CN111407574A - Medical internal medicine rehabilitation is with diagnosing bed - Google Patents
Medical internal medicine rehabilitation is with diagnosing bed Download PDFInfo
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- CN111407574A CN111407574A CN202010250705.4A CN202010250705A CN111407574A CN 111407574 A CN111407574 A CN 111407574A CN 202010250705 A CN202010250705 A CN 202010250705A CN 111407574 A CN111407574 A CN 111407574A
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- 239000003814 drug Substances 0.000 title claims abstract description 18
- 230000005540 biological transmission Effects 0.000 claims abstract description 123
- 230000007246 mechanism Effects 0.000 claims abstract description 92
- 238000003745 diagnosis Methods 0.000 claims abstract description 12
- 230000008859 change Effects 0.000 claims description 28
- 238000003780 insertion Methods 0.000 claims description 15
- 230000037431 insertion Effects 0.000 claims description 15
- 238000009434 installation Methods 0.000 claims description 6
- 210000001503 joint Anatomy 0.000 claims 8
- 230000001105 regulatory effect Effects 0.000 claims 2
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- 238000003032 molecular docking Methods 0.000 description 18
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- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000001061 forehead Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
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- 230000004060 metabolic process Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/08—Adjustable operating tables; Controls therefor the table being divided into different adjustable sections
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/104—Adaptations for table mobility, e.g. arrangement of wheels
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
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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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/124—Hands or wrists
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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
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
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Abstract
Description
技术领域technical field
本发明涉及医疗床技术领域,具体涉及一种医疗内科康复用诊疗床。The invention relates to the technical field of medical beds, in particular to a diagnosis and treatment bed for medical internal medicine rehabilitation.
背景技术Background technique
内科学在临床医学中占有极其重要的位置,它是临床医学各科的基础学科,所阐述的内容在临床医学的理论和实践中有其普遍意义,是学习和掌握其他临床学科的重要基础,它涉及面广,包括呼吸、循环、消化、泌尿、造血系统、内分泌及代谢、风湿等常见疾病以及理化因素所致的疾病。病人在术后恢复过程中,体力下降,无法自己起身,医护人员在检查时要帮助病人起身,影响检查的效果和效率。Internal medicine occupies an extremely important position in clinical medicine. It is the basic subject of various clinical medicine disciplines. The content described has its universal significance in the theory and practice of clinical medicine, and is an important basis for learning and mastering other clinical disciplines. It involves a wide range of diseases, including common diseases such as respiration, circulation, digestion, urinary, hematopoietic system, endocrine and metabolism, rheumatism, and diseases caused by physical and chemical factors. During the postoperative recovery process, the patient's physical strength decreases and cannot get up by himself. The medical staff must help the patient to get up during the examination, which affects the effect and efficiency of the examination.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于克服现有技术的不足,提供一种医疗内科康复用诊疗床。The purpose of the present invention is to overcome the deficiencies of the prior art and provide a diagnosis and treatment bed for medical internal medicine rehabilitation.
为实现上述目的,本发明提供了如下技术方案来实现的:To achieve the above object, the present invention provides the following technical solutions to achieve:
