CN103284851A - Special bed for prone position after vitrectomy - Google Patents
Special bed for prone position after vitrectomy Download PDFInfo
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- CN103284851A CN103284851A CN2013102684909A CN201310268490A CN103284851A CN 103284851 A CN103284851 A CN 103284851A CN 2013102684909 A CN2013102684909 A CN 2013102684909A CN 201310268490 A CN201310268490 A CN 201310268490A CN 103284851 A CN103284851 A CN 103284851A
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Abstract
本发明属于医疗器械设备领域,涉及一种在进行眼部手术后方便患者康复的专用床,具体地说是一种玻璃体切除术后俯卧位专用床,包括床体,所述床体两侧分别设置有护栏,在床体前端底面固定设置有控制箱,在床体面板上对应于控制箱处开设有用于放置头枕支架的孔,所述头枕支架下端焊接于控制箱内的多角度转向球上,多角度转向球置于底部开有通孔的锁位碗中,在所述通孔内设有转向球锁位器,转向球锁位器底部固定设置于连接架上,转向球锁位器底部的刹车钢丝连接于床体侧边设置的锁位紧固手刹上。本发明能更精准地调整头位,极大地增加了患者的舒适度,确保了正确体位的长时间维持,对视网膜成功复位有很大的作用。
The invention belongs to the field of medical instruments and equipment, and relates to a special bed which is convenient for patients to recover after eye surgery, specifically a special bed for prone position after vitrectomy, including a bed body, and the two sides of the bed body are respectively Guardrails are provided, and a control box is fixedly installed on the bottom surface of the front end of the bed body. A hole for placing a headrest bracket is opened on the bed body panel corresponding to the control box. The lower end of the headrest bracket is welded to the multi-angle steering in the control box. On the ball, the multi-angle steering ball is placed in a locking bowl with a through hole at the bottom. A steering ball locker is arranged in the through hole. The bottom of the steering ball locker is fixed on the connecting frame. The steering ball lock The brake steel wire at the bottom of the positioner is connected to the lock position fastening hand brake provided on the side of the bed body. The invention can adjust the head position more accurately, greatly increases the comfort of the patient, ensures the long-term maintenance of the correct body position, and has a great effect on the successful repositioning of the retina.
Description
技术领域 technical field
本发明属于医疗器械设备领域,涉及一种在进行眼部手术后方便患者康复的专用床,具体地说是一种玻璃体切除术后俯卧位专用床。 The invention belongs to the field of medical instruments and equipment, and relates to a special bed for facilitating the recovery of patients after eye surgery, in particular to a special bed for prone position after vitrectomy.
背景技术 Background technique
玻璃体切除联合惰性气体或硅油填充术是治疗复杂性视网膜脱离的有效手术之一。其目的是使注入的气体或硅油从玻璃体腔向眼球壁推压,利用气体和液体向上浮的原理,直接垫压于裂孔,阻断裂孔处的液流,达到视网膜复位的目的,为使术后裂孔处于最高位,患者往往需要采取强迫俯卧位。术后患者被动体位的保持情况关系到手术的成败,但由于术后俯卧位时间较长,患者会有颜面部压痛、腰酸、肩颈部酸痛麻木等不适症状,进而导致失眠,紧张、焦虑、抑郁、沮丧、愤怒和敌意的分数上升。事实上玻璃体切割注气术后,患者因长时间严格俯卧位,可以导致压疮的发生。 Vitrectomy combined with inert gas or silicone oil tamponade is one of the effective operations for the treatment of complicated retinal detachment. Its purpose is to push the injected gas or silicone oil from the vitreous cavity to the wall of the eyeball, and use the principle of upward floating of gas and liquid to directly press on the hole to block the flow of liquid at the hole and achieve the purpose of resetting the retina. The posterior hiatus is at the highest position, and patients often need to adopt a forced prone position. The maintenance of the passive position of the patient after the operation is related to the success of the operation. However, due to the long time in the prone position after the operation, the patient will have facial tenderness, backache, shoulder and neck pain and numbness and other discomfort symptoms, which will lead to insomnia, tension, anxiety, Scores for depression, frustration, anger, and hostility rose. In fact, after vitrectomy and gas injection, the patient can lead to pressure sores due to the long-term strict prone position.
