Hospital bed

申请号 US10085855 申请日 2002-02-28 公开(公告)号 US06694548B2 公开(公告)日 2004-02-24
申请人 L. Dale Foster; Ryan Anthony Reeder; John David Vogel; 发明人 L. Dale Foster; Ryan Anthony Reeder; John David Vogel;
摘要 A hospital bed is provided for support of a patient. The hospital bed includes a base, a patient support coupled to the base, and a walker dockable to the patient support.
权利要求

What is claimed is:1. A patient support comprisinga base,a support platform supported by the base and including a seat panel and a leg panel movable relative to the seat panel to a chair position, anda walker dockable to the base, a space being defined between the walker and the leg panel when the walker is coupled to the base, the space having sufficient size to permit a patient to stand between the walker and the leg panel.2. The patient support of claim 1, wherein the space is positioned under the leg panel before the leg panel is moved to the chair position.3. The patient support of claim 1, wherein the panel is rotated downward relative to the seat panel when moved to the chair position.4. The patient support of claim 1, wherein the walker is positioned inside a perimeter of the base when docked thereto.5. The patient support of claim 1, further comprising a mattress including a leg portion supported by the movable leg panel of the patient support platform.6. The patient support of claim 5, wherein the patient support platform further includes a head section that cooperates with the seat and leg sections to support the mattress in a stepped configuration.7. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including at least a seat section and a leg section, the leg section being movable relative to the seat section from a bed position substantially parallel with the seat section and a chair position rotated downward relative to the seat section, anda walker dockable with the frame, rotation of the leg section providing a space for a patient to stand between the walker and the leg panel.8. The patient support of claim 7, wherein the space is sized to receive the walker within perimeter portions of the frame.9. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including at least a seat section and a leg section, the leg section being movable relative to the seat section from a bed position substantially parallel with the seat section and a chair position rotated downward relative to the seat section,a walker dockable with the frame, anda pair of rails supported by the frame to block egress from the patient support, the pair of rails being positioned adjacent to the leg panel to assist a patient in moving from the patient support platform to the walker.10. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, a first section of the plurality of sections being movable relative to the base, the first section supporting a patient's legs to position the patient's legs for contact with a portion of a floor surface, anda walker dockable with the frame, the walker defining a footprint that overlays the portion of the floor surface in contact with the patient's legs.11. The patient support of claim 10, wherein the portion of the floor surface is positioned under the first section before said movement of the first section relative to the base.12. The patient support of claim 10, wherein the frame defines a footprint projected downward on the floor surface and at least a portion of the walker is positioned over the footprint.13. The patient support of claim 10, wherein the plurality of sections forming the patient support are constructed of a rigid material.14. The patient support of claim 10, wherein the plurality of sections cooperate to position the patient's legs in position for use of the walker.15. The patient support of claim 10, wherein a mattress is positioned on top of the patient support platform.16. The patient support of claim 10, wherein the first section of the plurality of sections supports the patient's lower legs.17. The patient support of claim 10, wherein the walker is docked at a foot end of the frame.18. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, a first section of the plurality of sections being movable relative to the base to position a patient's legs for contact with a portion of a floor surface, the first section dropping below the level of the remainder of the plurality of sections during the movement relative to the base, anda walker dockable with the frame, the walker defining a footprint that overlays the portion of the floor surface in contact with the patient's legs.19. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, a first section of the plurality of sections being movable relative to the base to position a patient's legs for contact with a portion of a floor surface, the first section being positioned to support a patient's calves during movement of the first section relative to the base, anda walker dockable with the frame, the walker defining a footprint that overlays the portion of the floor surface in contact with the patient's legs.20. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, a first section of the plurality of sections being movable relative to the base to position a patient's legs for contact with a portion of a floor surface, the first section being configured to position a patient's legs between perimeter portions of the frame after movement of the first section relative to the base, anda walker dockable with the frame.21. A patient support comprisinga frame including a longitudinal axis, a base, and a patient support platform, the patient support platform including a head section, a seat section, and a leg section, the patient support platform being configured to move between a bed position and a chair position with the leg section moved relative to the seat section and the seat section in a substantially horizontal position, anda walker dockable with the frame, the walker being docked with the frame in a position on the longitudinal axis to permit a patient seated on the seat section to use the walker when the patient support platform is in the chair position.22. The patient support of claim 21, wherein the seat and leg sections cooperate to move a patient's legs from a substantially straight position to a substantially bent position during movement from the bed position to the chair position.23. The patient support of claim 21, wherein the seat section of the patient support is positioned at a midpoint between head and foot ends of the frame when the patient support platform is in the chair position.24. The patient support of claim 21, further comprising a pair of rails positioned to assist the patient during movement from a position seated on the seat section of the patient support platform and a position supported by the walker.25. A patient support comprisinga frame including a longitudinal axis, longitudinally spaced-apart first and second ends, a base, and a patient support platform, the patient support platform including a head section, a seat section, and a leg section, the patient support platform being configured to move between a bed position and a chair position with the head section moved relative to the seat section and the seat section in a substantially horizontal position, anda walker dockable with the frame, the walker including an opening configured to permit ingress of a patient, and the walker being configured to dock with the frame so that the opening faces one of the first and second ends of the frame.26. The patient support of claim 25, wherein the head section and seat section are substantially parallel when the patient support platform is in the bed position and cooperate to define an angle less than 180° when the patient support platform is in the chair position.27. The patient support of claim 25, further comprising a mattress having a head section supported by the head section of the patient support platform and a seat section supported by the seat section of the patient support platform.28. The patient support of claim 27, wherein the head section of the mattress moves with the head section of the patient support platform during movement between the bed and chair positions.29. The patient support of claim 25, wherein a head end of the head section of the patient support platform is positioned adjacent to a head end of the frame when the patient support platform is in the bed position and elevated relative to the seat section of the patient support platform when the patient support platform is in the raised position.30. The patient support of claim 25, wherein the head section and the seat section cooperate to move a patient's torso from a substantially flat position when the patient support platform is in the bed position to a substantially bent position when the patient support platform is in the chair position.31. A patient support comprisinga patient support frame including a base and a patient support supported by the base, the patient support frame including a head end and a foot end, anda walker dockable with the foot end of the patient support frame, the walker including a frame and a seat pivotable between a use position configured to securely support a patient seated thereon and a storage position to increase an uncovered portion of a floor surface beneath the seat.32. The patient support of claim 31, wherein the patient support frame defines a footprint projected downward on a floor surface and movement of the seat to the storage position uncovers a portion of the footprint.33. The patient support of claim 32, wherein movement of the seat to the storage position increases the amount of the footprint not covered by the seat.34. The patient support of claim 31, wherein a surface area of the floor that is covered when the seat is in the use position is uncovered when the seat is in the storage position.35. A patient support comprisinga patient support frame including a base and a patient support supported by the base, the patient support frame including a head end and a foot end, anda walker dockable with the foot end of the patient support frame, the walker including a frame and a seat pivotable between a use position configured to securely support a patient seated thereon and a storage position to increase an uncovered portion of a floor surface for walking, the seat including a section that moves from a substantially horizontal position when in the use position to a substantially vertical position when in the storage position.36. A patient support comprisinga patient support frame including a base and a patient support supported by the base, the patient support frame including a head end and a foot end, anda walker dockable with the foot end of the patient support frame, the walker including a frame and a seat pivotable between a use position configured to securely support a patient seated thereon and a storage position to increase an uncovered portion of a floor surface for walking, the seat including a seat portion and a back portion extending up from the seat portion.37. A patient support comprisinga patient support frame including a base and a patient support supported by the base, the patient support frame including a head end and a foot end, anda walker dockable with the foot end of the patient support frame, the walker including a frame and a seat pivotable between a use position configured to securely support a patient seated thereon and a storage position to increase an uncovered portion of a floor surface, the seat being configured to pivot about an axis that includes a horizontal component.38. A patient support comprisinga patient support frame including a base including a head end and a foot end, anda walker dockable to the foot end of the patient support frame, the walker including a frame and a seat coupled to the frame of the walker, the seat being configured to pivot between a use position and a storage position when the walker is docked to the foot end of the patient support frame to permit ingress of a patient into the walker.39. The patient support of claim 38, wherein the seat defines a footprint projected downward on a floor surface and pivoting movement of the seat changes the size of the footprint.40. The patient support of claim 38, wherein the seat is pivotable between first and second positions, the seat includes first and second ends, the first and second ends are supported by the frame of the walker when in at least one of the first and second positions.41. The patient support of claim 38, wherein the patient support frame defines a footprint projected downward on a floor surface and pivoting of the seat uncovers a portion of the footprint to permit a patient to stand on the portion of the footprint.42. A patient support comprisinga patient support frame including a base and a patient support supported by the base, the patient support including a head end and a foot end, anda walker dockable to the foot end of the patient support frame, the walker including a frame and a seat pivotably coupled to the frame of the walker, the seat being pivotable from a horizontal use position to a vertical storage position.43. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, the plurality of sections of the patient support surface cooperating to form a chair position, a first section of the plurality of sections being movable relative to the base to position a patient's legs for contact with a portion of a floor surface, anda walker dockable with the frame, the walker defining a footprint that overlays the portion of the floor surface in contact with the patient's legs.44. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a plurality of sections, a first section of the plurality of sections being movable relative to the base to position a patient's legs for contact with a portion of a floor surface, an uncovered surface area of the floor increasing when the seat is pivoted from the use position to the storage position, anda walker dockable with the frame, the walker defining a footprint that overlays the portion of the floor surface in contact with the patient's legs.45. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a head section, a seat section, and a leg section, the patient support platform being configured to move between a bed position and a chair position with the leg section moved relative to the seat section and the seat section in a substantially horizontal position, anda walker dockable with the frame to permit a patient seated on the seat section to use the walker when the patient support platform is in the chair position, movement of the leg section opening a space in the frame sized to receive the walker to permit positioning of the walker for use by the patient seated on the seat section.46. A patient support comprisinga frame including a base and a patient support platform, the patient support platform including a head section, a seat section, and a leg section, the patient support platform being configured to move between a bed position and a chair position with the leg section moved relative to the seat section and the seat section in a substantially horizontal position, the head section being substantially parallel relative to the seat section when the patient support platform is in the bed position and being rotated upward relative to the seat section when the patient support platform is in the chair position, anda walker dockable with the frame to permit a patient seated on the seat section to use the walker when the patient support platform is in the chair position.47. The patient support of claim 45, wherein the leg section is pivotably coupled to the seat section.48. The patient support of claim 7, further comprising a mattress positioned over the movable leg section of the patient support platform.49. A patient support comprisinga frame including a longitudinal axis, longitudinally spaced-apart first and second ends, a base, and a patient support platform, the patient support platform including at least a seat section and a leg section, the leg section being movable relative to the seat section from a bed position substantially parallel with the seat section and a chair position rotated downward relative to the seat section, anda walker dockable with one of the first and second ends of the frame.50. The patient support of claim 45, wherein the leg section is positioned to support the calf of a patient as it rotates downward.

