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Title:
HOSPITAL BED
Document Type and Number:
WIPO Patent Application WO/2004/112675
Kind Code:
A2
Abstract:
The patient support is adapted to be connected to an external power source and comprises a bedframe supported on a floor, plurality of wheels coupled to the bedframe, a brake configured to prevent the bed from moving on the floor, the brake being moveable between a braked position and an unbraked position, and a controller configured to activate an alarm when the brake is moved to the unbraked position when the bed is connected to the external power source.

Inventors:
HENSLEY DAVID W (US)
DUVERT JEAN BERNARD (FR)
SABASTIEN GEMELINE (FR)
WEIZSMAN PATRICK (US)
SEIGLE GARY S (US)
BARBU OLIVER (US)
LEBOEUF GAEHAUL (FR)
Application Number:
PCT/US2004/016260
Publication Date:
December 29, 2004
Filing Date:
May 20, 2004
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
HILL ROM SERVICES INC (US)
HENSLEY DAVID W (US)
DUVERT JEAN BERNARD (FR)
SABASTIEN GEMELINE (FR)
WEIZSMAN PATRICK (US)
SEIGLE GARY S (US)
BARBU OLIVER (US)
LEBOEUF GAEHAUL (FR)
International Classes:
A47C21/08; A61G7/00; A61G7/015; A61G7/05; A61G7/005; A61G7/018; A61G7/08; (IPC1-7): A61G7/015
Other References:
No Search
See also references of EP 1624841A2
Attorney, Agent or Firm:
Hedges, Norman J. (2700 First Indiana Plaza 135 North Pennsylvania Stree, Indianapolis IN, US)
Download PDF:
Claims:
Claims:
1. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; a board coupled to one of the head end and the foot end of the frame, the board including a curved portion on one end adjacent to one of the longitudinal sides of the frame; a deck panel coupled to the frame, the deck panel including a corner portion adjacent the board, the deck panel and board defining a first gap therebetween, the corner portion being elevated to converge toward the curved portion of the board to narrow the first gap; and a siderail coupled to one of the longitudinal sides of the frame, the siderail and the board defining a second gap therebetween, the siderail including a curved end portion adjacent to the board end portion to converge to narrow the second gap.
2. The patient support of claim 1, wherein the siderail and the deck panel define a third gap therebetween, the third gap narrowed by the curved end portion of the siderail and corner portion of the deck panel.
3. The patient support of claim 1, wherein the corner portion of the deck panel includes an opening.
4. The patient support of claim 1, wherein the corner portion of the deck panel includes a handle portion formed within the deck panel.
5. The patient support of claim 1, wherein the corner portion of the deck panel is elevated upwardly relative to the remainder of the deck panel.
6. The patient support of claim 1, wherein the siderail includes a coplanar section and the curved end portion is continuous with the coplanar section.
7. The patient support of claim 1, wherein the siderail has upper and lower edges defining a first height of the siderail and the curved end portion of the siderail has a second height, the first height substantially equal to the second height.
8. The patient support of claim 1, wherein the board has upper and lower edges defining a first height of the board and the curved portion of the board has a second height, the first height substantially equal to the second height.
9. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; a board coupled to one of the head end and the foot end of the frame; a siderail coupled to one of the longitudinal sides of the frame, the siderail and the board defining a first gap therebetween; and a deck panel coupled to the frame, the deck panel including a corner portion being adjacent to the siderail and the board, the deck panel and board defining a second gap therebetween, the deck panel and the siderail defining a third gap therebetween, the deck panel including a corner portion being elevated to converge toward the siderail and the board to narrow the second and third gaps.
10. The patient support of claim 9, wherein the corner portion is angled upwardly relative to the remainder of the deck panel.
11. The patient support of claim 9, wherein the siderail has a longitudinal axis parallel with the longitudinal sides of the of the frame, the siderail includes a transverse portion transverse to the longitudinal axis of the siderail, the transverse portion narrows the first gap.
12. The patient support of claim 9, wherein the board includes an extended portion configured to extend toward the siderail to narrow the first gap.
13. The patient support of claim 9, wherein the board includes an extended portion configured to extend toward the siderail and the siderail includes an extended portion configured to extend toward the board, the extended portions narrow the first, second, and third gaps.
14. The patient support of claim 9, wherein the corner portion of the deck panel includes a handle formed within.
15. The patient support of claim 9, wherein the ends of the frame have a first transverse axis and the board defines a second axis parallel to the transverse axis, the board includes a longitudinally extending portion perpendicular to the second axis, the longitudinally extending portion narrows the first gap.
16. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; a board coupled to one of the head end and the foot end of the frame; a deck panel coupled to the frame, the deck panel including a corner portion adjacent one of the head end and the foot end of the frame, the deck panel and the board defining a first gap therebetween; and a siderail coupled to one of the longitudinal sides of the frame, the siderail including longitudinally spaced apart ends, the siderail and the board defining a second gap therebetween, the siderail and the deck panel defining a third gap therebetween; a first curved portion coupled to at least one of the board, deck panel, and the siderail, the first curved portion configured to narrow one of the first, second, and third gaps; and a second curved portion coupled to at least one of the board, deck panel, and the siderail, the second portion configured to narrow one of the first, second, and third gaps.
17. The patient support of claim 16, wherein the deck panel includes a substantially coplanar portion and the corner portion is raised relative to the substantially coplanar portion.
18. The patient support of claim 16, further comprising a third curved portion coupled to one of the board, deck panel, and the siderail, the third portion narrows at least one of the first, second, and third gaps.
19. The patient support of claim 16, wherein the board is removably coupled the frame.
20. The patient support of claim 16, wherein an opening is formed within the corner portion of the deck panel.
21. A patient support comprising: a bedframe; a mattress; and a wheel assembly including a wheel pivotably coupled to the bedframe and a wheel position holder, the wheel position holder including a cam member and a cam surface including a sinusoidal profile configured to limit pivoting movement of the wheel.
22. The patient support of claim 21, further including a biaser configured to bias the wheel into contact with a floor surface.
23. The patient support of claim 21, wherein the cam surface is substantially circular.
24. The patient support of claim 21, wherein the cam surface includes a pair of raised surfaces and a pair of lowered surfaces.
