FIELD OF TECHNOLOGY

[0001] The subject matter disclosed herein relates generally to a cushioning device and method of cushioning a body or a patient. More particularly, the subject matter relates to a cushioning device having a dynamic exhaust reservoir system and method of cushioning a body or a patient using a dynamic exhaust reservoir system.

BACKGROUND

[0002] In the medical field, cushioning devices including a plurality of fluid cells are often used to provide support for a body or a patient. These systems typically intake fluid from the atmosphere and exhaust fluid into the atmosphere in order to achieve dynamic pressurization within the plurality of air cells. This intake and exhaust of atmospheric air may thus provide for a dynamic cushioning system that maintains and changes pressures with a manifold system and valve systems that are integrated into the system. A potential need exists in the medical community for closed systems that have no contact with atmospheric air during typical use. A closed system such as this has the capabilities of reducing contamination which can be safer for the patient's health. However, a dynamic system that provides for dynamic pressure changes in the cushioning device has not been optimized in a closed system.

[0003] Thus, a cushioning device having a dynamic exhaust reservoir system and a method of cushioning a patient using a dynamic exhaust reservoir system would be well received in the art.

SUMMARY

[0004] According to a first described aspect, a cushioning device comprises: a plurality of fluid cells each containing a reforming element and a fluid for supporting a load; a manifold interconnecting the plurality of fluid cells; an exhaust system including a first and a second exhaust reservoir connected in series to the plurality of envelopes; and a pressure relief valve and a check valve separating the first and second exhaust reservoirs.

[0005] According to a second described aspect, a cushioning device comprises: a plurality of fluid cells, each of the fluid cells including a reforming element; a manifold system interconnecting the plurality of fluid cells; a first exhaust reservoir connected to the plurality of fluid cells with a first pressure relief valve and a first check valve; and a second exhaust reservoir connected to the first exhaust reservoir with a second pressure relief valve and a second check valve; wherein when the pressure in the plurality of fluid in the plurality of fluid cells reaches a first predetermined level, the first pressure relief valve opens and exhausts fluid into the first exhaust reservoir, and wherein when the pressure in the first exhaust reservoir reaches a second predetermined level, the second pressure relief valve opens and exhausts fluid into the second exhaust reservoir.

[0006] According to a third described aspect, a method of cushioning a patient comprises: providing a cushion including a plurality of fluid cells each containing a reforming element and a fluid for supporting a load, a manifold system interconnecting the plurality of fluid cells and an exhaust system including a first exhaust reservoir and a second exhaust reservoir connected in series to the plurality of envelopes; exhausting fluid from the plurality of fluid cells to the first exhaust reservoir when pressure in the plurality of fluid cells reaches a first predetermined pressure; exhausting fluid from the first exhaust reservoir to the second exhaust reservoir when pressure in the first exhaust reservoir reaches a second predetermined pressure; and returning fluid from the first exhaust reservoir and the second exhaust reservoir to the plurality of fluid cells when a load is removed from the plurality of fluid cells.

BRIEF DESCRIPTION OF THE DRAWINGS

[0007] The subject matter disclosed herein is distinctly claimed in the claims at the conclusion of the specification. The foregoing and other features and advantages are apparent from the following detailed description taken in conjunction with the accompanying drawings in which:

[0008] Figure 1 depicts a perspective cutaway view of a cushioning device according to one embodiment;

[0009] Figure 2 depicts a perspective view of the cushioning device of Figure 1 according to one embodiment;

[0010] Figure 3 depicts a partial cross-sectional view of a fluid cell of the cushioning device of Figures 1 - 2 including a reforming element and connected to a manifold;

[0011] Figure 4 depicts a schematic view of the cushioning device of Figures 1 - 2 according to one embodiment;

[0012] Figure 5 depicts a representation of a body resting on a cushioning device of Figures 1 - 2 and 4 according to one embodiment; and

[0013] Figure 6 depicts a perspective cutaway view of another cushioning device according to one embodiment. DETAILED DESCRIPTION

[0014] A detailed description of the hereinafter described embodiments of the disclosed apparatus and method are presented herein by way of exemplification and not limitation with reference to the Figures.

