CN112690983A - Operating table for lateral position breast puncture - Google Patents

Operating table for lateral position breast puncture Download PDF

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Publication number
CN112690983A
CN112690983A CN202110074389.4A CN202110074389A CN112690983A CN 112690983 A CN112690983 A CN 112690983A CN 202110074389 A CN202110074389 A CN 202110074389A CN 112690983 A CN112690983 A CN 112690983A
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China
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bed
patient
backing plate
arm
lateral position
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CN202110074389.4A
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CN112690983B (en
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朱建斌
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Huzhou Nanxun Xinjiang Medical Instrument Co ltd
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Huzhou Nanxun Xinjiang Medical Instrument Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1235Arms

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

本发明涉及医疗用床领域,具体涉及一种用于侧卧位乳房穿刺的手术床,包括床板和手臂放置装置,所述手臂放置装置包括垫板、安装在所述垫板一端的转动部和用于维持所述垫板位置的支撑结构,所述床板沿左右方向的一侧或两侧设置有可容纳所述垫板的容纳槽,所述垫板通过所述转动部安装在所述容纳槽内并能够上下转动,且所述转动部安装在所述容纳槽沿前后方向的前端。当病人侧卧位时,先将所述垫板往下转动,然后病人可将身体下方的手臂伸到所述床板的下方,上臂呈自然下垂状态,下臂放置在所述垫板上,有效避免了上臂和肩部对胸部的挤压,使病人胸部充分舒展,有利于在妇科乳房穿刺检查中暴露病灶部位。

Figure 202110074389

The invention relates to the field of medical beds, in particular to an operating bed for breast puncture in a lateral position, comprising a bed board and an arm placing device, the arm placing device comprising a backing plate, a rotating part installed at one end of the backing board and a A support structure for maintaining the position of the backing board, one or both sides of the bed board along the left-right direction is provided with an accommodating groove for accommodating the backing board, and the backing board is installed in the receiving board through the rotating part It can rotate up and down in the groove, and the rotating part is installed at the front end of the accommodating groove in the front-rear direction. When the patient is lying on the side, first turn the backing plate downward, and then the patient can extend the arm under the body to the bottom of the bed, the upper arm is in a natural drooping state, and the lower arm is placed on the backing plate, effectively It avoids the squeezing of the chest by the upper arm and the shoulder, so that the patient's chest can be fully stretched, and it is beneficial to expose the lesion in the gynecological breast puncture examination.

Figure 202110074389

Description

Operating table for lateral position breast puncture
Technical Field
The invention relates to the field of medical beds, in particular to an operating bed for lateral position breast puncture.
Background
In gynecological chest examination, multi-directional and multi-angle breast puncture is usually required, so that a patient needs to change the lying position to cooperate with examination, and generally takes a supine position and a lateral lying position. When the patient lies on the back, the chest of the patient is fully stretched and can be fully checked, but one arm of the patient is certainly positioned below the body when the patient lies on the side, and the upper arm and the shoulder of one side below the body can extrude the chest of the patient, so that the chest of the patient cannot be fully stretched, the focus part is not exposed, the breast puncture is affected, the checking is incomplete, and the life health of the patient is seriously even threatened. In the actual examination, the doctor usually can let the patient of lateral position rest the arm of health below in the head below to avoid the arm to produce the extrusion to the chest, nevertheless the arm is raised the back and can still can be pressed on the bed board by the chest, can't thoroughly solve the chest and by the extruded problem, the arm presses in the head below for a long time in addition and also can cause patient's discomfort.