25. The patient support of claim 21, wherein the wheel assembly includes a vertical axis and the wheel position holder limits the pivoting moment of the wheel to four positions about the vertical axis of the wheel assembly.
26. The patient support of claim 25, wherein the four positions are 90° apart.
27. The patient support of claim 21, wherein the bed frame is supported on a floor surface by a plurality of wheels.
28. The patient support of claim 21, wherein the bed frame includes first and second longitudinally spaced apart ends and the wheel assembly is coupled to the bed frame at a position between the first and second ends.
29. The patient support of claim 28, wherein the wheel assembly is coupled to the bed frame at a midpoint between the first and second longitudinally spaced apart ends.
30. The patient support of claim 21, wherein the wheel assembly includes a spring configured to bias the cam into engagement with the cam surface.
31. A patient support comprising: a bedframe; a mattress; and a wheel assembly including a biaser and a wheel position holder, the wheel position holder being configured to pivotally couple the wheel to the bedframe and control pivoting movement of the wheel assembly, the biaser configured to bias the wheel into contact with a floor surface.
32. The patient support of claim 31, wherein the wheel position holder includes a cam and a cam surface.
33. The patient support of claim 32, wherein the cam surface includes a sinusoidal profile.
34. A caster for a bed including a frame, the caster comprising: a wheel configured to contact a floor; and a position holder configured to control the position of the wheel relative to the frame, the position holder being coupled to the wheel and adapted to be coupled to the frame, the position holder including a cam member and a cam surface, the cam surface including two pairs of recesses configured to cooperate with the cam to position the wheel.
35. The caster of claim 34, wherein the two pairs of recesses each have a depth, the depth of one of the two pairs deeper than the other pair of recesses.
36. The caster of claim 34, wherein the two pairs of recesses are positioned about ninety degrees apart on the cam surface.
37. The caster of claim 34, wherein the recesses are separated by four peaks, the peaks including a smooth contour.
38. A patient support comprising: a bedframe; a mattress; and a wheel assembly coupled to the bedframe and including a wheel and means for positioning the wheel in one of a first direction of rotation and a second direction of rotation relative to the frame, the first and second directions of the wheel separated by an angle of rotation of less than one hundred eighty degrees.
39. The patient support of claim 38, wherein the angle of rotation is about ninety degrees.
40. The patient support of claim 38, wherein the bedframe includes a longitudinal axis and the first direction of rotation of the wheel positions the wheel parallel to the longitudinal axis of the bedframe.
41. The patient support of claim 38, wherein the bedframe includes a longitudinal axis and the second direction of rotation of the wheel positions the wheel perpendicular to the longitudinal axis of the bedframe.
42. The patient support of claim 38, further comprising a biasing means to bias the wheel into contact with a floor surface.
43. A patient support adapted to be connected to an external power source, the patient support comprising: a bedframe supported on a floor; a mattress supported by the bedframe; a plurality of wheels coupled to the bedframe; a brake configured to prevent the bed from moving on the floor, the brake being moveable between a braked position and an unbraked position; and a controller configured to activate an alarm when the brake is moved to the unbraked position when the bed is connected to the external power source.
44. The patient support of claim 43, wherein the bedframe includes a plurality of wheels configured to contact the floor.
45. The patient support of claim 43, wherein the brake includes a lever supported by the bedframe and moveable between the braked and unbraked positions by a user's foot.
46. The patient support of claim 43, wherein the alarm is an audible alarm.
47. The patient support of claim 43, wherein the brake includes a electrical contact configured to send a signal to the controller when the brake is moved from the unbraked position to the braked position.
48. A patient support comprising: a frame; a deck supported by the frame, the deck including a plurality of panels removably coupled to the deck, the panels including a plurality of apertures having upwardly facing openings; a mattress supported by the plurality of panels; and a plurality of panel holders coupled to the deck and configured to extend into the apertures to couple the plurality of deck panels to the deck.
49. The patient support of claim 48, wherein the panels are formed of a plastic material.
50. The patient support of claim 48, wherein the panel holders are configured to receive restraint straps.
51. The patient support of claim 48, wherein the panel holders extend through the apertures.
52. The patient support of claim 48, wherein the panel holders couple are sized to substantially fill the apertures to rigidly couple the deck panels to the deck.
53. A patient support comprising: a frame; a deck supported by the frame, the deck including a plurality of panels removably coupled to the deck and means for removably securing the plurality of deck panels to the deck; and a mattress supported by the plurality of panels.
54. The patient support of claim 53, wherein the means for removably securing the plurality of deck panel to the deck includes a plurality of inverted U shaped members coupled to the deck.
55. The patient support of claim 53, wherein the plurality of deck panels include a plurality of apertures configured to receive a portion of the deck.
56. A patient support comprising: a frame; a deck supported by the frame; a mattress supported by the deck; a siderail coupled to the frame and moveable between a raised position and a lowered position, the siderail and deck cooperating to define a gap therebetween; and a gap filler coupled to the deck and positioned under the mattress to narrow the gap.
57. The patient support of claim 56, wherein the gap filler is integral with the deck.
58. The patient support of claim 56, wherein the gap filler has a semi circular profile.
59. The patient support of claim 56, wherein the gap filler is configured to fill the gap between the siderail and the deck when the siderail is in the raised position.
60. The patient support of claim 56, wherein the gap filler is positioned on the deck at an end of the siderail.
61. A patient support comprising: a frame; a deck supported by the frame; a mattress supported by the deck; a siderail coupled to the frame and moveable between a raised position and a lowered position, the siderail including longitudinally spaced apart ends, one of the ends cooperating with the deck to define a gap therebetween; and a gap filler coupled to the deck to narrow the gap.
62. The patient support of claim 61, wherein the gap filler is positioned under the mattress.
63. The patient support of claim 61, wherein the gap filler is integral with the deck.
64. The patient support of claim 61, further comprising a second siderail being positioned adjacent to the siderail and the gap filler.
