Abstrict To provide an adjustable bed that assists a user to turn comfortably
in his or her sleep without mental stress. Once an automatic mode
starts, measurement on the depth of sleep of the user lying on the
bed is launched. The depth of sleep is measured by detecting biological
information such as brain waves, heart rate, and respiratory rate
of the user using electrode sensors or the like, and analyzing the
biological information according to a polysomnography method or
the like. If the depth of sleep is 0 i.e., the user is in REM sleep,
and if one hour or more has passed since the measurement is launched
or since an immediately preceding turn operation, a turn operation
is performed to turn the user.
Claims What is claimed is:
1. An adjustable bed system comprising: a bed adapted to move a
body of a person lying on the bed into a bent position by elevating
the upper body and bending the knees; a tilt unit adapted to tilt
the bed laterally while the bed is in a bent position; a judgment
unit adapted to determine the sleep stage of a person lying on the
bed; and a control unit adapted to control the tilt unit in response
to a sleep stage judgment made by the judgment unit.
2. The adjustable bed of claim 1 wherein the judgment unit determines
whether the person is in REM sleep, and the control unit causes
the tilt unit to tilt the bed, if the judgment unit determines that
the person is in REM sleep.
3. The adjustable bed of claim 1 wherein the judgment unit determines
a depth of sleep of the person, and the control unit causes the
tilt unit to tilt the bed, if the judgment unit determines that
the person is in slow wave sleep.
4. The adjustable bed of claim 2 wherein the judgment unit determines
a depth of sleep of the person, and the control unit causes the
tilt unit to tilt the bed, if the judgment unit determines that
the person is in slow wave sleep.
5. The adjustable bed of claim 1 wherein the control unit prohibits
the tilt unit from performing a tilt operation within a predetermined
time period from a preceding tilt operation, irrespective of the
depth of sleep of the person.
6. The adjustable bed of claim 2 wherein the control unit prohibits
the tilt unit from performing a tilt operation within a predetermined
time period from a preceding tilt operation, irrespective of the
depth of sleep of the person.
7. The adjustable bed of claim 3 wherein the control unit prohibits
the tilt unit from performing a tilt operation within a predetermined
time period from a preceding tilt operation, irrespective of the
depth of sleep of the person.
8. The adjustable bed of claim 4 wherein the control unit prohibits
the tilt unit from performing tilt operation within a predetermined
time period from a preceding tilt operation, irrespective of the
depth of sleep of the person.
Description This application is based on an application No. 2002-265940 filed
in Japan, the contents of which are hereby incorporated by reference.
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to adjustable beds used for nursing
care, apnea syndrome treatment, and the like. In particular, the
invention relates to improvements in control of operations of turning
a cared-for person who is lying in bed during his or her sleep.
2. Related Art
To prevent the user such as a cared-for person from developing
decubitus ulcers (i.e. bedsores), a typical adjustable bed used
as a turn assisting bed tilts one part of or the entire surface
of the mattress on which the user is lying, to assist the user to
turn in the tilt direction and thereby change his or her position.
Such an adjustable bed employs a mechanism of tilting the mattress
from a horizontal position toward one of the left and right sides
(in a lateral direction) (see Unexamined Japanese Patent Application
Publication No. H06-14824 as one example).
Conventionally, timings with which the user is turned in his or
her sleep are controlled by setting a timer before the user falls
asleep so as to automatically tilt the mattress at, for example,
two-hour intervals.
According to this conventional method of mechanically setting turn
timings using a timer, however, there may be a possibility that
the user is forced to turn even when his or her body does not really
need such an action. This causes the user to suffer mental stress
unknowingly, as a result of which his or her sleep may be disturbed.
SUMMARY OF THE INVENTION
In view of the above problem, the present invention aims to provide
an adjustable bed that assists the user to turn during sleep without
causing mental stress.
The stated object can be achieved by an adjustable bed including:
a bed section; a tilt unit operable to perform an operation of tilting
the bed section laterally; a judgment unit operable to judge which
sleep stage a person who is lying on the bed section is in; and
a control unit operable to control the tilt unit based on a result
of the judgment by the judgment unit.
According to this construction, the judgment unit judges which
sleep stage the user lying on the bed section is in, and the control
unit controls the tilt unit based on the judgment result. As a result,
the bed section is tilted at appropriate times in accordance with
the sleep stage of the user. This allows the user to turn during
sleep with no mental stress. Thus, the adjustable bed produces an
excellent effect of turning the user to prevent bedsores, without
interfering with the user's sleep.
Here, the judgment unit may judge whether the person is in REM
sleep or not, wherein the control unit has the tilt unit perform
the tilt operation, if the judgment unit judges that the person
is in REM sleep.
In general, people tend to turn over when they are in REM sleep.
Accordingly, by tilting the bed section when the user is in REM
sleep, the user can be turned as if he or she does so spontaneously,
with there being no mental stress on the part of the user.
Here, the judgment unit may judge a depth of sleep of the person,
wherein the control unit has the tilt unit perform the tilt operation,
if the judgment unit judges that the depth of sleep is substantially
great where the person is in slow wave sleep.
When the depth of sleep is substantially great (where the user
is in slow wave sleep (hereafter "SWS")), the user is
almost completely unconscious. Accordingly, by tilting the bed section
in SWS, the user can be turned without being aware of the motion
of the bed section. Also, by tilting the bed section both when the
user is in REM sleep and when the user is in SWS, the user can be
turned as if he or she does so spontaneously.
Here, the control unit may prohibit the tilt unit from performing
the tilt operation within a predetermined time period from completion
of an immediately preceding tilt operation, irrespective of which
sleep stage the person is in.
According to this construction, the user can be turned with appropriate
time intervals.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other objects, advantages and features of the invention
will become apparent from the following description thereof taken
in conjunction with the accompanying drawings which illustrate a
specific embodiment of the invention.