In the existing medical bed for the lateral position of the patient, an arm supporting mechanism is mostly arranged on the outer side of a bed body, the height of the arm supporting mechanism is approximately parallel and level to the bed body, and the patient can forwardly extend the arm below the body out of the bed body and place the arm on the arm supporting mechanism when in the lateral position, so that the chest is prevented from being extruded by the arm, but the joint of the upper arm and the shoulder is still positioned between the bed body and the body, or the chest is extruded to a certain extent, and the effect is poor. For solving above-mentioned problem, the medical bed that can let the arm place in bed body below has appeared, the operation bed for neurosurgery with lateral position arm placer that discloses like chinese patent application No. 201520844851.4, including the bed body and arm placer, arm placer holds in the palm the groove and holds in the palm the groove with the lower arm including the fixed bolster, the upper arm that connect gradually, the one end of fixed bolster with bed body coupling, the other end of fixed bolster with the one end vertical connection of upper arm support groove just the upper arm support groove is vertical form setting at the lower extreme of support, the other end in upper arm support groove is connected through pivot end vertical the lower arm support groove. Arm placer in this patent is located the below of the bed body, and upper arm support groove and underarm support groove mutually perpendicular, and patient can place the arm flagging of below on arm placer when taking the lateral position posture, and the upper arm adapts to the upper arm and holds in the palm the groove, and the crooked adaptation underarm of underarm holds in the palm the groove, has effectively avoided the chest to receive the extrusion of below arm, realizes the expansion of chest. However, the arm placing device in the patent is located below the edge of the bed body, and when a patient wants to place the lower arm on the arm placing device with a droop manner, the patient needs to place the arm from the outer side of the edge of the bed body, and the patient needs to lie on the side of the edge of the bed body, so that the patient is easy to roll down from the bed body, and potential safety hazards are caused. In addition, the mutually perpendicular shape of the upper arm bracket and the lower arm bracket in the arm placing device cannot be changed in the using process, and the requirement of different patients on comfort cannot be met.
Disclosure of Invention
The invention is to solve the above problems in the prior art, and an object of the present invention is to provide an operating table for lateral position breast puncture, which includes a table plate and an arm placing device, wherein the arm placing device includes a base plate, a rotating part mounted at one end of the base plate, and a supporting structure for maintaining the position of the base plate, one side or both sides of the table plate along the left-right direction are provided with accommodating grooves for accommodating the base plate, the base plate is mounted in the accommodating grooves through the rotating part and can rotate up and down, and the rotating part is mounted at the front end of the accommodating grooves along the front-back direction.
As a preferred aspect of the present invention, the support structure is a first damping rotation shaft installed in the rotation part.
Preferably, the support structure includes a support element with one end rotatably mounted on the inward side of the base plate and a plurality of fixing columns arranged in the front-back direction and arranged on the bed plate on the side facing the base plate, and the other end of the support element is provided with a positioning sleeve for the fixing columns to pass through.
Preferably, an extension groove is formed in the position, adjacent to the rear portion of the accommodating groove, of the bed board, and the extension groove is communicated with the accommodating groove.
Preferably, the pad plate has a protrusion portion that can be correspondingly disposed in the protrusion groove.
Preferably, the upper surface of the pad is shaped into an arc that can be fitted to an arm of a human body.
Preferably, a support rod is rotatably mounted on the outer side of the base plate through a second damping rotating shaft, and the support rod can rotate in the vertical direction.
Preferably, a headrest device is disposed at a rear side of the bed plate, and the headrest device includes a pillow and a height adjustment mechanism for adjusting a height of the pillow.
Preferably, the headrest device further comprises a moving mechanism for driving the pillow to move along the left-right direction.
Preferably, the coating material on the upper surface of the backing plate is memory sponge or medical polyurethane.
