CONFIGURABLE ARRANGEMENT FOR THE MEDICAL CARE OF A PATIENT

Description

[0001] The invention relates to a configurable arrangement which provides at least two supply connections for medical devices for supplying a patient.

[0002] An example of an arrangement of supply connections for medical devices is shown in US 2013 / 145700 A1.

[0003] The German Hospital Future Act stipulates that a hospital must provide a certain number of intensive care beds. The invention is based on the task of providing a patient care arrangement that enables intensive care for the patient and can meet specified requirements better than with existing care arrangements.

[0004] The invention is achieved by an arrangement having the features of claim 1. Advantageous embodiments are specified in the subclaims. The arrangement according to the invention is designed to enable the medical care of a patient.

[0005] The arrangement comprises a total number of supply connections. This total number comprises at least two supply connections. Each supply connection is capable of providing at least one supply medium for a medical device to supply the patient. Examples of such a supply medium are breathing air, pure nitrogen (N2), nitrous oxide (N2O), an anesthetic agent, compressed air, a cleaning fluid, another fluid (gas or liquid), a drain line for fluid, electrical energy (e.g. standard alternating current, 220 V AC in Germany, or three-phase current / power current, 360 V AC in Germany) and a data connection for connecting a medical device to a stationary data network, for example an Ethernet socket (i.e. data and messages are one supply medium).

[0006] The total number of supply connections in the arrangement is designed to provide the supply connections required for intensive care of the patient, i.e., to supply the medical devices used or usable for intensive care with the required supply media. Of course, it depends on the patient which medical devices and thus which supply connections are actually required for intensive care.

[0007] The arrangement according to the invention further comprises a frame, at least one detachably mountable wall panel and one wall panel fastening unit for each detachably mountable wall panel.

[0008] Each wall panel fastening unit can removably hold the wall panel to the frame. Using the wall panel fastening unit, the wall panel can be attached to the frame. The attached wall panel can be removed from the frame again. For two wall panels, the assembly comprises two wall panel fastening units.

[0009] Each wall panel is in one of two possible states with respect to the frame: The wall panel is attached to the frame using the wall panel attachment unit in such a way that the wall panel cannot move relative to the frame. The wall panel is detached from the frame in such a way that there is no mechanical connection between the frame and the wall panel, and the wall panel can be moved freely relative to the frame.

[0010] The arrangement according to the invention is configured as follows: When the or at least one detachably mountable wall panel is actually attached to the frame, at least one supply connection of the total quantity is covered by the or one wall panel on the frame, preferably several supply connections of the total quantity. A remaining number of supply connections of the total quantity, however, remains free, i.e., is not covered by the or one wall panel and can provide a supply medium for a medical device. This remaining number comprises at least one supply connection of the total quantity, preferably several supply connections of the total quantity.

[0011] The remaining supply connections in the arrangement are designed to provide the supply connections for normal patient care, i.e., those supply connections required to supply the medical devices used or usable for normal care with the required supply media. Of course, it depends on the patient which medical devices and thus which supply connections are actually required for normal care.

[0012] The arrangement according to the invention can be used either for intensive care or for normal patient care. In normal care, the or at least one detachably mountable wall panel is actually mounted on the frame, preferably every detachably mountable wall panel. In intensive care, at least one detachably mountable wall panel is not attached to the frame; preferably, no detachably mountable wall panels are mounted on the frame, so that all supply connections required for intensive care are exposed.

[0013] All supply connections of the total set are available for intensive care. This total set is designed so that every medical device required or usable for intensive care can be connected to at least one supply connection of the total set.

[0014] The supply connections of the residual volume are available for normal care. This residual volume is designed so that every medical device required or usable for normal care can be connected to at least one supply connection of the residual volume.

[0015] The set of supply connections that belong to the total quantity but not to the residual quantity is hereinafter referred to as the "intensive quantity." When the or each detachably mountable wall panel is actually attached to the frame, the supply connections of the intensive quantity are concealed.

[0016] Because the arrangement according to the invention can be used for intensive care, the arrangement according to the invention can contribute to providing an intensive care place. However, if the arrangement is not currently required for intensive care, it can be used for normal care instead. The invention thus obviates the need to keep a care place ready for intensive care, but not be able to use this care place for normal care if the care place is not currently required for intensive care. The invention thus contributes to reducing the number of intensive care places that are unused. Thanks to the invention, in many cases a sufficient number of intensive care places are available when needed, because a care place with the arrangement according to the invention can be quickly converted into an intensive care place.

[0017] When the system is used for normal care, the system's detachably mounted wall panels conceal those supply connections that belong to the intensive supply, i.e., the total supply, but not the residual supply. The supply connections of the intensive supply, or at least some of them, can therefore be concealed by the installed wall panels during normal care.

[0018] This feature of the invention facilitates cleaning and disinfection of the arrangement during normal care, thus meeting the hygienic requirements for a medical care facility. As long as the or each wall panel is attached to the frame, it is sufficient to clean the surface facing a hospital bed, i.e., the outer surface, of the or each wall panel. The utility connections not required for normal care are concealed by the or each wall panel and are therefore less exposed to contaminants and other contaminants.

[0019] Thanks to the installed wall panels, the risk of mechanical damage to a supply connection for intensive care is reduced. As long as the arrangement is required for normal care, these supply connections require less frequent or no cleaning and disinfection. It is possible to design the outer surface of a wall panel smooth, preventing contaminants and pollutants from accumulating on the surface. The outer surface of a wall panel can also be designed to make it resistant to the cleaning agents and disinfectants used.

[0020] In addition, when the or each detachably mountable wall panel is mounted on the frame, the intensive care supply connections are not accessible and visible from the outside. Because the intensive care supply connections are then not accessible, the risk of a medical device used for normal care being incorrectly connected to an intensive care supply connection is reduced. This could endanger the patient or damage the connected medical device. Furthermore, the risk of a supply connection used only for intensive care becoming contaminated or damaged during normal care is reduced. A wall panel mounted on the frame protects this supply connection.Because the supply connections of the intensive care unit are not visible from the outside when the wall panels are installed, but only those supply connections that are required for normal care, patients and nursing staff are subjected to less psychological ("mental") stress than if all supply connections of the entire unit were visible even in normal care.

