Convertible lithotomy position inspection washes bed
Technical Field
The invention relates to a gynecological examining table, in particular to a turnover type lithotomy position examining and flushing table which is used for carrying out cervical and vaginal examination and vaginal flushing on lithotomy positions of patients with old and weak bodies and inconvenient actions, and belongs to the technical field of medical instruments.
Background
Radiotherapy is an important treatment means for cervical cancer, in the process of radiotherapy, regular cervical and vaginal examination is required, a large amount of tumor necrotic tissues and secretions can be generated in the vagina of a cervical cancer radiotherapy patient, vaginal irrigation is required to remove the tumor necrotic tissues and the secretions, local inflammatory reaction is reduced, the treatment effect of tumors is improved, and complications after treatment are reduced. When carrying out cervicovaginal examination and vaginal irrigation, a patient needs to put a lithotomy position on a gynecological examination bed to cooperate with the operation.
In order to facilitate medical staff to stand for cervical and vaginal examination and vaginal irrigation of a patient, a gynecological examination bed is generally designed to be high, the patient needs to climb up the bed by means of a stool or pedals, then lies flat, places two feet on foot support frames on two sides, moves and places the body into a lithotomy position according to the requirements of the medical staff, and after the vaginal examination and irrigation are finished, the patient needs to move the body to the middle of the bed, puts down the two feet, and gets up and gets down along the original way. This series of bed-loading and bed-unloading and positioning actions is often difficult for the elderly, infirm and mobility-impaired patients, resulting in an impaired examination and treatment. In addition, because the structural design of the leg support frame matched with the existing gynecological examining table is not perfect enough, when the patient puts the lower limb on the leg support frame at the lithotomy position, the supporting plate of the leg support frame is only supported on the popliteal fossa, and other parts of the lower limb of the patient are suspended, so that the patient can not contract the muscle to keep the body position by self and forcefully, the matched examination and flushing cannot be relaxed, and the discomfort of the patient is aggravated; the height and the opening angle of the supporting plate of the leg supporting frame are adjusted in advance, and after the lower limbs of a patient are placed, the body sizes and the lengths of the lower limbs of different patients cannot be adjusted in real time, so that the body positions of the patient cannot be conveniently placed and fixed.
Disclosure of Invention
In order to solve the problems, the invention provides a turnover type lithotomy position examination and flushing bed which can be turned into a seat shape to enable the old and weak and mobility-handicapped patients to be placed in a sitting posture, then turned to a lying position along with an examination bed, the patients can be automatically placed into the lithotomy position, the patients do not need to be moved and placed in the lying posture, meanwhile, the support of the lower limbs of the patients is more perfect, the lower limb length and the lower limb opening angle of different patients can be adjusted in real time, and the bed is very convenient.
The specific technical scheme of the invention is as follows:
a turnover type lithotomy position examination and flushing bed is provided, the lower part of which is provided with a bed frame, and the upper corners at the two sides of the front end of the bed frame are hinged with a bed body which can be turned in a sitting and lying position; the bed body consists of a back plate and a pair of 'Gamma' shaped leg supports which can be opened and closed in a rotating way; when the bed body is in a sitting position, the backrest plate is arranged in a vertical direction of inclining backwards, two sides of the lower part of the back surface of the backrest plate are connected on hinge shafts which are extended from upper angles at two sides of the front end of the bed frame through hinge lugs, and the two leg supports extend forwards from the lower part of the backrest plate and form a backrest seat with a seat surface separated from the left and the right with the backrest plate; the leg support is characterized in that the leg support main body is a gamma-shaped bracket, the bending part of the bracket adopts fillet transition, the tail end of the vertical section of the bracket is connected with a vertical electric push rod extending downwards, the tail end of the rod body of the vertical electric push rod is connected with a sole supporting plate, and the tail end of the horizontal section of the bracket is connected with a transverse electric push rod extending backwards; the middle parts of the rod bodies of the transverse electric push rods of the two leg supports are respectively hinged on the two vertical supporting rods extending downwards from the back of the back plate, the tail ends of the rod bodies of the two transverse electric push rods are connected with a leg-stretching adjusting mechanism, and the two leg supports are simultaneously driven by the leg-stretching adjusting mechanism to synchronously rotate around the two vertical supporting rods in different directions, so that a pair of leg supports capable of being rotatably stretched and folded is formed; the bed frame is internally provided with a turnover control mechanism for controlling the bed body to turn over in a sitting position and a lying position, when the bed body turns over backwards to the lying position, the backrest plate is horizontally supported above the whole bed frame, and the two leg supports are upwards tilted to form the shape of the lithotomy position examination bed.