俯卧位辅助用具现状分析:临床上使用最为广泛的是U型(或称C型)软枕及其改良产品,如:马蹄形气枕、U形水枕及改良型U型枕、井字形头架等。研究显示,俯卧位患者辅助使用此类用具较使用普通枕头增加了透气性,颜面部受力更均匀,头部较易固定,舒适度增强,从而提高了手术成功率。为进一步增强患者的舒适度,临床护理人员不停地改进辅助用具。相继开发出头部专用支架、多用支架、眼孔床联合充气式颈推牵引器等辅助用具,经实践发现,相比较于U型枕类用具能更进一步提高透气性,增强舒适度,取得了较好的效果。 Analysis of the status quo of prone position aids: U-shaped (or C-shaped) soft pillows and their improved products are the most widely used clinically, such as: horseshoe-shaped air pillows, U-shaped water pillows and improved U-shaped pillows, well-shaped head frames, etc. . Studies have shown that for patients in the prone position, the auxiliary use of such appliances increases air permeability compared with ordinary pillows, the force on the face is more uniform, the head is easier to fix, and the comfort is enhanced, thereby improving the success rate of the operation. To further enhance patient comfort, clinical nurses are continually improving assistive devices. Auxiliary devices such as special head support, multi-purpose support, eye hole bed combined with inflatable neck pusher and tractor have been developed successively. It has been found through practice that compared with U-shaped pillows, it can further improve air permeability and enhance comfort. better effect.
然而经临床长期使用,反复观察,发现头部专用支架,多用支架及眼孔床联合充气式颈推牵引器等用具虽较U形软枕类用具明显提高了透气性,然而却不利于患者长时间保持正确体位;另外头部支架、充气式颈推牵引器易滑动,尤其在夜间患者入睡后体位不易保持;多用支架的使用不利于病区环境的整齐,眼科患者视力差,床尾支架的使用,极易绊倒同病室的其他患者,存在安全隐患。 However, through long-term clinical use and repeated observations, it has been found that although appliances such as special head supports, multi-purpose supports and eyelet beds combined with inflatable neck pushers and tractors have significantly improved air permeability compared with U-shaped soft pillows, they are not conducive to the long-term development of patients. Maintain the correct body position at all times; in addition, the head support and inflatable neck pusher are easy to slide, especially after the patient falls asleep at night; , It is very easy to trip other patients in the same ward, and there are potential safety hazards.
发明内容 Contents of the invention
本发明的目的在于克服现有技术中存在的不足,提供一种结构简单、巧妙、合理的玻璃体切除术后俯卧位专用床,该专用床结构合理,使用安全、方便,有利于患者康复。 The purpose of the present invention is to overcome the deficiencies in the prior art and provide a simple, ingenious and reasonable special bed for prone position after vitrectomy.
按照本发明提供的技术方案:一种玻璃体切除术后俯卧位专用床,包括床体,所述床体两侧分别设置有护栏,特征在于:在床体前端底面固定设置有控制箱,在床体面板上对应于控制箱处开设有用于放置头枕支架的孔,所述头枕支架下端焊接于控制箱内的多角度转向球上,多角度转向球置于底部开有通孔的锁位碗中,在所述通孔内设有转向球锁位器,转向球锁位器底部固定设置于连接架上,转向球锁位器底部的刹车钢丝连接于床体侧边设置的锁位紧固手刹上;在床体尾部端面转动设置有摇柄,所述摇柄通过设置于床体底部的中间传动装置连接于控制箱内的转动齿轮上,在连接架底部固定连接有与转动齿轮相配合的升降齿条,所述连接架底部还设有用于导向的钢管,且钢管下端滑动设置于限位支撑管内,所述限位支撑管固定设于控制箱底部端面上。 According to the technical solution provided by the present invention: a special bed for prone position after vitrectomy, including a bed body, guardrails are respectively arranged on both sides of the bed body, and it is characterized in that a control box is fixedly arranged on the bottom surface of the front end of the bed body. There is a hole on the body panel corresponding to the control box for placing the headrest bracket. The lower end of the headrest bracket is welded to the multi-angle steering ball in the control box, and the multi-angle steering ball is placed at the lock position with a through hole at the bottom. In the bowl, a steering ball locker is provided in the through hole, the bottom of the steering ball locker is fixedly arranged on the connecting frame, and the brake wire at the bottom of the steering ball locker is connected to the locking lock set on the side of the bed body. fixed on the hand brake; a rocking handle is installed on the end face of the tail of the bed body, and the rocking handle is connected to the rotating gear in the control box through the intermediate transmission device arranged at the bottom of the bed body. The matching lifting rack, the bottom of the connecting frame is also provided with a steel pipe for guiding, and the lower end of the steel pipe is slidably arranged in the limit support tube, and the limit support tube is fixed on the bottom end surface of the control box.