[0021] According to the invention, the or each detachably mountable wall panel can be connected to the frame of the arrangement and removed from the frame again. As a result, the detachably mountable wall panels can be quickly removed from the frame, making those supply connections belonging to the intensive care unit accessible and usable. In particular, due to this property, the arrangement can be quickly converted from use for normal care to use for intensive care. To convert the arrangement according to the invention from a configuration for intensive care to a configuration for normal care, it is sufficient to attach the or at least one detachably mountable wall panel to the frame. To configure the arrangement for intensive care, it is sufficient to remove this wall panel from the frame again, whereby the supply connections of the intensive care unit also become accessible.The need for an intensive care bed often arises suddenly and is unforeseeable, so it is advantageous if this intensive care bed can be provided quickly.

[0022] When a detachably mountable wall panel is attached to the frame, movement of the wall panel relative to the frame is prevented. This design increases the safety of the arrangement because unwanted, unintentional, or accidental movement of the wall panel could result in personal injury or damage to equipment.

[0023] When a detachably mountable wall panel is detached from the frame, this wall panel can be freely moved and removed relative to the frame. This saves space compared to a design in which at least one pivoting or sliding door is attached to the frame and optionally exposes or conceals at least one utility connection. Even when it exposes the utility connection, the door requires space on or in the frame, regardless of whether it is pivoting or sliding. In many cases, a door must be secured in both the closed and open positions to prevent unwanted movement of the door. This frequently requires multiple attachment points. A wall panel according to the invention, on the other hand, can be detached from the frame and then completely removed and, once removed, no longer takes up any space on the frame.It is possible to clean and disinfect a wall panel that is not currently attached to a frame from all sides.

[0024] The invention makes it possible to use fewer removable wall panels. Thanks to the invention, the same wall panel can be mounted either in a first position or in a second position different from the first position, even on different frames. Furthermore, the invention makes it easier to quickly replace a damaged wall panel in many cases. Replacing a door often requires more time.

[0025] In many cases, thanks to the wall panels, no further steps are required to change the configuration. In particular, it is not necessary to add a utility connection. In many cases, it is possible to convert an existing intensive care arrangement to create an arrangement according to the invention. Often, it is sufficient to add the or each detachably mountable wall panel and the respective wall panel mounting unit.

[0026] The invention eliminates the need to attach supply connections to a rotatable or otherwise pivotable supply connection support, with either a first or a second surface of this support facing the medical devices in use. Pivoting such a supply connection support requires free space in a hospital room. However, free space is often limited. Furthermore, in many cases, all supply connections are accessible from the outside, even during normal care, which could lead to them becoming dirty or contaminated with pathogens, or to a supply connection being mistakenly connected to a medical device. Thanks to the wall panels according to the invention, a smooth and preferably continuous surface can be provided for both normal care and intensive care, with only the required supply connections as unevenness.Compared to a pivoting utility connection support, the invention therefore makes it easier to clean and disinfect the assembly. A pivoting utility connection support also requires swivel joints and, optionally, additional pivot arms, which are often subject to greater wear than a wall panel mounting unit according to the invention.

[0027] In many cases, the invention enables an intuitive approach to adapting a medical workstation to normal care or intensive care settings. To adapt the workstation for intensive care, it is sufficient to detach and remove all detachably mountable wall panels from the frame. Conversely, to adapt the workstation for normal care, it is sufficient to attach all detachably mountable wall panels to the frame. In many cases, this reduces the risk of a supply connection required for intensive care being mistakenly concealed by a wall panel, or conversely, a supply connection not required for normal care being freely accessible because it is not concealed by a wall panel. In many cases, separate instructions are no longer required to specify which supply connections must be accessible in intensive care and which can be concealed in normal care.

[0028] In this text, a "wall panel" is understood to mean a portable and movable object comprising at least one component extending in a plane. The largest dimension of the component perpendicular to this plane is at most one-tenth of the largest dimension in this plane. A wall panel may also comprise at least two components, each extending in a plane, with an angle, for example a right angle, occurring between these two planes. The at least two components are preferably rigidly connected to one another. The wall panel may be made of wood, plastic, or metal. At least the surface facing a hospital room when the wall panel is installed—preferably every surface of the wall panel—is sufficiently resistant to cleaning and disinfectant agents and is preferably smooth.

[0029] It is possible for the wall panel to comprise a flat component, whereby this flat component, when the wall panel is mounted to the frame, preferably extends parallel to a wall and the frame is located on this wall. Two further components are mounted on two opposite edges of this flat component, optionally a third component on a third edge. This gives the wall panel the shape of a box and encloses a space in front of the wall. This space preferably contains at least one supply connection of the total quantity that is not part of the residual quantity. The box protects the or each supply connection from dirt and harmful particles.

[0030] In one embodiment, in addition to the detachably mountable wall panels, the arrangement comprises at least one further wall panel that is permanently mounted to the frame. "Permanently mounted" means that when the arrangement is converted from normal care to intensive care or vice versa, the additional wall panel remains on the wall. Preferably, the or each detachably mountable wall panel and the or each further wall panel form at least one continuous surface when each detachably mountable wall panel is actually mounted to the frame. This continuous surface can be interrupted, for example, by utility connections or a utility connection support.

[0031] The frame of the arrangement preferably provides at least one chamber, i.e., a hollow space surrounded by several walls of the frame. The or at least one detachably mountable wall panel, preferably several wall panels, can be stored in this chamber when these wall panels are not needed. In particular, during intensive care, this chamber accommodates the or at least one detachably mountable wall panel, which, during normal care, covers a supply connection belonging to the intensive care unit.