说明书全文

RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No., 09/655,525, filed Sep. 15, 2000, now U.S. Pat. No. 6,374,346, which is a continuation of U.S. patent application Ser. No. 09/370,272, filed Aug. 9, 1999, now U.S. Pat. No. 6,112,345, which is a divisional of U.S. patent application Ser. No. 09/009,522, filed Jan. 20, 1998, now U.S. Pat. No. 5,933,888, which is a divisional of U.S. patent application Ser. No. 08/755,480, filed Nov. 22, 1996, now U.S. Pat. No. 5,708,997, which is a divisional of U.S. patent application Ser. No. 08/277,243, filed Jul. 19, 1994, now U.S. Pat. No. 5,577,279, which is a continuation in part of U.S. patent application Ser. No. 08/234,403, filed Apr. 28, 1994, now U.S. Pat. No. 5,454,126, which is a continuation in part of U.S. patent application Ser. No. 08/186,657, filed Jan. 25, 1994, now U.S. Pat. No. 5,479,666, and a continuation in part of U.S. patent application Ser. No. 08/230,061, filed Apr. 21, 1994, now U.S. Pat. No. 5,513,406, a continuation in part of U.S. patent application Ser. No. 08/221,748, filed Mar. 31, 1994, now U.S. Pat. No. 5,672,849, and a continuation part of U.S. patent application Ser. No. 08/221,633, filed Apr. 1, 1994, now U.S. Pat. No. 5,483,709, all of which are hereby incorporated by reference herein as if fully set forth in their entirety. The disclosures of U.S. Pat. Nos. 5,337,845; 5,335,651; 5,370,111; and 5,117,521 are hereby incorporated by reference herein as if fully set forth in their entirety.

FIELD OF THE INVENTION

This invention relates generally to hospital beds, and more particularly to hospital beds which convert from a bed configuration to a chair configuration.

BACKGROUND AND SUMMARY OF THE INVENTION

During a patient's stay in a hospital, the patient is normally confined to his or her hospital bed for some period of time, at least initially. During this portion of the patient's hospital stay, all of the care functions provided by attending physicians, nurses and the like are provided to the patient as he or she resides on the hospital bed.