65. A patient support comprising: a frame; an articulating deck supported by the frame and moveable between an articulated orientation and a substantially coplanar orientation, the articulating deck moveable between a substantially horizontal position and a Trendelenburg position; a mattress supported by the deck; a plurality of actuators configured to articulate the deck between the articulated and substantially coplanar orientations, and the substantially horizontal and Trendelenburg positions; a controller configured to control the actuators; and a user input coupled to the controller, the user input configured to receive a single input from a user to activate the controller to articulate the deck to the substantially coplanar orientation and the Trendelenburg position.
66. The patient support of claim 65, wherein the user input is a momentary switch.
67. The patient support of claim 65, wherein the deck is simultaneously articulated to the substantially coplanar position and the Trendelenburg position when the controller is activated by the user input.
68. A patient support comprising: a frame; an articulating deck including at least a head section, a seat section, and a foot section, the articulating deck being moveable between a substantially flat orientation and an articulated orientation, the deck supported by the frame; a mattress supported by the deck; a first siderail coupled to the head section and being moveable between a raised position and a lowered position, the first siderail including upper and lower portions; and a second siderail coupled to the foot section adjacent to the first siderail, the second siderail being moveable between a raised position and a lowered position, the second siderail including upper and lower portions, the upper portions of the first siderail and the second siderail defining a first gap therebetween, the first gap narrowing when the deck is moved from the substantially flat orientation to the articulated orientation, the lower portions of the first siderail and the second siderail defining a second gap therebetween, the second gap remaining substantially constant as the deck is articulated between the substantially flat orientation and the articulated orientation.
69. The patient support of claim 68, wherein upper portion of the first siderail includes a handle portion integral within the siderail.
70. The patient support of claim 68, wherein the upper and lower portions of the first siderail are separated by a notch.
71. The patient support of claim 68, wherein the upper and lower portions of the second siderail are separated by an extended portion.
72. The patient support of claim 69, wherein the upper portion of the second siderail is configured to correspond to the lower portion of the first siderail when the deck is in the articulated position and the first siderail is in the raised position and the second siderail is in the lowered position.
73. The patient support of claim 68, wherein the upper portion of the second siderail is configured to correspond to the upper portion of the first siderail when the deck is in the articulated position and the first and second siderails are both in the raised position.
74. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; an articulating deck supported by the frame, the articulating deck being configured to move between an articulated orientation and a substantially coplanar orientation, the articulating deck including a plurality of sections, at least one of the sections being moveable about a pivot axis; a mattress supported by the deck; a first siderail coupled to one of the longitudinal sides of the plurality of sections and including a first curved portion, the first siderail moveable between a raised position and a lowered position; and a second siderail positioned adjacent to the first siderail and including a second curved portion, the second siderail moveable between a raised and a lowered position, the second curved portion including a radius of curvature centered about the pivot axis of the at least one of the sections.
75. The patient support of claim 74, wherein the first curved portion is centered about the radius of curvature of the pivot axis of the at least one of the section.
76. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; an articulating deck supported by the frame, the articulating deck moveable between an articulated orientation and a substantially coplanar orientation, the articulating deck including a head section and a foot section; a mattress supported by the deck; a first siderail coupled to one of the longitudinal sides of the head section, the first siderail moveable between a raised position and a lowered position; and a second siderail positioned adjacent to the first siderail, the second siderail moveable between a raised position and a lowered position, the second siderail including an end being adjacent to the first siderail, the end including an upwardly facing curved portion and a downwardly facing curved portion.
77. The patient support of claim 76, wherein the upwardly facing curved portion is configured to complement an end of the first siderail adjacent to the end of the second siderail when the deck is in the articulated orientation, and the first siderail is in the raised position, and the second siderail is in the lowered position.
78. The patient support of claim 76, wherein the downwardly facing curved portion is configured to complement the end of the first siderail when the deck is in the articulated orientation and the first and second siderails are in the raised positions.
79. A patient support comprising: a frame including a head end, a foot end, and longitudinal sides extending therebetween; an articulating deck supported by the frame, the articulating deck moveable between an articulated orientation and a substantially coplanar orientation, the articulating deck including a head section and a foot section; a mattress supported by the deck; a first siderail coupled to one of the longitudinal sides, the first siderail moveable between a raised position and a lowered position; and a second siderail positioned adjacent to the first siderail, the second siderail moveable between a raised position and a lowered position, the second siderail including an end being adjacent to the first siderail, the end including an upwardly facing curved portion and a downwardly facing curved portion, the upwardly facing curved portion configured to complement an end of the first siderail adjacent to the end of the second siderail when the deck is in the articulated orientation, and the first siderail is in the raised position, and the second siderail is in the lowered position.
80. A patient support comprising: a frame; a deck including a plurality of deck panels, the deck panels including an opening; a mattress supported by the deck ; and a restraint holder coupled to the frame and configured to extend into the opening, the restraint holder being further configured to hold a restraint strap configured to secure a patient positioned on the mattress.
81. A patient support comprising: a frame; a deck including a plurality of deck panels, the deck panels including an opening; a mattress supported by the deck; and a restraint holder coupled to the frame, the restraint holder being further configured to hold a restraint strap configured to secure a patient positioned on the mattress, the restraint strap further configured to extend through the opening in the deck panel.
Description:
HOSPITAL BED Cross-Reference to Prior Applications This application claims priority to U. S. Provisional Patent Application Serial No. 60/472,260, filed May 21,2003, the disclosure of which is incorporated herein.

