CN219127152U

CN219127152U - PICC puts tub frame of changing dressings

Info

Publication number: CN219127152U
Application number: CN202222745605.6U
Authority: CN
Inventors: 隋莹莹; 赵薇; 任梦; 李丹; 朱凤梅; 杨萌
Original assignee: Tianjin Medical University General Hospital
Current assignee: Tianjin Medical University General Hospital
Priority date: 2022-10-17
Filing date: 2022-10-17
Publication date: 2023-06-06
Anticipated expiration: 2032-10-17

Abstract

The utility model provides a PICC (peripherally inserted central catheter) dressing change frame, which comprises a base, wherein the bottom of the base is provided with a pulley; the support rod comprises a first fixed cylinder and a second fixed cylinder which are sleeved up and down in a sliding manner, and the inner diameter of the first fixed cylinder is larger than that of the second fixed cylinder; the lower part of the second fixed cylinder is fixedly connected with the center of the top of the base, the top of the first fixed cylinder is connected with a fixed disc, and an electric rotating table is arranged on the fixed disc; an electric push rod is arranged in the second fixed cylinder, and is fixed at the top of the base, and the output end of the electric push rod is connected with the fixed disc; the bracket is fixedly connected with the electric rotating table. By adopting the PICC replacement rack, the height and the angle of the arm of a patient are adjusted in an electric mode, so that the proper replacement position and the proper replacement position are conveniently and quickly selected, the clinical nursing efficiency is improved, and the comfort level of the patient is greatly improved; no extra medical staff is needed to assist in guiding the patient to adjust the arm position, and manpower resources are saved.

Description

PICC puts tub frame of changing dressings

Technical Field

The utility model relates to the field of medical equipment, in particular to a PICC (peripherally inserted central catheter) dressing change frame.

Background

With the increasing medical level, clinical care operation technology is continuously standardized, and peripheral intravenous central venous catheter (PICC) is increasingly used in clinical care, especially in tumor chemotherapy patients. The preferred noble vein that is located upper arm chi side of putting of PICC puts the pipe, needs patient's arm abduction, upper limbs to rise and be 90 angles with the armpit central line for patient PICC puts the pipe, the disinfection process of changing dressings of clinical medical personnel, and this posture probably needs longer time, and this all has certain degree of difficulty to patient and medical personnel.

For patients, the body position is actively placed, and the arms are easily tired due to uncomfortable body position after being abducted for a long time; in addition, because PICC puts tub, the disinfection process of changing dressings need to strictly carry out aseptic operation, and medical personnel can not touch non-aseptic region, consequently be inconvenient for help patient to put the arm when the operation, need another medical personnel's assistance to instruct the patient to put the position at this moment, not only waste time and energy, waste manpower resources, thereby still cause the patient to join in marriage inadequately easily and reduced clinical care efficiency.

Disclosure of Invention

In order to solve the problems, the utility model provides the PICC (peripherally inserted central catheter) dressing change frame, which solves the problems of uncomfortable patient, non-ideal arm position and waste of human resources in the processes of PICC dressing change and dressing change, and can adjust the arm position of the patient in the operation process by only one doctor with the help of the PICC dressing change frame, thereby improving the clinical care efficiency and the comfort level of the patient.

Specifically, the technical scheme of the utility model is as follows: a PICC dressing frame, comprising:

the bottom of the base is provided with a pulley;

the support rod comprises a first fixed cylinder and a second fixed cylinder which are sleeved up and down in a sliding manner, and the inner diameter of the first fixed cylinder is larger than that of the second fixed cylinder; the lower part of the second fixed cylinder is fixedly connected with the center of the top of the base, the top of the first fixed cylinder is connected with a fixed disc, and an electric rotating table is arranged on the fixed disc; an electric push rod is arranged in the second fixed cylinder, and is fixed at the top of the base, and the output end of the electric push rod is connected with the fixed disc;

and the bracket is fixedly connected with the electric rotating table.