Has the advantages that:
1) the arm placing device is positioned in the range of the integral frame of the bed plate, so that the space resource occupied by the integral medical bed is saved, and the inconvenience of the arm placing device to doctors and patients is effectively reduced;
2) the size of the accommodating groove still needs to be slightly larger than that of the cushion plate, so that a certain gap exists between the cushion plate and the bed plate, and the cushion plate is prevented from rotating downwards due to too tight contact between the cushion plate and the bed plate;
3) the arms of the patient can naturally droop onto the base plate after the patient lies on the side, and do not need to droop from the outer side of the bed plate, so that the comfort of placing the arms of the patient is ensured, the patient does not need to lie on the side at the edge of the bed plate, the hidden danger that the patient rolls down from the bed plate is eliminated, and the safety of the patient when lying on the side is ensured;
4) the naturally drooping upper arm is approximately vertical to the body, so that the chest is prevented from being extruded by the upper arm, and the shoulder is further pulled to the outer side of the body by the upper arm extending out of the body, so that the chest extrusion by the shoulder is effectively reduced, and the chest is fully expanded;
5) after the extension groove is preferably arranged, the position of the patient lying on side is further far away from the edge of the bed plate, so that the hidden danger that the patient rolls down from the bed plate is further reduced, meanwhile, the supporting area of the bed plate on the body of the patient is greatly increased, the patient can be more comfortable when lying on side, the support on the body of the patient is increased without applying pressure to the base plate through arms, and the physical consumption of the patient and the strength requirement of the supporting structure are reduced;
6) the backing plate with the protruding parts is L-shaped as a whole, the protruding parts can be used as handles for applying force to the backing plate manually, manual force application is facilitated, physical strength of a force applicator is saved, and in addition, when the backing plate is located at an initial position, the protruding parts can be filled in the extending grooves, so that the medical bed can be used as a normal medical bed for patients;
7) the resistance generated by the first damping rotating shaft to the rotating part is enough to ensure that the base plate is maintained at a certain position and does not rotate, and the resistance can be easily overcome when a single person applies force to the base plate;
8) the height adjusting mechanism can adjust the pillow to the required height to meet the requirements of patients with different body types, so that the head and neck can keep a good posture to bear pressure;
9) when the patient lies at the left side position, the pillow can be moved to the left side area, and when the patient lies at the right side position, the pillow can be moved to the right side area, so that the cost of the pillow is effectively saved;
10) the supporting rod is rotated upwards to be in a generally vertical shape as a whole, and then supports such as a back cushion and the like can be placed between the supporting rod and the back of the patient to fill the space between the supporting rod and the back of the patient, so that the back of the patient is fully supported, and the lateral position posture is kept for a long time;
11) the shape of the upper surface of the backing plate is preferably designed to be an arc shape which is adaptive to the arms of a human body, and the coating material on the upper surface of the backing plate can be preferably memory sponge or medical polyurethane, so that the comfort of placing the arms is improved.
Drawings
FIG. 1 is a schematic view of the overall structure of an operating table for lateral breast puncture according to the present invention;
FIG. 2 is a schematic structural view of the arm rest according to the present invention;
FIG. 3 is a schematic view of a headrest apparatus according to the present invention;
fig. 4 is a schematic structural view of a height adjusting mechanism and a moving mechanism in the headrest apparatus;
in the figure: 1. the device comprises a bed plate, 2, an arm placing device, 3, a headrest device, 11 accommodating groove, 12, an extending groove, 21, a rotating part, 22, a cushion plate, 23, a supporting structure, 24, a first damping rotating shaft, 25, a supporting rod, 26, a second damping rotating shaft, 231, a supporting element, 232, a fixing column, 233, a positioning sleeve, 31, a pillow, 32, a height adjusting mechanism, 33, a moving mechanism, 321, a supporting plate, 322, a limiting hole, 323, a pressing sheet, 324, a nut, 325, a bolt, 331, a support seat, 332, a support plate, 333, an installing hole, 334 and a sliding rod.
Detailed Description
The following specific examples are given by way of illustration only and not by way of limitation, and it will be apparent to those skilled in the art from this disclosure that various changes and modifications can be made in the examples without inventive faculty, and yet still be protected by the scope of the claims.
In fig. 1, a bed board 1 of an operating table for lateral position breast puncture is a long board adapted to a human body, and the bed board 1 is set horizontally in this embodiment, and it is specified that one end of the bed board 1 corresponding to the head of the human body is the rear, one end corresponding to the feet of the human body is the front, and it is specified that both sides of the bed board 1 are the left and right sides. In addition, since the arm placing device 2 is mainly used for placing the arms of the patient in the lateral position, which are positioned below the body, in the two arms of the patient in the lateral position, the arms mentioned herein refer to the arms of the patient in the lateral position, which are positioned below the body in the two arms. It is default here that in actual use there is a support member that lifts the bed board 1 half empty and there is room for the tie plate 22 to rotate down under the arm support 2.
