CN109700620B - Peripheral vascular disease's detection auxiliary device - Google Patents
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Abstract
本发明涉及一种周围血管疾病的检测辅助装置,有效解决了现有周围血管症目测检测的过程中时间较长,患者的四肢自己抬起或者医生帮助的形式抬起,体力消耗大,而采用医疗器械检测存在很多不足的问题;解决技术方案包括检测床,检测床有床板和置物板,床板前端位置的下端转动配合有转动杆,转动杆两端固定有抬臂装置,抬臂装置包括与转动杆通过连杆固定的圆环盘,圆环盘后端通过伸缩杆连接有第二圆环盘,第二圆环盘设置有手腕箍筋装置,转动杆外侧套设齿轮,置物板上端滑动配合与齿轮啮合的齿条;齿条设有螺纹孔,螺纹孔处螺纹配合螺杆,螺杆前端固定转柄;本发明结构巧妙,实用性强,辅助检查效果很好,大大提高了医生的工作效率。
The invention relates to an auxiliary device for detecting peripheral vascular disease, which effectively solves the problem that the existing process of visual detection of peripheral vascular disease takes a long time, the limbs of patients are lifted by themselves or lifted with the help of a doctor, and the physical strength is large. There are many deficiencies in the detection of medical devices; the technical solution includes a detection bed, the detection bed has a bed board and a storage board, the lower end of the front end of the bed board is rotated and matched with a rotating rod, and both ends of the rotating rod are fixed with an arm lift device, and the arm lift device includes and The rotating rod is fixed by a connecting rod, and the rear end of the circular disk is connected with a second ring disk through a telescopic rod. The second ring disk is provided with a wrist stirrup device. It is matched with a rack that meshes with the gear; the rack is provided with a threaded hole, the thread at the threaded hole is matched with a screw, and the front end of the screw is fixed with a handle; the invention has ingenious structure, strong practicability, good auxiliary inspection effect, and greatly improves the working efficiency of doctors .
Description
技术领域technical field
本发明涉及周围血管疾病检测技术领域,具体是一种周围血管疾病的检测辅助装置。The invention relates to the technical field of peripheral vascular disease detection, in particular to an auxiliary device for detection of peripheral vascular diseases.
背景技术Background technique
临床上将心脑血管病以外的血管疾病统称为周围血管病,包括动脉、静脉及淋巴三个系统的疾病;据世界卫生组织调查,周围血管疾病是一系列危害性极强的高发病种,若长期不愈,病情将呈进行性发展,重者将导致截肢致残,甚至危及生命。Clinically, vascular diseases other than cardiovascular and cerebrovascular diseases are collectively referred to as peripheral vascular diseases, including diseases of the arterial, venous and lymphatic systems; If it is not healed for a long time, the disease will develop progressively, and in severe cases, it will lead to amputation, disability, and even life-threatening.
对于此类疾病常规的检查手段有:目测检查、彩色多普勒超声检查、血管造影检查、CT和MRI检查、皮肤温度测试仪、红外热像检测等;The routine inspection methods for such diseases include: visual inspection, color Doppler ultrasonography, angiography, CT and MRI inspection, skin temperature tester, infrared thermal imaging inspection, etc.;
目测法需要医生具有很高的技术水平和较大的耐心以及丰富的临床经验,在检测的过程中需要医生长时间观察患者的皮肤表层,尤其是针对周围血管症高发的四肢区域,例如周围血管症中的水冲脉(陷落脉、速脉)检查时需要将患者手臂抬高过头并紧握其手掌腕面,继而仔细的观察检测,在观测的过程中采用患者自己或者医生帮助的形式抬高双臂,对患者或者医生来说都是一个不小的体力消耗;而在患者的腿部进行检测时,若患者站立检测,则长时间的检测耗费患者体力,且医生检测不便,若患者躺在病床上,腿部接触病床的部分检测时需要抬起,患者自己抬起或者医生帮助的形式抬起,对患者或者医生来说都是一个不小的体力消耗,检查耗时耗力,严重影响病情诊治效率。The visual inspection method requires the doctor to have a high technical level, greater patience and rich clinical experience. During the inspection process, the doctor needs to observe the skin surface of the patient for a long time, especially for the areas of the extremities with high incidence of peripheral vascular disease, such as peripheral blood vessels During the examination of the Shuichong Pulse (Depression Pulse, Sui Pulse) in the disease, it is necessary to raise the patient's arm over the head and clench the palm and wrist, and then carefully observe and detect. High arms are a lot of physical exertion for the patient or doctor; and when the patient's legs are tested, if the patient is standing for testing, the long-term testing will consume the patient's physical strength, and the doctor's testing will be inconvenient. Lying on a hospital bed, the part of the leg touching the bed needs to be lifted when testing, the patient lifts it by himself or with the help of the doctor, it is a lot of physical exertion for the patient or doctor, and the examination is time-consuming and labor-intensive. Seriously affect the efficiency of diagnosis and treatment.
而彩色多普勒超声虽然对人体没有损害,但在临床应用中有其局限性,其要求仔细的涂抹耦合剂(因为医用超声波频率为2.5-5M,不能在空气中传导;如果探头与皮肤中存在空气,超声波一遇到空气就返回,进不了人体内,起不到检查作用;在皮肤上先涂上一层耦合剂,就能消除探头与皮肤的空气),而耦合剂的涂抹较为复杂;且患者由于心理因素存在,很难接受在皮肤上涂抹许多耦合剂,对于一些皮肤溃疡或者过敏的患者,影响检查的效果或不能配合检查。Although color Doppler ultrasound has no damage to the human body, it has its limitations in clinical application, which requires careful application of couplant (because the frequency of medical ultrasound is 2.5-5M, it cannot be conducted in the air; if the probe is in contact with the skin) There is air, the ultrasonic wave will return as soon as it encounters the air, and it cannot enter the human body, and it cannot play a role in inspection; first apply a layer of couplant on the skin to eliminate the air between the probe and the skin), and the application of couplant is more complicated ; And due to psychological factors, it is difficult for patients to accept many couplants on the skin. For some patients with skin ulcers or allergies, the effect of the examination will be affected or they cannot cooperate with the examination.
