CN115501065B

CN115501065B - ECMO equipment support convenient to lay on sick bed

Info

Publication number: CN115501065B
Application number: CN202211373884.6A
Authority: CN
Inventors: 廖小卒; 李斌飞; 陈勇; 梁爱群
Original assignee: Zhongshan Peoples Hospital
Current assignee: Zhongshan Peoples Hospital
Priority date: 2022-11-04
Filing date: 2022-11-04
Publication date: 2023-03-10
Anticipated expiration: 2042-11-04
Also published as: CN115501065A

Abstract

The invention discloses an ECMO equipment support convenient to place on a sickbed, which comprises a storage rack body, wherein the storage rack body comprises a bottom plate, a first storage plate and a supporting seat, the first storage plate is positioned above the bottom plate, the supporting seat is connected between the bottom plate and the first storage plate, a U-shaped groove with a forward opening and used for placing the feet of a patient is formed among the bottom plate, the first storage plate and the supporting seat, a roller assembly capable of being switched between a working position and a retracting position is arranged on the bottom plate, the roller assembly comprises at least 2 rollers, the lowest point of each roller is lower than the lower surface of the bottom plate when the roller is in the working position, and the lowest point of each roller is higher than the lower surface of the bottom plate or is flush with the bottom surface of the bottom plate when the roller is in the retracting position. The invention is used by combining with a cart, can place equipment required by in vitro life support on a common sickbed for use, hardly occupies the space on the left side and the right side of the sickbed, and is convenient for performing operation or nursing on patients.

Description

ECMO equipment support convenient to lay on sick bed

Technical Field

The invention relates to the technical field of in-vitro life support, in particular to an ECMO equipment support which is convenient to place on a sickbed.

Background

In vitro life support, also called ECMO, is mainly used to provide continuous in vitro respiration and circulation to sustain the life of a patient with severe cardiopulmonary failure. For example, in patients with severe disease such as COVID-19, ECMO can also be used for treatment.

During ECMO treatment, need be applied to many equipment, for example artificial heart lung machine, simple and easy respirator, monitor, injection horizontal pump, oxygen cylinder, wherein artificial heart lung machine is the most central equipment, can replace severe patient's heart, lung work, win the time for the rescue of critically ill.

At present, the ECMO treatment equipment is generally placed in specific wards for use, such as ICU wards, and when the condition of patients in general wards is worsened and it is difficult to transfer the ECMO treatment equipment to these specific wards for treatment, the equipment needs to be moved to the general wards for use by using a trolley, and after the equipment is moved to the wards, the trolley filled with the equipment is stopped beside a patient bed for use, such as the multifunctional medical equipment carrying trolley disclosed in the patent publication No. CN 204956559U. This also has the problem that the trolley and the equipment thereon, as well as the pulled-out pipes and wires, take up a lot of space in the ward, and it is inconvenient for medical staff to perform operations or care on the patient.

Disclosure of Invention

In view of the above, it is an object of the present invention to provide an ECMO equipment stand that facilitates the ability to place equipment needed for in vitro life support onto a common patient bed.

The technical scheme adopted by the invention for solving the technical problem is as follows:

the utility model provides an ECMO equipment stand convenient to lay on sick bed, includes the supporter body, the supporter body includes the bottom plate, is located the first thing board of putting of bottom plate top and connects the supporting seat between bottom plate and the first thing board of putting, form opening forward and can supply patient's foot to place U-shaped groove wherein between bottom plate, the first thing board of putting and the supporting seat three, be provided with the roller components that can switch between operating position and packing up the position on the bottom plate, roller components includes 2 at least gyro wheels, when the gyro wheel is in operating position the minimum of gyro wheel is less than the lower surface of bottom plate, when the gyro wheel is in packing up the position, the minimum of gyro wheel is higher than the lower surface of bottom plate or with the bottom surface parallel and level of bottom plate.

In a preferred embodiment of the present invention, an inclined guide structure is disposed on the bottom plate, the inclined guide structure gradually decreases from front to back, a sliding base capable of moving along the inclined guide structure is further disposed on the bottom plate, the roller is mounted on the sliding base, the roller is moved to the working position when the sliding base moves backward along the inclined guide structure, the roller is moved to the retracted position when the sliding base moves forward along the inclined guide structure, and a locking device capable of locking the bottom plate and the sliding base when the roller is in the working position is further disposed between the bottom plate and the sliding base.

