referring first to fig1 there is illustrated a hospital bed 10 including the principles of the present invention . the bed 10 includes , generally , a base 12 , casters 14 mounted around the base 12 , a main frame 16 vertically movably mounted above the base 12 via linkage 18 , a patient support platform 20 mounted atop the main frame 16 , and patient sideguards 22 mounted at either lateral side of the patient support platform 20 . more particularly , patient support platform 20 comprises an upwardly pivoting head panel 30 , a generally planar seat panel 32 , a pivoting thigh panel 34 and a pivoting calf panel 36 . in fig1 the integral selectively manipulatable support is indicated generally at 40 and is shown in its operable position projecting above a patient supporting surface 42 of the head section 30 thereby raising the mattress 44 upwardly from the surface 42 and hence head 46 of a patient 48 ( fig2 and 3 ). as shown in fig4 the support 40 comprises a rectangularly shaped pillow portion 50 having a top wall defining an upper surface 52 and having two side walls 54 and two end walls 56 . the structure 50 is approximately 9 . 75 inches wide by 19 . 25 inches long by 4 . 218 inches high . a lid 58 encloses the pillow structure 50 and defines a bottom wall having a bottom surface 60 . the support 40 is preferably fabricated of polypropylene . the support 40 is rotatably mounted to each siderail 62 of the main frame 16 . a celcon bushing 64 is secured to each of the end walls 56 of the structure 50 as by screws ( not shown ). a shaft 66 resides within hub 68 of the bushing 64 and passes through apertures ( not shown ) in the side walls 62a and 62b of rail 62 . the outboard end 70 of shaft 66 is captured in a pivot bar 72 which is itself secured to side wall 62b of rail 62 as by a screw 74 . thus , support 40 is able to rotate through approximately 180 ° to and between positions wherein the structure 50 is above the level of the surface 42 of the head section 30 and wherein the structure 40 is positioned below the surface 42 of the head section 30 . as can be seen in fig5 a and 5b , 5a being the supporting position and 5b being the non - supporting position , the support 40 is rotated about an axis a . the surface 52 is located at a distance d1 from the axis a . further , the surface 60 is located at a distance d2 from the axis a . the distance d1 is thus greater than the distance d2 in order to provide the supporting effect when the support 40 is rotated to the position in fig5 a . the surface 42 of head section 30 is located at a distance d3 from the axis a . distance d2 is thus less than or equal to the distance d3 , and preferably is equal to the distance d3 such that surface 60 is flush with surface 42 when the pillow support 40 is in the unsupporting position of fig5 b . as shown in fig2 the invention contemplates that the pillow structure 40 of the present invention could be employed at any number of locations on a hospital bed and is therefore not to be limited to simply the head position . for example , pillow supports 40 could be employed in the lumbar region of the back and also at or beneath the legs of the patient 48 . further , as is diagrammatically shown in fig3 the invention contemplates a convenient means for moving the supports 40 to and between the supporting position as shown in fig5 a and the unsupporting position as shown in fig5 b . such could take the form of a rotatable hand wheel 80 . wheel 80 could be , in one form , attached directly to the end 70 of the shaft 66 . thus , only a care provider would have immediate access to the wheel 80 for adjustment of the support 40 . however , should one wish to provide patient 48 with access to adjustment of the support 40 , wheel 80 could be provided in the position shown in phantom at 82 such that the wheel could be conveniently manipulated by the patient 48 . suitable mechanical linkage between the wheel 82 and the shaft 66 would of course be provided in order to drive the support 40 . as shown at 84 , the tray portion 58 of the support 40 is provided with a lip to contact the underneath side of the rail 62 of the main frame 16 in order to serve as a stop . further , the invention contemplates the use of a suitable means for dampening the rotation of the support 40 to maintain the desired rotational position of the support 40 , i . e ., at positions between that shown in fig5 a and fig5 b . as shown in fig6 a and 6b , an alternative form of the present invention is illustrated . in this embodiment , the support 40 includes a head extender 90 forming a part of the tray 58 . when the support 40 is rotated to the supporting position , as shown in fig6 a , the head extender is in the inoperable or non - extended position . when the support 40 is rotated to the non - supporting position , the head extender rotates through approximately 180 ° to extend the length of the bed 10 at the head area thereof . such bed head extenders have a number of advantages , many of which are discussed in u . s . pat . no . 5 , 335 , 384 issued aug . 9 , 1994 , entitled a hospital bed head extender and accessory therefor and assigned to the assignee of the present invention , the entire substance of which is hereby incorporated by reference herein as if fully set forth in its entirety . this form of the invention is shown in top plan in fig8 . a further form of the invention is illustrated in fig7 a and 7b , wherein the pillow structure 50 of the support 40 is eliminated thus resulting in a rotatable head extender . in use , the support 40 is rotated to the supporting position when additional support is desired . for example , when located in the area of the head of the bed , the support acts as a traditional pillow , but does not have the drawbacks thereof such as negating the therapeutic effect of specialty mattress and the tendency to become dislodged . when support is not desired , the support is rotated to the nonsupporting position . those skilled in the art will readily recognize numerous adaptations and modifications which can be made to the present invention and which will result in an improved hospital bed with integral selectively manipulatable support , yet all of which will fall within the spirit and scope of the present intention as defined by the following claims . accordingly , the invention is to be limited only by the scope of the following claims and their equivalents .
a hospital bed comprises a base , a patient support platform mounted above the base , and a selectively manipulable support integral with the platform . the support is movable to a position above the platform to raise the bed mattress and corresponding body part such as head , lumbar region of the back and / or the feet .