Fig. 1 shows that the operating bed for lateral position breast puncture of the present invention comprises a bed plate 1 and an arm placing device 2, and the arm placing device 2 is located within the integral frame range of the bed plate 1, rather than being directly installed on the edges of the left and right sides of the bed plate 1 to make itself integrally protruded outside the bed plate 1, so that the space resources occupied by the whole medical bed are saved, and the inconvenience of the arm placing device 2 to doctors and patients is effectively reduced. In order to enable the arm placing device 2 to be located within the overall frame range of the bed board 1, in this embodiment, an accommodating groove 11 for accommodating the arm placing device 2 is provided on the left side and/or the right side of the bed board 1, and if the arm placing in the left side lying position or the right side lying position needs to be met, the accommodating groove 11 is provided on the left side or the right side of the bed board 1; if the arm when needs can satisfy left side position and right side position simultaneously is placed, then the left side and the right side of bed board 1 all set up holding tank 11. The accommodating groove 11 is located in the whole frame range of the bed board 1, and the accommodating groove 11 can be reserved at a corresponding position when the bed board 1 is processed and manufactured. Since the pad 22 in the arm rest device 2 occupies most of the space in the receiving groove 11, the position of the receiving groove 11 mainly corresponds to the position of the pad 22, and the pad 22 is a part directly supporting the arm of the patient, which should substantially cover the range from the shoulder to the waist of the human body in the front-back direction, and therefore the receiving groove 11 should also substantially extend from the shoulder to the waist of the human body in the front-back direction; the width of the pad 1 in the left-right direction is not limited too much, and in this embodiment, the width is preferably about 1-3 times of the width of the arm of the human body, and the width of the accommodating groove 11 in the left-right direction corresponds to the pad. Of course, since the backing plate 22 needs to rotate in the up-and-down direction, although the shape and size of the receiving groove 11 correspond to the backing plate 22, the size of the receiving groove 11 needs to be slightly larger than the size of the backing plate 22, so that a certain gap exists between the backing plate 22 and the bed board 1, and the backing plate 22 is prevented from rotating downwards due to too tight contact therebetween. The accommodation groove 11 extends from the shoulder to the waist of the patient in the front-back direction, so that when the cushion plate 22 rotates to the lower side of the bed plate 1, the arms of the patient in the lateral position are placed on the cushion plate 22 in a downward hanging manner, the parts of the patient from the shoulder to the waist are all located above the accommodation groove 11, and are in an unsupported suspended state, and the head and the waist of the patient are still supported by the bed plate 1. Compare in prior art patient need lie on one's side at the edge of bed board 1 so that hang down to arm strutting arrangement 2 with the arm from the bed board 1 outside, patient's back arm that lies on one's side can hang down to naturally in this embodiment on backing plate 22, and need not to follow the outside of bed board 1 is flagging, has guaranteed the travelling comfort that patient's arm was placed, also makes patient need not to lie on one's side at the edge of bed board 1, has got rid of patient and has rolled the hidden danger that gets off from bed board 1, has guaranteed the safety when patient lies on one's side.
The rotating part 21 of the backing plate 22 can be installed at the front end of the accommodating groove 11 in the front-back direction and also can be installed at the rear end of the accommodating groove 11, namely, the backing plate 22 has two modes of supporting the arm of the patient, namely, the front end of the backing plate 22 rotates downwards around the rear end, and the rear end of the backing plate 22 rotates downwards around the front end. If the first method is adopted, the whole arm of the patient placed on the backing plate 22 is attached to the backing plate 22 in an inclined manner, and the upper arm and the shoulder are close to the rotating part 21, so that the upper arm cannot naturally droop, and the chest cannot be well stretched. If the second mode is selected, an angle is opened between the cushion plate 22 and the bed plate 1, the distance between each part of the cushion plate 22 and the bed plate 1 decreases gradually from the rear end to the front end of the cushion plate 22, the shoulders of the patient approximately correspond to the rear end of the cushion plate 22, the upper arm of the patient can naturally droop from the position, then the elbow joint bends to enable the lower arm to be placed on the cushion plate 22, the upper arm is approximately vertical in the naturally drooping state, the body of the patient is approximately horizontal under the support of the bed plate 1, so that the upper arm is approximately vertical to the body, the chest is prevented from being extruded by the upper arm, the shoulder is further pulled towards the outer side of the body by the upper arm extending outwards, the extrusion of the shoulder to the chest is effectively reduced, and the chest is fully expanded. Therefore, the second mode is preferable in this embodiment, that is, the rotating part 21 is mounted at the front end of the accommodating groove 11.
