CN114788765B - A therapeutic assisting device for use in a pediatric intensive care unit - Google Patents

A therapeutic assisting device for use in a pediatric intensive care unit Download PDF

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CN114788765B
CN114788765B CN202210410744.5A CN202210410744A CN114788765B CN 114788765 B CN114788765 B CN 114788765B CN 202210410744 A CN202210410744 A CN 202210410744A CN 114788765 B CN114788765 B CN 114788765B
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shaft
turning
main shaft
drive
holding
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CN114788765A (en
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赵庆坤
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First Peoples Hospital of Shangqiu
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First Peoples Hospital of Shangqiu
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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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/015Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests
    • 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
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/10Type of patient
    • A61G2200/14Children
    • 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
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/30Devices for specific treatment or diagnosis for intensive care

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

本发明公开了一种儿科重症监护室用的治疗辅助装置,包括床体,还包括两组转轴一和两组转轴二,每组转轴一和转轴二均包括有两个,且分别贯穿安装在床体的床头和床尾位置;及翻身床板一和翻身床板二,此儿科重症监护室用的治疗辅助装置,尤其在护理过程中涉及到翻身和侧卧体位保持时,通过驱动机构连续的正转来进行右翻身和右侧卧位的保持,而驱动机构连续的翻转则进行左翻身和左侧卧位的保持,在其连续正转时,驱使右翻拦抱组件首先翻转拦抱床上的患者,在继续正转时,则翻身床板一此时动作翻转,且右翻拦抱组件此时反向动作和翻身床板一同步的驱使患者翻身,区别于传统翻身床的设置,能够在患者实时翻身过程中提供拦抱动作,保证患者稳定翻身。

The invention discloses a treatment auxiliary device for a pediatric intensive care unit, comprising a bed body, two groups of rotating shafts 1 and 2, each group of rotating shafts 1 and 2 comprising two, and respectively penetrating through the head and foot positions of the bed body; and a turning bed board 1 and a turning bed board 2. The treatment auxiliary device for a pediatric intensive care unit, especially when turning over and maintaining a side-lying position are involved in a nursing process, performs right turning over and maintaining a right side-lying position through continuous forward rotation of a driving mechanism, and performs left turning over and maintaining a left side-lying position through continuous flipping of the driving mechanism. When the driving mechanism continuously rotates forward, a right turning and holding component is driven to first turn over a patient on the holding bed. When the driving mechanism continues to rotate forward, the turning bed board 1 flips at this time, and the right turning and holding component reverses at this time and synchronously drives the patient to turn over with the turning bed board 1. Different from the setting of a traditional turning bed, the device can provide a holding action during the real-time turning of the patient to ensure that the patient turns over stably.

Description

一种儿科重症监护室用的治疗辅助装置A therapeutic assisting device for use in a pediatric intensive care unit

技术领域Technical Field

本发明涉及医疗辅助器械技术领域,具体为一种儿科重症监护室用的治疗辅助装置。The present invention relates to the technical field of medical auxiliary equipment, in particular to a treatment auxiliary device for a pediatric intensive care unit.

背景技术Background technique

儿童重症监护室本质就是儿童病房,专门收治危重儿童病人,主要治疗:心肺复苏、多脏器衰竭、休克、重大外科手术后监护,持续腹泻、巨细胞病毒肝炎等消化系统疾病,重症肺炎、呼吸麻痹及急性呼吸窘迫综合征等呼吸道疾病,高血压危象、重症心肌炎、持续癫痫、脑疝等心脑疾病,急性中毒的救治等危重患儿。The pediatric intensive care unit is essentially a children's ward that specializes in the treatment of critically ill pediatric patients. Its main treatments include: cardiopulmonary resuscitation, multiple organ failure, shock, post-major surgical monitoring, persistent diarrhea, cytomegalovirus hepatitis and other digestive system diseases, severe pneumonia, respiratory paralysis and acute respiratory distress syndrome and other respiratory diseases, hypertensive crisis, severe myocarditis, persistent epilepsy, brain hernia and other cardiovascular and cerebrovascular diseases, and treatment of acute poisoning and other critically ill children.

在日常监护治疗过程中,必须有条理、有目的、有计划的完成基础或常规护理,观察了解孩童表体重基础情况,根据病情变化监测或获取病情数据,以配合医生完成对孩童的治疗。During daily monitoring and treatment, basic or routine care must be completed in an organized, purposeful and planned manner, the child's basic weight condition must be observed and understood, and the condition data must be monitored or obtained according to changes in the condition in order to cooperate with the doctor to complete the treatment of the child.

目前,尤其是对于自主能力差、活动不便的患者的重症监护,往往会由于身体护理位置的改变需要对其进行翻身或持续侧卧位的保持,而在实际护理过程中,上述工作主要由医护人员独立完成,即增加了医护人员的工作强度,又导致医护人员需要实时患者的体位而影响护理效果。At present, especially for intensive care patients with poor autonomy and difficulty in moving, they often need to be turned over or maintained in a continuous lateral position due to changes in body care position. In the actual nursing process, the above work is mainly completed independently by medical staff, which increases the workload of medical staff and requires them to adjust the patient's body position in real time, affecting the nursing effect.

虽然目前市场上存在有专门的翻身床,但大多还是专用于具备独立自主能力的患者,对于自主能力差或重症导致肢体活动不便的认同,很难通过简单的辅助就使其保持在固定体位,且在翻转过程中仍然需要医护人员辅助,不然由于其自身无法稳定的通过床身进行支撑,使其很难通过简单的床体翻转辅助就完成翻身,翻身效果差,为此,我们提出一种儿科重症监护室用的治疗辅助装置。Although there are special turning beds on the market, most of them are only for patients with independent ability. For those with poor autonomy or severe illness that makes limb movement inconvenient, it is difficult to keep them in a fixed position through simple assistance, and they still need the assistance of medical staff during the turning process. Otherwise, since they cannot stably support themselves through the bed body, it is difficult for them to turn over with simple bed turning assistance, and the turning effect is poor. For this reason, we propose a treatment assisting device for use in pediatric intensive care units.

发明内容Summary of the invention

本发明的目的在于提供一种儿科重症监护室用的治疗辅助装置,以解决上述背景技术中提出的问题。The object of the present invention is to provide a treatment assisting device for a pediatric intensive care unit to solve the problems raised in the above background technology.

为实现上述目的,本发明提供如下技术方案:一种儿科重症监护室用的治疗辅助装置,包括床体,还包括:To achieve the above object, the present invention provides the following technical solution: a treatment auxiliary device for a pediatric intensive care unit, comprising a bed body, and further comprising:

两组转轴一和两组转轴二,每组转轴一和转轴二均包括有两个,且分别贯穿安装在床体的床头和床尾位置;及Two sets of rotating shafts 1 and two sets of rotating shafts 2, each set of rotating shafts 1 and rotating shafts 2 includes two, and are respectively installed at the head and foot of the bed body; and

翻身床板一和翻身床板二,分别安装在两个转轴一和两个转轴二之间,且转轴一和转轴二分别位于翻身床板一和翻身床板二相靠近的一侧;及The turning bed board 1 and the turning bed board 2 are respectively installed between the two rotating shafts 1 and the two rotating shafts 2, and the rotating shaft 1 and the rotating shaft 2 are respectively located on the side close to the turning bed board 1 and the turning bed board 2; and

一主轴和一副轴,在床体底部设置有轴承座,主轴和副轴均利用轴承座转动安装在床体底部;及A main shaft and a secondary shaft, a bearing seat is arranged at the bottom of the bed body, and the main shaft and the secondary shaft are rotatably mounted on the bottom of the bed body by the bearing seat; and

一驱动机构,设置在床体底部,且与主轴和副轴均连接,并在主轴上设置有右翻拦抱组件,在副轴上设置有左翻拦抱机构,以在患者翻身前模拟人手拦抱来辅助患者翻身;及A driving mechanism is arranged at the bottom of the bed body and connected to both the main shaft and the secondary shaft, and a right turning and holding assembly is arranged on the main shaft, and a left turning and holding mechanism is arranged on the secondary shaft, so as to simulate the holding by human hands before the patient turns over to assist the patient to turn over; and

一连动机构,安装在床体上,用于连接驱动机构与转轴一和转轴二;A linkage mechanism is installed on the bed body and is used to connect the driving mechanism with the first rotating shaft and the second rotating shaft;

通过上述特征组合,在驱动机构正向动作驱动下,首先驱使主轴带动右翻拦抱组件翻转来与患者接触,并模拟拦抱,此过程中转轴一及翻身床板一不动作,且在驱动机构继续驱动过程中,右翻拦抱组件与翻身床板同时朝相反方向带动患者旋转翻身,并在驱动机构反向动作驱使时,驱使副轴和左翻拦抱机构进行上述过程中进行拦抱翻身。Through the above-mentioned characteristic combination, under the driving force of the driving mechanism in the forward direction, the main shaft is first driven to drive the right flipping and blocking assembly to flip to contact the patient and simulate blocking. During this process, the rotating shaft 1 and the turning bed board 1 do not move, and while the driving mechanism continues to drive, the right flipping and blocking assembly and the turning bed board simultaneously drive the patient to rotate and turn over in opposite directions, and when the driving mechanism is driven in the reverse direction, the secondary shaft and the left flipping and blocking mechanism are driven to perform blocking, holding and turning in the above process.