一种医疗内科康复用诊疗床,其特征在于:包括床架、放置在床架上方的床板、设置在床架侧面的扶手架机构,床架包括中板和分别与中板铰接的床头板和床尾板,床架内设置有能够分别驱动床头板和床尾板转动的床头板升降机构和床尾板升降机构,床架底部设有驱动电机,驱动电机驱动连接有驱动轴,驱动轴前端连接有主动锥齿轮,床架内设有第一传动轴和第二传动轴,第一传动轴和第二传动轴的一端分别连接有第一从动锥齿轮和第二从动锥齿轮,第一从动锥齿轮和第二从动锥齿轮分别与主动锥齿轮啮合,第一传动轴上安装有第一传动齿轮,床架底部设有第一液压缸,第一液压缸的活塞杆前端连接有安装座,第一传动轴与安装座转动相连,床尾板下方设有第一丝杆,第一丝杆上安装有第二传动齿轮,第二传动齿轮与第一传动齿轮啮合,床尾板升降机构安装于第一丝杆上,第二传动轴上安装有第一变速齿轮和第二变速齿轮,床架底部设有与第二传动轴相平行的变速轴,变速轴上安装有从动离合块,变速轴上套设有第一对接齿轮组和第二对接齿轮组,第一对接齿轮组和第二对接齿轮组分别与第一变速齿轮和第二变速齿轮相啮合,从动离合块位于第一对接齿轮组和第二对接齿轮组之间,床架底部还设有第二液压缸,第二液压缸的活塞杆前端与变速轴转动相连,第二液压缸能够驱动变速轴移动使从动离合块分别与第一对接齿轮组或第二对接齿轮组啮合,床头板下方设有第二丝杆,变速轴通过传动机构驱动第二丝杆转动,床头板升降机构安装于第二丝杆上;第一对接齿轮组包括支撑座,支撑座安装于床架底部,支撑座上套设有外轴承,外轴承上安装有齿环,齿环远离支撑座的一侧安装有转动离合块,转动离合块的形状与从动离合块的形状相适应,支撑座内嵌装有内轴承,变速轴穿过内轴承设置并且能够在内轴承中转动或移动,床架底部设有若干个轴承机构,第一传动轴和变速轴分别转动设置在轴承机构内;扶手架机构包括设置于床架上同一侧的两个转动座,转动座内转动设置有扶手架,扶手架呈U形,转动座上部设有固定座,固定座内侧设有卡块,固定座内螺纹连接有固定螺栓,固定螺栓内端与卡块转动相连,卡块内侧设置有橡胶垫,转动固定螺栓能够控制卡块远离固定座从而将扶手架夹住或靠近固定座从而松开扶手架,卡块和固定座之间通过导向机构配合,一侧额的扶手架上套设有桌板,桌板上设有安装孔,扶手架穿过安装孔设置,桌板内设有容纳槽,容纳槽内设置有拉伸板,桌板前后侧的内壁上开设有引导槽,拉伸板前后侧设有引导销柱,引导销柱设置于引导槽内,拉伸板下部设有支撑槽,支撑槽为半圆形,其直径与扶手架的直径相适配。A medical and internal medicine rehabilitation diagnosis and treatment bed is characterized in that it comprises a bed frame, a bed board placed above the bed frame, and an armrest frame mechanism arranged on the side of the bed frame, and the bed frame includes a middle board and a headboard hinged with the middle board respectively. The bed frame is provided with a headboard lifting mechanism and a bed footboard lifting mechanism that can respectively drive the headboard and the bed footboard to rotate. A driving motor is arranged at the bottom of the bed frame, and the driving motor is driven and connected with a driving shaft. The front end of the driving shaft A drive bevel gear is connected, a first drive shaft and a second drive shaft are arranged in the bed frame, and one end of the first drive shaft and the second drive shaft are respectively connected with a first driven bevel gear and a second driven bevel gear, A driven bevel gear and a second driven bevel gear mesh with the driving bevel gear respectively, a first transmission gear is installed on the first transmission shaft, a first hydraulic cylinder is arranged at the bottom of the bed frame, and the front end of the piston rod of the first hydraulic cylinder is connected to There is a mounting seat, the first transmission shaft is rotatably connected with the mounting seat, a first screw rod is arranged under the bed foot plate, a second transmission gear is installed on the first screw rod, the second transmission gear meshes with the first transmission gear, and the bed foot plate rises and falls The mechanism is installed on the first screw rod, the second transmission shaft is installed with a first transmission gear and a second transmission gear, the bottom of the bed frame is provided with a transmission shaft parallel to the second transmission shaft, and a driven clutch is installed on the transmission shaft The transmission shaft is sleeved with a first docking gear set and a second docking gear set, the first docking gear set and the second docking gear set are respectively meshed with the first transmission gear and the second transmission gear, and the driven clutch block is located in the Between the first docking gear set and the second docking gear set, a second hydraulic cylinder is also arranged at the bottom of the bed frame, the front end of the piston rod of the second hydraulic cylinder is rotatably connected with the speed change shaft, and the second hydraulic cylinder can drive the speed change shaft to move to make the slave The movable clutch block is respectively meshed with the first butt gear set or the second butt gear set, a second screw rod is arranged under the headboard, the speed change shaft drives the second screw rod to rotate through the transmission mechanism, and the headboard lifting mechanism is installed on the second screw rod. on the lead screw; the first butt-joining gear set includes a support seat, the support seat is installed at the bottom of the bed frame, an outer bearing is sleeved on the support seat, a gear ring is installed on the outer bearing, and a rotating clutch is installed on the side of the tooth ring away from the support seat The shape of the rotating clutch block is adapted to the shape of the driven clutch block. The inner bearing is embedded in the support seat. The speed change shaft is arranged through the inner bearing and can be rotated or moved in the inner bearing. The bottom of the bed frame is provided with several Bearing mechanism, the first transmission shaft and the speed change shaft are respectively rotated and arranged in