Sleeping position-controlling bed system
09757295 · 2017-09-12
Assignee
Inventors
Cpc classification
G06V40/103
PHYSICS
A61G7/015
HUMAN NECESSITIES
A61G7/008
HUMAN NECESSITIES
A61G7/0573
HUMAN NECESSITIES
A61G7/005
HUMAN NECESSITIES
International classification
A61G7/00
HUMAN NECESSITIES
A61G7/015
HUMAN NECESSITIES
Abstract
The sleeping-posture-control bed system includes a bed floor including a back-lifting portion for lifting the user's back, a bed-floor support body supporting the bed floor, and a back-lifting driver for lifting the head side of the back-lifting portion. The back-lifting portion includes a back-receiving surface and a head-receiving surface tiltable at different angles. The back-lifting driver lifts the back-receiving surface and the head-receiving surface, satisfying Mathematical Formula (1):
0°<θx≦70°,−45°≦θy<0°, and −30°≦θx+θy (1) where θx is the tilt angle of the back-receiving surface when tilted, and the tilt angle of the back-receiving surface when the back-receiving surface is not lifted is set to be 0°; and θy is the tilt angle of the head-receiving surface when the angle of an extended line of the back-receiving surface at the tilt angle θx is referred to as 0°.
Claims
1. A sleeping-posture-control bed system comprising: a bed floor including a back-lifting portion for lifting a user's back; a bed-floor support body supporting the bed floor; a back-lifting driver for lifting a head side of the back-lifting portion to tilt the back-lifting portion; and a head detector, wherein the back-lifting portion includes a back-receiving surface and a head-receiving surface, each tiltable at different angles, the head detector detects whether the user's head is located on the head-receiving surface or not, the bed-floor support body includes a bed tilt driver for tilting the bed floor, when the head detector detects that the user's head is located on the head-receiving surface, the back-lifting driver tilts the head-receiving surface and the back-receiving surface within a range of satisfying Mathematical Formula (1), and when the head detector does not detect that the user's head is located on the head-receiving surface, the back-lifting driver does not tilt the head-receiving surface or the back-receiving surface, the Mathematical Formula (1) being:
0°<θx≦70°,−45°≦θy<0°, and −30°≦θx+θy (1) where θx is a tilt angle of the back-receiving surface when tilted, and the tilt angle of the back-receiving surface when the back-receiving surface is not tilted is set to be 0°, and θy is a tilt angle of the head-receiving surface when an angle of an extended line of the back-receiving surface at the tilt angle θx is referred to as 0°, a sleep monitor for monitoring sleep of the user sleeping on the bed floor; a parasomnia detector for detecting a presence or absence of parasomnias on a basis of monitoring data of the sleep monitor; and a back-lifting tilt controller for determining a value of θx and a value of θy on a basis of a detection result of the parasomnia detector and also determining a tilt direction and angle of the bed floor, the back-lifting tilt controller being for driving the back-lifting driver and the bed tilt driver so as to satisfy the value of θx and the value of θy and the tilt direction and angle of the bed floor.
2. The sleeping-posture-control bed system of claim 1, further comprising a face direction detector for detecting whether the user's face is up, tilted to the right, tilted to the left, or down with respect to the head-receiving surface.
3. A sleeping-posture-control bed system comprising: a bed floor including a back-lifting portion for lifting a user's back; a bed-floor support body supporting the bed floor; and a back-lifting driver for lifting a head side of the back-lifting portion to tilt the back-lifting portion, wherein the bed-floor support body includes a bed tilt driver for tilting the bed floor, the back-lifting portion includes a back-receiving surface and a head-receiving surface, each tiltable at different angles; and the back-lifting driver tilts the back-receiving surface and the head-receiving surface to prevent an increase in a pressure of blood flow into the user's head and to change the user's posture within a range of satisfying Mathematical Formula (2):
0°<θx≦70°,−45°≦θy<0°, and −0°≦θx+θy (2) where θx is a tilt angle of the back-receiving surface when tilted, and the tilt angle of the back-receiving surface when the back-receiving surface is not tilted is set to be 0°, and θy is a tilt angle of the head-receiving surface when an angle of an extended line of the back-receiving surface at the tilt angle θx is referred to as 0°, a sleep monitor for monitoring sleep of the user sleeping on the bed floor; a parasomnia detector for detecting a presence or absence of parasomnias on a basis of monitoring data of the sleep monitor; and a back-lifting tilt controller for determining a value of θx and a value of θy on a basis of a detection result of the parasomnia detector and also determining a tilt direction and angle of the bed floor, the back-lifting tilt controller being for driving the back-lifting driver and the bed tilt driver so as to satisfy the value of θx and the value of θy and the tilt direction and angle of the bed floor.
4. The sleeping-posture-control bed system of claim 3, further comprising a head detector for detecting whether the user's head is located on the head-receiving surface or not, wherein when the head detector detects that the user's head is located on the head-receiving surface, the back-lifting driver tilts the head-receiving surface and the back-receiving surface within the range of satisfying Mathematical Formula (2), and when the head detector does not detect that the user's head is located on the head-receiving surface, the back-lifting driver does not tilt the head-receiving surface or the back-receiving surface.
5. The sleeping-posture-control bed system of claim 3, further comprising a face direction detector for detecting whether the user's face is up, tilted to the right, tilted to the left, or down with respect to the head-receiving surface.
6. A sleeping-posture-control bed system comprising: a bed floor including a back-lifting portion for lifting a user's back; a bed-floor support body supporting the bed floor; and a back-lifting driver for lifting a head side of the back-lifting portion to tilt the back-lifting portion, wherein the bed-floor support body includes a bed tilt driver for tilting the bed floor, the back-lifting portion includes a back-receiving surface and a head-receiving surface, each tiltable at different angles; and the back-lifting driver tilts the back-receiving surface and the head-receiving surface to prevent an increase in a pressure of blood flow into the user's head and to change the user's posture within a range of satisfying Mathematical Formula (3):
2°≦θx≦85°,−45°≦θy≦−2°, and −0°≦θx+θy (3) where θx is a tilt angle of the back-receiving surface when tilted, and the tilt angle of the back-receiving surface when the back-receiving surface is not tilted is set to be 0°, and θy is a tilt angle of the head-receiving surface when an angle of an extended line of the back-receiving surface at the tilt angle θx is referred to as 0°, a sleep monitor for monitoring sleep of the user sleeping on the bed floor; a parasomnia detector for detecting a presence or absence of parasomnias on a basis of monitoring data of the sleep monitor; and a back-lifting tilt controller for determining a value of θx and a value of θy on a basis of a detection result of the parasomnia detector and also determining a tilt direction and angle of the bed floor, the back-lifting tilt controller being for driving the back-lifting driver and the bed tilt driver so as to satisfy the value of θx and the value of θy and the tilt direction and angle of the bed floor.
7. The sleeping-posture-control bed system of claim 6, further comprising a head detector for detecting whether the user's head is located on the head-receiving surface or not, wherein when the head detector detects that the user's head is located on the head-receiving surface, the back-lifting driver tilts the head-receiving surface and the back-receiving surface within the range of satisfying Mathematical Formula (3), and when the head detector does not detect that the user's head is located on the head-receiving surface, the back-lifting driver does not tilt the head-receiving surface or the back-receiving surface.
8. The sleeping-posture-control bed system of claim 6, further comprising a face direction detector for detecting whether the user's face is up, tilted to the right, tilted to the left, or down with respect to the head-receiving surface.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
(26) Embodiments of the present invention will now be described with reference to the accompanying drawings.