[0032] This design further reduces the time required to convert the arrangement from normal care to intensive care or vice versa. Because at least one detachably mountable wall panel can be stored within the chamber, it is not necessary to store this wall panel outside the frame or retrieve it from a location outside the frame. This means that it is sufficient to transport the wall panel from the chamber inside the frame to a mounting location on the frame to convert the supply arrangement from intensive care to normal care. This reduces the risk of a required wall panel being missing and therefore an intensive care supply connection being visible and accessible even in normal care, which could become dirty and require cleaning and disinfection. To convert the arrangement from normal care to intensive care, it is sufficient to move the wall panel into the chamber.

[0033] In a further development of this embodiment, the arrangement comprises a first wall panel and at least one second wall panel. Both the first wall panel and the or each second wall panel are each a detachably mountable wall panel. The chamber is capable of accommodating the or at least one, preferably every second wall panel. When attached to the frame, the first wall panel conceals the chamber with the second wall panel. The first wall panel attached to the frame therefore reduces the risk of the chamber and an object located in the chamber becoming damaged or soiled and requiring repair, cleaning, or disinfection. In one embodiment, the or a second wall panel, when mounted to the frame, conceals at least one supply connection that belongs to the intensive quantity, i.e. to the total quantity but not to the residual quantity.

[0034] In another refinement of this embodiment, the frame further comprises a supply connection support with at least one supply connection belonging to the intensive quantity. At least one space inside the frame adjoins this supply connection support. A second wall panel, when attached to the frame, conceals this adjacent space. The supply connection support and the supply connections in this supply connection support remain accessible even when the second wall panel is mounted. This adjacent space can accommodate an object. The adjacent space can belong to the chamber just described, which can be covered by the first wall panel.

[0035] These two design training courses can be combined.

[0036] In one embodiment, the arrangement comprises a holding device capable of holding a medical device that is required for or usable for intensive care and is preferably not required for normal care. A holding device fastening unit of the arrangement is attached to the frame. Using the holding device fastening unit, the holding device can be releasably attached to the frame. For example, the holding device fastening unit comprises an external thread and the holding device an internal thread, or vice versa. It is also possible for the holding device to be attached to the frame using a snap connection or locking connection or at least one hook.

[0037] According to a further development of this embodiment, the arrangement further comprises a normal care wall panel and an intensive care wall panel, wherein at least one opening is recessed into the intensive care wall panel and preferably no opening is recessed into the normal care wall panel. These two wall panels are detachably mountable wall panels. When the normal care wall panel is mounted on the frame, it conceals the holding device fastening unit and thus prevents soiling or contamination of the holding device fastening unit. When the intensive care wall panel is mounted on the frame, at least one component of the holding device can be passed through the opening, or one opening at a time, of the mounted intensive care wall panel. The holding device can then be detachably attached to the holding device fastening unit and thus to the frame.Preferably, the opening in the mounted intensive care wall panel guides the component of the holding device during insertion and ensures that this component is correctly positioned relative to the frame. This configuration facilitates the installation of the holding device when the intensive care wall panel is already mounted on the frame. Preferably, a chamber provided by the frame can be optionally concealed and thus protected by the normal care wall panel mounted on the frame or by the intensive care wall panel mounted on the frame.

[0038] Preferably, a chamber of the frame accommodates the unassembled holding device, preferably after the holding device has been disassembled into at least two components. Thanks to the design with the chamber, damage to or contamination of the holding device in the chamber is prevented. Because the holding device is stored in a chamber in the frame and not in a spatially distant location, the risk of the holding device being missing when needed for intensive care is reduced. Preferably, the normal care wall panel conceals this chamber when the normal care wall panel is mounted on the frame.

[0039] In one embodiment, at least one, preferably each, wall panel, when mounted on the frame, has a smooth surface facing away from the frame and toward a medical device connected to a supply connection, and thus also toward a hospital bed in front of the arrangement. This smooth surface is particularly easy to clean and disinfect. Preferably, the detachably mountable and actually mounted wall panels form a continuous surface, optionally together with the permanently mounted wall panels, wherein this continuous surface is optionally interrupted by at least one supply connection support and optionally by a supply connection in a wall panel.

[0040] In another embodiment, a supply connection is embedded in at least one wall panel. This supply connection is connected to a coupling unit. The coupling unit can be connected to a counter-coupling unit in a wall. Compared to a design in which no wall panel provides a supply connection, this design saves space.

[0041] In a preferred embodiment, the or at least one detachably mountable wall panel of the arrangement can be detachably attached to the frame using at least one suction connection or snap-in connection. When the wall panel is moved towards the frame, an element of the suction connection or snap-in connection located on the wall panel points towards the frame. This embodiment eliminates the need to use a tool to attach the wall panel to the frame and detach it from the frame again. In particular, it is not necessary to use a screwdriver or any other tool. In many cases, if the assembly or disassembly of a wall panel requires a tool, an opening must be provided in the wall panel. Dirt particles and germs can enter the interior of the frame through such an opening.The design with the suction connection or snap-in connection makes it possible to provide a detachably mountable wall panel with a smooth outer surface and, ideally, without an opening. This design facilitates cleaning and disinfection.

[0042] In a preferred embodiment, the arrangement comprises at least one handling unit, in particular at least one suction gripper, which can be detachably connected to the or a detachably mountable or mounted wall panel, in particular can be placed on a surface of the wall panel. When the handling unit is connected to a wall panel, the wall panel can be carried and in particular moved to a desired position on the frame. This embodiment eliminates the need to provide a handle on a wall panel or an opening in a wall panel in order to carry the wall panel using the handle or opening. Instead, the wall panel can have a smooth surface without an opening and without a handle, onto which the handling unit can be placed.

