CN108703847B - Cushion for patients in supine position after nephrostomy - Google Patents
Cushion for patients in supine position after nephrostomy Download PDFInfo
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- CN108703847B CN108703847B CN201810762781.6A CN201810762781A CN108703847B CN 108703847 B CN108703847 B CN 108703847B CN 201810762781 A CN201810762781 A CN 201810762781A CN 108703847 B CN108703847 B CN 108703847B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/065—Rests specially adapted therefor
- A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/0525—Side-bolsters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
- A61F2013/15008—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators characterized by the use
- A61F2013/15154—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators characterized by the use for hospitalised patients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/32—Specific positions of the patient lying
- A61G2200/322—Specific positions of the patient lying lateral
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- Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nursing (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Invalid Beds And Related Equipment (AREA)
Abstract
The invention relates to a patient lying position placement back cushion after nephrostomy, which comprises a back cushion body, wherein the back cushion body comprises an elastic support and an absorption pad, the elastic support comprises a base plate and an elastic leaning plate, the elastic leaning plate is arranged on the base plate in a slope shape, so that a wedge-shaped space is formed between the elastic leaning plate and the base plate, the elastic leaning plate is U-shaped, the bottom of the elastic leaning plate is connected to the side edge of the base plate and can be elastically compressed, the absorption pad is arranged in the wedge-shaped space, the absorption pad is provided with an abutting part which corresponds to the U-shaped cavity of the elastic leaning plate and is abutted against the skin of a human body, the abutting part extends out of an opening which corresponds to the supporting surface of the elastic leaning plate for supporting the human body, and the U-shaped opening side of the elastic leaning plate is provided with a positioning concave part for positioning and penetrating a kidney-made pipe. The support part and the absorption part are designed in a split way, and the support part has the advantages of good support effect and good leakage liquid absorption effect.
Description
Technical Field
The invention relates to a medical auxiliary device, in particular to an auxiliary device in clinical nursing, and more particularly relates to a back cushion for supporting and absorbing seepage of a patient in the patient lying position after nephrostomy.
Background
Indwelling nephrostomy is one of the important means of upper urinary tract drainage, and patients with percutaneous nephrolithotomy (PCNL) in urology surgery have a comfortable lying position due to nursing requirements of postoperative anesthesia mode, so that recovery of postoperative gastrointestinal tract and even pressure sore of skin caused by long-term compression are not facilitated. Meanwhile, the specificity of the placement position of the nephrostomy tube is easy to cause the pipeline to be pressed or bent when lying on the back or semi-sitting position, in addition, the patient often has urine leakage at the wound, so the patient generally adopts a back cushion pillow, a quilt and the like under the back in the bedridden state after operation, on one hand, the support effect is achieved, the patient is ensured to have a certain comfortable position, on the other hand, the seepage is adsorbed, the skin of the patient is ensured to be dry and comfortable, and the defects of poor support effect and easy compression of the nephrostomy tube still exist.
At present, there is also report of design of a cushion special for patients after fistulization, such as "cushion special for patients after nephrostomy" disclosed in patent document CN201420574111.9 (grant publication CN 204106424U), a wedge-shaped cushion body is adopted, a groove for allowing a fistulization tube to pass through is arranged at the wedge-shaped top of the cushion body, the cushion body is composed of a cushion cover and a cushion core, the cushion core is made of high-density sponge to ensure supporting strength and has a certain absorbing capacity, but the cushion of the structure has the following defects that in order to obtain high supporting strength, the high-density sponge is processed and formed, and the absorbing capacity of the sponge for absorbing leakage liquid is sacrificed, and meanwhile, the sponge for absorbing is severely compressed during supporting, and the pore for accommodating the leakage liquid is reduced, so that the absorbing effect is not ideal. In addition, the main supporting part of the back cushion is a cushion core, the back cushion is not adjustable, the patient can not change the body position, and the patient can keep one body position for a long time, so that the comfort is poor.
Disclosure of Invention
The invention aims to overcome the defects in the prior art, and provides a support part and absorption part split design, which has good support effect and good leakage liquid absorption effect and is used for placing a cushion in a patient lying position after nephrostomy.