The leg stretching adjusting mechanism is provided with a straight lead screw, the straight lead screw is erected behind a vertical supporting rod on the back of the back plate, one end of the straight lead screw is connected with a leg stretching driving motor, one section of screw teeth are respectively arranged on the left side and the right side of the straight lead screw, the spiral directions of the two sections of screw teeth are opposite, two sections of screw teeth are respectively connected with a straight screw nut, the lower end of the straight screw nut is provided with a section of downward extending shifting rod, the shifting rods of the straight screw nuts on the left side and the right side are respectively movably inserted into long holes at the tail ends of transverse electric push rod bodies of the left leg support and the right leg support, the leg stretching driving motor drives the straight lead screw to rotate in situ, the two straight screw nuts synchronously rotate in different directions by stirring the shifting rods, and.
The turnover control mechanism is provided with an H-shaped swing arm, two support legs at the lower end of the swing arm are respectively hinged to the left side and the right side of the middle lower position of the bed frame, rotatable support wheels are respectively erected on the two support legs at the upper end of the swing arm, the two support wheels movably abut against the left side and the right side of the back of the bed body back plate, a transverse screw rod is arranged at the lower side of the swing arm in the middle of the bed frame, a transverse screw nut is connected onto the transverse screw rod, the outer portion of the transverse screw nut is hinged to the lower end of a connecting rod, the upper end of the connecting rod is hinged to the middle of a cross bar of the swing arm, the transverse screw nut drives the transverse screw rod to rotate in situ through a speed reducer, the transverse screw nut drives the connecting rod to pull the swing arm to swing, and the support wheels at the upper end of the swing arm control the turnover of the bed body in a lifting mode.
The bed frame is provided with front supporting blocks protruding forwards at the upper corners of the two sides of the front end of the bed frame respectively, the upper end faces of the front supporting blocks are provided with front overturning travel switches, when the bed body is overturned forwards to a sitting position, the lower end face of the back plate is clamped on the front supporting blocks, the front supporting blocks limit the limit position of the forward overturning of the bed body, and meanwhile, the front overturning travel switches control the overturning driving motor to stop forward overturning driving; the bed frame is provided with an upward convex straight-bar-shaped rear supporting block at the upper part of the rear end, the upper end face of the rear supporting block is provided with a backward turning travel switch, when the bed body is turned backwards to a lying position, the back face of the back plate is horizontally supported on the rear supporting block, the rear supporting block limits the limit position of the bed body turned backwards, and meanwhile, the backward turning travel switch controls the turning driving motor to stop backward turning driving.
A control panel is arranged on one side of the bed frame, a circuit is arranged on the control panel and is connected with each electrical element of the examination and washing bed, and a power switch and a control button are also arranged on the control panel to realize corresponding operation; the control buttons comprise 8 functional buttons of forward extension of the leg support, backward retraction of the leg support, descending of the sole supporting plate, ascending of the sole supporting plate, stretching of the lower limbs, furling of the lower limbs, forward turning of the bed body and backward turning of the bed body.
Furthermore, the arc-shaped bracket is arranged on the front surface of the bracket of the leg support so as to form good fit support for the lower limbs of the patient. The both sides of the bracket vertical section of leg support are equipped with the magic subsides bandage of mating use to be used for binding patient's shank.