In a preferred embodiment of the present invention, the bottom plate is provided with a U-shaped notch having a forward opening, the inclined guide structure includes two inclined guide grooves respectively disposed on inner walls of two sides of the U-shaped notch, and two sides of the sliding seat are both provided with a protrusion capable of sliding along the corresponding inclined guide grooves.

In a preferred embodiment of the present invention, the bottom plate is provided with a first pin hole, the sliding seat is provided with a second pin hole capable of aligning with the first pin hole when the roller is in the working position, and the locking device includes a bolt capable of passing through the first pin hole and the second pin hole simultaneously.

In a preferred scheme of the invention, the supporting seat is a vertical plate, the upper end of the vertical plate is fixedly connected with the rear end of the first object placing plate, and the lower end of the vertical plate is connected with the middle part of the bottom plate.

In a preferable scheme of the invention, a guardrail is arranged at the edge of the first object placing plate, a vertical rod is arranged on the guardrail, and a hook is arranged at the upper end of the vertical rod.

In a preferred scheme of the invention, vertical rods are arranged on the left side and the right side of the supporting seat, and hooks are arranged at the upper ends of the vertical rods.

In a preferable scheme of the invention, a sinking platform surface lower than the object placing plane is arranged at the front part of the upper surface of the supporting plate, and an inclined surface connecting the sinking platform surface and the object placing plane is arranged between the sinking platform surface and the object placing plane.

The invention has the beneficial effects that:

first, the in-process of adopting the ECMO treatment, the supporter body is placed at the tailstock of sick bed, and the relevant equipment of ECMO treatment all is located the supporter body, hardly occupies the space of the sick bed left and right sides, is convenient for carry out the operation and nurse to patient.

Secondly, the weight of the relevant equipment of ECMO treatment is great, and wherein artifical heart-lung machine is heavy tens kilograms, and the process of transferring these equipment from the shallow to on the tailstock need not artifical transport, has reduced medical personnel's working strength by a wide margin.

Third, the bottom of supporter body is provided with the gyro wheel, and medical personnel can promote the supporter body that is full of treatment equipment easily and use on the sick bed, and the supporter body lays the sick bed on the back, can with the locking device unblock, then pushes away the slide forward in order to pack up the gyro wheel, finally makes supporter body whereabouts and bearing use on the sick bed, makes the supporter body can the remain stable, and difficult quilt is removed.

Fourth, with the supporter body from the sick bed transfer to the in-process on the frame, owing to rotate the existence of delivery wheel, can reduce frictional resistance, reduce medical personnel's working strength.

Drawings

FIG. 1 is a perspective view of a transport and placement vehicle;

FIG. 2 is a cross-sectional view of the body of the storage rack pushed up from the frame to the sickbed;

FIG. 3 is an enlarged view of portion A of FIG. 2;

FIG. 4 is a sectional view of the body of the article shelf placed on a sickbed for use;

FIG. 5 is an enlarged view of portion B of FIG. 4;

FIG. 6 is a perspective view of the shelf body used on the sickbed;

FIG. 7 is a cross-sectional view of the carrier body being pushed up from the bed onto the carriage;

FIG. 8 is a cross-sectional view of the transport placement vehicle;

fig. 9 is an enlarged view of portion C of fig. 8;

figure 10 is an exploded view of the body of the shelf;

fig. 11 is a perspective view of the vehicle frame.

Detailed Description

The technical scheme of the invention is clearly and completely described in the following with reference to the attached drawings.

It should be noted that all the directional indicators (such as up, down, left, right, front, and back \8230;) in the present invention are only used to explain the relative position relationship between the components, the motion situation, etc. in a specific posture (as shown in the attached drawings), and if the specific posture is changed, the directional indicator is changed accordingly. In addition, the descriptions related to "preferred", "less preferred", etc. in the present invention are for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "preferred" or "less preferred" may explicitly or implicitly include at least one such feature.

Referring to fig. 1 to 11, an external life support equipment transportation and placement vehicle comprises a vehicle frame 1 and wheels 2 located at the bottom of the vehicle frame 1, a support plate 3 and a driving device capable of driving the support plate 3 to move up and down are arranged on the vehicle frame 1, a placement frame body 4 is arranged on the support plate 3, the placement frame body 4 comprises a bottom plate 41, a first placement plate 42 located above the bottom plate 41, and a support seat 43 connected between the bottom plate 41 and the first placement plate 42, a U-shaped groove 40 with a forward opening and capable of placing feet of a patient is formed between the bottom plate 41, the first placement plate 42 and the support seat 43, a roller assembly capable of switching between a working position and a stowing position is arranged on the bottom plate 41, the roller assembly comprises at least 2 rollers 45, the lowest point of the roller 45 is lower than the lower surface of the bottom plate 41 when the roller 45 is in the working position, and the lowest point of the roller 45 is higher than the lower surface of the bottom plate 41 or flush with the bottom surface of the bottom plate 41 when the roller 45 is in the stowing position.