In order to achieve the above purpose, the present invention provides the following technical solutions:
The back cushion body comprises an elastic support and an absorption pad, the elastic support comprises a base plate and an elastic inclined plate, the elastic inclined plate is arranged on the base plate in a slope shape, a wedge-shaped space is formed between the elastic inclined plate and the base plate, the elastic inclined plate is U-shaped, the bottom of the elastic inclined plate is connected to the side edge of the base plate and can be elastically compressed, the absorption pad is arranged in the wedge-shaped space, the absorption pad is provided with an abutting part which corresponds to the U-shaped cavity of the elastic inclined plate and is abutted against the skin of a human body, the abutting part extends out of an opening which corresponds to the supporting surface of the elastic inclined plate for supporting the human body, and the U-shaped opening side of the elastic inclined plate is provided with a positioning concave part for positioning and penetrating out a kidney-made pipe.
By adopting the technical scheme, the part supported by the user and the absorbed part are designed separately, so that the defect of poor effect of absorbing and storing leakage liquid caused by excessive compression of the absorption pad is avoided.
Preferably, the elastic inclined backup plate comprises a U-shaped rigid backup plate body and a U-shaped flexible waterproof gasket which can be elastically compressed, and the U-shaped flexible waterproof gasket is attached to the supporting top surface of the U-shaped rigid backup plate body. With this structural design, comfort is provided. Meanwhile, the purpose of preventing leakage liquid is achieved, and the dryness and comfort of a patient are ensured.
Preferably, the U-shaped flexible waterproof gasket is provided with a wrapping edge which wraps the edge of the U-shaped opening of the U-shaped rigid support plate outside the edge of the U-shaped opening. Under this structural design, improve the reliability of leak protection.
Preferably, the absorbent pad comprises a pad sleeve and an absorbent pad core for absorbing seepage, the pad sleeve comprises a top pocket piece positioned at the top and contacted with a human body and a bottom pocket piece positioned at the bottom and in a bowl shape, the top pocket piece is of a porous structure formed by weaving hydrophobic threads, the bottom pocket piece is an anti-seepage layer made of anti-seepage materials, the bottom pocket piece is connected with the top pocket piece to form a filling space, and the absorbent pad core is filled in the filling space. Under the structural design, the top pocket sheet contacted with the human body adopts a porous structure made of a hydrophobic material, and seepage can be rapidly absorbed by the absorption pad through the holes of the top pocket sheet, so that the skin of a patient is ensured to be dry; when the absorption pad is used, a patient adopts a lateral lying mode, the absorption pad is obliquely arranged along with the elastic leaning plate, when the absorption pad stores a certain amount of leakage liquid, the liquid flows from a high position to a low position, liquid aggregation is easy to form at the low position, and the bottom pocket sheet adopts an anti-leakage design to prevent the leakage of the liquid from flowing out to wet other parts.
Preferably, the bottom pocket piece is located and extends to have the separation blade on the inner wall in the filling space, and the separation blade extends along elasticity inclined plate width direction, and the separation blade is connected with the bottom of bottom pocket piece and the even integrated into one piece of side wall limit, and it has a plurality of separation blades to distribute along elasticity inclined plate incline direction in the filling space to make bottom pocket piece space separate into a plurality of regions along elasticity inclined plate incline direction, the bottom of absorption pad core have with the nested recess of separation blade adaptation. Under this structural design, according to the characteristics that the nephrostomy patient leaned on lying down, integrated into one piece connects the separation blade on the end pocket piece, is separated in the space of end pocket piece to avoid the too low bit stream gathering of seepage liquid, provide the absorption pad to the seepage liquid absorption and the storage effect, reduce the change number of times.
Preferably, the absorption pad is matched with a replacement alarm device, a detection hole is formed in the middle position of the bottom wall of the bottom pocket sheet, the replacement alarm device comprises a humidity sensor correspondingly matched in the detection hole, and the humidity sensor is connected with an alarm for realizing alarm under certain humidity. Under this structural design, when using certain degree at the absorption pad, remind medical personnel to change, realize better nursing to the patient, the alarm can adopt audible alarm or light to remind.
Preferably, the positioning concave part comprises an integrally formed boss on the absorption pad core, a notch is formed in the boss, and correspondingly, a sleeved structure matched with the boss and the notch is formed in the top pocket sheet. Under the structural design, the positioning concave part is formed on the absorption pad, so that the absorption pad is conveniently arranged in the U-shaped cavity of the elastic leaning plate.