According to the present invention, a patient support is provided. The patient support includes a base, a support platform supported by the base, and a walker. The support platform includes a seat panel and a leg panel movable relative to the seat panel to a chair position. The walker is dockable to the frame. A space is defined between the walker and the leg panel when the walker is coupled to the frame. The space has sufficient size to permit a patient to stand between the walker and the leg panel.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a walker. The frame includes a base and a patient support platform. The patient support platform includes at least a seat section and a leg section. The leg section is movable relative to the seat section from a bed position substantially parallel with the seat section and a chair position rotated downward relative to the seat section. The walker is dockable with the frame.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a walker. The frame includes a base and a patient support platform. The patient support platform includes a plurality of sections. A first section of the plurality of sections is movable relative to the base to position a patient's legs for contact with a portion of a floor surface. The walker is dockable with the frame.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a walker. The frame includes a base and a patient support platform. The patient support platform includes a head section, a seat section, and a leg section. The patient support platform is configured to move between a bed position and a chair position with the leg section moved relative to the seat section and the seat section in a substantially horizontal position. The walker is dockable with the frame to permit a patient seated on the seat section to use the walker when the patient support platform is in the chair position.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a walker. The frame includes a base and a patient support platform. The patient support platform includes a head section, a seat section, and a leg section. The patient support platform is configured to move between a bed position and a chair position with the head section moved relative to the seat section and the seat section in a substantially horizontal position. The walker is dockable with the frame.

According to another aspect of the invention, a patient support is provided. The patient support includes a patient support frame and a walker. The patient support frame includes a base and a patient support supported by the base. The patient support frame includes a head end and a foot end. The walker is dockable with the foot end of the patient support frame. The walker includes a frame and a seat pivotable between a use position configured to securely support a patient seated thereon and a storage position to increase an uncovered portion of a floor surface for walking.

According to another aspect of the present invention, a patient support is provided. The patient support includes a patient support frame and a walker. The patient support frame includes a base and a patient support supported by the base. The patient support includes a head end and a foot end. The walker is dockable to the foot end of the patient support frame. The walker includes a frame and a seat pivotably coupled to the frame of the walker.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame, a mattress, and a rail. The mattress is supported by the frame. The mattress includes head and foot ends and first and second sides extending between the head and foot ends. The rail is movable from a foot rail position blocking egress of a patient from the foot end of the mattress and a side rail position. The rail is configured to move toward the head end of the mattress when moved from the foot rail position to the siderail position.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame, a mattress, and a rail. The frame includes a base and a patient support platform positionable in a substantially flat bed position. The mattress is supported by the patient support platform and defines a footprint projected downward on a floor surface when the patient support platform is in the bed position. The footprint includes a head end, a foot end, and first and second sides extending between the head and foot ends. The rail is movable from a foot rail position to block egress of a patient from the foot end of the footprint and a side rail position to block egress of a patient from the first side of the footprint.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame, a mattress, and a pair of rails. The frame includes a base and a patient support platform movable between first and second positions relative to the base. The mattress is supported by the patient support platform. The mattress includes a head end and a foot end. The mattress defines a footprint when projected downward on a floor surface when the patient support platform is in the first position. Movement of the patient support platform to the second position uncovers a portion of the footprint to permit the patient to stand thereon. The pair of rails are movable from foot rail positions to block egress of a patient from the foot end of the mattress and side rail positions. The portion of the footprint is positioned between the rails when the rails are in the side rail positions.

According to another aspect of the invention, a patient support is provided. The patient support includes a frame, a mattress, and a rail. The frame includes a base and a patient support platform including at least a seat section and a leg section. The leg section is movable between a bed position in a substantially parallel relationship with the seat section and a chair position rotated downward relative to the seat section. The mattress is supported by the patient support platform. The mattress has a head end and a foot end. The rail is movable from a foot rail position to block egress of a patient from the foot end of the mattress and a siderail position.

According to another aspect of the invention, a patient support is provided. The patient support includes a frame, a mattress, and a rail. The frame includes a base, a patient support platform configured to shift longitudinally relative to the base, and a longitudinally extending rail support member. The mattress is supported by the patient support platform. The mattress includes a head end, a foot end and a leg support section positioned between the head and foot ends. The mattress defines a footprint when projected downward on a floor surface when in a substantially flat bed position. The rail support member is positioned adjacent to the leg support section when the mattress is in the substantially flat bed position. The leg support section of the mattress is movable to a position uncovering a portion of the footprint to permit the patient to stand thereon. The rail is supported by the rail support member of the frame. The rail is positioned to permit a patient to hold thereon when standing on the portion of the footprint.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame, a mattress, and a patient care module. The frame includes a base and patient support platform. The patient support platform is movable relative to the base between first and second positions. The mattress is supported by the patient support platform. The patient care module is positioned under the patient support platform when the patient support platform is in the first position. Movement of the patient support platform to the second position uncovers the patient care module to permit a patient supported on the mattress to access the patient care module.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a mattress. The frame includes a base and a patient support platform supported by the base. The base includes a head end and a foot end. The patient support platform includes at least a seat section and a leg section. The leg section of the patient support platform is movable between a bed position in substantially parallel relationship with the seat section and a chair position with the leg section rotated downward relative to the seat section. The mattress is supported by the patient support platform. The patient support platform is movable in a first longitudinal direction toward the head end of the base from a first position to a second position. The leg section of the deck is movable to the chair position when the patient support platform is in the second position.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a mattress. The frame includes a base and a patient support platform supported by the base. The base includes a head end and a foot end. The patient support platform includes at least a head section, a seat section, and a leg section. The head and leg sections of the patient support platform are movable between bed positions in substantially parallel relationship with the seat section and chair positions with the head section rotated upward relative to the seat sections and the leg section rotated downward relative to the seat section. The mattress is supported by the patient support platform. The patient support platform is movable in a first longitudinal direction toward the head end of the base from a first position to a second position. The head section of the deck is in the chair position when the patient support platform is in the second position.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a mattress. The frame includes a base and a patient support platform. The patient support platform is longitudinally movable relative to the base. The patient support platform includes at least a head section, a seat section, and a leg section. The head and leg sections of the patient support platform are movable between bed positions in substantially parallel relationships with the seat section and chair positions with the leg section rotated relative to the seat section and the head section rotated relative to the seat section. Movement of the leg section to the chair position is independent of movement of the head section to the chair position. The mattress is supported by the patient support platform and defines a footprint projected downward on a floor surface when the patient support platform is in the bed position. Movement of the leg section of the patient support platform uncovers a portion of the footprint. The frame is configured to permit access to the portion of the footprint from outside of the frame to permit entry and egress to and from the portion of the footprint by a patient.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a mattress. The frame includes a base and a patient support platform supported by the base. The patient support platform is longitudinally movable relative to the base. The patient support platform includes at least a head section, a seat section, and a leg section. The head and leg sections of the patient support platform are movable between bed positions in substantially parallel relationships with the seat section and chair positions with the leg section rotated downward relative to the seat section and the head section rotated upward relative to the seat section. Movement of the leg section to the chair position is independent of movement of the head section to the chair position. The mattress is supported by the patient support platform. The mattress defines a footprint projected downward on a floor surface when the patient support platform is in the bed position. Movement of the leg section of the patient support platform uncovers a portion of the footprint to permit a patient to stand thereon.