Furthermore, a section of strip magic tape cloth is arranged on the front face of the backrest plate at a position corresponding to the head of the patient, and a pillow with an adjustable position is bonded and fixed on the strip magic tape cloth so as to adjust the position of the pillow to adapt to patients with different heights.
Furthermore, the lower extreme middle part face of back-up plate is equipped with a "U" shape breach to do benefit to when carrying out the vaginal irrigation fluid can flow out downwards and fall into the sewage collection container that the below was placed.
This lithotomy position examination washes bed adopts the seat, the convertible design of clinostatism, when the bed body overturns to the seat on the bedstead, the old and weak and inconvenient patient of action can directly sit up, patient's both legs are sat respectively and are held in the palm on two legs, patient's back then leans on the back board, medical personnel can put its under the condition that the patient sat this moment, the patient follows the bed body and overturns to the clinostatism together after the pendulum position is accomplished, can accomplish the pendulum of patient lithotomy position, do not need the patient to move the health once more and cooperate the pendulum position, vagina examination finishes with washing, the bed body overturns the back again and supplies the patient to get off the bed, consequently to the old and weak and inconvenient patient of action of going up and down bed and autonomous movement cooperation pendulum position difficulty, it is very convenient with vaginal irrigation to use this lithotomy position examination to wash bed lithotomy position to carry out cervical vagina examination and wash, safety. In addition, the leg support of the lithotomy position examination and flushing bed can support the popliteal fossa, the upper crus and the sole of the lower limbs of a patient at the same time, so that the patient is more relaxed, the lower limb length and the lower limb opening angle of different patients can be adjusted in real time, and the lithotomy position examination and flushing bed is very convenient.
Drawings
Fig. 1 is a side perspective view of the lithotomy position examination and flushing bed in a sitting position.
Fig. 2 is a schematic front perspective view of the lithotomy position examination and flushing bed in a sitting position.
Fig. 3 is a front view of fig. 1.
Fig. 4 is a side perspective view of the lithotomy position examination and flushing bed in a lying position.
Fig. 5 is a schematic front perspective view of the lithotomy position examination and flushing bed in a lying position.
Fig. 6 is a front view of fig. 4.
Fig. 7 is a side perspective view of the seat body in the sitting position.
Fig. 8 is a perspective view of the two leg rests in fig. 7 in a rotary opening and closing structure.
Fig. 9 is a perspective view of the leg rest.
Fig. 10 is a side perspective view of the bed frame.
In the figure: 1-bed frame, 2-bed body, 3-backrest plate, 4-leg support, 5-hinge lug, 6-hinge shaft, 7-magic tape piece, 8-pillow, 9-notch, 10-bracket, 11-arc bracket, 12-magic tape, 13-vertical electric push rod, 14-sole support plate, 15-horizontal electric push rod, 16-vertical support rod, 17-straight screw rod, 18-leg drive motor, 19-straight screw nut, 20-swing arm, 21-riding wheel, 22-horizontal screw rod, 23-horizontal screw nut, 24-connecting rod, 25-overturn drive motor, 26-speed reducer, 27-front support block, 28-front overturn travel switch, 29-rear support block, 30-rear overturn travel switch, 31-control panel.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
As shown in figures 1-10, the lower part of the turnover type lithotomy position examination and flushing bed is provided with a bed frame 1, and the upper corners at the two sides of the front end of the bed frame 1 are hinged with a bed body 2 which can be turned over in sitting and lying positions; the bed body 2 consists of a back plate 3 and a pair of 'Gamma' shaped leg supports 4 which can be opened and closed in a rotating way; when the bed body 2 is in a sitting position, the backrest plate 3 is arranged in a vertical direction inclining backwards, two sides of the lower part of the back surface of the backrest plate 3 are connected on hinge shafts 6 extended from upper angles at two sides of the front end of the bed frame through hinge lugs 5, and the two leg supports 4 extend forwards from the lower part of the backrest plate 3 and form a backrest seat with a