Preferably, the lower end of the elastic leaning plate is pivoted with the base plate, an elastic supporting mechanism is arranged between the back surface of the elastic leaning plate and the base plate, a group of elastic supporting mechanisms are arranged on two lateral sides of the U-shaped cavity of the elastic leaning plate, each elastic supporting mechanism comprises a positioning guide wheel and an elastic supporting piece, the top of each elastic supporting piece is provided with a positioning guide wheel, the top of each elastic supporting piece is matched with the supporting of the corresponding elastic leaning plate in a sliding mode through the corresponding positioning guide wheel, and the bottom of each elastic supporting piece is positioned and supported on the base plate. Under the structural design, the elastic leaning plate is supported by adopting a pin joint and elastic supporting mechanism, and the structure is stable and reliable.
Preferably, the elastic support piece is arranged on the base plate through position adjustment of the position adjustment mechanism, the position adjustment mechanism comprises a sliding nut block, an adjusting screw and an adjusting operation end, the adjusting screw is in positioning and running fit on the base plate, the adjusting screw is arranged in the front-back direction, a positioning track groove is formed in the base plate in the direction of the adjusting screw, the sliding nut block is in positioning and sliding fit in the positioning track groove and is in threaded fit on the adjusting screw, the bottom of the elastic support piece is fixedly arranged on the sliding nut block, and the adjusting screw is in transmission connection with the adjusting operation end through the transmission mechanism. Under this structural design, the position of elastic support piece on the base plate is adjustable, adjusts the operation end and passes through drive mechanism drive adjusting screw and rotates to drive slip nut piece and slide, thereby realize the support position to the elastic support piece to the elastic leaning plate and adjust, finally reach the regulation to the elastic leaning plate inclination, accomplish the change of patient's lateral position, improve patient's comfort level.
Preferably, the transmission mechanism comprises a first gear, a second gear, a first worm wheel, a first worm, a second worm wheel and a second worm, wherein the first gear is arranged on the adjusting screw, the first gear is meshed with the second gear, the second gear and the first worm wheel are arranged on the same transmission shaft to synchronously run, the first worm wheel is meshed with the first worm, the first worm corresponding to the two elastic supporting pieces is coaxially connected through a connecting shaft, the first worm is arranged along the width direction of the base plate, the second worm wheel is arranged on the connecting shaft, the second worm wheel is meshed with the second worm, the second worm is positioned and rotationally matched on the base plate along the front and back direction, the adjusting operation end is arranged on the second worm, damping rubber is arranged on the lateral side wall of the sliding nut block, and the damping rubber is in friction fit with the side wall of the positioning track groove. Under this structural design, adopt worm gear to realize the transmission, worm gear has the transmission ratio big, and the transmission is stable, and the advantage that noise is little, worm gear have self-locking performance, and two worm gear transmission can guarantee that elastic support piece location is firm reliable, and damping rubber can provide the damping force when slip nut piece removes, avoids adjusting the initial stage because gravity inertia, influences the self-locking effect, provides the resistance after the slip nut piece position adjustment is accomplished simultaneously, guarantees that slip nut piece position remains reliable.
The invention is further described below with reference to the accompanying drawings.
Drawings
FIG. 1 is a schematic view showing a patient lying position with a cushion for sitting after a nephrostomy according to an embodiment of the present invention;
FIG. 2 is a schematic view of an elastic support structure according to an embodiment of the present invention;
FIG. 3 is a schematic view of an absorbent pad according to an embodiment of the present invention;
FIG. 4 is a schematic view showing the structure of a cushion cover in an opened state (zipper not shown) according to an embodiment of the present invention;
FIG. 5 is a schematic view of a pad absorbent core according to an embodiment of the present invention;
Fig. 6 is a schematic structural view of a position adjusting mechanism according to an embodiment of the present invention.
Detailed Description
Referring to fig. 1-6, the back cushion for positioning a patient after a nephrostomy disclosed by the invention comprises a back cushion body, wherein the back cushion body comprises an elastic support 1 and an absorption cushion 2, the elastic support 1 comprises a base plate 11 and an elastic leaning plate 12, the elastic leaning plate 12 is arranged on the base plate 11 in a slope shape, so that a wedge-shaped space is formed between the elastic leaning plate 12 and the base plate 11, the elastic leaning plate 12 is U-shaped, the bottom of the elastic leaning plate 12 is connected to the side edge of the base plate 11 and can be elastically compressed, the absorption cushion 2 is arranged in the wedge-shaped space, the absorption cushion 2 is provided with an abutting part 2-1 which corresponds to the U-shaped cavity 10 of the elastic leaning plate 11 and is abutted against the skin of a human body, the abutting part 2-1 extends out of the U-shaped cavity 10 of the elastic leaning plate 11 and corresponds to the supporting surface of the elastic leaning plate 11, and the U-shaped opening side of the elastic leaning plate 11 is provided with a positioning concave part 2-2 for positioning and penetrating a kidney-making tube.
