TW202218641A - Auxiliary tool for human body posture conversion - Google Patents

Auxiliary tool for human body posture conversion Download PDF

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TW202218641A
TW202218641A TW109138867A TW109138867A TW202218641A TW 202218641 A TW202218641 A TW 202218641A TW 109138867 A TW109138867 A TW 109138867A TW 109138867 A TW109138867 A TW 109138867A TW 202218641 A TW202218641 A TW 202218641A
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patient
posture
plate
aid
posture conversion
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TW109138867A
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Chinese (zh)
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鄭馭
周恬
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鄭馭
周恬
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Abstract

Provided is an auxiliary tool for human body posture conversion, comprising a stretcher-like structure imbedded with several one-way pivoting devices, such as ratchet mechanisms or sheave mechanisms. The proposed auxiliary tool aims to assist an operator in changing the posture of a patient by changing the angle between the upper body and thigh, and the angle between thigh and lower leg. By doing so, the proposed auxiliary tool allows operators to assist patients who are unable to move autonomously to switch between lying, sitting and standing positions, so as to facilitate the conversion between vehicles such as beds and wheelchairs. The invention utilizes the mechanical structure strength of one-way pivoting devices to support the weight of the patient, while keeping the whole process simple and easy to operate.

Description

姿勢轉換輔助工具 Posture transition aids

本發明係關於姿勢轉換輔助之工具,特別是關於協助無法自主移動之患者在躺姿、坐姿與站姿間相互轉換的輔助工具。 The present invention relates to an auxiliary tool for posture conversion, in particular to an auxiliary tool for assisting patients who cannot move voluntarily to change between lying posture, sitting posture and standing posture.

107年三月底我國戶籍登記65歲以上老年人口計331萬人,占總人口14.1%,正式邁入「高齡社會」。其中,早在106年台灣已有6成的失能老人均靠家屬自行照護。縱觀先前對於行動不便者之照護輔具與其相關技術,我們發現很多設備機構過於複雜,對於單人操作方面著實有其不便性與困難度。同時,在現有的眾多發明中,鮮少有起身輔具能達到將患者從躺姿轉換到坐姿的功能,而是單純在坐姿轉乘工具之間變換。最後,本發明亦不含電類相關操作依賴,使得整體機構簡潔便利,在任何環境之中均可加以應用。 At the end of March 2017, my country's household registration registered 3.31 million people over the age of 65, accounting for 14.1% of the total population, officially entering the "senior society". Among them, as early as 2016, 60% of the disabled elderly in Taiwan were cared for by their family members. Looking at the previous care aids and related technologies for the disabled, we found that many equipment mechanisms are too complicated, and it is indeed inconvenient and difficult for a single person to operate. At the same time, among the numerous existing inventions, few getting up aids can achieve the function of converting a patient from a lying position to a sitting position, but simply change between sitting position transfer tools. Finally, the present invention also does not contain electrical related operation dependencies, so that the overall mechanism is simple and convenient, and can be applied in any environment.

本發明係一種姿勢轉換輔助工具,目的是協助無法自主移動之患者在躺姿、坐姿與站姿間相互轉換,以方便從床與輪椅等載具之間轉換。本發明之姿勢轉換輔具包含四段結構,在前三段結構的部分,分別供患者上身、大腿、小 腿三部分倚靠倚坐,以支撐患者體重,三段結構之間運用單向之樞轉裝置,例如棘輪機構、槽輪機構,以輔助操作者變換患者姿勢與角度。第四段結構則為便於患者立足及重力支撐的底板。以下將會對上述四段結構進行詳細說明。 The present invention is an auxiliary tool for posture conversion, which aims to assist patients who cannot move autonomously to convert between lying, sitting and standing postures, so as to facilitate the transition from bed to wheelchair and other vehicles. The posture conversion aid of the present invention includes four structures, and the first three structures are used for the upper body, thigh, and lower body of the patient, respectively. The three parts of the legs are leaning and sitting to support the weight of the patient. One-way pivoting devices, such as a ratchet mechanism and a sheave mechanism, are used between the three structures to assist the operator in changing the patient's posture and angle. The fourth structure is the base plate that facilitates the patient's footing and gravity support. The above-mentioned four-stage structure will be described in detail below.