According to another aspect of the present invention, a patient support is provided. The patient support includes a frame and a mattress. The frame includes a base, an intermediate frame, a patient support platform supported by the intermediate frame, and a mechanism configured to raise and lower the intermediate frame relative to the base. The patient support platform is movable in a longitudinal direction relative to the base. The patient support platform includes at least a seat section and a leg section. The leg section of the patient support platform is movable between a bed position in substantially parallel relationship with the seat section and a chair position with the leg section rotated downward relative to the seat section. The mattress is supported by the patient support platform. The mattress defines a footprint projected downward on a floor surface when the patient support platform is in the bed position. Movement of the leg section of the patient support platform uncovers a portion of the footprint that remains located between perimeter portions of the frame after said movement. The frame is configured to permit access to the portion of the footprint from outside of the frame to permit entry and egress to and from the portion of the footprint.

Features of the present invention will become more readily apparent during the following detailed description taken in conjunction with the drawings herein, in which:

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1

is a side elevational view of the hospital bed of the present invention;

FIG. 1A

is a view similar to

FIG. 1

but with the patient support platform shown in a lowermost position and with the head panel pivoted upwardly and the leg panel pivoted downwardly;

FIG. 2

is a view taken along line

2

2

of

FIG. 1

;

FIG. 3

is the encircled area of

FIG. 1

shown enlarged;

FIG. 4

is a view taken along line

4

4

of

FIG. 3

;

FIG. 5

is a view similar to

FIG. 2

but just of the seat, thigh and leg panels;

FIG. 6

is a view taken along line

6

6

of

FIG. 5

;

FIGS. 7A-F

are views taken along line

7

A—

7

A of

FIG. 5

during downward pivoting of the leg panel;

FIGS. 8A-F

are views taken along line

8

A—

8

A of

FIG. 5

also during downward pivoting of the leg panel;

FIGS. 9A-B

are views taken along line

9

A—

9

A of

FIG. 5

during initial retraction of the patient support platform;

FIG. 10

is a view similar to

FIG. 1A

but with the thigh and leg panels pivoted upwardly;

FIG. 11

is a perspective view of a bolster and associated orthopedic frame and foot gate sockets;

FIG. 12

is a perspective of the hospital bed of the present invention shown in conjunction with a wheelchair;

FIG. 13

is a perspective view of the hospital bed of the present invention shown in conjunction with a toilet module and a patient safety harness;

FIG. 14

is a perspective view of the hospital bed of the present invention shown in conjunction with a mobile power column;

FIG. 15

is a perspective view of an alternative form of bolster;

FIGS. 15A-B

are perspective views of a hospital bed incorporating the bolsters of

FIG. 15

;

FIG. 16

is a perspective view of the foot end of the main frame with preferred embodiments of the toilet module, toilet module latches and foot gates;

FIG. 17

is a view taken along line

17

17

of

FIG. 16

;

FIG. 18

is a view taken along line

18

18

of

FIG. 16

;

FIGS. 19A-E

are sequence side elevation views of the bed of the present invention; and

FIGS. 20A-20E

illustrate the bed configured as an ambulatory/rehabilitation bed.

DETAILED DESCRIPTION OF THE INVENTION

With reference first to

FIG. 1

, there is illustrated a hospital bed

10

according to the present invention. The bed

10

comprises, generally, a base

12

, a main frame

14

mounted above the base

12

, and a patient support platform

16

movably mounted on the main frame

14

.

Referring now to

FIGS. 1-6

, it will be seen that the base

12

of hospital bed

10

includes a pair of frame members

20

,

20

each of which includes a first longitudinally oriented section

22

, a first laterally outwardly diverging section

24

, a second longitudinally oriented section

26

and a second laterally outwardly diverging section

28

. Base

12

of hospital bed

10

is of extended length and defines a “Y” shape, the opening of which is toward the foot end of the bed

10

. The advantages of the extended length and foot facing Y will be subsequently described.

At the head end of the base

12

there is a transverse member

30

connected to the head ends of the longitudinally oriented sections

22

,

22

of the base frame members

20

,

20

. On the laterally outward ends of the transverse member

30

are head end casters

32

. Mounted on the foot ends of sections

28

,

28

of the frame members

20

,

20

of the base

12

are foot end casters

34

.

The main frame

14

includes a pair of longitudinally oriented rails or frame members

40

which span the length of the bed

10

. Connected to the head end of each of the rails

40

is a transverse cross member

42

from which extends upwardly a headboard

44

. A pair of braces

46

,

46

connect the head ends of the rails

40

to the head end cross member

42

. At the foot end of the main frame

14

each of the rails

40

include a laterally outwardly diverging section

48

. Pivotally attached to the ends of each of the sections

48

is a pivoting footboard half

50

. Pivoting footboard halves or foot gates

50

,

50

, when oriented transversely to the length of the bed

10

, function together as a footboard. When the pivoting footboard halves

50

,

50

are pivoted toward the head end of the bed

10

to a position generally parallel the length of the bed

10

, the footboard halves

50

,

50

function separately as sideguards/handrails for aiding a patient in egressing from the bed

10

when the bed

10

is configured as a chair. The main frame

14

is of extended or full length and has advantages which likewise will be described.

A pair of parallelogram linkages

60

,

60

movably mount the main frame

14

to and above the base

12

. Each parallelogram linkage

60

includes upper and lower links

62

,

64

having lower ends pivotally connected to a bracket

66

mounted to member

30

of base

12

at pivots

68

,

70

respectively. The links

62

,

64

are pivoted at their upper ends to a bracket

72

mounted to each main frame rail

40

at pivots

74

,

76

. Brackets

72

are pivoted to the rails

40

at pivots

78

. Main frame

14

pivots at the pivots

78

,

78

relative to the linkage

60

and hence base

12

thus providing Trendelenburg and reverse Trendelenburg movement of the main frame

14

and hence the patient support platform

16

. A pair of gas springs

80

,

80

are located beneath rail

40

of main frame

14

and have cylinder ends connected to the lower end of each bracket

72

and piston rod ends connected to each rail

40

. The two pairs of gas springs

80

,

80

provide rotational resistance to the main frame

14

when positioned in the Trendelenburg and reverse Trendelenburg positions and any position in between. Gas springs

80

may be actuated by any conventional means.

A hydraulic piston and cylinder

82

has a cylinder end pivotally connected between the sections

22

of the base frame members

20

at pivot

84

and a piston rod end pivotally connected between the upper links

62

of each parallelogram linkage

60

at a pivot connection

86

. Pivot

86

is located between a pair of triangular plates

87

,

87

both of which are mounted to a pair of cross braces

88

,

88

spanning between and connected to upper links

62

,

62

of the parallelogram linkages

60

,

60

. Extension and retraction of the piston and cylinder

82

moves main frame

14

upwardly and downwardly relative to the base

12

.

