CN115350042B - An auxiliary device for bone marrow puncture - Google Patents
An auxiliary device for bone marrow puncture Download PDFInfo
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- CN115350042B CN115350042B CN202210948221.6A CN202210948221A CN115350042B CN 115350042 B CN115350042 B CN 115350042B CN 202210948221 A CN202210948221 A CN 202210948221A CN 115350042 B CN115350042 B CN 115350042B
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- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
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- A61G13/00—Operating tables; Auxiliary appliances therefor
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- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
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Abstract
Description
技术领域technical field
本发明涉及刺穿辅助装置技术领域,具体为一种用于骨髓穿刺的辅助装置。The invention relates to the technical field of puncture auxiliary devices, in particular to an auxiliary device for bone marrow puncture.
背景技术Background technique
骨髓穿刺术是采取骨髓液的一种常用诊断技术,其检查内容包括细胞学、原虫和细菌学等几个方面。一般适用于:1.各种血液病的诊断、鉴别诊断及治疗随访;2.不明原因的红细胞、白细胞、血小板数量增多或减少及形态学异常;3.不明原因发热的诊断与鉴别诊断,可作骨髓培养,骨髓涂片找寄生虫等。Bone marrow aspiration is a common diagnostic technique for taking bone marrow fluid, and its examination includes cytology, protozoa and bacteriology. Generally applicable to: 1. Diagnosis, differential diagnosis and treatment follow-up of various blood diseases; 2. Unexplained increase or decrease in the number of red blood cells, white blood cells, and platelets and morphological abnormalities; 3. Diagnosis and differential diagnosis of fever of unknown origin. For bone marrow culture, bone marrow smear to find parasites and so on.
目前,骨髓穿刺术大都采用髂后上棘穿刺,而在髂后上棘穿刺时取侧卧位,在穿刺过程中,体型越大的患者,局部脂肪组织较多,穿刺有难度,使得可能需多次刺穿,对患者造成不必要的伤害,所以我们需要一种用于骨髓穿刺的辅助装置来解决上述问题。At present, the posterior superior iliac spine is mostly used for bone marrow puncture, and the lateral position is taken during the puncture of the posterior superior iliac spine. Multiple punctures cause unnecessary harm to patients, so we need a kind of auxiliary device for bone marrow puncture to solve the above problems.
发明内容Contents of the invention
本发明的目的在于提供一种用于骨髓穿刺的辅助装置,具备可根据患者体型的大小来调节患者屈曲程度的优点,解决了体型越大的患者,穿刺有难度的问题。The purpose of the present invention is to provide an auxiliary device for bone marrow puncture, which has the advantage of being able to adjust the degree of flexion of the patient according to the size of the patient, and solves the problem of difficulty in puncturing for larger patients.
为实现上述目的,本发明提供如下技术方案:一种用于骨髓穿刺的辅助装置包括承重板和支撑板,所述承重板上开设有弧形槽并通过该弧形槽限位滑动连接有用于支撑患者大腿部的弧形板,所述承重板上转动连接有第一转动杆,所述第一转动杆与弧形板固定连接,所述承重板上开设有斜槽并通过该斜槽限位滑动连接有用于支撑患者小腿部的滑动板,所述滑动板通过销轴与弧形板铰接,所述承重板上开设有空心腔,所述承重板上设有用于确定患者的胖瘦程度的反馈机构,所述支撑板上设有用于可自适应调节弧形板和滑动板的调节机构。To achieve the above object, the present invention provides the following technical solution: an auxiliary device for bone marrow puncture includes a load-bearing plate and a support plate, and an arc-shaped groove is opened on the load-bearing plate and is connected with a The arc-shaped plate supporting the patient's thigh, the load-bearing plate is rotatably connected with a first rotating rod, the first rotating rod is fixedly connected with the arc-shaped plate, and a chute is opened on the load-bearing plate and passes through the chute The limit slide is connected with a sliding plate for supporting the patient's calf, the sliding plate is hinged with the arc plate through a pin shaft, a hollow cavity is opened on the bearing plate, and there is a set on the bearing plate for determining the fat of the patient. As for the feedback mechanism of thinness, the support plate is provided with an adjustment mechanism for adaptively adjusting the arc plate and the sliding plate.
优选的,所述反馈机构包括有固定连接在承重板上的支撑架,所述支撑架上固定连接有两个支撑块,两个所述支撑块上转动连接有转动轴,所述转动轴上固定连接有手摇把和齿轮,所述支撑架上开设有滑槽并通过该滑槽限位滑动连接有与齿轮啮合的齿条。Preferably, the feedback mechanism includes a support frame fixedly connected to the bearing plate, two support blocks are fixedly connected to the support frame, and two support blocks are rotatably connected to a rotating shaft, and the rotating shaft A hand crank and a gear are fixedly connected, and a chute is opened on the support frame, and a rack meshed with the gear is slidably connected through the chute.
优选的,所述反馈机构还包括有固定连接在齿条下表面的直活塞筒,所述直活塞筒的内壁上滑动连接有直密封塞,所述直密封塞上固定连接有直活塞杆,所述直活塞杆上固定连接有与患者接触的接触块,所述直活塞筒内放置有第一弹簧,所述第一弹簧的两端分别与直密封塞和直活塞筒固定连接。Preferably, the feedback mechanism further includes a straight piston cylinder fixedly connected to the lower surface of the rack, a straight sealing plug is slidably connected to the inner wall of the straight piston cylinder, and a straight piston rod is fixedly connected to the straight sealing plug, A contact block in contact with the patient is fixedly connected to the straight piston rod, a first spring is placed inside the straight piston barrel, and two ends of the first spring are respectively fixedly connected with the straight sealing plug and the straight piston barrel.
