BACKGROUND OF THE INVENTION
[0001] The present invention relates generally to medical equipment transfer systems. More
specifically, the present invention relates to a transfer system for reliably, safely
and securely transferring life support apparatus between various support platforms
when transporting critically ill patients.
[0002] In the daily care of critically ill patients, a great diversity of medical equipment,
including infusion management equipment and supplies, pressure transducers, physiological
monitors and other equipment is employed. Such equipment typically is set up at the
patient's bedside where it is supported by various stands, racks or hangers. For example,
the equipment may be supported by 5-star floor stands, attached to headwalls, suspended
from booms that are affixed to the ceiling, floor or wall mounted columns, or on other
stationary or mobile platforms.
[0003] The difficulty arises when, at times, these patients must be transported from their
rooms for administering of various hospital services such as surgery, imaging, radiology
or special procedures. Similarly, these patients may need to be transported to other
specialized facilities. Such transports are often necessary under emergency conditions
while patients are distressed and frail, requiring that such transports be competed
rapidly and with minimal disruption of therapy, life support and monitoring.
[0004] In the known methods for moving patients in tandem with their support equipment,
the caregivers in addition to moving the patient bed must also wheel several intravenous-fluid
stands next to or behind a bed, or pile the equipment onto the mattress next to the
patient. These techniques typically prove hazardous because the IV stands may fall
and tear out patient connections. Such patient transports are also inefficient and
costly because much staff time is required to prepare a patient for transport and
many caregivers are needed for moving the equipment in tandem with the bed along corridors,
into elevators and through doors.
[0005] In an attempt to overcome these shortcomings, several approaches for safer, more
efficient and faster transport of patients and life support equipment have been provided
in the prior art for the consolidation of life support equipment in a single equipment
support structure, wherein the equipment support structure is moved from a support
within the room to a mobile support platform such as a patient bed. One known method
involves vertically lifting an equipment support structure out of a docking cradle
of a headwall or other structure by utilizing the elevating mechanism of the hospital
bed and, after transport, depositing the equipment support structure in a stationary
docking cradle, again relying on the height adjustment mechanism of the bed.
[0006] US Patent No. 4,945,592 (Sims) teaches use of the hospital bed as a lifting mechanism but fails to provide a safety
system to lock the support structure to either the mobile or stationary platform.
Further the support equipment cannot be placed on the bed in an optimal position for
patient care during transport. Also, conditions on the ground are such that it is
difficult to align mobile and stationary platforms for seamless transfers. A further
problem in this system is that the system components are not standardized and are
therefore costly, and components generally do not conform to effective infection control
requirements.
[0007] Similarly,
US Patent No. 7,065,812 (Newkirk) also fails to provide a safety system to prevent accidental dislodging of the equipment
support structure from engagement to stationary or mobile platforms. Arms and docking
mechanisms are not standardized and therefore are costly to manufacture, and the support
equipment cannot be moved into an optimal location for effective patient care during
transport, nor do components generally conform to effective infection control requirements.
[0008] US Published Application No. 2006/0242763 (Graham) fails to provide a safety system to prevent accidental dislodging of the equipment
support structure from engagement to stationary or mobile platforms. Additionally,
the docking elements are arranged vertically above each other in co-axial relationship,
which restricts optimal positioning during transport, fails to provide effective articulation
between equipment support structure and patient bed, and therefore does not allow
optimal in-transport equipment positioning.
[0009] US Patent Nos. 5,527,125 and
5,306,109 (Kreuzer) provide a safety system to prevent accidental dislodging of the equipment support
structure from engagement to stationary or mobile platforms but positions the engagement
cones in side-by-side, co-planar relationship which does not permit placement of support
equipment vis-a-vis the patient for optimal care during transport. The approach is
complex and costly as there is no standardization of crucial docking components, and
the safety system relies on a complex and costly sliding mechanism.
[0010] US Patent No. 7,661,641 (Wong) teaches a safety system to prevent accidental dislodging of the equipment support
structure from engagement to stationary or mobile platforms but also arranges the
docking elements vertically above each other in co-axial relationship which restricts
optimal positioning during transport, fails to provide effective articulation between
equipment support structure and patient bed and therefore does not allow optimal in-transport
equipment positioning. The safety system and the requirement for a mobile base make
this approach complex and costly to implement.
[0011] Other approaches as disclosed in
US Patent Nos. 7,314,200 and
4,511,158 utilize transfer and docking by connecting to mobile and stationary platforms using
a horizontal docking movement rather than a vertical one. These approaches are overly
sensitive to misalignment in height and axial orientation of the components to be
docked. Document
US2011272538 discloses a transfer device for a patient care apparatus including all the technical
features of the preamble of claim 1.
[0012] In view of the shortcomings of known medical equipment transfer systems, the present
invention provides a novel transfer apparatus for transferring said life support equipment
between different platforms such as a stationary wall or ceiling support structure
and a mobile support platform such as a patient bed. There is therefore a need for
a system for transferring patient support equipment from stationary to mobile platforms
that is of low mechanical complexity, and that utilizes fewer, standardized, simpler
components to permit low-cost manufacturing and reduced service and warranty costs
by minimizing field maintenance and extending the mean time between failures. There
is also a need for a patient transfer and transport system that assures the life support
equipment is securely locked to either the stationary or mobile platform so that it
cannot be accidentally removed or dislodged, yet allows seamless transfer of the life
support equipment between stationary and mobile platforms that automatically engages
the security lock during transfer by utilizing a vertical lift mechanism such as a
typical, motorized patient bed. There is a further need for a patient transfer and
transport system that minimizes in-service training of caregivers, by making transfer
from stationary to mobile platforms intuitive, minimizing training of transport staff
by eliminating or automating critical steps in the procedure, and relying less on
memory or alertness of personnel. There is still a further need for a patient transfer
and transport system that minimizes crevices, exposed fasteners and upward-facing
cavities to facilitate effective cleaning and infection control. There is yet a further
need for a patient transfer and transport system that is relatively insensitive to
the misalignment of equipment typically encountered in hospitals during transfers
between stationary and mobile platforms. There is also a need for a patient transfer
and transport system that permits nursing staff to position and re-position the support
equipment relative to the patient that allows ready access to the patient and facilitates
easy monitoring and control of life-support equipment during transport, minimizes
the total footprint of the bed and associated equipment, and minimizes the risk of
dislodging fluid lines, cables and leads between equipment and patient during transfer
between stationary and mobile platforms. Finally, there is a need for a patient transfer
and transport system that is articulated to allow caregivers full freedom in repositioning
the patient support equipment around the patient's head and allows the articulations
to be locked in place during transport.
BRIEF SUMMARY OF THE INVENTION
[0013] In this regard, the present invention provides a transfer device for a patient care
apparatus, as claimed in claim 1, that is transferrable from one support to another
support. The transport device is comprised of a clamshell housing having two substantially
identical but mirrored outer shells that are held together by screws. Each housing
half further comprises two similar, half-conical recesses, preferably disposed on
generally parallel, spaced-apart vertical axes such that, when assembled to form said
clam-shell, the two housing halves form circular docking cups that are open to the
bottom.