In the drawings:
FIG. 1 shows an overall construction of a turn assisting bed;
FIG. 2 is a perspective view of a bed body when the user is being
turned on his or her left side;
FIG. 3 is a block diagram of a construction of a control unit shown
in FIG. 1;
FIG. 4 is a graph showing a result of analysis on the depth of
sleep by a polysomnography device;
FIG. 5 is a flowchart of a control procedure performed by the control
unit in automatic mode;
FIG. 6 is a flowchart of a turn operation shown in FIG. 5;
FIG. 7 is a flowchart of amodification to the control procedure
performed by the control unit;
FIG. 8 is a flowchart of another modification to the control procedure
performed by the control unit;
FIG. 9 shows a situation where a sheet sensor is used as a biological
information sensor shown in FIG. 1;
FIG. 10 is a perspective view of the sheet sensor;
FIG. 11 is a schematic view of a construction of outputting biological
information when the sheet sensor is used;
FIG. 12 is a flowchart of a procedure of estimating the depth of
sleep based on biological information obtained by the construction
shown in FIG. 11;
FIG. 13 is a perspective cutaway view of the bed body;
FIG. 14 is a perspective view of constructions of a bed frame,
a movable stage, and a fixed stage in the bed body;
FIGS. 15A and 15B are fragmentary views taken along the line A--A
shown in FIG. 14 respectively when the bed frame is in a flat,
horizontal position and when a back bed section and a thigh bed
section of the bed frame are raised;
FIGS. 16A and 16B are fragmentary views taken along the line B--B
shown in FIG. 14 respectively when the bed frame is in a flat,
horizontal position and when a left section of the bed frame is
being raised;
FIG. 17 is a top view of the movable stage;
FIG. 18 is a perspective view of the movable stage;
FIG. 19 is a perspective view of the fixed stage; and
FIG. 20 shows a representation of a change of bed positions when
an operation of tilting the bed surface to the right is performed
to turn the user on his or her right side.
DESCRIPTION OF THE PREFERRED EMBODIMENT
The following describes an embodiment where an adjustable bed of
the present invention is used as a turn assisting bed, with reference
to drawings.
(Overall Construction)
FIG. 1 is a schematic view of an overall construction of a turn
assisting bed (hereafter simply referred to as a "bed")
1 to which this embodiment relates.
In the drawing, the bed 1 is roughly made up of a bed body 2 a
biological information sensor 6 and a control unit 100.
The bed body 2 includes a tilt mechanism 5. The tilt mechanism
5 is situated beneath a mattress 3 which is placed on the top of
the bed body 2 (i.e. a bed surface 13 shown in FIG. 14), and bends
and/or tilts the bed surface 13. When a user (e.g. a cared-for person)
7 manipulates buttons on a remote control 4 movements such as raising
the upper body from a supine position, bending the knees up, and
changing from a supine position to a lateral position are carried
out through the tilt mechanism 5.
FIG. 2 shows a situation when the user 7 is about to turn on his
or her left side in a state where the upper body is raised and the
knees are bent up. In this embodiment, when the bed surface 13 is
tilted to change the sleep posture of the user 7 to a lateral position,
a lowering side of the bed surface 13 is raised to prevent the user
7 from falling off the bed 1. In the example shown in FIG. 2 the
left side is raised as viewed from the user 7. A specific construction
of the bed body 2 to achieve such movements is explained in detail
later.
The biological information sensor 6 detects biological information,
such as brain waves, heart rate, respiratory rate, eye movement,
and body movement, of the user 7 who is lying on the mattress 3.
In this embodiment, a plurality of electrode sensors are used as
the biological information sensor 6. These electrode sensors are
attached directly to the body of the user 7 at predetermined locations
such as the scalp, the outer edge of the eyelids, and the chest,
using an adhesive tape or the like.
The control unit 100 judges a stage of sleep the user 7 is in,
based on a detection signal output from the biological information
sensor 6. When the user 7 is in REM (rapid eye movement) sleep,
the control unit 100 controls the tilt mechanism 5 to perform an
operation of turning the user 7. Though FIG. 1 shows the control
unit 100 as being separated from the bed body 2 for ease of explanation,
actually the control unit 100 is installed at the bottom of the
bed body 2 so as not to be seen from outside. The control unit 100
can be manipulated either by taking it out of the installed position
or by using the remote control 4.
FIG. 3 is a block diagram of a construction of the control unit
100.
In the drawing, the control unit 100 includes a sleep depth judgment
unit 110 a CPU 101 a ROM 102 a RAM 103 a motor driver 104 a
timer T1 105 and a timer T2 106.
The CPU 101 receives an input operation made by the user 7 or a
caregiver through the remote control 4 and operates in a user-designated
mode. If the user 7 or the caregiver designates an operation time
(e.g. six hours) through the remote control 4 the CPU 100 operates
in the designated mode for the designated time.
The ROM 102 stores a program executed by the CPU 101.
The RAM 103 temporarily stores information showing the user-designated
mode and various control variables and flags. The RAM 103 also provides
a work area when the CPU 101 executes the program stored in the
ROM 102.
The motor driver 104 drives actuators which are equipped in the
tilt mechanism 5. As described later, the tilt mechanism 5 has six
actuators M1 M2 M3R, M3L, M4R, and M4L. Each actuator has a rod
that is extended/compressed by turning a ball screw using a direct-current
servomotor. The motor driver 104 controls these actuators to perform
a turn operation.
Which is to say, the motor driver 104 drives a necessary actuator
based on instructions from the CPU 101 as to which actuator should
be driven, whether a rod should be extended or compressed, and a
rotation speed of a servomotor, to perform a turn operation.
Each actuator includes an encoder which outputs a pulse signal
showing an rpm (revolutions per minute) of a servomotor to the motor
driver 104. The motor driver 104 rotates the servomotor at a fixed
speed based on the pulse signal.
The CPU 101 receives the pulse signal via the motor driver 104.
The CPU 101 calculates an amount of extension of a rod of the actuator
based on the pulse signal. Thus, the CPU 101 monitors to what extent
the bed surface 13 is bent or tilted with reference to a flat, horizontal
position.
Take an operation of raising the upper body of the user 7 as one
example. When a back bed section 11a (see FIG. 14) is raised at
.alpha..degree. from a horizontal position (0.degree.), the CPU
101 judges that the upper body of the user 7 has been raised. After
this, when the back bed section 11a is lowered from the .alpha..degree.
position to the 0.degree. position, the CPU 101 judges that the
upper body of the user 7 has returned to the horizontal position.
