Assembly

Bed Sore Reduction

Medical Alternating Air Mattress Prototype

Iris Man Do, Mohamad Hachicho, Tyler Naus, & Davide Seikaly


Introduction

Bed sores or pressure ulcers are caused by force sustained over an area of the patient due to the patient’s inability to re-position on the mattress. Our goal is to reduce bed sores by designing a device capable of periodically re-positioning the patient to re-distribute pressure areas.

After initial research and user needs development, we began work on designing a medical alternating pressure mattress to reduce the incidence of bed sores.

User Need
Alternate pressure areas
Durable
Re-position user
Safe
Support user weight

Current Treatment


Prototype

Goals of prototype:

Our design of an alternating pressure mattress is to help many groups of users who are limited in mobility to prevent and reduce bedsores. In this prototype, our focus is on demonstrating the alternating mechanism of the top layer of the overall design and ensure the integrity of the air cell design as well as the air-flow circuit.

Prototype overview:

This prototype resembles a scaled-down version of the full mattress’s top layer. It includes:

- 6 PVC-inflatable air cells
- PVC-Vinyl air cell envelope
- Tubing system for air flow (consisting of Nylon tubes, connectors, and brass shut-off valves)
- Air-pump.

The cell layer assembly has a dimension of 41x36x6 in. (not including the tubing system). All parts of this prototype are detachable. Since it takes up lots of space, this will serve for the purpose of easy storage and portability.

There are a total of 4 switches (shut-off valves) in the circuit; two of them control inflow air, and the other two control outflow. Three people are needed to operate the valves to create the alternating effect.

NX model
Image 1. NX model protoype design (inlcuding bottom air cells and holding frame)

Prototype - deflated
Image 2. Prototype deflated

Prototype - inflated
Image 3. Prototype inflated

Distinction between NX model design and prototype:

In general, the prototype resulted mostly as we had planned previously. All the parts needed little modifications and fit together well. However, there are still a few differences between the prototype and actual design.

The outflow portion of the air circuit does not need to attach to the pump to deflate the cells. This is due to the high pressure inside the cells. Before assembling the prototype, we designed a closed circuit (see Image 4), where the air pump would feed the inflow, and also create negative pressure to move air out of the circuit. In reality, this is only needed if we want total deflation of the cells.

Air-flow circuit
Image 4. Air-flow circuit

Due to the mechanical properties of the tubing, the circuit lines are not as flexible as planned. Therefore, to adjust the line, we must either shorten the tube length, or replace it with a different segment.

Measureable Objectives:

Our objectives are qualitative and are based on our user needs: able to alternate pressure areas, durable, able to reposition the user, safe, and able to support user weight. Because our prototype was a scaled-down version of a real medical alternating pressure mattress, we tested these objectives on a CPR dummy with ankle weights for added load.

1. Able to alternate pressure areas: Our prototype was successful in having one of the circuits of air cells deflate while the other circuit remained inflated, thus alternating the normal force distribution on the dummy.

2. Durable: This is a fully functional prototype on which we successfully performed multiple trials of inflation, deflation, and alternation of air flow all while under the pressure of an approximately 20-pound weight. The prototype is well constructed so that it did not fail during the demonstration.

3. Able to reposition the user: As evident in the demonstration video presented at our final prototype presentation, the alternating air cell function was successful in tilting the patient to re-distribute pressure areas.

4. Safe: The dummy and ankle weights remained securely on the mattress during any inflation/deflation. Also, none of the air cells failed.

5. Able to support user weight: The mattress remained fully inflated even as the weight of the dummy and ankle weights acted against the cells.


Prototype Demonstration


Wayne State University - Biomedical Engineering