而且,相关技术中多普勒血流探测仪,由于其需要配合血压计使用,使用者在固定血流波形的同时,还要兼顾血压计的充放气,用眼观察多第一波多普勒血流波形的出现,用耳听第一声多普勒声音的出现,再要迅速地记录下第一声多普勒血流声出现时的血压值,再输入电脑,才能计算出踝肱指数ABI和趾肱指数TBI;非常不便于使用者使用,容易造成测量数据的误差。Moreover, since the Doppler blood flow detector in the related art needs to be used in conjunction with the sphygmomanometer, the user must also take into account the inflation and deflation of the sphygmomanometer while fixing the blood flow waveform, and observe the first wave of Doppler by eye. When the blood flow waveform appears, listen to the appearance of the first Doppler sound with the ear, and then quickly record the blood pressure value when the first Doppler blood flow sound appears, and then input it into the computer to calculate the ankle-brachial index. ABI and toe brachial index TBI; it is very inconvenient for users to use, and it is easy to cause errors in measurement data.
在使用红外热像检测时,检测的速度较快,但是检测较为粗略,只能检测出大致位置的病患情况,不能详细的得出病患位置的具体病症的特征,此时需要继续进行其他方式的检测,一定程度上影响患者就诊舒适度及诊治效率。When using infrared thermal image detection, the detection speed is faster, but the detection is relatively rough, only the approximate location of the patient can be detected, and the characteristics of the specific disease at the patient location cannot be obtained in detail. The detection of the method will affect the patient's comfort and efficiency of diagnosis and treatment to a certain extent.
由于现有技术中存在上述的技术缺陷,是本领域内技术人员亟待解决的技术问题;因此,一种周围血管疾病的检测辅助装置显得尤为重要。Due to the above-mentioned technical defects in the prior art, it is a technical problem to be solved urgently by those skilled in the art; therefore, an auxiliary device for detecting peripheral vascular disease is particularly important.
发明内容SUMMARY OF THE INVENTION
针对上述情况,为克服现有技术之缺陷,本发明提供一种周围血管疾病的检测辅助装置,有效的解决了现有周围血管症目测检测的过程中时间较长,患者的四肢自己抬起或者医生帮助的形式抬起,对患者或者医生来说都是一个不小的体力消耗,而采用医疗器械检测存在很多不足的问题。In view of the above situation, in order to overcome the defects of the prior art, the present invention provides an auxiliary device for detecting peripheral vascular disease, which effectively solves the problem that the existing visual detection process of peripheral vascular disease takes a long time, and the patient's limbs are lifted by themselves or Lifting in the form of doctor's help is a lot of physical exertion for patients or doctors, and there are many deficiencies in the use of medical device testing.
本发明包括检测床,其特征在于,所述检测床设置有床板和置于床板下端的置物板,所述床板前端位置的下端沿左右方向转动配合设置有转动杆,所述转动杆两端的后端均通过连杆固定有置于床板两侧的抬臂装置,所述转动杆与两侧的抬臂装置呈“U”形设置,所述抬臂装置包括与转动杆通过连杆固定连接的圆环盘,所述圆环盘的后端通过伸缩杆连接有与圆环盘形状对应设置的第二圆环盘,所述第二圆环盘设置有手腕箍筋装置,所述转动杆外侧套设固定有齿轮,所述置物板上端沿前后方向滑动配合设置有与齿轮啮合的齿条;The present invention includes a detection bed, which is characterized in that the detection bed is provided with a bed board and a storage board placed at the lower end of the bed board, the lower end of the front end of the bed board is rotated along the left-right direction to cooperate with a rotating rod, and the rear of the two ends of the rotating rod Both ends are fixed with arm lifting devices placed on both sides of the bed board through connecting rods, the rotating rod and the lifting arm devices on both sides are arranged in a "U" shape, and the arm lifting device includes a connecting rod fixedly connected to the rotating rod A circular ring disk, the rear end of the circular ring disk is connected with a second circular ring disk corresponding to the shape of the circular ring disk through a telescopic rod, the second circular ring disk is provided with a wrist stirrup device, and the outer side of the rotating rod is A gear is sleeved and fixed, and the upper end of the storage board is slidably fitted with a rack that meshes with the gear along the front-rear direction;
所述齿条沿前后方向贯穿设置有螺纹孔,所述螺纹孔处螺纹配合有与置物板转动配合设置的螺杆,所述螺杆前端固定有置于检测床外侧的转柄;The rack is provided with threaded holes along the front and rear directions, and the threaded holes are threadedly fitted with a screw that is rotatably arranged with the object storage board, and the front end of the screw is fixed with a rotating handle placed outside the detection bed;
所述床板后端上部的两侧固定有两根立杆,两根所述立杆之间固定有固定板,所述固定板下端通过两根钢丝绳固定有脚腕托带,所述转动杆外侧套设固定有置于齿轮两侧的两个线轮,两根所述钢丝绳通过固定在固定板上的定滑轮导向后穿透床板分别缠绕固定在两个所述线轮上,使得转动杆转动时,两根所述钢丝绳带动脚腕托带升降。Two vertical rods are fixed on both sides of the upper part of the rear end of the bed board, a fixed plate is fixed between the two vertical rods, the lower end of the fixed board is fixed with an ankle support belt through two steel wire ropes, and the outer side of the rotating rod is sleeved Two wire pulleys are fixed on both sides of the gear, and the two wire ropes are guided by the fixed pulley fixed on the fixed plate and then penetrate the bed plate and are respectively wound and fixed on the two wire pulleys, so that when the rotating rod rotates , and the two steel wire ropes drive the ankle strap to rise and fall.