the bearing mechanism; the armrest frame mechanism includes two rotating seats arranged on the same side of the bed frame, and an armrest frame is rotatably arranged in the rotating seat, and the armrest frame is U-shaped. The upper part of the rotating seat is provided with a fixing seat, the inner side of the fixing seat is provided with a clamping block, the inner thread of the fixing seat is connected with a fixing bolt, the inner end of the fixing bolt is rotatably connected with the clamping block, the inner side of the clamping block is provided with a rubber pad, and the rotation of the fixing bolt can control the clamping block Away from the fixed seat to clamp the armrest frame or close to the fixed seat to release the armrest frame, the clamping block and the fixed seat are matched by a guiding mechanism, the armrest frame on one side of the forehead is covered with a table board, and the table board is provided with a mounting plate. The armrest frame is arranged through the installation hole, the table plate is provided with a receiving groove, the receiving groove is provided with a stretching plate, the inner walls of the front and rear sides of the table plate are provided with guide grooves, and the front and rear sides of the stretching plate are provided with guide grooves. The pin, the guide pin is arranged in the guide groove, the lower part of the stretching plate is provided with a support groove, the support groove is semi-circular, and the diameter of the support groove is adapted to the diameter of the handrail frame.
作为优选,容纳槽左侧上部设有嵌入部,拉伸板右侧上部设有卡合部,桌板左端设有突出部,拉伸板顶部与卡合部的连接处设有拼接面,拉伸板与桌板拼接后,突出部左端抵在拼接面上。拉伸板左端设有把手。Preferably, the upper left side of the accommodating slot is provided with an embedded portion, the upper right side of the stretch plate is provided with a snap portion, the left end of the table board is provided with a protruding portion, and the junction between the top of the stretch board and the snap portion is provided with a splicing surface. After the extension board is spliced with the table board, the left end of the protruding part abuts on the splicing surface. The left end of the stretch plate is provided with a handle.
作为优选,床尾板升降机构包括丝杆螺母块、滑动杆、导轨、导向块、支撑臂和耳板,滑动杆固定在丝杆螺母块上,滑动杆下部设有若干导向块,导轨设置在床架的底部,导向块能够沿着导轨的长度方向移动,滑动杆上转动设置有若干支撑臂,支撑臂另一端铰接有耳板,床尾板升降机构的丝杆螺母块安装于第一丝杆上,床尾板升降机构的耳板与床尾板底面相连,床头板升降机构与床尾板升降机构结构相同,床头板升降机构的丝杆螺母块安装于第二丝杆上,床头板升降机构的耳板与床头板的底面相连。Preferably, the bed foot plate lifting mechanism includes a screw nut block, a sliding rod, a guide rail, a guide block, a support arm and an ear plate. At the bottom of the frame, the guide block can move along the length direction of the guide rail. Several support arms are rotatably arranged on the sliding rod. The other end of the support arm is hinged with a lug plate. , The ear plate of the headboard lifting mechanism is connected with the bottom surface of the bed footboard. The headboard lifting mechanism has the same structure as the footboard lifting mechanism. The screw nut block of the headboard lifting mechanism is installed on the second screw rod. The headboard lifting mechanism The lugs are attached to the underside of the headboard.
作为优选,床架底部设有导向槽,导向槽上安装有能够沿其长度方向移动的齿轮定位机构,齿轮定位机构和安装座之间通过连接架相连接,齿轮定位机构包括设置于导向槽上的支撑块,支撑块上部设有插入座,插入座内插入有支撑杆,支撑杆通过固定螺栓固定于插入座上,支撑杆靠近第二传动齿轮的一端连接有插入板,插入板上固定插入有若干固定销,固定销右部呈圆锥状,固定销的排布方式与第二传动齿轮的齿槽相匹配,固定销能够插入第二传动齿轮的两个相邻的轮齿之间。Preferably, a guide groove is provided at the bottom of the bed frame, and a gear positioning mechanism that can move along its length direction is installed on the guide groove. The gear positioning mechanism and the mounting seat are connected by a connecting frame. The upper part of the support block is provided with an insertion seat, a support rod is inserted into the insertion seat, the support rod is fixed on the insertion seat by fixing bolts, and the end of the support rod close to the second transmission gear is connected with an insertion plate, and the insertion plate is fixed and inserted There are several fixing pins, the right part of the fixing pins is conical, the arrangement of the fixing pins matches the tooth slots of the second transmission gear, and the fixing pins can be inserted between two adjacent gear teeth of the second transmission gear.