[0043] In the following, the invention is described using an exemplary embodiment. Figure 1 a hospital room configured for normal care; Figure 2 the hospital room of Figure 1 configured for intensive care; Figure 3 a single intensive care bed with a ventilator; Figure 4 a situation when converting a care place and this care place for normal care; Figure 5 the situation of Figure 4 as well as several detailed views; Figure 6 multiple supply connections in one wall panel; Figure 7 the situation of Figure 4 , with one chamber open for wall panels; Figure 8 the chamber of Figure 7 in a detailed view; Figure 9 an example of how a wall panel is attached to the frame; Figure 10 a frame for the utility connection supports and wall panels; Figure 11 a hospital room with the frame of Figure 10 , configured for normal care; Figure 12 a hospital room with the frame of Figure 10 , configured for intensive care.

[0044] Figure 1 and Figure 2 show an example of a hospital room which is suitable for normal care ( Figure 1 ) or for intensive care ( Figure 2 ) is configured. In the configuration for normal care, three hospital beds 1.1, 1.2, 1.3 are placed in the hospital room, while in the configuration for intensive care there are only two hospital beds 1.1, 1.2. In one embodiment, there is a distance of at least 1.20 m between two adjacent hospital beds in normal care and at least 2.25 m between two adjacent hospital beds in intensive care. In intensive care, there is therefore more space for nursing staff and medical equipment between two hospital beds than in normal care.

[0045] Three supply connection supports (2.1, 2.2, 2.3) are permanently mounted on a wall of the hospital room. Each supply connection support (2.1, 2.2, 2.3) contains a number of supply connections (22.1, 22.2, 22.3), with each supply connection providing a supply medium. Examples of supply media include electrical current, breathing air, pure oxygen (O2), nitrous oxide (N2O), anesthetic, compressed air, a cleaning fluid, and a connection to a stationary data network (a "data socket," e.g., an Ethernet socket).

[0046] On each supply connection support 2.1, 2.2, 2.3, a horizontal rail 4.1, 4.2, 4.3 is arranged above the supply connections 22.1, 22.2, 22.3, to which, for example, a lighting unit 6.1, 6.2, 6.3 can be attached ( Figure 2 ). Various wall panels are arranged above and below the supply connection supports 2.1, 2.2, 2.3, which are described below.

[0047] The supply connections 22.1, 22.2, and 22.3 are used for both normal care and intensive care, or can be used for both. In the intensive care configuration, two additional supply connection supports 3.1 and 3.2 with additional supply connections 30.1 and 30.2 are visible and available, see [Figure 1]. Figure 2. In normal care, these additional supply connections 30.1, 30.2 are covered by wall panels, which is described below. These supply connections 30.1, 30.2 in the supply connection carrier 3.1, 3.2 provide additional supply media that are or can be required only in intensive care, but not in normal care. For example, an uninterruptible power supply is only required in intensive care, which supplies a connected medical device with power even if the stationary power supply network is interrupted. Or a high-voltage connection, e.g. for an X-ray machine, is only used in intensive care. The two supply connection carriers 3.1, 3.2, for example, provide such additional electrical supply connections.In one embodiment, a wastewater basin and a wastewater line are required for dialysis or for a urological examination, whereby this examination is part of intensive care.

[0048] Supply connections 22.1, 22.2, and 22.3 constitute the remaining supply connections. Supply connections 22.1, 22.2, and 22.3 and supply connections 30.1, 30.2, and 30.3 together constitute the total supply connections.

[0049] In the configuration for intensive care, in the illustrated embodiment, a vertical support rod 5.1, 5.2 is attached in front of and below the supply connection support 2.1, 2.2, which is not required for normal care and has the shape of a tube in the illustrated embodiment. As an example, Figure 2an input and output unit 7.2 is shown, which comprises a keyboard, a screen and a support arm and is mounted on the vertical rod 5.2.

[0050] Figure 3 shows a single nursing place for intensive care, which, compared to the design according to Figure 2is slightly modified. Several supply connections 22.1 are embedded in the supply connection carrier 2.1. Above the supply connection carrier 2.1 there is a supply connection carrier 3.1 with supply connections 30.1, which are only required for intensive care. As an example, three supply connections 30.1 for three fluids and a socket for an internet connection are shown. A ventilator 8.1 is connected via a hose to a supply connection 30.1 of the supply connection carrier 3.1, whereby this supply connection 30.1 provides a fluid for the ventilator 8.1. A screen 7.1 and an examination light 9.1 are attached to the horizontal rail 4.1, and several syringe pumps 9.2 are attached to the vertical rod 5.1. In addition, two vertical rails 24.1 can be seen, which are also used in normal care.The intensive care station also includes a holding device 23 in the form of a double pivoting arm, which can carry another medical device (not shown) and is detachably mounted, which is described further below.

[0051] In Figure 3 Also shown are two detachably mounted wall panels 11.2 and 11.3, as well as two permanently mounted wall panels 25.1 and 25.2. These are described below.

[0052] A comparison of Figure 1 on the one hand with Figure 2 and Figure 3On the other hand, it shows that a supply connection support 3.1, 3.2 with supply connections 30.1, 30.2, which are only required for intensive care, is concealed by a wall panel when this care station is used for normal care. This wall panel covers the supply connections 30.1, 30.2 from the front when the care station is used for normal care, thus being located between the supply connections 30.1, 30.2 and the patient room. This design protects the supply connections 30.1, 30.2 from mechanical damage and reduces the effort required for the necessary cleaning and disinfection.

[0053] Figure 4 and Figure 5 show a situation during the conversion of a care place, i.e. while a care place is being converted from the configuration for normal care to a configuration for intensive care or vice versa. Figure 4 a) shows the care place of Figure 3without the hospital bed 1.1 and without the medical devices 8.1, 9.1, 9.2. Shown are the supply connection support 2.1, the horizontal rail 4.1, and the vertical rails 24.1, which are also used for general care, as well as the supply connection support 3.1, which is used only for intensive care.