优选的,所述床板中间位置沿竖直方向滑动配合设置有臀部托块,所述臀部托块的上端面初始状态与床板的上端面平铺设置,所述臀部托块的下端设置为弧面,所述臀部托块的下端活动放置在齿条后端固定的移动块上端,所述移动块上端固定有两个半圆形的凸块,两个所述凸块在齿条朝向后端移动时能够托起臀部托块。Preferably, the middle position of the bed board is provided with a buttocks support block in a sliding fit along the vertical direction, the initial state of the upper end surface of the buttocks support block is laid flat with the upper end surface of the bed board, and the lower end of the buttocks support block is set as an arc surface , the lower end of the hip support block is movably placed on the upper end of the moving block fixed at the rear end of the rack, the upper end of the moving block is fixed with two semicircular bumps, and the two bumps move toward the rear end of the rack Able to hold up the buttocks.
优选的,所述转动杆设置为可伸缩式,所述转动杆包括中间位置的主转动杆和两侧滑动配合设置的副转动杆,所述主转动杆内部开设的滑道和副转动杆均设置为长方形,所述副转动杆置于主转动杆内部滑道的端部通过弹簧与主转动杆内部滑道端部固定连接;Preferably, the rotating rod is telescopic, and the rotating rod includes a main rotating rod in the middle position and a secondary rotating rod slidingly arranged on both sides. It is arranged in a rectangular shape, and the end of the auxiliary rotating rod placed on the inner slide of the main rotating rod is fixedly connected to the end of the inner slide of the main rotating rod through a spring;
所述伸缩杆包括与圆环盘连接的第一伸缩杆,所述第一伸缩杆后端滑动配合设置有与第二圆环盘连接的第二伸缩杆,所述第二伸缩杆上沿长度方向均匀开设有若干卡孔,所述第一伸缩杆上开设有形状对应的第二卡孔,若干所述卡孔与第一伸缩杆上的第二卡孔均可通过调节螺栓固定在一起。The telescopic rod includes a first telescopic rod connected with the annular disc, the rear end of the first telescopic rod is slidably fitted with a second telescopic rod connected with the second annular disc, and the upper length of the second telescopic rod is A number of clamping holes are uniformly opened in the direction, the first telescopic rod is provided with a second clamping hole corresponding to the shape, and the plurality of clamping holes and the second clamping hole on the first telescopic rod can be fixed together by adjusting bolts.
优选的,所述手腕箍筋装置包括第二圆环盘后端转动配合设置的大齿轮,所述大齿轮中间位置贯穿开设有圆形的通孔,所述大齿轮沿圆周均布贯穿开设有若干个弧形槽,所述大齿轮与第二圆环盘之间设置有数量与弧形槽对应的固紧板,若干所述固紧板均固定设置有一一对应置于所述弧形槽内部的滑动销,使得大齿轮转动时,若干固紧板朝向中心位置聚拢箍筋或者远离松开;Preferably, the wrist stirrup device includes a large gear that is rotatably arranged at the rear end of the second annular disk, a circular through hole is formed through the middle of the large gear, and the large gear is uniformly distributed along the circumference. A number of arc-shaped grooves are arranged between the large gear and the second annular disk, and a number of fastening plates corresponding to the arc-shaped grooves are arranged. The sliding pin inside the groove makes several fastening plates gather the stirrups toward the center position or loosen them away when the large gear rotates;
所述第二圆环盘外侧固定有电机盒,所述电机盒内部设置有电机,所述电机驱动有与大齿轮啮合的小齿轮,所述小齿轮与电机盒转动配合设置,所述小齿轮内部沿圆周开设有棘齿,所述小齿轮的齿轮轴上转动配合设置有棘爪,所述棘爪与齿轮轴通过第二弹簧固定连接,所述棘爪卡住所述棘齿,使得齿轮轴逆时针方向转动时能够带动小齿轮转动,且压缩第二弹簧至一定程度时齿轮轴空转,所述第二弹簧的弹簧系数设置较大,使得第二弹簧在若干固紧板朝向中心位置聚拢箍筋手腕时被压缩继而齿轮轴空转。A motor box is fixed on the outside of the second annular disk, and a motor is arranged inside the motor box. The motor drives a pinion that meshes with a large gear, and the pinion and the motor box are rotatably arranged. There are ratchet teeth along the circumference, and a ratchet pawl is arranged on the gear shaft of the pinion. When the shaft rotates counterclockwise, it can drive the pinion to rotate, and when the second spring is compressed to a certain extent, the gear shaft idles. The spring coefficient of the second spring is set to be large, so that the second spring gathers toward the center position on several fastening plates The stirrups are compressed when the wrist is compressed and the gear shaft spins.
优选的,所述伸缩杆设置为两根,两根所述伸缩杆的两端均固定有滑动球,所述圆环盘与第二圆环盘相对的端面沿圆周均开设有环形的圆球滑道,所述圆球滑道的上端呈现弧度状使得滑动球置于圆球滑道内部滑动且不能脱离与圆球滑道;Preferably, there are two telescopic rods, two ends of the two telescopic rods are fixed with sliding balls, and the end faces of the annular disk and the second annular disk opposite to each other are provided with annular balls along the circumference. The slideway, the upper end of the ball slideway presents an arc shape, so that the sliding ball is placed inside the ball slideway to slide and cannot be separated from the ball slideway;
两根所述伸缩杆置于圆环盘的圆球滑道内部的滑动球经由环形的连环杆固定连接,所述连环杆固定有穿透圆球滑道置于圆环盘外侧的转柄,所述圆环盘开设有连环杆的连杆滑道。The sliding balls of the two telescopic rods placed inside the ball slideway of the annular disc are fixedly connected through an annular connecting rod, and the connecting link rod is fixed with a handle that penetrates the ball slideway and is placed outside the annular disc, The annular disk is provided with a connecting rod slideway of a connecting rod.