[0015] Figures 1 - 2 show a cushioning device 10 that includes a plurality of fluid cells 12. The cushioning device 10 further includes a manifold system 14 interconnecting the plurality of fluid cells 12. A first exhaust reservoir 16a is connected to the plurality of fluid cells 12 with a first pressure relief valve 18a and a first check valve 20a. A second exhaust reservoir 16b is connected to the first exhaust reservoir 16a with a second pressure relief valve 18b and a second check valve 20b. Furthermore, a third exhaust reservoir 16c is shown connected to the second exhaust reservoir 16b with a third pressure relief valve 18c and a third check valve 20c. When the pressure in the plurality of fluid cells 12 reaches a first predetermined level, the first pressure relief valve 18a may be configured to open and exhaust fluid into the first exhaust reservoir 16a. Likewise, when the pressure of the first exhaust reservoir reaches a second predetermined level which may be higher than the first predetermined level, the second pressure relief valve 18b may be configured to open and exhaust fluid into the second exhaust reservoir 16b. Similarly, when the pressure of the second exhaust reservoir reaches a third predetermined level which may be higher than the first and second predetermined levels, the third pressure relief valve 18c may be configured to open and exhaust fluid into the third exhaust reservoir 16c. The increases in pressure in the plurality of fluid cells 12 and the exhaust reservoirs 16a - 16c may be a result of a patient's weight or load. Fluid may be returned from the exhaust reservoirs 16a - 16c by the check valves 20a - 20c when a load is removed from the plurality of cells 12. Thus, the cushioning device 10 may be a dynamic system that changes in pressure due to loading as desired. However, the cushioning device 10 may also be a closed system in that it does not access atmospheric air during typical use of the cushioning device 10. This may help to prevent contamination and retain sterility of the cushioning device 10. Furthermore, the fact that the cushioning device 10 is a closed system, the combined volume of each of the plurality of fluid cells 12 and each of the exhaust reservoirs 16 is small enough that fluid always remains between the entirety of area contacted by the load or patient and a bottom surface of the cushioning device 10. In other words, the cushioning device 10 will never bottom out on a patient because of a reduced amount of air in the system.

[0016] As shown in Figures 1 - 2, the cushioning device 10 may be a mattress in one embodiment. However, it should be understood that this embodiment is not limiting. In other embodiments, the cushioning device 10 may be a chair, couch, loveseat, cushion, or any other cushioning device. Furthermore, a structural bed (not shown) may be manufactured to include an integrated mattress in accordance with the principles of the present disclosure. The disclosure accounts for possible implementations in any type of cushioning device.

[0017] The cushioning device 10 is shown having four fluid cells 12a, 12b, 12c and 12d. However, in other embodiments more or less fluid cells may be used. These fluid cells 12 each extend between a head end 22 to a foot end 24 of the cushioning device 10. In other embodiments, the fluid cells 12 may extend horizontally across the cushioning device 10 instead of vertically from the head end to the foot end. In one embodiment, a single large fluid cell may be used without the need for a manifold.

[0018] The first, second and third exhaust reservoirs 16a, 16b, 16c are located proximate the foot end 24 of the cushioning device 10 between the plurality of fluid cells 12 and the foot end 24. The first, second and third exhaust reservoirs 16a, 16b, 16c are shown cutaway in Figure 1 to reveal the valves 18, 20. However, it should be understood that these reservoirs may be substantially a cube, a rectangular prism or rounded at the corners and tubular in shape. In one embodiment, the reservoirs may be spherical. Any appropriate shape may be used. A foam pad 26 may retain the exhaust reservoirs 16a, 16b, 16c in position and retain a surface upon which a patient may rest their feet when the exhaust reservoirs 16a, 16b, 16c are not full of fluid. The foam pad 26 may also help support the region of the exhaust reservoirs 16a, 16b, 16c even when the exhaust reservoirs 16a, 16b, 16c are full of fluid. While the foam pad 26 is shown substantially cutaway in Figure 1, it should be understood that the foam pad 26 may surround the entirety of the exhaust reservoirs 16, the manifold 14, and provide support directly below the topper pad 30 proximate the foot end 24. Like the exhaust reservoirs 16, the foam pad 26 may be located proximate the foot end 24 of the cushioning device 10 between the plurality of fluid cells 12 and the foot end 24.