本發明姿勢轉換輔助工具之構造包含4部份:分別為(1)支撐患者背部以及倚靠的上身支撐架及背板、(2)承受患者臀部重量的坐墊板、(3)支持患者小腿的小腿支撐板、(4)便於患者立足的腳踏支撐墊及在轉換姿勢時穩固重心的重力支撐板。在每一連接面之間,分別運用樞轉裝置支持骨架運動。上身支撐架與坐墊板相連結並能相互沿第一樞轉裝置攤平或摺疊,相連結處使用可定位轉動件,例如棘輪機構、槽輪機構,故上身支撐架與坐墊板可摺疊至所需角度並固定,使其只沿單方向旋轉。使用此旋轉機構的目的為當使用者欲將患者從床上扶起時,只需單方向施力於輔具本身,其中的旋轉機構將會依齒輪結構限制反操作方向旋轉,同時支撐患者體重不致身體向後翻仰。本發明運用之樞轉裝置擁有可改變旋轉方向的功能,也就是正轉、逆轉、空轉之差異。操作者僅需調整旋鈕開關,即可使不同段落之結構隨操作者意願方向旋轉。 The structure of the posture conversion aid of the present invention includes four parts: (1) an upper body support frame and a backboard for supporting the patient's back and leaning on, (2) a cushion plate for bearing the weight of the patient's buttocks, and (3) a calf supporting the patient's calf A support plate, (4) a foot support pad for facilitating the patient to stand on, and a gravity support plate for stabilizing the center of gravity when changing postures. Between each connecting surface, pivoting devices are used to support the movement of the skeleton. The upper body support frame and the cushion plate are connected and can be flattened or folded mutually along the first pivoting device. Positionable rotating parts, such as ratchet mechanism and sheave mechanism, are used at the joint, so the upper body support frame and the cushion plate can be folded to any position. need to be angled and fixed so that it only rotates in one direction. The purpose of using this rotating mechanism is that when the user wants to lift the patient up from the bed, he only needs to apply force to the assistive device in one direction, and the rotating mechanism will rotate in the opposite direction according to the gear structure, while supporting the weight of the patient. The body rolls back. The pivoting device used in the present invention has the function of changing the direction of rotation, that is, the difference between forward rotation, reverse rotation and idle rotation. The operator only needs to adjust the rotary switch to make the structure of different sections rotate in the direction of the operator's wishes.

1:背板 1: Backplane

2:上身支撐架 2: Upper body support frame

3:樞轉裝置 3: Pivot device

31:第一樞轉裝置 31: First pivoting device

32:第二樞轉裝置 32: Second pivot device

33:第三樞轉裝置 33: Third pivot device

4:坐墊板 4: Cushion board

5:長度調整伸縮裝置 5: Length adjustment telescopic device

51:被動調整桿 51: Passive adjustment lever

52:旋轉固定件 52: Rotary fixings

53:主動伸縮桿 53: Active telescopic rod

6:小腿支撐板 6: Calf support plate

7:補強肋 7: Reinforcing ribs

8:萬向輪 8: Universal wheel

9:旋轉固定架 9: Rotating the fixed frame

10:轉向踏墊 10: Steering mat

11:腳踏支撐墊 11: Foot support pad

12:重力支撐板 12: Gravity support plate

13:握把槽 13: Grip groove

14:第一旋轉軸 14: The first rotation axis

15:第二旋轉軸 15: Second rotation axis

16:第三旋轉軸 16: The third rotation axis

17:第四旋轉軸 17: Fourth rotation axis

〔圖1〕係繪示本發明於躺姿時之結構關係圖。 [FIG. 1] is a diagram showing the structural relationship of the present invention in a lying position.