Further, in this embodiment, an extending groove 12 is further disposed at a position adjacent to the rear portion of the accommodating groove 11 on the bed plate 1, the extending groove 12 is communicated with the accommodating groove 11, the two are communicated to form a whole body in an L shape, and the extending groove 12 approximately corresponds to the position of the shoulder of the patient. In the original solution, the size of the receiving slot 11 in the front-back direction is large, the patient cannot be supported from the shoulder to the waist, and in practice, the arm placed on the arm supporting device 2 may need to apply pressure to the pad 22 to obtain a reaction force to increase the support for the body, which puts higher demands on the strength of the supporting structure 23, and inevitably increases the cost of the supporting structure 23. After the extension groove 12 is preferably arranged in this embodiment, the position of the patient lying on one side can be moved from the position above the accommodating groove 11 to the position above the extension groove 12 in the original scheme along the left-right direction, so that the patient is further far away from the edge of the bed plate 1, and the hidden danger that the patient rolls down from the bed plate 1 is further reduced. Meanwhile, since the size of the extension groove 12 in the front-back direction is much smaller than that of the receiving groove 11 in the front-back direction, when the lateral position of the patient moves, the suspension area under the body of the patient is changed from the receiving groove 11 to the extension groove 12, the suspension area is greatly reduced, in other words, the supporting area of the bed plate 1 on the body of the patient is greatly increased, so that the patient can be more comfortable when lying on the side, and the arm is not required to apply pressure to the cushion plate 22 to increase the support on the body, thereby reducing the physical consumption of the patient and the strength requirement of the supporting structure 23. When a patient lies on the bed board provided with the extension grooves 12 on one side, the shoulders of the patient are approximately positioned above the extension grooves 12, the patient can extend the upper arms from the extension grooves 12 to the lower part of the bed board 1, and then the arms are obliquely placed on the base plate 22 slightly outwards.
In a further improvement, the backing plate 22 further has a protrusion 221 capable of being correspondingly disposed in the protruding groove 12, the shape of the protrusion 221 is identical to that of the protruding groove 12, and the size of the protrusion 221 is slightly smaller than that of the protruding groove 12, so that a certain gap exists between the backing plate and the bed plate to prevent the protrusion 221 from leaving the protruding groove 12 due to the close contact therebetween. The backing plate 22 with the protruding portion 221 is also L-shaped, in practical use, the backing plate 22 without the protruding portion 221 can already meet the requirement of placing the arm of the patient, but in this embodiment, the rotation of the backing plate 22 needs to be manually pushed, and the arm supporting device 2 further comprises a supporting structure 23 for maintaining the position of the backing plate 22, when the backing plate 22 is manually pushed to rotate, the supporting structure 23 needs to be overcome to support the backing plate to do work, the pushing force which needs to be applied is usually large, the backing plate 22 is simple in structure, no appropriate stress point exists on the backing plate, and if the protruding portion is arranged on the backing plate, the protruding portion 221 can serve as a handle for manually applying force to the backing plate 22, so that manual force application is facilitated, and the physical strength of a force applicator is saved. In addition, when the backing plate 22 is located in the receiving groove 11, the entire hospital bed can be used as a normal hospital bed for patients, the protruding groove 12 is hollow up and down, and the body part corresponding to the protruding groove 12 cannot be supported when the patient lies down, which may cause inconvenience to the normal use of the patient and may also affect the appearance, and the protrusion 221 can be filled in the protruding groove 12 to make up for the above-mentioned disadvantages.