The back bed section 11a referred to here is one part of a bed section
11 that corresponds to the back of the user 7. The bed section 11
is one part of a bed frame 10 on which the body of the user 7 lying
on the bed 1 is normally situated. The bed frame 10 forms the bed
surface 13 (see FIG. 14).
Here, a home switch which is ON when the back bed section 11a is
in the horizontal position and OFF when the back bed section 11a
is in a non-horizontal position may be employed. In this case, the
CPU 101 judges that the upper body of the user 7 has returned to
the horizontal position when the home switch becomes ON.
The timer T1 105 and the timer T2 106 are used mainly to measure
time, when the CPU 101 operates in automatic mode. The timer T1
105 is reset each time one turn operation is performed, and measures
time which has passed since the turn operation. The timer T2 106
measures time which has passed since the automatic mode starts.
The sleep depth judgment unit 110 judges the depth of sleep of
the user 7 based on a signal output from the biological information
sensor 6. In this embodiment, a known polysomnography device is
used as the sleep depth judgment unit 110. A polysomnography device
detects currents at predetermined parts of the body of the user
7 using the aforementioned electrode sensors as the biological
information sensor 6. The polysomnography device simultaneously
and continuously records physiologic variables such as brain wave
activity (EEG (electroencephalogram)), eye movement (EOG (electrooculogram)),
and muscle tone (EMG (electromyogram)), to analyze the depth of
sleep. Since this analysis method is well known in the art, its
detailed explanation has been omitted here.
FIG. 4 is a graph showing an example result of measuring the depth
of sleep of the user 7 using the polysomnography device as the sleep
depth judgment unit 110.
In the graph, the horizontal axis represents time, and the vertical
axis represents the depth of sleep. Also, the depth of sleep at
4 is denoted by -4 the depth of sleep at 3 is denoted by -3 the
depth of sleep at 2 is denoted by -2 and the depth of sleep at
1 is denoted by -1.
Here, the polysomnography device outputs a polysomnography analysis
result such as the one shown in FIG. 4 as an electrical signal (voltage
or current) Accordingly, threshold levels of electrical signals
corresponding to the depths of sleep 1 0 -1 -2 -3 and -4 are
set in an internal comparator or the like beforehand, and the signal
output from the polysomnography device is compared with each of
these threshold levels. In this way, the depth of sleep can be judged.
In general, there are two states of sleep: REM sleep and NREM (non-rapid
eye movement) sleep. REM sleep is a period during which sleep is
lightest and rapid eye movements appear. NREM sleep is a period
during which sleep is deeper. When the depth of sleep is -1 -2
-3 or -4 the user is in NREM sleep. When the depth of sleep is
0 the user is in REM sleep. When the depth of sleep is 1 the user
is in wakefulness. As can be seen from FIG. 4 REM sleep alternates
with NREM sleep approximately every 90 minutes.
Normally, REM sleep constitutes about 20 to 25% of total sleep
time. REM sleep is associated with not only rapid eye movements
but also faster breathing and faster pulse. Also, the blood pressure
is higher than in NREM sleep. During REM sleep, vivid, complex dreams
often occur and nerves become active. Therefore, people tend to
turn when they are in REM sleep.
In view of this, the control unit 100 controls the tilt mechanism
5 to make the user 7 turn during REM sleep. Since the user 7 is
automatically turned when his or her body needs such an action,
the stress of the user 7 will be substantially reduced when compared
with the conventional technique.
(Control by the Control Unit 100)
The control unit 100 controls the tilt mechanism 5 in the following
manner.
Before the user 7 sleeps, the user or the caregiver attaches the
biological information sensor 6 to the user 7 at the scalp, the
outer edge of the eyelids, the chest, and the like. The user or
the caregiver then sets the control unit 100 in automatic mode through
the remote control 4 and presses a START button.
FIG. 5 is a flowchart of a control procedure performed by the control
unit 100 in automatic mode.
The sleep depth judgment unit 110 starts measuring the depth of
sleep of the user 7 based on a signal output from the biological
information sensor 6 (S1).
The sleep depth judgment unit 110 judges whether the depth of sleep
is 0 (S2). As explained earlier with reference to FIG. 4 if the
depth of sleep is not 1 the user 7 is judged as sleeping. Also,
if the depth of sleep is 0 the user 7 is judged as being in REM
sleep.
If the depth of sleep is 0 (S2:YES), the CPU 101 judges the following.
In the case where the user 7 has not yet been turned after he or
she falls asleep, the CPU 101 judges whether one hour or more has
passed since the measurement of the depth of sleep starts. Here,
the CPU 101 may instead judge whether one hour or more has passed
since the user falls asleep. The time when the user falls asleep
can be specified as the time when the depth of sleep falls to -1
and below for the first time after the measurement of the depth
of sleep starts. In the case where the user 7 has been turned after
he or she falls asleep, on the other hand, the CPU 101 judges whether
one hour or more has passed since an immediately preceding turn
operation, by referring to the timer T1 105 (S3).
If the user 7 is frequently turned just because he or she is in
REM sleep, the user 7 is likely to feel stress. Besides, if the
user 7 is turned during REM sleep which occurs immediately after
he or she falls asleep, the user 7 may wake up. Therefore, only
when one hour or more has passed since the measurement of the depth
of sleep starts (or the user 7 falls asleep) or since the immediately
preceding turn operation, the procedure advances to step S4 to perform
an operation of turning the user 7. Though one hour is set as a
minimum time interval required between turn operations, another
appropriate time period may be set as the minimum time interval
in consideration of factors such as the sleep cycle and physical
condition of the user 7. It is not desirable, however, to set a
minimum time interval longer than 90 minutes which are a typical
sleep cycle, for the following reason. If the minimum time interval
required between turn operations is set greater than the sleep cycle,
the user 7 who is turned in one REM sleep may not be turned in the
next REM sleep. This significantly decreases the number of times
the user 7 turns in his or her sleep.
FIG. 6 is a flowchart of the turn operation in step S4.
In the turn operation, two flags (bed state flag F1 and direction
flag F2) are used. These flags are stored in the RAM 103. When the
automatic mode starts, F1=0 and F2=1 are set as initial values.