作为优选,所述主轴与副轴同轴,且在主轴上开设有贯穿的通孔,所述副轴穿过主轴,且与其转动连接;Preferably, the main shaft is coaxial with the secondary shaft, and a through hole is provided on the main shaft, and the secondary shaft passes through the main shaft and is rotatably connected thereto;

所述驱动机构包括有分别套设的在主轴端部和副轴端部的正棘轮机构和反棘轮机构,且在所述正棘轮机构和反棘轮机构上分别安装有驱动齿轮一和驱动齿轮二;The driving mechanism comprises a positive ratchet mechanism and a reverse ratchet mechanism respectively sleeved on the end of the main shaft and the end of the secondary shaft, and a driving gear 1 and a driving gear 2 are respectively mounted on the positive ratchet mechanism and the reverse ratchet mechanism;

还包括有安装在床体上的步进电机,在所述步进电机的输出轴上分别安装有驱动齿轮三和驱动齿轮四,所述驱动齿轮一与驱动齿轮三咬合,所述驱动齿轮二与驱动齿轮四咬合;It also includes a stepper motor installed on the bed body, and a drive gear 3 and a drive gear 4 are respectively installed on the output shaft of the stepper motor, the drive gear 1 is meshed with the drive gear 3, and the drive gear 2 is meshed with the drive gear 4;

通过上述特征组合,在所述步进电机正向驱动时,利用驱动齿轮三带动驱动齿轮一旋转,且利用正棘轮机构带动主轴强制旋转,并在所述步进电机反向驱动时,利用驱动齿轮四带动驱动齿轮二旋转,同时利用反棘轮机构带动副轴旋转。Through the above-mentioned characteristic combination, when the stepper motor is driven in the forward direction, the drive gear three drives the drive gear one to rotate, and the positive ratchet mechanism drives the main shaft to rotate forcibly, and when the stepper motor is driven in the reverse direction, the drive gear four drives the drive gear two to rotate, and the reverse ratchet mechanism drives the secondary shaft to rotate.

作为优选,在所述翻身床板一和翻身床板二相对一侧均开设有拦抱通槽,所述右翻拦抱组件包括有转动安装在主轴上的套管一,在所述套管一上安装有拦抱杆一,且在所述套管一和主轴之间设置有往复式旋转部件,在所述主轴持续旋转的过程中,通过往复式旋转部件来驱使套管一带动拦抱杆一在拦抱通槽内往复旋转。Preferably, an intercepting groove is provided on opposite sides of the turning bed board 1 and the turning bed board 2, and the right-turning intercepting assembly includes a sleeve 1 rotatably mounted on the main shaft, an intercepting rod 1 is mounted on the sleeve 1, and a reciprocating rotating component is provided between the sleeve 1 and the main shaft. During the continuous rotation of the main shaft, the sleeve 1 is driven by the reciprocating rotating component to drive the intercepting rod 1 to reciprocate in the intercepting groove.

作为优选,所述往复式旋转部件包括有安装在套管一上的锥齿轮一,且在床体底部设置有安装座一,在所述安装座一上设置有连动轴一,在所述连动轴一端部设置有与锥齿轮一咬合的锥齿轮二,且在所述连动轴一另一端安装有驱动齿轮五;Preferably, the reciprocating rotating component comprises a bevel gear 1 mounted on a sleeve 1, and a mounting seat 1 is provided at the bottom of the bed, a linkage shaft 1 is provided on the mounting seat 1, a bevel gear 2 meshing with the bevel gear 1 is provided at one end of the linkage shaft 1, and a driving gear 5 is installed at the other end of the linkage shaft 1;

还包括套设在主轴上的往复丝杠一及安装在往复丝杠一上的滑块一,且在所述床体底部设置有导轨滑杆,所述导轨滑杆滑动贯穿滑块一,并在所述滑块一的侧边位置设置有齿条一,所述齿条一与驱动齿轮五咬合,在主轴带动往复丝杠持续旋转的过程中,所述滑块一周期性往复移动,并利用齿条一驱使驱动齿轮五带动锥齿轮二往复旋转,进而实现拦抱杆一的往复翻转拦抱。The gear train is constructed by a process of moving the drive train one through a plurality of moving parts, and the plurality of drive trains are connected along the direction of the wheel train to form a plurality of moving parts, wherein the plurality of drive trains are connected by a plurality of gears, and the plurality of drive trains are connected by a plurality of gears. The plurality of drive trains are connected by a plurality of gears, and the plurality of drive trains are connected by a plurality of gears.

作为优选,所述左翻拦抱机构包括有套设在副轴上的套管二,在所述套管二上安装有拦抱杆二,所述拦抱杆二与拦抱杆一结构完全相同,但朝向相反,且在所述套管二和副轴之间也设置有一个与右翻拦抱组件相同结构的往复式旋转部件,以驱使拦抱杆二往复式翻转拦抱。Preferably, the left-flipping arresting mechanism includes a second sleeve sleeved on the secondary shaft, on which a second arresting rod is installed. The second arresting rod has exactly the same structure as the first arresting rod, but faces the opposite direction. A reciprocating rotating component with the same structure as the right-flipping arresting assembly is also provided between the second sleeve and the secondary shaft to drive the second arresting rod to reciprocately flip and arrest.

作为优选,所述拦抱杆一和拦抱杆二均为L型杆体结构,且其与患者接触的承载段为弧形设计,并在该位置均安装有接触气囊,以提供软接触。Preferably, the first and second holding bars are both L-shaped bar structures, and the bearing sections thereof in contact with the patient are arc-shaped, and contact airbags are installed at these positions to provide soft contact.

作为优选,所述连动机构设置有两个,且分别设置在床体一端的转轴一与主轴之间及床体另一端的转轴二与副轴之间;Preferably, the linkage mechanism is provided with two, and is respectively arranged between the first rotating shaft and the main shaft at one end of the bed body and between the second rotating shaft and the secondary shaft at the other end of the bed body;

位于所述转轴一与主轴之间的连动机构包括有安装在任意转轴一上的锥齿轮三,且在床体上靠近锥齿轮三的位置设置有安装座二,在所述安装座二上设置有连动轴二,在所述连动轴二的端部设置有与锥齿轮三咬合的锥齿轮四,并在所述连动轴二与主轴之间设置有延迟传动部件,以在所述主轴旋转带动右翻拦抱组件进行拦抱时不驱动转轴一旋转,并在所述右翻拦抱组件反向动作时驱使转轴一带动翻身床板一和拦抱杆一同步翻转;The linkage mechanism between the rotating shaft 1 and the main shaft includes a bevel gear 3 installed on any rotating shaft 1, and a mounting seat 2 is arranged on the bed body near the bevel gear 3, a linkage shaft 2 is arranged on the mounting seat 2, a bevel gear 4 meshing with the bevel gear 3 is arranged at the end of the linkage shaft 2, and a delayed transmission component is arranged between the linkage shaft 2 and the main shaft, so that when the main shaft rotates to drive the right-turning blocking assembly to block the bed, the rotating shaft 1 is not driven to rotate, and when the right-turning blocking assembly moves in the reverse direction, the rotating shaft 1 is driven to drive the turning bed board 1 and the blocking rod 1 to turn over synchronously;

位于所述转轴二和副轴之间的连动机构与上述结构完全相同,区别在于该锥齿轮三安装在转轴二上。The linkage mechanism between the second rotating shaft and the secondary shaft is completely the same as the above structure, except that the bevel gear three is mounted on the second rotating shaft.