优选的,两根所述立杆的前端均固定有延长至床板前端上方的圆柱杆,两根所述圆柱杆之间沿圆柱杆长度方向滑动配合设置有滑动杆,所述检测床一侧设置有数据分析处理平台,所述滑动杆前端固定有沿左右方向设置的与数据分析处理平台电性连接的红外热像仪,所述数据分析处理平台安装有多普勒超声影像装置,任一所述圆柱杆的外侧设置有往复运动装置;Preferably, the front ends of the two vertical rods are fixed with a cylindrical rod extending above the front end of the bed board, and a sliding rod is provided between the two cylindrical rods along the length direction of the cylindrical rods, and one side of the detection bed is provided with a sliding rod. There is a data analysis and processing platform, the front end of the sliding rod is fixed with an infrared thermal imager electrically connected to the data analysis and processing platform along the left and right directions, the data analysis and processing platform is installed with a Doppler ultrasound imaging device, any The outer side of the cylindrical rod is provided with a reciprocating motion device;
所述往复运动装置包括与圆柱杆固定连接的沿其长度方向设置的基板,所述基板上端的前后端部均转动配合设置有皮带轮,所述皮带轮经由皮带传动配合,任一所述皮带轮下端设置有置于基板内部的驱动电机,所述皮带的外侧固定有竖直设置的导向销,所述滑动杆的外侧固定有置于基板上端的驱动滑板,所述驱动滑板沿上下贯穿开设有槽口形的滑槽,所述导向销始终置于滑槽内部,使得皮带转动时,导向销带动驱动滑板沿前后方向往复运动。The reciprocating motion device includes a base plate fixedly connected to the cylindrical rod and arranged along its length direction. The front and rear ends of the upper end of the base plate are both rotatably fitted with pulleys. The pulleys are driven and matched by belts. There is a drive motor placed inside the base plate, a vertically arranged guide pin is fixed on the outside of the belt, and a drive slide plate placed on the upper end of the base plate is fixed on the outside of the sliding rod. The guide pin is always placed inside the chute, so that when the belt rotates, the guide pin drives the driving slide plate to reciprocate in the front-rear direction.
优选的,所述滑动杆的后端固定有正方形的载物板,所述载物板中心位置贯穿设置且固定有竖直设置的耦合剂储瓶,所述耦合剂储瓶下端通过导管固定有耦合剂涂抹头,所述载物板后端沿圆周均布竖直方向贯穿开设有三个半圆形卡槽,所述耦合剂涂抹头包括圆柱形能够卡在卡槽内部的涂抹头,所述涂抹头的外侧套设固定有圆形的卡盘,所述滑动杆上端固定有环形的卡块滑道,所述卡块滑道与载物板同轴心设置,所述卡块滑道上滑动配合设置有卡块,所述卡块绕卡块滑道圆周方向滑动,所述卡块下端固定有环形缺口设置的副卡块,使得副卡块转动时能够与卡槽配合卡住耦合剂涂抹头。Preferably, a square object plate is fixed at the rear end of the sliding rod, a couplant storage bottle is arranged vertically through and fixed at the center of the object plate, and the lower end of the couplant storage bottle is fixed with a couplant through a conduit. A coupling agent applicator head, the rear end of the carrier plate is provided with three semicircular clamping grooves along the circumference evenly distributed in the vertical direction, the coupling agent applicator head includes a cylindrical applicator head that can be clamped inside the clamping grooves, the The outer side of the applicator head is sleeved and fixed with a circular chuck, the upper end of the sliding rod is fixed with a ring-shaped clamping block slideway, the clamping block slideway is coaxially arranged with the carrier plate, and the clamping block slideway slides on the There is a clamping block, the clamping block slides around the circumference of the clamping block slideway, and a secondary clamping block arranged with an annular gap is fixed at the lower end of the clamping block, so that the auxiliary clamping block can cooperate with the clamping groove to lock the coupling agent when it rotates. head.
优选的,任一所述卡槽的上端设置有与载物板固定连接的圆柱形纱布筒,所述纱布筒内部中空上下端均开口设置,所述纱布筒上端转动配合设置有盖板,所述纱布筒的下端固定有环状的纱布筒底板,所述纱布筒内部存放有大量圆形的纱布,使得当耦合剂涂抹头置于圆柱形纱布筒下端朝向上端移动时可通过耦合剂粘住纱布。Preferably, a cylindrical gauze tube fixedly connected to the object carrier is arranged on the upper end of any of the card slots, the upper and lower ends of the gauze tube are hollow and provided with openings, and the upper end of the gauze tube is rotatably provided with a cover plate, so The lower end of the gauze cylinder is fixed with a ring-shaped gauze cylinder bottom plate, and a large number of circular gauze are stored in the gauze cylinder, so that when the couplant applicator head is placed on the lower end of the cylindrical gauze cylinder and moves toward the upper end, it can be stuck by the couplant. gauze.
本发明结构巧妙,实用性强,在观测检查的过程中采用本装置将患者的四肢抬起进行辅助检查,避免了自己或者医生帮助的形式抬高,大大的减小了患者或者医生的体力消耗,在检测的过程中给予患者极大的便利,且本装置采用红外热像仪对病人进行初步检查,当检查出病患位置时,首先使用耦合剂涂抹头对病患位置涂抹耦合剂,继而采用数据分析处理平台中的多普勒超声影像装置进行详细的检测,且耦合剂涂抹头可以通过纱布筒更换其前端的纱布,使得病人的检测体验更好,更加高效的筛查诊治疾病,更好的服务于临床工作者,既能弥补了既往周围血管疾病检查过程中的缺点,又更好的整合发挥其优点,更有效的节省人力时间成本,更高效的筛查诊治疾病,更好地服务于临床工作者。The present invention has ingenious structure and strong practicability. In the process of observation and inspection, the device is used to lift the limbs of the patient to perform auxiliary inspection, so as to avoid the lifting in the form of the help of oneself or the doctor, and greatly reduce the physical exertion of the patient or the doctor. , which brings great convenience to the patient during the detection process, and the device uses an infrared thermal imager to perform a preliminary inspection on the patient. When the patient's position is checked, first use the couplant smear head to smear the couplant on the patient's position, and then The Doppler ultrasound imaging device in the data analysis and processing platform is used for detailed detection, and the couplant applicator can replace the gauze at the front end of the couplant through the gauze tube, which makes the patient's detection experience better, more efficient screening, diagnosis and treatment of diseases, and more A good service for clinicians can not only make up for the shortcomings of the previous peripheral vascular disease inspection process, but also better integrate its advantages, save labor time and cost more effectively, screen and diagnose diseases more efficiently, and better. Serve clinicians.