[0014] The docking cups are spaced apart horizontally along the central plane of the clamshell
housing such that each docking cup can receive a docking cone from below, as further
described below. Each docking cone is supported on a structure and is capable of moving
in a generally vertical direction into engagement or out of engagement along the axis
of their respective docking cups while maintaining horizontal separation to avoid
interference and collision with one another. The docking cups may be positioned symmetrically
on a horizontal plane, but in alternate embodiments the docking cups are preferably
disposed on different horizontal levels, with a vertical separation between the upper
and lower docking cups.
[0015] Additionally, a support post is rigidly trapped and fastened between the two housing
halves, preferably in coaxial relationship with the upper docking cup. The support
post protrudes from the upper end of the transfer device as a base to which an equipment
support structure is rotatably attached. Support structures of various configurations
may be interchangeably attached according to specific caregiver requirements.
[0016] There is provided a security mechanism that secures a first docking cone, upon engagement
to the transfer device, to a first docking cup. The security mechanism only releases
the first docking cone from the first docking cup upon insertion and full engagement
of a second docking cone in the second docking cup. The security mechanism of this
invention prevents accidental disengagement of the transfer device from either the
stationary or mobile platforms to which it is docked as it securely locks an engaged
docking cone to its respective docking cup. The transfer device may only be disengaged
from a first docking cone when another docking cone is fully inserted and engaged
in the other docking cup, or vice-versa. The security mechanism operates autonomously
without human intervention. It is activated by user control of the vertical movement
of the docking activation mechanism, such as the height adjustment of a hospital bed.
[0017] It is therefore an object of the present invention to provide a system for transferring
patient support equipment from stationary to mobile platforms that is of low mechanical
complexity, and that utilizes fewer, standardized, simpler components to permit low-cost
manufacturing and reduced service and warranty costs by minimizing field maintenance
and extending the mean time between failures. It is a further object of the present
invention to provide a patient transfer and transport system that assures the life
support equipment is securely locked to either the stationary or mobile platform so
that it cannot be accidentally removed or dislodged, yet allows seamless transfer
of the life support equipment between stationary and mobile platforms that automatically
engages the security lock during transfer by utilizing a vertical lift mechanism such
as a typical, motorized patient bed. It is still a further object of the present invention
to provide a patient transfer and transport system that minimizes in-service training
of caregivers, by making transfer from stationary to mobile platforms intuitive, minimizing
training of transport staff by eliminating or automating critical steps in the procedure,
and relying less on memory or alertness of personnel. It is yet a further object of
the present invention to provide a patient transfer and transport system that minimizes
crevices, exposed fasteners and upward-facing cavities to facilitate effective cleaning
and infection control. It is a further object of the present invention to provide
a patient transfer and transport system that is relatively insensitive to the misalignment
of equipment typically encountered in hospitals during transfers between stationary
and mobile platforms. It is still a further object of the present invention to provide
a patient transfer and transport system that permits nursing staff to position and
re-position the support equipment relative to the patient that allows ready access
to the patient and facilitates easy monitoring and control of life-support equipment
during transport, minimizes the total footprint of the bed and associated equipment,
and minimizes the risk of dislodging fluid lines, cables and leads between equipment
and patient during transfer between stationary and mobile platforms. Finally, it is
an object of the present invention to provide a patient transfer and transport system
that is articulated to allow caregivers full freedom in repositioning the patient
support equipment around the patient's head and allows the articulations to be locked
in place during transport.
[0018] These together with other objects of the invention, along with various features of
novelty that characterize the invention, are pointed out with particularity in the
further description annexed hereto and forming a part of this disclosure. For a better
understanding of the invention, its operating advantages and the specific objects
attained by its uses, reference should be had to the accompanying drawings and descriptive
matter in which there is illustrated a preferred embodiment of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0019] In the drawings which illustrate the best mode presently contemplated for carrying
out the present invention:
FIG. 1 is a side view of the transfer system docked to a mobile support platform in preparation
for transfer;
FIG. 2 is a side view of a stationary support platform attached to a wall;
FIG. 3 is a side view of a mobile support platform showing an attachment bracket;
FIG. 4 is a side view the transfer system docked to a stationary support platform with the
mobile support platform lowered for docking to the transfer device in preparation
for transfer;
FIG. 5 is a side view of the transfer system docked to both a mobile support platform and
the mobile support platform to simultaneously dock the transfer device during transfer;
FIG. 6 is a side view of the transfer system docked to a mobile support platform and the
mobile support platform raised to undock the transfer device from the stationary platform
during transfer;
FIG. 7 is a side view of the transfer system docked to a stationery support platform and
with the transfer device disengaged from a mobile support platform during transfer;
FIG. 8 is a side view of the transfer system docked to a mobile support platform during
transfer and the docking arms on the stationary platform and the transfer device on
the mobile support platform stowed for transport;
FIG. 9 is a perspective view of the transfer system with a transfer device docked to a stationary
support platform and with the docking arm of the mobile support platform and the transfer
device on the stationary support platform stowed after transport, and the mobile support
platform partially cut away
FIG. 10 is an exploded view of a stationary cone arm connector;
FIG. 11 is a perspective view of a stationary cone arm connector;
FIG. 12 is an exploded view of a bed connection;
FIG. 13 is a perspective view of a bed connection;
FIG. 14 is an exploded view of an arm joint showing attachment to either a stationary cone
arm connection or a bed connection represented by a dotted outline;
FIG. 15 is a sectional side view of a bed connection taken along line B-B' of FIG. 3;
FIG. 16 is an exploded view of a docking cone;
FIG. 17 is a sectional side view of a docking cone taken along line A-A' of FIG. 3;
FIG. 18 is a perspective side view of a transfer system with mobile and stationary support
platforms partially cut away;
FIG. 19 is a perspective exploded view of the transfer device
FIG. 20 is a side view of the transfer system with mobile and stationary support platforms
partially cut away, the transfer device shown in cross section with a docking cone
engaged in the upper docking cup and a lower docking cone disengaged;
FIG. 21 is a side view of the transfer system with mobile and stationary support platforms
partially cut away, the transfer device shown in cross section with a docking cone
engaged in a lower docking cup and a docking cone engaged in an upper docking cup
during transfer;
FIG. 22 is a side view of the transfer system with mobile and stationary support platforms
partially cut away, the transfer device shown in cross section with a docking cone
engaged in a lower docking cup and a docking cone disengaged from an upper docking
cup;
FIG. 23 is an exploded perspective view of a docking ring and a second housing half, with
both the docking ring and the second housing half partially cut away;
FIG. 24 is a perspective top view of a first housing half with an upper security lever and
a lower security lever assembled;
FIG. 25 is a schematic, sectional side view of a transfer device, with the stationary support
platform partially cut away, the lower docking cup and equipment support structure
cut away, and showing one docking cone docked to an upper docking cup and a second
docking cone in misaligned position in preparation of docking, taken along line C-C'
of FIG. 5;
FIGS. 26-32 are various views of a transfer device
FIGS. 33-39 are various views of a second example of a transfer device
FIG. 40 is a side view of an embodiment of the transfer device of the present invention;
FIG. 41 is an exploded view of one cup of a third embodiment of the transfer device of the
present invention with the cover shell removed;
FIG. 42 is a cross sectional view of a third embodiment of the transfer device of the present
invention taken along A-A of Fig. 40;
FIG. 43 is a top view of the transfer device with the cover shell removed;
FIG. 44 is an exploded view of the transfer device; and
FIG. 45 is a cross sectional view of the transfer device and system.