作为优选,轴承机构包括轴承座,轴承座上部中间位置设有底部轴承部,轴承座上部位于底部轴承部两侧的位置开槽,槽内转动设置有第三丝杆,第三丝杆上设有活动块,活动块上安装有连接块,连接块上固定有侧面轴承部,侧面轴承部和底部轴承部拼接后能够形成供第一传动轴和变速轴转动或移动的轴承,第三丝杆穿过槽的一端连接有丝杆齿轮,轴承座上位于第三丝杆下方的位置转动设置有驱动手柄,驱动手柄上设有驱动齿轮,驱动齿轮与丝杆齿轮啮合,驱动手柄上远离驱动齿轮的一端连接有棘轮,驱动手柄下方设有棘爪调节柄,棘爪调节柄内端连接有棘爪,棘爪与棘轮相配合。Preferably, the bearing mechanism includes a bearing seat, a bottom bearing part is arranged in the middle of the upper part of the bearing seat, the upper part of the bearing seat is slotted on both sides of the bottom bearing part, a third screw rod is rotated in the groove, and a third screw rod is arranged on the third screw rod. There is a movable block, a connection block is installed on the movable block, and a side bearing part is fixed on the connection block. One end passing through the slot is connected with a screw gear, and a drive handle is rotatably arranged on the bearing seat at the position below the third screw rod. The drive handle is provided with a drive gear. A ratchet wheel is connected with one end of the drive handle, a ratchet pawl adjusting handle is arranged under the driving handle, the inner end of the ratchet pawl adjusting handle is connected with a ratchet pawl, and the ratchet pawl is matched with the ratchet wheel.
作为优选,传动机构包括第三传动轴、安装于变速轴上的第三传动齿轮、安装于第二丝杆上的第四传动齿轮,第三传动轴上安装有第六传动齿轮和第五传动齿轮,第五传动齿轮与第三传动齿轮啮合,第六传动齿轮与第四传动齿轮啮合。Preferably, the transmission mechanism includes a third transmission shaft, a third transmission gear installed on the speed change shaft, a fourth transmission gear installed on the second screw rod, and a sixth transmission gear and a fifth transmission gear are installed on the third transmission shaft gears, the fifth transmission gear meshes with the third transmission gear, and the sixth transmission gear meshes with the fourth transmission gear.
作为优选,床架下部的四个边角处开设有收纳槽,收纳槽内安装有滚轮机构,滚轮机构在使用时能够从收纳槽中转出以支撑床架移动,滚轮机构在不使用时能够转入收纳槽内收纳。Preferably, four corners of the lower part of the bed frame are provided with storage grooves, and a roller mechanism is installed in the storage groove. The roller mechanism can be rotated out of the storage groove to support the movement of the bed frame when in use. Transfer to the storage slot for storage.
作为优选,收纳槽内设有中心杆,滚轮机构包括转动设置于中心杆上的滚轮座,滚轮座上安装有滚轮,中心杆上套设有第三弹簧和第四弹簧,第三弹簧位于收纳槽的顶壁与滚轮座之间,第四弹簧位于滚轮座与收纳槽的底部之间,第三弹簧上端连接有挡板,还包括调节块,调节块能够套在中心杆上从而卡在收纳槽的顶壁与挡板之间。Preferably, a center rod is provided in the receiving groove, the roller mechanism includes a roller seat rotatably arranged on the center rod, a roller is installed on the roller seat, a third spring and a fourth spring are sleeved on the center rod, and the third spring is located in the storage Between the top wall of the groove and the roller seat, the fourth spring is located between the roller seat and the bottom of the storage groove, the upper end of the third spring is connected with a baffle plate, and also includes an adjustment block, which can be sleeved on the center rod to be stuck in the storage tank. between the top wall of the tank and the baffle.