〔圖2〕係繪示本發明於坐姿時之結構關係圖。 [FIG. 2] is a diagram showing the structural relationship of the present invention in a sitting position.

〔圖3〕係繪示本發明於操作時之簡易流程圖。 [FIG. 3] is a simple flow chart showing the operation of the present invention.

〔圖4〕係為本發明實體簡易模型。 [Fig. 4] is a simple model of the entity of the present invention.

以下將參照圖示說明本發明之部件操作原理以及實施方式。 The operating principles and embodiments of the components of the present invention will be described below with reference to the drawings.

由於本發明之姿勢轉換輔助工具設計主旨為輔助患者從躺姿轉換至坐姿,並移至代步工具上,因此,請先參照第1圖,此圖係本發明於患者躺姿時之結構擺放方式。初時患者平躺於床上,輔助者將患者輕抬至側臥姿勢並將本發明置於患者平躺時之位置,爾後將患者扳回,使得本發明置於患者身下。患者之臀部將置於固定之坐墊板4上方,背部將倚靠於背板1,背板1可藉由上身支撐架2來回滑動,以避免在姿勢變換的過程中患者與背板之間有相對移動。於此同時,上身支撐架2與坐墊板4相連結並能相互沿第一樞轉裝置31攤平或摺疊,相連結處使用可定位轉動件,故上身支撐架2與坐墊板4可摺疊至所需角度並固定。前述可定位轉動件(樞轉裝置3)有諸多選擇,例如使用棘輪,則可使輔助者連同本發明將患者上身扶起時,令樞轉裝置3配合患者起臥程度限制齒輪反方向旋轉,使患者輕靠於背板1而不致向後翻仰。本發明之樞轉裝置3可藉由調整齒輪轉動方向,使其依照需求順、逆時針旋轉。待患者坐定後,輔助者將患者連同本發明轉向床沿,使其腿部靠於小腿支撐板6並垂下至自然角度,理想結構圖請參照第2圖。在患者垂下小腿的同時,其膝關節處亦有樞轉裝置3,使患者不因迅速大幅度姿式變換而受傷。此時輔助者可將重力支撐板12透過第三樞轉裝 置33旋轉180度,如第2圖所示。由於有旋轉固定架9的支撐,可使重力支撐板12旋轉到達180度時不再繼續旋轉,此構造用以支撐患者與工具之重量,使之不至於在患者要從坐姿轉換為站姿時向後翻倒。當輔助者欲將患者轉換至代步工具(如輪椅)上時,本發明之結構關係圖請參照第2圖。首先輔助者先將患者連同本發明輕抬至半站立姿勢,此時透過樞轉裝置3可支持大部分患者體重,患者腳踏於腳踏支撐墊11,輔助者單腳踏於轉向踏墊10,此轉向踏墊10為可於平面自由旋轉之機構,透過萬向輪8之輔助,可使患者連同本發明旋轉至代步工具(如輪椅)方向。最終改變樞轉裝置3之旋轉方向,便可將患者至於輪椅,完成本發明輔助患者從躺姿轉換至坐姿,並移至代步工具上之目的。 Since the purpose of the present invention is to assist the patient to change from a lying position to a sitting position and move it to the means of transportation, please refer to Figure 1, which shows the structure of the present invention when the patient is in a lying position. Way. Initially, the patient is lying on the bed, the assistant gently lifts the patient to the side lying position and places the present invention in the position when the patient is lying down, and then pulls the patient back so that the present invention is placed under the patient. The patient's buttocks will be placed above the fixed cushion plate 4, and the back will lean on the back plate 1. The back plate 1 can be slid back and forth by the upper body support frame 2 to avoid the patient and the back plate in the process of changing postures. move. At the same time, the upper body support frame 2 and the cushion plate 4 are connected and can be flattened or folded along the first pivoting device 31. Positionable rotating parts are used at the joint, so the upper body support frame 2 and the cushion plate 4 can be folded to