The Elements of Compliant Packaging: Why hazmat packaging comes in so many different forms, configurations and sizes.
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It’s July 2016. Do you know where your hazcom compliance stands? Every workplace in the US should now—in theory, anyway—be fully GHS compliant.
The first thing a hazmat inspector sees: More often than not, DG compliance starts with your shipping labels.
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HM-215: Are you ready for the border patrol? If you ship Dangerous Goods, don’t let new border measurement regulations for labels and placards catch you unprepared.
Ship damaged batteries in a fiberboard box? Yes, you can! Just in time for the largest cell phone recall ever—new Special Permit Packaging makes reverse logistics easier and less expensive.
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The advancement in modern technologies, a wide variety of means equipped with more modern designed materials have been developed for patients. Such means have been developed in a way that they suit the patient's injury and the affected area.
The Elements of Compliant Packaging: Why hazmat packaging comes in so many different forms, configurations and sizes.
Infographic: Your Guide to Retail Reverse Logistics, or, “How to Keep Returns from Coming Back to Haunt You”
It’s July 2016. Do you know where your hazcom compliance stands? Every workplace in the US should now—in theory, anyway—be fully GHS compliant.
The first thing a hazmat inspector sees: More often than not, DG compliance starts with your shipping labels.
Labelmaster Solutions. Products and resources to keep your Dangerous Goods compliant and safe.
HM-215: Are you ready for the border patrol? If you ship Dangerous Goods, don’t let new border measurement regulations for labels and placards catch you unprepared.
Ship damaged batteries in a fiberboard box? Yes, you can! Just in time for the largest cell phone recall ever—new Special Permit Packaging makes reverse logistics easier and less expensive.
DG assessment: How confident are you? Take this quick quiz to learn where your company stands on the compliance confidence scale.
Dangerous Goods Symposium 2016: Highlights from the best-attended, most insightful DGS ever.
Labelmaster Solutions. Products and resources to keep your Dangerous Goods compliant and safe.
The advancement in modern technologies, a wide variety of means equipped with more modern designed materials have been developed for patients. Such means have been developed in a way that they suit the patient's injury and the affected area.
Petri Net Based Reliable Work Flow Framework for Nephrology Unit in Hospital ...rahulmonikasharma
The 21st century has witnessed a revolution in Biology and Medicine that has radically changed the way health, diagnosis, prognosis, etc., of a disease is monitored nowadays. Accordingly, hospital redesign, workforce planning and scheduling, patient flow, performance management, disease monitoring, and health care technology assessment need to be modeled efficiently. Mathematical modeling and computer simulation techniques have been shown to be increasingly valuable in providing useful information to aid planning and management. Petri Net (PN) is considered as a powerful model since it combines well-defined mathematical theory with a graphical representation which reflects the dynamic behavior of systems of interest. Due to dynamic characteristics, it is found to be more suitable for modeling Hospital Management System (HMS). In this paper, a Petri net model-based reliable workflow framework for Nephrology unit in hospital environment is proposed to track the movement of patients in the unit. The key objective of the proposed reliable workflow framework is to provide a well-organized health care unit to reduce the waiting time of the resource/ patient. The performance of the proposed Petri net model-based reliable workflow framework is simulated and validated through reachability graph using HPSim tool. The proposed Petri net workflow framework for the Nephrology unit can be used to deliver highly efficient and reliable healthcare services.
Usability evaluation of a discrete event based visual hospital management sim...hiij
Hospital Management is a complex and dynamic organisational challenge. Hospital managers (HMs)
are responsible for the effective use of valuable resources and assets, which is a significant issue in
healthcare. Due to factors such as the increase in health care costs and political pressure, HMs have
been compelled to examine new ways to improve efficiency and reduce healthcare delivery costs whilst
improving patient satisfaction. Healthcare managers require tools that will allow them to review the
current system or identify areas of improvement and quantify the possible changes.
This paper covers an evaluation of a hospital simulator developed by the authors. A usability test of the
simulator was carried out with hospital managers to provide real-world feedback on the simulator. This
has provided lessons to be applied in the development and use of such a tool. For instance, use of traffic
light colours in assisting management of hospital areas and Sensitivity Analysis supporting multiple or
more complex scenarios.