First Embodiment
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(28) The bed floor includes a head-receiving surface portion 17, a back-receiving surface portion 16, a waist-receiving surface portion 20, an upper-leg-receiving surface portion 24, and a lower-leg-receiving surface portion 25 (see
(29) As shown in
(30) The bed-floor support body which supports the bed floor includes the head frame 12 and the foot frame 13, which are inverted U-shaped and have foot parts 30 at their bottom; two or more head-foot connecting members 29 connecting the head frame 12 and the foot frame 13; drivers for vertically moving the bed floor (actuators 22 and 23); and rollers 33 with brakes attached to the bottom of the foot parts 30. As shown in
(31) The suspension members 15 each include a driver 26 for tilting the bed floor in the lateral direction, so that the bed floor can be tilted in the lateral direction (can be rotated about the rotary shaft pin 14) (see
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(33) In this configuration, the sleep monitor 802 monitors and detects at least one of the following monitoring elements, which are indicators of parasomnias. Examples of the monitoring elements include heart rate, blood pressure, body temperature, body surface temperature, brain waves, blood oxygen levels, the number of body movements, changes in body posture, the amount of CO.sub.2 in the atmosphere around the user, the gas flow rate around the mouth and nose of the user, snoring sound, and teeth-grinding sound. In order to detect these monitoring elements, the sleep monitor includes, near the bed body, at least one of the following devices: an overnight polysomnography; a brain wave sensor; a biosensor for measuring and recording electrocardiogram/heartbeat/body surface temperature/triaxial acceleration (posture) in real time; a pulse oximeter for monitoring pulse rate and saturation of pulse oximetry oxygen (SpO.sub.2); a sheet-like multipoint pressure sensor for monitoring body movements; a radio frequency sensor for body movements; a monitoring camera; an air-flow sensor; a gas component sensor; a sound sensor; and a vibration sensor.
(34) The parasomnia detector 803 determines the presence or absence of parasomnias on the basis of the monitoring data of the sleep monitor 802. The parasomnia detector 803 may be configured to determine the presence or absence of parasomnias by comparing the information detected by the sleep monitor 802 with criteria information stored in the storage device and then to determine the type of parasomnias.
(35) The head position detector 807 detects the presence or absence and position of the user's head on the head-receiving surface. This detection is performed by comparing the information of the head detector attached to the head-receiving surface with the information stored in the storage device. The face direction detector 806 determines the face direction of the user. One approach to detecting the head position and the face direction is to use a monitoring camera as a main element of the head position detector 807 or the face direction detector 806, and to compare information taken with the monitoring camera with the information stored in the storage device. Another approach is to compare the pressure distribution information of the pressure-sensitive sheet 36 (see
(36) The back-lifting tilt controller 804 determines the tilt angle of each of the back- and head-receiving surfaces on the basis of the monitoring data of the sleep monitor 802 and the detection information of the head position detector 807 and the face direction detector 806. The back-lifting tilt controller 804 then tilts the back- and head-receiving surfaces as determined. The tilt angle θx of the back-receiving surface and the tilt angle θy of the head-receiving surface at some time point may be stored in the memory of the back-lifting tilt controller 804. Alternatively, the tilt angle of the back-receiving surface and/or the tilt angle of the head-receiving surface may be divided into multiple steps, and the tilt step number of each of the back- and head-receiving surfaces may be stored in a counter formed in the back-lifting tilt controller 804.
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(38) It is preferable that the mattress and the mattress pad to be placed on the bottom surface be easily bendable, for example, locally bendable (such as a mattress with seams, a mattress made of natural rubber or foamed urethane with nicks at which the mattress is bent). The mattress and the mattress pad are placed on the bed bottom surface so that their bending portions coincide with the bending portions of the bed bottom surface. The mattress pad may be fixed to the bottom surface using a fixing means such as a zipper, buttons or a band. This prevents the mattress pad from slipping down the bed bottom surface while the bottom surface is lifted or tilted in the lateral direction.
(39) If the user's face is not up (supine), or his/her head is not in the central region of the head-receiving surface in the vertical direction, the tilting of the back- and head-receiving surfaces may not have the effect of widening his/her airway. Therefore, the back-lifting tilt controller 804 is preferably configured to operate as follows. The back- and head-receiving surfaces are tilted only when the effect of reducing parasomnias can be anticipated from the information of the parasomnia detector 803, the head position detector 807, and the face direction detector 806. When such a reduction effect cannot be anticipated, instead of tilting the back- and head-receiving surfaces, a warning can be issued to the user or the helper by, for example, sounding a beeper or showing a warning sign on the display screen. It is also preferable to issue such a warning also when the tilt angles of the back- and head-receiving surfaces are at their maximum when abnormality is detected and cannot be tilted any further.
(40) When the user is supine, and his/her head is in the central region of the head-receiving surface in the vertical direction, the back- and head-receiving surfaces are tilted to widen his/her airway. In this situation, the user is monitored to detect apnea or hypopnea. When the user is not supine, if his/her head is not in the central region of the head-receiving surface in the vertical direction or if the parasomnias are not reduced even after the tilt of the head-receiving surface (a negative angle of elevation) is gradually increased up to the maximum, then a beeper is sounded to alert the helper or the user. Note that this is merely one example, and the conditions and procedure of the tilting may be set arbitrarily. As the conditions and procedure of the tilting, software information to drive the back-lifting driver 805 can be stored in the storage device of the back-lifting tilt controller 804.
(41) The back-lifting driver 805, which is a driver for tilting the user's upper body, includes a driver for the back-receiving surface which tilts the back-receiving surface, and a driver for the head-receiving surface which tilts the head-receiving surface. The back-lifting driver 805 controls these drivers so as to bend the back- and head-receiving surfaces into an inverted “V” shape. As a result, the user's body is bent into an inverted “V” shape at his/her neck with his/her head down. As shown
(42) Similar to the parasomnia detector 803, the storage device only needs to be accessible from the processing unit via a wired or wireless circuit. Furthermore, the processing unit of the parasomnia detector 803 may also serve as the processing unit of the back-lifting tilt controller 804. In addition, the storage device of the parasomnia detector 803 may also serve as the storage device of the back-lifting tilt controller 804.
(43) The operating unit 11 can be composed, for example, of a computer including an arithmetic device, a control device, a storage device, an input device, an output device issuing a warning sound, an ON-OFF switch, and a display device for showing the control state. The arithmetic device and the storage device may be configured to also be used for the parasomnia detector 803, the back-lifting tilt controller 804, the face direction detector 806, and the head position detector 807. Alternatively, each of these components may have an arithmetic device and a storage device of its own. It is possible that some of these components may be connected to each other via wired or wireless communication so that not all components are installed in the operating unit 11. It is also possible that the storage device stores sleep monitoring information, and the doctor acquires the information via communication lines or from external memory so as to examine the user suffering from parasomnias using the information.
(44) The back-lifting driver 805 is composed of the actuator in the first embodiment; alternatively, however, any driving system that can achieve every required movement can be used instead. Each of the inverted U-shaped frames 12 and 13 can include a body formed of a large-diameter pipe and the two foot parts each formed of small-diameter pipes. These different-diameter pipes are slidably combined. In this structure, it is possible to install in the pipes either an actuator or a motor-driven screw or gear mechanism, all of which can move vertically in synchronization with the driver for vertically moving the bed floor (actuator 23).
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(46) In this case, the included angle between the back-receiving surface portion 16 and the head-receiving surface portion 17 varies as shown in
0°<θx≦70°,−45°≦θy<0°, and −30°≦θx+θy (1)
0°<θx≦70°,−45°≦θy<0°, and 0°≦θx+θy (2); and
2°≦θx≦85°,−45°≦θy≦−2°, and 0°≦θx+θy (3).