作为优选,所述延迟传动部件包括有安装在连动轴二上的齿轮六,且在所述主轴上还套设有往复丝杠二,在所述往复丝杠二上设置有滑块二,所述导轨滑杆同时滑动贯穿滑块二,且在所述滑块二侧边位置设置有延伸轴,并在所述延伸轴端部设置有齿条二,在所述主轴带动往复丝杠二旋转时,驱使所述滑块二移动,且初始移动过程中延伸轴与齿轮六无接触,此过程中右翻拦抱组件翻动到极限位置,随着所述滑块二继续移动,齿条二与齿轮六咬合,并带动所述转轴一及翻身床板一翻动,同时右翻拦抱组件反向复位。Preferably, the delayed transmission component includes a gear six installed on the connecting shaft two, and a reciprocating screw two is also sleeved on the main shaft, a slider two is arranged on the reciprocating screw two, the guide rail slide rod slides through the slider two at the same time, and an extension shaft is arranged at the side position of the slider two, and a rack two is arranged at the end of the extension shaft. When the main shaft drives the reciprocating screw two to rotate, the slider two is driven to move, and the extension shaft has no contact with the gear six during the initial movement. During this process, the right flip blocking assembly flips to the extreme position. As the slider two continues to move, the rack two engages with the gear six, and drives the rotating shaft one and the turning bed board one to flip, and the right flip blocking assembly is reset in the reverse direction.

作为优选,所述拦抱通槽设置有两个,且在床体上分别位于胸口和下肢的位置,且左翻拦抱机构和右翻拦抱组件均对应拦抱通槽设置有两个。Preferably, two intercepting grooves are provided, and are respectively located at the chest and lower limbs on the bed body, and two corresponding intercepting grooves are provided for the left-turn intercepting mechanism and the right-turn intercepting assembly.

作为优选,还包括有多个组合杆,所述组合杆与拦抱杆一和拦抱杆二一一对应,且均可拆安装在对应的主轴和副轴上;Preferably, a plurality of combination rods are included, and the combination rods correspond to the first holding rod and the second holding rod one by one, and can be detachably installed on the corresponding main shaft and secondary shaft;

该组合杆包括有可拆安装的对应主轴和副轴拆除后位置的主杆,在所述主杆上设置有转轴三,且在所述转轴三上设置有偏转轴,并在所述转轴三和偏转轴之间设置有扭簧。The combined rod comprises a main rod which is detachably mounted and corresponds to the position after the main shaft and the secondary shaft are removed, a rotating shaft three is arranged on the main rod, a deflection shaft is arranged on the rotating shaft three, and a torsion spring is arranged between the rotating shaft three and the deflection shaft.

与现有技术相比,本发明的有益效果是:Compared with the prior art, the present invention has the following beneficial effects:

本发明区别于现有技术,在重症监护室对自主能力差或肢体活动不便儿童进行护理的过程中,尤其在护理过程中涉及到翻身和侧卧体位保持时,通过驱动机构连续的正转来进行右翻身和右侧卧位的保持,而驱动机构连续的翻转则进行左翻身和左侧卧位的保持;The present invention is different from the prior art. In the process of nursing children with poor autonomy or inconvenient limb movement in the intensive care unit, especially when turning over and maintaining the side-lying position are involved in the nursing process, the driving mechanism is continuously rotated forward to turn the child to the right and maintain the right side lying position, while the driving mechanism is continuously turned over to turn the child to the left and maintain the left side lying position;

具体的,在其连续正转时,驱使右翻拦抱组件首先翻转拦抱床上的患者,需要注意的是此过程中床板不动作,在继续正转时,则翻身床板一此时动作翻转,且右翻拦抱组件此时反向动作和翻身床板一同步的驱使患者翻身,同理左翻身和左侧卧时设置驱动机构反转驱动即,区别于传统翻身床的设置,能够在患者实时翻身过程中提供拦抱动作,保证患者稳定翻身,且在侧卧位保持时,只需在患者翻转到侧卧时设置驱动机构自锁,即可利用拦抱来将其稳定侧卧,同时将肢体部位暴露来高效护理。Specifically, when it rotates forward continuously, the right-turning arresting assembly is driven to first turn over the patient on the arresting bed. It should be noted that the bed board does not move during this process. When it continues to rotate forward, the turning bed board flips at this time, and the right-turning arresting assembly reverses and drives the patient to turn over synchronously with the turning bed board. Similarly, when turning over to the left or lying on the left side, the driving mechanism is set to reverse drive. Different from the setting of traditional turning beds, it can provide arresting action during the patient's real-time turning over to ensure that the patient turns over stably, and when maintaining the lateral position, it only needs to set the driving mechanism to self-lock when the patient turns to the lateral position, and the arresting action can be used to stabilize the patient in lateral lying, and at the same time, the limbs are exposed for efficient care.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本发明实施例1整体结构示意图;FIG1 is a schematic diagram of the overall structure of Embodiment 1 of the present invention;

图2为本发明床体结构示意图;Fig. 2 is a schematic diagram of the bed structure of the present invention;

图3为本发明图1另一方位结构示意图;FIG3 is a schematic diagram of the structure of FIG1 in another aspect of the present invention;

图4为本发明右翻拦抱组件结构示意图;FIG4 is a schematic diagram of the structure of a right-turn blocking assembly of the present invention;

图5为本发明驱动机构结构示意图;FIG5 is a schematic diagram of the structure of the driving mechanism of the present invention;

图6为本发明往复式旋转部件结构示意图;FIG6 is a schematic diagram of the structure of a reciprocating rotating component of the present invention;

图7为本发明拦抱杆一初始状态示意图;7 is a schematic diagram of an initial state of a holding bar according to the present invention;

图8为本发明拦抱杆一拦抱状态示意图;FIG8 is a schematic diagram of a holding bar in a holding state according to the present invention;

图9为本发明右翻过程示意图;FIG9 is a schematic diagram of a right-turning process of the present invention;

图10为本发明侧卧状态示意图;FIG10 is a schematic diagram of the present invention in a side-lying state;

图11为本发明右翻状态示意图;FIG11 is a schematic diagram of the present invention in a right-turned state;

图12为本发明翻身结束状态示意图;FIG12 is a schematic diagram of the present invention showing the end of turning over;

图13为本发明实施例2结构示意图;FIG13 is a schematic diagram of the structure of Embodiment 2 of the present invention;

图14为本发明实施例3结构示意图。FIG. 14 is a schematic diagram of the structure of Embodiment 3 of the present invention.

图中:1、床体;11、转轴一;12、转轴二;13、翻身床板一;14、翻身床板二;15、主轴;151、通孔;16、副轴;17、轴承座;18、拦抱通槽;2、驱动机构;21、正棘轮机构;22、反棘轮机构;23、驱动齿轮一;24、驱动齿轮二;25、步进电机;26、驱动齿轮三;27、驱动齿轮四;3、右翻拦抱组件;31、套管一;32、拦抱杆一;33、往复式旋转部件;331、锥齿轮一;332、安装座一;333、连动轴一;334、锥齿轮二;335、驱动齿轮五;336、往复丝杠一;337、滑块一;338、导轨滑杆;339、齿条一;4、左翻拦抱机构;41、套管二;42、拦抱杆二;5、连动机构;51、锥齿轮三;52、安装座二;53、连动轴二;54、锥齿轮四;55、延迟传动部件;551、齿轮六;552、往复丝杠二;553、滑块二;554、延伸轴;555、齿条二;6、接触气囊;7、组合杆;71、主杆;72、转轴三;73、偏转轴;74、扭簧。In the figure: 1, bed body; 11, rotating shaft 1; 12, rotating shaft 2; 13, turning bed board 1; 14, turning bed board 2; 15, main shaft; 151, through hole; 16, secondary shaft; 17, bearing seat; 18, blocking groove; 2, driving mechanism; 21, positive ratchet mechanism; 22, reverse ratchet mechanism; 23, driving gear 1; 24, driving gear 2; 25, stepping motor; 26, driving gear 3; 27, driving gear 4; 3, right turning blocking assembly; 31, sleeve 1; 32, blocking rod 1; 33, reciprocating rotating component; 331, bevel gear 1; 332, mounting seat 1; 333, linkage shaft 1; 3 34. Bevel gear two; 335. Drive gear five; 336. Reciprocating screw one; 337. Slider one; 338. Guide rail slide; 339. Rack one; 4. Left flip blocking mechanism; 41. Sleeve two; 42. Blocking rod two; 5. Linking mechanism; 51. Bevel gear three; 52. Mounting seat two; 53. Linking shaft two; 54. Bevel gear four; 55. Delay transmission component; 551. Gear six; 552. Reciprocating screw two; 553. Slider two; 554. Extension shaft; 555. Rack two; 6. Contact airbag; 7. Combination rod; 71. Main rod; 72. Rotating shaft three; 73. Deflection shaft; 74. Torsion spring.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

