CN111329697B

CN111329697B - Suspension lifting method for simulated hand lifting of burn patients

Info

Publication number: CN111329697B
Application number: CN202010184038.4A
Authority: CN
Inventors: 谢兰珍; 许爱花; 毛和水
Original assignee: Jinhua central hospital
Current assignee: Jinhua central hospital
Priority date: 2020-03-16
Filing date: 2020-03-16
Publication date: 2021-06-29
Anticipated expiration: 2040-03-16
Also published as: CN113350087A; CN113350087B; CN111329697A

Abstract

The present invention provides a method for simulating hand-lifting of a burn patient, comprising a base, a hydraulic/electrically driven lift rod is arranged on the base, a suspension point is arranged above the lift rod, and the suspension point is connected to simulate Suspension frame for lifting burn patients by hand, including two sets of clip bodies that can be hugged, two sets of clip bodies are rotatably connected, the two sets of clip bodies are provided with a first locking device for limiting the opening and closing angle, and each set of clip bodies includes an opening and closing device. The supported beam frame part and the multiple support sections connected in sequence, the endmost support section includes a number of parallel movable knuckles, the adjacent support sections are rotated to the horizontal and the rotation is restricted, the support sections are connected with the beam frame section and there is a space between them for A second locking device that defines the angle. The invention is easy to lift the patient, and is easy to insert into the back of the patient for lifting.

Description

Suspension lifting method for simulating hand-lifting burn patient

Technical Field

The invention belongs to the field of medical treatment, relates to suspension of burn patients, and particularly relates to a suspension lifting method for simulating a hand-lifting burn patient.

Background

The large-area burn patient needs to be transferred on various beds, such as a common sickbed, a turning bed, a fluid suspension bed and the like, but the patient can suffer from pain when being directly pushed.

For example, patent publication No. CN207101454U discloses a motor-driven transfer auxiliary device for burn patients, which is conveyed by a supporting plate and a belt under the patient. It is impractical for hospitals to add this transfer structure to each bed. In particular, the suspension surface of the fluid suspension bed cannot be provided with the structure, and the foreign general medical bed purchased in a hospital cannot be improved according to the design.

Therefore, the problem of human body transfer in a common bed and a fluid suspension bed is difficult to solve, and 5-6 medical personnel are adopted to lift and transfer a patient to a sickbed at present. Especially, the fluid suspension bed is hard to change, and one person needs to climb to the fluid suspension bed to pull upwards.

Disclosure of Invention

The invention aims to solve the problems in the prior art and provides a suspension frame and a suspension crane which are convenient for transferring burn patients and a suspension lifting method.

The purpose of the invention can be realized by the following technical scheme: the suspension frame for simulating the hand-lifting burn patient is characterized by comprising two groups of clamping bodies capable of being clasped, wherein the two groups of clamping bodies are rotatably connected, first locking devices for limiting the opening and closing angles are arranged on the two groups of clamping bodies, each group of clamping bodies comprises a beam frame part serving as an opening support and a plurality of joints connected in sequence, the endmost joints comprise a plurality of movable knuckles parallel to each other, the rotation of adjacent joints is limited after the adjacent joints rotate to the horizontal, and the second locking devices for limiting the angles are arranged between the joints and the beam frame part.

Furthermore, safety belts are arranged on the two groups of clamping bodies and can be supported between the bottoms of the two groups of clamping bodies.

Furthermore, the branch sections are of a flat plate-shaped structure, and are rotatably connected in a hinge mode.

Furthermore, when adjacent branches rotate to the level, the adjacent welts that two branches are faced are leaned on together, and the last border of this adjacent welt is equipped with the chamfer, and two branches can upwards overturn along the chamfer, and the pivot of two branches is not higher than the upper surface of branch.

