Controller Design and Experimental Evaluation of a Motorized Assistance for a Patient Transfer Floor Lift
Authors: Donatien Callon, Ian Lalonde, Mathieu Nadeau, Alexandre Girard
Abstract:
Patient transfer is a challenging, critical task because it exposes caregivers to injury risks. Available transfer devices, like floor lifts, lead to improvements but are far from perfect. They do not eliminate the caregivers’ risk of musculoskeletal disorders, and they can be burdensome to use due to their poor maneuverability. This paper presents a motorized floor lift with a single central motorized wheel connected to an instrumented handle. Admittance controllers are designed to 1) improve the device maneuverability, 2) reduce the required caregiver effort, and 3) ensure the security and comfort of patients. Two controller designs, one with a linear admittance law and a non-linear admittance law with variable damping, were developed and implemented on a prototype. Tests were performed on seven participants to evaluate the performance of the assistance system and the controllers. The experimental results show that 1) the motorized assistance with the variable damping controller improves maneuverability by 28%, 2) reduces the amount of effort required to push the lift by 66% and 3) provides the same level of patient comfort compared to a standard unassisted floor lift.
Keywords: Floor lift, human robot interaction, admittance controller, variable admittance.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 65References:
[1] K. G. Davis and S. E. Kotowski, “Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review,” Human Factors, vol. 57, no. 5, pp. 754–792, Aug. 2015.
[2] M. C. Callison and M. A. Nussbaum, “Identification of physically demanding patient-handling tasks in an acute care hospital,” International Journal of Industrial Ergonomics, vol. 42, no. 3, pp. 261–267, May 2012.
[3] D. Daynard, A. Yassi, J. E. Cooper, R. Tate, R. Norman, and R. Wells, “Biomechanical analysis of peak and cumulative spinal loads during simulated patient-handling activities: a substudy of a randomized controlled trial to prevent lift and transfer injury of health care workers,” Applied Ergonomics, vol. 32, no. 3, pp. 199–214, Jun. 2001.
[4] W. S. Marras, G. G. Knapik, and S. Ferguson, “Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices,” Ergonomics, vol. 52, no. 3, pp. 384–397, Mar. 2009.
[5] G. G. Knapik and W. S. Marras, “Spine loading at different lumbar levels during pushing and pulling,” Ergonomics, vol. 52, no. 1, pp. 60–70, Jan. 2009.
[6] “PowerMOVE Tilliften Producten JOYinCARE Hulpmiddelen voor de zorg.”
[Online]. Available: https://joyincare.com/producten/tilliften/powermove
[7] “EvaDrive - Handicare International.”
[Online]. Available: https://www.handicare.ca/product/evadrive/
[8] Z. Guo, X. Xiao, and H. Yu, “Design and Evaluation of a Motorized Robotic Bed Mover With Omnidirectional Mobility for Patient Transportation,” IEEE Journal of Biomedical and Health Informatics, vol. 22, no. 6, pp. 1775–1785, Nov. 2018.
[9] R. Solea and U. Nunes, “Robotic Wheelchair Control Considering user Comfort - Modeling and Experimental Evaluation.” vol. 1, Jan. 2008, pp. 37–44.
[10] V. Duchaine, B. Mayer St-Onge, D. Gao, and C. Gosselin, “Stable and Intuitive Control of an Intelligent Assist Device,” IEEE Transactions on Haptics, vol. 5, no. 2, pp. 148–159, Apr. 2012.
[11] J. Rosen, M. Brand, M. Fuchs, and M. Arcan, “A myosignal-based powered exoskeleton system,” IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans, vol. 31, no. 3, pp. 210–222, May 2001.
[12] S. A. Reid and G. A. Mirka, “Learning curve analysis of a patient lift-assist device,” Applied Ergonomics, vol. 38, no. 6, pp. 765–771, Nov. 2007.
[13] J¨onsson, J¨orgen, Nadeau, Mathieu, Lundquist, Anders, Girard, Alexandre, Provost, Philippe-Olivier, and Callon, Donatien, “A PATIENT TRANSFER DEVICE,” Patent SE2 022 050 327.
[14] “ISO 10535:2006 Hoists for the transfer of disabled persons — Requirements and test methods.”
[15] E. B. Weston, S. N. Khan, and W. S. Marras, “Wheelchair pushing and turning: lumbar spine and shoulder loads and recommended limits,” Ergonomics, vol. 60, no. 12, pp. 1754–1765, Dec. 2017.
[16] “ISO 2631-1:1997-Mechanical vibration and shock — Evaluation of human exposure to whole-body vibration — Part 1: General requirements.”
[17] Sehoon Oh and Y. Hori, “Sensor Free Power Assisting Control Based on Velocity Control and Disturbance Observer,” in Proceedings of the IEEE International Symposium on Industrial Electronics, 2005. ISIE 2005., vol. 4, Jun. 2005, pp. 1709–1714, iSSN: 2163-5145.
[18] M. Spong, “Partial feedback linearization of underactuated mechanical systems,” in Proceedings of IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS’94), vol. 1. Munich, Germany: IEEE, 1994, pp. 314–321.