Preferably, the bottom plate 41 is provided with an inclined guide structure gradually decreasing from front to back, the bottom plate 41 is further provided with a sliding seat 46 capable of moving along the inclined guide structure, the roller 45 is mounted on the sliding seat 46, the sliding seat 46 moves the roller 45 to the working position when moving backward along the inclined guide structure, the sliding seat 46 moves the roller 45 to the collecting position when moving forward along the inclined guide structure, and a locking device capable of locking the bottom plate 41 and the sliding seat 46 when the roller 45 is in the working position is further arranged between the bottom plate 41 and the sliding seat 46.

The transportation and placement vehicle is used for placing the ECMO treatment related equipment on the common sickbed 5 for use as follows: firstly install equipment such as artificial heart lung host computer on supporter body 4, the gyro wheel 45 of 4 bottoms of supporter body this moment is in operating position, then promotes this transportation and lays the car, carries equipment such as artificial heart lung host computer to the rear side of sick bed 5, makes the front edge of layer board 3 and the rear side edge butt of bed board. When the supporting plate 3 and the bed plate are not equal in height, the supporting plate 3 can be moved up and down through the driving device to enable the supporting plate 3 and the bed plate to be equal in height. Then the guard plate at the rear end of the sickbed 5 is detached, the mattress is lifted, then the commodity shelf body 4 is pushed onto the sickbed 5, then the sickbed 1 can be moved away, finally the commodity shelf body 4 is stably supported, the locking device is unlocked, then the sliding seat 46 is pushed forwards to enable the commodity shelf body to move forwards along the inclined guide structure, when the sliding seat 46 moves forwards, the commodity shelf body 4 slowly descends under the action of gravity, finally the bottom plate 41 of the commodity shelf body 4 is supported on the sickbed 5, and then the placement of relevant ECMO treatment equipment is completed, wherein the state at the moment is shown in figure 4. After placement is complete, the rear end of the mattress may be placed on the base panel 41 and the patient's feet may be placed in the space between the mattress and the first storage panel 42. With such a design, there are the following advantages: firstly, in the process of adopting ECMO treatment, the rack body 4 is placed at the tail of the sickbed 5, and devices related to the ECMO treatment are all positioned on the rack body 4, so that the space on the left side and the right side of the sickbed 5 is hardly occupied, and medical staff can conveniently perform an operation; secondly, the weight of the equipment related to the ECMO treatment is large, wherein the weight of the artificial heart-lung machine reaches dozens of kilograms, and the equipment does not need to be carried manually in the process of transferring the equipment from the cart to the bed tail, so that the working strength of medical staff is greatly reduced; third, the bottom of supporter body 4 is provided with gyro wheel 45, and medical personnel can use on promoting sick bed 5 with supporter body 4 that is fully loaded with treatment equipment easily, and after on sick bed 5 was laid to supporter body 4, can with the locking device unblock, then push away slide 46 forward in order to pack up gyro wheel 45, finally make supporter body 4 whereabouts and bearing use on sick bed 5, make supporter body 4 can remain stable, difficult quilt removes.

In a preferred embodiment of the present invention, the bottom plate 41 is provided with a U-shaped notch 411 with a forward opening, the inclined guide structure includes two inclined guide grooves 412 respectively disposed on two inner walls of the U-shaped notch 411, and two sides of the sliding seat 46 are each provided with a protrusion 461 capable of sliding along the corresponding inclined guide groove 412. The bottom plate 41 is provided with a first pin hole 413, the sliding seat 46 is provided with a second pin hole 462 capable of aligning with the first pin hole 413 when the roller 45 is in the working position, and the locking device comprises a bolt 47 capable of simultaneously passing through the first pin hole 413 and the second pin hole 462. The latch 47 is preferably a resilient pin.

In some embodiments of the present invention, the inclined guiding structure may also adopt other structural forms, for example, an inclined sliding rail disposed on the inner wall of the U-shaped notch 411 instead of the inclined guiding groove 412, and a sliding member engaged with the inclined sliding rail is correspondingly mounted on the sliding seat 46; or the U-shaped notch 411 is eliminated, and the inclined slide rail is directly arranged on the bottom surface of the bottom plate 41. The locking means may also take other forms, such as screws for locking the base plate 41 and the slide 46.

