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A survey and assessment of market trends, research efforts and standards related to smart medical beds was performed, covering a wide range of public records of intellectual property, models and related healthcare solutions, as well as relevant research efforts in the field between 2000 and 2016. Contextual topics, necessary for the understanding of this subject, on novel technologies, disability and the reach of healthcare systems, were also researched and interpreted.
Electric medical beds have accumulated almost one hundred years of history. An essential part of the healthcare environment, the medical bed is also used as a measure of its reach [1], its efficiency (for occupancy and bed-management strategisation [2]), development (representing funding and investment in healthcare systems, see [3]) and diversity. For the case of automated, electric devices such as these, technological and contextual factors have resulted in significant changes to their appearance and their expected functionality over this period, while retaining original features that have guided the first exponents of this medical device. It is, however, in the twenty-first century, that an unprecedented, innovative stage in the development of these devices has peaked, taking advantage of all technological means at the disposal of developers, and resulting in new vectors of added value for these products: this stage can be referred to as the time of smart medical beds.
In the past decades, the medical-bed market has further changed, responding to also-changing structural, functional, and social-economic demands concerning the performance of medical beds. From the year 2000 to the present, these highly elaborate mechatronic devices have consolidated into what can be called the segment of smart mechatronic beds or smart beds, a term that describes a comprehensive synthesis between new materials, design and higher functionality and autonomy for these systems, all under advanced user interfaces. Smart beds implement new technologies (graphical interfaces, novel environment-aware sensors and actuating solutions, etc.), to provide a higher level of service and function, like real-time monitoring, caregiver and patient assistance, automated functions and positions (chair, assisted bed exit), and data logging, as well as more advanced means of communication.
The global market of electric and smart medical beds, both for healthcare facilities and residential use, reaches its highest degree of development in the United States and Europe, with the Asian market showing great potential for growth in the following years, and within this market, pressure-relief surfaces and beds are among the most prominent sub-groups [9]. Figure 3 shows the global distribution of the reviewed companies (accessed 04/2018).
User interfaces in smart beds are multiple, robust and dedicated to the patient and/or caregiver. Integration of new technologies, ergonomics and graphical interfaces allows for improved control over a broader range of functions. Left: Olympia Hospital bed, developed and manufactured by Haelvoet [46]. Right: example of a graphical-user interface designed for the control of a new generation of medical beds [47]. Permission for use of images granted by Haelvoet
Surrounding the medical bed, the integration of information-technologies into the patient-care environment has changed the way patient-information and treatments are handled. Updated user interfaces, dedicated to patients and caregivers, have emerged over the past decade, both as consumer-ready solutions [38] and research projects [34], covering the management of patient records, and control over the near environment (like TV, lights, etc.). As medical beds become smarter, interaction with these smart environments becomes a possibility [8].
Medical beds have changed, in the past decades, from technological, aesthetic, and functional perspectives. Smart medical beds are a comprehensive synthesis of these three: integrated solutions for patient care, assistance and monitoring. Powered by a surge in user technological-awareness, the acceptance of new technologies into smart beds and accessories will likely continue to grow in developed regions, reaching more complex, upgraded, and even bold iterations in the near future.
While features like autonomy and embedded functionality may hint at an apparent detachment form the work of health specialists at this point in time, the need for multidisciplinary insight will, actually, become more urgent in the development of successful healthcare solutions. Research and study on healthcare-environment related solutions is of great need in a context of a globally-ageing population [42], where disability will have an even greater impact. Accessibility-enabled smart medical beds have the potential of becoming the center of new, comprehensive and patient-conscious healthcare environments.
Smart medical beds have emerged in the past decades as integrated solutions for patient care, assistance and monitoring, based on a comprehensive, multidisciplinary design process. The global market of medical beds is currently broad, competitive, and still has potential to spread. Dedicated devices for different demographics are developed, and high-end functionality under customizable solutions have become common features, expected of these devices. Research is also continuously promoting novel or updated integrations of technology into this family of devices. It is expected that these changes will continue to spread into further automation and design adaptations, with the smart bed becoming the heart of the smart patient-care environment of the future. The full potential of smart beds will not only be achieved with isolated technological or morphological advances, but when they are seamlessly integrated into the healthcare system, enabling more efficient efforts for caregivers, and more responsive environments for patients. 2ff7e9595c
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