Further, the beam frame parts of the two groups of clamping bodies are connected in a rotating mode, the first locking device comprises a first tooth part on a radial surface of a rotating shaft of the first beam frame part of one group of clamping bodies and a second tooth part on a radial surface of a rotating shaft of the second beam frame part of the other group of clamping bodies, and the first tooth part and the second tooth part are close to each other in the axial direction of the rotating shaft and are meshed with each other to lock the opening angle of the two beam frame parts.

Furthermore, the first beam frame part is provided with a fork frame, the fork frame is provided with a connecting shaft, the second beam frame part is sleeved on the connecting shaft and can slide along the connecting shaft, the first tooth part is arranged on the inner surface of the fork frame, and a C-shaped ring is inserted into the connecting shaft to limit the sliding of the second beam frame part.

Furthermore, the second locking device comprises a hinge shaft arranged on one of the branch sections, a third tooth part is arranged on the radial surface of the hinge shaft, a fourth tooth part is arranged on the beam frame part, a screw rod is arranged to penetrate through the branch section hinge shaft and the beam frame part, and nuts capable of limiting the third tooth part and the fourth tooth part to be close to each other are arranged at one end or two ends of the screw rod.

Another theme, the hanging machine, characterized by that, it includes the base, is equipped with the hydraulic pressure/electric drive lifter on the base, the top of said lifter is equipped with the suspension point, the said suspension point connects and imitates the hand and lifts the suspension frame of burn patient.

Another subject matter is a method of suspended lifting for burn patients, comprising the steps of:

s1, inserting the base of the suspension machine below the sickbed to enable the suspension point of the suspension machine to correspond to the upper part of the sickbed;

s2, lowering the height of the lifting rod to lower the position of the suspension rack;

s3, unlocking the first locking device to open the two groups of clamp bodies and unlocking the second locking device;

s4, continuing to descend the height of the lifting rod, inserting the branch nodes into the back of the patient wrapped with gauze, adjusting the positions of the movable finger nodes on the branch nodes at the tail end to be inserted according to different dropping curves of the back of the patient, and gradually advancing to finally enable the back of the patient to be completely positioned on the upper surface of the branch nodes;

and S5, locking the first locking device, keeping the opening and closing angle of the clamp body, and locking the second locking device to enable the beam frame part and the support section to form an acute included angle and also ensure that the support section can be kept basically horizontal.

Slowly lifting the lifting rod, keeping the branch knot limited on the horizontal plane, and lifting the patient on the horizontal plane;

s7, connecting the safety belt between the two clamp bodies;

s8, the lifting rod rises, and the mobile suspension crane transfers the patient to another sickbed;

s9, detaching the second locking device and the first locking device, slowly drawing the branch node away from the lower part of the patient, and enabling the back of the patient to fall back to the bed surface.

Further, in step S4, the patient is lifted by hand, the branch node is inserted from the side of the patient, then the other side of the patient is held by one hand, the branch node is slightly pushed to the lower part of the patient by the other hand, and the movable knuckle is provided with a guide surface for drilling forward.

The invention has the advantages that one medical worker can complete the whole transfer operation, the support node can be effectively inserted between the back of a patient and the bed surface, and particularly, a fluid suspension bed with a larger contact sinking curve can be easily inserted. And the patient is easily lifted and placed on another bed by transfer.

Drawings

FIG. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a schematic loose view of the suspension frame of the present invention.

Fig. 3 is a schematic view of the suspension bracket locking of the present invention.

Fig. 4 is a schematic view of the hinge structure of the branch node.

Fig. 5 is a first schematic view of the first locking device.

Fig. 6 is a second schematic view of the first locking device.

Fig. 7 is a schematic view of a second locking device.

In the figure, 1 a base; 2, a controller; 3, a main bracket; 4, rollers; 5, a lifting rod; 6, a middle beam; 7 a second beam portion; 8, a guide edge; 9 a third branch section; 10 a second branch section; 11 a first leg; 12 hand-screwing the nut; 13 a first beam frame part; 14 suspension point; 15 sheets were opened; 16 rotating the bracket; 17 a patient; 18 a safety belt; 19 an upper surface; 20 a rotating shaft; 21 adjacent welt; a 22C-shaped ring; 23 connecting shafts; 24 forks; 25 a second tooth portion; 26 a first tooth portion; 27 a fourth tooth; 28 a third tooth portion; and 29, chamfering.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, rather than all embodiments, and all other embodiments obtained by those skilled in the art without any creative work based on the embodiments of the present invention belong to the protection scope of the present invention.