Background and Summary of the Invention The present invention relates to a hospital bed. More particularly, the present invention relates to a hospital bed having siderails, an articulating deck, and a mattress.

Hospital bed and other patient supports are known. Typically, such patient supports are used to provide a support surface for patients or other individuals for treatment, recuperation, or rest. Many such patient supports include a frame, a deck supported by the frame, a mattress, siderails configured to block egress of a patient from the mattress, and a controller configured to control one or more features of the bed.

Additional features of the present invention will become apparent to those skilled in the art upon consideration of the following detailed description of an illustrated embodiment exemplifying the best mode of carrying out the invention as presently perceived.

Brief Description of the Drawings A detailed description particularly refers to the accompanying figures in which: Fig. 1 is a perspective view of a patient support according to the present disclosure showing the patient support including a frame, a deck, a mattress supported

by the deck, a head board, a foot board, a pair of head end siderails, and a pair of foot end siderail; Fig. 2 is a side elevation view showing the mattress supported in a flat and horizontal position; Fig. 3 is a view similar to Fig. 2 showing a head section of the deck in a raised position and the head and foot end siderails having complementary profiles; Fig. 4 is a view similar to Fig. 3 showing the foot end siderail in a lowered position and the head and foot end siderails having complementary profiles permitting the foot end siderail to be lowered when the head section of the deck is raised; Fig. 5 is a diagrammatic view showing an intermediate frame of the patient support in a horizontal position and the deck in an articulated position; Fig. 6 is a view similar to Fig. 5 showing the intermediate frame in the Trendelenburg position and the deck in a substantially flat position; Fig. 7 is a perspective view of a portion of the patient support of Fig. 1 showing portions of a caster wheel, a brake pedal in a braked position, and a brake position detection switch; Fig. 8 is a view similar to Fig. 7 showing the brake pedal in an un-braked position; Fig. 9 is a perspective view of a center or fifth wheel assembly showing the fifth wheel assembly coupled to the frame of the patient support of Fig. 1 and a wheel of the patient support facing in a direction parallel with the longitudinal axis of the patient support; Fig. 10 is a view similar to Fig. 9 showing the wheel facing in a direction that is neither parallel or perpendicular with the longitudinal axis of the patient support;

Fig. 11 is a view similar to Fig. 9 showing the wheel facing in a direction that is perpendicular with the longitudinal axis of the patient support; Fig. 12 is a cross-section view taken along line 12-12 of Fig. 9 showing a ball bearing positioned in a first valley of a wheel position holder; Fig. 13 is a cross-sectional view taken along line 13-13 of Fig. 10 showing the ball bearing positioned on a first peak of the wheel position holder; Fig. 14 is a cross-sectional view taken along line 14-14 of Fig. 11 showing the ball bearing positioned in a second valley of the wheel position holder; Fig. 15 is an exploded assembly view of the caster wheel assembly; Fig. 16 is a perspective view of portions of the deck showing the deck including three removable deck panels; Fig. 17 is a view similar to Fig. 16 showing the deck panels removed from the remainder of the deck; Fig. 18 is perspective view of the deck showing patient restraint straps coupled to the deck; Fig. 19 is a cross-sectional view taken along lines 19-19 of Fig. 2 showing one of the removable deck panels including gap fillers positioned adjacent to the head end siderails to partially fill the gap therebetween and the mattress including chamfered corners to receive the gap fillers; Fig. 20 is a perspective view of a portion of the patient support of Fig. 1 showing a head end deck panel, the head board, and one of the head end siderails having curved portions that converge to partially fill gaps defined therebetween; and Fig. 21 is a top plan view showing the curved portions of the head board and the head end siderail.

Detailed Description

A patient support 10 according to the present disclosure is shown in Fig. 1.

Patient support 10 includes a base frame 12, an intermediate frame 14 supported by base frame 12, a deck 16 supported by intermediate frame 14, a mattress 18 supported by deck 16, a headboard 20, a footboard 22, a pair of head end siderails 24, and a pair of foot end siderails 26. Footboard 22 is positioned over an extendable foot support.

Additional details of a suitable extendable foot support is provided in European Patent Publication No. EP0681799 Al, titled"Blocking device for an extension relative to a piece of furniture, and piece of furniture equipped with it, "filed May 5,1995, to Pascal Guguin, the disclosure of which is expressly incorporated by reference herein.

Base frame 12 is supported on the floor by a plurality of caster wheels 28 and a centered or fifth wheel assembly 30. Intermediate frame 14 is coupled on each end to extendable columns 31 which can be extended or retracted to position intermediate frame 14 and deck 16 in the Trendelenburg or Reverse Trendelenburg positions.

Additional details of suitable extendable columns is provided in French Patent Publication No. FR2780638, titled"Hospital bed with telescoping columns,"filed July 1, 1998, to Robic Dominique, the disclosure of which is expressly incorporated by reference herein.

Deck 16 is configured to articulate between a plurality of positions. Deck 16 includes a head section 32, a seat section 34, a thigh section 36, and a foot section 38 which are pivotably coupled together.

Head end siderails 24 are coupled to head section 32 and may be moved between raised and lowered positions by siderail linkages 40. Additional details of suitable siderail linkages are provided in PCT Publication No. WO 02/32271 Al, titled"Bed with Articulated Barrier Elements, "filed October 18,2000, to Hensley et<BR> al. and U. S. Patent No. 6,163, 903, titled"Chair Bed, "filed February 4,1998, to

Weismiller et al, the disclosures of which are expressly incorporated by reference herein. Foot end siderails 26 are coupled to intermediate frame 14 by siderail linkages 40 between thigh section 36 and foot section 38 and can also be moved between raised and lowered positions.

A control system is provided to control various functions of patient support 10.

The control system and the remainder of patient support 10 are powered by a building's power supply through an AC plug connector 44 coupled to a building outlet 46. If AC plug connector 44 is unplugged from building outlet 46 or the building's power is lost, patient support 10 is powered by a battery (not shown) supported by base frame 12.

As shown in Fig. 2, head section siderail 24 include handles 50,52, upper portion 54, lower portion 56, and notch 58. Foot section siderail 26 includes handles 60,62, upper portion 64, lower portion 66, and extended portion 68. Deck 16 can be moved into an articulated position, as shown in Fig. 10, by moving head section 32 in direction 70. As shown in Fig. 3, upper portion 54 of head section siderail 24 complements upper portion 66 of foot section siderail 26 so that head section siderail 24 does not interfere with foot section siderail 26 when deck 16 is in the articulated position.