Note that the tilt angle θy is a negative value when it is smaller than the angle of an extended line of the back-receiving surface.
(47) The angle of the back-receiving surface portion 16 and the magnitude of the tilt angle of the head-receiving surface portion 17 with reference to the back-receiving surface portion 16 needs to be set appropriately depending on the clinical condition of the user because it greatly affects his/her parasomnia. For example, a patient with severe sleep apnea syndrome needs to have his/her head tilted far back (bent in the negative direction) to establish an open airway. The bed system 1 of the present invention is configured to increase the |θy| (to tilt the head back) with an increase in the tilt angle θx, not to tilt only the user's head far back in the negative direction (to increase |θy|). This configuration prevents the user's head from being lower than the horizontal surface (the surface on which the bed is placed), thereby preventing too much blood from rushing to his/her head.
(48) If, however, the |θy| is very large, the user is subjected to a large load, and may have a neck sprain. To avoid this, the angles θx and θy are set appropriately depending on the user's age, health status, and clinical condition. More specifically, [θx+θy] can be not less than 0°, and preferably be one of the following: larger than 0°, not less than 2°, not less than 5°, not less than 7°, and not less than 10°. The lower limit of the tilt angle θy is set to −45°, and more preferably be one of the following: 30°, 20°, 10°, 5°, and 3°. When the bed system 1 is applied to bedridden elderly people, it is preferable that −20°≦θy<−3°.
(49) The head-receiving surface is constantly set to not less than 0° ([θx+θy] is not less than 0°) with respect to the bottom surface (the surface perpendicular to the direction of gravity), and the back-receiving surface is tilted to form an inverted “V” shape with the head-receiving surface. This configuration keeps the user's head higher than his/her heart, preventing too much blood from rushing to his/her head. As a result, the user's airway can be widened without a large load being applied to the user.
(50) In the sleeping-posture-control bed system of the first embodiment, the back- and head-receiving surface portions 16 and 17 are driven separately by the two drivers (the driver 18 for the back-receiving surface and the driver 19 for the head-receiving surface, respectively). These drivers are configured to be driven under the tilt conditions set by the operating unit 11, but this configuration does not limit the present invention thereto. For example, it is alternatively possible to form a quadric crank mechanism including the back- and head-receiving surface portions 16 and 17: the back-receiving surface portion 16 is lifted by an actuator, and the head-receiving surface portion 17 is lifted in conjunction with this. A similar structure can be applied to the upper-leg-receiving surface portion 24 and the lower-leg-receiving surface portion 25. Furthermore, at least one component of the quadric crank mechanism can be made variable to adjust the tilt of the head-receiving surface portion 17. It is also possible to provide a driver (for example, an actuator) to the head-receiving surface portion so as to control the tilt of the head-receiving surface.
(51) In the bed floor of the bed system of the first embodiment, it is preferable that the back-receiving surface portion 16 be configured to be stretchable in the longitudinal direction of the bed depending on the length of the user's body so that the user's head can be on the head-receiving surface portion 17 when the back-receiving surface portion 16 is lifted on the head-receiving surface portion 17 side. Such a modified example will now be described with reference to
(52) As shown in
(53) Meanwhile, the back-receiving-surface longitudinal elastic member 602b has a hollow inside, and the inner wall of the hollow is provided with a groove meshing with the spiral groove of the rotary rod 603. The elastic member 602b is inserted in the main member 602a in such a manner that the groove meshes with the spiral groove of the rotary rod 603, thereby forming the back-receiving surface portion 16.
(54) The longitudinal length of the back-receiving surface portion 16 with this configuration can be adjusted depending on the length of the user's body by rotating the motor 604 forward and backward so that the user's head can be placed on the head-receiving surface portion 17. This adjustment can be achieved as follows. For example, the helper can operate the operating unit 11 while checking the lifted angle and position of the user's head. Alternatively, the computer of the operating unit 11 can be configured to automatically control the direction and amount of rotation of the motor 604 on the basis of the information from the head position detector (see
(55) It is also preferable that longitudinal reinforcing members 605 and 606 shown in
(56) The above-described stretching mechanism includes the motor-driven rotary rod with the spiral groove, but other stretching mechanisms can be employed. For example, the back-receiving surface portion 16 can have an accordion-folded structure stretchable in the longitudinal direction. The stretching of the accordion-folded structure is adjusted by pulling this structure from one side by a spring mechanism and from the other side by a power mechanism.
(57) To make the structure more understandable,
(58) When a pillow is placed under the user's head in addition to the mattress pad and the like, at least the thickness of the pillow affects the angle of the neck. Therefore, the angles in Mathematical Formulas (1) to (3) are adjusted in consideration of the thicknesses of the mattress pad and the pillow so that the crossing angle between the back- and head-receiving surfaces can substantially satisfy one of Mathematical Formulas (1) to (3). More specifically, in the case of using a mattress pad, a mattress, and a pillow, it is preferable to adjust the tilt angle of the head-receiving surface (the angles in Mathematical Formulas (1) to (3) shown above) depending on the thickness of each of the mattress pad, the mattress, and the pillow. This allows the tilt of the head with respect to the body center line 35 (see
(59) The following is a description, with reference to
0°<θx≦70°,−45°≦θy<0°, and −30°≦θx+θy Mathematical Formula (1)
0°<θx≦70°,−45°≦θy<0°, and −0°≦θx+θy Mathematical Formula (2)
2°≦θx≦85°,−45°≦θy≦−2°, and −0°≦θx+θy Mathematical Formula (3)
(60) The flowchart showing the basic operation of the sleeping-posture-control bed system of the first embodiment will now be described in the case of monitoring the user's sleep apnea syndrome as a parasomnia with reference to
(61) The process is started when the power switch is turned on and the presence of the user on the bed floor is detected.
(62) Step S101
(63) This process is started from the state in which neither the back-receiving surface nor the head-receiving surface is tilted. First, a switch in the operating unit is operated to cancel the tilt (the bottom surface is made horizontal), and the counter to store the tilt step number is reset to 0.
(64) Step S102
(65) Next, the parasomnia detector determines the presence or absence of parasomnias from the monitoring information of the sleep monitor. If the user is determined to have parasomnia, the process proceeds to Step S103; otherwise to Step S110.
(66) Step S103
(67) The face direction detector determines the user's face direction from the information of the head position detector. When the face is up, the process proceeds to Step S104; otherwise to Step S109.
(68) Step S104
(69) The head position detector detects the head position on the head-receiving surface. When the head is in the central region in the vertical direction, the process proceeds to Step S105; otherwise to Step S109.
(70) Step S105
(71) The tilt step of each of the head- and back-receiving surfaces at the present moment is determined from the above-mentioned counter information. If the tilt step number is not at maximum, the process proceeds to Step S106; otherwise to Step S109.
(72) Step S106
(73) Since the head- and back-receiving surfaces can be tilted further, they are tilted one step farther so as to widen the user's airway. Then, the process proceeds to Step S107. The storage device of the back-lifting tilt controller 804 stores the tilt angle θx of the back-receiving surface; the tilt angle θy of the head-receiving surface, and their sum θx+θy (satisfying at least one of mathematical formulas (1) to (3)) by dividing them in multiple steps. The back-lifting tilt controller 804 controls the operation of the back-lifting driver on the basis of this information, thereby tilting the back-receiving surface and/or the head-receiving surface.
(74) Step S107
(75) The counter is incremented by 1 to update the tilt step number stored therein. Then, the process proceeds to Step S108.