The patient support platform

16

includes a head panel

90

, a seat panel

92

, a thigh panel

94

and a leg panel

96

. Head panel

90

and seat panel

92

are hinged at pivot points

98

,

98

. Seat panel

92

and thigh panel

94

are hinged at pivot points

100

,

100

.

Leg panel

96

comprises a calf panel

102

, a panel

104

and a pair of lateral side bolsters

106

,

106

. Lateral side bolsters

106

,

106

are pivoted to thigh panel

94

at outboard pivots

108

and inboard pivots

110

. Inboard pivots

110

also serve to pivot calf panel

102

to thigh panel

94

. Foot panel

104

is pivoted to the calf panel

102

via pivots

112

.

Seat panel

102

is mounted upon a carriage

120

which includes a pair of rollers

122

,

122

on either lateral side thereof. Each pair of rollers

122

,

122

rolls within an inwardly facing channel

124

secured to an inboard side of each rail

40

of the main frame

14

(FIG.

6

).

A piston and cylinder

126

has a cylinder end

126

a

pivotally connected to the forward end of main frame

14

at pivot

128

and a piston rod end

126

b

pivotally connected between a pair of links

130

,

130

at

132

. Each of the links

130

,

130

is pivotally connected at a pivot

134

to a torque plate

136

which itself is fixedly secured to the head panel

90

. Extension and retraction of the piston and cylinder

126

thus serves to extend toward the foot end and retract away from the foot end the patient support platform

16

along the main frame

14

, as well as to pivot downwardly and upwardly the head panel

90

. Head panel

90

is additionally connected to the main frame

14

via a pair of links

138

,

138

each of which has a head end

138

a

pivotally connected to the main frame

14

at a pivot

140

and a foot end

138

b

pivotally connected to the head panel

90

at a pivot

142

. A bracket

144

depends from the seat panel

92

and carries an upper roller

146

and a lower roller

148

. The piston rod

150

of the piston and cylinder

126

resides between the rollers

146

,

148

, the rollers providing support against upward and downward deflections of the rod

150

. The full stroke of the piston and cylinder

126

is

18

inches. Thus, when the patient support platform

16

is in the normally horizontal and extended (retracted) attitude, rod

150

and hence pivot

132

are fully extended. Retraction of the pivot

132

18 inches toward the head end of the bed

10

via the piston and cylinder

126

results in 12 inches of travel of the patient support platform

16

on the main frame

14

toward the head end of the bed

10

, with 6 inches of motion being lost between pivots

132

and

134

. Six inches of relative travel between the pivots

132

and

134

results in the head panel

90

being pivoted to the full up position via the torque plates

136

,

136

(FIG.

1

A); likewise, 12 inches of travel of the pivot

134

and hence pivot

98

results in the links

138

,

138

driving the head panel

90

to the full up position (also FIG.

1

A). The combination of torque plates

136

,

136

in conjunction with links

138

,

138

provides for efficient upward pivoting of the head panel

90

, as torque plates

136

,

136

are most effective during initial upward pivoting of head panel

90

whereas links

138

,

138

are most efficient during final upward pivoting of the head panel

90

.

Referring now to FIGS.

5

and

8

A-F, a second carriage

160

is provided for actuation of the leg panel

96

. Carriage

160

comprises a transverse member

162

and a longitudinal plate member

164

mounted on each lateral end

162

a

,

162

b

of the transverse member

162

. One roller

166

of a pair of rollers

166

,

166

is mounted on each end

164

a

,

164

b

of each of the longitudinal members

164

,

164

. Each of the two roller pairs

166

,

166

rolls within one of the channels

124

,

124

secured to each of the rail members

40

,

40

of the main frame

14

. A piston and cylinder

168

has a cylinder end

168

a

pivotally connected to a bracket

170

at

172

, which bracket

170

is secured to the underneath side of the seat panel

92

. The piston rod end

168

b

of the cylinder

168

is pivotally secured to the cross member

162

at

174

. A plate

176

is fixedly secured to the cross member

162

inboard of each plate

164

. Each plate

176

carries a roller

178

. Each roller

178

rides along and in contact with a roller bearing surface or plate

180

, which itself is a part of a vertically oriented downwardly extending plate

182

connected to each lateral edge

102

a

,

102

b

of the calf panel

102

. The plate

182

further includes an upwardly angled ramp

184

commencing at a head end edge

186

of the roller bearing plate

180

. Ramp

184

is actually one side of a channel

188

including an opposite side

190

. Calf panel

102

is supported on rollers

178

,

178

by virtue of the fact that each roller tearing plate

180

bears down upon and against one of the rollers

178

. Each roller

178

is operable to roll along its respective roller bearing plate

180

as the piston and cylinder

168

extends and retracts. As each roller

178

rolls past each edge

186

of each plate

180

the calf panel

102

is permitted to pivot downwardly relative to the main frame

14

, the operation of which will be described subsequently.

Referring now to FIGS.

5

and

7

A-F, a first link

200

has a first end

200

a

pivoted to the foot panel

104

at pivot

202

. A second link

204

has a first end

204

c

pivoted to the second end

200

b

of link

200

at

206

, and a protuberance

208

on a second end

204

b

. Link

204

is pivoted to a bracket

205

mounted on the calf panel

102

at pivot

210

. A plate

212

is fixedly secured to cross member

162

of the carriage

160

. Pivotally mounted on the plate

212

is a roller

214

. Roller

214

normally contacts the lower edge

204

c

of link

204

near the pivot

206

when the patient support platform

16

is in a generally horizontal attitude. Retraction of the piston and cylinder

168

causes the roller

212

to travel along the lower edge

204

c

of link

204

toward the protuberance

208

. Further travel of the roller

214

causes the foot panel

104

to pivot downwardly relative to the calf panel

102

, the operation of which will be described subsequently. A gas spring

216

has a piston rod end

216

a

pivotally mounted to the foot panel

104

at

218

and a cylinder end

216

b

pivotally mounted to the link

204

at the pivot

206

. Gas spring

216

is normally under compression; that is to say, gas spring

216

has a tendency to extend itself.

Describing now the operation of the leg panel

96

, and referring now specifically to

FIGS. 7A-F

, the patient support platform

16

begins in the normally horizontal, planar attitude. Initial retraction of the piston and cylinder

168

causes the roller

214

to ride along the underneath side

204

c

of the link

204

. Continued retraction of the piston and cylinder

168

causes the roller

214

to contact the protuberance

208

on link

204

. Further retraction of the piston cylinder

168

causes the link

204

to begin rotating counterclockwise about pivot

210

due to the action of roller

214

on protuberance

208

, and the action of the gas spring

216

upon link

204

. Counterclockwise rotation of link

204

exerts a downward force on foot panel

104

via the connection therebetween by link

200

.

