Background of the Invention
The present invention relates to a pressure-sensitive switch apparatus and, more particularly, to such an apparatus for use in monitoring the presence of a patient in a wheel chair or other type of normal household seating.
A problem of considerable concern to health care providers is that of patients leaving a wheel chair when the patient is not safely ambulatory. The use of restraints to ensure the safety and well-being of such patients is becoming impracticable in many instances, not only because of legal issues relating to patient's rights, but also because of a change to a more considered approach by medical and nursing staff toward patients. Concerns regarding the use of restraints are even more acute in the case of home care where patients are typically cared for by family members.
There is a need, therefore, for a less invasive approach to monitor patients restricted to a wheel chair or other type of seating and to alert health care providers when patients attempts movement on their own.
Summary of the Invention
Briefly stated, the invention is a preferred form is a chair occupancy monitoring device which has a pressure sensitive switch including upper and lower base members composed of a flexible, electrically non-conductive material. An upper electrically-conductive path is mounted to an interior portion of the lower surface of the upper base member and a lower conductive path is mounted to the interior portion of the upper surface of the lower base member. Electrically non-conductive separator members are disposed adjacent the perimeter portion the upper base member and the perimeter portion of the lower base member, separating the upper and lower conductive paths to form a gap. At least one electrically non-conductive contact limiter member is disposed intermediate the upper and lower conductive paths, providing at least one covered portion of the lower conductive path and at least one uncovered portion of the lower conductive path. The separator members and contact limiter each have a compressibility defining a spring constant where the spring constant for the contact limiter member is greater than the spring constant of the separator member. When a patient is present in the chair, the patient's weight provides sufficient pressure to compress the separator members and the contact limiter member such that the upper conductive path closes the gap to contact the uncovered portion of the lower conductive member and complete an electrical circuit. When the patient attempts to exit the chair, the resulting reduction of pressure allows the contact limiter and separator to expand. The contact limiter member biases the upper conductive path to break the contact between the upper and lower conductive paths and the side separators bias the upper base member to open the gap.
The opening of the circuit causes activation of an associated monitoring device, which may be a standard home security system, connected with the pressure-sensitive switch through associated electronic circuitry to alert the care giver that the patient is attempting movement on his or her own.
It is, therefore, an object of the invention to provide a simple and reliable electronic device which automatically alerts nursing staff or other care givers should a patient attempt to exit a wheel chair or other type of normal household seating unattended.
It is further object of the invention to provide such a device which can be utilized in combination with standard monitoring devices such as home security systems.
Other objects and advantages of the invention will become apparent from the drawings and specification.
Brief Description of the Drawings
The present invention may be better understood and its numerous objects and advantages will become apparent to those skilled in the art by reference to the accompanying drawings in which:
FIG. 1 is a top plan view, partly in phantom, of chair occupancy monitoring device in accordance with the invention which is installed in monitoring system;
FIG. 2 is a cross-section view taken along line 2--2 of FIG. 4;
FIG. 3 is a cross-section view taken along line 3--3 of FIG. 4;
FIG. 4 is an exploded cross-section view taken along line 4--4 of FIG. 1;
FIG. 5 is a cross-section view taken along line 5--5 of FIG. 1; and
FIG. 6 is a side view of the chair occupancy monitoring device of FIG. 1.
Detailed Description of the Invention
With reference to the drawings wherein like numerals represent like parts throughout the several figures, a chair occupancy monitoring device in accordance with the present invention is generally designated by the numeral 8. With reference to FIGS. 2-4, the chair occupancy monitoring device 8 comprises a pressure-sensitive switch 10 which includes upper and lower base members 12, 14 which are formed from thin, non-conductive, flexible material. Preferably, this material is high-density polyethylene, although it should be understood that the invention is in no way limited in this regard and that a wide range of other non-conductive, flexible materials may be used. The base members 12, 14 are generally of rectangular configuration, and in the illustrated embodiment measure about 0.023 inches thick, 3.500 inches wide and about 8 inches long.