The terms "first," "second," and the like in the description of the invention are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It will be appreciated that the data so used may be interchanged under appropriate circumstances such that the embodiments described herein may be practiced otherwise than as specifically illustrated or described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or modules is not necessarily limited to those steps or modules explicitly listed, but may include other steps or modules not explicitly listed or inherent to such process, method, article, or apparatus, and such that a division of modules presented herein is merely a logical division and may be implemented in a practical application in a further manner.

The suspension machine of the invention in fig. 1 comprises a movable base 1, wherein a roller 4 or a universal wheel is arranged below the base 1, and the roller 4 or the universal wheel can be locked by adopting a conventional universal locking mechanism to realize fixation.

The base 1 can adopt a telescopic rod which can longitudinally stretch and transversely stretch in order to adapt to different bed bottom intervals, and the common existing fixing mode comprises connection of elastic pins and row holes. For example, the elastic pin is arranged on one section of telescopic rod, the row holes are arranged on the other section of telescopic rod, and when the two telescopic rods are relatively extended or shortened, the elastic pin is positioned on different row holes.

The base 1 is provided with a mechanism capable of lifting, for example, as shown in fig. 1, and includes a main stand 3 and a rotating stand 16, and a lifting rod 5 driven by hydraulic pressure/electric power. Preferably, the lifting rod 5 comprises an electric telescopic rod, one end of the lifting rod 5 is rotatably connected to the main bracket 3, the other end of the lifting rod 5 is rotatably connected to the rotating bracket 16, and the lifting rod 5 can drive the rotating bracket 16 to rotate. The controller 2 is arranged to drive the lifting rod 5, and the driver is connected with a power supply.

The rotating bracket 16 is connected with the expanding plate 15 through a cable chain, and the expanding plate 15 is connected with the suspension bracket. Preferably, four suspension points 14 are provided on the hanger.

As shown in fig. 3, the suspension frame primarily simulates a human hand, including simulating a palm and fingers. Simulating the process of holding the patient 17 up with a human hand inserted into the back of the patient 17. Only with the structure of a human hand can the patient 17 be inserted into the curved and soft-deformed gap where the patient contacts the fluid suspension bed.

The suspension frame comprises two groups of clamp bodies which can rotate and are encircled, and each group of clamp body comprises a beam frame part which is used for opening and supporting and a plurality of joints which are connected in sequence. Specifically, the more and the shorter the number of the branch nodes, the more convenient the use. In this embodiment, only three-segment type branches are used for illustration.

Specifically, the three sections of the branch sections hinged in sequence comprise a first branch section 11 simulating a palm, a second branch section 10 simulating a finger and a third branch section 9 simulating the finger. The second and

third branches

10, 9 comprise several movable knuckles in parallel.

Preferably, the beam parts of the two groups of clamping bodies are hinged, and a first locking device is arranged for limiting the included angle of the beam parts of the two groups of clamping bodies. More preferably, the beam portion of one of the groups of the clips is a first beam portion 13, and the beam portion of the other group is a second beam portion 7. The first beam frame part 13 and the second beam frame part 7 are arranged in a front-back two way. The first rack part 13 is provided with a first tooth part 26 on the radial surface of the rotating shaft, and the second rack part 7 is provided with a second tooth part 25 on the radial surface of the rotating shaft. The first and

second frame portions

13, 7 are connected to a coupling shaft 23, and the first and

second tooth portions

26, 25 are axially adjacent to and engaged with each other along the coupling shaft 23 to lock the opening angle of the frame portions.