作为本发明的进一步改进,所述转向球锁位器包括锁位摩擦片、套管、锁位弹簧、刹车钢丝,其中套管上端焊接于锁位碗的通孔中,锁位摩擦片通过其底端的挡片设置于套管上端面,在套管内设有锁位弹簧,且所述锁位弹簧上下两端分别顶紧于挡片和套管底部端面上,锁位拉杆穿设于锁位弹簧内圈中,并且锁位拉杆上端固定连接于挡片上,锁位拉杆下端自套管底部端面穿出,该穿出部分连接有刹车钢丝。 As a further improvement of the present invention, the steering ball locker includes a locking friction plate, a sleeve, a locking spring, and a brake wire, wherein the upper end of the sleeve is welded in the through hole of the locking bowl, and the locking friction plate passes through it. The baffle at the bottom is set on the upper surface of the casing, and a locking spring is arranged in the casing, and the upper and lower ends of the locking spring are respectively pressed against the baffle and the bottom surface of the casing, and the locking rod is installed in the locking position. In the inner ring of the spring, and the upper end of the locking pull rod is fixedly connected to the blocking piece, and the lower end of the locking pull rod passes through the end surface of the bottom of the casing, and the piercing part is connected with a brake wire.
作为本发明的进一步改进,所述头枕支架下部具有转向球焊接横梁,所述转向球焊接横梁焊接于多角度转向球上。 As a further improvement of the present invention, the lower part of the headrest bracket has a steering ball welding beam, and the steering ball welding beam is welded to the multi-angle steering ball.
作为本发明的进一步改进,在床体一侧护栏前端固定设有手刹支架,锁位紧固手刹转动设置于所述手刹支架上。 As a further improvement of the present invention, a handbrake bracket is fixed at the front end of the guardrail on one side of the bed, and the locked position fastening handbrake is rotatably set on the handbrake bracket.
作为本发明的进一步改进,所述中间传动装置包括前端转轴、转轴连接关节、后端转轴,其中前端转轴两端分别连接于摇柄和转轴连接关节上,所述转轴连接关节另一端固定连接后端转轴的尾端,后端转轴的前端自控制箱侧面伸入控制箱内,所述后端转轴伸入控制箱内的部分通过转动轴承支撑,转动齿轮通过连接键设置于后端转轴前端部。 As a further improvement of the present invention, the intermediate transmission device includes a front-end rotating shaft, a rotating shaft connecting joint, and a rear-end rotating shaft, wherein the two ends of the front rotating shaft are respectively connected to the rocker and the rotating shaft connecting joint, and the other end of the rotating shaft connecting joint is fixedly connected The tail end of the end rotating shaft, the front end of the rear rotating shaft extends into the control box from the side of the control box, the part of the rear rotating shaft extending into the control box is supported by a rotating bearing, and the rotating gear is arranged on the front end of the rear rotating shaft through a connecting key .
作为本发明的进一步改进,在头枕支架上端焊接有环形头枕凹槽,环形圈头枕贴合设置于所述环形头枕凹槽中。 As a further improvement of the present invention, an annular headrest groove is welded on the upper end of the headrest bracket, and the annular headrest is fitly arranged in the annular headrest groove.
作为本发明的进一步改进,在锁位碗内部凹槽面上对应于通孔上部位置处设置有橡胶摩擦片。 As a further improvement of the present invention, a rubber friction plate is provided on the inner groove surface of the locking bowl corresponding to the upper part of the through hole.
作为本发明的进一步改进,所述床体的床腿下端安装有万向轮。 As a further improvement of the present invention, universal wheels are installed at the lower ends of the legs of the bed body.