优选的,所述反馈机构还包括有进气管和输气管,所述直活塞筒通过进气管与外界固定连通,所述直活塞筒远离进气管的一端与输气管固定连通,所述进气管和输气管上固定连接有单向阀。Preferably, the feedback mechanism also includes an air intake pipe and an air delivery pipe, the straight piston barrel is fixedly communicated with the outside world through the air intake pipe, the end of the straight piston barrel away from the air intake pipe is fixedly communicated with the air delivery pipe, the air intake pipe and the air delivery pipe A one-way valve is fixedly connected to the gas delivery pipe.
优选的,所述调节机构包括有固定连接在支撑板上的第一弧形活塞筒,所述第一弧形活塞筒的内壁上滑动连接有第一弧形密封塞,所述第一弧形密封塞上固定连接有第一弧形活塞杆,所述第一弧形活塞杆远离第一弧形密封塞的一端与弧形板固定连接,所述第一弧形活塞筒与输气管远离直活塞筒的一端固定连通。Preferably, the adjustment mechanism includes a first arc-shaped piston barrel fixedly connected to the support plate, a first arc-shaped sealing plug is slidably connected to the inner wall of the first arc-shaped piston barrel, and the first arc-shaped sealing plug is A first arc-shaped piston rod is fixedly connected to the sealing plug, and the end of the first arc-shaped piston rod away from the first arc-shaped sealing plug is fixedly connected to the arc-shaped plate. One end of the piston barrel is fixedly connected.
优选的,所述调节机构还包括有第二弹簧和第三弹簧,所述第二弹簧套接在第一弧形活塞杆上,所述第二弹簧的两端分别与第一弧形密封塞和第一弧形活塞筒固定连接,所述第一弧形活塞筒上开设有排气孔并通过排气孔限位滑动连接有圆台,所述第三弹簧的两端分别与圆台和第一弧形活塞筒固定连接。Preferably, the adjustment mechanism further includes a second spring and a third spring, the second spring is sleeved on the first arc-shaped piston rod, and the two ends of the second spring are connected to the first arc-shaped sealing plug respectively. It is fixedly connected with the first arc-shaped piston barrel, and the first arc-shaped piston barrel is provided with an exhaust hole and is connected with a circular platform through the exhaust hole limit sliding, and the two ends of the third spring are respectively connected with the circular platform and the first The curved piston cylinder is fixedly connected.
优选的,所述直活塞筒上设有用于为患者消毒的消毒机构,所述消毒机构还包括有固定连接在直活塞筒上的连接架,所述连接架的下表面转动连接有第二转动杆,所述第二转动杆上固定连接有第一锥形齿轮和圆盘,所述圆盘的下表面拆卸连接有擦拭体,所述第一转动杆上固定连接有与第一锥形齿轮间歇啮合的第二锥形齿轮。Preferably, the straight piston cylinder is provided with a disinfection mechanism for sterilizing patients, and the disinfection mechanism also includes a connecting frame fixedly connected to the straight piston cylinder, the lower surface of the connecting frame is rotatably connected with a second rotating rod, the first bevel gear and disc are fixedly connected on the second rotating rod, the lower surface of the disc is disassembled and connected with a wiping body, and the first rotating rod is fixedly connected with the first bevel gear intermittently meshing second bevel gear.
优选的,所述承重板上设有用于对患者小腿部进行固定的固定机构,所述固定机构包括有固定连接在承重板上的支撑板,所述支撑板上固定连接有气囊。Preferably, the load-bearing plate is provided with a fixing mechanism for fixing the lower leg of the patient, and the fixing mechanism includes a support plate fixedly connected to the load-bearing plate, and an air bag is fixedly connected to the support plate.
优选的,所述固定机构还包括有第二弧形活塞筒、输送管和第四弹簧,所述第二弧形活塞筒固定连接在空心腔上,所述第二弧形活塞筒的内壁上滑动连接有第二弧形密封塞,所述第二弧形密封塞上固定连接有第二弧形活塞杆,所述第二弧形活塞杆远离第二弧形密封塞的一端与弧形板固定连接,所述第二弧形活塞筒通过输送管与气囊固定连通,所述第四弹簧的两端分别与第二弧形密封塞和第二弧形活塞筒固定连通。Preferably, the fixing mechanism also includes a second arc-shaped piston barrel, a delivery tube and a fourth spring, the second arc-shaped piston barrel is fixedly connected to the hollow cavity, and the inner wall of the second arc-shaped piston barrel A second arc-shaped sealing plug is slidably connected, and a second arc-shaped piston rod is fixedly connected to the second arc-shaped sealing plug. The end of the second arc-shaped piston rod away from the second arc-shaped sealing plug and the arc-shaped plate Fixedly connected, the second arc-shaped piston barrel is fixedly communicated with the air bag through the delivery tube, and the two ends of the fourth spring are respectively fixedly communicated with the second arc-shaped sealing plug and the second arc-shaped piston barrel.
与现有技术相比,本发明的有益效果如下:Compared with the prior art, the beneficial effects of the present invention are as follows:
1、本发明通过整体结构的配合,达到了可根据患者体型的大小来调节患者屈曲程度的效果。1. The present invention achieves the effect of adjusting the patient's flexion degree according to the size of the patient's body shape through the cooperation of the overall structure.