[0019] It should be understood that in other embodiments, the exhaust reservoirs 16a, 16b, 16c may not be located at the foot end 24 at all and may be located in virtually any appropriate location of the cushioning device 10. In other embodiments, the exhaust reservoirs 16a, 16b, 16c may be stored at the head end 22 instead. Alternately, they may be located on a left or right side of the cushioning device 10. In one embodiment, the exhaust reservoirs 16a, 16b, 16c may even be stored underneath the other fluid cells 12 of the cushioning device 10. The exhaust reservoirs 16a, 16b, 16c may also be stored in multiple locations, such as both the head end 22 and the foot end 24.

[0020] The foam pad 26 and exhaust reservoirs 16a, 16b, 16c may have length of sixteen inches along the axis extending between the head end 22 and the foot end 24, in one embodiment, while the fluid cells 12 may have a length of about fifty inches. The foam pad 26 and fluid cells 12 may have a longer or shorter length in other embodiments depending on the necessary size of the exhaust reservoirs 16a, 16b, 16c, for example. The exhaust reservoirs may have a full volume that is between 5 and 15 percent of the total volume that is retainable within the plurality of fluid cells 12. Thus, the size of the exhaust reservoirs 16a, 16b, 16c may change depending on various factors such as the weight of the patient and the intended pressures.

Furthermore, the exhaust reservoirs 16a, 16b, 16c are shown to have equivalent volumes.

However, in other embodiments, one or all of the exhaust reservoirs 16a, 16b, 16c may have different volumes than each other.

[0021] The cushioning device 10 further includes an outer envelope 28 and a topper cushion 30. The outer envelope 28 may surround the entire cushioning device 10 including the plurality of fluid cells 12, the manifold system 14, the exhaust reservoirs 16 and the foam pad, and the outer envelope 28 may help to retain the fluid cells 12, manifold system 14, foam pad 26 and the exhaust reservoirs 16 in a proper position. The outer envelope 28 may be made of a material such as a polymer, cloth, rubber, or the like. The topper cushion 30 may rest on top of the outer envelope 28 and may provide further cushioning to a resting patient. Depending on the embodiment, the topper cushion 30 may or may not be necessary. The topper cushion 30 may be composed of any resilient material, for example, foam, down feathers, an inflatable air cushion, etc.

[0022] Figure 3 shows a partial cross sectional view of an example fluid cell, such as one of the fluid cells 12a, 12b, 12c, 12d. The support cells 12 may each include an outer envelope 32 that may contain a fluid and a reforming element 34. The application of an external load on the envelope 32, described hereinbelow, causes the envelope 32 to deform into a compressed form, adding internal pressure to the system. The reforming element 34 provides a reforming force to the interior surface 36 of the envelope 32. The reforming force causes the envelope 32 to return to its original form when the external load is removed from the envelope 32. The reforming element 34 may be a resilient foam material. However, other resilient means may be used such as a coil spring or bellows (not shown). The coil spring may be surrounded by a resilient material also. The bellows may be formed from a pliable resilient material such as plastic and filled with a fluid such as air.

[0023] The manifold system 14 may connect the plurality of fluid cells 12. The manifold system 14 may, in one embodiment, include tubing or piping. The tubing or piping includes apertures for connecting to each of the plurality of fluid cells 12. The manifold system 14 may or may not include valves at each connection location, such as a check valve or a pressure relief valve (not shown), of the plurality of fluid cells 12. In one embodiment, no valves are used. In an unvalved embodiment, the manifold system 14 freely distributes fluid between the plurality of cells 12 such that pressure is equally distributed in each of the plurality of cells 12 upon the receiving of a load on the cushioning device 10. The manifold system 14 may thus be configured to distribute air or other fluid between each of the plurality of fluid 12 cells to maintain an equilibrium pressure in the plurality of fluid cells 12. The manifold system 14 may not include a check valve exposed to the atmosphere in one embodiment. This may allow the cushioning device 10 to remain closed with no exposure to the atmosphere while in use.

[0024] However, somewhere in the cushioning device 10 there may be disposed a manual open and close valve 38. The manual open and close valve 38 is shown connected to the rightmost fluid cell 12d. The manual open and close valve 38 may be a valve that is configured to open when a particular needle is inserted therein for air intake into the plurality of fluid cells 12. Thus, although the cushioning device 10 may operate under the conditions of a closed system with no exposure to the atmosphere in use, the manual open and close valve 38 may be utilized to initially fill the system with fluid. The cushioning device 10 may be filled through the manual open and close valve 38 in the factory, or in the hospital. The manual open and close valve 38 may be an integrated feature of the manifold system 14. In other embodiments, the manual open and close valve 38 may be directly connected to one of the plurality of fluid cells 12. The manual open and close valve 38 may be connected to any location in the cushioning system 10 that allows fluid or air to be introduced in the system. The manual open and close valve 38 may further include a HEPA filter in order to ensure that the fluid being introduced into the plurality of fluid cells 12 is not contaminated. Furthermore, the manual open and close valve 38 may be used in case periodic refilling of the cushioning device 10 is necessary due to slight leakage of fluid in the system.