附图说明Description of drawings
图1为本发明立体图示意图。FIG. 1 is a schematic perspective view of the present invention.
图2为本发明使用时立体图示意图。Figure 2 is a schematic perspective view of the present invention in use.
图3为本发明俯视图示意图。FIG. 3 is a schematic top view of the present invention.
图4为本发明侧视图示意图。4 is a schematic side view of the present invention.
图5为本发明抬臂装置处装配关系侧视图示意图。FIG. 5 is a schematic side view of the assembly relationship of the arm lift device of the present invention.
图6为本发明抬臂装置处装配关系立体图示意图。6 is a schematic perspective view of the assembly relationship of the arm lift device of the present invention.
图7为本发明抬臂装置立体图示意图。FIG. 7 is a schematic perspective view of the arm lifting device of the present invention.
图8为本发明抬臂装置爆炸图示意图。FIG. 8 is a schematic diagram of an exploded view of the arm lifting device of the present invention.
图9为本发明转动杆剖视图示意图。FIG. 9 is a schematic cross-sectional view of the rotating rod of the present invention.
图10为本发明大齿轮和小齿轮处配合关系剖视图示意图。FIG. 10 is a schematic cross-sectional view of the mating relationship between the large gear and the pinion according to the present invention.
图11为本发明往复运动装置装配关系立体图示意图。11 is a schematic perspective view of the assembly relationship of the reciprocating motion device of the present invention.
图12为本发明纱布筒处剖视图示意图。12 is a schematic cross-sectional view of the gauze tube of the present invention.
图13为本发明载物板处俯视图示意图。FIG. 13 is a schematic top view of the object carrier of the present invention.
图14为本发明图12中A处放大图示意图。FIG. 14 is a schematic diagram of the enlarged view of the position A in FIG. 12 of the present invention.
附图标记:1、检测床;2、床板;3、置物板;4、转动杆;5、连杆;6、抬臂装置;6-1、圆环盘;6-2、第二圆环盘;7、伸缩杆;7-1、连接板;8、手腕箍筋装置;9、齿轮;10、齿条;12、螺杆;13、转柄;14、立杆;15、固定板;16、钢丝绳;17、脚腕托带;18、线轮;19、定滑轮;20、臀部托块;21、移动块;22、凸块;23、主转动杆;24、副转动杆;25、弹簧;26、第一伸缩杆;27、第二伸缩杆;28、卡孔;29、调节螺栓;30、大齿轮;31、通孔;32、弧形槽;33、固紧板;33-1滑动销;34、电机盒;35、小齿轮;36、棘齿;37、齿轮轴;38、棘爪;39、第二弹簧;40、滑动球;41、圆球滑道;42、连环杆;43、转柄;44、圆柱杆;45、滑动杆;46、数据分析处理平台;46-1、红外热像仪;47、往复运动装置;48、基板;49、皮带轮;50、皮带;51、导向销;52、驱动滑板;52-1滑槽;53、载物板;54、耦合剂储瓶;55、导管;56、耦合剂涂抹头;57、卡槽;58、涂抹头;59、卡盘;60、卡块滑道;61、卡块;62、副卡块;63、纱布筒;64、盖板;65、纱布筒底板。Reference numerals: 1, testing bed; 2, bed board; 3, storage board; 4, rotating rod; 5, connecting rod; 6, arm lifting device; 6-1, ring disk; Disc; 7. Telescopic rod; 7-1. Connecting plate; 8. Wrist stirrup device; 9. Gear; 10. Rack; 12. Screw; 13. Turn handle; 14. Upright rod; 15. Fixed plate; 16 , steel wire rope; 17, ankle support belt; 18, wire wheel; 19, fixed pulley; 20, buttock support block; 21, moving block; 22, bump; 23, main rotating rod; 24, auxiliary rotating rod; 25, Spring; 26, the first telescopic rod; 27, the second telescopic rod; 28, the clamping hole; 29, the adjusting bolt; 30, the large gear; 31, the through hole; 32, the arc groove; 33, the fastening plate; 33- 1 sliding pin; 34, motor box; 35, pinion; 36, ratchet; 37, gear shaft; 38, pawl; 39, second spring; 40, sliding ball; 41, ball slide; 42, chain Rod; 43, Turning handle; 44, Cylindrical rod; 45, Sliding rod; 46, Data analysis and processing platform; 46-1, Infrared thermal imager; 47, Reciprocating motion device; 48, Base plate; 49, Pulley; 50, Belt ;51, guide pin; 52, drive slide plate; 52-1 chute; 53, carrier plate; 54, couplant storage bottle; 55, conduit; 56, couplant applicator head; 57, card slot; 58, applicator head ; 59, chuck; 60, block slide; 61, block; 62, vice block; 63, gauze tube; 64, cover plate; 65, gauze tube bottom plate.
具体实施方式Detailed ways
有关本发明的前述及其他技术内容、特点与功效,在以下配合参考附图1至图14对实施例的详细说明中,将可清楚的呈现。以下实施例中所提到的结构内容,均是以说明书附图为参考。The foregoing and other technical contents, features and effects of the present invention will be clearly presented in the following detailed description of the embodiments with reference to FIGS. 1 to 14 . The structural contents mentioned in the following embodiments are all referenced to the accompanying drawings.
下面将参照附图描述本发明的各示例性的实施例。Exemplary embodiments of the present invention will be described below with reference to the accompanying drawings.