2、本发明通过设置反馈机构,达到了在直活塞筒向患者滑动时,通过患者体型的大小来确定第一弧形活塞筒内的第一弧形活塞杆和第一弧形密封塞的滑动行程的效果。2. The present invention achieves the sliding of the first arc-shaped piston rod and the first arc-shaped sealing plug in the first arc-shaped piston barrel according to the size of the patient when the straight piston barrel slides toward the patient by setting the feedback mechanism The effect of travel.
3、本发明通过设置调节机构,达到了可根据患者的体型自适应调节患者的屈曲状,使得降低了医师刺穿难度,且同时无需患者自己保持身体屈曲,使得患者较放松,减少了医师刺穿效果差的效果。3. By setting the adjustment mechanism, the present invention can adaptively adjust the patient's flexion shape according to the patient's body shape, which reduces the difficulty of the doctor's puncture, and at the same time does not require the patient to keep the body flexed, so that the patient is more relaxed and reduces the need for the doctor to puncture. The effect of wearing poor effect.
4、本发明通过设置消毒机构,达到了擦拭体对患者的髂后上棘处消毒,无需人工消毒,省时省力的效果。4. The present invention achieves the effect of disinfecting the patient's posterior superior iliac spine with the wiping body by providing a disinfection mechanism without manual disinfection, saving time and effort.
5、本发明通过设置固定机构,达到了将患者的小腿部进行固定,避免了患者在骨髓刺穿时晃动,从而影响刺穿效果。5. The present invention fixes the lower leg of the patient by setting the fixing mechanism, avoiding the patient from shaking during the bone marrow puncture, thereby affecting the puncture effect.
附图说明Description of drawings
图1为本发明整体结构的外观示意图;Fig. 1 is the appearance schematic diagram of overall structure of the present invention;
图2为本发明反馈机构的结构示意图;Fig. 2 is the structural representation of feedback mechanism of the present invention;
图3为本发明反馈机构的结构剖面示意图;Fig. 3 is the structural sectional schematic diagram of feedback mechanism of the present invention;
图4为本发明调节机构未调节时的结构示意图;Fig. 4 is a schematic structural view of the adjustment mechanism of the present invention when it is not adjusted;
图5为本发明调节机构调节完成时的结构示意图;Fig. 5 is a schematic structural view of the adjustment mechanism of the present invention when the adjustment is completed;
图6为本发明调节机构的结构剖面示意图;Fig. 6 is a structural sectional schematic view of the adjusting mechanism of the present invention;
图7为本发明弧形板和滑动板的结构示意图;Fig. 7 is a structural schematic diagram of an arc-shaped plate and a sliding plate of the present invention;
图8为本发明消毒机构的结构示意图;Fig. 8 is a schematic structural view of the disinfection mechanism of the present invention;
图9为本发明固定机构的结构示意图;Fig. 9 is a schematic structural view of the fixing mechanism of the present invention;
图10为本发明固定机构的结构剖面示意图。Fig. 10 is a schematic cross-sectional view of the structure of the fixing mechanism of the present invention.
图中:1、承重板;11、弧形板;12、滑动板;13、支撑架;14、支撑块;15、第一转动杆;16、支撑板;17、气囊;2、转动轴;21、手摇把;22、齿轮;23、齿条;3、直活塞筒;31、直活塞杆;32、直密封塞;33、第一弹簧;34、接触块;35、进气管;36、输气管;37、单向阀;4、第一弧形活塞筒;41、第一弧形活塞杆;42、第一弧形密封塞;43、第二弹簧;44、圆台;45、第三弹簧;5、连接架;51、第二转动杆;52、第一锥形齿轮;53、圆盘;54、第二锥形齿轮;6、第二弧形活塞筒;61、第二弧形活塞杆;62、第二弧形密封塞;63、第四弹簧;64、输送管。In the figure: 1, bearing plate; 11, arc-shaped plate; 12, sliding plate; 13, supporting frame; 14, supporting block; 15, first rotating rod; 16, supporting plate; 17, air bag; 2, rotating shaft; 21. Hand crank; 22. Gear; 23. Rack; 3. Straight piston cylinder; 31. Straight piston rod; 32. Straight sealing plug; 33. First spring; 34. Contact block; 35. Intake pipe; 36 , air pipe; 37, one-way valve; 4, the first arc-shaped piston cylinder; 41, the first arc-shaped piston rod; 42, the first arc-shaped sealing plug; 43, the second spring; 44, the round platform; 45, the first Three springs; 5, connecting frame; 51, the second rotating rod; 52, the first bevel gear; 53, disc; 54, the second bevel gear; 6, the second arc piston cylinder; 61, the second arc Shaped piston rod; 62, the second arc sealing plug; 63, the fourth spring; 64, delivery pipe.
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 clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
实施例一Embodiment one
本发明提供一种技术方案:一种用于骨髓穿刺的辅助装置包括承重板1和支撑板16,承重板1上开设有弧形槽并通过该弧形槽限位滑动连接有用于支撑患者大腿部的弧形板11,承重板1上转动连接有第一转动杆15,第一转动杆15与弧形板11固定连接,承重板1上开设有斜槽并通过该斜槽限位滑动连接有用于支撑患者小腿部的滑动板12,滑动板12通过销轴与弧形板11铰接,承重板1上开设有空心腔,承重板1上设有用于确定患者的胖瘦程度的反馈机构,支撑板16上设有用于可自适应调节弧形板11和滑动板12的调节机构。The present invention provides a technical solution: an auxiliary device for bone marrow puncture includes a load-bearing plate 1 and a support plate 16, and an arc-shaped groove is opened on the load-bearing plate 1, and a large plate for supporting the patient is connected through the arc-shaped groove to limit and slide. The arc-shaped plate 11 of the legs is connected with the first rotating rod 15 in rotation on the load-bearing plate 1, and the first rotating rod 15 is fixedly connected with the arc-shaped plate 11. The load-bearing plate 1 is provided with a chute and slides through the chute limit It is connected with a sliding plate 12 for supporting the lower legs of the patient. The sliding plate 12 is hinged to the arc plate 11 through a pin shaft. A hollow cavity is opened on the load-bearing plate 1. A feedback for determining the fatness of the patient is provided on the load-bearing plate 1. Mechanism, the supporting plate 16 is provided with an adjusting mechanism for adaptively adjusting the arc plate 11 and the sliding plate 12 .