Each of the base members 12, 14 has, respectively, an outer surface 20, 22 and an inner surface 24, 26. A conductive path 28 is mounted on the inner surface 24 of base member 12, and conductive path 30 is mounted on the inner surface 26 of base member 14. While the conductive paths 28 and 30 may be hard wired in a conventional manner, in the preferred embodiment they are formed from a conductive, carbon graphite ink or paint which is silk-screened or otherwise uniformly applied to the inner surfaces 24, 26. The ink is combined with an acetate to enhance adhesion of the ink to the polyethylene, and with the ink in place, conductive value is maintained regardless of bending or twisting of the base members 12, 14.
In the illustrated embodiment, conductive paths 28 and 30 are about 0.001 to about 0.003 inches thick, about 1.500 inches wide and about 6 inches in length. The conductive paths are placed on the inner surfaces 24, 26 about 1.500 inches from the left end of the switch apparatus 10 as shown in FIGS. 1 and 2 and about 0.500 inches from the opposite end of the base members 12, 14.
Conductive wires 32, 34 are adhered to the conductive paths 28, 30, respectively, by adhesive areas 36, 38. The wires 32, 34 are insulated close to the conductive paths 28, 30 to prevent contact with other conductive components of the switch apparatus 10 and are jacketed to form a cable 40 to exit the switch apparatus. The cable 40 is adhered in place by a pad 42 of adhesive polyethylene foam mounted on inner surface 26. The foam pad 42 is adhesive on all sides and surrounds the exiting cable 40 to provide strain relief. In addition, the adhesive pad 42 provide bonding between base members 12 and 14. In the preferred embodiment of the invention, the foam pad 42 is 0.062 inches thick, about 1.250 inches wide and about 2.0 inches long. One more adhesive pad 46 is provided at the opposite end of the base member 14 to provide additional areas of bonding between the base members 12, 14. In the preferred embodiment, the pad 46 is about 0.062 thick and measure about 2 inches in width and about 0.500 inches in length.
Of course, other means for securing the wires 32, 34 to the conductive paths 28, 30 and for bonding the base members 12, 14 to one another could be substituted for the adhesive areas 36, 38 and the adhesive pads 42 and 46 without departing from the scope of the invention.
As shown in FIGS. 4 and 5, the side contact separators 16, 18 are formed from thin, non-conductive flexible material. Preferably, this material is high-density polyethylene, although it should be understood that the invention is in no way limited in this regard and that a wide range of other non-conductive, flexible materials may be used. The side contact separators 16, 18 are generally of rectangular configuration, and in the illustrated embodiment measure about 0.030 inches thick, 0.750 inches wide and about 8 inches long. Each of the side contact separators 18, 16 has, respectively, an upper surface 50, 52 and a lower surface 54, 56. The side contact separators 16, 18 are attached to the inner surface 26 of base member 14, by thin adhesive pads 44, 48. The adhesive pads 44, 48 are adhesive on all sides and measure about 0.002 inches thick, 0.750 wide and about 8 inches long. The adhesive pads 44, 48 are applied to the lower surfaces 54, 56 of the side contact separators 18, 16 and are attached to the base member 14 inner surface 26.
The center contact limiters 58 are one-side adhesive pads about 0.015 inches thick, 0.750 inches wide and 2 inches long composed of cloth tape. Each of the center contact limiters 58 has respectively, an upper surface 60 and a lower surface 62. Preferably, the lower surface 62 is the adhesive side and the upper surface 60 has no adhesive. The center contact limiters 58 are attached to the conductive path 30 with the lower surface 62.
It should be appreciated that patients will sit on the chair occupancy monitoring device for extended periods of time. The forces imposed by such prolonged occupancy can have deleterious effects on the operation of the switch, resulting in a delay in actuation of the alarm when the patient exits the chair. The side contact separators 16, 18 and the center contact limiters 58 cooperate to minimize the effects of prolonged periods of application of weight to the device 8 and to minimize the time period for actuation of the alarm.
