlagenelemente (26a, 26b; 39a, 39b) enthält, und
daß zischen besagten Elementen Rillen (46) oder Vertiefungen für Leitungen (47) der
Elemente oder Elementgruppen vorgesehen sind.
15. Sitzkissen nach einem der vorigen Ansprüche, dadurch gekennzeichnet, daß Leitungen (47) der Elemente oder Elementgruppen des Sitzkissens ein Rückschlagventil
(53) enthalten, und daß die Leitungen (47) mit größtem Vorteil mit einem Druckmesser
(51) und einer Handpumpe (50) versehen sind, zum Pumpen von Luft in die Elemente,
um den Druck darin einzustellen.
1. Coussin de siège comportant plusieurs éléments allongés analogues à un sac, qui peuvent
être remplis de gaz,
caractérisé en ce que les éléments analogues à un sac sont agencés en groupes d'éléments (1, 2, 3 ; 12,
13, 14 ; 23, 24, 25 ; 30, 31, 32), de sorte que le premier groupe d'éléments (1 ;
12 ; 23 ; 30) comporte trois éléments, dont le premier et le deuxième (1b, 1c ; 12b,
12c ; 23b, 23C ; 30b, 30c) est agencé longitudinalement le long des côtés (S) du coussin
de siège, et le troisième (1a ; 12a ; 23a ; 30a) est agencé transversalement dans
la partie arrière (T) du coussin de siège,
- le deuxième groupe d'éléments (23 ; 13 ; 24 ; 31) comporte au moins un élément (2a,
2b ; 13a, 13b ; 24a, 24b ; 31a, 31b, 31c) agencé dans la zone médiane du coussin de
siège, et
- le troisième groupe d'éléments (3 ; 14 ; 25 ; 32) comporte au moins un élément (3a
; 14a ; 25a ; 32a ; 32b) agencé transversalement au niveau de l'avant (E) du coussin
de siège, et en ce que la pression du gaz des éléments desdits groupes d'éléments peut être ajustée à partir
de l'extérieur du coussin de siège, de sorte que le premier groupe d'éléments supporte,
sur une surface aussi grande que possible, les fesses du patient à partir des côtés
et la zone située en dessous des vertèbres lombaires à partir de l'arrière, le deuxième
groupe d'éléments supporte la zone du coccyx et pratiquement la partie arrière des
cuisses, et le troisième groupe d'éléments est utilisé pour ajuster l'angle d'assise
du patient.
2. Coussin de siège selon la revendication 1, caractérisé en ce qu'au moins une partie des éléments (23a, 23b, 23c, 24a, 24b, 25a ; 30a, 30b, 30c, 31a,
31b, 31c, 32a, 32b) des groupes d'éléments (23, 24, 25 ; 30, 31, 32), en particulier
les éléments (23a, 23b, 23c ; 30a, 30b, 30c) du premier groupe d'éléments sont séparés
en éléments indépendants qui sont reliés par des conduits (27a, 27b, 27c, 27d, 27e
; 35a, 35b, 35c, 35d, 35e) à l'extérieur du coussin de siège, la pression de gaz desdits
éléments pouvant être ajustée de manière séparée à partir de l'extérieur du coussin
de siège.
3. Coussin de siège selon la revendication 1, caractérisé en ce que les éléments (1a, 1b, 1c, 2a, 2b, 3a ; 12a, 12b, 12c, 13a, 13b, 14a) de chaque élément
(1, 2, 3 ; 12, 13, 14) sont reliés les uns aux autres et de plus par des conduits
(4, 5, 6 ; 17, 18, 19) avec l'extérieur du coussin d'air, et en ce que la pression de gaz desdits groupes d'éléments peut être ajustée de manière séparée
à partir de l'extérieur du coussin d'air.
4. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce qu'au moins une partie des éléments (12a, 12b, 12c, 13a, 13b, 14a ; 23a, 23b, 23c, 24a,
24b, 25a ; 30a, 30b, 30c, 31a, 31b, 31c, 32a, 32b) des groupes d'éléments (12, 13,
14 ; 23, 24, 25 ; 30, 31, 32) sont formés sous la forme de structure analogue à une
arche faisant saillie à partir de la base en ayant la forme en coupe de la lettre
U retournée.