Lower portion 56 of head section siderail 24 and lower portion 66 of foot section siderail 26 are also shaped to correspond with one another so that a gap 72 defined between lower portions 56,66 remains substantially constant during articulation of deck 16. During articulation of deck 16, a gap 74 defined between upper portions 66,52 narrows significantly while gap 72 between lower portions 60, 58 remains substantially constant. In the articulated orientation with both siderails 24,

26 in the raised position, as shown in Fig. 3, notch 58 is positioned to receive extended portion 68 of foot section siderail 26.

As shown in Fig. 4, when foot section siderail 26 is moved to the lowered position, the curvature of upper portion 64 of foot section siderail 26 is configured to complement the curvature of lower portion 56 of head section siderail 24. The radius of curvature of upper portion 64 of foot section siderail 26 is configured to be substantially centered about a pivot axis 76 of head section 32. This allows foot section siderail 26 to be moved between the raised and lowered positions when the deck is in the articulated position as shown in Figs. 3 and 4. A portion of the radius of curvature of lower portion 56 of head section siderail 24 is also substantially centered about pivot axis 76.

Head section 32 is pivotably and slidably coupled to a channel or rail 78 at pivot axis 76 (shown in phantom). Rail 78 is coupled to intermediate frame 14. Rail 78 includes a slot (not shown) that allows pivot axis 76 of head section 32 to slide horizontally as head section 32 is moved between the substantially coplanar position as shown in Fig. 2 and the articulated position as shown in Fig. 3. A link 80 is pivotably coupled on one end to head section 32 at a pivot axis 82 and coupled to intermediate frame 14 on the other end at a pivot axis 84.

Referring now to Figs. 2 and 3, as head section 32 rotates in direction 70 into the articulated position, pivot axis 76 slides in the slot in rail 78 towards foot board 22. Additional details of rail 78 and link 80 are provided in PCT Publication No. WO 02/076266 Al, titled"Bed Equipped with a Back Elevator, "filed March 26,2002, to<BR> Gippert et al. , the disclosure of which is expressly incorporated by reference herein.

Head section siderail 24 also includes angle indicator 88 which, in the preferred embodiment, includes a slot formed in siderail 24 and a ball bearing

movable in the slot to indicate the angle of inclination of head section 32 relative to intermediate frame 14. Head section siderail 24 also includes recessed portions 90,92 along lower edge 94 of head section siderail 24. Recessed portions 90,92 allow a caregiver to comfortably stand beside patient support 10 when head section siderail 24 is in the lowered position without interfering with the care givers'feet.

Foot section siderail 26 also includes an angle indicator 96 which, in the preferred embodiment, includes a slot formed in siderail 26 and a ball bearing movable in the slot to indicate the angle of inclination of intermediate frame 14 relative to the floor. Position indicator 96 can be used to determine the position of deck 16 relative to the floor during movement by columns 31. Additional description of angle indicators 88,96 is provided in U. S. Patent No. 6,182, 310, titled"Bed Side Rails, "filed January 12, 1998, to Weismiller et al. , the disclosure of which is expressly incorporated by reference herein.

Foot section siderail 26 also includes recessed portions 98 on a lower edge 110. Recessed portions 98 are shaped to allow a caregiver to stand adjacent patient support 10 when siderail 26 is in the lowered position. Recessed portions 98 are shaped to eliminate or minimize contact with the caregivers'feet when he or she is positioned next to patient support 10.

As shown in Fig. 1, the control system of patient support 10 includes siderail controls 112 permanently coupled to head end siderails 24 and pendent controls 113 removably coupled to any of head and foot end siderails 24,26. Additional details of suitable siderail controls and pendant controls is provided in U. S. Patent Application Serial No. 09/750,741, titled"Hospital Bed, "filed December 29,2000, to Osborne et al. and U. S. Patent Application Serial 60/408,698, titled"Hospital Bed,"filed

September 6,2002, to Menkedick et al. , the disclosures of which are expressly incorporated by reference herein.

Siderail controls 112 are configured to actuate a shock feature of patient support 10. Referring now to Figs. 5 and 6, when the shock feature provide by siderail control 112 is activated, the control system flattens deck 16 to a substantially coplanar orientation, as shown in Fig. 1, and positions deck 16 in the Trendelenburg position simultaneously. If patient support 10 is in the articulated orientation, as shown in Fig. 5, when siderail control 112 is activated, sections 34,36, 38 of deck 16 are lowered to the substantially coplanar orientation and extendable column 31 at the head end of patient support 10 is lowered while extendable column 31 at the foot end of patient support 10 is extended to position deck 16 in the Trendelenburg position as shown in Fig. 6. Siderail control 112 can be a momentary switch or any other suitable user input device. In the preferred embodiment, the control system begins flattening deck 16 and moving deck 16 into the Trendelenburg position only while the siderail control 112 is activated when a button (not shown) is depressed.

Referring now to Fig. 18, deck 16 includes a head deck panel 114, a seat deck panel 116, a thick deck panel 118, and a foot deck panel 120. Head deck panel 114 is rigidly coupled to head section 34 and seat, thigh, and foot deck panels 116,118, 120 are removable from seat and foot sections 36, 38 of deck 16. Deck panels 114,116, 118,120, head section siderail 24, and headboard 20 are preferably formed of blow- molded plastic so that they are hollow. According to alternative embodiments of the present disclosure, other suitable materials such as metal, wood, or composites may also be used.

As shown in Fig. 20, corner portions 122 of deck panel 114 is elevated to narrow gaps 124,126 defined between head section siderail 24 and deck panel 114

and headboard 20 and deck panel 114, respectively. Headboard 20 includes curved portions 128 and head section siderail 24 includes curved portions 130. Curved portions 128,130 are configured to narrow gap 132, as shown in Fig. 21, defined between headboard 20 and head section siderail 24.

Curved portions 128,130 and corner portion 122 of head deck panel 114 converge together to narrow gaps 124,126, 132. In the preferred embodiment, hand holes 134 are provided in corner portions 122 of head deck panel 114 to permit a caregiver to grab head section deck panel 114 to move patent support 10. In the preferred embodiment, curved portions 128,130, and corner portion 122 are provided at each corner of the longitudinal end of the head end of patient support 10.