The base plate 22 is rotated relative to the bed plate 1 by the rotating portion 21, the rotating portion 21 may adopt a common hinge structure, and when the base plate 22 is rotated to a proper position, a supporting mechanism 23 is further required to maintain the position of the base plate 22, and the supporting force of the supporting mechanism 23 on the base plate 22 should be able to resist the sum of the self weight of the base plate 22 and the pressure of the arm of the patient on the base plate 22. If the supporting force of the supporting structure 23 to the backing plate 22 is very large, the above requirements can be met certainly, but considering that the backing plate 22 may need to be overcome to do work when being manually pushed to rotate, the above supporting force needs to be overcome by a single person to apply force manually, so that the above supporting force needs to meet two conditions at the same time, and is analyzed specifically according to the characteristics of the supporting structure. In this embodiment, it is preferable that the supporting structure 23 is a first damping rotating shaft 24 installed in the rotating portion 21, when the bed board 1 adopts a scheme with the extending groove 12, the bed board 1 well supports the body of the patient, the patient only places the arm on the cushion board 22, and the force is not applied to the cushion board 22 in normal use, so that the supporting force required by the cushion board 22 is small, the resistance generated by the first damping rotating shaft 24 to the rotating portion 21 is enough to enable the cushion board 22 to be maintained at a certain position without rotating, and the resistance is also enough to be easily overcome when the single person applies the force to the cushion board 22. The first damping rotating shaft 24 is adopted to further facilitate the use of the arm placing device 2, and the user can push the rear end of the arm placing device to rotate downwards to any required position by applying force to the backing plate 22, so that the rear end of the arm placing device can rotate downwards within the range of 0-90 degrees in practical use. The second embodiment of the supporting structure 23 includes a supporting member 231 having one end rotatably mounted on the inward side of the base plate 22 and a plurality of fixing posts 232 arranged in the front-rear direction on the bed plate 1 and facing the base plate 22, the other end of the supporting member 231 is provided with a positioning sleeve 233 for the fixing posts 232 to pass through, and the front end of the supporting member 231 is rotatably mounted on the base plate 22 and the rear end thereof is provided with the positioning sleeve 233. When the backing plate 22 is in the initial position, the front end and the rear end of the supporting element 231 are kept horizontal, the positioning sleeve 233 is matched with the positioning column 232 at the rearmost end, one end of the supporting element 231 pulls the fixing column 232 at the rearmost end, and the other end pulls the hinge joint of the supporting element 231 and the backing plate 22, so that the backing plate 22 is kept horizontal; when the backing plate 22 needs to be rotated downwards, the positioning sleeve 233 is separated from the fixing column 232, the backing plate 22 is rotated to a certain position, and then the positioning sleeve 233 on the supporting element 231 is matched with the positioning column 232 at the corresponding position, so that the supporting structure is stable, the backing plate 22 can be effectively prevented from rotating downwards as long as the strength of the material is enough, but the position of the supporting element 231 needs to be manually adjusted in use, and the supporting structure is complex. With reference to the above two embodiments, a third embodiment of the supporting structure 23 may be designed, that is, the matching between the positioning sleeve 233 and the fixing column 232 in the second embodiment is changed to the matching between a sliding block and a sliding rail, the sliding rail is disposed at the position where the fixing columns 232 are arranged in the original scheme, the sliding block is disposed at the position of the positioning sleeve 233 in the original scheme, the sliding block is rotatably connected to the supporting element 231, the sliding block is integrally disposed on the sliding rail, and the sliding block is slidably connected to the sliding rail with damping. When the backing plate 22 rotates downward, the end of the supporting element 231 connected to the backing plate is driven to move downward, so as to generate a forward pulling force on the other end of the supporting element 231, the other end of the supporting element 231 is moved in the slide rail to realize position change, and the damping between the slide rail and the slide rail can maintain the position relationship.
When the patient uses the medical bed normally, the arms of the patient are placed on the backing plate 22, the arms do not exert force as much as possible, and the body of the patient is supported mainly by the bed plate 1. When the bed plate 1 does not have the extension groove 12, the shoulders to the waist of the patient body are suspended, and the head, the neck and the lower part of the waist are supported by the bed plate 1; when the bed board 1 is provided with the extending groove 12, the shoulders of the patient body are suspended, and the head, the neck and the lower part of the shoulders are supported by the bed board 1. In both cases, the patient's head and neck are subjected to a greater support force, and in particular in the first case, the patient's head and neck are subjected to greater pressure, which may cause discomfort to the patient and therefore need to be supported well in order to maintain a good posture. In the embodiment, a headrest device 3 specially used for supporting the head and neck of a patient is preferably arranged at the rear side of the bed plate 1, and comprises a pillow 31 and a height adjusting mechanism 32 for adjusting the height of the pillow 31, the pillow 31 can be adjusted to the required height in actual use so as to meet the requirements of patients with different body types, and in general, in order to keep the head and neck in a good posture to bear pressure, the neck is kept in a horizontal state, and then the pillow 31 is adjusted to the height capable of supporting the head to make the neck horizontal. In the embodiment shown in fig. 4, the height adjusting mechanism 32 preferably comprises two substantially parallel supporting plates 321, one end of the supporting plate 321 is rotatably connected to the rear side of the backing plate 22, and the other end is rotatably connected to the pillow 31, so that the height of the pillow 31 can be adjusted by rotating the supporting plate 321; mounting holes 322 are respectively arranged at the corresponding positions of the two support plates 321 in the vertical direction, a nut 324 with a pressing sheet 323 is placed in one mounting hole 322, the pressing sheet 323 is tightly attached to the support plates 321, a bolt 325 matched with the nut 324 is inserted into the other mounting hole 322, the bolt 325 and the nut 324 are screwed, the head of the bolt 325 is tightly attached to one support plate 321, the pressing sheet 323 of the nut 324 is tightly attached to the other support plate 321, and the two support plates 321 are locked in the vertical direction to fix the positions of the two support plates 321.