与现有技术相比,本发明的有益效果是:第一变速齿轮和第二变速齿轮的直径不同,使得分别带动的第一对接齿轮组和第二对接齿轮组转动速度不同,通过调节变速轴上的从动离合块分别与第一对接齿轮组或第二对接齿轮组卡合,可控制变速轴的转动,继而调节第二丝杆的转动,从而可调节床头板的转动速度。对一般患者,使从动离合块与第二对接齿轮组配合,以正常速度控制床头板转动升降;对身体不适的患者,使从动离合块与第一对接齿轮组配合,控制床头板以较慢的速度转动升降。Compared with the prior art, the beneficial effect of the present invention is: the diameters of the first speed change gear and the second speed change gear are different, so that the rotational speeds of the first butt gear set and the second abutment gear set driven respectively are different, and by adjusting the speed change shaft The driven clutch block above is respectively engaged with the first docking gear set or the second docking gear set, which can control the rotation of the speed change shaft, and then adjust the rotation of the second screw rod, so as to adjust the rotation speed of the headboard. For ordinary patients, make the driven clutch block cooperate with the second docking gear set to control the headboard to rotate and lift at a normal speed; for patients with physical discomfort, make the driven clutch block cooperate with the first docking gear set to control the headboard. Turn the lift at a slower speed.
患者腿部的提升相较上身的提升要少,在床尾板转动到合适的位置后,通过第一液压缸驱动第一传动轴移动,使第一从动锥齿轮脱离与主动锥齿轮的啮合,此时第一传动齿轮也脱离与第二传动齿轮的啮合,从而使第一丝杆停止转动,床尾板升降机构将床尾板限定在该位置。此时,第二从动锥齿轮仍与主动锥齿轮啮合,继续通过床头板升降机构带动床头板转动,将床头板转动到合适的位置再停止。The lift of the patient's legs is less than the lift of the upper body. After the footboard is rotated to an appropriate position, the first drive shaft is driven to move by the first hydraulic cylinder, so that the first driven bevel gear is disengaged from the driving bevel gear. At this time, the first transmission gear is also disengaged from the engagement with the second transmission gear, so that the rotation of the first screw rod is stopped, and the footboard lifting mechanism limits the footboard at this position. At this time, the second driven bevel gear is still meshed with the driving bevel gear, and continues to drive the headboard to rotate through the headboard lifting mechanism, and the headboard is rotated to an appropriate position and then stopped.
将拉伸板从容纳槽内抽出或将拉伸板收入容纳槽内时,引导销柱在引导槽内移动,使拉伸板沿设定的轨迹移动,完成与桌板的拼接或与桌板脱离。When the stretching board is pulled out from the accommodating groove or received into the accommodating groove, the guide pins move in the guide groove, so that the stretching board moves along the set trajectory, and the splicing with the table board or the table board is completed. break away.
附图说明Description of drawings
图1本发明的结构示意图;Fig. 1 is the structural representation of the present invention;
图2为图1中A处的放大示意图;Fig. 2 is the enlarged schematic diagram of A place in Fig. 1;
图3为本发明中桌板与拉伸板拼接后的结构示意图;Fig. 3 is the structural schematic diagram after the table board and the tensile board are spliced in the present invention;
图4为发明中桌板的结构示意图;Fig. 4 is the structural representation of the table board in the invention;
图5为发明中拉伸板的结构示意图Figure 5 is a schematic diagram of the structure of the stretched plate in the invention
图6为本发明中床板的结构示意图;Fig. 6 is the structural representation of the bed plate in the present invention;
图7为本发明中床架的俯视图;Fig. 7 is the top view of the bed frame in the present invention;
图8为本发明中第一对接齿轮组、第二对接齿轮组的结构示意图;FIG. 8 is a schematic structural diagram of the first docking gear set and the second docking gear set in the present invention;
图9为本发明中第一对接齿轮组、第二对接齿轮组的剖视图;FIG. 9 is a cross-sectional view of the first butting gear set and the second abutting gear set in the present invention;
图10为本发明中床尾板升降机构、床头板升降机构的结构示意图;10 is a schematic structural diagram of the footboard lifting mechanism and the headboard lifting mechanism in the present invention;
图11为本发明中轴承机构的结构示意图;Figure 11 is a schematic structural diagram of the bearing mechanism in the present invention;
图12为图10中A处的放大示意图;Fig. 12 is the enlarged schematic diagram of the place A in Fig. 10;
图13为本发明中齿轮定位机构的结构示意图;Figure 13 is a schematic structural diagram of the gear positioning mechanism in the present invention;
图14为本发明中滚轮机构使用时的示意图;Figure 14 is a schematic diagram of the roller mechanism in use in the present invention;
图15为本发明中滚轮机构收纳时的示意图。FIG. 15 is a schematic diagram of the roller mechanism of the present invention when it is stored.