According to alternative embodiments of the present disclosure, the converging portions are also provided on the foot end of the patient support.

Referring now to Figs. 16 and 17, deck 16 and deck panels 116, 118, 120 are shown that support mattress 18. Deck panel 116 is removably coupled to seat section 34 of deck 16 by restraint holders 138. Deck panel 116 includes openings 140 which are sized to fit over restraint holders 138. Deck panel 116 can be removed from seat section 34 of deck 16 by lifting deck panel 116 above restraint holders 138. Deck panels 118,120 also include openings 140 which receive respective restraint holders 138 in the same fashion.

Deck panels 116, 118, 120 also include gap fillers 142 positioned adjacent the ends of head and foot end siderails 24,26. In the preferred embodiment, gap fillers 142 are semicircular-shaped or half moon-shaped and are integral with deck panels 116,118, 120. Gap fillers 142 are positioned under mattress 18 when mattress 18 is positioned on deck panels 116, 118, 120. As shown in Fig. 2, gap fillers 142 are designed to narrow the respective gaps 144,146, 148 defined between deck panels

116, 118, 120 and lower edges 76,72 of head and foot end siderails 24,26, respectively. Similar gap fillers are also disclosed in PCT Publication No. WO 02/076266 Al, titled"Bed Equipped with a Back Elevator, "filed March 26,2002, to Gippert et al. and French Patent Application No. FR 01 08540, titled"Lit Medicalise a Plan de Couchage Amovible, "filed June 28,2001, to Barbu et al. , the disclosures of which are expressly incorporated by reference herein.

Referring now to Figs. 18 and 19, mattress 18 includes chamfered lower corner portions 150 that extend along the length of each longitudinal side of mattress 18. As shown in Fig. 19, chamfered portions 150 permits mattress 18 to be positioned on deck panels 114,116, 118, 120 without interference from the gap fillers 142. As shown in Fig. 19, gap filler 142 contacts chamfered portions 150 of mattress 18 to prevent mattress 18 from moving laterally when positioned on deck 16. According to an alternative embodiment of the present disclosure, the chamfered portions are only provided at the locations of the gap fillers.

As shown in Fig. 18, restraint holders 138 extend through openings 140 in deck panels 116,118, 120. Restraint straps 152 are provided that are placed through restraint holders 138 and extended around mattress 18 as shown in Fig. 1. Restraint straps 152 are placed over a patient to secure the patient to patient support 10.

According to alterative embodiments of the present disclosure, the restraint holders do not extend completely through the openings in the respective deck panels. Additional details of suitable restraint holders and restraint straps are provided in French Patent Application No. FR 01 08540, titled"Lit Medicalise a Plan de Couchage Amovible," filed June 28, 2001, to Barbu et al. , the disclosures of which are expressly incorporated by reference herein.

As shown in Fig. 1, the control system includes a battery enable switch 154, which allows a person, such as a caregiver to operate the electrically controlled functions of patient support 10 using battery power when AC power is not available.

In the illustrated embodiment, one battery enable switch 154 is located on head section siderail 24 and another battery enable switch (not shown) is located on pendent controller 113. According to alternative embodiments of the present disclosure, the battery enable switch is located anywhere on the patient support as necessary or convenient. Battery enable switches 154 are electrically coupled to the battery system (not shown).

Battery enable switch 154 is a momentary switch such as a push button in the preferred embodiment, although any other suitable switch could be used. In the preferred embodiment, switch 154 includes a light emitting diode (LED) enclosed in a translucent or transparent plastic housing. The LED is"on" (i. e. , illuminated) when either AC or battery power is being supplied to patient support 10. When patient support 10 is disconnected from AC power, such as when a plug 44 is disconnected from wall socket 46, switch 154 ceases being illuminated.

When AC power to patient support 10 is cutoff, a timing circuit (not shown) is initiated. In the preferred embodiment, after patient support 10 is disconnected from AC power for twenty minutes and any of the electrically controlled features of patient support 10 have not been actuated for a time period of twenty minutes, patient support 10 is placed in sleep mode. In sleep mode, minimal power is provided to patient support 10 by the battery backup system. During sleep mode, the electrical operable functions of patient support 10 are disabled.

In the preferred embodiment, when the patient support 10 is running on battery power provided by the battery, activation of one of the battery enable switches 154

causes patient support 10 to switch out of sleep mode and receive sufficient power from the battery so that at least certain electrically operational functions of patient support 10, such as movement of patient support 10 into emergency Trendelenburg position, can be performed. In the illustrated embodiment, battery enable switch 154 is activated by the application of pressure on one of switches 154 with ones'finger.

According to an alternative embodiment, the battery enable switches are not provided and activating any one of the bed function control buttons while patient support 10 is in sleep mode will switch it out of sleep mode.

In the preferred embodiment, the timing circuit waits for a predetermined time period of twenty minutes so that if no operational activity occurs within the twenty minute period after the battery enable switch 154 has been activated or since the previous operational activity, patient support 10 enters sleep mode. If one of the bed function control buttons is activated within the twenty minute time period, the timing circuit is reset to zero. In this manner, battery power is conserved and a smaller battery can be used to support the battery system.

Battery enable switches 154 permit patient support 10 to meet regulatory requirements by enabling at least certain of the bed's operational features to be operable on battery backup power only when needed. According to alternative embodiments of the present disclosure, the timing circuit can be set to enter sleep mode after any predetermined time period, such as five minutes, one hour, etc.

Details of another suitable battery enable system is provided in U. S. Patent Application Serial 60/408, 698, titled"Hospital Bed, "filed September 6,2002, to<BR> Menkedick et al. , the disclosure of which is expressly incorporated by reference herein.

Referring now to Figs. 7 and 8, patient support 10 includes a brake alarm that produces an audible and/or visual alarm signal when a brake 156 that locks caster wheel 28 is moved from the braked position, as shown in Fig. 7, to the unbraked position as shown in Fig. 8 while patient support 10 is still connected to AC power through wall socket 46. By activating the alarm, damage to plug 44 and other components of patient support 10 can be avoided.