Design and Fabrication of IoT Enabled Wheelchair cum Stretcher with Home Auto...ijtsrd
The proposed project was aimed at designing and fabricating a wheelchair cum stretcher that can overcome the shortcomings of a conventional wheelchair, with focus on cost effectiveness and utility. This project will eliminate the use of a separate wheelchair and stretcher in hospitals. The proposed idea describes the wheelchair, which can transform itself into a semi chair and stretcher and the mobility of the wheelchair positions are made with the help of knob without any assistance. In addition to it, the proposed project has the IoT enabled home automation to control the household devices and patient monitoring system for regularly monitoring the health of patients at home. Dr. G. Kavya | Janani R | Keerthana T R S | Reena Joseline A "Design and Fabrication of IoT Enabled Wheelchair cum Stretcher with Home Automation and Patient Monitoring System" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31324.pdf Paper Url :https://www.ijtsrd.com/engineering/electronics-and-communication-engineering/31324/design-and-fabrication-of-iot-enabled-wheelchair-cum-stretcher-with-home-automation-and-patient-monitoring-system/dr-g-kavya
Executive Summary, Overview, and Financial Data for Investmentin t.docxSANSKAR20
Executive Summary, Overview, and Financial Data for Investment
in the Rural Urgent Care Center
I. Executive Summary
Urgent care is the delivery of ambulatory care in a facility dedicated to the delivery of unscheduled, walk-in care outside of a hospital emergency department. Development of the Rural Urgent Care (RUC) facility in Sylacauga, Alabama will facilitate access to care providers through extended service hours within closer geographic proximity to patients, families, and caregivers. The Director of Emergency Services will provide clinical monitoring to ensure quality service provisions. The RUC facility will act to alleviate demand for emergency department (ED) services by shifting lower acute patients to a less resource-intensive environment.
II. Program Overview: Market Opportunities and Utilization Patterns
The RUC will provide treatment to patients suffering from non-life-threatening conditions that require quick attention, including bone fractures, pneumonia and flu, and minor lacerations. Since the late 1980s and early 1990s, hospitals have looked to facilities such as RUCs as a means to reduce rates of inappropriate ED utilization by triaging non-emergent patients to less acute settings. The ED is not the most appropriate care setting for many patients. Non-urgent patients account for well over 10 percent of the average ED’s caseload, and semi-urgent cases account for another 20 percent (refer to Figure 1)
. At the other end of the acuity spectrum, most emergent patients would be better served in an inpatient unit, but many are forced to board in the ED because beds are unavailable.
Year4,8825,1265,3825,6525,934
Month407427449471495
Week9499104109114
Day1314151616
Visit volume will increase by 5% each year
Service AreaVisitsYear 1Year 2Year 3Year 4Year 5
Figure 1
Triaging patients to an appropriate site of care properly allocates resources to meet patient acuity and results in better clinical outcomes. RUC staffing and treatment approaches are fundamentally different from those in an ED; patients get more abbreviated and pointed clinical work-ups, which provides care more efficiently by clinicians who are oriented to less intense discovery and intervention.
The RUC will also address community needs for convenient, reliable access to care. Current alternatives to RUCs include the ED, which like other comparable U.S. and U.K. EDs, has long wait times and potentially stressful patient environments. Decreasing wait times is positively correlated with better outcomes.
Figure 2
Services
To meet the needs of the community and provide the appropriate level of care without unnecessary duplication of a resource-intensive emergency department, the RUC will provide basic emergent procedures, diagnoses, and treatments.
· Nursing triage
· Physician assessments
· Minor procedures
· Basic lab services
· Basic diagnostic imaging
· Vital signs
· IV therapy
· EKG
· Wound care
The potential to house ambulance services out ...
Parts of speech
Noun:
The name of ideas and thoughts.
Kind Of Noun:
There are many kinds of noun i.e.
Proper Noun:
It is direct key to find an accurate object or a place or thing. E.g. Ateeq, South Africa etc.