[0025] Referring now to Figure 4, a schematic view of the cushioning device 10 is shown. It should be understood that this is an exemplary embodiment and is not meant to be limiting. As shown, the fluid cells 12 are interconnected by the manifold to create a system whereby each of the fluid cells 12a, 12b, 12c, 12d distribute fluid to retain an equilibrium pressure after receiving a load. The left-most fluid cell 12a is shown having the pressure relief valve 18a and a check valve 20a that is connected to the first exhaust reservoir 16a. The pressure relief valve 18a shows an arrow denoting air flow in the direction of the first exhaust reservoir 16a. The pressure relief valve 18a is marked by PI, denoting that the pressure relief valve is configured to let air flow in the direction of the first exhaust reservoir 16a when the pressure in the left most fluid cell 12a exceeds the pressure PI . The check valve 20a shows an arrow denoting air flow in the direction of the left most fluid cell 12a. Located to the right of the first exhaust reservoir 16a is the second exhaust reservoir 16b. The first exhaust reservoir 16a is shown having the pressure relief valve 18b and a check valve 20b that is connected to the second exhaust reservoir 16b. The pressure relief valve 18b shows an arrow denoting air flow in the direction of the second exhaust reservoir 16b. The pressure relief valve 18b is marked by P2, denoting that the pressure relief valve 18b is configured to let air flow in the direction of the second exhaust reservoir 16b when the pressure in the first exhaust reservoir 16a exceeds the pressure P2. The check valve 20b shows an arrow denoting air flow in the direction of the first exhaust reservoir 16a.

[0026] Located to the right of the second exhaust reservoir 16b is the third exhaust reservoir 16c. The first exhaust reservoir 16a is shown having the pressure relief valve 18c and a check valve 20c that is connected to the third exhaust reservoir 16c. The pressure relief valve 18c shows an arrow denoting air flow in the direction of the third exhaust reservoir 16c. The pressure relief valve 18c is marked by P3, denoting that the pressure relief valve 18c is configured to let air flow in the direction of the third exhaust reservoir 16c when the pressure in the second exhaust reservoir 16b exceeds the pressure P3. As described in the key at the bottom of Figure 4, in the embodiment depicted PI < P2 < P3. However, this embodiment is not limiting. The check valve 20c shows an arrow denoting air flow in the direction of the second exhaust reservoir 16b.

[0027] Thus, the exhaust reservoirs 16a - 16c may be connected in series. In other words, fluid may to and from the plurality of fluid cells 12 to the first exhaust reservoir 16a, and from the first exhaust reservoir 16a to and from the second exhaust reservoir 16b, and from the second exhaust reservoir 16b to and from the third exhaust reservoir 16c. Thus, the first exhaust reservoir 16a is not connected directly to the third exhaust reservoir 16c. This series connection may allow for the pressure relief valves 18 to open more and more volume for pressure relief in the plurality of fluid cells 12 through the exhaust reservoirs 16 as necessary.