具体实施方式Detailed ways
下面结合附图1-15对本发明的实施例进行详细阐述。The embodiments of the present invention will be described in detail below with reference to the accompanying drawings 1-15.
一种医疗内科康复用诊疗床,包括床架1、放置在床架1上方的床板、设置在床架1侧面的扶手架机构4,床架1包括中板69和分别与中板69铰接的床头板68和床尾板70,床架1内设置有能够分别驱动床头板68和床尾板70转动的床头板升降机构48和床尾板升降机构34,床架1底部设有驱动电机23,驱动电机23驱动连接有驱动轴24,驱动轴24前端连接有主动锥齿轮25,床架1内设有第一传动轴26和第二传动轴39,第一传动轴26和第二传动轴39的一端分别连接有第一从动锥齿轮27和第二从动锥齿轮38,第一从动锥齿轮27和第二从动锥齿轮38分别与主动锥齿轮25啮合,第一传动轴26上安装有第一传动齿轮30,床架1底部设有第一液压缸31,第一液压缸31的活塞杆前端连接有安装座29,第一传动轴26与安装座29转动相连,床尾板70下方设有第一丝杆32,第一丝杆32上安装有第二传动齿轮33,第二传动齿轮33与第一传动齿轮30啮合,床尾板升降机构34安装于第一丝杆32上,第二传动轴39上安装有第一变速齿轮40和第二变速齿轮41,床架1底部设有与第二传动轴39相平行的变速轴44,变速轴44上安装有从动离合块45,变速轴44上套设有第一对接齿轮组42和第二对接齿轮组43,第一对接齿轮组42和第二对接齿轮组43分别与第一变速齿轮40和第二变速齿轮41相啮合,从动离合块45位于第一对接齿轮组42和第二对接齿轮组43之间,床架1底部还设有第二液压缸89,第二液压缸89的活塞杆前端与变速轴44转动相连,第二液压缸89能够驱动变速轴44移动使从动离合块45分别与第一对接齿轮组42或第二对接齿轮组43啮合,床头板68下方设有第二丝杆47,变速轴44通过传动机构46驱动第二丝杆47转动,床头板升降机构48安装于第二丝杆47上;第一对接齿轮组42包括支撑座49,支撑座49安装于床架1底部,支撑座49上套设有外轴承50,外轴承50上安装有齿环92,齿环92远离支撑座49的一侧安装有转动离合块51,转动离合块51的形状与从动离合块45的形状相适应,支撑座49内嵌装有内轴承90,变速轴44穿过内轴承90设置并且能够在内轴承90中转动或移动,床架1底部设有若干个轴承机构28,第一传动轴26和变速轴44分别转动设置在轴承机构28内。A diagnosis and treatment bed for medical and internal medicine rehabilitation includes a
需要调整床板的形状时,驱动电机23通过驱动轴24驱动主动锥齿轮25转动,主动锥齿轮25带动啮合的第一从动锥齿轮27和第二从动锥齿轮38转动,第一从动锥齿轮27通过第一传动轴26带动安装座29转动,安装座29再通过啮合的第二传动齿轮33带动第一丝杆32转动,从而通过床尾板升降机构34带动床尾板70转动以升降;第二从动锥齿轮38带动第二传动轴39转动,第二传动轴39上的第一变速齿轮40和第二变速齿轮41分别带动啮合的第一对接齿轮组42和第二对接齿轮组43转动,第二液压缸89驱动变速轴44移动使从动离合块45分别与第一对接齿轮组42或第二对接齿轮组43上的转动离合块51卡合,使第一对接齿轮组42或第二对接齿轮组43通过从动离合块45带动变速轴44转动,变速轴44再通过传动机构46驱动第二丝杆47转动,从而通过床头板升降机构48带动床头板68转动以升降。When the shape of the bed plate needs to be adjusted, the driving
其中,第一变速齿轮40和第二变速齿轮41的直径不同,使得分别带动的第一对接齿轮组42和第二对接齿轮组43转动速度不同,通过调节变速轴44上的从动离合块45分别与第一对接齿轮组42或第二对接齿轮组43卡合,可控制变速轴44的转动,继而调节第二丝杆47的转动,从而可调节床头板68的转动速度。对一般患者,使从动离合块45与第二对接齿轮组43配合,以正常速度控制床头板68转动升降;对身体不适的患者,使从动离合块45与第一对接齿轮组42配合,控制床头板68以较慢的速度转动升降。Wherein, the diameters of the first