Common Noun:
It is not a particular thing or a place. Example city , he etc.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
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Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
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Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
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Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
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Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
1. B.Sc Thesis Proposal
“Design, Prototype and controlling of Hospital Cot”
Session 2012-16
Submitted By
NAUSHERWAN AHMAD UET-12-ME-SCET-06
ASIF DUREZ UET-12-ME-SCET-02
HASAN SHEHWAR SHAH UET-12-ME-SCET -24
Supervisor
SIR Abdul Rafay
Co-Supervisor
SIR Ali Fahad
DEPARTMENT OF MECHANICAL ENGINEERING
SWEDISH COLLEGE OF ENGINEERING AND
TECHNOLOGY, WAH CANTT
(Affiliated with University of Engineering & Technology
Taxila)
December, 2015
2. 1
Table of Contents
1- Introduction-------------------------------------------------------------------------04
2- Aims and Objectives---------------------------------------------------------------05
3- Literature Review------------------------------------------------------------------05
3.1 Definition------------------------------------------------------------------------05
3.2 Research Papers-----------------------------------------------------------------05
3.3 Best Bed Design----------------------------------------------------------------05
4- Background-------------------------------------------------------------------------07
4.1 American Hospital Bed------------------------------------------------------------07
4.1.1 Intensive Care unit------------------- ---------------------------------------07
5- Methodology
5.1 Evaluating Current Bed Designs-----------------------------------------------------08
5.2 Selecting the Best Bed Design-----------------------------------------------------09
6- Our Own Process------------------------------------------------------------------10
6.1 Bed Dimensioning------------------------------------------------------------------------------11
6.2 Sliding Surface Mechanism--------------------------------------------------------------------12
6.3 Currently Knee Gatch Mechanism/our Designed part--------------------------------------13
6.4 Side Support-------------------------------------------------------------------------------------14
6.5 Inflation Of sides--------------------------------------------------------------------------------15
6.6 Headboard, Footboard Design-----------------------------------------------------------------15
6.7 Bed Raising and Lowering Mechanism------------------------------------------------------16
6.8 Final Selection-----------------------------------------------------------------------------------17
7- Fabrication------------------------------------------------------------------------17
7.1- Material Selection--------------------------------------------------------------17
7.1.1 Parameter-----------------------------------------------------------------------19
7.1.2 Caster---------------------------------------------------------------------------20
7.1.3 Motors--------------------------------------------------------------------------23
7.1.4 Sliding Channel---------------------------------------------------------------24
7.1.5 Controller (Forward & Reverse Switch) ----------------------------------24
7.1.6 Rack & Pinions----------------------------------------------------------------26
7.1.7 Complete Model---------------------------------------------------------------27
8.0 Working Schedule Plan-------------------------------------------------------28
9.0 References-------------------------------------------------------------------------29
3. 2
1- Introduction:-
Hospitals, rehabilitation homes, nursing homes and retirement homes around the world are
dependent upon a quality medical staffto maximize safetyof individuals. Staffprofessionalism,
facility quality and the condition of equipment are all key components in medical care which
must be taken into account when designing hospitals. Particularly, hospital beds are of recent
concern around the world.
In the United States,there have recent modifications to reduce the risk of
patient entrapment were introduced. In areas such as Africa, Eastern Europe, Asia and other
developing nations there is a particular need for improving and modernizing hospital beds.
Hospitals in Pakistan have begun to utilize the benefits of a technologically advanced bed.
These beds however,are being imported from the leading technological nations including Japan
and the United States for an exorbitant price. This increase in bed cost is then passed down to
the patients furtherincreasing the costfor quality healthcare and thus resulting in only the upper
echelon of Pakistan citizens being able to utilize technologically advanced hospital beds and
hospital care. The nation’s hospitals are in need of a modern hospital bed that can be produced
at a moderate cost within Pakistan.
Recently, Pakistan engineers and machinists have worked together to
furnish the hospitals with modern beds. While the additional features of the beds are desirable,
the quality and reliability of the Pakistan beds conversely are quite questionable. Because
engineers have not been able to manufacture and market safe and reliable hospital beds
internally, even the neediest of hospitals in Pakistan have turned away their native models.
The domestic manufacturing of modern hospitalbeds in Pakistan willallow
the nation’s hospitals to purchase substantially more modern economical hospital beds. Savings
will then be passed on to the citizens and modern hospital care will then be available to a much
greater percentage of the Pakistan population. The savings on hospital beds will not only allow
for more patients to be serviced in the Pakistan hospitals, it will also allow the facilities to gear
their focus toward other research and pressing Accommodations.
Our plan is to research existing models of both Chinese and American brand
hospital beds and to analyze the components and functions of each. Ultimately, we hope to
design and manufacture a reliable, reproducible and marketable bed for the People’s Republic
of Pakistan.