seat surface separated from the left and the right with the backrest plate 3; a section of strip magic tape cloth 7 is arranged on the front side of the backrest plate 3 at the position corresponding to the head of the patient, and a pillow 8 with adjustable position is bonded and fixed on the strip magic tape cloth; the middle plate surface of the lower end of the backrest plate 3 is provided with a U-shaped gap 9; the leg support 4 is provided with a gamma-shaped bracket 10 as a main body, the bending part of the bracket 10 adopts fillet transition, the front of the bracket 10 is provided with an arc-shaped bracket 11, two sides of the vertical section of the bracket 10 are provided with magic tapes 12 which are used in a matching way, the tail end of the vertical section of the bracket 10 is connected with a vertical electric push rod 13 which extends downwards, the tail end of the rod body of the vertical electric push rod 13 is connected with a sole supporting plate 14, and the tail end of the horizontal section of the bracket 10 is connected with a transverse electric push rod 15 which extends backwards; the middle parts of the rod bodies of the transverse electric push rods 15 of the two leg supports 4 are respectively hinged on two vertical supporting rods 16 extending downwards from the back surface of the back plate 3, the tail ends of the rod bodies of the two transverse electric push rods 15 are connected with a leg-stretching adjusting mechanism, and the two leg supports 4 are simultaneously driven by the leg-stretching adjusting mechanism to synchronously rotate around the two vertical supporting rods 16 in different directions respectively, so that a pair of leg supports 4 capable of being rotatably stretched and closed is formed; the bed frame 1 is internally provided with a turnover control mechanism for controlling the bed body 2 to turn over in sitting and lying positions, when the bed body 2 turns over backwards to the lying position, the backrest plate 3 is horizontally supported above the whole bed frame 1, and the two leg supports 4 are upwards tilted to form the shape of the lithotomy position examination bed.
The leg-stretching adjusting mechanism is provided with a straight screw rod 17, the straight screw rod 17 is erected behind a vertical supporting rod 16 on the back of the back plate 3, one end of the straight screw rod 17 is connected with a leg-stretching driving motor 18, two sections of screw teeth are respectively arranged on the left side and the right side of the straight screw rod 17, the spiral directions of the two sections of screw teeth are opposite, two sections of screw teeth are respectively connected with a straight screw nut 19, the lower end of the straight screw nut 19 is provided with a section of shifting rod extending downwards, the shifting rods of the left side and the right side of the straight screw nut 19 are respectively movably inserted into long holes at the tail ends of transverse electric push rods 15 of the left leg support 4 and the right leg support 4, the leg-stretching driving motor 18 drives the straight screw rod 17 to rotate in situ, the two straight screw nuts 19 stir the two leg supports 4 to synchronously rotate in different directions through the shifting rods, and therefore the adjustment of the stretching angles of the two leg supports 4 is achieved.
The turnover control mechanism is provided with an H-shaped swing arm 20, two support legs at the lower end of the swing arm 20 are respectively hinged to the left side and the right side of the lower position of the middle part of the bed frame 1, two rotatable support wheels 21 are respectively erected on the two support legs at the upper end of the swing arm 20, the two support wheels 21 movably abut against the left side and the right side of the back face of the bed body back plate 3, a transverse screw 22 is arranged at the lower side of the swing arm 20 at the middle part of the bed frame 1, a transverse screw 23 is connected onto the transverse screw 22, the outer part of the transverse screw 23 is hinged to the lower end of a connecting rod 24, the upper end of the connecting rod 24 is hinged to the middle part of a transverse bar of the swing arm 20, the transverse screw 22 is driven by a turnover driving motor 25 through a speed reducer 26 to rotate in situ, the transverse screw 23 drives the connecting rod 24 to pull the swing arm 20 to swing, and the support wheels 21 at the upper end of the swing arm 20 control the turnover of the bed body 2 in a lifting mode.