一般,患者腿部的提升相较上身的提升要少,在床尾板70转动到合适的位置后,通过第一液压缸31驱动第一传动轴26移动,使第一从动锥齿轮27脱离与主动锥齿轮25的啮合,此时第一传动齿轮30也脱离与第二传动齿轮33的啮合,从而使第一丝杆32停止转动,床尾板升降机构34将床尾板70限定在该位置。此时,第二从动锥齿轮38仍与主动锥齿轮25啮合,继续通过床头板升降机构48带动床头板68转动,将床头板68转动到合适的位置再停止。Generally, the lifting of the patient's legs is less than the lifting of the upper body. After the
扶手架机构4包括设置于床架1上同一侧的两个转动座6,转动座6内转动设置有扶手架7,扶手架7呈U形,转动座6上部设有固定座8,固定座8内侧设有卡块9,固定座8内螺纹连接有固定螺栓11,固定螺栓11内端与卡块9转动相连,卡块9内侧设置有橡胶垫10,转动固定螺栓11能够控制卡块9远离固定座8从而将扶手架7夹住或靠近固定座8从而松开扶手架7,卡块9和固定座8之间通过导向机构配合,一侧额的扶手架7上套设有桌板5,桌板5上设有安装孔20,扶手架7穿过安装孔20设置,桌板5内设有容纳槽12,容纳槽12内设置有拉伸板13,桌板5前后侧的内壁上开设有引导槽14,拉伸板13前后侧设有引导销柱15,引导销柱15设置于引导槽14内,拉伸板13下部设有支撑槽21,支撑槽21为半圆形,其直径与扶手架7的直径相适配。The
容纳槽12左侧上部设有嵌入部16,拉伸板13右侧上部设有卡合部18,桌板5左端设有突出部17,拉伸板13顶部与卡合部18的连接处设有拼接面19,拉伸板13与桌板5拼接后,突出部17左端抵在拼接面19上。拉伸板13左端设有把手22。The upper left side of the
引导槽14包括一个水平段以及向朝向左上方的倾斜段,在从收纳槽12向外拉拉伸板13的同时完成左移和上升。The
将拉伸板13从容纳槽12内抽出或将拉伸板13收入容纳槽12内时,引导销柱15在引导槽14内移动,使拉伸板13沿设定的轨迹移动,完成与桌板5的拼接或与桌板5脱离。嵌入部16与卡合部18均为向内凹的结构,从而形成供拉伸板13上升的空间。When the stretching
使用时,翻转桌板5到床板上方,通过把手22将拉伸板13从容纳槽12内拉出,至嵌入部16与卡合部18贴合、突出部17与拼接面19贴合,使得拉伸板13上端面与桌板5上端面齐平,两者拼接成整体,同时支撑槽21套在扶手架7上得到支撑。嵌入部16抵在卡合部18上,可阻挡桌板5向下转动,从而使拉伸板13和桌板5的位置固定,供人使用。When in use, turn the
床尾板升降机构34包括丝杆螺母块71、滑动杆72、导轨73、导向块74、支撑臂75和耳板76,滑动杆72固定在丝杆螺母块71上,滑动杆72下部设有若干导向块74,导轨73设置在床架1的底部,导向块74能够沿着导轨73的长度方向移动,滑动杆72上转动设置有若干支撑臂75,支撑臂75另一端铰接有耳板76,床尾板升降机构34的丝杆螺母块71安装于第一丝杆32上,床尾板升降机构34的耳板76与床尾板70底面相连,床头板升降机构48与床尾板升降机构34结构相同,床头板升降机构48的丝杆螺母块71安装于第二丝杆47上,床头板升降机构48的耳板76与床头板68的底面相连。The
床架1底部设有导向槽36,导向槽36上安装有能够沿其长度方向移动的齿轮定位机构37,齿轮定位机构37和安装座29之间通过连接架35相连接,齿轮定位机构37包括设置于导向槽36上的支撑块63,支撑块63上部设有插入座64,插入座64内插入有支撑杆65,支撑杆65通过固定螺栓固定于插入座64上,支撑杆65靠近第二传动齿轮33的一端连接有插入板66,插入板66上固定插入有若干固定销67,固定销67右部呈圆锥状,固定销67的排布方式与第二传动齿轮33的齿槽相匹配,固定销67能够插入第二传动齿轮33的两个相邻的轮齿之间。The bottom of the
第一液压缸31驱动第一传动齿轮30脱离与第二传动齿轮33的啮合,安装座29通过连接架35带动齿轮定位机构37一起移动,固定销67插入第二传动齿轮33的齿槽内,将第二传动齿轮33固定,防止第二传动齿轮33转动。这样一来起到固定第一丝杆32的作用,使床尾板70位置固定,二来再第一液压缸31驱动第一传动齿轮30移动时,可以与第二传动齿轮33方便地啮合,防止轮齿错位无法对准。The first