When the arm supporting devices 2 are arranged on the left side and the right side of the medical bed, a patient can adopt a left side lying position or a right side lying position according to needs, but the width of the bed plate 1 is often large under the condition, so that the width of the pillow 31 can adapt to the width of the bed plate 1, in order to save cost, the headrest device 3 preferably further comprises a moving mechanism 33 for driving the pillow 31 to move along the left-right direction, and only one pillow with a small size needs to be correspondingly arranged. When the patient is in the left recumbent position, the pillow 31 is moved to the left area; when the patient is in the right side lying position, the pillow 31 is moved to the right side area, and the cost of the pillow 31 is effectively saved. In this embodiment, the moving mechanism 33 preferably includes a support 331 and at least two sliding rods 334 fixed below the pillow 31, the two sliding rods 334 are parallel to each other and extend in the left-right direction, the support 331 has support plates 332 on the left and right sides, the support plates 332 are provided with limiting holes 333 through which the sliding rods 334 pass, and the pillow 31 is mounted on the support plates 332 through the sliding rods 334 and can move in the limiting holes 333 in the left-right direction. After the moving mechanism 33 is added, the height adjusting mechanism 32 is directly connected with the pillow 31 in a rotating way from the original scheme to realize indirect rotating connection with the pillow 31 through the rotating connection with the support 331.
In use, the posture of the patient in the lateral recumbent position is difficult to maintain for a long time, and usually needs to be maintained by external force, and in the embodiment shown in fig. 2, a support rod 25 is preferably rotatably mounted on the outer side of the base plate 22 through a second damping rotating shaft 26, and the support rod 25 can rotate in the up-and-down direction. When the patient adopts the left lateral decubitus or the right lateral decubitus, the backing plate 22 on the other side is still in the initial state, the supporting rod 25 on the backing plate 22 can be rotated upwards to be in a generally vertical shape, and then supports such as a back cushion and the like can be placed between the supporting rod 25 and the back of the patient to fill the space between the supporting rod and the back of the patient, so that the back of the patient is fully supported, and the posture of the lateral decubitus is kept for a long time. In addition, when in use, the upper arm of the patient naturally hangs down to be approximately vertical, the elbow joint of the patient is bent to enable the lower arm to be placed on the backing plate 22, in order to increase comfort, the shape of the upper surface of the backing plate 22 can be preferably designed to be an arc shape which is adaptive to the arm of the human body, and the coating material on the upper surface of the backing plate 22 can be preferably memory sponge or medical polyurethane.