The elastic leaning plate 12 comprises a U-shaped rigid leaning plate body 12-1 and an elastically compressible U-shaped flexible waterproof gasket 12-2, wherein the U-shaped flexible waterproof gasket 12-2 is attached to the supporting top surface of the U-shaped rigid leaning plate body 12-1. The U-shaped flexible waterproof gasket 12-2 is provided with a wrapping edge 12-21 which wraps the edge of the U-shaped opening of the U-shaped rigid supporting plate 12-1 correspondingly to the edge of the U-shaped opening. The U-shaped flexible waterproof gasket 12-2 can be made of a waterproof material which is a conventional technology in the prior art and is a compact non-microporous hydrophilic thermoplastic polyurethane molecular functional layer, a rubber layer and the like, and is wrapped with a flexible foam cushion. The U-shaped flexible waterproof gasket can be fixed with the U-shaped rigid backup plate body into a whole and can not be disassembled, and can be independently disassembled, washed, replaced and the like through a detachable structure.
In this embodiment, the absorbent pad 2 includes a pad cover 21 and an absorbent pad core 22 for absorbing the liquid seepage, the absorbent pad core 22 may be made of sponge, the pad cover 21 includes a top pocket 211 located at the top and contacting the human body, and a bottom pocket 212 located at the bottom and having a bowl shape, the top pocket 211 is a porous structure formed by weaving hydrophobic threads (for better showing the shape structure of the absorbent pad in the present invention, the porous structure is not shown in the drawings), wherein the hydrophobic material is a prior art in the art, the bottom pocket is an anti-seepage layer made of an anti-seepage material, the bottom pocket 212 and the top pocket 211 are connected to form a filling space, and the absorbent pad core 22 is filled in the filling space. Under the structural design, the top pocket sheet contacted with the human body adopts a porous structure made of a hydrophobic material, and seepage can be rapidly absorbed by the absorption pad through the holes of the top pocket sheet, so that the skin of a patient is ensured to be dry; when the absorption pad is used, a patient adopts a lateral lying mode, the absorption pad is obliquely arranged along with the elastic leaning plate, when the absorption pad stores a certain amount of leakage liquid, the liquid flows from a high position to a low position, liquid aggregation is easy to form at the low position, and the bottom pocket piece adopts an anti-leakage design to prevent the leakage of the liquid from flowing out to wet other parts. The edges of the bottom pocket sheet and the top pocket sheet are fixedly connected into a whole, and the edges of the top pocket sheet are subjected to non-microporous hydrophilic thermoplastic polyurethane edge covering treatment. In order to make the absorbent pad core removable and washable, the bottom pocket sheet is detachably connected with the corresponding non-microporous hydrophilic thermoplastic polyurethane edge by a hidden buckle or a zipper (the zipper is preferred in the specific embodiment, and is not shown in the figure) at a position close to the upper part, so that the pad sleeve can be opened.
Because the kidney fistulization patient lies in bed, lean against the support, slope, therefore the absorption pad core has the high bit to low bit flow characteristic after absorbing a certain amount of seepage liquid, and influences absorption and the storage effect of seepage liquid, in order to solve this problem, the bottom pocket piece 212 is located and extends to have baffle 2121 on the inner wall in the filling space, baffle 2121 extends along elasticity inclined plate 12 width direction (X direction in fig. 2), baffle 2121 and bottom 212-1 and the side wall limit 212-2 of bottom pocket piece 212 are the one-tenth integrated connection, and in the filling space along elasticity inclined plate 12 slope direction distribute a plurality of baffles to make the bottom pocket piece space separate into a plurality of regions along elasticity inclined plate slope direction (Q direction in fig. 2), the bottom of absorption pad core 22 has with baffle 2121 adaptation nested recess 221. The separation blade is connected to integrated into one piece on the end pocket piece, is separated in the space of end pocket piece to avoid the seepage liquid too to low bit stream gathering, provide the absorption pad to the seepage liquid absorption and the storage effect, reduce the change number of times.