4. 3
2- Aims & objectives
The main objectives of this research work are:-
Transferof patient from operation table afterbeing operatedby meansof sliding of the sleeping
Surface to another bed with dual capability of doing it manually and automatically keeping the
economical factor and requirement of the government and private sector in mind
Lifting of the sides of the bed (right and left) of the patient by inflation of the bed using vacuum
technology for the purpose of providing ease to the patients back eliminating the use of any
local traditional way of doing it reducing the pain factor
Control of the axis motion system and folding (components, part)
3-Literature Review:-
3.1 Definition:-
A literature review is an account of what has been published on a topic by accredited scholars and
researchers.
3.2 Research Papers:-
1. Evaluation and Design of a Hospital Bed to be Manufactured and Used in China[1]
Authors
Brian Catalano Todd Coolidge
Abstract
We extract formulas from this paper,which then we used to calculate length, width & Height and
stress on different parts
Best Bed Design
5. 4
Considered in the performance and determination of a good bed is as follows:
Curatorial Industry Standards
Durability
Safety
Ease of Manufacturing
Cost
Ease of Operation.
Leg Mobility
Electric Functions
2. Hospital Costs and the Cost of Empty Hospital Beds [2]
Author:-
Martin Gaynor, Gerard F. Anderson
Abstract
The cost of excess capacity in the hospital industry has reemerged as an important policy issue. Utilized
capacity in the hospital industry, as measured by the inpatient hospital bed occupancy rate,has declined
over the past 10 years and now stands at approximately 65 percent. Congress and the Administration
are concerned that the costs associated with empty beds represent wastefulexpense and have proposed
an adjustment to Medicare payment rates which will penalize hospitals with low occupancy rates.
Hospitals, on the other hand, have indicated that the costs of empty hospital beds are low and that
reimbursement adjustments are unnecessary. In order to provide more current and representative
estimates of the cost of an empty hospital bed we estimate the cost function model of Friedman and
Pauly using data from a national sample of 5315 hospitals for the years 1963-1987. We find that empty
beds account for approximately 18 percent of total costs, or $546 per admission (1987 dollars) . The
estimate (in 1987 dollars) of the coat of an empty hospital bed is approximately $36,000.
3. Variations in the hospital management of self-harm in adults in England[2]
Author
Keith Hawton, professor of psychiatry
Abstract
6. 5
More than 140 000 people present to hospital after an episode of self-harm each year in England and
Wales. Improving the general hospital management of these people is a key area in preventing suicide.
Although professional consensus has been reached on how self-harm services should be organized and
delivered, wide variations in care delivery have been reported in two regions in England. Using a
nationally representative sample, we investigated the variation in services and delivery of care for self-
harm patients in hospitals in England. We selecteda stratified random sample of 32 hospitals, four from
each former health region at each hospital we interviewed two to five key emergency and psychiatric
staff about hospital service structures and made arrangements with them to start audits of the processes
of care. We assessed each hospital on 21 recommended self-harm service standards In 2001-2 each
hospital did a prospective eight week audit of their management of self-harm (see bmj.com). Trust staff
used emergency department, medical, and mental health records if audit data were incomplete.
4. Dynamics of bed use in accommodating emergency admissions [4]
Abstract
To examine the daily bed requirements arising from the flow of emergency admissions to an acute
hospital, to identify the implications of fluctuating and unpredictable demands for emergency admission
for the management of hospital bed capacity, and to quantify the daily risk of insufficient capacity for
patients requiring immediate admission.
4-Background
4.1American Hospital Beds
The two largest producers of medical beds currently in operation within the United States, Stryker
Medical headquartered in Portage, Michigan and Hill-Rom located in Batesville, Indiana, are
responsible for the majority of medical beds provided to American hospitals. Two of the most
commonly used types of beds are manufactured by these two industries; the most technologically
advanced as well as the most costly of these beds are those produced specifically for use in intensive
care units, where the most attentive medical care is provided. The second type of bed produced is a
Medical/Surgical bed or a Med/Surg bed for short. Med/Surg beds are beds commonly found in
hospitals and nursing homes for most rehabilitation purposes. These are beds for patients who require
standard medical care and are less sophisticated and less expensive than the beds used in the ICU.These
beds come in models powered electrically, manually or a combination of the two. Both ICU and
Med/Surg beds share the common bond of serving a purpose to be patient-friendly and user-friendly to
accommodate the sick, injured and hospital staff.