轴承机构28包括轴承座52,轴承座52上部中间位置设有底部轴承部53,轴承座52上部位于底部轴承部53两侧的位置开槽,槽内转动设置有第三丝杆56,第三丝杆56上设有活动块91,活动块91上安装有连接块54,连接块54上固定有侧面轴承部55,侧面轴承部55和底部轴承部53拼接后能够形成供第一传动轴26和变速轴44转动或移动的轴承,第三丝杆56穿过槽的一端连接有丝杆齿轮57,轴承座52上位于第三丝杆56下方的位置转动设置有驱动手柄58,驱动手柄58上设有驱动齿轮59,驱动齿轮59与丝杆齿轮57啮合,驱动手柄58上远离驱动齿轮59的一端连接有棘轮60,驱动手柄58下方设有棘爪调节柄62,棘爪调节柄62内端连接有棘爪61,棘爪61与棘轮60相配合。The
通过驱动手柄58带动驱动齿轮59转动,驱动齿轮59通过丝杆齿轮57带动第三丝杆56转动,使连接块54带动侧面轴承部55向内侧移动,与底部轴承部53拼接层一个供第一传动轴26和变速轴44转动或移动的轴承。棘轮60和棘爪61的设置,可防止驱动手柄58反转,从而限定侧面轴承部55的位置,使第一传动轴26和变速轴44转动更加稳定,避免晃动。轴承机构28的结构设计,可方便从中取出第一传动轴26和变速轴44来进行更换或维修。The driving handle 58 drives the
传动机构46包括第三传动轴85、安装于变速轴44上的第三传动齿轮84、安装于第二丝杆47上的第四传动齿轮88,第三传动轴85上安装有第六传动齿轮87和第五传动齿轮86,第五传动齿轮86与第三传动齿轮84啮合,第六传动齿轮87与第四传动齿轮88啮合。The
第三传动齿轮84的宽度大于第五传动齿轮86的宽度加变速轴44的移动范围,从而使第三传动齿轮84在移动的过程中始终与第五传动齿轮86保持啮合状态。The width of the
床架1下部的四个边角处开设有收纳槽2,收纳槽2内安装有滚轮机构3,滚轮机构3在使用时能够从收纳槽2中转出以支撑床架1移动,滚轮机构3在不使用时能够转入收纳槽2内收纳。收纳槽2内设有中心杆77,滚轮机构3包括转动设置于中心杆77上的滚轮座78,滚轮座78上安装有滚轮83,中心杆77上套设有第三弹簧79和第四弹簧80,第三弹簧79位于收纳槽2的顶壁与滚轮座78之间,第四弹簧80位于滚轮座78与收纳槽2的底部之间,第三弹簧79上端连接有挡板81,还包括调节块82,调节块82能够套在中心杆77上从而卡在收纳槽2的顶壁与挡板81之间。The four corners of the lower part of the
不使用滚轮机构3时,其置于收纳槽2内储存,以减少空间的占用。需要使用滚轮机构3时,在中心杆77上转动滚轮座78,使滚轮座78转动一百八十度后滚轮83从收纳槽2中离开,将调节块82卡入位于挡板81和收纳槽2顶壁之间的中心杆77上,从而压缩第三弹簧79和第四弹簧80,使滚轮83下降与地面接触,可以推动床移动。When the
以上所述仅是本发明的优选实施方式,本发明的保护范围并不仅局限于上述实施例,凡属于本发明思路下的技术方案均属于本发明的保护范围。应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理前提下的若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above are only the preferred embodiments of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions under the idea of the present invention belong to the protection scope of the present invention. It should be pointed out that for those skilled in the art, some improvements and modifications without departing from the principle of the present invention should also be regarded as the protection scope of the present invention.
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