Bed state flag F1 is a flag showing the current position of the
bed surface 13. When F1=0 the bed surface 13 is in a horizontal
position. When F1=1 the bed surface 13 is tilted to the left at
a predetermined angle. When F1=2 the bed surface 13 is tilted to
the right at the predetermined angle. Here, "left" and
"right" are the relative positions of the left and right
sides with reference to the user 7 who is lying supine on the bed
1.
Direction flag F2 is a flag showing to which side the bed surface
13 which is currently in the horizontal position, should be tilted
next. When F2=1 the bed surface 13 should be tilted to the right.
When F2=2 the bed surface 13 should be tilted to the left.
The turn operation is performed as follows. The CPU 101 checks
bed state flag F1 (S11). If F1=0 the bed surface 13 is currently
in the horizontal position. Accordingly, the CPU 101 checks direction
flag F2 (S12). If F2=1 the CPU 101 controls the tilt mechanism
5 to perform an operation of tilting the bed surface 13 to the right,
to have the user 7 turn on his or her right side (S13). The CPU
101 then changes flag F1 to 2 (S14).
The tilt operation performed here is not an operation of merely
tilting the bed surface 13 in a flat state to the right. Rather,
in a state where the back bed section 11a and a thigh bed section
11c of the bed section 11 are raised to have the user 7's upper
body elevated and knees bent up (this position is hereafter called
a "bent position"), a right section 12R of the bed frame
10 is raised and then the entire bed surface 13 is tilted to the
right. This allows the user 6 to turn on his or her right side in
a state of being as if folded with the mattress 3. Thus, the user
7 can be turned without uneasiness or stress. This tilt operation
is explained in more detail in the description of the tilt mechanism
5 later.
If F2=2 in step S12 the CPU 101 controls the tilt mechanism 5
to perform an operation of tilting the bed surface 13 to the left
(S15). The CPU 101 then changes direction flag F1 to 1 (S16), and
proceeds to step S5 in FIG. 5.
If F1=1 in step 311 the bed surface 13 is currently tilted to
the left. Accordingly, the CPU 101 controls the tilt mechanism 5
to tilt the bed surface 13 to the right to recover the horizontal
position (S17), and sets direction flag F2 to 1 (S18).
If F1=2 in step S11 the bed surface 13 is currently tilted to
the right. Accordingly, the CPU 101 controls the tilt mechanism
5 to tilt the bed surface 13 to the left to recover the horizontal
position (S20), and sets direction flag F2 to 2 (S21).
After step S18 or S21 the CPU 101 changes bed state flag F1 to
0 which indicates that the bed surface 13 is in the horizontal position
(S19), and proceeds to step S5 in FIG. 5.
When step 34 is repeated in the above way, the bed surface 13 undergoes
a change such as horizontal position.fwdarw.rightward tilt.fwdarw.horizontal
position.fwdarw.leftward tilt.fwdarw.horizontal position.fwdarw.rightward
tilt. . . . As a result, the user 7 undergoes a change such as supine
position.fwdarw.right lateral position.fwdarw.supine position.fwdarw.left
lateral position.fwdarw.supine position.fwdarw.right lateral position
. . . . Here, the same position is maintained for at least one hour,
since the lapse of one hour as the minimum time interval between
turn operations is monitored in step S3. Given that REM sleep occurs
at intervals of about 90 minutes, the same position is maintained
for approximately 90 minutes.
Note that the order in which the position of the user 7 is changed
is not limited to the above. For example, the user 7 may undergo
such a change as supine position.fwdarw.left lateral position.fwdarw.right
lateral position.fwdarw.supine position.fwdarw.left lateral position
. . . . Also, a plurality of orders in which the position of the
user 7 is changed may be stored in an internal memory beforehand.
In this case, the user or the caregiver selects one of the orders
using the remote control 4 when setting the automatic mode.
After step S4 the CPU 101 checks the timer T2 106 to judge whether
six hours or more have passed from when the automatic mode starts
(S5). If six hours or more have not passed yet (S5:NO), steps S2
to S4 are repeated. If six hours or more have already passed (S5:YES),
the measurement on the depth of sleep is stopped (S6) to end the
automatic mode. Though a minimum time period for the automatic mode
is set at six hours in this example, the minimum time period may
be set freely through the remote control 4 based on an average sleep
time of the user 7.
According to the above control procedure, the user 7 is turned
during REM sleep which is a period of sleep when people tend to
turn. Accordingly, even if the user 7 is incapable of turning on
his or her own, the user 7 can be turned as if he or she does so
spontaneously. This allows the user 7 to sleep restfully without
uneasiness or stress.
(Modifications to the Control Procedure in Automatic Mode)
(1) Though the user 7 is turned during REM sleep according to the
above control procedure, the invention is not limited to such. For
example, when the depth of sleep is -3 or -4 in FIG. 4 i.e., when
the depth of sleep is substantially great (where the user is in
SWS), the user 7 is almost completely unconscious. In such a stage,
even if the bed surface 13 is moved, the user 7 is unlikely to sense
the change of his or her position and feel stress caused by such
a change.
Accordingly, the above control procedure can be modified so that
a turn operation is performed when the sleep of the user 7 is substantially
deep (SWS).
FIG. 7 is a flowchart of a control procedure performed by the control
unit 100 in this case. This flowchart is different from that shown
in FIG. 5 only in that step S2 has been replaced with step S21.
This one of the following methods (a) and (b) may be adopted.
(a) Before ending the automatic mode, the control unit 100 judges
whether the bed surface 13 is tilted. If the bed surface 13 is tilted,
the control unit 100 controls the tilt mechanism 5 to return the
bed surface 13 to the horizontal position, and then ends the automatic
mode. When returning the bed surface 13 to the horizontal position,
the user 7 may not be in REM sleep (or in the stage where the depth
of sleep is substantially great) Therefore, it is desirable to move
the bed surface 13 to the horizontal position as slowly as possible.