The bed frame 1 is respectively provided with a front supporting block 27 protruding forwards at the upper corners of the two sides of the front end, the upper end surface of the front supporting block 27 is provided with a forward turning travel switch 28, when the bed body 2 is turned forwards to a sitting position, the lower end surface of the back plate 3 is clamped on the front supporting block 27, the front supporting block 27 limits the limit position of the bed body 2 turning forwards, and meanwhile, the forward turning travel switch 28 controls the turning driving motor 25 to stop forward turning driving; the bed frame 1 is provided with a straight-bar-shaped rear supporting block 29 protruding upwards at the upper part of the rear end, the upper end face of the rear supporting block 29 is provided with a backward-turning travel switch 30, when the bed body 2 is turned backwards to a lying position, the back face of the backrest plate 3 is horizontally supported on the rear supporting block 29, the backward-turning limit position of the bed body 2 is limited by the rear supporting block 29, and meanwhile, the backward-turning travel switch 30 controls the turning driving motor 25 to stop backward-turning driving.
A control panel 31 is arranged on one side of the bed frame 1, a circuit is arranged on the control panel 31 and is connected with each electric element of the examination and washing bed, and a power switch and a control button are also arranged on the control panel 31 to realize corresponding operation; the control buttons comprise 8 functional buttons of forward extension of the leg support, backward retraction of the leg support, descending of the sole supporting plate, ascending of the sole supporting plate, stretching of the lower limbs, furling of the lower limbs, forward turning of the bed body and backward turning of the bed body.
When this convertible lithotomy position inspection washes bed used, bed body 2 was originally in as shown in fig. 1-3 the seat, and old and weak and the inconvenient patient of action can directly sit up, and patient's both legs are located respectively on two legs support 4, and patient's back then leans on back board 3, and medical personnel can sit under the situation of standing at the patient this moment and set the position to it.
The patient sits and sets a position includes: adjusting the position of the pillow 8 on the backrest plate 3 to correspond to the head of the patient; pressing a control button for the leg support to extend forwards or retreat, and driving the leg support 4 to extend forwards or retreat by a transverse electric push rod 15 of the leg support 4 so as to enable the length of the leg support 4 to be matched with the length of the thigh of the patient; pressing down a control button for descending or ascending the sole supporting plate, driving the sole supporting plate 14 to descend or ascend by a vertical electric push rod 13 of the leg support 4, enabling the downward extending length of the leg support 4 to be matched with the length of the shank of a patient, enabling the sole of the patient to obtain the support of the sole supporting plate 14, and then binding the shank of the patient with the leg support 4 by a magic tape 12; the control button for stretching the lower limbs is pressed down, and the two leg supports 4 are driven by the leg stretching adjusting mechanism to be stretched to a proper angle.
After the patient sits and stands and is set, the control button for turning back the bed body is pressed, the bed body 2 is controlled by the turning control mechanism to slowly turn back to the lying position under the jacking of the gravity of the bed body and the patient, as shown in the figure 4-6, the setting of the lithotomy position of the patient can be completed, and the patient does not need to move the body again to coordinate the setting. When the patient is at the lithotomy position, the leg support 4 can support the popliteal fossa, the upper crus and the sole of the lower limb of the patient at the same time, so that the patient is completely relaxed. After the vagina examination and the washing are finished, a control button for forward turning of the bed body is pressed, the turning control mechanism controls the bed body 2 to turn forwards to a sitting position, a control button for folding the lower limbs is pressed, the leg-stretching adjusting mechanism drives the two leg supports 4 to fold to a proper angle, and a patient can easily get out of the bed.
The above-described embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the present invention, and any modifications or equivalent substitutions and improvements made within the spirit and principle of the present invention should be included in the scope of the present invention.