DETAILED DESCRIPTION OF THE INVENTION
[0020] Now referring to the drawings, the equipment transfer system is shown and generally
illustrated in the figures. As can be seen the principal component of the transfer
system is a transfer device 20 that can be selectively supported and moved between
a stationary support platform 300 and a mobile support platform 400 to facilitate
the transfer of patient care apparatus 200 supported thereon.
[0021] Turning to Fig. 1, the transfer system
10 includes a stationary support platform 300, a mobile support platform 400 and a transfer
device 20 that supports a patient care apparatus 200 and is capable of transferring
the patient care apparatus 200 between a stationary support platform 300 and a mobile
support platform 400 and vice-a-versa. Within the scope of the present invention the
term "transfer" refers to transferring patient support equipment between stationary
support platforms including walls, headwalls, ceiling-mounted or wall-mounted booms
from various manufacturers, free-standing and/or movable columns and other structures
typically found in hospital rooms and treatment facilities to which a stationary cone
arm connector 301 may be attached, and mobile support platforms such as patient beds,
gurneys, wheelchairs, ambulances, helicopters or other mobile platforms, and vice-versa.
As anyone familiar with the art will appreciate, substituting alternative rotatable
attachment means, alternative stationary support platforms, alternatives to post 308
and/or stationary cone arm connectors 301, as well as transfers between stationary
platforms or between mobile platforms, are within the scope of this invention.
[0022] Referring to stationary support platform
300 and mobile support platform 400 of the preferred embodiment, as shown in
FIGS. 1-3, platforms 300 and 400 may both support a cone arm 150. Cone arm 150 has a distal
end 174 and a proximal end 173. The distal end 174 comprises docking cone 100 for
docking with transfer device 20 and the proximal end 173 comprises arm joint 151 which
may be attached to stationary or mobile support platforms 300 or 400, respectively.
Cone arm 150 may be attached to a stationary support platform, such as post 308, or
directly to a wall 465 using stationary cone arm connector 301. Cone arm 150 may also
be attached to a mobile support platform 400, such as a hospital bed, as more fully
described below, using mobile cone arm adapter 413 which is mated to accessory bracket
406 of hospital bed 410 by means of bed post 412 or other known connection.
[0023] As shown in
FIGS. 4 & 9, when treated in a hospital room, a patient typically may be attached to patient care
apparatus 201 connected to an equipment support structure 200. The equipment support
structure preferably is attached to transfer device 20 and rotatably docked to docking
cone 100 of a cone arm 150 that is rotatably joined to a stationary cone arm connector
301. Cone arm 150, docking cone 100 and cone arm connector 301 provide articulation
so that stationary support platform 300 may be positioned for optimal patient care.
Having patient care apparatus 201 physically detached from hospital bed 410, while
a patient is in a room, is preferred in many health care facilities in order to provide
unobstructed patient access all around hospital bed 410. As used herein, the term
"docking" and "docking maneuver" refers to inserting a docking cone into a docking
cup generally in coaxial alignment and in a load-bearing relationship where cone arm
150 supports transfer device 20 and patient care apparatus 201.
[0024] As shown in
FIGS. 4 - 3, the cone arms 150 that are attached to both the stationary support platform 300 and
the mobile support platform 400 are substantially identical. In the preferred embodiment,
arm length 175 is approximately 9.5 inches. However, arm length 175 may reasonably
range between 4 inches and 15 inches, although shorter and longer arm lengths 175
may be used to meet specific requirements, and cone arms 150 of different lengths
may be employed in a single transfer system 10. In addition, in the preferred embodiment
shown in
FIGS. 14 & 16, arm joint 151 and docking cone 40, as well as the components required in the arm
joint 151 for achieving joint stability and user adjustment, have both been standardized
in order to minimize manufacturing cost and parts inventory. As anyone familiar with
the art may recognize, one or more additional articulating arm segments may be installed
between arm joint 151 and stationary arm connector 301, and/or between mobile cone
arm adapter and arm joint 151, in order to extend the reach and flexibility of system
10.
[0025] As shown in
FIGS. 10 -13, stationary arm connector 307 and mobile cone arm adapter 413 have a stationary contact
interface 312 and a mobile contact interface 411, respectively. Both contact interfaces
312, 411 are substantially identical and enable essentially identical attachment to
arm joint 151 located at the proximal end 173 of cone arm 150, regardless whether
attached to mobile or stationary platforms. As shown in
FIGS 14 & 15, standardization of attachment and joint tensioning components of cone arms 150 is
instrumental in reducing the complexity and manufacturing cost of transfer system
10. Stationary contact interface 313 is a flat surface 312 and is perpendicular to
the longitudinal axis of bolt 302. Bolt 302 protrudes from stationary contact interface
312 and is held in place and secured against rotation by capturing hexagonal bolt
head 305 with bolt head restraints 310. Analogously, the mobile contact interface
is perpendicular to longitudinal axis of bolt 302. Bolt 302 protrudes from mobile
contact interface 411 and is held in place and secured against rotation by capturing
hexagonal bolt head 305 with bolt head restraints 310.
[0026] As shown in
FIGS. 2, 9 & 10, stationary cone arm connector 301 is comprised of arm connector 307 and clamp 306.
Arm connector 307 and clamp 306 cooperate, in a clamping and load-bearing relationship,
to firmly attach stationary cone arm connector 301 to post 308 by means of attachment
screws 318.
[0027] In order to achieve low manufacturing cost, the number of parts and components required
in transfer system 10 is minimized by standardization. Cone arm 150 used with a stationary
support platform 300 is preferably substantially identical to cone arm 150 used with
a mobile support platform 400, and the components required and method used for attaching
cone arm 150 to arm connector 307 of stationary support platform 300, as shown in
FIG. 2, is preferably substantially identical to the components required and method used
for attaching cone arm 150 to mobile cone arm adapter 413 of mobile support platform
400, as shown in
FIG. 3.