(b) The control unit 100 predicts how many turn operations will
be performed before the end of the automatic mode, based on the
time period set for the automatic mode (six hours in this embodiment),
the sleep cycle of the user 7 (which may be either measured beforehand
or uniformly set at 90 minutes), and the time when the first turn
operation is performed after the user 7 falls asleep. Based on this
prediction, the control unit 100 controls the order in which the
position of the bed surface 13 is changed, so that the bed surface
13 returns to the horizontal position as a result of the last turn
operation.
(Modification to the Biological Information Sensor 6)
In this embodiment, the biological information sensor 6 is realized
by the plurality of electrode sensors which are attached directly
to the body of the user 7 to detect brain waves and the like. According
to this construction, however, the user 7 may feel physically restrained
by multiple codes which extend from the electrode sensors to connect
to the sleep depth judgment unit 110.
Also, it is inconvenient for the user 7 and the caregiver to attach
a lot of electrode sensors to the body of the user 7 before the
user 7 sleeps every night.
In view of this, the applicant of the present application devised
a sheet-type biological information sensor (hereafter a "sheet
sensor") prior to the present application. The applicant developed
a device for computing the heart rate, the respiratory rate, and
the number of body movements based on changes of the body pressure
applied on the sheet sensor which is placed under the back of a
person, and accurately estimating the depth of sleep from the computation
result. The applicant filed patent applications based on this invention
(Japanese Patent Applications Nos. 2002-065928 and 2002-075673).
If such a device is used in the bed 1 it is possible to estimate
the depth of sleep easily and turn the user 7 comfortably based
on the estimation result, with there being no burden on the part
of the user 7. This enables the user 7 to have a more pleasant sleep.
The sheet sensor and a principle of measuring the depth of sleep
using the sheet sensor are briefly explained below.
FIG. 9 shows a situation where a sheet sensor 60 is placed under
the back of the user 7.
FIG. 10 is a perspective view of the sheet sensor 60. As illustrated,
the sheet sensor 60 has sheet electrodes 61 and 63 which are opposed
to each other with a sheet insulator 62 interposed therebetween.
The sheet electrodes 61 and 63 are made of copper foil or the like.
The sheet insulator 62 is made of an insulating elastic material
such as foamed polyurethane.
When placed under the body of the user 7 the surface of the sheet
sensor 60 receives pressure and vibration caused by the heart beating
and respiration of the user 7. This elastically deforms the sheet
insulator 62 in the sheet sensor 60 and changes the distance between
the sheet electrodes 61 and 63. As a result, the capacitance of
the sheet sensor 60 changes.
A lead wire is extended from the sheet electrodes 61 and 63 and
connected to a resonant circuit 120 as shown in FIG. 11. The resonant
circuit 120 includes an LC resonant circuit or a CR resonant circuit
which has the sheet sensor 60 as a resonant capacitor. The oscillation
frequency of the resonant circuit 120 varies as the capacitance
of the sheet sensor 60 changes due to the heart beating and the
respiration.
Which is to say, the change in oscillation frequency of the resonant
circuit 120 contains frequency components relating to the heart
beating and respiration of the user 7. This being so, a computation
circuit 130 analyzes the oscillation frequency of the resonant circuit
120 to compute the heart rate, the respiratory rate, the number
of body movements, and the like.
In more detail, the computation circuit 130 conducts the analysis
based on differences between the heartbeat cycle, the respiration
cycle, and the body movement cycle. That is to say, the computation
circuit 130 performs an operation such as digital filtering on the
change in oscillation frequency of the resonant circuit 120 to
extract variation components relating to the heart beating, the
respiration, and the body movement. The computation circuit 130
computes the heart rate, the respiratory rate, and the number of
body movements based on the extracted components.
The sleep depth judgment unit 110 estimates the depth of sleep
from the obtained biological information, according to a procedure
shown in FIG. 12. Note that FIG. 12 shows a procedure from the biological
information detection onward, for ease of explanation.
A biological information signal (a change in oscillation frequency
in this example) is detected by the sheet sensor 60 and the resonant
circuit 120 (S101) The biological information signal is subjected
to noise filtering (S102), amplification (S103), and analog-to-digital
conversion (S104).
The resulting biological information signal is compared with a
predetermined threshold level, to separate data whose variation
is greater than the threshold level (body movement component data)
from data whose variation is no greater than the threshold level
(heartbeat component data and respiration component data) (S105).
The latter data is subjected to digital bandpass filtering, to separate
the heartbeat component data from the respiration component data
(S106).
From the heartbeat component data, heart rate detection data (RR)
showing the number of heartbeats per unit time, a standard deviation
(RRSD) showing a fluctuation in heart rate, and a differential value
(RR') showing a differential component in heart rate are calculated
(S107). Likewise, from the respiration component data, respiratory
rate detection data (PP) showing the number of breaths per unit
time, a standard deviation (PPSD) showing a fluctuation in respiratory
rate, and a differential value (PP') showing a differential component
in respiratory rate are calculated.
After this, a variation component of RR from a corresponding reference
value, a variation component of RRSD from a corresponding reference
value, and RR' are calculated. Also, a variation component of PP
from a corresponding reference value, a variation component of PPSD
from a corresponding reference value, and PP' are calculated. These
calculation results are set as base data for the depth of sleep.
Here, the variation component of each of RR and PP from the corresponding
reference value and the variation component of each of RRSD and
PPSD from the corresponding reference value are differences, for
instance, from a mean value of each of RR and PP and a mean value
of each of RRSD and PPSD obtained in a past fixed time period. In
other words, direct-current components of personal differences included
in heart rate and respiratory rate are removed from these variation
components.
Also, RR' and PP' are each obtained by calculating a difference
from a heart rate and respiratory rate of a past fixed time period.
In other words, alternating-current components of personal differences
included in heart rate and respiratory rate are removed from these
differential values.
Thus, each item of base data is obtained with personal differences
corrected. By estimating the depth of sleep based on such data,
it is possible to produce an accurate estimation result with personal
differences corrected.
From the body movement component data, detection data (MVAVE) showing
a mean value in a fixed time period and a differential component
(MVAVE') in detection data are calculated. These computation results
are added to the base data, with it being possible to enhance the
precision in estimating the depth of sleep.
A sleep depth estimate equation has been obtained beforehand, by
performing multiple regression analysis on a plurality of sets of
base data of a plurality of persons. Through the use of this sleep
depth estimate equation (S108), the depth of sleep is estimated
from the base data obtained in step S107 (S109).