desired angle and fixed. There are many options for the aforementioned positionable rotating member (pivoting device 3 ). For example, by using a ratchet, when the assistant lifts the upper body of the patient together with the present invention, the pivoting device 3 can be used to limit the reverse rotation of the gear in accordance with the degree of the patient's getting up. Make the patient lean on the backboard 1 without leaning back. The pivoting device 3 of the present invention can be rotated clockwise or counterclockwise by adjusting the rotation direction of the gears. After the patient is seated, the assistant turns the patient together with the present invention to the edge of the bed, so that the legs rest on the calf support plate 6 and hang down to a natural angle. Please refer to Figure 2 for the ideal structure diagram. When the patient hangs the lower leg, there is also a pivoting device 3 at the knee joint, so that the patient is not injured due to the rapid and large posture change. At this time, the assistant can put the gravity support plate 12 through the third pivoting device Rotate 33 180 degrees, as shown in Figure 2. Due to the support of the rotating fixed frame 9, the gravity support plate 12 can not continue to rotate when it rotates to 180 degrees. This structure is used to support the weight of the patient and the tool, so that the patient will not be converted from a sitting position to a standing position. tip over backwards. When the assistant wants to transfer the patient to a means of transportation (such as a wheelchair), please refer to FIG. 2 for the structural relationship diagram of the present invention. First of all, the assistant first lifts the patient together with the present invention to a semi-standing position. At this time, most of the patient's body weight can be supported by the pivoting device 3 . , The steering mat 10 is a mechanism that can rotate freely in the plane, and through the assistance of the universal wheel 8, the patient together with the present invention can be rotated to the direction of the means of transportation (such as a wheelchair). Finally, by changing the rotation direction of the pivoting device 3, the patient can be placed in the wheelchair, and the purpose of the present invention to assist the patient in transitioning from the lying position to the sitting position and moving to the means of transportation is accomplished.