Fig. 1 shows the structural style of the first preferred of the shelf body 4, in this scheme, the supporting seat 43 is a vertical plate, the upper end of the vertical plate is fixedly connected with the rear end of the first storage board 42, and the lower end of the vertical plate is connected with the middle of the bottom board 41. The first storage plate 42 is used for placing a heart-lung machine and an oxygen bottle, and the part of the bottom plate 41 behind the supporting seat 43 forms a second storage plate for placing a simple respirator and a monitor. The edge of the first storage plate 42 is provided with a guardrail 421, the guardrail 421 is provided with a vertical rod 48, the upper end of the vertical rod 48 is provided with a hook 481, an infusion bottle can be hung on the hook 481, and the vertical rod 48 can be clamped with an injection transverse pump. The vertical rods 48 with hooks 481 can also be installed on the left and right sides of the supporting base 43, which is used for hanging various wires and pipelines.

Referring to fig. 1 and 11, the driving device includes a horizontal shaft 61 rotatably mounted on the frame 1 and a handle 62 connected to one end of the horizontal shaft 61 and capable of driving the horizontal shaft 61 to rotate, a guide mechanism for guiding the pallet 3 is disposed between the pallet 3 and the frame 1, and a transmission mechanism capable of driving the pallet 3 to move up and down when the horizontal shaft 61 rotates is connected between the horizontal shaft 61 and the pallet 3.

Preferably, the guide mechanism comprises a vertical guide post 11 arranged on the frame 1 and a guide sleeve 31 arranged on the bottom surface of the supporting plate 3, and the vertical guide post 11 is inserted in the guide sleeve 31 and is in sliding fit with the guide sleeve 31. The transmission mechanism comprises a vertical nut 63 which is arranged on the frame 1 and can rotate around a vertical axis, a vertical screw 64 which is arranged on the supporting plate 3 and is meshed with the vertical nut 63, and a worm 65 which is arranged on the horizontal shaft 61, a fluted disc 66 which is meshed with the worm 65 is arranged on the outer side wall of the vertical nut 63, and the fluted disc 66 and the worm 65 form a worm gear and worm transmission pair.

The method for moving the supporting plate 3 up and down is that the worm 65 is driven to rotate by the hand-operated handle 62, the vertical nut 63 is driven to rotate when the worm 65 rotates, and then the vertical screw 64 and the supporting plate 3 can be driven to move up and down. By adopting the transmission mechanism, the speed reduction ratio is large, labor is saved, and the self-locking can be formed after the lifting support plate 3 is moved in place.

Referring to fig. 11, a sinking platform 34 lower than the object placing plane 32 is disposed at the front part of the upper surface of the supporting plate 3, a plurality of mounting slots are disposed on the sinking platform 34, a rotary conveying wheel 7 capable of conveying objects forward or backward is hinged in each mounting slot, the upper part of the rotary conveying wheel 7 is exposed on the sinking platform 34, the object placing plane 32 is disposed at the rear part of the upper surface of the supporting plate 3, and an inclined plane connecting the sinking platform 34 and the object placing plane 32 is disposed between the two.

Preferably, the rotary conveying wheels 7 are provided in two sets, each set of rotary conveying wheels 7 is arranged on the supporting plate 3 at intervals along the front-rear direction, and the two sets of rotary conveying wheels 7 are respectively arranged on the left side part and the right side part of the supporting plate 3.

When the commodity shelf body 4 is placed on a sickbed 5 for use, the bottom plate 41 is directly supported on a bed plate of the sickbed 5, the rear end part of the bottom plate 41 extends out of the rear end of the sickbed 5, when the commodity shelf body 4 is detached from the sickbed 5, the supporting plate 3 is firstly moved downwards, the highest point of the rotary conveying wheel 7 is lower than the lower surface of the bottom plate 41, then the trolley frame 1 is moved to the rear side of the sickbed 5, part of the rotary conveying wheel 7 or all the rotary conveying wheels 7 are positioned below the bottom plate 41, then the supporting plate 3 is driven to move upwards through the driving device until the rotary conveying wheel 7 positioned below the bottom plate 41 is abutted against the bottom plate 41, then the commodity shelf body 4 is pushed backwards, so that the commodity shelf body 4 is separated from the sickbed 5, and the bottom plate 41 is supported on the commodity shelf plane 32. Above-mentioned in-process owing to rotate the existence of delivery wheel 7, can reduce and remove the frictional resistance on the frame 1 with supporter body 4, reduces medical personnel's working strength.