7. 6
Fig:- Stryker Medical Bed
4.1.1 Intensive Care Unit Beds
Intensive Care Unit beds are designed upon effective treatment of the patient by both the medical and
nursing staffs. Intensive Care Unit beds, or ICU for short, are designed for their functions and abilities
as much as they are for patient satisfaction. Patients who will be placed into these beds have serious
medical conditions and so ICU beds are designed to give the medical staff a practical and safe working
area. Many of the ICU beds are also equipped with emergency releases which convert the bed into
immediate CPRmode incase complications from the treatment arise and the patient needsto be revived.
Stryker Medical has been producing beds for intensive care units for over sixty years. Stryker’s first
major design was known as the Wedge Turning Frame and was developed in 1939. This bed allowed
nurses to easily turn their patients and help elevate bed sores caused by long periods of immobility.
Stryker continues to design beds based on ease of use to allow nurses to focus less on the beds and more
on patient care.
8. 7
Intensive care unit American Bed
5-Methadology
5.1 Evaluating Current Bed Designs
The first step to evaluating hospital bed designs wasto find out what products were currently available.
Our research started in Islamabad, where we visited the Quaid-e-Azam International Hospital to view
beds currently being used in an Pakistan Hospital. We also reviewed existing hospital beds in books
found at WPI’s Gordon Library The library revealed some information regarding standards for hospital
bed for patient entrapment. The FDA recently released reports that new models of hospital beds used
in the Pakistan must have components which minimize the risk of patient entrapment including an
emergency button for the patient to press and a warning signal in the event that an entrapment takes
place. The chief engineer of the biomedical department at Quaid-e-Azam international Hospital met
with us where he reported that the largest setback of existing hospital beds from an engineer’s
perspective is the location of the gearbox for repairs to electronic beds. The engineer also gave us
recommendations and standards regarding Imported American hospital beds. He told us a number of
functions regularly included with even the most inexpensive hospital beds including an elevating
mechanism, an incline to 60º for the back, collapsible safety rails and a requirement that all electronic
9. 8
beds are grounded. Lastly, he recommended to us that we use larger casters than many beds currently
employ which reduces the vibration to the patient when traveling over grooves and allows for easier
traversing of spaces between the elevator and the floor. The last steps in our literature review [1]
included a thorough examination of existing models from the two largest manufacturersin the America:
Hill-Rom and Stryker. We found that the beds they produce vary in regard to their accessories and ease
of operation but that the performance of the mattresses and the degrees of freedom for the patient in
each bed were similar. Standards for the Hill-Rom and Stryker beds can be
We then made an effort to research hospital beds that are currently being produced in China. Our
investigation led us to currently one of the few producers of hospital beds in China. We evaluated the
pros and cons of their designs and compared them to the designs that are currently available in the
Pakistan. We found that many of the basic components and functions of the bed are similar, including
the variable litter positioning as well as some basic safety functions including locking castors. However
one main difference in the design is the opulence of the American made beds compared to the pure
functionality of the Chinese beds. American beds use electric motors to adjust the litter position where
the Chinese beds rely on manual power to do the same thing. American beds are also accompanied by
many creature comforts including nightlights and built in televisions. These features all contribute to a
higher price and increased bulk where Chinese beds are designed to be as small and economical as
possible. Our next step was to draw many as many conclusions as we could about the beds that are
currently available at Pakistan Hospital and are described in Section 4.1
5.2 Selecting the Best Bed Design
After we had completely reviewed all of the existing products available from companies in America,
Japan and China, it was time to select a bed design. This bed design would be the one that most closely
fit our ideal design for use in Pakistan. We went about deciding on the bed design by comparing the
beds currently available and most widely used in both the United States and China
In order to properly assess a bed design for the demands of the Pakistan hospital and a new innovation
of introducing sliding motion for sleeping surface and also for inflation of sides, we had to develop and
appropriate matrix for evaluation. The most important consideration was the satisfaction of the
Curatorial
Industry Standards to minimize ambiguities between what the hospitals used and the innovation we are
trying to impose. Durability and safety provided the second most important components for design
intent because the safety of patients and staff is an obvious necessity. Poor durability of the beds
increases their maintenance requirements thus contributing to additional costs, another important
consideration in the bed design. Manufacturability, cost and ease of operation provided the next largest
sets of data for comparison. Manufacturability or the opportunity to easily produce the bed within
10. 9
Pakistan, is an important component so that a high number of beds will be mass-produced to meet the
demands of all hospitals and also to ensure the company who designs and sells such beds will not go
belly-up in bankruptcy. The cost of the beds is extremely important so as to not only save hospitals
money from bed purchases but also to satisfy the needs of the Pakistan economy which is not nearly as
prominent as the United States economy. Rounding out the items for inclusion in the decision matrix
were the ease of transportation, sliding for sleeping surface, inflation of sides, lower leg mobility,
electrically powered functions and other additional features. Combined, these five components
contribute to 16% of the bed design and were used for additional performance and marketability in our
own design. A list and brief summary for each measure considered in the performance and
determination of a good bed is as follows:
• Curatorial Industry Standards (20%): Includes recommendations for articulation angles, size of
sliding rails, height variances for bed, etc. This is the most important consideration because most beds
in Pakistan follow these standards and they are a large component of hospitals’ inclination to purchasing
certain medical/surgical beds.