本发明与现有技术相比,优点在于:本发明通过技术改进,使得床体上的头枕支架可以轻松简洁地实现上下升降运动及头枕支架在平面内各方向的转动,并能在头枕支架调整至合适位置时,将头枕支架锁定好,极大地增加了患者的舒适度,有效减轻俯卧位的各种不适症状,确保患者可以长时间保持正确体位,对视网膜成功复位有很大作用。综上可知,本发明能更精准地调整头位,极大地增加了患者的舒适度,确保了正确体位的长时间维持,对视网膜成功复位有很大的作用。 Compared with the prior art, the present invention has the advantages that: through technical improvement, the present invention enables the headrest bracket on the bed body to easily and concisely realize the up and down movement and the rotation of the headrest bracket in all directions in the plane, and can When the pillow support is adjusted to the proper position, the headrest support is locked, which greatly increases the comfort of the patient, effectively relieves various discomfort symptoms in the prone position, ensures that the patient can maintain the correct position for a long time, and has a great influence on the successful retinal reset. effect. In summary, the present invention can adjust the head position more precisely, greatly increases the patient's comfort, ensures the long-term maintenance of the correct body position, and has a great effect on the successful retinal reset.
附图说明 Description of drawings
图1是床体俯视图。 Figure 1 is a top view of the bed.
图2是床体侧面结构图。 Fig. 2 is a side view of the bed body.
图3是头枕位置调节控制箱图。 Figure 3 is a diagram of the headrest position adjustment control box.
图4是头枕支架图。 Figure 4 is a diagram of the headrest support.
图5为转向球锁位装置结构图。 Figure 5 is a structural diagram of the steering ball locking device.
图6是齿轮齿条传动装置结构图。 Figure 6 is a structural diagram of the rack and pinion transmission.
具体实施方式 Detailed ways
下面结合具体附图和实施例对本发明作进一步说明。 The present invention will be further described below in conjunction with specific drawings and embodiments.
如图1~6所示,包括床体1、锁位紧固手刹2、手刹支架3、护栏4、摇柄5、环形圈头枕6、孔7、控制箱8、头枕支架9、后端转轴10、转轴连接关节11、前端转轴12、刹车钢丝13、多角度转向球14、头枕升降组件15、转动轴承16、转动齿轮17、升降齿条18、限位支撑管19、钢管20、环形头枕凹槽21、转向球焊接横梁22、锁位碗23、通孔24、转向球锁位器25、锁位弹簧26、锁位摩擦片27、锁位拉杆28、中间传动装置29、万向轮30、橡胶摩擦片31、连接架32、套管33等。
As shown in Figures 1 to 6, it includes a
如图1~6所示,本发明是一种玻璃体切除术后俯卧位专用床,包括床体1,所述床体1两侧分别设置有护栏4,在床体1前端底面固定设置有控制箱8,在床体1面板上对应于控制箱8处开设有用于放置头枕支架9的孔7,所述头枕支架9下端焊接于控制箱8内的多角度转向球14上,多角度转向球14置于底部开有通孔24的锁位碗23中,在所述通孔24内设有转向球锁位器25,转向球锁位器25底部固定设置于连接架32上,转向球锁位器25底部的刹车钢丝13连接于床体1侧边设置的锁位紧固手刹2上;在床体1尾部端面转动设置有摇柄5,所述摇柄5通过设置于床体1底部的中间传动装置29连接于控制箱8内的转动齿轮17上,在连接架32底部固定连接有与转动齿轮17相配合的升降齿条18,所述连接架32底部还设有用于导向的钢管20,且钢管20下端滑动设置于限位支撑管19内,所述限位支撑管19固定设于控制箱8底部端面上。
As shown in Figures 1 to 6, the present invention is a special bed for prone position after vitrectomy, including a