使用时,将本装置放置在病床上并对其进行固定,随后医师将全新的擦拭体装在圆盘53上,然后医师嘱咐患者侧躺且患者的背部与承重板1上的挡板贴合,随后医师顺时针摇动手摇把21。When in use, place the device on the hospital bed and fix it, then the doctor installs a brand-new wiping body on the disc 53, and then the doctor instructs the patient to lie on his side and the patient's back to fit the baffle plate on the bearing plate 1 , and then the doctor shakes the hand crank 21 clockwise.
反馈机构包括有固定连接在承重板1上的支撑架13,支撑架13上固定连接有两个支撑块14,两个支撑块14上转动连接有转动轴2,转动轴2上固定连接有手摇把21和齿轮22,支撑架13上开设有滑槽并通过该滑槽限位滑动连接有与齿轮22啮合的齿条23。The feedback mechanism includes a support frame 13 fixedly connected to the load-bearing plate 1. The support frame 13 is fixedly connected with two support blocks 14. The two support blocks 14 are rotatably connected with a rotating shaft 2, and the rotating shaft 2 is fixedly connected with a hand. The crank 21 and the gear 22 are provided with a chute on the support frame 13, and a rack 23 meshing with the gear 22 is slidably connected through the chute.
反馈机构还包括有固定连接在齿条23下表面的直活塞筒3,直活塞筒3的内壁上滑动连接有直密封塞32,直密封塞32上固定连接有直活塞杆31,直活塞杆31上固定连接有与患者接触的接触块34,直活塞筒3内放置有第一弹簧33,第一弹簧33的两端分别与直密封塞32和直活塞筒3固定连接。The feedback mechanism also includes a straight piston barrel 3 fixedly connected to the lower surface of the rack 23, a straight sealing plug 32 is slidably connected to the inner wall of the straight piston barrel 3, and a straight piston rod 31 is fixedly connected to the straight sealing plug 32, and the straight piston rod 31 is fixedly connected with a contact block 34 that is in contact with the patient, and a first spring 33 is placed in the straight piston cylinder 3, and the two ends of the first spring 33 are fixedly connected with the straight sealing plug 32 and the straight piston cylinder 3 respectively.
反馈机构还包括有进气管35和输气管36,直活塞筒3通过进气管35与外界固定连通,直活塞筒3远离进气管35的一端与输气管36固定连通,进气管35和输气管36上固定连接有单向阀37。The feedback mechanism also includes an air intake pipe 35 and an air delivery pipe 36. The straight piston cylinder 3 is fixedly communicated with the outside world through the air intake pipe 35, and the end of the straight piston cylinder 3 away from the air intake pipe 35 is fixedly connected with the air delivery pipe 36. A one-way valve 37 is fixedly connected to the top.
随后转动轴2顺时针转动,其上的齿轮22同步顺时针转动,由于齿轮22与齿条23啮合,使得齿条23向下滑动,从而其上的直直活塞筒3同步向下滑动,直至接触块34与患者接触,从而接触块34带动直活塞杆31和直直密封塞32向进气管35的方向滑动,在转动轴2逆时针转动时,与上文原理相同,齿条23带动直直活塞筒3向上滑动,使得第一弹簧33的弹力得以释放,从而直直活塞杆31和直直密封塞32向远离进气管35的方向滑动,进而使得直活塞筒3内的气压往复变化,详细说明如下:Then the rotating shaft 2 rotates clockwise, and the gear 22 on it rotates clockwise synchronously. Since the gear 22 meshes with the rack 23, the rack 23 slides downward, so that the straight piston barrel 3 on it slides downward synchronously until The contact block 34 is in contact with the patient, so that the contact block 34 drives the straight piston rod 31 and the straight sealing plug 32 to slide towards the direction of the intake pipe 35. When the rotating shaft 2 rotates counterclockwise, the same principle as above, the rack 23 drives the straight The straight piston barrel 3 slides upwards, so that the elastic force of the first spring 33 is released, so that the straight piston rod 31 and the straight sealing plug 32 slide away from the air intake pipe 35, thereby causing the air pressure in the straight piston barrel 3 to change back and forth, The details are as follows:
在上文中,直活塞杆31和直密封塞32在直活塞筒3内向远离进气管35方向滑动时,在单向阀37的配合下,产生负压,从而通过进气管35将外界的气体吸入直活塞筒3内,在直活塞杆31和直密封塞32在直活塞筒3内向进气管35方向滑动时,在单向阀37的配合下,产生高压,从而使得直活塞筒3内的气体通过输气管36送入第一弧形活塞筒4中。In the above, when the straight piston rod 31 and the straight sealing plug 32 slide in the direction away from the intake pipe 35 in the straight piston cylinder 3, under the cooperation of the one-way valve 37, a negative pressure is generated, thereby sucking the air from the outside through the intake pipe 35 In the straight piston barrel 3, when the straight piston rod 31 and the straight sealing plug 32 slide toward the intake pipe 35 in the straight piston barrel 3, under the cooperation of the check valve 37, a high pressure is generated, so that the gas in the straight piston barrel 3 It is sent into the first arc-shaped piston barrel 4 through the air delivery pipe 36 .