As shown in fig. 5 to 6, it is preferable that the first beam portion 13 is provided with a yoke 24, the yoke 24 is provided with the above-mentioned coupling shaft 23, the second beam portion 7 is fitted over the coupling shaft 23, the second beam portion 7 slides along the coupling shaft 23, and the first teeth portion 26 is provided on an inner surface of the yoke 24. When locked, the C-shaped ring 22 is inserted into the connecting shaft 23 to restrict the sliding of the second frame part 7, the C-shaped ring 22 has elasticity, and the C-shaped ring 22 abuts against the rear part of the second frame part 7 to prevent the movement. When unlocking, the C-shaped ring 22 is broken off from the connecting shaft 23, which is very quick and convenient.

As shown in fig. 7, the first leg portions 11 and the beam portion are provided with second locking means so that each leg portion forms an adjustable angle with the beam portion. Preferably, the first branch 11 is provided with a hinge shaft, the radial surface of the hinge shaft is provided with a third tooth portion 28, the beam portion is provided with a fourth tooth portion 27, a screw rod is arranged to penetrate through the hinge shaft of the first branch 11 and the beam portion, and one end or two ends of the screw rod are provided with nuts or hand nuts 12 capable of enabling the third tooth portion 28 and the fourth tooth portion 27 to approach each other. And when the distance between the nuts at two ends is shortened, the third tooth part 28 and the fourth tooth part 27 are pushed in until locking.

For increasing the safety, an intermediate beam 6 for increasing the connecting strength is arranged between the front and rear beam frame parts, the intermediate beam 6 is rotatably connected with a connecting shaft 23, and the intermediate beam 6 is also hinged with the first support joint 11.

Regarding the struts, it is preferred that the first struts 11 have an elongated, flat plate-like configuration and a length of between 1.4m and 1.8 m. More preferably, the support sections are rotatably connected through hinges. The facing adjacent edges 21 of the two legs abut as shown in figure 4 and are restrained when the adjacent legs are rotated to the horizontal position. The upper edge of the adjacent welt 21 is provided with a chamfer 29, and the two can be turned upwards along the chamfer 29. This configuration allows the patient 17 to lie on the fulcrum automatically locked level without the use of a locking mechanism. Preferably, the pivot 20 of the two branches is not higher than the upper surface 19 of the branches, which increases the comfort of lying down.

More preferably, the third branch joint 9 is provided with a guide edge 8, and the guide edge 8 is coated with a layer of colloid. The leading edge 8 is easily inserted into the back of the patient 17.

Preferably, for safety, the first leg 11 is provided with a detachable safety belt 18, which safety belt 18 can be supported between the two sets of clamp bottoms. Or a detachable safety belt 18 between the beam portions.

2-3, a method of suspending and lifting a burn patient 17, comprising the steps of:

the base 1 of the suspension machine for the burn patient 17 is inserted below a sickbed, so that the suspension point 14 of the suspension machine corresponds to the upper part of the sickbed, and the transverse width and the longitudinal length of the base 1 need to be adjusted, because the longitudinal length can be contracted to facilitate movement when moving, the key point at the moment is to adjust the longitudinal length, and the phenomenon that the center of gravity is outwards turned over when the suspension machine is used for suspension is avoided.

Starting the machine, the lifting rod 5 descends with the rotating bracket 16 by a height, lowering the position of the suspension rack, and determining again whether the longitudinal width of the base 1 is sufficient, the general standard being the horizontal distance from the suspension rack to the tail end of the base 1: the distance between the suspension bracket and the front end of the base 1 is =1:1.5, and the tail end of the base 1 is defined as one side with the lifting rod 5.

The first locking device is unlocked to open the two groups of clamp bodies, and the second locking device is also unlocked to enable the support section to be hung on the sickbed.