[0028] As shown in
FIGS 2, 11 & 12, arm joint 151 may be attached to stationary arm connector 307 to form a rotatable
joint that permits cone arm 150 to rotate on arm connector axis 461a in a horizontal
plane. The treaded bolt end 313 of bolt 302 is pushed up through bolt hole 315 with
the bolt head base 316 of hexagonal head 305 in contact with bolt head bearing surface
303 and hexagonal head 305 in engagement with bolt restraints 310 to prevent rotation
of bolt 302. Threaded bolt end 313 may issue from the center of, and perpendicularly
to, stationary contact interface 312. Thrust bearing 157 may be placed on stationary
contact interface 312 in coaxial relationship with bolt 302 and with lower bearing
face 182 in coplanar and sliding relationship with stationary contact interface 312
to constitute a standardized attachment for cone arms 150 to stationary support platforms
300.
[0029] As shown in
FIGS. 11 - 15, the connections between cone arm 150 and arm connector 307, and cone arm 150 and
mobile cone arm connector 413, are substantially identical. Cone arm 150 may be placed
onto bolt 302 with bolt bore 177 of in coaxial relationship, and with the upper bearing
face 183 of thrust bearing 157 in coplanar and sliding relationship with bearing surface
152 of arm joint 151, and with threaded bolt end 313 extending coaxially up through
recess 153 of arm joint 151. Lock thrust bearing 158 may be placed over threaded bolt
end 313 with the lower bearing face 182 of lock thrust bearing 158 in coplanar and
sliding relationship with inner joint pressure surface 156. Pressure plate 159 may
be threaded onto the treaded bolt end 313 by means of tapped center hole 162, with
pressure surface 160 in coplanar relationship with, and tightened against, the upper
bearing face 183 of lock thrust bearing 158 in order to cause tension on bolt 302
and take up slack in arm joint 151. Jam nut 169 is threaded onto threaded bolt end
313 and tightened against pressure plate 159 in jam-nut relationship to secure pressure
plate 159 against rotation relative to bolt 302 during continued use of transfer system
10.
[0030] As shown in
FIGS. 14 & 15, adjustment knob 190 is in threaded engagement with threaded bolt end 313 of bolt
302 that protrudes through jam nut 169. Clockwise or counterclockwise rotation, respectively,
of adjustment knob 190, permits users to adjust the friction between cone arms 150
and stationary and mobile support platforms 300 and 400, respectively, without affecting
the load bearing ability or stability of arm joint 151. Adjustment knob 190 has a
threaded center boss 191 with tapered outer surface 192, crown 194 and side skirt
193. Side skirt 193 is sized to protrude over, and overlap with, recess rim 154 of
cone arm 150 when adjustment knob 190 is fully tightened to facilitate infection control.
To offer better hand purchase when users tighten and loosen adjustment knob 190, crown
194 and side skirt 193 may be grooved to retain an external O-ring 195 or may be indented,
serrated or otherwise shaped (not shown). Tapered outer surface 192 of threaded center
boss 191 cooperates with friction wedge 163 to control joint friction.
[0031] Friction wedge 163 is an annulus with essentially parallel upper and lower surfaces
178, 179, respectively, outer wedge taper 165, inner wedge taper 166, and axial expansion
cut 167 that permits friction wedge 163 to expand in response to tightening of adjustment
knob 190. Lower wedge surface 179 is in contact with base surfaces 186 of registration
recesses 161. Registration recesses 161 are sized to interdigitate with matching registration
protrusions 164 on pressure plate 159 to limit rotation of friction wedge 163 relative
to pressure plate 159 in order to prevent the known problem of tightening or loosening
an arm joint, respectively, when a cone arm is moved clockwise or counter-clock wise.
[0032] Tightening adjustment knob 190 on bolt 302 pushes friction wedge 163 against pressure
plate 159 and forces tapered outer surface 192 of threaded center boss 191 of adjustment
knob 190 against inner wedge taper 166 of friction wedge 163 causing friction wedge
163 to expand. Outer wedge taper 165 of friction wedge 163 is forced against inner
wall 155 of recess 153 of arm joint 151 to progressively increase or decrease joint
friction when a user tightens or loosens adjustment knob 190.
[0033] Analogously, cone arm 150 may be attached to mobile support platform 300 by means
of mobile cone arm adapter 413 fastened to vertical bed post 412. There are many known
mobile support platforms
400, including hospital beds, stretchers and gurneys from various manufacturers, special
procedure support devices, wheelchairs, and other structures typically found in hospitals
and treatment facilities to which a mobile cone arm adapter 413 may be adapted for
attachment to alternative stationary and mobile support platforms 300, 400 to enable
system 10 to be used with known variations in known attachment methods. Analogously,
as shown in
FIGS. 3, 13 & 14, arm joint 151 may also be attached to mobile cone arm adapter 413 to form a rotatable
joint that permits cone arm 150 to rotate on bed post axis 461b in a horizontal plane.
Treaded bolt end 313 of bolt 302 is pushed up through bolt hole 315 with the bolt
head base 316 of hexagonal head 305 in contact with bolt head bearing surface 303
and hexagonal sides of bolt head 305 in engagement with bolt restraints 310 to prevent
rotation of bolt 302. Threaded bolt end 313 may issue from in the center of, and perpendicularly
to, mobile contact interface 411. A thrust bearing 157 may be placed on mobile contact
interface 411 in coaxial relationship with bolt 302 and with lower bearing face 182
of thrust bearing 157 in coplanar and sliding relationship with mobile contact interface
411 to constitute a standardized attachment for cone arms 150 to mobile support platforms
400.
[0034] As shown in
FIGS. 1 & 2 - 9, transfer device 20 is selectively attachable to the docking cones 100 of cone arms
150 in order to transfer patient care apparatus 201 between stationary support platforms
300 and mobile support platforms 400. The transfer device 20 supports equipment support
structure 200 by means of support post 41 that is rigidly attached to, and protrudes
out of, upper end 33 of clamshell housing 21 and rotatably engages equipment support
structure 200. Hospital staff may attach patient care apparatus 201 to equipment support
structure 200, such as infusion management devices and supplies, monitoring equipment,
and other life support apparatus that may be required for the care of critically ill
patients. The vertical axis of rotation (not shown) of equipment support structure
250 preferably is coaxial with upper docking cone axis 462.
[0035] The configuration of equipment support structure 200 may vary depending on type and
number of patient care apparatus being used, hospital protocols, type of therapy or
life support requirements. However, various configurations of equipment support structures
200 preferably share the capability of being interchangeably attached to support post
41. Generally, transfer clamp 20 and equipment support structure 200 are rotatably
joined and paired for the duration of a patient's hospital stay or longer.
[0036] Mobile support platform 400 of the preferred embodiment preferably is a hospital
bed 410. In hospital beds, mattress height 450 typically is adjustable between working
height 451, low docking level 152 and high docking level 453 by lift mechanism 403
that may be powered by an electric motor, hand crank or other mechanism.
FIG. 1 shows mattress 402 of hospital bed 410 at working height 451 -- a height typically
chosen by hospital staff to perform their care giving tasks. Height-adjustable frame
401 may comprise an accessory bracket 406 near headboard 405 of hospital bed 410.