实施例1Example 1

请参阅图1-12,本发明提供一种技术方案:一种儿科重症监护室用的治疗辅助装置,包括床体1,还包括:Please refer to Figures 1-12. The present invention provides a technical solution: a treatment auxiliary device for a pediatric intensive care unit, comprising a bed body 1, and further comprising:

两组转轴一11和两组转轴二12,每组转轴一11和转轴二12均包括有两个,且分别贯穿安装在床体1的床头和床尾位置;及Two sets of rotating shafts 11 and two sets of rotating shafts 2 12, each set of rotating shafts 11 and rotating shafts 2 12 includes two, and are respectively installed at the head and foot of the bed body 1; and

翻身床板一13和翻身床板二14,分别安装在两个转轴一11和两个转轴二12之间,且转轴一11和转轴二12分别位于翻身床板一13和翻身床板二14相靠近的一侧;及The turning bed board 1 13 and the turning bed board 2 14 are respectively installed between the two rotating shafts 11 and the two rotating shafts 12, and the rotating shaft 11 and the rotating shaft 2 12 are respectively located on the side where the turning bed board 1 13 and the turning bed board 2 14 are close to each other; and

一主轴15和一副轴16,在床体1底部设置有轴承座17,主轴15和副轴16均利用轴承座17转动安装在床体1底部;及A main shaft 15 and a secondary shaft 16, a bearing seat 17 is provided at the bottom of the bed body 1, and the main shaft 15 and the secondary shaft 16 are rotatably mounted on the bottom of the bed body 1 by the bearing seat 17; and

一驱动机构2,设置在床体1底部,且与主轴15和副轴16均连接,并在主轴15上设置有右翻拦抱组件3,在副轴16上设置有左翻拦抱机构4,以在患者翻身前模拟人手拦抱来辅助患者翻身;及a driving mechanism 2, which is arranged at the bottom of the bed body 1 and connected to both the main shaft 15 and the secondary shaft 16, and a right turning-over blocking assembly 3 is arranged on the main shaft 15, and a left turning-over blocking mechanism 4 is arranged on the secondary shaft 16, so as to simulate the human hand blocking to assist the patient in turning over before turning over; and

一连动机构5,安装在床体1上,用于连接驱动机构2与转轴一11和转轴二12;A linkage mechanism 5, mounted on the bed 1, for connecting the drive mechanism 2 with the first rotating shaft 11 and the second rotating shaft 12;

通过上述特征组合,在驱动机构2正向动作驱动下,首先驱使主轴15带动右翻拦抱组件3翻转来与患者接触,并模拟拦抱,此过程中转轴一11及翻身床板一13不动作,且在驱动机构2继续驱动过程中,右翻拦抱组件3与翻身床板同时朝相反方向带动患者旋转翻身,并在驱动机构2反向动作驱使时,驱使副轴16和左翻拦抱机构4进行上述过程中进行拦抱翻身。Through the above-mentioned characteristic combination, under the forward driving of the driving mechanism 2, the main shaft 15 is first driven to drive the right flipping and arresting assembly 3 to flip to contact the patient and simulate the arresting and holding. During this process, the rotating shaft 11 and the turning bed board 13 do not move, and when the driving mechanism 2 continues to drive, the right flipping and arresting assembly 3 and the turning bed board simultaneously drive the patient to rotate and turn over in opposite directions, and when the driving mechanism 2 is driven in the reverse direction, the secondary shaft 16 and the left flipping and arresting mechanism 4 are driven to perform the arresting and turning in the above process.

作为一种技术手段,主轴15与副轴16同轴,且在主轴15上开设有贯穿的通孔151,副轴16穿过主轴15,且与其转动连接,以将主轴15和副轴16一体对接,这样在驱动机构2进行驱动时只需在端部分别驱动主轴15和副轴16即可,不需要设置单独的连动方式来分别驱动主轴15和16,简化了主轴15和副轴16的驱动,使整体构造更紧凑且省去了不必要的传动成本;As a technical means, the main shaft 15 is coaxial with the secondary shaft 16, and a through hole 151 is opened on the main shaft 15. The secondary shaft 16 passes through the main shaft 15 and is rotatably connected thereto, so that the main shaft 15 and the secondary shaft 16 are connected as one body. In this way, when the driving mechanism 2 is driven, it is only necessary to drive the main shaft 15 and the secondary shaft 16 at the ends respectively, and there is no need to set a separate linkage method to drive the main shafts 15 and 16 respectively, which simplifies the driving of the main shaft 15 and the secondary shaft 16, makes the overall structure more compact and saves unnecessary transmission costs;

而驱动机构2包括有分别套设的在主轴15端部和副轴16端部的正棘轮机构21和反棘轮机构22,且在正棘轮机构21和反棘轮机构22上分别安装有驱动齿轮一23和驱动齿轮二24;The driving mechanism 2 includes a positive ratchet mechanism 21 and a reverse ratchet mechanism 22 which are respectively sleeved on the end of the main shaft 15 and the end of the secondary shaft 16, and a driving gear 1 23 and a driving gear 2 24 are respectively mounted on the positive ratchet mechanism 21 and the reverse ratchet mechanism 22;

还包括有安装在床体1上的步进电机25,在步进电机25的输出轴上分别安装有驱动齿轮三26和驱动齿轮四27,驱动齿轮一23与驱动齿轮三26咬合,驱动齿轮二24与驱动齿轮四27咬合;It also includes a stepper motor 25 installed on the bed body 1, and a drive gear 3 26 and a drive gear 4 27 are respectively installed on the output shaft of the stepper motor 25, the drive gear 1 23 is meshed with the drive gear 3 26, and the drive gear 2 24 is meshed with the drive gear 4 27;

通过上述特征组合,由于不管右翻拦抱组件3还是左翻拦抱组件4,其在拦抱时都会与患者肢体接触,也就是存在相对阻力,这样在步进电机25正向驱动时,利用驱动齿轮三26带动驱动齿轮一23旋转,且利用正棘轮机构21带动主轴15强制旋转,而此时左翻拦抱组件4受上述阻力影响和反棘轮机构22的设置,此时副轴16并不会旋转而强制驱动,提供单独的右翻驱动,同理,在步进电机25反向驱动时,利用驱动齿轮四27带动驱动齿轮二24旋转,同时利用反棘轮机构22带动副轴16旋转。Through the above-mentioned feature combination, since both the right-turn blocking assembly 3 and the left-turn blocking assembly 4 will contact the patient's limbs when blocking, that is, there is relative resistance. In this way, when the stepper motor 25 is driven in the forward direction, the drive gear three 26 is used to drive the drive gear one 23 to rotate, and the positive ratchet mechanism 21 is used to drive the main shaft 15 to rotate forcibly. At this time, the left-turn blocking assembly 4 is affected by the above-mentioned resistance and the setting of the anti-ratchet mechanism 22. At this time, the secondary shaft 16 does not rotate but is forced to drive, providing a separate right-turn drive. Similarly, when the stepper motor 25 is driven in the reverse direction, the drive gear four 27 is used to drive the drive gear two 24 to rotate, and the anti-ratchet mechanism 22 is used to drive the secondary shaft 16 to rotate.