所述转向球锁位器25包括锁位摩擦片27、套管33、锁位弹簧26、刹车钢丝13,其中套管33上端焊接于锁位碗23的通孔24中,锁位摩擦片27通过其底端的挡片设置于套管33上端面,在套管33内设有锁位弹簧26,且所述锁位弹簧26上下两端分别顶紧于挡片和套管33底部端面上,锁位拉杆28穿设于锁位弹簧26内圈中,并且锁位拉杆28上端固定连接于挡片上,锁位拉杆28下端自套管33底部端面穿出,该穿出部分连接有刹车钢丝13。
The
所述头枕支架9下部具有转向球焊接横梁22,所述转向球焊接横梁22焊接于多角度转向球14上。
The lower part of the
在床体1一侧护栏4前端固定设有手刹支架3,锁位紧固手刹2转动设置于所述手刹支架3上。
A
所述中间传动装置29包括前端转轴12、转轴连接关节11、后端转轴10,其中前端转轴12两端分别连接于摇柄5和转轴连接关节11上,所述转轴连接关节11另一端固定连接后端转轴10的尾端,后端转轴10的前端自控制箱8侧面伸入控制箱8内,所述后端转轴10伸入控制箱8内的部分通过转动轴承16支撑,转动齿轮17通过连接键设置于后端转轴10前端部。
The
在头枕支架9上端焊接有环形头枕凹槽21,环形圈头枕6贴合设置于所述环形头枕凹槽21中。
An annular headrest groove 21 is welded on the upper end of the
在锁位碗23内部凹槽面上对应于通孔24上部位置处设置有橡胶摩擦片31。
A
所述床体1的床腿下端安装有万向轮30,方便床体1自由移动。
本发明的工作过程如下:环形圈头枕6放置在头枕支架9上,而头枕支架9底部横梁处焊接有多角度转向球14,多角度转向球14卡在锁位碗23内,锁位碗23上部边缘与多角度转向球14的上班球距离顶端直径1/4处平齐,橡胶摩擦片31通过胶水固定于锁位碗23上部,锁位碗23底部是一圆形的漏洞,漏洞下部为带弹簧支架支撑的底部锁位摩擦片27,正常时锁位弹簧26将底部锁位摩擦片27向上顶住,配合碗状支架上部内侧的橡胶摩擦片31,以此卡住多角度转向球14,完成转向球位置的锁定,当需要调节头枕支架9位置时通过拉锁位紧固手刹2,将该锁位弹簧26向下拉,这时底部及侧边的锁位摩擦片27与转向球脱离,转向球可以通过转动头枕架自由调节头枕的角度位置,待调节好后再松开锁定紧固手刹,让锁位弹簧26再次将底部锁定摩擦片27向上顶住转向球,转向球球体因上部碗口窄,因而球体被碗口卡住,而同时转向球的下部被弹簧末端的底部锁位摩擦片27强力上顶,这就实现了转向球位置锁定的功能。
The working process of the present invention is as follows: the
在需要调整头枕支架9的高度时,只需转动床体1端部的摇柄5,摇柄5的转动依次带动前端转轴12、转轴连接关节11、后端转轴10三者进行转动,并有后端转轴10带动转动齿轮17作轴向转动,转动齿轮17带动与其配合的升降齿条18作上下运动,进而带动头枕支架9完成升降运动。
When the height of the
本发明通过技术改进,使得床体上的头枕支架可以轻松简洁地实现上下升降运动及头枕支架在平面内各方向的转动,并能在头枕支架调整至合适位置时,将头枕支架锁定好,极大地增加了患者的舒适度,有效减轻俯卧位的各种不适症状,确保患者可以长时间保持正确体位,对视网膜成功复位有很大作用。综上可知,本发明能更精准地调整头位,极大地增加了患者的舒适度,确保了正确体位的长时间维持,对视网膜成功复位有很大的作用。 The present invention improves the technology so that the headrest bracket on the bed body can easily and concisely realize the up and down movement and the rotation of the headrest bracket in all directions in the plane, and when the headrest bracket is adjusted to a suitable position, the headrest bracket can be adjusted The locking is good, which greatly increases the comfort of the patient, effectively relieves various discomfort symptoms in the prone position, ensures that the patient can maintain the correct position for a long time, and has a great effect on the successful retinal reset. In summary, the present invention can adjust the head position more precisely, greatly increases the patient's comfort, ensures the long-term maintenance of the correct body position, and has a great effect on the successful retinal reset.
Claims (8)
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| CN112370273A (en) * | 2020-11-23 | 2021-02-19 | 曹科 | Prone head position ware of ophthalmology clinical care postoperative |
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| CN103284851B (en) | 2015-08-19 |
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