Accessory brackets 406 on conventional hospital beds 410 provide for attachment of
accessories such as push handles, foldable IV poles, guide wheels or orthopedic frames,
and therefore offer a suitable attachment structure for transfer device 20. As shown
in
FIGS. 1 & 15, cone arm 150 may be attached to accessory bracket 406 of hospital bed 410 by means
of the threaded lower end 420 of bed post 412 that may be inserted vertically, in
fixed, load-bearing and non-rotating relationship, into one of the accessory connection
openings such as accessory sockets 408 available in typical accessory brackets 406,
or it may be otherwise attached to the structure of a hospital bed by welds, mechanical
fasteners, clamps or other known fastening methods.
[0037] The method of preparing a patient for transport, safely transferring patient care
apparatus 201 from attachment in the room to attachment to bed 410, safely transporting
a patient to another location, and safely and expeditiously returning the patient
to a room, as shown in
FIGS. 1 - 5, 11 & 14, is described below. As used in this disclosure, the term "transport" refers to moving
a patient in tandem with life support equipment attached to a mobile platform such
as a patient bed, gurney, wheelchair, ambulance, helicopter or other mobile platform
between locations within or between medical facilities, such as intensive care rooms,
operating rooms, radiology and other imaging facilities, catheterization labs, or
between buildings and hospitals.
[0038] Before transporting a patient from a room to another location, as shown in
FIG. 4, upper docking cup 74 of transfer device 20 typically will be docked with, and secured
to, a stationary support structure 300. In preparation of patient transport, transfer
device 20 may be repositioned so that the lower docking cup faces hospital bed 410,
and hospital bed 410 preferably may be moved closer to the stationary support platform
300. Activation of lift mechanism 403 may lower mattress height 450 from working height
451 to low docking level 452 to permit docking cone 100 of mobile support platform
400 to be maneuvered directly underneath, and into generally coaxial alignment with,
lower docking cup 75 of transfer device 20. Activation of lift mechanism 403 of hospital
bed 410 may raise mattress 402 and also raise docking cone 100 of mobile support platform
400, causing it to dock with transfer device 20. As shown in
FIG. 5, docking cone 100 attached to stationary support platform 300 and docking cone 100
attached to mobile support platform 400 are simultaneously engaged in their respective
docking cups 74, 75. Under continued activation of lift mechanism 403, security mechanism
120 automatically releases transfer device 20 from the stationary docking cone 100
and locks transfer device 20 to the mobile docking cone 100, as more fully described
below.
[0039] As shown in
FIG. 6, continued activation of lift mechanism 403 lifts transfer device 20 out of engagement
with stationary docking cone 100 until the transfer device clears the stationary docking
cone. In the preferred embodiment, cone arms 150, mobile cone arm adapter 413, stationary
cone arm connector 301, adjustment knobs 190, and upper and lower docking cups 74,
75 of transfer device 20 constitute a system of pivoting linkages that permit caregivers
to position patient care apparatus 201 where it is needed for optimal patient care,
and the arm length 175, as well as he spacing of upper and lower docking cup axes
462 and 463 offer a practical trade-off between easy adjustability and low cost.
[0040] As shown in
FIG. 7, moving hospital bed 410 away from stationary support platform 300 and out of docking
alignment enables the medical staff to reverse lift mechanism 403 to lower mattress
height 450 to the preferred working height 451. As shown in
FIG. 8, caregivers are now free to reposition transfer clamp 20 and equipment support structure
200 so it nests closely with hospital bed 410 and the patient's head without disturbing
the connections between patient and patient care apparatus. Articulation of transfer
device 20 by rotation of cone arms 150 on docking cone axes 460 and bed post axis
461b permits nursing staff to minimize the combined footprint of mobile support platform
400 for efficient and safe transport, in tandem with the patient care apparatus 201,
through doorways, corridors and elevators.
[0041] In the preferred embodiment, as shown in
FIGS. 17 - 24, transfer device 20 is an assembly of two essentially identical but mirrored housing
halves 22 and 23 that are joined along central joint plane 34 and fastened together
by screws 42 to form a generally hollow, thin-walled clamshell housing 21 suitable
for cost-effective molding or casting. Each housing half 22, 23 has generally smooth,
easy-to-clean exterior surfaces 35 comprising label recesses 25 to permit covering
assembly screws 42 and other surface irregularities with labels 43 to seal crevices
for effective infection control. The interior surfaces 36 of housing halves 22, 23
comprise bosses, ribs and other features that cooperate to retain and fasten pivot
pins 26, assembly screws 42, fasteners on which to anchor springs 27 as well as other
structural and/or functional elements such as docking cups 60 and support post 41.
[0042] Support post 41 is retained by saddle bosses 38, shaped to conform to the outside
diameter of support post 41, between first and second housing halves 22, 23, preferably
in coaxial relationship with upper docking cup axis 462. Assembly screws 42 are installed
to rigidly attach support post 41 to the clamshell housing 21. Support post 41 protrudes
from the upper end 33 of clamshell housing 21 to rotatably engage equipment support
structure 200.
[0043] As shown in FIG. 19, docking cups 60 are constituted by matching up generally identical
but mirrored depressions in the first and second housing halves 23, 24 when the two
housing halves are joined to form clam shell housing 21. Upper and lower docking cup
axes 462, 463 coincide with the central joint plane 34 of clamshell housing 21 and
are generally parallel to each other. Each docking cup 60 constitutes a generally
conical cavity 61, with an elongated, cylindrical extension 73 configured to receive
docking cone 100 in coaxial alignment.
[0044] As shown in
FIGS 19 - 22, docking cup openings 68 (indicated by arrow 65) face downward and are positioned
in the two housing halves 22, 23 such that they are open to the outside for insertion
of docking cones 100 without exposing security mechanism 120. Docking cup axes 462
and 463 of the upper and lower docking cup are spaced apart horizontally by cup axis
spacing 45. In the preferred embodiment, cup axis spacing 45 is a two to two-and-a-half
multiple of the outer ring diameter 278 of docking ring 275 to provide adequate horizontal
spacing so users may align docking cones 100 with the respective docking cups 74 and
75 and carry out the docking maneuver with minimal risk of collision or interference
between upper and lower cone arms 150 during transfer.
[0045] Preferably, the lower docking cup 75 is disposed along bottom cup edge 30 of transfer
device 20, and the upper docking cup 74 is positioned higher. Vertical cup spacing
40 between upper and lower docking cups 74 and 75 preferably is approximately equal
to the overall cone height 185 to enable docking in case the cone arms of stationary
and mobile platforms 300, 400 cross over. Vertical cup spacing 40 assures that users
may potentially rotate the transfer device through a full 360 degree rotation when
docked on the lower docking cup axis 463 and not otherwise obstructed by hospital
bed 110 or other extraneous structures. In the preferred embodiment, vertical cup
spacing 40 is approximately 6.75 inches but, depending on specific requirements, may
be larger or even zero with both docking cups aligned on the same horizontal plane.
[0046] An example describes docking cups 60 with cup openings 68 that are open toward the
bottom, and docking cones 100 that have their narrow end facing up.