[0054] Also visible is a chamber 10.1, which surrounds the supply connection support 3.1 and is provided by a frame 20. Two spaces 31.1 and 31.2 are left free in chamber 10.1 to the left and right of the supply connection support 3.1. The purposes of these spaces 31.1 and 31.2 are described below. The vertical pole 5.1 is only required for intensive care, not for normal care. The chamber 10.1 accommodates the vertical pole 5.1 when this vertical pole 5.1 is not needed.

[0055] A continuous wall panel 11.1 covers the chamber 10.1 when the care station is Figure 3 and Figure 4 is used in normal care and therefore the supply connections 30.1 of the supply connection supports 3.1 are not required. Chamber 10.1 is then not visible from the outside. Figure 4 b) shows the configuration for normal care. The wall panel 11.1 is inserted in front of the chamber 10.1 and is detachably secured to the frame 20, preferably using suction fasteners, snap fasteners and / or snap locks, so that no tools are required for assembly and disassembly. The detachably attached wall panel 11.1 forms a continuous surface with the permanently mounted wall panels 25.1, 25.2 above the supply connection support 2.1. In the situation described in Figure 4 a) As shown, the wall panel 11.1 is on the floor and the wall panels 25.1, 25.2 are still attached to the frame 20.

[0056] In the illustrated embodiment, the wall panel 11.1 can be gripped and moved using two suction grippers 12.1 and 12.2. A user places the two suction grippers 12.1, 12.2 on the wall panel 11.1, creates a vacuum, moves the wall panel 11.1 to the desired location, releases the vacuum, and removes the suction grippers 12.1, 12.2 from the wall panel 11.1.

[0057] Figure 5 a) shows in an enlargement of Figure 4 a) the chamber 10.1 and the supply connection support 3.1, with the wall panel 11.1 removed. The chamber 10.1 accommodates the vertical rod 5.1 and two rod holders 13.1, 13.2. Using these rod holders 13.1, 13.2, the vertical rod 5.1 can be secured, as described below. Furthermore, the chamber 10.1 can accommodate a holding device 23 for a medical device (not shown). The mounted holding device 23 is shown in Figure 3In this case, the holding device 23 is a double pivot arm, i.e. a device with two parallel and spaced-apart rotating arms, and comprises a mounting plate 23.1.

[0058] Figure 5 b) shows a left wall panel 11.2 with two segments 14.1, 14.2 that are perpendicular to one another. This left wall panel 11.2 is then inserted to the left of the supply connection support 3.1 if the care station is used for intensive care and therefore at least one supply connection 30.1 in the supply connection support 3.1 is used or at least should be usable and therefore must not be covered. The left wall panel 11.2 is then inserted so that segment 14.1 lies in the wall plane and segment 14.2 protrudes into the chamber 10.1. The left wall panel 11.2 covers the space 31.1, i.e., the part of the chamber 10.1 that is located to the left of the supply connection support 3.1. Figure 3shows the inserted left wall panel 11.2.

[0059] Figure 5 c) shows a right-hand wall panel 11.3 with two segments 15.1, 15.2 positioned perpendicular to each other. The right-hand wall panel 11.3 is then inserted to the right of the utility connection support 3.1 when the care station is used for intensive care. The right-hand wall panel 11.3 is then inserted so that segment 15.1 lies in the wall plane and segment 15.2 extends into chamber 10.1. The right-hand wall panel 11.3 covers space 31.2, i.e., the part of chamber 10.1 located to the right of the utility connection support 3.1. Figure 3 shows the inserted right wall panel 11.3.

[0060] Two round openings 17.1, 17.2 are recessed one above the other in segment 15.1 of the right wall panel 11.3. When the right wall panel 11.3 is positioned in front of the chamber 10.1 and removably secured, these openings 17.1, 17.2 are located in front of two fastening elements 16.1, 16.2 on the rear wall of the chamber 10.1. With the right wall panel 11.3 inserted, the two rod holders 13.1, 13.2 can be pushed through these openings 17.1, 17.2 and removably connected to the fastening elements 16.1, 16.2. For example, each rod holder 13.1, 13.2 has an internal thread and each fastening element 16.1, 16.2 has a corresponding external thread, or vice versa. The two rod holders 13.1 and 13.2 can be screwed onto the fastening elements 16.1 and 16.2. The vertical rod 5.1 can then be pushed through two holes 21.1 and 21.2 in the rod holders 13.1 and 13.2 and secured.

[0061] In addition, four openings 18 are recessed into segment 15.1. On the rear wall of chamber 10.1, there are receiving elements 19 for four fastening elements (not shown), such as screws. These fastening elements can be passed through the openings 18 and secured, for example, by screwing, into the receiving elements 19.

[0062] In one embodiment, the right wall panel 11.3 can be releasably secured in front of the chamber 10.1 by means of fastening elements that are passed through the openings 18 and inserted into the receiving elements 19. This reduces the risk of the right wall panel 11.3 falling off the wall when a device is attached to the rod 5.1.

[0063] In another embodiment, a holding device can be fastened using fastening elements, wherein these fastening elements are guided through the openings 18 and fastened in the receiving elements 19. With such fastening elements, for example, the mounting plate 23.1 of the holding device 23 can be fastened, wherein the holding device 23 in Figure 3 shown in assembled position and in disassembled position is received by chamber 10.1, cf. Figure 5 a) .

[0064] In the embodiment just described, the openings 17.1, 17.2 are used to guide the rod holders 13.1, 13.2 through the right-hand wall panel 11.3 and to releasably fasten them to the fastening elements 16.1, 16.2. In an alternative embodiment, which is not shown, a supply connection is located in the rear wall of the chamber 10.1 at the location of a fastening element 16.1, 16.2. A connecting unit, for example a hose, a pipe, or a cable, can be guided through the opening 17.1, 17.2 and releasably connected to this supply connection. In one implementation, this connecting unit is guided through the opening 17.1, 17.2 in such a way that the connecting unit closes the opening 17.1, 17.2 in a fluid-tight manner. This supply connection is only required for intensive care. In normal care, this supply connection is covered by the wall panel 11.1.