5. Coussin de siège selon la revendication 4, caractérisé en ce qu'au moins une partie des éléments (12a, 12b, 12c, 13a, 13b, 14a; 24a, 24b) des groupes
d'éléments (12, 13, 14 ; 23, 24, 25) sont munis d'éléments supplémentaires (12d, 12e,
12f ; 13c, 13d, 14b ; 24c, 24d) et sont ainsi formés sous la forme de structures d'éléments
doubles.
6. Coussin de siège selon la revendication 5, caractérisé en ce que l'élément supplémentaire (12d, 12e, 12f ; 13c, 13d, 14b ; 24c, 24d) sont des éléments
remplis de gaz.
7. Coussin de siège selon la revendication 5 ou 6, caractérisé en ce que les éléments proprement dits (24a, 24b) sont des éléments sous pression standard,
alors que les éléments supplémentaires (24c, 24d) ont une pression de gaz ajustable.
8. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que les éléments du deuxième groupe d'éléments (2 ; 13 ; 24) comporte deux éléments adjacents
(2a, 2b ; 13a, 13b ; 24a, 24b).
9. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que les premier et deuxième groupe d'éléments (1, 2) sont appariés de sorte que la zone
de coccyx du patient est située pratiquement sur la surface des joints de couture
(10a) des groupes d'éléments.
10. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que les éléments (1a, 1b, 1c ; 12a, 12b, 12c ; 23a, 23b, 23c) du premier groupe d'éléments
(1 ; 12 ; 23) sont conçus de sorte que la hauteur (h1) des éléments dans un état sous-pression est plus grande que la hauteur (h2) des éléments (2a, 2b ; 13a, 13b ; 24a, 24b) du deuxième groupe d'éléments (2 ; 13
; 24) dans l'état sous-pression.
11. Coussin de siège selon la revendication 10, caractérisé en ce que les éléments (3a ; 14a, 25a) du troisième groupe d'éléments (3 ; 14 ; 25) sont conçus
de sorte que la hauteur (h3) des éléments dans un état sous-pression peut être ajustée par l'intermédiaire du
volume de remplissage de gaz et donc la pression de gaz, de manière avantageuse dans
la zone située entre les hauteurs (h1, h2) du premier (1 ; 12 ; 23) et du deuxième (2 ; 13 ; 24) groupe d'éléments.
12. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que le coussin de siège comporte une sous-couche souple analogue à une plaque (16 ; 26
; 37) à laquelle les éléments (12a, 12b, 12c, 13a, 13b, 14a ; 23a, 23b, 23c, 24a,
24b, 25a ; 30a, 30b, 30c, 31a, 31b, 31c, 32a, 32b) des groupes d'éléments (12, 13,
14 ; 23, 24, 25 ; 30, 31, 32) sont reliés.
13. Coussin de siège selon la revendication 12, caractérisé en ce que les éléments (38) sont fixés de manière amovible à la sous-couche (39) par l'intermédiaire
d'éléments de fixation (42).
14. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que le coussin de siège comporte une sous-couche souple analogue à une plaque (26 ; 39)
comportant deux éléments de sous-couche se recouvrant et au moins partiellement détachables
(26a, 26b ; 39a, 39b), et en ce qu'entre lesdits éléments sont fournis des gorges (46) ou des évidements pour des conduits
(47) des éléments ou des groupes d'éléments.
15. Coussin de siège selon l'une quelconque des revendications précédentes, caractérisé en ce que des conduits (47) des éléments ou des groupes d'éléments de coussin de siège comportent
un clapet de retenue (53), et en ce que les conduits (47) peuvent de la manière la plus avantageuse être munis d'un manomètre
(51) et d'une pompe à main (50) pour pomper de l'air dans les éléments afin d'ajuster
la pression dans ceux-ci.