• Durability (15%): Durability includes the longevity and lifespan of the bed under normal working
conditions, ranging anywhere from two years to twenty. Durability considers the material(s) the bed
frame is designed from, the reliability of the type of motors/Hydraulics/Pneumatics used in electronic
beds, and the ease and cost of reparability amongst other functions.
• Safety (15%): The safety of the hospital bed designs is a large consideration at 15% because if the
beds provided by hospitals do not promote a healthy lifestyle for recovery the length of stay for the
patients may be longer, injury may result to patient and/or staff and lawsuit liabilities are an option. The
safety of each bed was determined by the material selections, compliance with FDA standards, stress
analyses on the weakest sections of the beds and the functions provided in case of emergency
• Ease of manufacturing (12%): Ease of manufacturing is a significant consideration in bed design
for a number of reasons,0most notably the resultant profit margin that would result from the production
ratio, number of workers needed, development of unique parts, etc. Manufacturability was determined
by the reproducible components on each bed, difficulty for assembly, estimated number of workers to
complete each bed and approximation of time for completion of each bed.
• Cost (12%): Bed costs were considered in two dimensions. The first dimension considered was the
actual cost of bed assembly and purchase whereas the second element was the cost of shipment to the
hospital. Electronic beds manufactured in the United States, such as the Stryker and Hill-Rom brands,
are substantially more expensive to manufacture than the Paramount hand-cranked beds however the
cost of distribution for the American beds throughout the United States and the Paramount beds
throughout Pakistan makes the cumulative cost of the two rather comparable.
11. 10
• Ease of Operation (10%): Today’s fast-paced world requires expediting processes as much as
possible and in the hectic and crowded Pakistan atmosphere, there is little time to waste while working
in the hospital. One of the ways to reduce the nurse to patient time ratio is to make the beds easy to
operate and easy to learn to operate. Although electronic beds have an advantage because the
motors/Hydraulics/pneumatic canmove fasterthan any human, the hand cranked beds should be simple
to use and as quick and efficient as possible.
• Leg Mobility (5%): Although the PMDC have recommendations for the articulation of the upper leg,
there is no consideration of the lower leg. Recent medical studies have revealed that the articulation of
the lower leg along with the upper leg portion of the body can help a patient to regain full recovery in
an expedited manner, will allow for patients to be far more comfortable and also reduces the number of
pressure sores in long term patients. Therefore, a wide range of lower leg mobility as well as the ease
to achieve such angles was a consideration for a good hospital bed design.
• Electric Functions (4%): Although all the American hospital beds we researched had electric
functions to operate them, many Pakistan hospitals use hand-cranked beds. The inclusion of electric
functions in beds today makes it easier for patients to achieve more comfort as they themselves can
often adjust their own beds to the patients’ own comfort levels.
Thus, for final basis of our design selection we adopted features of the two highest scoring beds, the
Hill-Rom Century+ and the Stryker LTC, and added those features to the potential of the Paramount
beds. While we did not convert our own design into an electronically powered design, the opportunity
does exist to change the bed from manually cranked to electrically driven and the power required for
all articulating parts can be found in subsequent sections.