实施例一,本发明为一种周围血管疾病的检测辅助装置,请参阅图1,包括检测床1,使用时,患者躺在检测床1的上端进行检测,所述检测床1设置有床板2和置于床板2下端的置物板3,所述床板1前端位置的下端沿左右方向转动配合设置有转动杆4,所述转动杆4两端的后端均通过连杆5固定有置于床板2两侧的抬臂装置6,请参阅图7,所述转动杆4与两侧的抬臂装置6呈“U”形设置,所述抬臂装置6包括与转动杆4通过连杆5固定连接的圆环盘6-1,所述圆环盘6-1的后端通过伸缩杆7连接有与圆环盘6-1形状对应设置的第二圆环盘6-2,当使用时,患者的双臂分别置于两侧的抬臂装置6内部,患者的手臂依次穿过圆环盘6-1和第二圆环盘6-2,两个所述第二圆环盘6-2设置有手腕箍筋装置8,此时伸缩杆7调节长度,继而使得装置适用于不同臂长的患者,手腕箍筋装置8对患者的手腕进行箍筋,此处的手腕箍筋装置8即可采用橡胶绑带等装置实现,,请参阅图4、图5和图6,所述转动杆4外侧套设固定有齿轮9,所述置物板3上端沿前后方向滑动配合设置有与齿轮9啮合的齿条10;
所述齿条10沿前后方向贯穿设置有螺纹孔,所述螺纹孔处螺纹配合有与置物板3转动配合设置的螺杆12,所述螺杆12前端固定有置于检测床1外侧的转柄13,当转动转柄13时,螺杆12转动,继而带动齿条10朝向后端移动,此时齿条10啮合的齿轮9转动,继而带动转动杆4转动,即完成如图4至图5中抬臂装置6的变化,此时抬臂装置6将患者的双臂举起,继而当医生对病人进行检查时,避免了自己或者医生帮助的形式抬高,大大的减小了患者或者医生的体力消耗;The
在患者的腿部进行检测时,患者躺在病床上,腿部接触病床的部分检测时需要抬起,患者自己抬起或者医生帮助的形式抬起,对患者或者医生来说都是一个不小的体力消耗;为避免这一情况,请参阅图1、图2和图5、图6,所述床板2后端上部的两侧固定有两根立杆14,两根所述立杆14之间固定有固定板15,所述固定板15下端通过两根钢丝绳16固定有脚腕托带17,脚腕托带17用于患者将脚腕放置在其上方,继而抬起上腿辅助检查,脚腕托带17的材质可选用布带或者橡胶材质的托带,所述转动杆4外侧套设固定有置于齿轮9两侧的两个线轮18,两根所述钢丝绳16通过固定在固定板15上的定滑轮19导向后穿透床板2分别缠绕固定在两个所述线轮18上,使得转动杆4转动时,两根所述钢丝绳16带动脚腕托带17升降,当转动杆4转动时,带动两个线轮18同步转动,此时线轮18缠绕钢丝绳16,继而通过定滑轮19的导向后,将钢丝绳16下端固定连接的脚腕托带17托起。When the patient's leg is tested, the patient is lying on the bed, and the part of the leg that touches the bed needs to be lifted for testing, either by the patient or with the help of the doctor. In order to avoid this situation, please refer to Figure 1, Figure 2 and Figure 5, Figure 6, two
实施例二,在实施例一的基础上,为使得双腿被更好的抬起,请参阅图4和图5,所述床板2中间位置沿竖直方向滑动配合设置有臀部托块20,所述臀部托块20的上端面初始状态与床板2的上端面平铺设置,所述臀部托块20的下端设置为弧面,所述臀部托块20的下端活动放置在齿条10后端固定的移动块21上端,所述移动块21上端固定有两个半圆形的凸块22,两个所述凸块22在齿条10朝向后端移动时能够托起臀部托块20。In the second embodiment, on the basis of the first embodiment, in order to make the legs better lifted, please refer to FIG. 4 and FIG. 5 , the middle position of the
实施例三,在实施例一的基础上,为使得本装置适用于不同身材的患者,请参阅图1、图2、图6和图9,所述转动杆4设置为可伸缩式,所述转动杆4包括中间位置的主转动杆23和两侧滑动配合设置的副转动杆24,所述主转动杆23内部开设的滑道和副转动杆24均设置为长方形,设置为长方形的目的在于即实现了伸缩的效果,且在主转动杆23转动时,也能实现带动副转动杆24的同步转动,所述副转动杆24置于主转动杆23内部滑道的端部通过弹簧25与主转动杆23内部滑道端部固定连接;
所述伸缩杆7包括与圆环盘6-1连接的第一伸缩杆26,所述第一伸缩杆后端滑动配合设置有与第二圆环盘6-2连接的第二伸缩杆27,所述第二伸缩杆27上沿长度方向均匀开设有若干卡孔28,所述第一伸缩杆26上开设有形状对应的第二卡孔,若干所述卡孔28与第一伸缩杆26上的第二卡孔均可通过调节螺栓29固定在一起。The
实施例四,在实施例一的基础上,所述手腕箍筋装置8包括第二圆环盘6-2后端转动配合设置的大齿轮30,所述大齿轮30中间位置贯穿开设有圆形的通孔31,所述大齿轮30沿圆周均布贯穿开设有若干个弧形槽32,所述大齿轮30与第二圆环盘6-2之间设置有数量与弧形槽32对应的固紧板33,若干所述固紧板33均固定设置有一一对应置于所述弧形槽32内部的滑动销33-1,使得大齿轮30转动时,若干固紧板33朝向中心位置聚拢箍筋或者远离松开;Embodiment 4, on the basis of