进而达到了患者的体型越大,通入第一弧形活塞筒4的气体越多,从而第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程增大,而患者的体型越大,通入第一弧形活塞筒4的气体越少,从而第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程减少,进而达到了在直活塞筒3向患者滑动时,通过患者体型的大小来确定第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程的效果。And then the patient's build is bigger, the gas that passes into the first arc-shaped piston cylinder 4 is more, so that the sliding of the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston cylinder 4 The stroke increases, and the larger the size of the patient, the less gas that passes into the first arc-shaped piston barrel 4, so that the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston barrel 4 The sliding stroke is reduced, so that when the straight piston cylinder 3 slides toward the patient, the size of the patient's body size determines the distance between the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston cylinder 4. The effect of sliding strokes.
调节机构包括有固定连接在支撑板16上的第一弧形活塞筒4,第一弧形活塞筒4的内壁上滑动连接有第一弧形密封塞42,第一弧形密封塞42上固定连接有第一弧形活塞杆41,第一弧形活塞杆41远离第一弧形密封塞42的一端与弧形板11固定连接,第一弧形活塞筒4与输气管36远离直活塞筒3的一端固定连通。The adjustment mechanism includes a first arc-shaped piston barrel 4 fixedly connected to the support plate 16, a first arc-shaped sealing plug 42 is slidably connected to the inner wall of the first arc-shaped piston barrel 4, and the first arc-shaped sealing plug 42 is fixed Connected with a first arc-shaped piston rod 41, the end of the first arc-shaped piston rod 41 away from the first arc-shaped sealing plug 42 is fixedly connected with the arc-shaped plate 11, and the first arc-shaped piston barrel 4 and the gas delivery pipe 36 are far away from the straight piston barrel One end of 3 is fixedly connected.
调节机构还包括有第二弹簧43和第三弹簧45,第二弹簧43套接在第一弧形活塞杆41上,第二弹簧43的两端分别与第一弧形密封塞42和第一弧形活塞筒4固定连接,第一弧形活塞筒4上开设有排气孔并通过排气孔限位滑动连接有圆台44,第三弹簧45的两端分别与圆台44和第一弧形活塞筒4固定连接。The adjustment mechanism also includes a second spring 43 and a third spring 45, the second spring 43 is sleeved on the first arc-shaped piston rod 41, and the two ends of the second spring 43 are respectively connected to the first arc-shaped sealing plug 42 and the first The arc-shaped piston barrel 4 is fixedly connected, and the first arc-shaped piston barrel 4 is provided with an exhaust hole and is connected with a circular platform 44 through the limit sliding of the exhaust hole. The two ends of the third spring 45 are respectively connected to the circular platform 44 and the first arc-shaped Piston barrel 4 is fixedly connected.
在患者的体型较大时,第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程越大,参阅图5,从而弧形板11以第一转动杆15为圆心转动的行程变大,使得患者的大腿部跟随弧形板11同步转动,且小腿位于滑动板12上,使得患者呈屈曲状,且由于体型越大的患者,局部脂肪组织较多,穿刺有难度,从而使得体型越大的患者越屈曲,使得方便医师刺穿的效果。When the size of the patient is larger, the sliding stroke of the first arc piston rod 41 and the first arc sealing plug 42 in the first arc piston cylinder 4 is larger, referring to Fig. The rotating stroke of the rotating rod 15 becomes larger as the center of the circle, so that the patient's thigh rotates synchronously with the arc-shaped plate 11, and the calf is located on the sliding plate 12, so that the patient is in a flexed shape, and because the patient is larger in size, the local fatty tissue More, it is difficult to puncture, so that the larger the patient is, the more flexed it is, making it easier for the doctor to puncture.
在患者的体型较小时,与上文原理相同,体型较小的患者屈曲程度越小。When the body size of the patient is small, the same principle as above, the smaller the body size of the patient, the smaller the degree of flexion.
通过设置调节机构,达到了可根据患者的体型自适应调节患者的屈曲状,使得降低了医师刺穿难度,且同时无需患者自己保持身体屈曲,使得患者较放松,减少了医师刺穿效果差的效果。By setting the adjustment mechanism, the patient's flexion shape can be adaptively adjusted according to the patient's body shape, which reduces the difficulty of the doctor's piercing, and at the same time does not require the patient to keep the body flexed, making the patient more relaxed and reducing the doctor's poor piercing effect. Effect.
实施例二Embodiment two
在实施例一的基础上,更进一步的是,直活塞筒3上设有用于为患者消毒的消毒机构,消毒机构还包括有固定连接在直活塞筒3上的连接架5,连接架5的下表面转动连接有第二转动杆51,第二转动杆51上固定连接有第一锥形齿轮52和圆盘53,圆盘53的下表面拆卸连接有擦拭体,第一转动杆15上固定连接有与第一锥形齿轮52间歇啮合的第二锥形齿轮54。On the basis of Embodiment 1, furthermore, the straight piston cylinder 3 is provided with a disinfection mechanism for sterilizing the patient, and the disinfection mechanism also includes a connecting frame 5 fixedly connected to the straight piston cylinder 3, and the connecting frame 5 The lower surface is rotatably connected with a second rotating rod 51, the second rotating rod 51 is fixedly connected with a first bevel gear 52 and a disc 53, the lower surface of the disc 53 is disassembled and connected with a wiping body, and the first rotating rod 15 is fixed A second bevel gear 54 intermittently meshing with the first bevel gear 52 is connected.