作为一种技术手段,在翻身床板一13和翻身床板二14相对一侧均开设有拦抱通槽18,右翻拦抱组件3包括有转动安装在主轴15上的套管一31,在套管一31上安装有拦抱杆一32,且在套管一31和主轴15之间设置有往复式旋转部件33,在主轴15持续旋转的过程中,通过往复式旋转部件33来驱使套管一31带动拦抱杆一32在拦抱通槽18内往复旋转,进而提供上述翻身拦抱的拦抱动作使用。As a technical means, a blocking groove 18 is opened on the opposite side of the turning bed board 13 and the turning bed board 2 14, and the right turning blocking assembly 3 includes a sleeve 31 rotatably installed on the main shaft 15, a blocking rod 32 is installed on the sleeve 31, and a reciprocating rotating component 33 is arranged between the sleeve 31 and the main shaft 15. During the continuous rotation of the main shaft 15, the reciprocating rotating component 33 drives the sleeve 31 to drive the blocking rod 32 to reciprocate in the blocking groove 18, thereby providing the above-mentioned turning and blocking action.

进一步的,上述的往复式旋转部件33包括有安装在套管一31上的锥齿轮一331,且在床体1底部设置有安装座一332,在安装座一332上设置有连动轴一333,在连动轴一333端部设置有与锥齿轮一331咬合的锥齿轮二334,且在连动轴一333另一端安装有驱动齿轮五335;Furthermore, the reciprocating rotating component 33 includes a bevel gear 331 mounted on the sleeve 31, and a mounting seat 332 is provided at the bottom of the bed 1, a linkage shaft 333 is provided on the mounting seat 332, a bevel gear 334 engaged with the bevel gear 331 is provided at the end of the linkage shaft 333, and a driving gear 335 is installed at the other end of the linkage shaft 333;

还包括套设在主轴15上的往复丝杠一336及安装在往复丝杠一336上的滑块一337,且在床体1底部设置有导轨滑杆338,导轨滑杆338滑动贯穿滑块一337,以为滑块一337提供旋转限位,这样在往复丝杠一336旋转时,以驱使滑块一337稳定的横向移位,并在滑块一337的侧边位置设置有齿条一339,齿条一339与驱动齿轮五335咬合,在上述特征的组合下,当主轴15带动往复丝杠一336持续旋转的过程中,滑块一337在移动到极限位置而往复丝杠一336继续旋转时,滑块一337反向移动,以周期性往复移动,并利用齿条一339驱使驱动齿轮五335带动锥齿轮二334往复旋转,进而实现拦抱杆一32的往复翻转拦抱。The cam 337 is provided with a guide rail 338 at the bottom of the bed 1, and the guide rail 338 slides through the slide 337 to provide a rotation limit for the slide 337, so that when the reciprocating screw 336 rotates, the slide 337 is driven to stably shift laterally, and a rack 339 is provided at the side of the slide 337, and the rack 339 is engaged with the driving gear 5 335. Under the combination of the above features, when the main shaft 15 drives the reciprocating screw 336 to rotate continuously, the slide 337 moves to the limit position and the reciprocating screw 336 continues to rotate, the slide 337 moves in the opposite direction to move back and forth periodically, and the rack 339 is used to drive the driving gear 5 335 to drive the bevel gear 2 334 to rotate back and forth, thereby realizing the reciprocating flipping and intercepting of the intercepting rod 32.

作为一种技术手段,上述的左翻拦抱机构4包括有套设在副轴16上的套管二41,在套管二41上安装有拦抱杆二42,拦抱杆二42与拦抱杆一32结构完全相同,但朝向相反,且在套管二41和副轴16之间也设置有一个与右翻拦抱组件3相同结构的往复式旋转部件33,以驱使拦抱杆二42往复式翻转拦抱;As a technical means, the left-turning arresting mechanism 4 includes a second sleeve 41 sleeved on the secondary shaft 16, and a second arresting rod 42 is installed on the second sleeve 41. The second arresting rod 42 has the same structure as the first arresting rod 32, but faces the opposite direction. A reciprocating rotating component 33 with the same structure as the right-turning arresting assembly 3 is also arranged between the second sleeve 41 and the secondary shaft 16 to drive the second arresting rod 42 to reciprocate and turn over the arresting rod;

需要注意的是,左翻拦抱组件4和右翻拦抱组件3主体结构设置完全一致,仅仅是左翻和右翻的区别。It should be noted that the main structural settings of the left-turn blocking assembly 4 and the right-turn blocking assembly 3 are exactly the same, and the only difference is left-turning and right-turning.

进一步的,拦抱杆一32和拦抱杆二42均为L型杆体结构,且其与患者接触的承载段为弧形设计,通过这样的设计,以保证拦抱时的舒适性,且尽可能的模拟手臂抱着的时候的弯曲度,有效的提高拦抱的稳定性,并在该位置均安装有接触气囊6,以提供软接触而进一步的提高其拦抱舒适性的同时,也能够通过接触气囊6的凹陷来进一步的将患者稳定的限制在拦抱杆内而稳定拦抱。Furthermore, both the arresting rod 1 32 and the arresting rod 2 42 are L-shaped rod structures, and the bearing sections in contact with the patient are arc-shaped. Such a design can ensure the comfort during arresting and embracing, and simulate the curvature of the arm when embracing as much as possible, effectively improving the stability of the arresting and embracing. A contact airbag 6 is installed at this position to provide soft contact and further improve the comfort of the arresting and embracing. At the same time, the depression of the contact airbag 6 can also be used to further stably confine the patient in the arresting rod and stabilize the arresting and embracing.

作为一种技术手段,上述的连动机构5设置有两个,且分别设置在床体1一端的转轴一11与主轴15之间及床体1另一端的转轴二12与副轴16之间,以配合驱动机构2而在驱动机构2正反转驱动时分别驱动主轴15和副轴16;As a technical means, the above-mentioned linkage mechanism 5 is provided with two, and is respectively arranged between the rotating shaft 11 and the main shaft 15 at one end of the bed body 1 and between the rotating shaft 2 12 and the secondary shaft 16 at the other end of the bed body 1, so as to cooperate with the driving mechanism 2 and drive the main shaft 15 and the secondary shaft 16 respectively when the driving mechanism 2 is driven forward and reversely;

其中,位于转轴一11与主轴15之间的连动机构5包括有安装在任意转轴一11上的锥齿轮三51,且在床体1上靠近锥齿轮三51的位置设置有安装座二52,在安装座二52上设置有连动轴二53,在连动轴二53的端部设置有与锥齿轮三51咬合的锥齿轮四54,并在连动轴二53与主轴15之间设置有延迟传动部件55,以在主轴15旋转带动右翻拦抱组件3进行拦抱时不驱动转轴一11旋转,并在右翻拦抱组件3反向动作时驱使转轴一11带动翻身床板一13和拦抱杆一32同步翻转;Among them, the linkage mechanism 5 located between the rotating shaft 11 and the main shaft 15 includes a bevel gear 3 51 installed on any rotating shaft 11, and a mounting seat 2 52 is provided on the bed body 1 near the bevel gear 3 51, and a linkage shaft 2 53 is provided on the mounting seat 2 52, and a bevel gear 4 54 engaged with the bevel gear 3 51 is provided at the end of the linkage shaft 2 53, and a delay transmission component 55 is provided between the linkage shaft 2 53 and the main shaft 15, so that when the main shaft 15 rotates to drive the right-turning blocking assembly 3 to block the embrace, the rotating shaft 11 is not driven to rotate, and when the right-turning blocking assembly 3 reverses, the rotating shaft 11 is driven to drive the turning bed board 13 and the blocking rod 1 32 to turn over synchronously;

需要说明的是,位于转轴二12和副轴16之间的连动机构5与上述结构完全相同,区别在于该锥齿轮三51安装在转轴二12上。It should be noted that the linkage mechanism 5 between the second rotating shaft 12 and the secondary shaft 16 is completely the same as the above structure, the difference being that the third bevel gear 51 is mounted on the second rotating shaft 12 .