(76) Step S108
(77) If this tilting procedure causes sleep monitoring to be resumed before the user recovers from the abnormal condition, the head and back-receiving surfaces may be tilted too much. To avoid this, after the tilting procedure, it is confirmed that a predetermined time has passed before the sleep monitoring is resumed. When it is confirmed, the process returns to Step S102 to continue the sleep monitoring; otherwise, Step S108 is repeated. The predetermined time can be set, for example, to three, five, or ten minutes and be stored by a doctor, a nurse, or the like.
(78) Step S109
(79) In this step, parasomnias are present and also the user is in one of the following conditions: (1) the face is not up; (2) the head is not in the central region of the head-receiving surface in the vertical direction; and (3) the tilt is already at its maximum. These cases indicate that either the user cannot be expected to recover from the parasomnia even if the head- and back-receiving surfaces are tilted, or the head- and back-receiving surfaces cannot be tilted any further. Therefore, a warning is issued to indicate that the user has a parasomnia. The warning can be, for example, directly alerted to the user as voice, vibration, etc. or be informed to the helper as warning voice, vibration, warning image, etc.
(80) Step S110
(81) When the parasomnias are absent, it is determined whether the termination signal is present or not. The termination signal is determined to be present when the termination signal switch is turned off or when the user is not detected in bed. When the termination signal is absent, the process proceeds to Step S102 where the presence or absence of the termination signal continues to be detected while the user's parasomnias are continuously monitored. When the termination signal is present, a termination operation is performed. The termination operation may alternatively be performed after the tilt is cancelled.
Modified Flowchart of the First Embodiment
(82) As shown in
(83) Step S107
(84) The counter is incremented by 1 to update the tilt step number stored therein. In addition, the time when the tilting procedure is completed is stored in the timer. Then, the process proceeds to Step S108.
(85) Step S110
(86) When the parasomnias are absent, it is determined whether the termination signal is present or not. The termination signal is determined to be present when the termination signal switch is turned off or when the user is not detected in bed. When the termination signal is absent, the process proceeds to Step S111.
(87) Step S111
(88) Before proceeding to the monitoring of parasomnias, it is determined whether the head- and back-receiving surfaces are tilted at the present moment or not. When they are not tilted (the counter storing the tilt step number shows 0), the process returns to Step S102 to keep monitoring the parasomnias; otherwise (the counter shows other than 0) the process proceeds to Step S112.
(89) Step S112
(90) The time the head- and back-receiving surfaces are tilted is confirmed to determine whether a predetermined time has passed since the time the tilting procedure is completed. This predetermined time can be set, for example, to 20 or 30 minutes and be stored by the doctor, the nurse, or the like. When the predetermined time has passed, the process proceeds to Step S113; otherwise to Step S102.
(91) Step S113
(92) The tilt step number of each of the head- and back-receiving surfaces is reduced by 1, and the process proceeds to Step S114.
(93) Step S114
(94) The counter is decremented by 1 to update the tilt step number stored therein. In addition, the time when the tilting procedure is completed is updated in the timer. Then, the process proceeds to Step S102 to resume sleep monitoring.
(95) The tilt is returned one step at a time in the above-described example, but may alternatively be returned by two or more steps at a time, or be reset to 0 after a predetermined time has passed. The cancellation of the tilt and the reset of the counter (in Step S101) may alternatively be performed upon detection of the switch-off operation or the user's absence (after Step S110 and before the end of the process).
(96) In the case that the longitudinal length of the back-receiving surface portion 16 is stretchable, the back-lifting tilt controller 804 can include a memory to store the longitudinal length of the portion 16, and the operational flowchart in
(97) Between Steps S106 and S107 are added additional steps: a step of determining the presence or absence of change in the longitudinal length on the basis of the information from the head position detector 807; and a step of changing (increasing or decreasing) the longitudinal length of the back-receiving surface portion 16 when the change in the longitudinal length is determined to be present. At this moment, the back-lifting tilt controller 804 determines the amount of change in the longitudinal length of the portion 16 on the basis of the software information stored in the storage device, and controls the operation of the back-lifting driver 805 so as to change the longitudinal length of the portion 16.
(98) In Step S107, the counter is incremented by 1, and the longitudinal length of the back-receiving surface is updated.
(99) The flowchart for determining the presence or absence of parasomnias will be described with reference to
(100) Step S201
(101) When the operation is started, first of all, the CO.sub.2 concentration sensor starts to continuously monitor the gas component concentration around the user's mouth and nose. When the concentration is determined to be less than a threshold (indicating hypopnea or apnea), the process proceeds to Step S202; otherwise (not less than the threshold) to Step S204.
(102) Step S202
(103) When the concentration is determined to be less than the threshold, the detector calculates the time during which the concentration is less than the threshold. When this duration is equal to or more than a predetermined time (for example, ten seconds), the process proceeds to Step S203; otherwise to Step S204.
(104) Step S203
(105) When the concentration less than the threshold continues for the predetermined time or more, the user has hypopnea or apnea. As a result, the parasomnia is determined to be present.
(106) Step S204
(107) When the concentration is not less than the threshold, or the concentration less than the threshold does not continue for the predetermined length or more, the user does not have hypopnea or apnea. As a result, the parasomnia is determined to be absent.
(108) The sleeping-posture-control bed system described above includes only minimum components, but may include other additional components such as frames or reinforcing members to reinforce the bed body or the bed bottom.
(109) The bed system may further include a controller allowing the user or the caregiver to control the tilts by themselves.
(110) As described above, in the present embodiment, the user's airway can be widened by tilting the back- and head-receiving surfaces of the bed floor. This has the effect of reducing or eliminating parasomnias caused by the narrowed airway.
Second Embodiment
(111)
(112) In the configuration shown in
(113) The parasomnia detector 503 determines the presence or absence of parasomnias from the monitoring data of the sleep monitor 502. To achieve this function, the parasomnia detector 503 includes a processing unit such as a central processing unit and a storage device such as a hard disk drive or a flash memory. The detector 503 determines the presence or absence of parasomnias and/or the type of parasomnias by comparing the information detected by the sleep monitor 502 with the criteria information stored in the storage device.
(114) The criteria information is reference information determined by the relationship with the above-mentioned monitoring elements, such as an average person's heart rate, the number of body movements per unit time, body surface temperature, and blood oxygen levels. The types of the parasomnias include apnea, hypopnea, snoring, teeth grinding, abnormal body movement (too many or too few), abnormal body temperature (too low or too high), abnormal blood pressure (too high or too low), and abnormal heart rate (too high or too low).
(115) The storage device only needs to be accessible from the processing unit via a wired or wireless circuit and does not need to be present near the bed. Meanwhile, the processing unit only needs to be configured to acquire monitoring information of the sleep monitor and to perform a determination process, and does not need to be present near the bed.
(116) The tilt driving controller 504 determines the user's face direction from the monitoring information of the sleep monitor 502, and controls the bottom-surface tilting driver on the basis of this determination information and the determination result of the parasomnia detector 503 so that the bottom surface can be tilted. To achieve these functions, the controller 504 includes a processing unit such as a central processing unit, and a storage device for storing the information to determine the user's face direction and software information with which to control the bottom-surface tilting driver. The tilt driving controller determines the face direction by comparing the information to determine the face direction stored in the storage device of the tilt driving controller with the monitoring information of the sleep monitor. The software information is software information for which the bed needs to be tilted in a direction to allow the bottom-surface tilting driver to reduce apnea (to induce the user to a lateral sleeping posture) when the determination result of the parasomnia detector is apnea.