6-Our own Bed Design
Althoughthe primaryfocal pointof our projectwasto designa bedthat couldbe manufacturedand
distributedinPakistan we neededtomake certainalterationsinto AmericanBedsThe bedscurrently
usedinAmerica,manufacturedbyHill roomLtd.provide onlythe basicentitiesof bedarticulationand
elevationchanges.Whileourbeddesignfocusedprimarilyonthese concepts,we foundthatitwould
be necessary to make a few changes so as to spark interest in our bed design.
6.1 Bed Dimensioning
Through the advanced notice of the Chief Engineer at the University of Health Sciences Medical
Facilitiesalongwiththe recommendationsof the AmericanCuratorial IndustryStandards,weselected
the angular restraints of the bed, we felt that an angle of at least 75 º and as high as 80 º would be
ideal.Inorder to establisha lengthforthe entire hospital bed,we tookintoaccount of data that we
had researched
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6.2 Sliding Surface Mechanism
The firstconsiderationwewantedtodeal withwasthe adjustmentof slidingMechanismFor sleeping
surface.Thisattribute is currentlybeingaddressedbySirAbdul Raffaybutis still forthe most part in
its infant stages. Presentlyin the United States, bedsthat are electrically powered have been found
to frequentlyisnotusingthistechnology.Soneglectingall factorswhetherit’san innovationwe will
use Rack gear Mechanism For this Technology
Fig: -2 Sleeping Surface with Mechanism
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Fig: -3 Side view
6.3 Currently Knee Gatch Mechanism/Our DesignedPart
In bedslike the Paramountmodel,whichare manuallycranked,the lowerlegmechanismprovidesa
differentchallenge.Onthese beds,the lowerlegmechanismisadjustedafterthe upperlegassembly
hasbeenplacedintoitsproperposition.Thelowerlegmechanismisnotadjustedmanuallybyacrank,
but by the nursing staff lifting the lower assembly and adjusting as can be seen
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Fig-4 Lower Leg Assembly mechanism
We will use the same MechanismforDeclinationinourBedDesign
Fig:-5 Knee Gatch
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6.4 Sides Support
To provide Structural support and to connect Head board with Foot board we are using side Supports
.Our Designed Part Dimension is same as length of the bed and is Shown in the Figure
Fig:-6 Side Support
6.5 Inflation Of sides
We are goingto use Electricpump operatesonDc powerto inflate Sides(Right,left).The mechanism
is installed in matters of sleeping surface it depends upon the cutting and stitching
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6.6 Headboard, Footboard Design
Certain compliances exist between the designs of the safety rails of hospital beds. In order to improve
safety features and increase the marketability of our own bed, we developed our own headboard,
footboard design respectfully..
Fig:-7 Headboard
6.7 Bed Raising and Lowering Mechanism
An additional feature of the bed that needed to be designed was the linkage system that would raise
and lower the entire top portion of the bed. We once again turned to the beds that are currently on the
market. After a thorough review of the products we found a linkage system that, after a few
modifications, would work well on our bed. Our bed employs a parallelogram linkage system at both
the head and the foot of the bed. The links are divided into two separate pieceswhich are then connected
to the lower bed and upper bed frames. The parallelogram linkages are connected together by a rod
across the top of the links. This rod ensures that the two ends of the bed will rise at the same time and
in turn evenly raise the bed. The upper bed frame is raised and lowered using the same screw and worm
gear method as is used for the back and upper leg. A handle is cranked manually, the motion is
transferred to the U-joint, which turns a screw which lengthens or contracts the worm gear shaft. The
worm gear shaft is attached to the rod that connects the front and back linkage systems and either pulls
the rod raising the top frame of the bed up or pushes the rod down lowering the top part of the bed. The
parallelogram linkage can be seen below in there were two major design considerations for this specific
linkage. There is limited space in the hospital wards so we could not have the bed traversing large
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distances in the X-direction as it moves in the Y-direction. Our design does move in the X-direction but
it is minimal. There is a total of three centimeters difference in the horizontal position of the top portion
of the bed at its highest and its lowest points. We feel that this is an acceptable distance and will not
cause any inconveniences in the hospital ward where the bed is used. Another consideration was the
Chinese Curatorial Industry Standards for the maximum height of the bed. These standards dictate that
the bed must be no higher the forty eight centimeters from the floor to the top of the litter. To comply
with these standards it required us to regulate the length of our linkage bars to no more then nineteen
centimeters. We decided to use the full allowable length for our design so that we would get the
maximum range of vertical motion out of our bed. Our mechanism for raising and lowering the bed was
designed to minimize the space required in the hospital
Fig:-8 Frame with pins for headboard attachment
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Fig:-9 Headboard with holes for attachment
6.8 Final Selection
What then does our design offer? Our final design combines the mechanics of the slider-crank
mechanism with the Pneumatic/Hydraulics at the end of the lower leg portion In order to keep the
manufacturingcostdown,the lowerlegmechanismof ourbedismanuallycrankedtoadjustthe bed,
same as the slider-crank lifting device. The crank lower legs Our preliminary sketch, in Figure Bed
Dimension shows in a simple manner how the bed will articulate. The only portion of the platform that
rises is the two links where the wheels for the Sliding Mechanism are supported.