In addition, the absorbent pad 2 is matched with a replacement alarm device, a detection hole is formed in the middle position of the bottom wall of the bottom pocket piece 212, the replacement alarm device comprises a humidity sensor 31 correspondingly matched in the detection hole, and the humidity sensor 31 is connected with an alarm (not shown in the figure) for realizing alarm when certain humidity exists. Under this structural design, when using certain degree at the absorption pad, remind medical personnel to change, realize better nursing to the patient, the alarm can adopt audible alarm or light to remind. The humidity sensor and the alarm are conventional technologies in the field, a person skilled in the art can select a proper device according to the needs, and the alarm receives a signal of the humidity sensor and sends out an alarm sound and/or light when the humidity value reaches a certain value so as to achieve the purpose of alarm.
The positioning concave part comprises an integrally formed boss 2-21 on the absorption pad core, a notch 2-22 is formed in the boss 2-21, and correspondingly, a sleeving structure matched with the boss 2-21 and the notch 2-22 is formed in the top pocket piece 211. The positioning concave part is formed on the absorption pad, so that the absorption pad is conveniently arranged in the U-shaped cavity of the elastic leaning plate. The back of the leaning plate is provided with a slot 12-11, the edge of the non-microporous hydrophilic thermoplastic polyurethane covered edge of the absorption pad 2 is integrally formed with a wing edge, the wing edge is clamped with a plug-in side plate 212-3, and the absorption pad is detachably mounted in the slot through the plug-in side plate.
In this embodiment, the lower end of the elastic leaning board 12 is pivoted with the base board 11, an elastic supporting mechanism is arranged between the back surface of the elastic leaning board 12 and the base board 11, a group of elastic supporting mechanisms are arranged on two lateral sides of the U-shaped cavity of the elastic leaning board 12, each elastic supporting mechanism comprises a positioning guide wheel 13 and an elastic supporting piece 14, the top of each elastic supporting piece 14 is provided with a positioning guide wheel 13, the top of each elastic supporting piece 14 is matched with the slidable support of the corresponding elastic leaning board 12 through the corresponding positioning guide wheel 13, a guide groove 121 is arranged on the back surface of the corresponding elastic leaning board 12, the positioning guide wheels 13 extend into the corresponding guide grooves 121 to realize positioning sliding guide, and the bottom of each elastic supporting piece 14 is positioned and supported on the base board 11. The elastic leaning plate is supported by adopting a pin joint and elastic supporting mechanism, and the structure is stable and reliable. Of course, as a feasible scheme of the invention, the elastic leaning plate can be integrally formed with the base plate, and the joint of the elastic leaning plate and the base plate can be compressed to realize elasticity. But the structure design of the embodiment is adopted, the structure is more reliable, wherein the elastic supporting piece can be a pneumatic spring or a telescopic sleeve structure supported by a spiral spring.
When a patient is lying in bed, a side lying height is kept for a long time, fatigue and discomfort are easy to occur, therefore, the patient is usually required to turn over, and the side lying angle is adjusted, therefore, the elastic support piece 14 is arranged on the base plate 11 through the position adjustment mechanism in an adjustable mode, the position adjustment mechanism comprises a sliding nut block 15, an adjusting screw 16 and an adjusting operation end 17, the adjusting screw 16 is positioned and rotationally matched on the base plate 11, the adjusting screw 16 is arranged along the front and back direction (Y direction in fig. 2), a positioning track groove 111 is formed in the base plate 11 along the direction of the adjusting screw 16, the sliding nut block 15 is positioned and slidingly matched in the positioning track groove 111 and is in threaded fit on the adjusting screw 16, the bottom of the elastic support piece 14 is fixedly arranged on the sliding nut block 15, and the adjusting screw 16 is in transmission connection with the adjusting operation end 17 through a transmission mechanism. The transmission mechanism comprises a first gear 181, a second gear 182, a first worm gear 183, a first worm 184, The first gear 181 is mounted on the adjusting screw 16, the first gear 181 is meshed with the second gear 182, the second gear 182 and the first gear 183 are mounted on the same transmission shaft to run synchronously, the first gear 183 is meshed with the first worm 184, the first worm 184 corresponding to the two elastic supporting members 14 is coaxially connected through a connecting shaft 187, the first worm 184 is arranged along the width direction (X direction in fig. 2) of the base plate 11, the second gear 185 is mounted on the connecting shaft 187, the second gear 185 is meshed with the second worm 186, the second worm 186 is positioned and matched on the base plate 11 