[0047] Docking rings 275 preferably generally are toroid bodies that terminate, reinforce,
and provide accurate concentricity to, support flanges 46 of the upper and lower docking
cups 74, 75 at cup openings 68. Docking rings preferably are made from a high-strength
material with anti-friction characteristics such as Delrin, high-density polyethylene
or other engineering plastics and guide and support transfer device 20 on docking
cones 100 during the docking maneuver. As shown in
FIG. 23, docking ring 275 has an upper support surface 282 that is in contact with ring support
69 of first and second housing halves, and a bottom support surface 280 that is in
contact with base flange 103 of docking cone 100 when docked to transfer device 20
as shown in
FIGS. 17 & 18. Registration groove 283 of docking ring 275 has a tapered inner groove surface 285
and a cylindrical outer groove surface 286, and is sized and positioned to receive
ring support flanges 46 that depend from the bottom of ring supports 69 of housing
halves 22, 23 and form a coaxial and load-bearing joint between docking rings 275
and cup openings 68. Retaining undercut 284 extends radially from outer groove surface
286 of registration groove 283 and receives keys 37 that project radially from outer
faces 49 of ring support flanges 46 when docking ring 275 is connected to cup opening
68. Keys 37 of first and second housing halves 22 and 23 may be introduced into retaining
undercut 284 of docking ring 275 though keyways 287 and, upon introduction, docking
ring 275 may be rotated on ring support flange 46, with keys 37 in engagement with
retaining undercut 284, to secure docking ring 275 to clamshell housing 21 in the
manner of a bayonet closure. Bottom support surface 280, base flange fillet 93 and
the conical portion 108 of cone base 105 of docking cone 100 are sized to receive
the bottom support surface 280 and cone support 293 in concentric, nested and load-bearing
relationship. Outer ring surface 279 projects beyond the bottom edges of the docking
cup 60 and protects the cup openings 68 against impact and abrasion.
[0048] As shown in
FIGS. 1, 16, 17 & 25, a first cone arm 150 is attached to stationary support platform 300 and a second
cone arm 150 is attached to mobile platform 400, and each cone arm 150 comprises a
docking cone 100 at its distal end 174 that is configured for docking engagement in
docking cups 74, 75 of transfer device 20.
[0049] Docking cone 100 is a frustoconical body, and cone base 105 has a cone base diameter
176 that is substantially equal to distal end arm width 176. Docking cone 150 has
a base flange 103 with base flange fillet 93 and transitions into cylindrical portion
104 at its narrow, upper end. Between cone tip 114 and cone base flange 103, the outer
surface of conical portion 108 of docking cone 100 steps closer to the cone's central
axis 111 to form security notch 94. Notch lower edge 95 and cone base upper end 99
demise the lower and upper edges, respectively, of security notch 94. The outer diameter
of plate support surface 101 at cone base upper end 99 is substantially smaller than
upper base diameter 107 of conical portion 108 of upper cone 110, and engagement plate
109 may be positioned, in coaxial relationship, between plate support surface 101
and the bottom surface of conical portion 108. Security mechanism 120 engages security
notch 94 in the secured cone position 130, and notch upper edge 92 of engagement plate
109 protects the upper cone 110 against damage from security levers 121, 122. Engagement
plate 109 is a washer, preferably made from steel with an outside diameter that is
substantially equal to upper base diameter 107 of upper cone 110. Notch fillet 97
and notch portion 98 form the transition between plate support surface 101 and notch
lower edge 95 to provide a space for engagement of security latches 126, 127 during
activation of security mechanism 120. Upper cone 110 preferably is made from a tough
engineering plastic such as Delrin, high-density polyethylene or any other structural
material with low friction characteristics and is fastened to cone base 105 by cone
bolt 115 in concentric relationship with docking cone axis 460. Cone bolt head 116
is recessed into cone tip recess 113 of upper cone 110 to form a continuous, smooth
cone tip 114. Cone bolt 115 optionally may be inserted from below and in threaded
engagement with a blind, internally threaded hole (not shown) in cone tip 114. In
the preferred embodiment, cone bolt 115 penetrates cone bolt holes 118 of upper cone
110, engagement plate 109 and inner cone boss 91 of cone base 105. Retaining nut 117
is threaded onto cone bolt 115 and tightened against inner cone boss 91 to assemble
upper cone 110, engagement plate 109 and cone base 105 into a strong, load-bearing
docking cone 100. To facilitate low-cost manufacturing of cone arms 150 and docking
cones 100, processes such as molding or casting may be employed and therefore security
notch 94 preferably is created by an assembly of easily fabricated parts rather than
as a single part where security notch 94 may be an undercut. However, docking cones
100 may also be formed as a single part. Cone base 105, preferably made from metal
such as aluminum or other structural materials, may be cast together with cone arm
150 in one piece or assembled from separate components 105, 150 by welding, mechanical
fasteners or other known joining methods.
[0050] As shown in
FIGS. 20 - 22 & 25, when the docking maneuver is initiated, docking cone 100 may not be fully engaged
in docking cup 60. Docking cup 60 and docking cone 100 cooperate during docking to
minimize negative consequences of misalignment between docking cone axis 460 on the
one hand and arm connector axis 461a and/or bed post axis 461b on the other hand,
as may be expected in the real-life hospital environment, and to enable users to easily
target the cone tip 114 of docking cone 100 for entry into docking cup 60. During
the transfer maneuver, cone tip 114 progressively slides up along the inner surface
of conical cavity 61 inside of docking cup 74 or 75, until cone tip 114 enters cylindrical
extension 73 of docking cup 60. During the docking maneuver, the external surfaces
of the external base 105 and the upper cone 110 are in contact with, and progressively
slide up along, the conical inner contour of the bottom support surface 280 of docking
ring 275.
[0051] The inner surface of conical cavity 61 of docking cups 74 and 75 is sized and shaped
to be generally concentric and coaxial with the tapered external wall of conical portion
108 of cone base 105, and with the tapered external walls of upper cone 110. The conical
cavity 61 has a cylindrical extension 73 that is generally concentric with, and sized
to receive, cone tip 114. The inner conical contour 280 of docking ring 275 has a
control diameter 292 that is substantially equal to the cone base diameter 106, and
shaped to be supported by the conical exterior walls of cone base 105 and base flange
fillet 93, when fully docked to docking cone 100 in coaxial, load-bearing relationship
with either upper docking cup axis 462 or lower docking cup axis 463.
[0052] In the preferred embodiment, contact between docking cone 100 and docking cups 74,
75 is restricted to designated structures with low-friction characteristics in order
to control friction and wear. When docking cone 100 and docking cups 74, 75 are fully
docked, cone tip 114 is in substantial coaxial and concentric engagement with the
cylindrical bore 62 of cylindrical extension 73, and cone tip 114 is in substantial
sliding contact with inner end surface 77 of cylindrical extension 73. Also, when
fully docked, cone tip 114 is in sliding contact with the inner surface of cylindrical
bore 62, and base flange 103 and base flange fillet 93 of docking cone 100 are in
substantially concentric sliding contact with upper support surface 202, bottom support
surface 280 and cone support 293 of cone ring 275, thereby creating a contact-free
clearance space 79 by which abrasion-sensitive surfaces are separated.