The height of the lifting rod 5 is continuously lowered, the branch nodes have a movable range, the third branch node 9 is inserted into the back of the patient 17 wrapped with gauze, and at the moment, the movable finger nodes on the third branch node 9 are inserted into the positions according to different dropping curves of the back of the patient 17 contacted with a sickbed. The medical staff holds the other side of the patient 17 with one hand to prevent the movement of the position of the patient 17 caused by the excessive force of the branch node pushing, meanwhile, the other hand pushes the branch node to the lower part of the patient 17 with slight force, and the movable knuckle is provided with a guide surface for drilling forwards. The segments are advanced progressively and eventually the back of the patient 17 is fully seated on the upper surface 19 of the segments. The whole body of the patient is bound by the bandage, so that the movable knuckle can be inserted.

And locking the first locking device, keeping the opening and closing angle of the clamp body, and then locking the second locking device to enable the beam frame part and the branch section to form an acute included angle and also ensure that the branch section can be basically kept horizontal.

The lifting rod 5 is slowly raised, the fulcrum is constrained to remain on the horizontal surface, and the patient 17 is lifted on the horizontal surface.

A safety belt 18 as a safety guard is connected between the two clamp bodies across the gap between the two clamp bodies.

The lifting bar 5 is raised and the mobile crane transfers the patient 17 to another bed.

The second locking device is disassembled, the first locking device is disassembled, the branch knot is slowly drawn away from the lower part of the patient 17, and the back of the patient 17 falls back to the bed surface.

The principles and embodiments of the present invention have been described herein using specific examples, which are provided only to help understand the method and the core concept of the present invention; meanwhile, for a person skilled in the art, according to the idea of the present invention, there may be variations in the specific embodiments and the application scope, and in summary, the content of the present specification should not be construed as a limitation to the present invention.

Claims

1. the suspension lifting method of simulating hand-lifting burn patients, is characterized in that, comprises the following steps:

S1. Insert the base of the suspension machine under the hospital bed. The suspension machine includes a base, and a hydraulic/electrically driven lifting rod is arranged on the base. There is a suspension point above the lifting rod, so that the suspension point corresponds to the upper part of the hospital bed. The suspension frame connected to the simulated hand-lifted burn patient includes two sets of clamp bodies that can be hugged. Locking device, each set of clamping bodies includes a beam frame part as an open support and a plurality of joints connected in sequence, the most terminal joint includes several movable knuckles in parallel, and the adjacent joints are rotated to the horizontal to limit the rotation, and the joints a second locking device for limiting the angle is arranged between the beam frame part and the beam;

S2. Lower the height of the lifting rod to lower the position of the suspension frame of the simulated hand-lifting burn patient;

S3, unlocking the first locking device to open the two sets of clamping bodies, and also unlocking the second locking device;

S4. Continue to lower the height of the lifting rod and insert the branch into the back of the patient wrapped in gauze. At this time, the movable knuckle on the most terminal branch adjusts the position of the insertion according to the different falling curves of the patient's back and the bed, and advances gradually, and finally makes The patient's back is completely on the upper surface of the branch;

S5, lock the first locking device, keep the opening and closing angle of the clamping body, and lock the second locking device, so that the beam frame part and the support section are at an acute angle, and also ensure that the support energy is basically kept horizontal;

S6. Slowly lift the lifting rod, the branch is limited and kept on the horizontal plane, and the patient is lifted on the horizontal plane;

S7. There are safety belts on the two sets of clip bodies, the safety belts can be supported between the bottoms of the two sets of clip bodies, and the safety belts are connected between the two clip bodies;

S8. The lifting rod rises, and the hoist is moved to transfer the patient to another hospital bed;

S9, dismounting the second locking device, dismounting the first locking device, slowly pulling the branch away from the bottom of the patient, and the patient's back falls back to the bed surface.

2. The method for simulating hand-lifting of a burn patient according to claim 1, wherein in step S4, one side of the patient is first lifted by hand, the branch is inserted from the side of the patient, and then one hand is supported On the other side of the patient, the other hand pushes the branch under the patient with slight force, and there is a guide surface on the movable knuckle for drilling forward.