in a running mode along the front and back direction, the adjusting operation end 17 is arranged on the second worm 186, a damping rubber 151 is arranged on the lateral side wall of the sliding nut block 15, and the damping rubber 151 is in friction fit with the side wall of the positioning track groove 111. The position of the elastic supporting piece 14 on the base plate 11 is adjustable, and the adjusting operation end drives the adjusting screw rod to rotate through the transmission mechanism, so that the sliding nut block is driven to slide, the supporting position of the elastic supporting piece on the elastic leaning plate is adjusted, the adjustment of the inclination angle of the elastic leaning plate is finally achieved, the change of the lateral position of a patient is completed, and the comfort level of the patient is improved. The worm gear is adopted to realize transmission, the worm gear has the advantages of large transmission ratio, stable transmission and small noise, the worm gear has self-locking performance, double worm gear transmission can ensure that the elastic support piece is firmly and reliably positioned, damping rubber can provide damping force when the sliding nut block moves, the self-locking effect is prevented from being influenced due to gravity inertia in the initial stage of adjustment, meanwhile, resistance after the position adjustment of the sliding nut block is provided, the force applied to the worm gear is reduced, and the position of the sliding nut block is ensured to be reliable, therefore, in a further arrangement, the transverse at least one side wall of the positioning track groove 111 adopts an inclined design that one end of the positioning track groove 111 far away from the pivoting of the elastic inclined leaning plate 12 is gradually narrowed towards the other end, so that the horizontal component force applied to the elastic support piece is increased when the elastic support piece approaches to the pivoting one end of the elastic inclined leaning plate is adapted, and acting force in the transmission mechanism is reduced.
Claims (9)
1. The back cushion body comprises an elastic support and an absorption pad, the elastic support comprises a base plate and an elastic inclined leaning plate, the elastic inclined leaning plate is arranged on the base plate in a slope shape, a wedge-shaped space is formed between the elastic inclined leaning plate and the base plate, the elastic inclined leaning plate is U-shaped, the bottom of the elastic inclined leaning plate is connected to the side edge of the base plate and can be elastically compressed, the absorption pad is arranged in the wedge-shaped space, the absorption pad comprises a pad sleeve and an absorption pad core for absorbing seepage, the absorption pad is provided with an abutting part which corresponds to a U-shaped cavity of the elastic inclined leaning plate and is abutted against human skin, the abutting part extends out of an opening of the U-shaped cavity of the elastic inclined leaning plate and corresponds to a supporting surface of the elastic inclined leaning plate for supporting a human body, the U-shaped opening side of the elastic inclined leaning plate is provided with a positioning concave part for positioning and penetrating a kidney-shaped pipe, the elastic inclined leaning plate comprises a U-shaped rigid plate body and an elastically compressible U-shaped flexible waterproof gasket, and the U-shaped flexible waterproof gasket is arranged on the top surface of the U-shaped flexible waterproof gasket.
2. The post-nephrostomy patient recumbent position positioning cushion according to claim 1, wherein the U-shaped flexible waterproof cushion ring is provided with a wrapping edge wrapping the edge of the U-shaped opening of the U-shaped rigid support plate.
3. The post-nephrostomy patient lying position positioning cushion according to claim 1, wherein the absorbent pad comprises a pad sleeve and an absorbent pad core for absorbing seepage, the pad sleeve comprises a top pocket sheet positioned at the top and contacted with a human body and a bottom pocket sheet positioned at the bottom and in a bowl shape, the top pocket sheet is of a porous structure formed by weaving hydrophobic threads, the bottom pocket sheet is an anti-seepage layer made of anti-seepage materials, the bottom pocket sheet is connected with the top pocket sheet to form a filling space, and the absorbent pad core is filled in the filling space.
4. The post-nephrostomy patient recumbent position positioning cushion according to claim 3, wherein the bottom pocket plate is provided with a baffle plate extending along the width direction of the elastic inclined leaning plate on the inner wall of the filling space, the baffle plate is connected with the bottom and the side edges of the bottom pocket plate in a uniform and integrated manner, a plurality of baffle plates are distributed in the filling space along the inclined direction of the elastic inclined leaning plate, so that the bottom pocket plate space is divided into a plurality of areas along the inclined direction of the elastic inclined leaning plate, and the bottom of the absorption cushion core is provided with a groove which is matched and nested with the baffle plate.