Further, the tops of all the rotating conveying wheels 7 are flush with the object placing plane 32, the upper surface of the supporting plate 3 is provided with a concave position 33, the roller 45 is accommodated in the concave position 33 in a suspended manner when the object placing frame body 4 is placed on the supporting plate 3, and the front side part of the concave position 33 is a slope gradually rising from back to front. In such a scheme, when the rack 1 is used for transporting the commodity shelf body 4 fully loaded with ECMO treatment, the front part of the bottom plate 41 is supported on the rotating conveying wheel 7, the rear part of the bottom plate 41 is supported on the commodity placing plane 32, the roller 45 on the commodity shelf body 4 is in a suspended state, the sliding seat 46 can be moved to the lowest position and is locked by the locking device, and when the commodity shelf body 4 is used for conveying the rear side of the movable sickbed 5, the commodity shelf body 4 is directly pushed forwards, so that the commodity shelf body 4 can be quickly pushed onto the sickbed 5.

The above description is only a preferred embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications and equivalents of the present invention, which can be directly or indirectly applied to other related technical fields without departing from the spirit of the present invention, are intended to be included in the scope of the present invention.

Claims

1. An ECMO equipment support convenient for placing on a hospital bed, comprising a rack body (4), wherein the rack body (4) comprises a bottom plate (41), a first object placing plate (42) positioned above the bottom plate (41), and a supporting seat (43) connected between the bottom plate (41) and the first object placing plate (42), a U-shaped groove (40) with a forward opening and allowing a patient's foot to be placed therein is formed among the bottom plate (41), the first object placing plate (42) and the supporting seat (43), the bottom plate (41) is provided with a roller assembly capable of being switched between a working position and a retracted position, the roller assembly comprises at least 2 rollers (45), the lowest point of the roller (45) is lower than the lower surface of the bottom plate (41) when the roller (45) is in the working position, the lowest point of the roller (45) is higher than the lower surface of the bottom plate (41) or flush with the bottom surface of the bottom plate (41) when the roller (45) is in the retracted position, the lowest point of the roller (45) is higher than the lower surface of the bottom plate (41) or flush with the bottom plate (41), the bottom plate (41) is provided with an inclined guiding structure capable of gradually reducing from the front to the rear side, the roller (46) is arranged on the sliding seat (41), and the sliding seat (46) is capable of moving structure, and the sliding seat (46) moves along the inclined guiding structure, when the sliding seat (46) moves forwards along the inclined guide structure, the roller (45) moves to the collection position, and a locking device capable of locking the bottom plate (41) and the sliding seat (46) when the roller (45) is in the working position is further arranged between the bottom plate (41) and the sliding seat (46).

2. The ECMO equipment rack convenient for being placed on a hospital bed according to claim 1, wherein the bottom plate (41) is provided with a U-shaped notch (411) with a forward opening, the inclined guide structure comprises two inclined guide grooves (412) respectively arranged on the inner walls of two sides of the U-shaped notch (411), and two sides of the sliding base (46) are provided with protrusions (461) capable of sliding along the corresponding inclined guide grooves (412).

3. An ECMO equipment support for convenient placement on a hospital bed according to claim 1 or 2, wherein the base plate (41) is provided with a first pin hole (413), the slide (46) is provided with a second pin hole (462) capable of aligning with the first pin hole (413) when the roller (45) is in the operative position, and the locking means comprises a pin (47) capable of passing through the first pin hole (413) and the second pin hole (462) simultaneously.

4. The ECMO equipment support convenient for being placed on a hospital bed according to claim 1, wherein the supporting seat (43) is a vertical plate, the upper end of the vertical plate is fixedly connected with the rear end of the first object placing plate (42), and the lower end of the vertical plate is connected with the middle part of the bottom plate (41).

5. The ECMO equipment rack convenient to place on a hospital bed according to claim 4, wherein the first storage plate (42) is provided with a guardrail (421) at the edge, a vertical rod (48) is arranged on the guardrail (421), and a hook (481) is arranged at the upper end of the vertical rod (48).

6. The ECMO equipment rack convenient to place on a hospital bed according to claim 4, wherein the supporting seat (43) is provided with vertical rods (48) at the left and right sides, and the upper ends of the vertical rods (48) are provided with hooks (481).