在直活塞筒3向下滑动时,其上的连接架5同步向下滑动,直至第一锥形齿轮52与第二锥形齿轮54啮合,且由于第二锥形齿轮54转动,使得第一锥形齿轮52带动第二转动杆51同步转动,从而圆盘53同步转动,进而达到了擦拭体对患者的髂后上棘处消毒,无需人工消毒,省时省力的效果。When the straight piston barrel 3 slides downward, the connecting frame 5 on it slides downward synchronously until the first bevel gear 52 meshes with the second bevel gear 54, and because the second bevel gear 54 rotates, the first bevel gear The bevel gear 52 drives the second rotating rod 51 to rotate synchronously, so that the disc 53 rotates synchronously, thereby achieving the effect that the wiping body can disinfect the patient's posterior superior iliac spine without manual disinfection, saving time and effort.
擦拭体可选用吸附有消毒液的医用棉和海绵等,在使用时,可更根据实际使用情况,来选用合适的擦拭体。The wiping body can be selected from medical cotton and sponges absorbed with disinfectant. When in use, the appropriate wiping body can be selected according to the actual use situation.
实施例三Embodiment Three
在实施例二的基础上,更进一步的是,承重板1上设有用于对患者小腿部进行固定的固定机构,固定机构包括有固定连接在承重板1上的支撑板16,支撑板16上固定连接有气囊17。On the basis of Embodiment 2, furthermore, the load-bearing plate 1 is provided with a fixing mechanism for fixing the lower leg of the patient. The fixing mechanism includes a support plate 16 fixedly connected to the load-bearing plate 1. The support plate 16 An air bag 17 is fixedly connected to it.
固定机构还包括有第二弧形活塞筒6、输送管64和第四弹簧63,第二弧形活塞筒6固定连接在空心腔上,第二弧形活塞筒6的内壁上滑动连接有第二弧形密封塞62,第二弧形密封塞62上固定连接有第二弧形活塞杆61,第二弧形活塞杆61远离第二弧形密封塞62的一端与弧形板11固定连接,第二弧形活塞筒6通过输送管64与气囊17固定连通,第四弹簧63的两端分别与第二弧形密封塞62和第二弧形活塞筒6固定连通。The fixing mechanism also includes a second arc-shaped piston cylinder 6, a delivery pipe 64 and a fourth spring 63. The second arc-shaped piston cylinder 6 is fixedly connected to the hollow cavity, and the inner wall of the second arc-shaped piston cylinder 6 is slidably connected with a second spring. Two arc-shaped sealing plugs 62, the second arc-shaped sealing plug 62 is fixedly connected with a second arc-shaped piston rod 61, and the end of the second arc-shaped piston rod 61 away from the second arc-shaped sealing plug 62 is fixedly connected with the arc-shaped plate 11 , the second arc-shaped piston cylinder 6 is fixedly communicated with the air bag 17 through the delivery tube 64, and the two ends of the fourth spring 63 are fixedly communicated with the second arc-shaped sealing plug 62 and the second arc-shaped piston cylinder 6 respectively.
在弧形板11以第一转动杆15转动时,与其固定连接的第二弧形活塞杆61带动第二弧形密封塞62沿第二弧形活塞筒6向输送管64的一端滑动,使得第二弧形活塞筒6内的气体通过输送管64输送至气囊17内,通过气囊17与滑动板12的配合,使得将患者的小腿部固定,避免了患者在骨髓刺穿时晃动,从而影响刺穿效果。When the arc-shaped plate 11 rotates with the first rotating rod 15, the second arc-shaped piston rod 61 fixedly connected with it drives the second arc-shaped sealing plug 62 to slide along the second arc-shaped piston cylinder 6 to one end of the delivery pipe 64, so that The gas in the second arc-shaped piston cylinder 6 is transported into the air bag 17 through the delivery tube 64, and the patient's calf is fixed by the cooperation of the air bag 17 and the sliding plate 12, which prevents the patient from shaking when the bone marrow is punctured, thereby Affects the piercing effect.
随后医师逆时针摇动手摇把21,使得反馈机构和消毒机构向上滑动,直至复位。Then the doctor shakes the hand crank 21 counterclockwise, so that the feedback mechanism and the disinfection mechanism slide upward until reset.
随后医师对患者的髂后上棘处进行局部麻醉,在确认麻醉后,然后进针、抽吸,随后进行按压和止血,随后对穿刺部位后续会进行消毒和包扎。The doctor then performed local anesthesia on the patient's posterior superior iliac spine. After confirming the anesthesia, the needle was inserted, aspiration was performed, and then pressure and hemostasis were performed. The puncture site was subsequently disinfected and bandaged.
随后医师手动推动圆台44,使得圆台44与排气孔不配合,从而第一弧形活塞筒4内的气体通过排气孔排出,此时第二弹簧43的弹力得以释放,从而第一弧形活塞杆41和第一弧形密封塞42向输气管36的方向滑动,从而弧形板11和滑动板12同步复位。Then the doctor manually pushes the round table 44, so that the round table 44 does not cooperate with the exhaust hole, so that the gas in the first arc-shaped piston cylinder 4 is discharged through the exhaust hole, and at this time, the elastic force of the second spring 43 is released, so that the first arc-shaped The piston rod 41 and the first arc-shaped sealing plug 42 slide toward the direction of the gas delivery pipe 36, so that the arc-shaped plate 11 and the sliding plate 12 are reset synchronously.