Brake 156 includes a brake pedal 160 that rotates an octagonal brake shaft 158 to move brake 156 between the braked and unbraked positions. A lever 161 is coupled to brake shaft 158 so that as brake shaft 158 rotates, lever 161 also rotates.

Additional details of a suitable brake is provided in French Patent Application FR02 02510, titled"Cadre de Dispositif a Usage Medical Ou Paramedical de Support Roulant d'une Personne, a Roulettes Facilement Demontables, et Dispositif Ainse Equuipe", filed February 28,2002, to Gippert et al. , and corresponding PCT<BR> Application No. unknown claiming priority, to Gippert et al. , which claims priority to French Patent Application FR 02 02510, the disclosures of which are expressly incorporated by disclosure herein.

A switch 162 is provided that is coupled to a brake alarm controller (not shown) of the control system via wires 164. Switch 162 includes a spring 166 positioned adjacent to lever 161. Switch 162 is coupled to frame 24 by another spring 167. In the preferred embodiment, spring 167 is made of a resilient metallic material to permit some movement of switch 162.

When brake 156 is in the braked position, as shown in Fig. 7, lever 161 depresses spring 166 on switch 162 to complete an electrical circuit. When brake 156 is moved to the unbraked position, as shown in Fig. 8, lever 161 is rotated away from spring 166. Spring 166 is then biased away from electrical switch 162 and the

electrical circuit is broken. The brake alarm controller detects that the circuit has been broken and determines that brake 156 has moved from the braked position to the unbraked position. According to alternative embodiments of the present disclosure, the braked and unbraked positions of brake 156 are reversed or the brake alarm controller is programmed to activate the brake alarm signal when the circuit is completed rather than broken.

When the brake alarm controller determines that brake 156 is no longer in the braked position, it determines if patient support 10 is still plugged into an AC power source such as wall socket 46. If plug 44 of patient support 10 is plugged in to wall socket 46 and receiving AC power while brake 156 is in the unbraked position, an alarm such as an audible alarm and/or a flashing indicator light on control panel 112 will signal to warn the caregiver not to move patient support 10 until plug 44 is removed from wall socket 46.

Referring now to Figs. 9-15, fifth wheel assembly 30 is coupled to frame 24 of patient support 10. Fifth wheel assembly 30 is configured to assist a caregiver in steering patient support 10 by providing a central pivot point about which to turn patient support 10.

Fifth wheel assembly 30 includes a caster wheel 168 that rolls along the floor and is configured to pivot or swivel about a vertical axis 170. Fifth wheel assembly 30 further includes a wheel position holder 172 configured to permit such swiveling.

However, position holder 172 also encourages or urges caster wheel 168 to remain in predetermined orientation relative to vertical axis 170.

As shown in Fig. 9, caster wheel 168 is positioned in a first parallel position that is parallel to a longitudinal axis 174 of patient support 10. When in this position, caster wheel 168 is aligned to roll along the floor when patient support 10 is being

pushed in direction 176 along longitudinal axis 174 of patient support 10 such as when patient support 10 is being pushed down a hallway. In Fig. 11, caster wheel 168 is positioned in a second perpendicular position that is perpendicular to longitudinal axis 174 of patient support 10. When in this position, caster wheel 168 is aligned to roll along the floor when patient support 10 is being pushed in direction 178 perpendicular to longitudinal axis 174 such as when patient support is being positioned in a room.

Positioning fifth wheel 168 parallel to or perpendicular to longitudinal axis 174 of patient support 10 allows a caregiver to easily steer patient support 10 during movement of patient support 10 in a hallway or in a patient's room. Another suitable fifth wheel assembly is described in French Patent No. 2783463, titled"Rolling support for medical usage, has wheel held by bracket mounted on support shaft, carried in spring loaded sliding housing, which has lower edge profiled to fit on to roller cam fitted to support shaft, "filed September 9,1998, to Pascal Guguin, the disclosure of which is herein expressly incorporated by reference.

Position holder 172 is configured to permit movement of wheel 168 to either the first parallel position or the second perpendicular position. However, if wheel 168 is positioned between these two positions, position holder 172 urges wheel 168 back toward either the first parallel position or the second perpendicular position. Thus, if wheel 168 is in an intermediate position as shown in Fig. 10, position holder 172 urges wheel 168 either toward the first parallel position shown in Fig. 9 or toward the second perpendicular position shown in Fig. 11.

Fifth wheel assembly 30 further includes a base 180 coupled to frame 24 as shown in Fig. 9. In the preferred embodiment, base 180 is positioned in the middle of frame 24 as shown in Fig. 1. According to alternative embodiments of the present

disclosure, base 180 is placed elsewhere on frame 24 such as under the center of gravity of the patient support and/or patient.

Base 180 is saddle-shaped and includes a pair of side plates 182 and a middle plate 184 extending between side plates 182. Side plates 182 include openings 185, 186, 188. Position holder 172 includes a saddle-shaped base 190 coupled between side plates 182. Base 190 includes opening 192 (one not shown) corresponding to openings 185 of side plates 182 and a bearing-receiving opening 192 as shown in Fig.

15.

Wheel assembly 30 further includes a post or stem 194 positioned to extend through an opening 196 formed in middle plate 184 of base 180. A first upper link 198 is rigidly coupled to stem 194 and a second lower link 210 is pivotably coupled to first upper link 198 by a rod 212. Wheel 168 is rotatably coupled to second lower link 210 by an axle 214.

Wheel assembly 30 includes a pair of gas springs or biasers 216 pivotably coupled to upper link 198 by a first coupler 218 and pivotably coupled to lower link 210 by a second coupler 220. Gas springs 216 urges wheel 168 into contact with the floor surface. Thus, if wheel 168 encounters a pump or depression on the floor, wheel 168 travels up or down and remains in contact with the floor.