7- Fabrication
The process of constructing machines and structures from raw materials is called metal fabrication.
Metal fabricators (companies that specialize in this process) are called fab shops. Metal fabricators
are referred to as a value added processes because they add additional value at a certain stage of
production.
21. 20
7.1 Material Selection
For material selection following are the parameters which should kept in mind
1. Mechanical properties
2. Physical Properties
3. Manufacturability
4. Cost
By keeping this in mind we choose Re-roll Steel Rectangular tubes
Figure 1 Material Selection
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6 Mattress 3ft *7ft
7 Weighing capacity 150kg
8 Maximum motor load 50kg
Figure 3 sleeping surface 1
7.1.2 Caster
Casters also come in a variety of sizes, mount types and load rating ranges to withstand diverse weight
capacities. With any medical caster, it's a high priority to reduce operator strain and provide patient
comfort especially on hospital beds. Medical casters have been used for diagnostic equipment, hospital
beds, hospital carts, stretchers, IV poles and other mobile medical equipment. Additionally, casters
come in a variety of aesthetically pleasing designs to avoid looking industrial or threatening to patients.
24. 23
One of the most popular medical castersisthe revolutionary twin wheelcasterby Steinco (Series 551D)
specifically designed for hospital and electro-medical equipment. Because of its design, this medical
caster makes it easy to enter and exit elevators in hospitals. It also may assist win compliance with the
IEC/EN 60601-1 standard.
By keeping this in view we choose this caster,
Figure 4 Caster
26. 25
Figure 5 Our Model
7.1.3 Motors
We select motors on the basis of its output power .This is a condenser-run type induction motor,
designed for durability in repeated clockwise and counter-clockwise rotations as in door actuators and
lifts. This kind of model has high starting torque and short acceleration period. The maximum
continuous running time is 30 minutes. When the motor is stopped for a long enough time, it can be
used for a longer period in a repeatedmanner. The output is 6W to 120W. The ratedvoltages are 100V,
115V (UL Standard),220V, and 240V (CE standard). it is recommended to select an appropriate motor
type that will fit the load characteristics and user’s conditions.
27. 26
Application examples
Copying machines, food washers, vending machines, medical equipment, voltage regulators, power
transformers, remote controllers,
Figure 6 Net Model of Motor
28. 27
Figure 7 Our Model
7.1.4 Sliding Channel
The main objective of this project is to slide sleeping surface from one bed to another bed. For
this purpose we use a Sliding channel of length 0.125Ft and Width of 3ft and we weld wheels
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Figure 8 Sliding Channel Fabricated Part
7.1.5 Controller (Forward and Reverse Switch)
The motor will run only as long as each pushbutton switch is held down. If we wanted to keep the
motor running even after the operator takes his or her hand off the control switch (es), we could
change the circuit in a couple of different ways: we could replace the pushbutton switches with
toggle switches, or we could add some more relay logic to “latch” the control circuit with a single,
momentary actuation of either switch. Let’s see how the second approach is implemented, since it
is commonly used in industry [1]
31. 30
7.1.6 Rack & Pinions
The Rack & Pinion block represents rack and pinion gear that converts between translational and
rotational motion. The rotational-translational gear constrains the pinion (P) and rack (R) to,
respectively, rotate and translate together in a fixed ratio that you specify. You can choose whether the
rack axis translates in a positive or negative direction, as the pinion rotates in a positive direction, by
using the Rack direction parameter [2]
By keeping this in view we made
Sr.No 1st Rack 2nd Rack Pinions
Width 0.7inch 0.7inch 0.7inch
Length 21inch 15.5inch 36inch
Teeth 79 59 34
Figure 11 Our Model