在弧形板11复位时且通过第四弹簧63的配合,第二弧形活塞杆61和第二弧形密封塞62向输送管64的方向滑动,从而气囊17内的气体通过输送管64回至第二弧形活塞筒6中,使得气囊17复位。When the arc-shaped plate 11 is reset and through the cooperation of the fourth spring 63, the second arc-shaped piston rod 61 and the second arc-shaped sealing plug 62 slide in the direction of the delivery tube 64, so that the gas in the airbag 17 passes through the delivery tube 64 back to into the second arc-shaped piston barrel 6, so that the airbag 17 is reset.
通过气囊17和滑动板12的复位,解除了对患者的固定,随后患者可离开本装置。Through the reset of the airbag 17 and the slide plate 12, the fixation of the patient is released, and then the patient can leave the device.
工作原理:该一种用于骨髓穿刺的辅助装置,使用时,将本装置放置在病床上并对其进行固定,随后医师将全新的擦拭体装在圆盘53上,然后医师嘱咐患者侧躺且患者的背部与承重板1上的挡板贴合,随后医师顺时针摇动手摇把21。Working principle: This auxiliary device for bone marrow puncture, when in use, place the device on the hospital bed and fix it, then the doctor installs a brand-new wiping body on the disc 53, and then the doctor instructs the patient to lie on his side And the back of the patient fits the baffle plate on the load-bearing board 1, then the doctor shakes the hand crank 21 clockwise.
随后转动轴2顺时针转动,其上的齿轮22同步顺时针转动,由于齿轮22与齿条23啮合,使得齿条23向下滑动,从而其上的直直活塞筒3同步向下滑动,直至接触块34与患者接触,从而接触块34带动直活塞杆31和直直密封塞32向进气管35的方向滑动,在转动轴2逆时针转动时,与上文原理相同,齿条23带动直直活塞筒3向上滑动,使得第一弹簧33的弹力得以释放,从而直直活塞杆31和直直密封塞32向远离进气管35的方向滑动,进而使得直活塞筒3内的气压往复变化,详细说明如下:Then the rotating shaft 2 rotates clockwise, and the gear 22 on it rotates clockwise synchronously. Since the gear 22 meshes with the rack 23, the rack 23 slides downward, so that the straight piston barrel 3 on it slides downward synchronously until The contact block 34 is in contact with the patient, so that the contact block 34 drives the straight piston rod 31 and the straight sealing plug 32 to slide towards the direction of the intake pipe 35. When the rotating shaft 2 rotates counterclockwise, the same principle as above, the rack 23 drives the straight The straight piston barrel 3 slides upwards, so that the elastic force of the first spring 33 is released, so that the straight piston rod 31 and the straight sealing plug 32 slide away from the air intake pipe 35, thereby causing the air pressure in the straight piston barrel 3 to change back and forth, The details are as follows:
在上文中,直活塞杆31和直密封塞32在直活塞筒3内向远离进气管35方向滑动时,在单向阀37的配合下,产生负压,从而通过进气管35将外界的气体吸入直活塞筒3内,在直活塞杆31和直密封塞32在直活塞筒3内向进气管35方向滑动时,在单向阀37的配合下,产生高压,从而使得直活塞筒3内的气体通过输气管36送入第一弧形活塞筒4中。In the above, when the straight piston rod 31 and the straight sealing plug 32 slide in the direction away from the intake pipe 35 in the straight piston cylinder 3, under the cooperation of the one-way valve 37, a negative pressure is generated, thereby sucking the air from the outside through the intake pipe 35 In the straight piston barrel 3, when the straight piston rod 31 and the straight sealing plug 32 slide toward the intake pipe 35 in the straight piston barrel 3, under the cooperation of the check valve 37, a high pressure is generated, so that the gas in the straight piston barrel 3 It is sent into the first arc-shaped piston barrel 4 through the air delivery pipe 36 .
进而达到了患者的体型越大,通入第一弧形活塞筒4的气体越多,从而第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程增大,而患者的体型越大,通入第一弧形活塞筒4的气体越少,从而第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程减少,进而达到了在直活塞筒3向患者滑动时,通过患者体型的大小来确定第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程的效果。And then the patient's build is bigger, the gas that passes into the first arc-shaped piston cylinder 4 is more, so that the sliding of the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston cylinder 4 The stroke increases, and the larger the size of the patient, the less gas that passes into the first arc-shaped piston barrel 4, so that the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston barrel 4 The sliding stroke is reduced, so that when the straight piston cylinder 3 slides toward the patient, the size of the patient's body size determines the distance between the first arc-shaped piston rod 41 and the first arc-shaped sealing plug 42 in the first arc-shaped piston cylinder 4. The effect of sliding strokes.
在患者的体型较大时,第一弧形活塞筒4内的第一弧形活塞杆41和第一弧形密封塞42的滑动行程越大,参阅图5,从而弧形板11以第一转动杆15为圆心转动的行程变大,使得患者的大腿部跟随弧形板11同步转动,且小腿位于滑动板12上,使得患者呈屈曲状,且由于体型越大的患者,局部脂肪组织较多,穿刺有难度,从而使得体型越大的患者越屈曲,使得方便医师刺穿的效果。When the size of the patient is larger, the sliding stroke of the first arc piston rod 41 and the first arc sealing plug 42 in the first arc piston cylinder 4 is larger, referring to Fig. The rotating stroke of the rotating rod 15 becomes larger as the center of the circle, so that the patient's thigh rotates synchronously with the arc-shaped plate 11, and the calf is located on the sliding plate 12, so that the patient is in a flexed shape, and because the patient is larger in size, the local fatty tissue More, it is difficult to puncture, so that the larger the patient is, the more flexed it is, making it easier for the doctor to puncture.