Note here that a regression operation in the multiple regression
analysis is carried out in accordance with a sleep depth regression
model equation which has the plurality of sets of base data of the
plurality of persons as parameters.
The sleep depth regression model equation is transformed into the
sleep depth estimate equation which has the eight types of base
data as parameters. The depth of sleep is computed using this sleep
depth estimate equation.
Though this example employs multiple regression analysis, the invention
should not be limited to such. The depth of sleep can equally be
computed using other methods such as discriminant analysis, fuzzy
logic, neural network, and rough set analysis.
With the provision of the sheet sensor 60 having a simple construction,
the depth of sleep can be estimated with high precision through
the above computation. By exercising the aforedescribed control
procedure based on the result of this estimation, it is possible
to provide comfortable sleep to the user 7 while alleviating the
burdens on the user 7.
(Construction of the Bed Body 2)
As explained earlier with reference to FIG. 2 the bed body 2 has
a novel, special construction for tilting the bed surface 13 in
a state where the back bed section 11a and the thigh bed section
11c are raised to assume a bent position and the right section 12R
or a left section 12L is raised. This allows the user 7 to turn
on his or her side in a state of being as if folded with the mattress
3. This construction of the bed body 2 and in particular the construction
of the tilt mechanism 5 are explained below.
FIG. 13 is a perspective cutaway view of the bed body 2. As illustrated,
the bed body 2 includes the bed frame 10 a movable stage 20 a
fixed stage 30 and a bedstead 40. The bed frame 10 forms the bed
surface 13. The movable stage 20 and the fixed stage 30 serve as
the tilt mechanism 5 for moving the bed frame 10. The bedstead 40
encloses the bed frame 10 the movable stage 20 and the fixed stage
30.
FIG. 14 is a perspective view of constructions of the bed frame
10 the movable stage 20 and the fixed stage 30. The bed frame
10 the movable stage 20 and the fixed stage 30 are explained in
this order below.
(1) Bed Frame 10
To bend and/or tilt the bed surface 13 and to raise one side of
the bed surface 13 when tilting the bed surface 13 the bed frame
10 is constructed as shown in FIG. 14. In detail, the bed frame
10 is divided into three sections that are the right section 12R,
the bed section 11 and the left section 12L, in the direction of
the width of the bed 1 (Y direction). The bed section 11 is divided
into four sections that correspond to the back, buttocks, thighs,
and calves of the user 7 in the direction of the length of the
bed 1 (X direction). These four sections of the bed section 11 are
denoted as the back bed section 11a, a buttock bed section 11b,
the thigh bed section 11c, and a calf bed section 11d. Likewise,
the right section 12R is divided into four sections that are a back
right section 12Ra, a buttock right section 12Rb, a thigh right
section 12Rc, and a calf right section 12Rd. The left section 12L
is divided into four sections that are a back left section 12La,
a buttock left section 12Lb, a thigh left section 12Lc, and a calf
left section 12Ld. Note here that the surface of the bed frame 10
(i.e. the bed surface 13) is actually covered with wire mesh as
shown in FIG. 13 though such wire mesh is omitted in FIG. 14 for
ease of explanation of other construction elements. Also, the back
bed section 11a actually has a reinforcing stay which connects opposite
sides of a frame structure of the back bed section 11a to reinforce
the back bed section 11a, though such a reinforcing stay is omitted
in FIG. 14. The same applies to the buttock bed section 11b, the
thigh bed section 11c, and the calf bed section 11d. Furthermore,
this embodiment describes the case where the bed section 11 the
right section 12R, and the left section 12L are shaped like a frame,
but they may instead be shaped like a plate.
FIG. 15A is a fragmentary view taken along the line A--A shown
in FIG. 14 when the bed frame 10 is in a substantially flat, horizontal
position. FIG. 15B is a fragmentary view taken along the line A--A
shown in FIG. 14 when the bed frame 10 is in a bent position.
The back bed section 11a, the thigh bed section 11c, and the calf
bed section 11d are supported by the movable stage 20 with spacers
25 interposed therebetween, so as to be movable away from the movable
stage 20.
Meanwhile, the buttock bed section 11b is attached to spacers 26
which are fixed to the movable stage 20 by welding or the like.
The buttock bed section 11b is not movable away from the movable
stage 20. Thus, the bed frame 10 is fixed to the movable stage 20
at the buttock bed section 11b.
Adjacent sections out of the back bed section 11a, the buttock
bed section 11b, the thigh bed section 11c, and the calf bed section
11d are connected by hinges 14. An axis of each of the hinges 14
extends in the direction of the width of the bed 1. Accordingly,
the back bed section 11a can pivot up and down about the axis of
the hinge 14 which is situated between the back bed section 11a
and the buttock bed section 11b. Likewise, the thigh bed section
11c can pivot up and down about the axis of the hinge 14 which is
situated between the buttock bed section 11b and the thigh bed section
11c, and the calf bed section 11d can pivot up and down about the
axis of the hinge 14 which is situated between the thigh bed section
11c and the calf bed section 11d.
The actuator M1 serves to raise the back bed section 11a from the
horizontal position and return it to the horizontal position. Meanwhile,
the actuator M2 serves to raise the thigh bed section 11c and the
calf bed section 11d from the horizontal position and return them
to the horizontal position. The actuators M1 and M2 are controlled
by the control unit 100.
FIG. 16A is a fragmentary view taken along the line B--B shown
in FIG. 14 when the bed frame 10 is in a substantially flat, horizontal
position. FIG. 16B is a fragmentary view taken along the line B--B
shown in FIG. 14 when the left section 12L of the bed frame 10
is raised.