操作流程Operation process

第3圖為操作時之簡易流程圖,係利用簡易的圖像模型所作之整體操作流程示範。此模型之樞轉裝置使用棘輪板手達成。 Figure 3 is a simple flow chart during operation, which is a demonstration of the overall operation process using a simple image model. The pivoting mechanism of this model is achieved using a ratchet wrench.

操作第一步如圖3-1所示,為輔助者將患者輕抬至側臥姿勢並將本發明置於患者身下;操作第二步如圖3-2所示,為患者平躺於本發明上方;操作第三步如圖3-3所示,為輔助者利用第一樞轉裝置31協助患者呈現坐姿;操作第四步如圖3-4所示,為第一樞轉裝置31配合患者起臥程度限制齒輪反方向旋轉,使患者輕靠於背板1而不致向後翻仰;操作第五步如圖3-5所示,為輔助者協助患者面部連同本發明轉向床沿方向,以利後續起身 動作;操作第六步如圖3-6所示,為輔助者利用第二樞轉裝置32將小腿支撐板6垂直向下擺放,協助患者小腿自然垂放。與此同時,調整第三樞轉裝置33將重力支撐板12沿第三旋轉軸16呈180度翻轉,作為站立時之重力支撐;操作第七步如圖3-7所示,為患者雙足置於腳踏支撐墊11,輔助者首先調整第一樞轉裝置31及第二樞轉裝置32的齒輪旋轉方向,使患者重心轉移,呈現半站立姿勢。爾後輔助者單腳踩於轉向踏墊10上方,使患者連同本發明沿第四旋轉軸17旋轉至載具乘坐方向;操作第八步如圖3-8所示,為輔助者調整第一樞轉裝置31及第二樞轉裝置32的齒輪旋轉方向,使患者緩慢坐於輔具上方;操作第九步如圖3-9所示,為患者最終轉換輔具成功之示意結果。 The first step of the operation is shown in Figure 3-1, for the assistant to gently lift the patient to the side lying position and place the present invention under the patient; the second step of the operation is shown in Figure 3-2, for the patient to lie down on the bed. Above the invention; the third step of operation is shown in Figure 3-3, using the first pivot device 31 for the assistant to assist the patient to present a sitting posture; the fourth step of operation, as shown in Figure 3-4, is to cooperate with the first pivot device 31 The degree of the patient's up-and-down limit gear rotates in the opposite direction, so that the patient leans against the backboard 1 and does not turn backward; the fifth step of the operation is shown in Figure 3-5, for the assistant to assist the patient's face and the present invention to turn to the direction of the bed, so as to Li then got up Action; The sixth step of operation As shown in Figures 3-6, the second pivoting device 32 is used for the assistant to place the calf support plate 6 vertically downward to assist the patient's calf to hang naturally. At the same time, adjust the third pivoting device 33 to turn the gravity support plate 12 180 degrees along the third rotation axis 16, as the gravity support when standing; the seventh step of the operation is shown in Figures 3-7, for the patient's feet On the foot support pad 11 , the assistant first adjusts the rotation directions of the gears of the first pivoting device 31 and the second pivoting device 32 , so that the patient's center of gravity is shifted and the patient is in a semi-standing posture. After that, the assistant steps on the steering pad 10 with one foot, so that the patient and the present invention rotate along the fourth rotation axis 17 to the vehicle riding direction; the eighth step of the operation is shown in Figures 3-8 to adjust the first pivot for the assistant The rotation direction of the gears of the rotating device 31 and the second pivoting device 32 makes the patient sit on the assistive device slowly; the ninth step of the operation is shown in Figures 3-9, which is a schematic result of the patient's final conversion of the assistive device.

Figure 109138867-A0101-11-0002-1
Figure 109138867-A0101-11-0002-1

31:第一樞轉裝置 31: First pivoting device

32:第二樞轉裝置 32: Second pivot device

33:第三樞轉裝置 33: Third pivot device

5:長度調整伸縮裝置 5: Length adjustment telescopic device

51:被動調整桿 51: Passive adjustment lever

52:旋轉固定件 52: Rotary fixings

53:主動伸縮桿 53: Active telescopic rod

6:小腿支撐板 6: Calf support plate

7:補強肋 7: Reinforcing ribs

9:旋轉固定架 9: Rotating the fixed frame

11:腳踏支撐墊 11: Foot support pad

12:重力支撐板 12: Gravity support plate

13:握把槽 13: Grip groove

14:第一旋轉軸 14: The first rotation axis

15:第二旋轉軸 15: Second rotation axis

17:第四旋轉軸 17: Fourth rotation axis

Claims (9)