(117) If the user lying supine is detected to have apnea or hypopnea, the bed floor (i.e., the bottom surface) is tilted to induce the user to a lateral (right or left) posture. In this case, the tilt angle is set, for example to 7 degrees. In contrast, if the user lying laterally is detected to have apnea or hypopnea, the user is induced to be supine and then monitored to detect the apnea or hypopnea. If the apnea or hypopnea is not reduced in this condition, the user is induced to the opposite lateral side. If the apnea or hypopnea is not yet reduced (the apnea or hypopnea is detected), the user can be woken up by, for example, a beeper. This tilting procedure can be made arbitrarily, and can be achieved by making the storage device of the tilt driving controller store software information to drive the bottom-surface tilting driver. In the same manner, an appropriate procedure can be made also for teeth grinding or snoring, and software information for tilting can be stored in the storage device of the tilt driving controller.
(118) Similar to the above-mentioned parasomnia detector, the storage device only needs to be accessible from the processing unit via a wired or wireless circuit. Furthermore, the processing unit of the parasomnia detector may also serve as the processing unit of the tilt driving controller. In addition, the storage device of the parasomnia detector may also serve as the storage device of the tilt driving controller.
(119) The bottom-surface tilting driver 505 tilts the bottom surface of the bed body 501 and keeps the tilt of the bottom surface. The driver 505 may be configured to perform the driving and keeping integrally. Alternatively, it is possible to provide both a driving device for tilting the bottom surface and a keeping device for keeping the tilt of the bottom surface.
(120) The tilt driving controller 504 controls the tilting and keeping of the bottom-surface tilting driver 505 integrally. More specifically, the controller 504 controls the operation of the driver 505 so that the bottom surface can be tilted when the parasomnia detector 503 determines the presence of parasomnias. The tilt driving controller 504 can be composed of a well-known control device such as a central control unit (CPU). Alternatively, the control device of the parasomnia detector 503 may also serve as the control device of the tilt driving controller 504.
(121) The barycentric position detector 506 detects the user's center of gravity. The center of gravity is the fulcrum by which the user's full weight can be supported. The detector 506 is configured to detect the position of the projection point when the fulcrum is projected onto the bottom surface. The detector 506 can be composed of a gravity sensor or a multipoint pressure sensor which can be attached to the bed body or to the bed mat to be placed on the bed body. The detector 506 calculates the projection point on the basis of the pressure distribution information of the gravity sensor or the multipoint pressure sensor. The detector 506 may include an image capture device above the bed so that the projection point, which is the center of gravity projected onto the bottom surface, can be calculated through image analysis.
(122) The position information detected by the barycentric position detector 506 is used as follows related to the tilt driving controller 504 and the bottom-surface tilting driver 505. Assume that the position of the projection point corresponding to the user's center of gravity (the position detected by the detector 506) at the time when the parasomnia detector 503 determines the presence of parasomnias is lower than the center line of the tilted bottom surface in the tilt direction, the center line being perpendicular to the tilt direction of the bottom surface 120 and including the center point of the area of the bottom surface 120. In this case, the tilt driving controller 504 makes the bottom-surface tilting driver 505 tilt the bottom surface 120 so that the position of the projection point corresponding to the user's center of gravity is higher than the center line of the tilted bottom surface, the center line being perpendicular to the tilt direction of the bottom surface 120 and including the center point of the area of the bottom surface 120 (see
(123) Assume that the position of the projection point of the center of gravity moves over the threshold after the bottom surface is tilted with reference to the position of the projection point corresponding to the user's center of gravity on the bottom surface at the time when the presence of parasomnias is determined. Upon receiving this information, the tilt driving controller 504 makes the bottom-surface tilting driver 505 decrease the tilt of the bed bottom surface 120. This operation prevents the user from falling off the bed due to a change in his/her posture.
(124) The above-mentioned threshold is determined in consideration of the user's physical strength and clinical condition, the size of the bed bottom area, characteristics of the mat (smoothness of texture, compression-rebound characteristics, compression ratio) etc. The tilt angle of the bottom surface 120 created by the bottom-surface tilting driver 505 only needs to be greater than 0 degrees and be not more than 30 degrees or so, and usually in the range of 0 to about 7 degrees. The software information required for the tilting can be stored in the storage device of the tilt driving controller 504.
(125) The following is a description of the components of the bed body 501 shown in
(126) In the bed-floor support structure 102′, the bed floor portion 102 is supported and suspended at two positions from outside. The bed-floor support structure 102′ includes a tilt control member 112 having a tilt driving means 112a to tilt the bed floor portion 102; a vertically movable frame 107; a vertically driving means 107a for driving the vertically movable frame 107 up and down; two stand frames 103 each having two foot parts 104 stretchable toward the floor surface; a foot-foot connecting frame 105 for connecting the foot parts of the stand frames; a head-foot connecting member 110; a stand connecting frame 106 for fixedly connecting the middle portion of the inverted U-shaped stand frames at an above position; the vertically driving means 107a for connecting the approximate center of the foot-foot connecting frame 105 with the approximate center of the stand connecting frame 106 and for driving also the stand connecting frame 106 up and down; and handrails 115.
(127) The tilt driving means 112a, which composes the bottom-surface tilting driver 505 shown in
(128) In the configuration example shown of
(129) The configuration of the bed body 501 will now be described in detail with reference to the partially enlarged view of
(130) The material of these pipes is not particularly limited and can be, for example, iron, aluminum, titanium, various alloys, or plastic. Their diameters and sizes can be arbitrarily determined. It is also possible to use two separate stand frames that are not U-shaped.
(131) The foot parts of each of the two stand frames are fixedly connected with each other using, as the foot-foot connecting frame 105, a square metal bar (a cross section of 42 mm×42 mm, a length of 1110 mm). The fixed connection can be achieved by welding the square metal bar to the foot parts, connecting them using a connecting fixture, being directly screwed into each other, or any other method.
(132) The stand connecting frame 106 is fixed using a metal bar with a diameter of 45 mm and a length of 1110 mm as the stand connecting frame at a height of 800 mm when the foot parts of the stand frames are minimized in length in the same manner as the foot-foot connecting frame 105.
(133) The vertically movable frame 107 includes a hydraulic cylinder 107a as a vertically driving means fixed near the longitudinal center of the foot-foot connecting frame 105. The hydraulic cylinder is attached at its upper end with a metal pipe with a diameter of 45 mm. The tip of the metal pipe is fixed near the center of the stand connecting frame 106. In the example of
(134) The state of connection between the stand frames 103 and the suspension member 108, and the relationship between the bed body 501, the bottom surface 120, and the suspension member 108 will now be described with reference to
(135) As shown in
(136) In the example of
(137) The tilt control member 112 is attached to a shoulder of the suspension member 108 via a hinge 109, which is a pin. The hinge 109 makes the rotation of the suspension member 108 smooth. The tilt driving means 112a of the tilt control member 112 is connected to a driving energy source (for example, a power supply device) via the lead wires 131 as shown in
(138) An example in which the columnar mat units 125 are placed on the bottom surface 120 will now be described with reference to
(139) When subjected to the user's weight, the cylindrical mat units 125 spread laterally and form a substantially flat surface, which prevents the user lying thereon from feeling uncomfortable such as feeling the surface rough. The mat units compress and rebound unevenly because of their cylindrical shape; the slight movements of the user can provide the user with a massage effect on his/her skin, thereby improving the quality of sleep. In addition, the columnar mat units spaced from each other on the bottom surface can increase the skin massage effect and the air permeability of the bed bottom surface in the upward direction. Thus, the material and the shape of the mat units 125 are preferable in terms of both hygiene and the quality of sleep. To prevent contact with dirt, it is preferable that the surface of the case of the columnar mat units made of natural rubber be covered with a water-repellent film such as a resin film.