[0065] In a further embodiment, a supply connection is embedded in a wall panel. Figure 6shows, by way of example, several supply connections 32.1, 32.2 in the permanently mounted wall panel 25.2. In this example, the supply connections 32.1, 32.2 are connections to a stationary data network. It is also possible for at least one supply connection to be embedded in a detachably mountable wall panel 11.1, 11.2, 11.3. In both embodiments, this supply connection 32.1, 32.2 in the wall panel is connected to a coupling unit in the frame 20 via a suitable connecting unit, for example a cable, a hose, or a pipe. If the supply connection is embedded in a detachably mounted wall panel 11.1, 11.2, 11.3, this connection unit is detachably connected to the coupling unit in the frame 20 via a suitable coupling unit, for example a plug or a plug connection or screw connection, if the wall panel is attached to the frame 20.

[0066] The two wall panels 11.2 and 11.3 are not required for normal care. Figure 7 shows a chamber 10.2, which in normal care accommodates the two wall panels 11.2 and 11.3. This additional chamber 10.2 is covered by a wall panel 11.4, which in Figure 7 behind the wall panel 11.1. The wall panel 11.4 can also be moved using suction cups. In the situation shown in Figure 4 a) As shown, chamber 10.2 is covered by wall panel 11.4. Preferably, chamber 10.2 accommodates wall panel 11.1 in intensive care, which is then not required. Even in intensive care, chamber 10.2 is covered by wall panel 11.4.

[0067] Figure 8shows a portion of chamber 10.1, with loose objects removed from chamber 10.1. Visible are the two fastening elements 16.1, 16.2 on the rear wall, which hold the two rod holders 13.1, 13.2. This rear wall belongs to the frame 20, which is described further below. Also visible are the holder elements 19.

[0068] Figure 8 and Figure 9 also show an exemplary embodiment of how a wall panel is detachably attached to the frame 20. Two frame-side fastening elements 27.1, 27.2 are attached to the rear wall of the chamber 10.1, cf. Figure 9 b) . Two panel-side fastening elements 26.1, 26.2 are attached to the back of the wall panel 11.3 shown as an example, see Figure 9 a)When the wall panel 11.3 is moved toward the rear wall in the correct position, the panel-side fastening elements 26.1, 26.2 slide into the frame-side fastening elements 27.1, 27.2 like a plug or over the frame-side fastening elements 27.1, 27.2 like a sleeve. Preferably, the panel-side fastening elements 26.1, 26.2 snap into place when the wall panel 11.3 has reached the desired mounting position on the frame 20.

[0069] Figure 10 shows the already mentioned frame 20 with three segments 20.1, 20.2, 20.3 for the three care places of Figure 1The frame 20 is permanently mounted to a wall of the hospital room shown. The frame 20 provides the two chambers 10.1, 10.2, as well as additional chambers, and is preferably made of aluminum or another metal. Each segment 20.1, 20.2, 20.3 of the frame 20 includes the utility connection supports and optionally the rods and / or rails for each care station, supports the mounted wall panel for this care station, and provides the just-described chambers 10.1 and 10.2, as well as the corresponding additional chambers.

[0070] Figure 11 shows the configuration for normal maintenance, Figure 12 The configuration for intensive care. In this embodiment, three hospital beds 1.1, 1.2 and 1.3 are used not only for normal care but also for intensive care. Both configurations are supported by the frame 20 of Figure 10 manufactured.

[0071] The following example describes how a care place is converted from normal care to intensive care. The starting point is a configuration for normal care, which, for example, Figure 1 and Figure 11 is shown. The chamber 10.1 is closed by the wall panel 11.1, cf. Figure 4 b) During the conversion, the following steps are performed, preferably by a human. Typically, a human can perform the following steps alone. It is also conceivable that these steps could be performed by an automated handling system. The two suction grippers 12.1, 12.2 are placed on the outside of the wall panel 11.1. The wall panel 11.1 is detachably mounted in front of the chamber 10.1. This state is shown in Figure 4 b)shown. Using the two suction grippers 12.1, 12.2, the wall panel 11.1 is removed from the frame 20 and placed on the floor. The chamber 10.1 is now accessible from the outside. This situation is shown in Figure 4 a) shown. The two suction grippers 12.1, 12.2 are placed on the wall panel 11.4 from the outside. The wall panel 11.4 is detachably mounted in front of the chamber 10.2. The wall panel 11.4 is pulled off the frame 20 using the two suction grippers 12.1, 12.2 and placed on the floor, for example, in front of the wall panel 11.1. Figure 7 shows the situation now achieved. Chambers 10.1 and 10.2 are now open. The left wall panel 11.2 and the right wall panel 11.3 are removed from chamber 10.2. This situation is shown in Figure 5 b) and Figure 5 c). In addition, the holding device 23, the vertical rod 5.1, and the two rod holders 13.1, 13.2 are removed from the chamber 10.2. The wall panel 11.1 is moved into the chamber 10.2, for example, at an angle so that it fits into the chamber 10.2. The wall panel 11.4 is removably mounted on the frame 20 in front of the chamber 10.2. These two steps are preferably again carried out using the suction grippers 12.1, 12.2. The left wall panel 11.2 is removably attached to the frame 20 to the left of the supply connection support 3.1, and the right wall panel 11.3 is removably attached to the right of the supply connection support 3.1. The panel-side fastening elements 26.1, 26.2 on the right wall panel 11.3 are pushed over or into the frame-side fastening elements 27.1, 27.2. The left wall panel 11.2 is removably attached to the frame 20 in the same way. The holding device (double pivot arm) 23 is attached to the right wall panel 11.3.For this purpose, the mounting plate 23.1 is held in front of the openings 18. Four screws or other fastening elements are passed through the mounting plate 23.1 and the openings 18 and screwed or otherwise inserted into the receiving elements 19 on the rear wall of the chamber 10.1. The two rod holders 13.1, 13.2 are pushed through the two openings 17.1, 17.2 in the right-hand wall panel 11.3 and screwed onto the two fastening elements 16.1, 16.2 on the rear wall of the chamber 10.1. After screwing, the two rod holders 13.1, 13.2 are in a position in which the two receiving openings 21.1, 21.2 extend along a vertical axis. The vertical tube 5.1 is pushed through the two receiving openings 21.1, 21.2 and secured using fasteners (not shown), such as screws. The resulting configuration is shown in . Figure 3 to see.