Referring now to

FIGS. 8A-F

, which correspond in time sequence to

FIGS. 7A-F

, as the piston and cylinder

168

retracts, the carriage

160

travels toward the head end of the bed

10

. Rollers

178

,

178

which support the calf panel

102

as the roller bearing plates

180

,

180

bear thereupon, travel toward the head end edges

186

,

186

of the roller bearing plates

180

,

180

. As each roller

178

rolls past each edge

186

, gravity allows the calf panel

102

to begin dropping downwardly by pivoting at pivot

110

as the channels

188

,

188

collapse downwardly onto the rollers

178

,

178

, the rollers

178

,

178

rolling upwardly relative to the ramps

184

,

184

each of which is one side of the channels

188

,

188

.

Thus, complete retraction of the cylinder

168

results in the condition shown in

FIGS. 1A

,

7

F and

8

F wherein the foot panel

104

has been pivoted relative to the calf panel

102

by slightly more than 90.degree, and wherein the calf panel

102

has been pivoted relative to the thigh panel

94

by approximately 90.degree. And, full retraction of the piston and cylinder

126

causes the patient support platform

16

to be translated toward the head end of the bed

10

and the head panel

90

to be pivoted to the upwardmost position (FIG.

1

A). Thus, in this configuration, the bed

10

is configured as a chair.

Referring now to

FIG. 13

, the hospital bed

10

of the present invention is shown with a toilet module

230

used in conjunction therewith. Toilet module

230

includes a toilet portion

232

, a seat portion

234

and casters

236

. The seat

236

can conveniently slidably engage the sections

48

,

48

of the rails

40

,

40

of the main frame

12

. The toilet

232

may then be rolled underneath the seat

234

. Alternatively, the assembled seat

234

and toilet

232

may remain attached to the main frame

40

, and carried with the bed

10

as an onboard toilet module. Toilet module

236

conveniently fits within the footprint of the standard 93 inch length hospital bed

10

, thus requiring no lengthening of bed

10

, and is normally concealed by the leg panel

96

. In use of the hospital bed

10

with the toilet module

230

, the bed would be in its normally horizontal attitude with the leg section

96

concealing the module

30

and the patient

262

lying supine upon the mattress

238

atop the patient support platform

16

. A preferable mattress for use with the hospital bed

10

of the present invention is disclosed in application Ser. No. 08/234,403. Piston and cylinder

126

is then energized to translate the entire patient support platform

16

towards the head end of the bed

10

relative to the main frame

14

. Head panel

90

pivots upwardly during this retraction as described above. Once the patient support platform

16

has been fully retracted atop the main frame

14

as detected by appropriate sensors known to those skilled in the art, appropriate control circuitry and the like, likewise known to those skilled in the art, energizes piston and cylinder

168

. Since the patient support surface

16

has been fully retracted prior to activation of downward pivoting of the foot and calf panels

104

and

102

respectively, the foot end edge

240

of foot panel

104

has cleared the head end edge

242

of the toilet module

230

, the dimension of the toilet module

230

from head end edge

242

to foot end edge

244

being slightly less than the 12 inches of horizontal travel traversed by the patient support

16

on the main frame

14

. Pivoting of the foot panel

104

relative to the calf panel

102

and pivoting of the calf panel

102

relative to the thigh panel

94

then proceeds as discussed above in connection with the discussion of

FIGS. 7A-F

and

FIGS. 8A-F

, respectively. As described in applications Ser. Nos. 08/234,403 and 08/186,657, the patient support platform

16

is lowerable to a lowermost position to allow a patient's feet to rest directly on the floor. Bed controls, known to those skilled in the art, may be located on the foot gates

50

,

50

as illustrated at

400

, on the standard sideguards

402

as illustrated at

404

, or both to allow for manipulation of the bed

10

.

Once the patient's feet are securely placed on the floor, the patient can employ the vertical lift piston and cylinder

82

, activated by patient controls

400

or

404

on the foot gates

50

,

50

or sideguards

402

, respectively, to power lift the patient to an upright position, as described in applications Ser. Nos. 08/234,403 and 08/186,657. Once in the upright standing position, the patient can turn 180.degree. so as to be seated upon seat

234

, which has traveled upwardly with main frame

14

during the above-described vertical lift assist. Since the seat

234

is in a high position, the transition from standing to sitting is eased for the patient. The main frame

14

and toilet module seat

234

can then be lowered to a comfortable sitting position for the patient. Once patient elimination is complete, the vertical lift cylinder

82

can be activated by the patient utilizing the patient controls

400

or

404

to urge the patient to a standing position, at which time the patient can turn back 180.degree. so as to be in a position to again sit in the chair configured bed. The bed can then be lowered to ease the patient back into the sitting position. See

FIGS. 19A-D

.

Similarly, the hospital bed

10

of the present invention can be used in conjunction with other patient care modules, such as, for example, the wheelchair module

250

as shown in FIG.

12

. Such a wheelchair

250

would include a base

252

, wheels

254

, a backrest

256

, a seat

258

and appropriate controls

260

. As with the toilet module

230

, the wheelchair module

250

could be docked to the bed

10

as an onboard module which travels with the bed

10

. The seat

258

would, as with the toilet module

230

, reside under and normally be concealed by the leg section

96

and would travel upwardly and downwardly with main frame

14

to assist a patient in sitting on and rising from the wheelchair

250

. As with the toilet module

230

, the leg section

96

would retract from over the seat

258

at which time downward pivoting of the foot and calf portions

104

and

102

respectively would occur thus providing access to the wheelchair module

252

by a patient

262

.

An alternative form of mounting for the pivoting footboard halves or foot gates

50

,

50

and which allows for those footboard halves

50

,

50

to be repositioned such that any weight applied thereon by a patient, such as shown in

FIGS. 12 and 13

, would be applied between or intermediate of the head end casters

32

and foot end casters

34

of the bed

10

is shown in FIG.

11

. In

FIG. 11

, an extension

270

is secured to each bolster

106

. Each extension

270

would include a foot gate socket

272

and a fracture frame socket

274

(the use of which will be described subsequently). Thus, rather than being pivotally mounted to the ends of the sections

48

,

48

of the rails

40

,

40

of the main frame

14

, the pivoting footboard halves

50

,

50

would be pivotally mounted within the foot gate sockets

272

,

272

as by a shaft (not shown) depending from the bottom of each footboard half or foot gate

50

. Thus, as the patient support platform

16

retracts atop the main frame

14

by virtue of the action of the piston and cylinder

126

, the footboard halves

50

,

50

travel with the patient support platform

16

such that they are repositioned to a position intermediate the head end casters

32

and foot end casters

34

. Thus, when swung from their positions generally transverse to the bed

10

at which they function together as a footboard, to their positions generally parallel the longitudinal dimension of the bed

10

, the footboard halves

50

,

50

may function as sideguards/handrails as shown in

FIGS. 12 and 13

thus aiding a patient

262

in moving from the chair configured bed

10

to a patient care module such as the toilet module

230

or wheelchair module

250

. The downward force applied by the patient

262

to the sideguards/handrails

50

,

50

is thus directed within the footprint of the casters, thus providing for optimum bed stability when egressing the bed and alighting upon one of the patient care modules.