(140) However, the material of the columnar mat units is not limited to the above-mentioned one. For example, they can be made of foamed rubber alone without using the mat case. The mat case can be made, for example, of polyethylene. The fluid filled inside can be, for example, gas, liquid material (liquid, gel), powder, or grains. The columnar mat units may be, for example, oval, rectangular, polygonal, or trapezoidal in cross section instead of being circular. It is also possible to use a combination of circular and either rectangular or triangular columnar mat units, or to use those which are different in height or size together.
(141) In the above description, the columnar mat units are placed on the bed bottom surface, which is formed of the bottom board 120′; however, the bottom board may be replaced by a net. It is alternatively possible to place the columnar mat units or other bed mat directly on the bottom support member 123 without using the bottom board 120′.
(142) As described above, in the sleeping-posture-control bed system of the second embodiment, the bed floor portion 102 is suspended by the suspension member 108 so as to be rotatable around the bed-floor support structure 102′. The bed floor portion 102 can be tilted in the lateral direction and be kept at a fixed tilt angle by the tilt control member 112. Thus, the bottom surface 120 on which the user is lying is tilted to induce the user to change his/her posture in bed.
(143) The flowchart showing the operation to detect and eliminate parasomnias will now be described with reference to
(144) The process is started when the power switch is turned on and the presence of the user on the bed floor is detected.
(145) Step S301
(146) In order to start the process from the state in which the bed floor is not tilted (is horizontal), the bed floor is returned to the horizontal position, and the stored tilt level is reset.
(147) Step S302
(148) Next, the parasomnia detector determines the presence or absence of parasomnias from the monitoring information of the sleep monitor. If the user is determined to have parasomnia, the process proceeds to Step S303; otherwise to Step S317. The contents of the determination of the presence or absence of parasomnias (S302) can be the same as those in Steps S201 to S204 (see
(149) Step S303
(150) The tilt driving controller compares the monitoring information of the sleep monitor with information to determine the face direction so that the user's face direction is detected. When the face is up, the process proceeds to Step S304; otherwise to Step S316.
(151) Step S304
(152) The barycentric position detector detects center-of-gravity information. When the center of gravity is in the central region in the lateral direction, the process proceeds to Step S305; otherwise to Step S307.
(153) Step S305
(154) It is determined from the stored tilt level information whether the bed floor is tilted or not at the present moment. When the bed floor is tilted, the process proceeds to Step S306; otherwise to Step S309.
(155) Step S306
(156) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S311; otherwise to Step S310.
(157) Step S307
(158) The tilt of the bed floor at the present moment is determined when the center of gravity is not in the central region. When the side on which the center of gravity does not exist is tilted down, the process proceeds to Step S312; otherwise to Step S308. The phrase “the side on which the center of gravity does not exist” corresponds to the right region when the head is in the left region, and to the left region when the center of gravity is in the right region.
(159) Step S308
(160) Since the center of gravity is not in the central region, the user is unlikely to fall off the bed even if he/she turns over to the side on which the center of gravity does not exist. Since the side on which the center of gravity does not exist is not tilted down, the bed floor is tilted to move the side on which the center of gravity does not exist to the first downward level. Then, the process proceeds to Step S314.
(161) Step S309
(162) Since the center of gravity is in the central region, and the bed floor is not tilted, the bed floor is tilted to move either the right or left side to the first downward level. Then, the process proceeds to Step S314.
(163) Step S310
(164) Since the center of gravity is in the central region, and the bed floor is tilted less than its maximum, the bed floor is tilted one step further in the same direction. Then, the process proceeds to Step S314.
(165) Step S311
(166) Since the center of gravity is in the central region, and the bed floor is tilted to its maximum, the bed floor is tilted to move the opposite side to the first upward level. Then, the process proceeds to Step S314.
(167) Step S312
(168) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S313; otherwise to Step S316.
(169) Step S313
(170) Since the center of gravity is in either the right or left region, and the bed floor is tilted less than its maximum, the bed floor is tilted one step further in the same direction. Then, the process proceeds to Step S314.
(171) Step S314
(172) The tilt level at the present moment is stored. Then, the process proceeds to Step S315.
(173) Step S315
(174) If this tilting procedure causes sleep monitoring to be resumed before the user recovers from the abnormal condition, the bed floor may be tilted too much. To avoid this, after the tilting procedure, it is confirmed that a predetermined time has passed before the sleep monitoring is resumed. When the predetermined time has passed, the process returns to Step S302 to continue the sleep monitoring; otherwise Step S315 is repeated. The predetermined time can be set, for example, to five or ten minutes and be stored by a doctor, a nurse, or the like.
(175) Step S316
(176) In this step, parasomnias are present and also the user is in one of the following conditions: (1) the face is not up; and (2) the center of gravity is in either the right or left region of the head-receiving surface, and the side on which the center of gravity does not exist is tiled down to its maximum. These cases indicate that either the user cannot be expected to recover from the parasomnia even if the bed floor is tilted, or the bed floor cannot be tilted any further in the direction to induce the user to turn over. Therefore, a warning is issued to indicate that the user has a parasomnia. The warning can be, for example, directly alerted to the user as warning voice, vibration, etc. or be informed to the helper as warning voice, vibration, warning image, etc.
(177) Step S317
(178) When the parasomnias are absent, it is determined whether the termination signal is present or not. The termination signal is determined to be present when the termination signal switch is turned off or when the user is not detected in bed. When the termination signal is absent, the process proceeds to Step S302 where the presence or absence of the termination signal continues to be detected while the user's parasomnias are continuously monitored. When the termination signal is present, a termination operation is performed.
(179) The second embodiment may employ the process for cancelling the tilt in the same manner as in the modified example of the first embodiment. The present embodiment can also employ a method in which the counter stores tilt conditions as follows: “tilted with the left side up” indicates a negative value; “no tilting” indicates 0; and “tilted with the right side up” indicates a positive value. According to this method, after the tilt is increased, its absolute value can be increased.
(180) As described above, in the present embodiment, the user can be induced to change his/her posture in bed by tilting the bottom surface of the bed floor in the lateral direction. This has the effect of reducing or eliminating parasomnias.
Third Embodiment
(181) The present embodiment describes a bed system which allows both the tilting of head- and back-receiving surfaces and the lateral tilting of the bed floor. The present embodiment is identical to the first embodiment except that it is essential to control the lateral tilting of the bed floor. Therefore, the description of common aspects (such as the configuration of the bed body) will be omitted.
(182) The present embodiment has the same configuration as the first embodiment described with
(183) A back-lifting tilt controller 704 determines the tilt angles of the back- and head-receiving surfaces and the tilt angle of the bed floor in the lateral direction on the basis of the monitoring data of a sleep monitor 702 and detection information from a head position detector 707 and from a face direction detector 706. The back-lifting tilt controller 704 then tilts the back- and head-receiving surfaces and the bed floor. The tilt angle θx of the back-receiving surface, the tilt angle θy of the head-receiving surface, and the tilt angle of the bed floor in the lateral direction at some time point may be stored in the memory of the back-lifting tilt controller 704. Alternatively, each of the tilt angles of the back- and head-receiving surfaces and the tilt angle of the bed floor in the lateral direction may be divided into multiple steps, and the tilt step number of each of these surfaces and the tilt level number of the bed floor in the lateral direction may be stored in a counter formed in the back-lifting tilt controller 704.