而上述的延迟传动部件55包括有安装在连动轴二53上的齿轮六551,且在主轴15上还套设有往复丝杠二552,在往复丝杠二552上设置有滑块二553,导轨滑杆338同时滑动贯穿滑块二553,且在滑块二553侧边位置设置有延伸轴554,并在延伸轴554端部设置有齿条二555,在主轴15带动往复丝杠二552旋转时,驱使滑块二553移动,且初始移动过程中延伸轴554与齿轮六551无接触,此过程中右翻拦抱组件3翻动到极限位置,随着滑块二553继续移动,齿条二555与齿轮六551咬合,并带动转轴一11及翻身床板一13翻动,同时右翻拦抱组件3反向复位;The above-mentioned delay transmission component 55 includes a gear six 551 installed on the linkage shaft two 53, and a reciprocating screw two 552 is also sleeved on the main shaft 15, a slider two 553 is arranged on the reciprocating screw two 552, and the guide rail slide bar 338 slides through the slider two 553 at the same time, and an extension shaft 554 is arranged at the side position of the slider two 553, and a rack two 555 is arranged at the end of the extension shaft 554. When the main shaft 15 drives the reciprocating screw two 552 to rotate, the slider two 553 is driven to move, and the extension shaft 554 has no contact with the gear six 551 during the initial movement. During this process, the right flipping and holding assembly 3 flips to the limit position. As the slider two 553 continues to move, the rack two 555 engages with the gear six 551, and drives the rotating shaft one 11 and the turning bed board one 13 to flip, and at the same time, the right flipping and holding assembly 3 is reversed and reset;

对于上述特征,以右翻为例,残参阅附图8-13所示,驱动机构2正转,首先驱使拦抱杆一32翻转到极限位置对患者进行拦抱,此时驱动机构2继续正转,此时往复丝杠一336驱使拦抱杆一32翻转,同时延迟传动部件55工作对接,驱使翻身床板一13向右翻转,而在翻身床板一13和拦抱杆一32至竖直位置时,若需要侧卧位则设置驱动机构2锁停,保持稳定侧卧位,若要翻身,则驱动机构2继续正转驱动,此时拦抱杆一32继续的转动,以慢慢的贴靠在拦抱杆一32上的患者缓慢的放置在床体1上,同时延迟传动部件55上的往复丝杠二552驱使滑块二553反向移动,则翻身床板一13反向翻转复位,在拦抱杆一32将患者置于床体1表面而与患者脱离时,翻身床板一13也复位时初始状态,提供持续使用,同理,左翻时直接设置驱动机构2反转即可;For the above-mentioned features, taking right turning as an example, refer to Figures 8-13. The driving mechanism 2 rotates forward, first drives the holding bar 32 to turn to the extreme position to hold the patient, and then the driving mechanism 2 continues to rotate forward. At this time, the reciprocating screw 336 drives the holding bar 32 to turn, and at the same time delays the working connection of the transmission component 55 to drive the turning bed board 13 to turn right. When the turning bed board 13 and the holding bar 32 are in the vertical position, if a lateral position is required, the driving mechanism 2 is locked to maintain a stable lateral position. If turning over is required , the driving mechanism 2 continues to drive forward, and the holding bar 32 continues to rotate, so that the patient who is slowly leaning against the holding bar 32 is slowly placed on the bed body 1, and at the same time, the reciprocating screw 2 552 on the delayed transmission component 55 drives the slider 2 553 to move in the opposite direction, so that the turning bed board 13 is reversely flipped and reset. When the holding bar 32 places the patient on the surface of the bed body 1 and separates from the patient, the turning bed board 13 is also reset to the initial state, providing continuous use. Similarly, when turning left, the driving mechanism 2 can be directly set to reverse;

需要说明的是,当患者躺在床体1上时,基本上不会稳定躺在翻身床板一13或翻身床板二14上,于是在拦抱杆一32或拦抱杆二42翻转拦抱时,还是同时顶动躺在床体1表面的患者横向移动,以将其稳定的推送至相应翻身的床板上。It should be noted that when the patient lies on the bed 1, he basically will not lie stably on the turning bed board 13 or the turning bed board 2 14. Therefore, when the blocking rod 1 32 or the blocking rod 2 42 is turned over to block the patient, the patient lying on the surface of the bed 1 is pushed to move horizontally at the same time to stably push him onto the corresponding turning bed board.

实施例2Example 2

在实施例1的基础上,本实施例2提出对实施例1进一步优化的实施方式,参阅附图14所示,拦抱通槽18设置有两个,且在床体1上分别位于胸口和下肢的位置,且左翻拦抱机构4和右翻拦抱组件3均对应拦抱通槽18设置有两个,进而通过上下肢的同步拦抱翻身,以保证拦抱翻身的高效性和稳定性,且在具体设置左翻拦抱机构4和右翻拦抱组件3可采用与实施例1完全相同的特征设计,并合理设置两个右翻拦抱组件3的传动(简单的链轮链条传动即可,本领域技术人员根据本领域公知常识可轻易实现,在此不做过多赘述)即可。On the basis of Example 1, this Example 2 proposes an implementation method that further optimizes Example 1, referring to Figure 14, two intercepting grooves 18 are provided, and are located at the chest and lower limbs on the bed body 1, respectively, and the left-turn intercepting mechanism 4 and the right-turn intercepting assembly 3 are both provided with two corresponding intercepting grooves 18, so that the efficiency and stability of intercepting and turning over are guaranteed through synchronous intercepting and turning over of the upper and lower limbs, and the specific setting of the left-turn intercepting mechanism 4 and the right-turn intercepting assembly 3 can adopt the same feature design as that of Example 1, and the transmission of the two right-turn intercepting assemblies 3 can be reasonably set (a simple sprocket chain transmission can be used, which can be easily realized by those skilled in the art according to the common knowledge in the field, and no further elaboration is made here).

实施例3Example 3

在上述实施例的基础上,本实施例提出进一步的优化的实施方式,对于驱动机构2,还包括有多个组合杆7,组合杆7与拦抱杆一32和拦抱杆二42一一对应,且均可拆安装在对应的主轴15和副轴16上;On the basis of the above embodiment, this embodiment proposes a further optimized implementation method, in which the driving mechanism 2 further includes a plurality of combination rods 7, which correspond to the first holding rod 32 and the second holding rod 42 one by one, and can be detachably mounted on the corresponding main shaft 15 and secondary shaft 16;

该组合杆7包括有可拆安装的对应主轴15和副轴16拆除后位置的主杆71,在主杆71上设置有转轴三72,且在转轴三72上设置有偏转轴73,并在转轴三72和偏转轴73之间设置有扭簧74,在本实施例下,可通过组合杆7与拦抱杆的切换使用,还能够利用上述特征来对平躺的患者的背部进行按摩敲打,功能性更加。The combination rod 7 includes a main rod 71 which is detachably installed and corresponds to the position after the main shaft 15 and the secondary shaft 16 are removed. A rotating shaft 3 72 is arranged on the main rod 71, and a deflection shaft 73 is arranged on the rotating shaft 3 72. A torsion spring 74 is arranged between the rotating shaft 3 72 and the deflection shaft 73. In this embodiment, the combination rod 7 and the holding rod can be switched for use, and the above features can also be used to massage and tap the back of a lying patient, which is more functional.

需要说明的是,在本文中,诸如第一和第二等之类的关系术语仅仅用来将一个实体或者操作与另一个实体或操作区分开来,而不一定要求或者暗示这些实体或操作之间存在任何这种实际的关系或者顺序。而且,术语“包括”、“包含”或者其任何其他变体意在涵盖非排他性的包含,从而使得包括一系列要素的过程、方法、物品或者设备不仅包括那些要素,而且还包括没有明确列出的其他要素,或者是还包括为这种过程、方法、物品或者设备所固有的要素。It should be noted that, in this article, relational terms such as first and second, etc. are only used to distinguish one entity or operation from another entity or operation, and do not necessarily require or imply any such actual relationship or order between these entities or operations. Moreover, the terms "include", "comprise" or any other variants thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements includes not only those elements, but also other elements not explicitly listed, or also includes elements inherent to such process, method, article or device.

尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims (6)

1.一种儿科重症监护室用的治疗辅助装置,包括床体(1),其特征在于:还包括:1. A treatment assisting device for a pediatric intensive care unit, comprising a bed (1), characterized in that it also comprises: 两组转轴一(11)和两组转轴二(12),每组转轴一(11)和转轴二(12)均包括有两个,且分别贯穿安装在床体(1)的床头和床尾位置;及Two sets of rotating shafts 1 (11) and two sets of rotating shafts 2 (12), each set of rotating shafts 1 (11) and rotating shafts 2 (12) comprises two, and are respectively installed through the head and foot of the bed body (1); and 翻身床板一(13)和翻身床板二(14),分别安装在两个转轴一(11)和两个转轴二(12)之间,且转轴一(11)和转轴二(12)分别位于翻身床板一(13)和翻身床板二(14)相靠近的一侧;及The turning bed board 1 (13) and the turning bed board 2 (14) are respectively installed between the two rotating shafts 1 (11) and the two rotating shafts 2 (12), and the rotating shaft 1 (11) and the rotating shaft 2 (12) are respectively located on the side close to the turning bed board 1 (13) and the turning bed board 2 (14); and 一主轴(15)和一副轴(16),在床体(1)底部设置有轴承座(17),主轴(15)和副轴(16)均利用轴承座(17)转动安装在床体(1)底部;及A main shaft (15) and a secondary shaft (16), a bearing seat (17) is arranged at the bottom of the bed body (1), and the main shaft (15) and the secondary shaft (16) are rotatably mounted on the bottom of the bed body (1) by means of the bearing seat (17); and 一驱动机构(2),设置在床体(1)底部,且与主轴(15)和副轴(16)均连接,并在主轴(15)上设置有右翻拦抱组件(3),在副轴(16)上设置有左翻拦抱机构(4),以在患者翻身前模拟人手拦抱来辅助患者翻身;及A driving mechanism (2) is arranged at the bottom of the bed body (1) and is connected to both the main shaft (15) and the secondary shaft (16); a right-turning blocking assembly (3) is arranged on the main shaft (15), and a left-turning blocking mechanism (4) is arranged on the secondary shaft (16) to simulate a human hand blocking before the patient turns over to assist the patient in turning over; and 一连动机构(5),安装在床体(1)上,用于连接驱动机构(2)与转轴一(11)和转轴二(12);A linkage mechanism (5) is installed on the bed (1) and is used to connect the drive mechanism (2) with the first rotating shaft (11) and the second rotating shaft (12); 在驱动机构(2)正向动作驱动下,首先驱使主轴(15)带动右翻拦抱组件(3)翻转来与患者接触,并模拟拦抱,此过程中转轴一(11)及翻身床板一(13)不动作,且在驱动机构(2)继续驱动过程中,右翻拦抱组件(3)与翻身床板同时朝相反方向带动患者旋转翻身,并在驱动机构(2)反向动作驱使时,驱使副轴(16)和左翻拦抱机构(4)进行上述过程中进行拦抱翻身;When the driving mechanism (2) is driven in the forward direction, the main shaft (15) is first driven to drive the right-turning and holding assembly (3) to turn over to contact the patient and simulate holding. During this process, the rotating shaft (11) and the turning bed board (13) do not move. When the driving mechanism (2) continues to drive, the right-turning and holding assembly (3) and the turning bed board simultaneously drive the patient to rotate and turn over in opposite directions. When the driving mechanism (2) is driven in the reverse direction, the secondary shaft (16) and the left-turning and holding assembly (4) are driven to hold and turn over in the above process. 在所述翻身床板一(13)和翻身床板二(14)相对一侧均开设有拦抱通槽(18),所述右翻拦抱组件(3)包括有转动安装在主轴(15)上的套管一(31),在所述套管一(31)上安装有拦抱杆一(32),且在所述套管一(31)和主轴(15)之间设置有往复式旋转部件(33),在所述主轴(15)持续旋转的过程中,通过往复式旋转部件(33)来驱使套管一(31)带动拦抱杆一(32)在拦抱通槽(18)内往复旋转;A holding groove (18) is provided on opposite sides of the turning bed board 1 (13) and the turning bed board 2 (14); the right turning holding assembly (3) comprises a sleeve 1 (31) rotatably mounted on a main shaft (15); a holding rod 1 (32) is mounted on the sleeve 1 (31); and a reciprocating rotating component (33) is provided between the sleeve 1 (31) and the main shaft (15); during the continuous rotation of the main shaft (15), the sleeve 1 (31) is driven by the reciprocating rotating component (33) to drive the holding rod 1 (32) to reciprocate in the holding groove (18); 所述往复式旋转部件(33)包括有安装在套管一(31)上的锥齿轮一(331),且在床体(1)底部设置有安装座一(332),在所述安装座一(332)上设置有连动轴一(333),在所述连动轴一(333)端部设置有与锥齿轮一(331)咬合的锥齿轮二(334),且在所述连动轴一(333)另一端安装有驱动齿轮五(335);The reciprocating rotating component (33) comprises a bevel gear (331) mounted on a sleeve (31), and a mounting seat (332) is arranged at the bottom of the bed (1), a linkage shaft (333) is arranged on the mounting seat (332), a bevel gear (334) meshing with the bevel gear (331) is arranged at the end of the linkage shaft (333), and a driving gear (335) is installed at the other end of the linkage shaft (333); 还包括套设在主轴(15)上的往复丝杠一(336)及安装在往复丝杠一(336)上的滑块一(337),且在所述床体(1)底部设置有导轨滑杆(338),所述导轨滑杆(338)滑动贯穿滑块一(337),并在所述滑块一(337)的侧边位置设置有齿条一(339),所述齿条一(339)与驱动齿轮五(335)咬合,在主轴(15)带动往复丝杠持续旋转的过程中,所述滑块一(337)周期性往复移动,并利用齿条一(339)驱使驱动齿轮五(335)带动锥齿轮二(334)往复旋转,进而实现拦抱杆一(32)的往复翻转拦抱;It also includes a reciprocating screw (336) sleeved on the main shaft (15) and a slider (337) installed on the reciprocating screw (336), and a guide rail slide (338) is arranged at the bottom of the bed (1), the guide rail slide (338) slides through the slider (337), and a rack (339) is arranged on the side of the slider (337), the rack (339) is engaged with the driving gear (335), when the main shaft (15) drives the reciprocating screw to rotate continuously, the slider (337) moves back and forth periodically, and the rack (339) drives the driving gear (335) to drive the bevel gear (334) to rotate back and forth, thereby realizing the reciprocating flipping and blocking of the blocking rod (32); 所述连动机构(5)设置有两个,且分别设置在床体(1)一端的转轴一(11)与主轴(15)之间及床体(1)另一端的转轴二(12)与副轴(16)之间;The linkage mechanisms (5) are provided with two, and are respectively provided between the first rotating shaft (11) and the main shaft (15) at one end of the bed body (1) and between the second rotating shaft (12) and the secondary shaft (16) at the other end of the bed body (1); 位于所述转轴一(11)与主轴(15)之间的连动机构(5)包括有安装在任意转轴一(11)上的锥齿轮三(51),且在床体(1)上靠近锥齿轮三(51)的位置设置有安装座二(52),在所述安装座二(52)上设置有连动轴二(53),在所述连动轴二(53)的端部设置有与锥齿轮三(51)咬合的锥齿轮四(54),并在所述连动轴二(53)与主轴(15)之间设置有延迟传动部件(55),以在所述主轴(15)旋转带动右翻拦抱组件(3)进行拦抱时不驱动转轴一(11)旋转,并在所述右翻拦抱组件(3)反向动作时驱使转轴一(11)带动翻身床板一(13)和拦抱杆一(32)同步翻转;The linkage mechanism (5) located between the rotating shaft (11) and the main shaft (15) comprises a bevel gear (51) mounted on any rotating shaft (11), and a mounting seat (52) is arranged on the bed body (1) at a position close to the bevel gear (51), a linkage shaft (53) is arranged on the mounting seat (52), a bevel gear (54) meshing with the bevel gear (51) is arranged at the end of the linkage shaft (53), and a delay transmission component (55) is arranged between the linkage shaft (53) and the main shaft (15), so that when the main shaft (15) rotates to drive the right-turning blocking assembly (3) to block the bed, the rotating shaft (11) is not driven to rotate, and when the right-turning blocking assembly (3) moves in the reverse direction, the rotating shaft (11) is driven to drive the turning bed board (13) and the blocking rod (32) to turn over synchronously; 位于所述转轴二(12)和副轴(16)之间的连动机构(5)除锥齿轮三(51)安装在转轴二(12)上外,其他结构均与位于所述转轴一(11)与主轴(15)之间的连动机构(5)相同;The linkage mechanism (5) between the second rotating shaft (12) and the secondary shaft (16) has the same structure as the linkage mechanism (5) between the first rotating shaft (11) and the main shaft (15), except that the bevel gear (51) is mounted on the second rotating shaft (12); 所述延迟传动部件(55)包括有安装在连动轴二(53)上的齿轮六(551),且在所述主轴(15)上还套设有往复丝杠二(552),在所述往复丝杠二(552)上设置有滑块二(553),所述导轨滑杆(338)同时滑动贯穿滑块二(553),且在所述滑块二(553)侧边位置设置有延伸轴(554),并在所述延伸轴(554)端部设置有齿条二(555),在所述主轴(15)带动往复丝杠二(552)旋转时,驱使所述滑块二(553)移动,且初始移动过程中延伸轴(554)与齿轮六(551)无接触,此过程中右翻拦抱组件(3)翻动到极限位置,随着所述滑块二(553)继续移动,齿条二(555)与齿轮六(551)咬合,并带动所述转轴一(11)及翻身床板一(13)翻动,同时右翻拦抱组件(3)反向复位。