一用於協助患者在躺姿、坐姿與站姿間相互轉換姿勢的姿勢轉換輔具,該姿勢轉換輔具包含: A posture conversion aid for assisting patients to change their postures between lying, sitting and standing positions, the posture conversion aid includes: 一上身支撐架,其上設置一背板供患者背部倚靠; an upper body support frame, on which a backboard is arranged for the patient to lean on; 一坐墊板,用以支撐患者臀部重量,該上身支撐架與該坐墊板間裝設一第一樞轉裝置,供該上身支撐架與該坐墊板間之角度調整; a cushion plate for supporting the weight of the patient's buttocks, a first pivoting device is installed between the upper body support frame and the cushion plate for adjusting the angle between the upper body support frame and the cushion plate; 一小腿支撐板,用以支撐患者小腿,該小腿支撐板上另外裝設一腳踏支撐墊,用以供患者於站姿與坐姿時置放雙腳,該坐墊板與該小腿支撐板間裝設一第二樞轉裝置,供該坐墊板與該小腿支撐板間之角度調整; A calf support plate is used to support the patient's calf, and a foot support pad is additionally installed on the calf support plate for the patient to place their feet when standing and sitting. The cushion plate and the calf support plate are installed between A second pivoting device is provided for adjusting the angle between the seat cushion plate and the calf support plate; 一重力支撐板,裝設於該小腿支撐板,用以增大該姿勢轉換輔具於坐姿與站姿時接觸地面之底面積,以確保該姿勢轉換輔具與患者重心之穩固。 A gravity support plate is installed on the calf support plate to increase the bottom area of the posture conversion aid in contact with the ground when the posture conversion aid is in sitting and standing positions, so as to ensure the stability of the posture conversion aid and the patient's center of gravity. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該第一樞轉裝置與該第二樞轉裝置內含一單向之樞轉裝置,例如棘輪機構、槽輪機構等,並具備可改變旋轉方向的功能,即正轉、逆轉、空轉。 The posture conversion aid as described in claim 1, wherein the first pivoting device and the second pivoting device include a one-way pivoting device, such as a ratchet mechanism, a sheave mechanism, etc., and have The function of changing the direction of rotation, that is, forward rotation, reverse rotation, and idling. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該上身支撐架上裝設一接觸患者頭部與背部之背板,其可沿該上身支撐架上下滑動,以避免在姿勢變換的過程中患者與該背板之間有相對移動。 The posture-changing aid as described in claim 1, wherein a back plate contacting the patient's head and back is installed on the upper-body support frame, which can slide up and down along the upper-body support frame, so as to avoid the posture change during posture change. There is relative movement between the patient and the backboard during the procedure. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該坐墊板包含一根據臀部形狀向下凹陷之凹槽,以避免患者在姿勢變換時滑動。 The posture changing aid as described in claim 1, wherein the cushion plate includes a groove that is recessed downward according to the shape of the buttocks, so as to prevent the patient from sliding when changing postures. 如申請專利範圍第4項所述之坐墊板,其中包含兩個簍空的槽,用以讓操作者在協助患者由坐姿轉換成站姿時可將雙手分別放入以方便施力。 The cushion plate as described in item 4 of the patent application scope includes two empty slots, which are used for the operator to put his hands in respectively to facilitate the application of force when assisting the patient to change from the sitting position to the standing position. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該小腿支撐板與該重力支撐板間裝設一第三樞轉裝置,供該重力支撐板於躺姿轉換至坐姿時沿樞轉裝置之軸向翻轉,以從摺疊之狀態變換維展開之狀態。 The posture changing aid as described in claim 1, wherein a third pivoting device is installed between the calf support plate and the gravity supporting plate, for the gravity supporting plate to pivot when the lying posture is changed to the sitting posture The axial direction of the device is flipped to change from the folded state to the unfolded state. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該重力支撐板包含一轉盤與萬向輪,使操作者能夠踩著該轉盤令患者原地平面轉動。 The posture conversion aid as described in claim 1, wherein the gravity support plate includes a turntable and a universal wheel, so that the operator can step on the turntable to make the patient rotate in the same plane. 如申請專利範圍第1項所述之姿勢轉換輔具,其中該小腿支撐板具備長度調整伸縮裝置,以根據患者的身高做調整。 The posture conversion aid as described in claim 1, wherein the calf support plate is provided with a length adjustment telescopic device, so as to be adjusted according to the height of the patient. 如申請專利範圍第1項所述之姿勢轉換輔具,在該坐墊板上可另加一卡榫機構,以固定於一搭配該姿勢轉換輔具所特製之輪椅。 As for the posture conversion aid described in item 1 of the scope of the patent application, an additional tenon mechanism can be added to the cushion plate to be fixed on a wheelchair specially designed to match the posture conversion aid.
TW109138867A 2020-11-06 2020-11-06 Auxiliary tool for human body posture conversion TW202218641A (en)

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