所述第二圆环盘6-2外侧固定有电机盒34,所述电机盒34内部设置有电机,所述电机驱动有与大齿轮30啮合的小齿轮35,所述小齿轮35与电机盒34转动配合设置,所述小齿轮35内部沿圆周开设有棘齿36,所述小齿轮35的齿轮轴37上转动配合设置有棘爪38,所述棘爪38与齿轮轴37通过第二弹簧39固定连接,所述棘爪38卡住所述棘齿36,使得齿轮轴37逆时针方向转动时能够带动小齿轮35转动,且压缩第二弹簧39至一定程度时齿轮轴37空转,所述第二弹簧39的弹簧系数设置较大,使得第二弹簧39在若干固紧板33朝向中心位置聚拢箍筋手腕时被压缩继而齿轮轴37空转。A
本实施例在具体使用时,电机盒34内部的电机驱动齿轮轴37转动,如图10所示,第二弹簧39的弹性系数设置较大,在齿轮轴37逆时针转动时,由于第二弹簧39的弹性系数较大,能够带动小齿轮35转动,小齿轮35转动带动啮合的大齿轮30转动,当大齿轮30转动时,在滑动销33-1和弧形槽32的配合下,带动固紧板33移动,逐渐朝向中心位置聚拢箍筋检查患者的手腕位置,当固紧患者的手腕位置时,由于阻力的作用,此时第二弹簧39被压缩至一定程度,齿轮轴37空转,当手腕箍筋装置8完成对手腕位置的箍筋时,抬起或者放下抬臂装置6能够很好的带动病人的双臂移动,继而实现医生对病人双臂更为方便的诊疗。In the specific use of this embodiment, the motor inside the
实施例五,在实施例四的基础上,为防止伸缩杆7影响到患者需要检查的手臂部分位置(即被遮挡的位置),请参阅图所述伸缩杆7设置为两根,两根所述伸缩杆7的两端均固定有滑动球40,所述圆环盘6-1与第二圆环盘6-2相对的端面沿圆周均开设有环形的圆球滑道41,所述圆球滑道41的上端呈现弧度状使得滑动球40置于圆球滑道41内部滑动且不能脱离与圆球滑道41,即滑动球40的大部分置于圆球滑道41的内部,使得滑动球40在圆球滑道41内部滑动时不会脱离;
两根所述伸缩杆7置于圆环盘6-1的圆球滑道41内部的滑动球40经由环形的连环杆42固定连接,所述连环杆42固定有穿透圆球滑道41置于圆环盘6-1外侧的转柄43,所述圆环盘6-1开设有连环杆42的连杆滑道43;The sliding
本实施例在具体使用时,首先,当手腕箍筋装置8完成对手腕位置的箍筋时,医生对患者的手臂位置进行检查,当需要检查被伸缩杆7的遮挡位置时,仅需转动转柄43,此时转柄43带动连环杆42转动,继而实现带动滑动球40在圆球滑道41内部滑动,最终实现伸缩杆7的转动,漏出被伸缩杆7遮挡的位置,供医生进行检查。In the specific use of this embodiment, first, when the
实施例六,在实施例一的基础上,两根所述立杆14的前端均固定有延长至床板2前端上方的圆柱杆44,两根所述圆柱杆44之间沿圆柱杆44长度方向滑动配合设置有滑动杆45,所述检测床1一侧设置有数据分析处理平台46,所述滑动杆45前端固定有沿左右方向设置的与数据分析处理平台46电性连接的红外热像仪46-1,所述数据分析处理平台46安装有多普勒超声影像装置,红外热像仪46-1用于采集被检测者红外热像图像信息并将信息传输至数据分析处理平台46中进行分析处理,所述数据分析处理平台46的主机中装有周围血管疾病检查专用软件,红外热像仪46-1的红外信息采集、信息保存及信息分析诊断功能都是由软件完成的,且该软件中带有温度分布数据提取工具,其功能有利于医生对所采集的红外热图信息进行分析,为周围血管疾病诊断提供依据;当通过红外热像仪46-1检查出病患位置时,可采用数据分析处理平台中的多普勒超声影像装置进行详细的检测,使得病人的检测效果更好,任一所述圆柱杆44的外侧设置有往复运动装置47;
请参阅图11,所述往复运动装置47包括与圆柱杆44固定连接的沿其长度方向设置的基板48,所述基板48上端的前后端部均转动配合设置有皮带轮49,所述皮带轮49经由皮带50传动配合,任一所述皮带轮49下端设置有置于基板48内部的驱动电机,所述皮带50的外侧固定有竖直设置的导向销51,所述滑动杆45的外侧固定有置于基板48上端的驱动滑板52,所述驱动滑板52沿上下贯穿开设有槽口形的滑槽52-1,所述导向销51始终置于滑槽52-1内部,使得皮带50转动时,导向销51带动驱动滑板52沿前后方向往复运动,在往复运动的过程中,红外热像仪46-1对病人的下肢体位置及腹部位置等进行红外热像扫描,当通过红外热像仪46-1检查出病患位置时,可采用数据分析处理平台中的多普勒超声影像装置进行详细的检测。Please refer to FIG. 11 , the
实施例七,在实施例六的基础上,请参阅图11、图12和图13,所述滑动杆45的后端固定有正方形的载物板53,所述载物板53中心位置贯穿设置且固定有竖直设置的耦合剂储瓶54,彩色多普勒超声在使用时要求在患者皮肤表层仔细的涂抹耦合剂(因为医用超声波频率为2.5-5M,不能在空气中传导;如果探头与皮肤中存在空气,超声波一遇到空气就返回,进不了人体内,起不到检查作用;在皮肤上先涂上一层耦合剂,就能消除探头与皮肤的空气),而耦合剂的涂抹较为复杂,尤其是耦合剂的粘稠性,使得涂抹时,需要医护人员挤压耦合剂瓶体挤出耦合剂,为解决这一问题,所述耦合剂储瓶54下端通过导管55固定有耦合剂涂抹头56,在重力作用下,当使用耦合剂涂抹头56对患者需要检查的位置进行涂抹耦合剂时,很容易即可完成涂抹,所述载物板53后端沿圆周均布竖直方向贯穿开设有三个半圆形卡槽57,所述耦合剂涂抹头56包括圆柱形能够卡在卡槽57内部的涂抹头58,所述涂抹头58的外侧套设固定有圆形的卡盘59,所述滑动杆45上端固定有环形的卡块滑道60,所述卡块滑道60与载物板53同轴心设置,所述卡块滑道60上滑动配合设置有卡块61,所述卡块61绕卡块滑道60圆周方向滑动,所述卡块61下端固定有环形缺口设置的副卡块62,使得副卡块62转动时能够与卡槽57配合卡住耦合剂涂抹头56,即通过带有两个半圆形卡槽的物体将涂抹头58卡住,避免不使用时,涂抹头58自行脱落,当需要使用耦合剂涂抹头56涂抹时,仅需将卡块61转至一边,即可将耦合剂涂抹头56取出。