As shown in FIGS. 14 and 16 the calf right section 12Rd and the
calf left section 12Ld are connected respectively to the right and
left sides of the calf bed section 11d by hinges 15. An axis of
each of the hinges 15 extends in the direction of the length of
the bed 1. Accordingly, the calf right section 12Rd can pivot up
and down about the axis of the hinge 15 which is situated between
the calf right section 12Rd and the calf bed section 11d. Likewise,
the calf left section 12Ld can pivot up and down about the axis
of the hinge 15 which is situated between the calf left section
12Ld and the calf bed section 11d. The other sections have the same
construction. In more detail, the back right section 12Ra and the
back left section 12La are connected respectively to the right and
left sides of the back bed section 11a by hinges 15. The buttock
right section 12Rb and the buttock left section 12Lb are connected
respectively to the right and left sides of the buttock bed section
11b by hinges 15. The thigh right section 12Rc and the thigh left
section 12Lc are connected respectively to the right and left sides
of the thigh bed section 11c by hinges 15. The actuator M3R serves
to raise the right section 12R from the horizontal position and
return it to the horizontal position. The actuator M3L serves to
raise the left section 12L from the horizontal position and return
it to the horizontal position. The actuators M3R and M3L are controlled
by the control unit 100.
(2) Movable Stage 20
FIG. 17 is a top view of the movable stage 20. FIG. 18 is a perspective
view of the movable stage 20. In FIG. 17 the bed frame 10 is indicated
with dashed lines. In FIG. 18 only parts of the movable stage 20
that correspond to the right section 12R and the bed section 11
of the bed frame 10 are shown while omitting parts corresponding
to the left section 12L, for ease of explanation.
As shown in FIGS. 17 and 18 the movable stage 20 is made up of
a bed section supporter 21 a right section supporter 24R, and a
left section supporter 24L. The bed section supporter 21 has a rectangular
shape with its longer sides running in the direction of the length
of the bed 1 and supports the bed section 11 of the bed frame 10.
The right section supporter 24R supports and raises the right section
12R of the bed frame 10. The left section supporter 24L supports
and raises the left section 12L of the bed frame 10.
The bed section supporter 21 is formed by one pair of side members
21R and 21L and one pair of end members 21F and 21B. The side members
21R and 21L run in the direction of the length of the bed 1 in parallel
with each other. The end members 21F and 21B run in the direction
of the width of the bed 1 in parallel with each other, and connect
both ends of the side members 21R and 21L. A reinforcing member
21A connects substantially center parts of the end members 21F and
21B. A reinforcing member 21C connects the side members 21R and
21L and the reinforcing member 21A. The reinforcing members 21A
and 21C serve to reinforce the bed section supporter 21.
The actuator M1 is attached to one part of the reinforcing member
21A which corresponds to the back bed section 11a. An end of a rod
of the actuator M1 is connected to the aforementioned reinforcing
stay (not illustrated) of the back bed section 11a. Meanwhile, the
actuator M2 is attached to one part of the reinforcing member 21A
which corresponds to the thigh bed section 11c and the calf bed
section 11d. An end of a rod of the actuator M2 is connected to
the thigh bed section 11c.
Rollers 200 201 202 and 203 (the roller 203 is hidden under
the side member 21L in FIG. 18 but is shown in FIG. 19) are provided
to the bed section supporter 21. The rollers 200 201 202 and
203 are slidable on upper faces 300 of base members 32F and 32B
of the fixed stage 30 in the direction of the width of the bed
1.
The right section supporter 24R has one pair of bars 22R and 23R
which run in the direction of the length of the bed 1 and one pair
of bars 231R and 232R which connect the bars 22R and 23R, so as
to assume the shape of a ladder. The bar 22R is connected to the
side member 21R of the bed section supporter 21 by connectors 236Ra
and 236Rb which are fixed to the side member 21R. Also, the left
section supporter 24L has one pair of bars 22L and 23L which run
in the direction of the length of the bed 1 and one pair of bars
231L and 232L which connect the bars 22L and 23L, so as to assume
the shape of a ladder. The bar 22L is connected to the side member
21L of the bed section supporter 21 by connectors 236La and 236Lb
which are fixed to the side member 21L.
The bar 22R is supported rotatably by the connectors 236Ra and
236Rb, whilst the bar 22L is supported rotatably by the connectors
236La and 236Lb. This allows the right section supporter 24R and
the left section supporter 24L to pivot about the bars 22R and 22L
respectively.
Also, a projection 235R which projects downward is fixed to the
bar 22R near a part that is connected with the connector 236Ra,
and a projection 235L which projects downward is fixed to the bar
22L near a part that is connected with the connector 236La (see
FIG. 16 etc.). An end of the projection 235R is connected with one
end of the rod of the actuator M3R, and an end of the projection
235L is connected with one end of the rod of the actuator M3L.
The actuators M3R and M3L are attached to the reinforcing member
21C, as shown in FIG. 16. This being so, when the rod of the actuator
M3R extends, the right section supporter 24R rises by pivoting about
the bar 22R. This pushes up the right section 12R of the bed frame
10. Likewise, when the rod of the actuator M3L extends, the left
section supporter 24L rises by pivoting about the bar 22L. This
pushes up the left section 12L of the bed frame 10.
Stage bars 27R and 27L are provided beneath the side members 21R
and 21L respectively, as shown in FIG. 18. The size of the stage
bars 27R and 27L is such that the stage bars 27R and 27L can exactly
fit in respective grooves of U-shaped stage bar holders 36R and
36L provided on the fixed stage 30. When raising the movable stage
20 (the bed frame 10), the stage bar holders 36R and 36L are raised.
This pushes up the stage bars 27R and 27L in a state where the stage
bars 27R and 27L are fit respectively in the grooves of the stage
bar holders 36R and 36L. As a result, the movable stage 20 is raised.
(3) Fixed Stage 30
FIG. 19 is a perspective view of the construction of the fixed
stage 30.
As shown in the drawing, the fixed stage 30 includes a base 31
and elevators 35R and 35L. The base 31 supports the movable stage
20. The elevators 35R and 35L raise/lower or tilt the movable stage
20.
The base 31 is made up of one pair of base members 32F and 32B
and one pair of connectors 33R and 33L. The base members 32F and
32B are arranged in the direction of the length of the bed 1 with
a space therebetween. The connectors 33R and 33L connect the base
members 32F and 32B to each other. The connectors 33R and 33L each
have a slide groove which is shaped like the Japanese katakana letter
"" and faces the other connector. Lower ends of arms 354R
and 356R are inserted in the slide groove of the connector 33R so
as to be slidable in the direction of the length of the bed 1. Also,
lower ends of arms 354L and 356L are inserted in the slide groove
of the connector 33L so as to be slidable in the direction of the
length of the bed 1.