[0053] As shown in
FIGS. 20 & 24, security mechanism 120 minimizes the risk of accidentally disconnecting or dislodging
transfer device 20 from a docking cone 100 to which it may be docked. Security mechanism
120 is fully enclosed inside of clamshell housing 12. When a first docking cone is
in docking engagement with upper docking cup 74 of transfer device 20, transfer device
20 cannot be removed from the first docking cone as long as lower docking cup 75 is
not in docking engagement with a second docking cone. With reference to
FIG. 22, when a second docking cone is in docking engagement with lower docking cup 75 of
the transfer device, transfer device 20 cannot be removed from the second docking
cone as long as docking cup 74 is not in docking engagement with the upper docking
cup 74. Thus, security mechanism 120 prevents transfer device 20 from being removed
from a stationary platform 300 or a mobile platform 400 unless, and only under the
condition that, transfer device 20 simultaneously is also fully and securely docked
to another support platform to which it is being transferred. Only simultaneous, full
docking engagement inside both docking cups 74, 75 by two docking cones 100 causes
security mechanism 120 to automatically release both the security latches 126 and
127, permitting a caregiver the choice of either releasing the transfer device 20
from the cone arm 100 docked to the upper docking cup 74, or releasing the transfer
device 20 from the cone arm 100 docked to the lower docking cup 75. Extracting a first
docking cone 100 by a distance of 1/4 inch or less from either docking cup 74 or 75
causes the security mechanism 120 to engage the second docking cone, and vice versa,
without operator intervention except user activation of the lift mechanism 403 of
hospital bed 410 to cause the docking cone 100 attached to the mobile cone arm adapter
413 to be raised or lowered, as the case may be, to control the docking maneuver,
as described more fully below. Anyone versed in the art will appreciate that other
known means, both manual and powered, may be substituted for the lift mechanism of
a hospital bed in order to activate the docking maneuver and security mechanism of
this invention.
[0054] Upper security lever 212 and lower security lever 122 cooperate with security notch
94 and cone tip 114 of docking cone 100, and with upper and lower docking cups 74
and 75 to retain a docking cone in docking engagement with its respective docking
cup. With reference to
FIG. 20, when a first docking cone 100 is in docking engagement with upper docking cup 74
and no docking cone 100 is in docking engagement with lower docking cup 60, upper
security lever 121 securely retains the first docking cone in docked relationship
with transfer device 20. Analogously, with reference to
FIG. 22, when a second docking cone 100 is in docking engagement with lower docking cup 75
and no docking cone 100 is in docking engagement with upper docking cup 60, lower
security lever 122 securely retains the second docking cone in docked relationship
with transfer device 20.
[0055] Simultaneous full docking engagement of two docking cones 100 in transfer device
20, as shown in
FIG. 21, with one docking cone 100 seated in the upper docking cup 74 and the other docking
cone 100 seated in the lower docking cup 75, causes upper security lever 121 to release
the first docking cone, and security lever 122 to release the second docking cone.
[0056] Security levers 121 and 122 have analogous functions and share key structures and
features such as a pivot holes 123, a security latches 126 and 127, and cone feelers
132 and 133, and are both shaped to clear screw bosses 24 and pivot boss 37, as well
sidewalls and other internal features to avoid collisions when pivoting between secured
cone position 130 and released cone position 131. Security levers 121 and 122 preferably
are made from sheet steel or other rigid, structural materials.
[0057] Pivot pins 124 are trapped between upper and lower pivot bosses 31, 32, respectively,
on the inside surfaces 36 of first and second housing halves 22 and 23. Security lever
121 and security lever 122 are both rotatably attached to pivot pins 124 at pivot
holes 123 to permit each security lever to pivot between a first secured cone position
130 to a second released cone position 131. Each security lever 121, 122 comprises
a security latch 126, 127, respectively, that pivots from a first secured position
130 to a second released position 131, or into and out of engagement with security
notch 94 of docking cone 100 to control retention of the docking cone in the respective
docking cup of transfer device 20. Each security lever 121, 122 also comprises a security
cone feeler 132, 133 that causes security levers 121, 122 to pivot from a first secured
cone position 130 to a second released cone position 131 when pivotably displaced
by the cone tip 114 of a docking cone 100 during transfer.
[0058] In the preferred embodiment, as shown in
FIGS. 20 - 24, upper and lower docking cups 74, 75 are disposed along upper cup edge 39 and lower
cup edge 30, respectively, requiring each of the security levers 121, 122 to have
a different configuration and shape. Thus, each security latch 126, 127 and each cone
feeler 132, 133 is positioned on its respective security lever at a different position
in relation to its respective pivot hole 123, as more fully described below.
[0059] As shown in
FIGS. 21 - 25, a pivot hole 123 is located at the upper end of upper security lever 121 and a lower
cone feeler 133 is located at the bottom end of upper security lever 121. Pivot pin
124 is pivotably attached at pivot hole 123 to upper pivot boss 31 on the interior
surfaces 36 of clamshell housing 121, and upper pivot boss 31 is located above upper
docking cup 74 and near upper docking cup axis 462. Lower cone feeler 133 depends
from upper security lever 121 in an offset relationship by offset 138. Upper security
latch 126 is located between pivot hole 123 and lower cone feeler 133 and also depends
from upper security lever 121 in an offset relationship by offset 138. Offset 138
causes lower cone feeler 133 and upper security latch 126 to be in coplanar relationship.
Lower cone feeler 133 and upper security latch 126 are both sized and positioned to
align with docking cone axes 460 when cones 100 are fully docked in upper and lower
docking cups 74 and 75 and cooperate with cone tip 114 of docking cone 100 in the
lower docking cup 75 and security notch 94 of docking cone 100 in the upper docking
cup 74.
[0060] As also shown in
FIGS. 21 - 25, lower security latch 127 is located at the lower end of lower security lever 122
and upper cone feeler 132 is located at the upper end of lower security lever 122.
Pivot hole 123 is located between the lower security latch 127 and upper cone feeler
132, and is pivotably attached to lower pivot boss 32 on the interior surfaces 36
of clamshell housing 121 by pivot pin 124. Lower pivot boss 32 is located above lower
docking cup 75 and near lower docking cup axis 463 and upper cone feeler 133 depends
from lower security lever 122. Lower security latch 127 is located below pivot hole
123 and upper cone feeler 132 is located above pivot hole 123, and both lower security
latch 127 and upper cone feeler 132 depend from lower security lever 122 in a reverse-offset
relationship by reverse-offset 139. Reverse-offset 139 causes upper cone feeler 132
and lower security latch 127 to be in coplanar relationship. Upper cone feeler 132
and lower security latch 127 are both sized and positioned to align with docking cone
axes 460 when cones 100 are fully docked in upper and lower docking cups 74 and 75
and cooperate with cone tip 114 of docking cone 100 in the upper docking cup 74 and
security notch 94 of docking cone 100 in the lower docking cup 75.