Further, a chute is arranged on the inner wall of the first fixed cylinder; and a sliding block is arranged at the position, close to the inner wall of the sliding groove, on the second fixed cylinder. In the lifting process of the electric push rod, the sliding block on the inner wall of the second fixed cylinder slides in the sliding groove of the first fixed cylinder, so that the height change of the support rod is realized.

Further, the outer wall of the first fixed cylinder is rotatably provided with a tray through a first lantern ring; the tray is provided with a treatment disc.

Further, the outer wall of the first fixed cylinder is rotatably provided with a dustbin through a second lantern ring; the second lantern ring is arranged at the lower part of the first lantern ring.

Still further, the bottom position of first lantern ring and second lantern ring all is equipped with the limiting plate.

Further, the bracket is arc-shaped and is used for placing the forearm of a patient, the bracket comprises a supporting layer and a buffer layer from outside to inside, and the buffer layer is an anti-slip sponge cushion layer so as to ensure the comfort level of placing the arm of the patient in the buffer layer; at least 1 binding belt connected with two sides of the cambered surface of the bracket on the bracket; the bandage is the adjustable bandage of elasticity for the effectual forearm of fixing the patient, the slope of prevention angle causes the aversion and the deviating from of arm, in order to make things convenient for follow-up through the adjustment support drive adjustment arm put the position.

Further, the base is provided with a control switch, and the electric push rod and the electric rotating table are connected with the control switch through wires and used for controlling the electric push rod to lift and the electric rotating table to rotate left and right.

Furthermore, the control switch is a foot switch, the PICC replacement tube is controlled by feet to ascend and descend, the bracket is turned left and right, hands of medical staff are liberated, and the sterile environment is protected. This operation need not increase extra medical personnel, and PICC puts the pipe, the disinfection process of changing dressings can be accomplished to just alone.

Further, an energy storage bin is arranged in the base, and a storage battery is arranged in the energy storage bin to supply power for the electric push rod and the electric rotary table; one side of the base is provided with a charging port for charging the storage battery through a circuit.

Further, the pulley is a universal wheel with a brake.

Compared with the prior art, the utility model has the beneficial effects that:

1. the lifting of PICC puts a tub of frame of changing dressings is controlled to the bracing piece with electric putter, sets up electric rotating table under the bracket for the height of adjusting the frame of changing dressings of putting and the rotation angle of bracket, according to this, medical personnel can realize adjusting the height and the angle of patient's arm with electric mode, conveniently, swiftly select suitable putting tub and the position of changing dressings, have promoted clinical care efficiency.

2. The foot switch is arranged on the base to control the electric push rod and the electric rotating table, so that hands of medical staff can be liberated, and the aseptic environment in the PICC tube placing, dressing change and sterilization processes can be prevented from being damaged; and no extra medical staff is needed to assist in guiding the patient to adjust the arm position, and only one person can complete the PICC tube placing and dressing change disinfection process. The arm placement position is not required to be actively maintained or adjusted by a patient in the whole process, so that the comfort level of the patient is greatly improved.

Drawings

The accompanying drawings, which are included to provide a further understanding of the utility model and are incorporated in and constitute a part of this specification, illustrate embodiments of the utility model and together with the description serve to explain the utility model. In the drawings:

FIG. 1 is a schematic view showing the overall structure of a PICC replacement rack of the present utility model;

FIG. 2 is a schematic view of the support pole of section A of FIG. 1 in one use configuration;

fig. 3 is a schematic view of a partial structure of the bracket of the portion B in fig. 1.

Wherein the above figures include the following reference numerals:

10-base, 11-pulley, 12-control switch, 13-energy storage bin, 131-accumulator, 132-charging port; 20-supporting rods, 21-first fixed cylinders, 211-sliding grooves, 212-first lantern rings, 213-second lantern rings, 214-limiting plates, 22-second fixed cylinders, 221-sliding blocks, 23-fixed discs, 24-electric rotating tables, 25-electric push rods, 26-treatment discs, 261-trays and 27-garbage cans; 30-bracket, 31-supporting layer, 32-buffer layer, 33-bandage, 331-magic tape surface, 332-magic tape hook surface.