(184) The following is a description of the process for tilting the head- and back-receiving surfaces preferentially over the lateral tilting of the bed floor.
(185) In
(186) Step S401
(187) In order to start the process from the state in which none of the back- and head-receiving surfaces and the bed floor are tilted, the stored tilt level (in the lateral direction) is reset, and the counter to store the tilts of the back- and head-receiving surfaces is reset to 0 so as to cancel the tilts.
(188) Step S402
(189) Next, the parasomnia detector determines the presence or absence of parasomnias from the monitoring information of the sleep monitor. If the user is determined to have parasomnia, the process proceeds to Step S403; otherwise to Step S419.
(190) Step S403 to S405
(191) The face direction detector determines the user's face direction from the information of the head position detector. When the face is up, the process is followed by a process represented by reference numeral 1. When the face looks to the right, the process proceeds to Step S406. When the face looks to the left, the process is followed by a process represented by reference numeral 2. When the face is in none of them (down), the process is followed by a process represented by reference numeral 3.
(192) Steps S406 and S407
(193) The head position detector detects the head position on the head-receiving surface (see
(194) Step S408
(195) It is determined from the stored tilt level information whether the bed floor is tilted or not at the present moment. When the bed floor is tilted, the process proceeds to Step S409; otherwise to Step S413.
(196) Step S409
(197) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S415; otherwise to Step S414.
(198) Step S410
(199) The tilt of the bed floor at the present moment is determined when the head is in the left region in the lateral direction. When the left region of the bed floor is tilted up, the process proceeds to Step S411; otherwise to Step S412.
(200) Step S411
(201) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S420; otherwise to Step S416.
(202) Step S412
(203) The left region of the bed floor is tilted to the first upward level. Then, the process proceeds to Step S417.
(204) Step S413
(205) Either the right or left region of the bed floor is tilted to the first upward level. Then, the process proceeds to Step S417.
(206) Step S414
(207) Since the tilt is not at its maximum, the bed floor is tilted one step further. Then, the process proceeds to Step S417.
(208) Step S415
(209) Since the user's head is in the central region, and the bed floor is tilted to its maximum, the bed floor is tilted to move the opposite side to the first upward level. Then, the process proceeds to Step S417.
(210) Step S416
(211) Since the tilt is not at its maximum, the bed floor is tilted one step further. Then, the process proceeds to Step S417.
(212) Step S417
(213) The tilt level at the present moment is stored. Then, the process proceeds to Step S418.
(214) Step S418
(215) If this tilting procedure causes sleep monitoring to be resumed before the user recovers from the abnormal condition, the bed floor may be tilted too much. To avoid this, after the tilting procedure, it is confirmed that a predetermined time has passed before the sleep monitoring is resumed. When the predetermined time has passed, the process returns to Step S402 to continue the sleep monitoring; otherwise Step S418 is repeated. The predetermined time can be set, for example, to five or ten minutes and be stored by a doctor, a nurse, or the like.
(216) Step S419
(217) When the parasomnias are absent, it is determined whether the termination signal is present or not. The termination signal is determined to be present when the termination signal switch is turned off or when the user is not detected in bed. When the termination signal is absent, the process proceeds to Step S402 where the presence or absence of the termination signal continues to be detected while the user's parasomnias are continuously monitored. When the termination signal is present, a termination operation is performed.
(218) Step S420
(219) In this step, parasomnias are present and also the user is in one of the following conditions: (1) the face is not up; and (2) the head is in either the right or left region of the head-receiving surface, and the region opposite to the region on which the head is located is tilted down to its maximum. These cases indicate that either the user cannot be expected to recover from the parasomnia even if the bed floor is tilted, or the bed floor cannot be tilted any further in the direction to induce the user to turn over. Therefore, a warning is issued to indicate that the user has a parasomnia. The warning can be, for example, directly alerted to the user as warning voice, vibration, etc. or be informed to the helper as warning voice, vibration, warning image, etc.
(220) Process Represented by Reference Numeral 1
(221) Since the user's face is up, the same operation as in Step S104 to S109 and the termination operation in the first embodiment are performed; hence, the description thereof is omitted. The shift from Step S108 to Step S102 corresponds to the shift from Step 108 to Step S402.
(222) Process Represented by Reference Numeral 2
(223) This process is shown in
(224) Process Represented by Reference Numeral 3
(225) This process is shown in
(226) Steps S601 and S602
(227) The head position on the head-receiving surface is detected. When the head is in the right region in the lateral direction, the process proceeds to Step S605, whereas when the head is in the left region in the lateral direction, the process proceeds to Step S603. When the head is in neither of them (the head is in the central region in the lateral direction), the process proceeds to Step S613.
(228) The tilt of the bed floor at the present moment is determined from the stored tilt level information. When the left region of the bed floor is tilted up, the process proceeds to Step S604; otherwise to Step S608.
(229) Step S604
(230) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S613; otherwise to Step S609.
(231) Step S605
(232) The tilt of the bed floor at the present moment is determined from the stored tilt level information. When the right region of the bed floor is tilted up, the process proceeds to Step S606; otherwise to Step S607.
(233) Step S606
(234) It is determined from the stored tilt level information whether the bed floor is tilted to its maximum at the present moment. When it is tilted to its maximum, the process proceeds to Step S613; otherwise to Step S610.
(235) Step S607
(236) The right region of the bed floor is tilted to the first upward level. Then, the process proceeds to Step S611.
(237) Step S608
(238) The left region of the bed floor is tilted to the first upward level. Then, the process proceeds to Step S611.
(239) Step S609
(240) Since the tilt is not at its maximum, the bed floor is tilted one step further. Then, the process proceeds to Step S611.
(241) Step S610
(242) Since the tilt is not at its maximum, the bed floor is tilted one step further. Then, the process proceeds to Step S611.
(243) Step S611
(244) The tilt level at the present moment is stored. Then, the process proceeds to Step S612.
(245) Step S612
(246) If the tilting procedure causes sleep monitoring to be resumed before the user recovers from the abnormal condition, the bed floor may be tilted too much. To avoid this, after the tilting procedure, it is confirmed that a predetermined time has passed before the sleep monitoring is resumed. When the predetermined time has passed, the process returns to Step S402 to leave the process represented by reference numeral 3.
(247) Step S613
(248) In this step, parasomnias are present, and also the user's head is down and is in one of the following conditions: (1) the head is in the central region of the head-receiving surface in the lateral direction; and (2) the head is in either the right or left region of the head-receiving surface, and the side opposite to the side on which the head is located is tilted to its maximum. These cases indicate that either the user cannot be expected to recover from the parasomnia even if the bed floor is tilted, or the bed floor cannot be tilted any further in the direction to induce the user to turn over. Therefore, a warning is issued to indicate that the user has a parasomnia. The warning can be, for example, directly alerted to the user as warning voice, vibration, etc. or be informed to the helper as warning voice, vibration, warning image, etc.
(249) The third embodiment may employ the process for cancelling the tilt in the same manner as in the modified example of the first embodiment. Furthermore, the lateral tilting of the bed floor may be reset before tilting the back-receiving surface and the head-receiving surface.
(250) The following is a description of how to determine the presence or absence of parasomnias. This determination is performed using CO.sub.2 concentration, which is increased by respiration.
(251) In this case, the parasomnia detector 503 includes a CO.sub.2 concentration sensor and a detector for detecting the presence or absence of abnormal respiration (hypopnea or apnea) by comparing data of the CO.sub.2 concentration sensor and a predetermined threshold. The term “apnea” means that the airflow through mouth and nose stops for ten seconds or more, whereas the term “hypopnea” means that the ventilation rate decreases by 50% or more for ten seconds or more. The predetermined threshold can be determined from the user's sleep data or standard data by a doctor, a nurse, or the like.