[0061] Upper security latch 126 and lower cone feeler 133 are offset from upper security
lever 121 in one direction (138) and lower security latch 127 and upper cone feeler
132 are offset from lower security lever 121 in the opposite direction (139). Because
upper and lower security latches 126 and 127 as well as upper and lower cone feelers
132 and 133 are coplanar and positioned within the clamshell housing 121 in parallel
alignment with, and centered upon, central joint plane 34, upper and lower security
levers 121, 122 are positioned on different panes within clamshell housing 21 so that
they do not collide when independently pivoting between secured cone position 130
and released cone position 131.
[0062] As shown in
FIG. 19, latch clearance notches 63 and feeler clearance notches 64 in the first and second
housing halves 22 and 23 permit security latches 126 and 127, and cone feelers 132
and 133, to extend into the conical cavities 61 of docking cups 74, 75 where security
latches and cone feelers 126, 127, 132 and 133, respectively, are positioned to interact
with docking cones 100 that may move into and out of docking relationship with docking
cups 74 and 75, as previously described.
[0063] Springs 27 are attached between spring anchors 44 of each security lever 121, 122
and spring bosses 38 on housing halves 22, 23 in order to urge each security lever
121and 122 into its respective secured cone position 130 to provide firm engagement
of upper and lower security latches 126, 127 in the respective security notches 94,
and position upper and lower cone feelers 132, 133 for activation by a cone tip 144
during docking.
[0064] When docking cone 100 is firmly seated in upper docking cup 74, upper security latch
126 is in full engagement with security notch 94 of the docking cone 100 engaged in
cup 74. Conversely, when docking cone 100 is firmly seated in lower docking cup 75,
lower security latch 127 is in full engagement with security notch 94 of the docking
cone 100 engaged in cup 75. If upward force is applied anywhere to transfer device
20 through an accidental collision with an object in the environment or an unauthorized
attempt to remove the transfer device from engagement with docking cone 100 to which
it is attached, either security latch 126 or 127 engages engagement plate 109 of security
notch 94 to interdict extraction of transfer device 20 from the docking cone which
supports it.
[0065] In an alternate embodiment, as shown in Figs. 40 to 45, transfer device 620 is an
assembly having an upper housing 621, a lower housing 622 and a support post 641 received
therebetween. Two substantially identical subassemblies 748 are assembled to, and
retained by, upper housing 621 in generally equidistant, parallel and symmetric relationship
with support post 641. Docking cups 660 are received in upper housing 621 in substantially
parallel relationship with, and generally equidistant from, support post 641 and are
seated in the upper housing by means of locking rim 628. Lower housing 622 interdigitates
with docking cups 660 by means of registration notches 646. Support post 641 is received
in the bottom guide 624 of lower housing 622 and retention opening 644 in the upper
end 633 of upper housing 621. Support post 641 protrudes from the upper end of upper
housing 621 to rotatably engage equipment support structure 200.
[0066] As previously described, docking cups 660 are substantially identical and comprise
generally identical conical hollows 661, each having an elongated extension 673 to
receive upper cone 710 of docking cone 700 in coaxial alignment, as more fully described
below. Bottom openings 680 of docking cups 660 face downward and are positioned such
that they are open to the outside for insertion of docking cones 700 without exposing
security mechanism 720.
[0067] As shown in Figs. 41 & 42, docking cup 660 preferably is formed as a solid of revolution
with an inner conical surface 665 shaped to coaxially receive frustoconical docking
cone 700. The docking cup comprises a bottom contour 670 shaped to deflect misaligned
insertion of cone tip 711 of upper cone 710; a security notch 694; and a feeler notch
664. Further, docking cup 660 preferably comprises a pivot 626 to pivotally attach
security lever 721, thus constituting a self-contained subassembly 748 of a docking
cup with integral, pivoting security lever, as shown in Fig. 41. Two substantially
identical subassemblies 748 are assembled to, and retained by, upper housing 621 in
generally equidistant, parallel and symmetric relationship with post 641.
[0068] Each security lever 721 of security mechanism 720 comprises a security latch 726
that pivots from a first secured position to a second released position, or into and
out of engagement with security engagement notch 709 of docking cone 700 to control
retention of the docking cone in the respective docking cup of transfer device 620.
Each security lever 721 also comprises a cone feeler 732 that causes the security
latch 726 of said security lever 721 to pivot from a first secured position to a second
released position in response to being displaced upward, against the bias of spring
747 (not shown), by the cone tip 711 of docking cone 700.
[0069] As shown in Fig. 45, a cone arm 750 is attached to a stationary or mobile support
platform. Cone arm 750 comprises arm structure 751, preferably an aluminum casting
with, at its proximal end, a shaft 786 and at its distal end a docking cone 700 that
is configured for docking engagement with docking cups 660 of transfer device 620.
A spine 715 comprises upper cone 710, cone tip 711, inner bearing surface 718, and
security engagement notch 709 and is attached to arm structure 751. As described above,
the docking cone 700 has a security engagement notch 709 that cooperates with security
latch 726 of security lever 721 to prevent or enable retention of docking cone 700,
as the case may be, from docking cup 660.
[0070] It can also be seen in Fig. 41 that the security lever 721 has an offset 739 therein
that creates a spaced apart relation that allows support post 641 to sit in the space
created between the security levers 721. As a result, support post 641 can be positioned
low in the transfer device 620 to achieve a low overall profile 650 of the transfer
device 620 to accommodate attachment of more medical apparatus to the equipment support
structure 200.
[0071] Turning now to Fig. 45, an alternate arrangement of cone arm 150 and docking cone
100 is shown. Rotation of transfer device 20 about docking cone 100 tends to allow
the uncontrolled rotation, or swing-out, of the transfer device during transport.
To prevent said swing-out rotation, revolving cone 705 is configured to rotate about
spine 715. The inner bearing surface 718 is in contact with spine 715 and may optionally
be coated with damping grease to slow and control the rotation of revolving cone 705
relative to spine 715. However, the use of alternative damping means other than grease
is within the scope of this specification.
[0072] A groove 714 provided in the outer bearing surface 712 of revolving cone 705 is filled
with a friction material 717 that extends outwardly to contact inner conical surface
665 of docking cup 660. When transfer device 620 is received onto revolving cone 705,
friction material 717 engages the inner conical surface 665 of docking cup 660 to
prevent rotation of the transfer device 620 relative to outer bearing surface 712
of revolving cone 705. This engagement transfers the rotation of the transfer device
620 to the rotation-controlled interface between the inner bearing surface 718 and
spine 715, thereby effectively controlling rotation and swing-out of the overall transfer
device 620.
[0073] While there is shown and described herein certain specific structure embodying the
invention, it will be manifest to those skilled in the art that various modifications
and rearrangements of the parts may be made without departing from the scope of the
appended claims.