[0072] The situation has now been achieved which Figure 3 is shown. An intensive care bed is available.

[0073] Of course, individual steps can also be carried out in a different order.

[0074] The corresponding steps are carried out in reverse order to convert the intensive care place back into a normal care place. List of reference symbols

[0075] 1.1, 1.2, ... hospital beds 2.1, 2.2, ... Supply connection support, supports the supply connections 22.1, 22.2, ... 3.1, 3.2 Supply connection support, supports the supply connections 30.1, 30.2, ... 4.1, 4.2, ... horizontal rails on the supply connection support 2.1, 2.2, 2.3, also used in normal care 5.1, 5.2 vertical bars, used only for intensive care 6.1, 6.2, ... Lighting units on the horizontal rail 4.1, 4.2, ... 7.1, 7.2 Input and output units on the vertical bar 5.1, 5.2 8.1 Ventilator, connected to a supply connection 30.1 in the supply connection carrier 3.1 9.1 Examination light 9.2 Syringe pumps 10.1 Chamber which, during normal care, accommodates the vertical rod 5.1 and the fastening elements 13.1, 13.2 and is covered by the wall panel 11.1 10.2 Chamber, which accommodates the wall panel 11.2 and 11.3 in normal care and the wall panel 11.1 in intensive care, covered by the wall panel 11.4 11.1 Continuous, detachable wall panel, is detachably attached to frame 20 in front of chamber 10.1 for normal care, is taken up by chamber 10.2 for intensive care 11.2 Left detachable wall panel, is detachably mounted in front of chamber 10.1 and to the left of the supply connection support 3.1 in intensive care, is accommodated in chamber 10.2 in normal care, comprises the segments 14.1, 14.2 11.3 Right-hand detachable wall panel, is detachably mounted in front of chamber 10.1 and to the right of the supply connection support 3.1 for intensive care, is accommodated in chamber 10.2 for normal care, comprises segments 15.1, 15.2 11.4 Removable wall panel for chamber 10.2, detachably attached to frame 20 for both normal and intensive care 12.1, 12.2 Suction cups for moving wall panels 11.1, 11.4 13.1, 13.2 Rod holders for fastening the vertical rod 5.1 can be passed through the openings 17.1, 17.2 and screwed onto the fastening elements 16.1, 16.2 14.1, 14.2 Segments of the left wall panel 11.2 15.1 Segment of the right wall panel 11.3, has the openings 17.1, 17.2, 18 15.2 another segment of the right wall panel 11.3 16.1, 16.2 Fastening elements for the rod holders 13.1, 13.2, mounted on the rear wall of the chamber 10.1 17.1, 17.2 Openings in segment 15.1 for the passage of the rod holders 13.1, 13.2 18 Openings in segment 15.1 for the passage of four fastening elements, which are received by the receiving elements 19 19 Receiving elements on the rear wall of the chamber 10.1, which can receive fastening elements, these fastening elements being guided through the openings 18 20 Fixed frame, includes the supply connection supports 2.1, 2.2, ..., 3.1, 3.2, can support the wall panels 11.1, 11.2, 11.3, 25.1, ..., is divided into the frame segments 20.1, 20.2, 20.3 21.1, 21.2 Receiving openings in the rod holders 13.1, 13.2, through which the vertical tube 5.1 can be pushed 22.1, 22.2, ... Supply connections in the frame segment 2.1, 2.2, ..., required for intensive care and normal care, belong to the remaining quantity 23 Holding device, which can be attached to the receiving element 19 by means of fastening elements, these fastening elements being guided through the openings 18, designed as a double pivot arm with the mounting plate 23.1, is only required in intensive care 23.1 Mounting plate of the holding device 23 24.1 vertical rails left and right of the horizontal rail 4.1 25.1, ... Wall panels permanently attached to frame 20 26.1, 26.2 Panel-side fastening elements, together with the frame-side fastening elements 26.1, 26.2, create a plug-in connection for the wall panel 11.3 27.1, 27.2 Frame-side fastening elements, together with the panel-side fastening elements 26.1, 26.2, create a plug-in connection for the wall panel 11.3 30.1, 30.2, ... Supply connections in frame segment 3.1, 3.2, ..., only required for intensive care, belong to the total quantity, but not to the remaining quantity 31.1, 31.2 Rooms in chamber 10.1, which are formed to the left and right of the supply connection support 3.1 32.1, 32.2 Supply connections in the wall panel 25.2