实施例八,在实施例六的基础上,请参阅图11、图12和图13,耦合剂的涂抹由于心理因素存在,一些患者担心涂抹的涂抹头交叉感染其他患者的皮肤病,此时我们采用装置更换一次性的纱布置于耦合剂涂抹头56上端,任一所述卡槽57的上端设置有与载物板53固定连接的圆柱形纱布筒63,所述纱布筒63内部中空上下端均开口设置,所述纱布筒63上端转动配合设置有盖板64,所述纱布筒63的下端固定有环状的纱布筒底板65,所述纱布筒63内部存放有大量圆形的纱布,使得当耦合剂涂抹头56置于圆柱形纱布筒63下端朝向上端移动时可通过耦合剂粘住纱布,此处利用到耦合剂具有的弱粘性,耦合剂涂抹头56上的耦合剂粘连纱布后将其带出纱布筒63,即当耦合剂涂抹头56朝上端挤压纱布时,由于盖板64的存在,阻挡纱布朝上端的移动,继而给予纱布挤压力,使得纱布更好的粘贴在耦合剂涂抹头56上。Example 8, on the basis of Example 6, please refer to Figure 11, Figure 12 and Figure 13. Due to psychological factors, some patients are worried that the smear head will cross-infect the skin diseases of other patients. The disposable gauze using the device is arranged on the upper end of the coupling
本发明在具体使用时,患者躺在检测床1的上端进行检测,当使用时,患者的双臂分别置于两侧的抬臂装置6内部,患者的手臂依次穿过圆环盘6-1和第二圆环盘6-2,此时伸缩杆7调节长度,继而使得装置适用于不同臂长的患者,手腕箍筋装置8对患者的手腕进行箍筋;电机盒34内部的电机驱动齿轮轴37转动,如图10所示,第二弹簧39的弹性系数设置较大,在齿轮轴37逆时针转动时,由于第二弹簧39的弹性系数较大,能够带动小齿轮35转动,小齿轮35转动带动啮合的大齿轮30转动,当大齿轮30转动时,在滑动销33-1和弧形槽32的配合下,带动固紧板33移动,逐渐朝向中心位置聚拢箍筋检查患者的手腕位置,当固紧患者的手腕位置时,由于阻力的作用,此时第二弹簧39被压缩至一定程度,齿轮轴37空转,当手腕箍筋装置8完成对手腕位置的箍筋时,抬起或者放下抬臂装置6能够很好的带动病人的双臂移动,继而实现医生对病人双臂更为方便的诊疗;In the specific use of the present invention, the patient lies on the upper end of the
当医护人员转动转柄13时,螺杆12转动,继而带动齿条10朝向后端移动,此时齿条10啮合的齿轮9转动,继而带动转动杆4转动,即完成如图4至图5中抬臂装置6的变化,此时抬臂装置6将患者的双臂举起,继而当医生对病人进行检查时,避免了自己或者医生帮助的形式抬高,大大的减小了患者或者医生的体力消耗;When the medical staff rotates the
在患者的腿部进行检测时,患者躺在病床上,腿部接触病床的部分检测时需要抬起,患者自己抬起或者医生帮助的形式抬起,对患者或者医生来说都是一个不小的体力消耗;为避免这一情况,当转动杆4转动时,带动两个线轮18同步转动,此时线轮18缠绕钢丝绳16,继而通过定滑轮19的导向后,将钢丝绳16下端固定连接的脚腕托带17托起,脚腕托带17将患者的脚部抬起,在移动块21移动时上端固定的两个半圆形的凸块22能够将臀部托块20顶起,继而实现了对患者的臀部位置的托起,使得患者的检测更为方便;When the patient's leg is tested, the patient is lying on the bed, and the part of the leg that touches the bed needs to be lifted for testing, either by the patient or with the help of the doctor. In order to avoid this situation, when the rotating rod 4 rotates, the two
当需要对患者使用仪器检测时,启动往复运动装置47,即首先开启驱动电机使得皮带轮49转动,继而带动皮带50转动,皮带50转动时,导向销51带动驱动滑板52沿前后方向往复运动,在往复运动的过程中,红外热像仪46-1对病人的下肢体位置及腹部位置等进行红外热像扫描,当通过红外热像仪46-1检查出病患位置时,可采用数据分析处理平台中的多普勒超声影像装置进行详细的检测,此时可通过耦合剂涂抹头56完成对患者皮肤的涂抹耦合剂。本发明结构巧妙,实用性强,在观测检查的过程中采用本装置将患者的四肢抬起进行辅助检查,避免了自己或者医生帮助的形式抬高,大大的减小了患者或者医生的体力消耗,在检测的过程中给予患者极大的便利,且本装置采用红外热像仪对病人进行初步检查,当检查出病患位置时,首先使用耦合剂涂抹头对病患位置涂抹耦合剂,继而采用数据分析处理平台中的多普勒超声影像装置进行详细的检测,且耦合剂涂抹头可以通过纱布筒更换其前端的纱布,使得病人的检测体验更好,更加高效的筛查诊治疾病,更好的服务于临床工作者,既能弥补了既往周围血管疾病检查过程中的缺点,又更好的整合发挥其优点,更有效的节省人力时间成本,更高效的筛查诊治疾病,更好地服务于临床工作者。When it is necessary to use the instrument to detect the patient, the
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