(252) The sleep monitor 502 can further include a CO.sub.2 concentration sensor and a communication unit for sending monitoring data to the parasomnia detector 503.
(253) The CO.sub.2 concentration sensor is disposed near at least one of the nose or mouth of the user, but may be disposed near both of them.
Fourth Embodiment
(254) The bed body of a sleeping-posture-control bed system of the fourth embodiment is shown in
(255) The bottom-surface tilting driver (a tilting means for tilting the bottom surface 233) of the bed system may have the following structures. As one example, the semicircular members 234 each have grooves to mesh with a gear on their inner or outer periphery, and the gear is disposed near the bottom end of each of the semicircular members 234 and is driven by an electric motor. As another example, a rotational bearing is disposed near the intersection between the two vertical frames 235 and the longitudinal center line of the bottom surface 233, and the bed floor portion 230 is provided with a shaft, which is inserted in the rotational bearing and driven by an electric motor. In the latter example, the semicircular members 234 are equipped with brakes (the holding member of the bottom-surface tilting driver) by which the bed floor portion 230 is fixed to a bed-floor support structure 230′ while the bed floor portion 230 is being tilted. The ON and OFF of the fixed engagement by the brakes is automatically controlled by the bottom-surface tilting driver.
(256) The above-mentioned electric motors are connected to a controller (not shown) similar to the operating unit described in the second embodiment (including the parasomnia detector, the tilt driving controller, and the barycentric position detector). The controller controls the electric motor. This, however, is not the only configuration available. What matters is that the tilt driving controller can tilt the bottom surface 233 smoothly and keep it tilted on the basis of information from any of the sleep monitor, the parasomnia detector, and the barycentric position detector.
(257) The barycentric position detector is a dispensable component. For simplification,
(258) This configuration provides effects similar to those in the second embodiment.
Fifth Embodiment
(259) A sleeping-posture-control bed system of a fifth embodiment includes a bed body and a bottom-surface tilting driver shown in
(260) The bed bottom support 369 includes the lift mechanism (bottom-surface tilting driver) 367 for tilting the bed floor portion 363, and foot parts 368 supporting the lift mechanism 367. At the ends of the lift mechanism 367 and both ends of the bed floor portion 363 are provided engaging portions 367a and 363a which engage the bed floor portion 363 with the lift mechanism 367.
(261) The bed mat support 364 includes a bottom support 362 to support the bed floor portion 363, and foot parts 361 to support the bottom support 362.
(262) The bed system with the above-described configuration operates as follows. In
(263) This configuration also provides effects similar to those in the second embodiment.
Sixth Embodiment
(264) A sixth embodiment describes a sleeping-posture-control bed system that can determine the presence or absence of the user's snoring by means of sound, and can eliminate the snoring. The present embodiment is identical to the second embodiment except for an abnormality determination process performed by the parasomnia detector; hence, the following description will be focused on the abnormality determination process.
(265) Step S701
(266) When the operation is started, first of all, the sound sensor monitors the sound generated around the user's mouth.
(267) Step S702
(268) In order to facilitate the determination, pre-treatment such as denoising and Fourier transformation are performed.
(269) Step S703
(270) The data obtained by pre-treatment of the user's snoring is stored in the parasomnia detector. The parasomnia detector compares the measured sound data with the stored data. When the degree of agreement between these data is not less than a predetermined value (for example, 80%), the process proceeds to Step S704; otherwise to Step S705. Note that when the degree of agreement is less than the predetermined value, it may be the case that no sound has been detected.
(271) Step S704
(272) When the degree of agreement is not less than the predetermined value, it means that the user is snoring, and the parasomnias are determined to be present.
(273) Step S705
(274) When the degree of agreement is less than the predetermined value, the user is not snoring, and the parasomnias are determined to be absent.
(275) A determination based on the flow rate can be performed in the same manner as in Steps S201 to S204, and a determination based on the vibration can be determined in the same manner as in Steps S701 to S705.
Seventh Embodiment
(276) A seventh embodiment will describe a bed mat structure that prevents the user from falling off the bed. The present embodiment is identical to the second embodiment except for the bed mat structure; hence, the following description will be focused on the difference.
(277) In the present embodiment, as shown in
(278) It is preferable that the width of the central portion 125a be not less than 80% of the total width of the bed mat, and that the width of each of the end portions 125b be not less than 3% of the total width of the bed mat.
(279) In the present embodiment, the recess is semioval in cross section, but is not limited to this: it can alternatively be for example, arc- or catenary-shaped.
Eighth Embodiment
(280) An eighth embodiment will describe a modified example of the bed mat structure that prevents the user from falling off the bed. The present embodiment is identical to the second embodiment except for the bed mat structure; hence, the following description will be focused on the difference.
(281) In the present embodiment, as shown in
(282) The bed mat structures of the seventh and eighth embodiments are applicable to the bed system of the first embodiment. In that case, a columnar bed mat is placed in such a manner as not to inhibit the bending of the head- and back-receiving surfaces.
INDUSTRIAL APPLICABILITY
(283) As described above, the present invention provides a bed system capable of being tilted in multiple directions. The bed system can tilt its bottom surface regularly, discontinuously, or whenever necessary so as to prevent a bedridden patient from developing pressure ulcers. The bed system can also detect parasomnias of the user, such as apnea, hypopnea, snoring, and teeth grinding, and upon detection of a parasomnia, induce the user to change his/her sleeping posture so as to reduce the parasomnia. Thus, the present invention provides high industrial applicability. 1 sleeping-posture-control bed system 10 bed body 11 operating unit 12 head frame 13 foot frame 14 rotary shaft pin 15 suspension member 16 back-receiving surface portion 17 head-receiving surface portion 18 driver for the back-receiving surface 19 driver for the head-receiving surface 20 waist-receiving surface portion 21 knee bending driver 22 driver for vertically moving the bed floor 23 driver for vertically moving the bed floor 24 upper-leg-receiving surface portion 25 lower-leg-receiving surface portion 26 driver for tilting the bed floor in the lateral direction 27 longitudinal frame member 28 lateral frame member 29 head-foot connecting member 30 foot part 31 lead wire 32 reinforcing member 33 roller 35 body central axis 36 pressure-sensitive sheet 37 connecting member 102 bed floor portion 102′ bed-floor support structure 103 stand frame 104 foot part 105 foot-foot connecting frame 106 stand connecting frame 107 vertically movable frame 107a vertically driving means 108 suspension member 109 hinge 110 head-foot connecting member 112 tilt control member 112a tilt driving means 115 handrail 120 bottom surface 120′ bottom board 121 longitudinal bottom-surface frame member 122 lateral bottom-surface frame member 123 bottom support member 125 cylindrical mat unit 130 operating unit 131 lead wire 211 stand frame 230 bed floor portion 231 longitudinal frame member 232 lateral frame member 233 bottom surface 234 semicircular member 235 vertical frame 361 foot part 362 bottom support 363 bed floor portion 364 bed mat support 365 bed mat 367 lift mechanism (bottom-surface tilting driver) 368 foot part 369 bed bottom support 501 bed body 502 sleep monitor 503 parasomnia detector 504 tilt driving controller 505 bottom-surface tilting driver 506 barycentric position detector 602 back-receiving-surface longitudinal frame 602a back-receiving-surface longitudinal main member 602b back-receiving-surface longitudinal elastic member 603 rotary rod 604 motor 605, 606 longitudinal reinforcing member