The elevator 35R is positioned between the base members 32F and
32b on the right side of the base 31 whereas the elevator 35L is
positioned between the base members 32F and 32B on the left side
of the base 31. To raise or lower the movable stage 20 both of
the elevators 35R and 35L operate. To tilt the movable stage 20
only one of the elevators 35R and 35L operates. FIG. 19 shows a
situation where the movable stage 20 is raised.
The elevators 35R and 35L are each constructed by a parallelogram
mechanism which employs a longitudinal sliding function. This is
explained in more detail below.
As mentioned earlier, the lower ends of the arms 354R and 356R
are inserted in the slide groove of the connector 33R so as to be
slidable in the direction of the length of the bed 1 and the lower
ends of the arms 354L and 356L are inserted in the slide groove
of the connector 33L so as to be slidable in the direction of the
length of the bed 1. Meanwhile, the upper ends of the arms 354R
and 356R are connected to both ends of the stage bar holder 36R,
and the upper ends of the arms 354L and 356L are connected to both
ends of the stage bar holder 36L. Also, center parts of the arms
354R and 356R are connected respectively to bent parts of inverted-L-shaped
cranks 351R and 352R. One end of each of the cranks 351R and 352R
is linked to an outer side face of the connector 33R. The other
ends of the cranks 351R and 352R are linked to each other via a
link 353R. Likewise, center parts of the arms 354L and 356L are
connected respectively to bent parts of inverted-L-shaped cranks
351L and 352L. One end of each of the cranks 351L and 352L is linked
to an outer side face of the connector 33L. The other ends of the
cranks 351L and 352L are linked to each other via a link 353L. Furthermore,
the actuator M4R is attached to the stage bar holder 36R, and the
actuator M4L is attached to the stage bar holder 36L. One end of
a rod of the actuator M4R is connected to the link 353R, whereas
one end of a rod of the actuator M4L is connected to the link 353L.
In such a parallelogram mechanism, when the rod of the actuator
M4R and the rod of the actuator M4L extend/compress, the cranks
351R and 352R make circular motion about the connecting parts with
the connector 33R, and the cranks 351L and 352L make circular motion
about the connecting parts with the connector 33L. In sync with
the circular motion of the cranks 351R and 352R, the lower ends
of the arms 354R and 356R slide along the groove of the connector
33R. Also, in sync with the circular motion of the cranks 351L and
352L, the lower ends of the arms 354L and 356L slide along the groove
of the connector 33L. This causes the arms 354R and 356R to swing
about their connecting parts with the cranks 351R and 352R, and
the arms 354L and 356L to swing about their connecting parts with
the cranks 351L and 352L. As a result, the stage bar holders 36R
and 36L move up and down. Thus, the movable stage 20 is raised and
lowered via the stage bars 27R and 27L.
When tilting the movable stage 20 to one side, on the other hand,
only one of the elevators 35R and 35L operates as mentioned above.
To tilt the movable stage 20 to the right, for instance, the elevator
35L operates to raise the left part of the movable stage 20. In
this case, the elevator 35R does not operate. Accordingly, the stage
bar 27R and the stage bar holder 36R remain separated from each
other. In other words, the rollers 200 and 202 of the movable stage
20 are in contact with the upper faces 300 of the base members 32B
and 32F of the fixed stage 30 respectively. This being so, as the
left part of the movable stage 20 rises, the rollers 200 and 202
slide leftward on the upper faces 300.
To tilt the movable stage 20 to the left, on the other hand, the
elevator 35R operates to raise the right part of the movable stage
20. In this case, as the left part of the movable stage 20 rises,
the rollers 201 and 203 of the movable stage 20 slide rightward
on the upper faces 300. These actuators M4R and M4L are controlled
by the control unit 100.
(4) Movements of the Bed 1
FIG. 20 shows movements of the bed 1 when the user 7 is turned
on his or her right side by the tilt mechanism 5.
Initially, the bed surface 13 (the mattress 3) is in a flat, horizontal
position (FIG. 20A). Then the back bed section 11a is raised by
an angle .alpha. (FIG. 20B), and the thigh bed section 11c is raised
by an angle .beta. to bend up the knees of the user 7. Also, the
right section 12R (a right part 3R of the mattress 3) is raised
upright (FIG. 20C).
After this, the bed surface 13 is tilted to the right by an angle
.gamma., to turn the user 7 on his or her right than when the user
7 is awake, in order to keep the user 7 from feeling stress during
sleep.
(2) The above embodiment describes the case where the bed surface
13 is tilted in a state where the bed section 11 is bent and the
right section 12R or the left section 12L is raised. This has an
advantage of providing the sense of security to the user 7. However,
an operation of turning the user 7 is not limited to this. According
to circumstances, the invention may equally be applied to adjustable
beds which tilt the bed surface in a flat state.
(3) The above embodiment describes the case where each actuator
such as M1 is a motor-driven actuator with a built-in direct-current
servomotor, but any actuator having a linearly extendable rod may
be used. As a motor-driven actuator, an actuator driven by a stepping
motor may be used.
Also, the primary drive for bending/tilting the bed surface 13
is not limited to an actuator. For example, the bed surface 13 may
be bent/tilted by employing an air mattress having a plurality of
air sacs and individually supplying/ejecting air to/from each air
sac.
Also, such an air mattress which exerts a tilt function through
the use of a plurality of air sacs may itself be used as the bed
body in the adjustable bed of the invention.
(4) The above embodiment describes an example where the invention
is used for a turn assisting bed, but this is not a limit for the
invention, which may equally be used as an apnea syndrome treatment
bed. When the invention is used as an apnea syndrome treatment bed,
it is desirable to add a display for displaying a sleep depth analysis
result obtained by the control unit 100 and/or a printer for printing
out the analysis result.
Although the present invention has been fully described by way
of examples with reference to the accompanying drawings, it is to
be noted that various changes and modifications will be apparent
to those skilled in the art.
Therefore, unless such changes and modifications depart from the
scope of the present invention, they should be construed as being
included therein. |