As shown in FIG. 5, the side contact separators 16, 18 define an air gap 82 between the upper and lower base members 12, 14 which has substantially the same dimensions as the thickness of the side contact separators 16, 18, 0.030 inches. The conductive paths 28, 30 each have a thickness of 0.001 to 0.003 inches, thereby defining a switch closure gap 84 having a width of 0.028 to 0.024 inches. The center contact limiters 58 are mounted within the switch closure gap 84 and have a thickness of 0.015 inches. When the patient sits on the device 10, the side contact separators are compressed, allowing the upper conductive path 28 to close the switch closure gap 84 until the upper conductive path 28 engages the center contact limiters 58. Continued pressure causes the center contact limiters 58 to be compressed, allowing the upper conductive path 28 to contact the lower conductive path 30 in the areas not covered by the center contact limiters 58 and thereby complete the circuit.
Utilizing both the side contact separators 16, 18 and the center contact limiters 58 as biasing members prevents inelastic deformation of either biasing member and ensures that the switch will open promptly. Further, the difference in thickness and the difference in materials between the center contact limiters 58 and the side contact separators 16, 18, results in the center contact limiters acting as a stiffer spring than the side contact separators 16, 18. Therefore, the center contact limiter 58 expands substantially immediately after the patient's weight is removed from the chair, forcing the upper conductive path 28 away from the lower conductive path 30, breaking the electrical contact. Expansion of the side contact separators 16, 18 fully opens the switch 10.
The switch apparatus 10 is entirely enclosed between two high density foam pads 64, 66 to form a cushion 68. The cushion 68 provides greater comfort for the patient, protects the switch 10, and keeps the switch 10 dry. Each foam pad 64, 66 is about 0.500 inches thick, 11 inches wide and 13 inches long. The switch 10 is attached to foam pad 64 with a standard foam spray adhesive and foam pad 66 is attached to foam pad 64 with a standard foam spray adhesive.
The foam cushion 68 is entirely enclosed in a vinyl covering 70, as shown in FIG. 1. The covering 70 is made from a thin, flexible medical grade polyvinyl chloride about 0.012 inches thick, 11.125 wide and 13.125 long. One end 80 is tapered to allow cable 40 enclosing conductive wires 32, 34 to exit the device 8. A cable clamp 74 secures the cable 40 to the tapered end 80 of the vinyl covering 70. A beading surrounds the covering 70 where each side has been wielded to form the covering.
The cover 70 is slightly larger in width and longer in length then the foam cushion 68 to accommodate breathing apertures 72 which are positioned in the space between the edges of the cushion 68 and the cover 70. Preferably, the breathing apertures 72 are about 0.100 inches in diameter and are located as pairs on all corners of the vinyl covering 70. The breathing apertures 72 allow air to return to the foam cushion 68 quickly when the patient removes their weight from the foam cushion 68.
As shown in FIG. 1, the cable 40 terminates with a connector 76 to facilitate hook-up and operation of an electronic control 78. The control 78 monitors the pressure applied and removed from the switch apparatus. With the chair occupancy monitoring device 8 in place on a wheelchair or other chair, the control 78 is able to monitor the patient beginning to exit the wheelchair or chair placing the patient in potential danger of injury.
In practice, the switch is designed to remain open absent the presence of the patient in the chair. When the patient is in a proper sitting position, the switch is closed. When the patient rises from the chair, base member 12 retracts from the contact limiters 58 and side contact separators 16 and 18, to cause an open condition and sound an alarm through the control 78.
It is further recognized, the switch apparatus may be placed on the back of a chair, to monitor a patient should they begin to fall forward, placing themselves in a medically compromising position. It is also recognized, that pressure sensitivity may be altered by simply changing the dimensions of the contact limiters 58 and side contact separators 16 and 18.
While preferred embodiments have been shown and described, various modifications and substitutions may be made thereto without departing from the spirit and scope of the invention. Accordingly, it is to be understood that the present invention has been described by way of illustration and not limitation.