[0028] In use, a body or a patient 40 rests on the cushioning device 10, as shown in Figure 5. The body 40 exhibits a pressure on the fluid within each of the plurality of fluid cells 12. The pressure of the fluid within each of the plurality of fluid cells 12 increases as the volume of the plurality of fluid cells 12 decreases. The body 40 may exhibit more pressure on, for example, the middle fluid cells 12b, 12c. However, the manifold system 14 may be configured to distribute fluid from the middle fluid cells 12b, 12c to the outer fluid cells 12a, 12d. Thus, the system eventually is capable of achieving an equilibrium pressure through the manifold system 14. As shown, high pressure regions on the body 40 are indicated by the force arrows PA, PB, PC, PD and PE. The cushioning device 10 provides a low uniform interface pressure PX that supports the entire contact surface of the body 40. This interface pressure is below the pressure that may cause tissue damage, thereby preventing the formation of pressure sores and other injuries. [0029] If the pressure on the fluid within the fluid cell 12a reaches first pressure PI, the pressure relief valve 18a opens to release fluid into the first exhaust reservoir 16a, effectively lowering the pressure of the fluid in the connected fluid cells 12a - 12d. The fluid continues to be released into the first exhaust reservoir 16a until the pressure in the first exhaust reservoir 16a reaches a second pressure P2. At this time, the second pressure relief valve 18b in the first exhaust reservoir 16a opens to release fluid into the second exhaust reservoir 16b. The fluid continues to be released into the second exhaust reservoir 16b until the pressure in the second exhaust reservoir 16b reaches a second pressure P3. At this time, the third pressure relief valve 18c in the second exhaust reservoir 16b opens to release fluid into the third exhaust reservoir 16c. Eventually the system thereby achieves an equilibrium pressure after receiving the body 40. It should be understood that the fluid in the system may be flowing through multiple pressure relief valves 18 at the same time, and through the manifold system 14, rather than flow in the linear manner described hereinabove.

[0030] As the weight of the body 40 or patient is removed from the cushioning device 10, the reforming element 34 in each of the plurality of fluid cells 12 exerts a reforming force on the interior surface 36 of the plurality of fluid cells 12. As each fluid cell 12 expands, a partial vacuum is created in the interior of the fluid cells 12. The vacuum draws fluid from the exhaust reservoirs 16a - 16c through the check valves 20a - 20c. Thus, the cushioning device 10 has the ability to be a dynamic system that is always adjusting to movements or repositioning by the body 40. When the pressure distribution applied to cushioning device 10 changes, the plurality of fluid cells 12 may automatically inflate or deflate to ensure a low interface pressure under the entire body 40 or patient.

[0031] Referring back to Figure 1, the plurality of fluid cells 12 of the cushioning device 10 may include reforming elements 34 of varying densities. For example, in the embodiment shown in Figure 1, a portion 45 of the surface area of the fluid cells 12 may be supported by a higher density reforming element than the remaining surface area of the fluid cells 12. In one embodiment, the reforming elements found 34 in the plurality of fluid cells 12 may be different density foams. The fluid cells 12 may include portions along the length having greater density foam that is stiffer and more resilient, for example within the portion 45. Outside the portion 45, the fluid cells 12 may include lesser density foam that is less resilient and softer. In some embodiments, the individual cells 12 may each have their own density. In those embodiments, the cells may be aligned horizontally (90 degrees from the orientation shown) and certain cells along the length of the bed may have greater densities than other cells.

[0032] Referring still to Figure 1 in combination with Figure 5, it should be understood that the greater density areas of the present invention are not limited to the area shown and that any area on the surface of the cushioning device may be supported by greater or lesser density reforming foam. In the embodiment shown, the portion 45 supporting the posterior of a patient, shown by pressure PC in Figure 5, includes the greater stiffness reforming element. In some embodiments, there may be other locations that include greater stiffness reforming elements, such as the area support the head of the patient (shown by pressure PA), the back of the patient (shown by pressure PB), the calf of the patient (shown by pressure (PD), and the heel of a patient (shown by pressure PE). The density difference in foam may be 25% greater than the density of the foam in the softer areas. For example, the density difference may be between 5% and 50% denser in the dense portion 45 compared to the softer remaining portion of the fluid cells 12.

[0033] Referring now to Figure 6, another embodiment of a cushioning device 100 is shown. The cushioning device 100 may be similar to the cushioning device 10 and may include a plurality of fluid cells 112a, 112b, 1 12c, 1 12d that are similar to the plurality of fluid cells 12a, 12b, 12c, 12d. The cushioning device 100 may further include a manual open and close valve 138, similar to the manual open and close valve 38, but moved in position to another side of the cushioning device 100. However, rather than running lengthwise from head end to foot end, the plurality of fluid cells 112a, 1 12b, 112c, 112d may run horizontally from a left side 122 to a right side 124 of the cushioning device 100. It should be understand that more or less than four fluid cells may be used in other embodiments, by lengthening or shortening the dimensions of each cell to ensure the providing of a mattress having the desired surface area.