在患者的体型较小时,与上文原理相同,体型较小的患者屈曲程度越小。When the body size of the patient is small, the same principle as above, the smaller the body size of the patient, the smaller the degree of flexion.
通过设置调节机构,达到了可根据患者的体型自适应调节患者的屈曲状,使得降低了医师刺穿难度,且同时无需患者自己保持身体屈曲,使得患者较放松,减少了医师刺穿效果差的效果。By setting the adjustment mechanism, the patient's flexion shape can be adaptively adjusted according to the patient's body shape, which reduces the difficulty of the doctor's piercing, and at the same time does not require the patient to keep the body flexed, making the patient more relaxed and reducing the doctor's poor piercing effect. Effect.
在直活塞筒3向下滑动时,其上的连接架5同步向下滑动,直至第一锥形齿轮52与第二锥形齿轮54啮合,且由于第二锥形齿轮54转动,使得第一锥形齿轮52带动第二转动杆51同步转动,从而圆盘53同步转动,进而达到了擦拭体对患者的髂后上棘处消毒,无需人工消毒,省时省力的效果。When the straight piston barrel 3 slides downward, the connecting frame 5 on it slides downward synchronously until the first bevel gear 52 meshes with the second bevel gear 54, and because the second bevel gear 54 rotates, the first bevel gear The bevel gear 52 drives the second rotating rod 51 to rotate synchronously, so that the disc 53 rotates synchronously, thereby achieving the effect that the wiping body can disinfect the patient's posterior superior iliac spine without manual disinfection, saving time and effort.
擦拭体可选用吸附有消毒液的医用棉和海绵等,在使用时,可更根据实际使用情况,来选用合适的擦拭体。The wiping body can be selected from medical cotton and sponges absorbed with disinfectant. When in use, the appropriate wiping body can be selected according to the actual use situation.
在弧形板11以第一转动杆15转动时,与其固定连接的第二弧形活塞杆61带动第二弧形密封塞62沿第二弧形活塞筒6向输送管64的一端滑动,使得第二弧形活塞筒6内的气体通过输送管64输送至气囊17内,通过气囊17与滑动板12的配合,使得将患者的小腿部固定,避免了患者在骨髓刺穿时晃动,从而影响刺穿效果。When the arc-shaped plate 11 rotates with the first rotating rod 15, the second arc-shaped piston rod 61 fixedly connected with it drives the second arc-shaped sealing plug 62 to slide along the second arc-shaped piston cylinder 6 to one end of the delivery pipe 64, so that The gas in the second arc-shaped piston cylinder 6 is transported into the air bag 17 through the delivery tube 64, and the patient's calf is fixed by the cooperation of the air bag 17 and the sliding plate 12, which prevents the patient from shaking when the bone marrow is punctured, thereby Affects the piercing effect.
随后医师逆时针摇动手摇把21,使得反馈机构和消毒机构向上滑动,直至复位。Then the doctor shakes the hand crank 21 counterclockwise, so that the feedback mechanism and the disinfection mechanism slide upward until reset.
随后医师对患者的髂后上棘处进行局部麻醉,在确认麻醉后,然后进针、抽吸,随后进行按压和止血,随后对穿刺部位后续会进行消毒和包扎。The doctor then performed local anesthesia on the patient's posterior superior iliac spine. After confirming the anesthesia, the needle was inserted, aspiration was performed, and then pressure and hemostasis were performed. The puncture site was subsequently disinfected and bandaged.
随后医师手动推动圆台44,使得圆台44与排气孔不配合,从而第一弧形活塞筒4内的气体通过排气孔排出,此时第二弹簧43的弹力得以释放,从而第一弧形活塞杆41和第一弧形密封塞42向输气管36的方向滑动,从而弧形板11和滑动板12同步复位。Then the doctor manually pushes the round table 44, so that the round table 44 does not cooperate with the exhaust hole, so that the gas in the first arc-shaped piston cylinder 4 is discharged through the exhaust hole, and at this time, the elastic force of the second spring 43 is released, so that the first arc-shaped The piston rod 41 and the first arc-shaped sealing plug 42 slide toward the direction of the gas delivery pipe 36, so that the arc-shaped plate 11 and the sliding plate 12 are reset synchronously.
在弧形板11复位时且通过第四弹簧63的配合,第二弧形活塞杆61和第二弧形密封塞62向输送管64的方向滑动,从而气囊17内的气体通过输送管64回至第二弧形活塞筒6中,使得气囊17复位。When the arc-shaped plate 11 is reset and through the cooperation of the fourth spring 63, the second arc-shaped piston rod 61 and the second arc-shaped sealing plug 62 slide in the direction of the delivery tube 64, so that the gas in the airbag 17 passes through the delivery tube 64 back to into the second arc-shaped piston barrel 6, so that the airbag 17 is reset.
通过气囊17和滑动板12的复位,解除了对患者的固定,随后患者可离开本装置。Through the reset of the airbag 17 and the slide plate 12, the fixation of the patient is released, and then the patient can leave the 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 the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes, modifications and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. and modifications, the scope of the invention is defined by the appended claims and their equivalents.
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