The delay transmission component (55) includes a gear six (551) installed on the linkage shaft (53), and a reciprocating screw (552) is sleeved on the main shaft (15), a slider (553) is arranged on the reciprocating screw (552), the guide rail slide bar (338) slides through the slider (553) at the same time, and an extension shaft (554) is arranged at the side of the slider (553), and a rack (555) is arranged at the end of the extension shaft (554). When the main shaft (15) drives the reciprocating screw 2 (552) to rotate, the slider 2 (553) is driven to move, and during the initial movement, the extension shaft (554) has no contact with the gear 6 (551). During this process, the right flipping and holding assembly (3) flips to the extreme position. As the slider 2 (553) continues to move, the rack 2 (555) engages with the gear 6 (551) and drives the rotating shaft 1 (11) and the turning bed board 1 (13) to flip, and at the same time, the right flipping and holding assembly (3) is reversed and reset. 2.根据权利要求1所述的一种儿科重症监护室用的治疗辅助装置,其特征在于:所述主轴(15)与副轴(16)同轴,且在主轴(15)上开设有贯穿的通孔(151),所述副轴(16)穿过主轴(15),且与其转动连接;2. A treatment auxiliary device for a pediatric intensive care unit according to claim 1, characterized in that: the main shaft (15) and the secondary shaft (16) are coaxial, and a through hole (151) is provided on the main shaft (15), and the secondary shaft (16) passes through the main shaft (15) and is rotatably connected thereto; 所述驱动机构(2)包括有分别套设的在主轴(15)端部和副轴(16)端部的正棘轮机构(21)和反棘轮机构(22),且在所述正棘轮机构(21)和反棘轮机构(22)上分别安装有驱动齿轮一(23)和驱动齿轮二(24);The driving mechanism (2) comprises a positive ratchet mechanism (21) and a reverse ratchet mechanism (22) which are respectively sleeved on the end of the main shaft (15) and the end of the secondary shaft (16), and a driving gear 1 (23) and a driving gear 2 (24) are respectively mounted on the positive ratchet mechanism (21) and the reverse ratchet mechanism (22); 还包括有安装在床体(1)上的步进电机(25),在所述步进电机(25)的输出轴上分别安装有驱动齿轮三(26)和驱动齿轮四(27),所述驱动齿轮一(23)与驱动齿轮三(26)咬合,所述驱动齿轮二(24)与驱动齿轮四(27)咬合;It also includes a stepper motor (25) mounted on the bed body (1), and a drive gear three (26) and a drive gear four (27) are respectively mounted on the output shaft of the stepper motor (25), the drive gear one (23) meshes with the drive gear three (26), and the drive gear two (24) meshes with the drive gear four (27); 通过上述特征组合,在所述步进电机(25)正向驱动时,利用驱动齿轮三(26)带动驱动齿轮一(23)旋转,且利用正棘轮机构(21)带动主轴(15)强制旋转,并在所述步进电机(25)反向驱动时,利用驱动齿轮四(27)带动驱动齿轮二(24)旋转,同时利用反棘轮机构(22)带动副轴(16)旋转。By the above-mentioned characteristic combination, when the stepper motor (25) is driven in the forward direction, the driving gear three (26) is used to drive the driving gear one (23) to rotate, and the positive ratchet mechanism (21) is used to drive the main shaft (15) to rotate forcibly, and when the stepper motor (25) is driven in the reverse direction, the driving gear four (27) is used to drive the driving gear two (24) to rotate, and the reverse ratchet mechanism (22) is used to drive the secondary shaft (16) to rotate. 3.根据权利要求2所述的一种儿科重症监护室用的治疗辅助装置,其特征在于:所述左翻拦抱机构(4)包括有套设在副轴(16)上的套管二(41),在所述套管二(41)上安装有拦抱杆二(42),所述拦抱杆二(42)与拦抱杆一(32)结构完全相同,但朝向相反,且在所述套管二(41)和副轴(16)之间也设置有一个与右翻拦抱组件(3)相同结构的往复式旋转部件(33),以驱使拦抱杆二(42)往复式翻转拦抱。3. A therapeutic auxiliary device for a pediatric intensive care unit according to claim 2, characterized in that: the left-turning and blocking mechanism (4) includes a second sleeve (41) sleeved on the secondary shaft (16), and a second blocking rod (42) is installed on the second sleeve (41), and the second blocking rod (42) is completely the same as the first blocking rod (32) in structure, but in the opposite direction, and a reciprocating rotating component (33) with the same structure as the right-turning and blocking assembly (3) is also arranged between the second sleeve (41) and the secondary shaft (16) to drive the second blocking rod (42) to reciprocately turn over and block. 4.根据权利要求3所述的一种儿科重症监护室用的治疗辅助装置,其特征在于:所述拦抱杆一(32)和拦抱杆二(42)均为L型杆体结构,且其与患者接触的承载段为弧形设计,并在该位置均安装有接触气囊(6),以提供软接触。4. A therapeutic auxiliary device for a pediatric intensive care unit according to claim 3, characterized in that: the first holding rod (32) and the second holding rod (42) are both L-shaped rod structures, and the bearing sections in contact with the patient are arc-shaped, and contact airbags (6) are installed at this position to provide soft contact. 5.根据权利要求4所述的一种儿科重症监护室用的治疗辅助装置,其特征在于:所述拦抱通槽(18)设置有两个,且在床体(1)上分别位于胸口和下肢的位置,且左翻拦抱机构(4)和右翻拦抱组件(3)均对应拦抱通槽(18)设置有两个。5. A therapeutic auxiliary device for a pediatric intensive care unit according to claim 4, characterized in that: there are two said holding grooves (18), which are respectively located at the chest and lower limbs on the bed (1), and the left-turn holding mechanism (4) and the right-turn holding assembly (3) are each provided with two corresponding holding grooves (18). 6.根据权利要求5所述的一种儿科重症监护室用的治疗辅助装置,其特征在于:6. A treatment assisting device for a pediatric intensive care unit according to claim 5, characterized in that: 还包括有多个组合杆(7),所述组合杆(7)与拦抱杆一(32)和拦抱杆二(42)一一对应,且均可拆安装在对应的主轴(15)和副轴(16)上;It also includes a plurality of combination rods (7), wherein the combination rods (7) correspond to the first holding rod (32) and the second holding rod (42) one by one, and can be detachably mounted on the corresponding main shaft (15) and secondary shaft (16); 该组合杆(7)包括有可拆安装的对应主轴(15)和副轴(16)拆除后位置的主杆(71),在所述主杆(71)上设置有转轴三(72),且在所述转轴三(72)上设置有偏转轴(73),并在所述转轴三(72)和偏转轴(73)之间设置有扭簧(74)。The combined rod (7) comprises a main rod (71) which is detachably mounted and corresponds to the position after the main shaft (15) and the secondary shaft (16) are removed, a rotating shaft (72) is arranged on the main rod (71), a deflection shaft (73) is arranged on the rotating shaft (72), and a torsion spring (74) is arranged between the rotating shaft (72) and the deflection shaft (73).
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