[0034] Furthermore, a manifold system 1 14 is shown running along the right side 124 of the cushioning device 100, rather than at the foot end as in the previous embodiment described hereinabove. In this embodiment, the manifold system 1 14 is directly connected to a first exhaust reservoir 116a that is located at the right side of the foot end. Thus, there may not be a pressure relief valve or a check valve located between the plurality of fluid cells 1 12 and the first exhaust reservoir 116a in this embodiment. It should be understood that the previous embodiment having lengthwise fluid cells 12 may also be configured such that no valves are located between the first fluid cell 12a and the first exhaust reservoir 16a.

[0035] This first exhaust reservoir 1 16a of the cushioning device 100 may be attached to a second exhaust reservoir 1 16b. A first pressure relief valve 118a and a first check valve 120a may be located between the first exhaust reservoir 1 16a and the second exhaust reservoir 116b. Likewise, the second exhaust reservoir 116b may be attached to the third exhaust reservoir 1 16c. A second pressure relief valve 118b and a second check valve 120b may be located between the second exhaust reservoir 116b and the third exhaust reservoir 1 16c. The pressure relief valves 1 18a, 118b may be similar to the pressure relief valves 18a, 18b, 18c, and the check valves 120a, 120b may be similar to the check valves 20a, 20b, 20c. Further, the first pressure relief valve 1 18a may be set to a lower pressure to release fluid into the second exhaust reservoir 116b than the second pressure relief valve 1 18b is set to release fluid into the third exhaust reservoir. Thus, when a patient applies weight to the plurality of fluid cells 1 12, fluid automatically distributes throughout the four fluid cells 112 and the first exhaust reservoir 1 16a until pressure is evenly distributed. Then if the pressure in the first exhaust reservoir 1 16 becomes greater than the first pressure relief valve 118a is set to retain, the first pressure relief valve 118a opens, allowing fluid into the second exhaust reservoir 116b. Likewise, if the pressure in the second exhaust reservoir 116 becomes greater than the second pressure relief valve 118b is set to retain, the second pressure relief valve 118b opens, allowing fluid into the third exhaust reservoir 1 16c.

[0036] It should be understood that any number of exhaust reservoirs 1 16 are contemplated. This embodiment shows that the first exhaust reservoir 116a may be directly connected to the manifold 1 14 instead of separated from the plurality of fluid cells 1 12 with additional valves like the previous embodiment. Furthermore, in this embodiment, the greater density portion on the surface of the cushioning device 100 may include the entire second fluid cell 1 12b, rather than a portion of multiple fluid cells as shown in the previous embodiment. In this embodiment, the second fluid cell 112b may be in the exact position on the cushioning device 100 to support a patient's posterior.

[0037] In another embodiment, a method of cushioning a body, such as the body 40 includes providing a cushioning device, such as the cushioning device 10. The cushioning device may include a plurality of fluid cells, such as the fluid cells 12, each containing a reforming element, such as the reforming element 34, and a fluid for supporting a load. The cushioning device may further include a manifold system, such as the manifold system 14, interconnecting the plurality of fluid cells, and an exhaust system including a first exhaust reservoir, such as the first exhaust reservoir 16a, and a second exhaust reservoir, such as the second exhaust reservoir 16b, connected in series to the plurality of envelopes. The method may further include exhausting fluid from the plurality of fluid cells to the first exhaust reservoir when pressure in the plurality of fluid cells reaches a first predetermined pressure. The method may further include exhausting fluid from the first exhaust reservoir to the second exhaust reservoir when pressure in the first exhaust reservoir reaches a second predetermined pressure. The method may also include returning fluid from the first exhaust reservoir and the second exhaust reservoir to the plurality of fluid cells when a load is removed from the plurality of fluid cells. [0038] Elements of the embodiments have been introduced with either the articles "a" or "an." The articles are intended to mean that there are one or more of the elements. The terms "including" and "having" and their derivatives are intended to be inclusive such that there may be additional elements other than the elements listed. The conjunction "or" when used with a list of at least two terms is intended to mean any term or combination of terms. The terms "first" and "second" are used to distinguish elements and are not used to denote a particular order.

[0039] While the invention has been described in detail in connection with only a limited number of embodiments, it should be readily understood that the invention is not limited to such disclosed embodiments. Rather, the invention can be modified to incorporate any number of variations, alterations, substitutions or equivalent arrangements not heretofore described, but which are commensurate with the spirit and scope of the invention. Additionally, while various embodiments of the invention have been described, it is to be understood that aspects of the invention may include only some of the described embodiments. Accordingly, the invention is not to be seen as limited by the foregoing description, but is only limited by the scope of the appended claims.