Claims (10)

1.一种用于侧卧位乳房穿刺的手术床,其特征在于,包括床板(1)和手臂放置装置(2),所述手臂放置装置(2)包括垫板(22)、安装在所述垫板(22)一端的转动部(21)和用于维持所述垫板(22)位置的支撑结构(23),所述床板(1)沿左右方向的一侧或两侧设置有可容纳所述垫板(22)的容纳槽(11),所述垫板(22)通过所述转动部(21)安装在所述容纳槽(11)内并能够上下转动,且所述转动部(21)安装在所述容纳槽(11)沿前后方向的前端。1. An operating bed for breast puncture in a lateral position, characterized by comprising a bed board (1) and an arm placement device (2), the arm placement device (2) comprising a backing plate (22), mounted on the A rotating part (21) at one end of the backing board (22) and a support structure (23) for maintaining the position of the backing board (22), one or both sides of the bed board (1) along the left-right direction are provided with adjustable an accommodating groove (11) for accommodating the backing plate (22), the backing plate (22) is installed in the accommodating groove (11) through the rotating part (21) and can be rotated up and down, and the rotating part (21) is installed at the front end of the accommodating groove (11) along the front-rear direction. 2.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述支撑结构(23)为安装在所述转动部(21)中的第一阻尼转轴(24)。2 . The operating bed for breast puncture in the lateral position according to claim 1 , wherein the support structure ( 23 ) is a first damping rotating shaft ( twenty four). 3.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述支撑结构(23)包括一端转动安装在所述垫板(22)朝内一侧的支撑元件(231)以及设置在所述床板(1)上朝向所述垫板(22)一侧的若干沿前后方向排列的固定柱(232),所述支撑元件(231)的另一端设置有可供所述固定柱(232)穿过的定位套(233)。3. An operating bed for breast puncture in a lateral position according to claim 1, characterized in that, the support structure (23) comprises one end of which is rotatably mounted on the inward side of the backing plate (22). A support element (231) and a plurality of fixed columns (232) arranged on the side of the bed board (1) facing the backing board (22) and arranged in the front-rear direction, the other end of the support element (231) is provided with A positioning sleeve (233) through which the fixing column (232) can pass. 4.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述床板(1)上与所述容纳槽(11)后部相邻的位置设置有伸出槽(12),所述伸出槽(12)与所述容纳槽(11)相连通。4. An operating bed for breast puncture in a lateral position according to claim 1, characterized in that a stretcher is provided on the bed board (1) at a position adjacent to the rear of the accommodating groove (11). An outlet slot (12) is provided, and the extension slot (12) is communicated with the accommodating slot (11). 5.根据权利要求4所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述垫板(22)具有可对应置于所述伸出槽(12)中的突出部(221)。5 . The operating bed for breast puncture in the lateral position according to claim 4 , wherein the backing plate ( 22 ) has a protrusion that can be placed in the protruding groove ( 12 ) correspondingly. 6 . (221). 6.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述垫板(22)上表面的形状为能够与人体手臂相适应的弧形。6 . The operating bed for breast puncture in the lateral position according to claim 1 , wherein the shape of the upper surface of the backing plate ( 22 ) is an arc shape that can be adapted to the human arm. 7 . 7.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述垫板(22)外侧通过第二阻尼转轴(26)转动安装有支撑杆(25),所述支撑杆(25)能够沿上下方向转动。7 . The operating bed for breast puncture in the lateral position according to claim 1 , wherein a support rod ( 25 ) is rotatably installed on the outside of the backing plate ( 22 ) through a second damping shaft ( 26 ). 8 . , the support rod (25) can rotate in the up-down direction. 8.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述床板的后侧设置有头枕装置(3),所述头枕装置(3)包括枕头(31)以及用于调节所述枕头(31)高度的高度调节机构(32)。The operating bed for breast puncture in the lateral position according to claim 1, wherein a headrest device (3) is provided on the rear side of the bed board, and the headrest device (3) comprises A pillow (31) and a height adjustment mechanism (32) for adjusting the height of the pillow (31). 9.根据权利要求8所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述头枕装置(3)还包括用于带动所述枕头(31)沿左右方向移动的移动机构(33)。9 . The operating bed for breast puncture in the lateral position according to claim 8 , wherein the headrest device ( 3 ) further comprises a device for driving the pillow ( 31 ) to move in the left-right direction. Movement mechanism (33). 10.根据权利要求1所述的一种用于侧卧位乳房穿刺的手术床,其特征在于,所述垫板(22)上表面的包覆材料为记忆海绵或医用聚氨酯。10 . The operating bed for breast puncture in the lateral position according to claim 1 , wherein the covering material on the upper surface of the backing plate ( 22 ) is memory foam or medical polyurethane. 11 .
CN202110074389.4A 2021-01-20 2021-01-20 Operating table for lateral position breast puncture Expired - Fee Related CN112690983B (en)

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