As shown in Fig. 15, stem 194 includes an upper opening 222, an annular channel 224, and a collar 226. Wheel assembly 30 includes an upper sleeve or bearing 228 positioned between base 190 and an upper portion 230 of stem 194 and a lower sleeve or bearing 232 positioned between collar 226 and middle plate 184 of base 180 when wheel assembly 30 is fully assembled as shown in Fig. 12. Bearings 228,232 reduce the friction and wear between stem 194 and bases 190, 180. To retain stem 194 in bases 190, 180, a pin 234 is inserted through openings 185 of base 180

and corresponding openings 192 of base 190 and passes through a portion of channel 224 of stem 194 as shown in Figs. 9-12. Because channel 224 is annular, stem 194 can rotate while pin 234 is positioned in channel 224.

As shown in Fig. 15, position holder 172 includes a first cam member 236 coupled to side plates 182, a second cam member 238 positioned to interact with first cam member 236, and biaser or spring 237 positioned to urge second cam member 238 toward first cam member 236. First and second cam members 236,238 cooperate to urge wheel 168 to either the first parallel or second perpendicular positions.

First cam member 236 includes three spacers 240, two ball bearings 242, and a pin 244. Pin 244 is inserted through opening 186 in side plates 182, spacers 240, and ball bearings 242 to support bearings 242 above second cam member 238 as shown in Figs. 12-14.

Second cam member 238 includes an upper collar 246 having a sinusoidal cam surface 248, a shoulder 248, a shaft 250, and a square keyed portion 252. When fifth wheel assembly 30 is fully assembled, second cam member 238 is positioned in opening 222 of stem 194 and spring 237 as shown in Figs. 12-14. Lower end 256 of passage 254 has a square profile that complements keyed portion 252 of second cam member 238. Thus, when wheel 168 and stem 194 rotate, second cam member 238 also rotates. However, second cam member 238 can move up and down in passage 254. Shoulder 248 of second cam member 238 is positioned over spring 237 so that second cam 238 is urged upwardly toward first cam member 236.

In the preferred embodiment, cam surface 248 on the upper end of second cam member 238 has a smooth sinusoidal profile that includes a pair of first peaks 258, a pair of second peaks 260, a pair of first valleys 262, and a pair of second valleys 264.

Each respective first peak 258, second peak, 260, first valley 262, and second valley

264 is positioned opposite one another about vertical axis 170 of stem 194. Peaks 258, 260 separate valleys 262,264 so that valleys 262,264 are spaced approximately 90° apart on cam surface 248 about axis 266.

Valleys 264 are slightly deeper than valleys 262 in the preferred embodiment.

According to alternative embodiments of the present disclosure, the cam surface has fewer or more valleys and peaks, peaks with sharp contours or other contours to provide other suitable profiles.

When fifth wheel assembly 30 is assembled, cam surface 248 is pushed upward into contact with ball bearings 242 so that ball bearings 242"roll over"cam surface 248. Referring now to Figs. 9-11, wheel 168 can rotate 360° relative to base 180. However, because of cam surface 248, wheel 168 is urged toward one of four positions either parallel or perpendicular to the longitudinal axis of patient support 10.

When wheel 168 is in one of the four positions, ball bears 242 are positioned in either first valleys 262 or second valleys 264 as shown in Figs. 12 and 14. When wheel 168 is rotated, ball bearings 242 roll up either peaks 258 or peaks 260 and second cam member 238 is pushed down against the bias of spring 237. When positioned on peaks 258,260, the normal force between ball bearings 242 and cam surface 248 have both axial and radial components. The radial components urge second cam member 238 toward the nearest valley 262,264. Thus, when wheel 168 is not positioned in one of the four positions, it is urged back toward the nearest of the four positions. When ball bearings 242 ride over one of peaks 258,260, they are urged toward the nearest valley 262,264.

Because valleys 264 are deeper than valleys 262, the radial components of the normal forces are greater. Thus, it is easier to move from the second perpendicular

position to the first parallel position and vice versa. Because cam surface 238 is smooth, the transition of wheel 168 from one position to position is also smooth.

To move wheel 168 from the first parallel position to the second perpendicular position, a caregiver pushes on patient support 10 in a transverse direction. This force creates torque on wheel 168 and urges ball bearings 242 to ride up one of peaks 258, 260. Once wheel 168 has rotated approximately 45°, ball bearings 242 are positioned on top of peaks 258,260. With further movement of wheel 168 about axis 166, ball bearings 242 and wheels 168 are urged toward the second perpendicular position.

To move wheel 168 from the second perpendicular position to the first parallel position, a caregiver pushes on patient support 10 in a longitudinal direction. This force creates torque on wheel 168 and urges ball bearings 242 to ride up one of peaks 258,260. Once wheel 168 has rotated approximately 45°, ball bearings 242 are positioned on top of peaks 258,260. With further movement of wheel 168 about axis 166, ball bearings 242 and wheels 168 are urged toward the first parallel position.

Fifth wheel 168 is rotated between being parallel to the longitudinal axis of patient support 10 and perpendicular to the longitudinal axis of patient support 10 and vice versa by a caregiver gently pushing patient support 10 from either one of the head or foot end or along one of the longitudinal sides of patient support 10.

Preferably, instructions for the assembly, installation, and/or use of patient support 10 are provided with patient support 10 or otherwise communicated to permit a person or machine to assemble, install and/or use patient support 10. Such instructions may include a description of any or all portions of patient support 10 and/or any or all of the above-described assembly, installation, and use of patient support 10 or components of patient support 10. The instructions may be provided on separate papers and/or on the packaging in which patient support 10 is sold or

shipped. These instructions may also be provided over the Internet or other communication system. Furthermore, the instructions may be embodied as text, pictures, audio, video, or any other medium or method of communicating instructions known to those of ordinary skill in the art.

The features of the present disclosure have been described with respect to beds, but they can also be used on examination tables, stretchers, gurneys, wheel chairs, chair beds, or any other patient support devices for supporting a person during rest, treatment, or recuperation.

Unless otherwise stated herein, the figures are proportional. Although the present invention has been described in detail with reference to preferred embodiments, variations and modifications exist within the scope and spirit of the present invention as described and defined in the following claims.