As shown in

FIG. 13

, a frame

280

is provided for use with the hospital bed

10

. The frame

280

includes a vertical head end portion

282

which includes appropriate lower ends, one of which is shown at

284

, for insertion into sockets

286

in the head ends of each of the rails

40

,

40

of the main frame

14

. The frame

280

further includes vertical foot end portions

288

,

288

having appropriate lower ends

290

,

290

for insertion into the fracture frame sockets

274

,

274

. To accommodate the changes in relative distance between the foot end vertical members

288

and the head end vertical member

282

a pair of telescoping horizontal members

292

and

294

are provided such that the frame

280

can extend and retract as the patient support platform

16

extends and retracts. The frame

280

can be used as a fracture or orthopedic frame. In that case, the frame and traction apparatus associated therewith remain in the same relative position to a patient

262

supported on the bed

10

during extension and retraction of the patient support platform

16

.

In addition, the frame

280

can include a safety harness

300

which is operable to travel the length of the frame

280

. Harness

300

includes a traveling collar

302

slidably mounted on frame member

294

. Vertical tethers

304

,

304

connect the collar

302

go to a vest

306

worn by the patient

262

. The traveling harness

300

helps to provide security and stability to the patient

262

as the patient egresses from the bed

10

configured as a chair and moves from a sitting position to a standing position and onto a patient care module positioned at the foot end of the bed

10

.

Referring now to

FIGS. 5

,

9

A-B and

10

, a pin

310

is fixedly secured to each lateral rail

312

of the foot section

104

. Pin

310

normally resides in a slot

314

in the underneath side of inboard lateral rail

316

of the bolster

106

. A link

318

has a first end

318

a

pivoted to plate

164

of carriage

160

at

320

. The second end

318

b

of the link

318

includes an upturned finger portion

322

thereon. A block

324

is pivoted to link

318

at pivot

326

. Block

324

includes a notch

328

in an upper forward corner thereof including a horizontal surface

328

a

and a vertical surface

328

b.

A piston and cylinder

330

includes a cylinder end

330

a

pivotally connected to an L-shaped bracket

332

connected to seat panel

92

at pivot

334

. A piston rod end

330

b

is pivotally connected to the thigh panel

94

at a pivot

336

. Piston and cylinder

330

is operable to pivot thigh panel

94

and the entire leg panel

96

upwardly to provide for elevation of a patient's feet and legs.

For piston and cylinder

330

to raise the entire leg section

96

upwardly to the position shown in

FIG. 10

, piston and cylinder

330

is energized prior to any retraction of the patient support platform

16

. As pivots

108

,

110

move upwardly due to the action of the piston and cylinder

330

, pin

310

acting upon vertical surface

328

b

of block

324

causes block

324

and hence the link

318

to pivot upwardly about pivot

320

. Thus, the foot panel

104

and the bolsters

106

which are connected thereto via the pins

108

,

310

remain in a generally horizontal attitude as the thigh panel

94

is pivoted upwardly. As can be seen in

FIG. 10

, when the leg panel

96

is in the raised position, the hook portion

322

of the link

318

hooks over the pin

310

. Thus, the leg panel

96

comprising the calf panel

102

, foot panel

104

and side bolsters

106

,

106

remains locked against any inadvertent further upward lifting which could tend to disengage the leg panel

96

from the links

318

,

318

and blocks

324

,

324

.

As is best seen and understood in

FIGS. 7A-B

and

9

A-B, during initial retraction of carriage

160

via piston and cylinder

168

, the horizontal surface

328

a

of the block

324

is moved from under the pin

310

, and the hook portion

322

of link

318

is moved to the head end side of the pin

310

. Since pin

310

is thus free to drop out of the groove

314

, foot panel

104

is thus freed to pivot downwardly relative to the side bolsters

106

,

106

.

Referring now to

FIG. 15

, there is shown an alternative form of the bolster

106

. In this form, bolster

106

includes an additional or upper bolster frame member

340

pivotally connected to the standard lower bolster

106

via a parallelogram linkage

342

. Parallelogram linkage

342

includes a first pair of links

344

,

344

each of which is pivotally connected on a first end

344

a

to a pivot

346

, and each of which includes a second end

344

b

pivoted to the frame member

340

at pivot

348

. A second pair of links

350

,

350

each has a first end

350

a

pivoted to bolster

106

at pivots

108

,

110

and a second end

350

b

pivoted to the frame member

340

at pivot

354

. One of the links

350

includes a stop

356

and associated latch mechanism (not shown) which is brought into contact with the lower surface of the frame

340

thus limiting further pivoting movement of the frame member

340

and securing it in the elevated rearward position.

FIGS. 15A and 15B

show the alternative form of the bolsters

106

,

106

including pivoting bolster/arm rest portions

340

. In these Figures, the frame members

340

are covered with suitable padding and fabric

358

. When each of the frame members

340

is in a position juxtaposed to the bolsters

106

, the combination bolster

106

with upholstered frame member

340

serves as a side-to-side protective restraint for a patient similar to the prior bolster embodiment. When the bed

10

is configured in a chair position, as shown in

FIGS. 15A and 15B

, the upholstered frame members

340

may be pivoted from a low forward position to a high rearward position; that is the upholstered frame members

340

are movable from a position forward of and in a plane defined by the seat panel

92

to a position above and along each lateral edge of the seat panel

92

when the leg panel

96

is pivoted downwardly and the head panel

90

is pivoted upwardly, thus providing convenient armrests for a patient situated atop the bed

10

configured as a chair.

Referring now to

FIG. 14

, the bed

10

is shown in conjunction with a mobile power column

370

. Mobile power column

370

includes a base

372

, casters

374

mounted to the base

372

, and an upright support

376

connected to the base

372

. The upright support

376

may support infusion pumps

378

and infusion solution bags

380

, a monitor

382

, a keyboard

384

, air and/or oxygen tanks

386

and a ventilator

388

. A housing

390

mounted to base

372

may house batteries (not shown) and the like, as well as a motorized drive (not shown) for powering the mobile power column

370

. With a patient

262

situated atop the bed

10

, and with the leg panel

96

folded downwardly, a convenient cavity

392

is formed in the foot end of the bed

10

which may be taken advantage of for docking the mobile power column

370

to the bed

10

for mobile transport of the patient

362

and critical care apparatus with the entire combination taking up no more space than the bed

10

alone.