Claims

1. Arrangement for the medical care of a patient, wherein the arrangement comprises a total amount of supply connections (22.1, 22.2, 22.3, 30.1, 30.2, 32.1, 32.2), wherein the total supply connection amount comprises at least two supply connections (22.1, 22.2, 22.3, 30.1, 30.2, 32.1, 32.2), wherein each supply connection (22.1, 22.2, 22.3, 30.1, 30.2, 32.1, 32.2) provides a supply medium for supplying a medical device (8.1), wherein the total amount of supply connections (22.1, 22.2, 22.3, 30.1, 30.2, 32.1, 32.2) is designed to supply the medical devices (8.1) used or usable for intensive care of the patient with the necessary supply media, wherein the arrangement further comprises - a frame (20), - at least one detachably mountable wall panel (11.1 to 11.4) and - one wall panel fastening unit (26.1, 26.2, 27.1, 27.2) for the or each detachably mountable wall panel (11.1 to 11.4) wherein the wall panel fastening unit (26.1, 26.2, 27.1, 27.2) of a detachably mountable wall panel (11.1 to 11.4) is designed to detachably hold the wall panel (11.1 to 11.4) on the frame (20), wherein, when a detachably mountable wall panel (11.1 to 11.4) is fastened to the frame (20), movement of the wall panel (11.1 to 11.4) relative to the frame (20) is prevented, wherein, when a detachably mounted wall panel (11.1 to 11.4) is detached from the frame (20), the wall panel (11.1, 11.2 to 11.4) is freely movable and removable relative to the frame (20), wherein the arrangement is designed such that when the or at least one detachably mountable wall panel (11.1 to 11.4) is fastened to the frame (20), - at least one supply connection (30.1) of the total amount is concealed and - a residual amount of supply connections (22.1, 22.2, 30.2, 32.1, 32.2) remains free, wherein the residual amount comprises at least one supply connection (22.1, 22.2, 22.3, 30.2, 32.1, 32.2) of the total amount (22.1, 22.2, 22.3, 30.1, 30.2, 32.1, 32.2) and at least one supply connection (30.1) of the total amount does not belong to the residual amount, wherein the residual amount of supply connections (22.1, 22.2, 22.3, 30.2, 32.1, 32.2) is designed to supply the medical devices (6.1) used or usable for normal patient care with the necessary supply media.

2. Arrangement according to claim 1, characterized in that the arrangement comprises a first detachably mountable wall panel (11.4) and at least one second detachably mountable wall panel (11.1, 11.2, 11.3) and the frame (20) provides at least a first chamber (10.2), the or a first chamber (10.2) being designed to accommodate the or each second wall panel (11.1, 11.2, 11.3) and the first wall panel (11.4), when detachably fastened to the frame (20), closing the first chamber (10.2) together with the or each accommodated second wall panel (11.1, 11.2, 11.3).

3. Arrangement according to claim 2, characterized in that the or at least a second wall panel (11.1), when fastened to the frame (20), conceals at least one supply connection (30.1) which belongs to the total amount but not to the residual amount.

4. Method according to either claim 2 or claim 3, characterized in that the frame (20) comprises a supply connection carrier (3.1) which accommodates at least one supply connection (30.1) of the total amount, the or each supply connection (30.1) accommodated by the supply connection carrier (3.1) belonging to the total amount but not to the residual amount, and the or at least one second wall panel (11.1, 11.2, 11.3), when fastened to the frame (20), - concealing in each case one region (31.

1. 31.2) which is adjacent to the supply connection carrier (3.1), and - leaving free the or each supply connection (30.1) accommodated by the supply connection support (3.1).

5. Arrangement according to any of the preceding claims, characterized in that the arrangement comprises at least two detachably mountable wall panels (11.1 to 11.4), the arrangement being designed such that when both detachably mountable wall panels (11.1 to 11.4) are mounted on the frame (20), - at least two supply connections (30.1) of the total amount are concealed and - a residual amount comprising at least two further supply connections (22.1, 22.2, 22.3, 30.2, 32.1, 32.2) of the total amount remains free.

6. Arrangement according to any of the preceding claims, characterized in that the arrangement comprises - a detachably mounted or mountable normal care wall panel (11.1) and a detachably mounted or mountable intensive care wall panel (11.3), - a holding device (5.1, 23) and - a holding device fastening unit (16.1, 16.2, 19) the holding device (5.1, 23) being designed to hold a medical device required for intensive care, the holding device fastening unit (16.1, 16.2, 19) - being fastened to the frame (20) and - being designed to detachably fasten the holding device (5.1, 23) to the frame (20), at least one opening (17.1, 17.2, 18) being provided in the intensive care wall panel (11.3), when the holding device (5.1, 23) and the intensive care wall panel (11.3) are detachably fastened to the frame (20), one element of the holding device (5.1, 23) - being passed through this opening (17.1, 17.2, 18) and - being detachably connected to the holding device fastening unit (16.1, 16.2, 19) and the normal care wall panel (11.1), when fastened to the frame (20), concealing the holding device fastening unit (16.1, 16.2, 19).

7. Arrangement according to claim 6, characterized in that the frame (20) provides at least a second chamber (10.1), the second chamber (10.1) being designed to accommodate the holding device (5.1, 23) detached from the frame (20), the holding device fastening unit (16.1, 16.2, 19) being located inside the second chamber (10.1) and the normal care wall panel (11.1), when fastened to the frame (20), concealing the second chamber (10.1) with the holding device fastening unit (16.1, 16.2, 19).

8. Arrangement according to any of the preceding claims, characterized in that the frame (20) comprises a supply connection carrier (3.1) which accommodates at least one supply connection (30.1) of the total amount, the or each supply connection (30.1) accommodated by this supply connection carrier (3.1) not belonging to the residual amount and the or a detachably mountable wall panel (11.1) of the arrangement being designed, when mounted on the frame (20), to conceal this supply connection carrier (3.1) and the or each supply connection (30.1) accommodated by this supply connection carrier (3.1).

9. Arrangement according to any of the preceding claims, characterized in that the arrangement comprises a supply connection (32.1, 32.2) and a coupling unit, in particular a fluid guide unit or a cable, the coupling unit being designed to detachably connect a device to the supply connection (32.1, 32.2), and the supply connection (32.1, 32.2) being embedded in the or a wall panel (25.2) and being connected or connectable to the coupling unit.

10. Arrangement according to any of the preceding claims, characterized in that the or at least one wall panel fastening unit (26.1, 26.2, 27.1, 27.2) is designed as a suction connection or a catch connection.

11. Arrangement according to any of the preceding claims, characterized in that the arrangement comprises at least one handling unit (12.1, 12.2), in particular at least one suction gripper, the or each handling unit (12.1, 12.2) being detachably connectable to the or at least one detachably mountable wall panel (11.1 to 11.4) and enabling this connected wall panel (11.1 to 11.4) to be carried.