5. The post-nephrostomy patient recumbent position positioning cushion according to claim 4, wherein the absorbent pad is provided with a replacement alarm device, a detection hole is formed in the middle of the bottom wall of the bottom pocket sheet, and the replacement alarm device comprises a humidity sensor correspondingly matched in the detection hole, and the humidity sensor is connected with an alarm for alarming when certain humidity is detected.
6. The post-nephrostomy patient recumbent position seat cushion according to claim 3,4 or 5, wherein the positioning recess comprises an integrally formed boss on the absorbent pad core, the boss having a recess therein, and the top pocket sheet having a socket structure thereon for fitting the boss and the recess.
7. The post-nephrostomy patient recumbent position positioning cushion according to claim 1, wherein the lower end of the elastic leaning plate is pivoted with the base plate, an elastic supporting mechanism is arranged between the back surface of the elastic leaning plate and the base plate, a group of elastic supporting mechanisms are arranged on two lateral sides of the U-shaped cavity of the elastic leaning plate, each elastic supporting mechanism comprises a positioning guide wheel and an elastic supporting piece, the top of each elastic supporting piece is provided with the positioning guide wheel, the top of each elastic supporting piece is matched with the supporting of the corresponding elastic leaning plate in a sliding mode through the positioning guide wheel, and the bottom of each elastic supporting piece is positioned and supported on the base plate.
8. The post-nephrostomy patient recumbent position positioning cushion according to claim 7, wherein the elastic support member is arranged on the base plate in a position adjustable manner through a position adjusting mechanism, the position adjusting mechanism comprises a sliding nut block, an adjusting screw and an adjusting operation end, the adjusting screw is in positioning and rotating fit on the base plate, the adjusting screw is arranged in the front-back direction, a positioning track groove is formed in the base plate in the direction of the adjusting screw, the sliding nut block is in positioning and sliding fit in the positioning track groove and is in threaded fit on the adjusting screw, the bottom of the elastic support member is fixedly arranged on the sliding nut block, and the adjusting screw is in transmission connection with the adjusting operation end through the transmission mechanism.
9. The post-nephrostomy patient prone position positioning cushion according to claim 8, wherein the transmission mechanism comprises a first gear, a second gear, a first worm wheel, a first worm, a second worm wheel and a second worm, the first gear is mounted on the adjusting screw, the first gear is meshed with the second gear, the second gear and the first worm wheel are mounted on the same transmission shaft and synchronously run, the first worm wheel is meshed with the first worm, the first worm corresponding to the two elastic supporting pieces is coaxially connected through a connecting shaft, the first worm is arranged along the width direction of the base plate, the second worm wheel is mounted on the connecting shaft, the second worm wheel is meshed with the second worm wheel, the second worm wheel is in front-back positioning and rotating fit with the base plate, the adjusting operation end is arranged on the second worm, damping rubber is arranged on the lateral side wall of the sliding nut block, and the damping rubber is in friction fit with the lateral wall of the positioning track groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810762781.6A CN108703847B (en) | 2018-07-06 | 2018-07-06 | Cushion for patients in supine position after nephrostomy |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810762781.6A CN108703847B (en) | 2018-07-06 | 2018-07-06 | Cushion for patients in supine position after nephrostomy |
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| Publication Number | Publication Date |
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| CN108703847A CN108703847A (en) | 2018-10-26 |
| CN108703847B true CN108703847B (en) | 2025-03-14 |
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| CN201810762781.6A Active CN108703847B (en) | 2018-07-06 | 2018-07-06 | Cushion for patients in supine position after nephrostomy |
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| CN110141439A (en) * | 2019-06-18 | 2019-08-20 | 李宝花 | A kind of portable gynecological and obstetrical nursing side lying mat |
| CN113081651A (en) * | 2021-03-03 | 2021-07-09 | 魏春燕 | Obstetric deck chair for obstetrics and gynecology department and using method |
| CN114557819B (en) * | 2022-01-11 | 2023-07-25 | 大连大学 | Portable bed side lying position dynamic maintaining and massaging device |
| CN114259355B (en) * | 2022-01-26 | 2023-10-27 | 四川省医学科学院·四川省人民医院 | ICU chest postoperative patient is recovered with preventing device that hurts |
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