Referring now to

FIGS. 16-18

, and with like numbers referring to like elements, preferred embodiments of the toilet module

230

and foot gates

50

,

50

are illustrated. Toilet module

230

comprises a framework

450

including a lower trapezoidal frame

452

, an upper trapezoidal frame

454

and upwardly extending rear vertical posts

456

,

456

and upwardly extending forward vertical posts

458

,

458

. A pair of longitudinal struts

460

,

460

span the upper rectangular frame

454

and support a toilet seat

462

from which depends a toilet chamber

464

. A laterally extending bar

466

extends laterally outwardly from the upper end of each forward post

458

, the use for which will be subsequently described.

A latch block

470

is secured to the lower end of each of the rails

40

. Each latch block

470

takes the form of a tube and includes a notch

472

therein for accepting a respective vertical support

456

. A plunger

474

is spring loaded towards a closed position via a compression spring

476

within the latch block

470

. The plunger

470

includes a chamfer

478

and a semicircular groove

480

therein. Chamfer

478

aids in compressing the latch block

474

and hence compression spring

476

by support

456

. Once the vertical pole

456

reaches the semicircular notch

480

the plunger

474

snaps securely against the pole

456

.

An ear of a pair of ears

482

,

482

is secured to the lowermost side of each of the rails

40

,

40

of the main frame

14

. When the toilet module

230

engages the main frame

14

, the laterally extending bars

466

are supported by the ears

482

. Once the module

230

is docked to the main frame

14

, module

230

may travel upwardly and downwardly with the main frame

14

as it is raised and lowered, the bars

466

being supported by the ears

482

, and the rear comers of the upper frame

454

being supported by the latch blocks

470

.

A preferred form of foot gate

50

includes an inner tube

490

welded to the rail

40

at the foot end thereof. An outer tube

492

slidably resides over the inner tube

490

. Outer tube

492

includes a washer

494

welded therein, the upper surface of which supports a compression spring

496

. A screw

498

has a head

500

which exerts a downward force on a washer

502

and hence spring

496

, the lower end

504

of which is threaded into the upper end

506

of the inner tube

490

. The lower end of the outer tube

492

includes an exterior collar

508

which includes four equally spaced notches

510

therein. Notches

510

accept a pin

512

pressed into the lower end of the inner tube

490

. Thus, outer tube

492

is spring biased downwardly relative to inner tube

490

. An upper tube

514

is fixedly secured to the upper end of the outer tube

492

. A lower support rail

516

is connected to the tube

514

and the outer tube

492

. One of the tubes

514

includes a U-shaped groove

518

therein including notches

520

and

522

. A plug

524

includes a pin

526

which engages the groove

518

. When the tubes

514

are rotated to a position wherein they are collinear, pin

526

may be moved from notch

520

to notch

522

thus causing the plug

524

to move into engagement with the end of the other tube

514

thereby locking the foot gates together. When unlocked, horizontal force applied to the ends of the tubes

514

cause the notches

510

to ride upwardly and over the pins

512

until the next notch is reached at which time the outer tube

494

snaps downwardly back over the pin

512

.

It will therefore be appreciated that the hospital bed of the present invention provides a number of distinct advantages. The Y-shaped bed base, opening toward the foot end, provides a cavity into which a patient care module may reside, such as toilet module or wheelchair, and which also provides room for a patient to maneuver to sit upon that module. No lengthening of a standard hospital bed is required to accommodate the patient care module. The extended length base allows the foot gates to be repositionable intermediate the head end and foot end castors and to serve as hand rails as the patient sits upon the patient care module. Apparatus is provided for guidingly assisting a patient onto a patient care module. Bolsters include armrests which are pivotable upwardly and toward a head end of the bed for patient comfort and security when sitting in the chair configured bed. The full length main frame allows for patient care modules to be connected to a foot end thereof.

The ambulatory/rehabilitation group of retrofittable modules includes a number of modules each of which dock to the foot end cavity

392

by virtue of the vacatable portion of the foot end of the bed

10

providing access thereto. Rather than purchasing or renting special therapy beds as is the current practice, the ambulatory/rehabilitation group of retrofittable modules transform the modular bed

10

into special therapy beds. The modules can be placed on the modular bed

10

and used throughout the hospital at any point during the patient's stay. The advantages of the modular bed

10

and modules include reduction in numbers of current specialty rental devices, better control of usage of these devices, improved response time for usage and the efficiencies of a modular bed.

Such modules include an exerciser module

511

which includes rollers

513

for rolling movement, pedals

515

for exercising the legs of a patient, and movable handles

517

for exercising the upper body of a patient. A combination scooter and walker module

521

is provided which has rollers

523

, a seat

525

which pivots upwardly for use as a walker and which pivots downwardly for use as a scooter, and handles

527

for grasping by a patient. A toilet module

530

also includes rollers

532

for rolling movement for use with the bed during the ambulatory/rehabilitation phase of care for the bedridden or long-term type patient thereby obviating the need of a patient to leave the bed to go to a bathroom. A wheelchair module

540

also rollable via rollers

542

is provided for docking with the bed

10

for patient ambulations and may form a part of the bed

10

itself. Lastly, a wireless nurse/patient follower module

550

(

FIG. 20E

) could be worn by the patient during this ambulatory/rehabilitation phase which would transmit signals via a relay

552

to a nurse station

554

for providing an ambulatory patient with a means for locating a nurse as well as providing staff a means of locating a patient. Further, the bed

10

with vacatable foot portion provides for convenient patient egress from the foot end of the bed

10

when portion is vacated. A preferred form of bed

10

with vacatable foot portion is disclosed in application Ser. No. 08/186,657, filed Jan. 25, 1994, entitled FOOT EGRESS CHAIR BED, assigned to the assignee of the present invention.

Ambulatory/rehabilitation modules are selected from the ambulatory/rehabilitation module group for removable securement to the bed

10

. Various ones of these modules are selectively docked to the bed

10

for various patient ambulation/rehabilitation therapy. For example, the exerciser device module

511

can be docked to the bed

10

for exercising of the patient. The walker/scooter module

521

can be docked to the bed

10

for aiding patient ambulations. The toileting module

530

can be docked to the bed

10

thus eliminating the need for the patient to leave the bed

10

to travel to the bathroom. The wheelchair module

540

can also be docked to the bed

10

and utilized for transporting a patient from place to place.

Those skilled in the art will readily recognize numerous adaptations and modifications which can be made to the present invention which will result in an improved hospital bed, all of which will fall within the spirit and scope of the present invention as defined in the following claims. Accordingly, the invention is to be limited only by the scope of the following claims and their equivalents.

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