Detailed Description

The utility model will be described in further detail below with reference to the drawings by means of specific embodiments. It should be noted that, in the description of the present utility model, unless explicitly specified and limited otherwise, the terms "disposed," "connected," "provided" and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be the communication between the two parts. The specific meaning of the above terms in the present utility model can be understood by those of ordinary skill in the art in a specific case.

Spatially relative terms, such as "upper," "lower," "left," "right," and the like, may be used in the embodiments for ease of description to describe one element or feature's relationship to another element or feature's illustrated in the figures. It will be understood that the spatial terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as "under" other elements or features would then be oriented "over" the other elements or features. Thus, the exemplary term "lower" may encompass both an upper and lower orientation. The device may be otherwise positioned (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly.

Moreover, relational terms such as "first" and "second", and the like, may be used solely to distinguish one element from another element having the same name, without necessarily requiring or implying any actual such relationship or order between such elements.

Example 1

As shown in fig. 1, the present utility model proposes a PICC dressing frame, including: a base 10, the bottom of which is provided with a pulley 11; a support rod 20, wherein the support rod 20 comprises a first fixed cylinder 21 and a second fixed cylinder 22 which are sleeved up and down in a sliding way, and the inner diameter of the first fixed cylinder 21 is larger than that of the second fixed cylinder 22; the lower part of the second fixed cylinder 22 is fixedly connected with the center of the top of the base 10, the top of the first fixed cylinder 21 is connected with a fixed disc 23, and an electric rotary table 24 is arranged on the fixed disc 23; an electric push rod 25 is arranged in the second fixed cylinder 22, the electric push rod 25 is fixed on the top of the base 10, and the output end of the electric push rod 25 is connected with the fixed disc 23; the bracket 30 is fixedly connected with the electric rotating table 24.

From this at PICC puts pipe, the disinfection process of changing dressings medical personnel can use electronic mode, drives bracing piece 20 through control electric putter 25 and goes up and down to drive bracket 30 through control electric revolving stage 24 and rotate and adjust the height and the angle of patient's arm comprehensively, select suitable putting pipe and the body position of changing dressings. This process is convenient, swift, has promoted clinical care efficiency, need not the patient and initiatively maintains arm and put position or initiative adjustment simultaneously, has promoted patient's comfort level.

As shown in fig. 2, in the above technical solution, the inner wall of the first fixed cylinder 21 is provided with a sliding groove 211, and correspondingly, the second fixed cylinder 22 is provided with a sliding block 221 at a position close to the inner wall of the sliding groove 211. Accordingly, the slider 221 which holds the inner wall of the second fixed cylinder 22 can slide in the slide groove 211 of the first fixed cylinder 21 when the height of the electric push rod 25 is adjusted, thereby realizing the elevation of the support rod 20.

It should be noted that, in the technical solution of the present utility model, the inner diameter of the first fixed cylinder 21 is larger than the inner diameter of the second fixed cylinder 22, so that the first fixed cylinder 21 located at the upper position covers the second fixed cylinder 22 located at the lower position, thereby preventing dust and dirt from accumulating due to the thin upper part and thick lower part of the supporting rod 20, facilitating subsequent cleaning and disinfection, and being beneficial to maintaining a clean medical environment. In addition, the first and second fixed

cylinders

21 and 22 may be provided in a non-cylindrical shape of sliding up and down by non-creative work by those skilled in the art.

In addition, it will be understood by those skilled in the art that, on the basis of the technical scheme of the present utility model, the heights of the PICC catheter changing frame can be comprehensively adjusted by adjusting the heights of the first fixing cylinder 21, the second fixing cylinder 22 and the fixing disc 23, and thus, all the formed technical schemes are within the scope of the present utility model.

In the above technical solution, the functional components on the support bar 20 are further refined. Specifically, a tray 261 is rotatably provided on the outer wall of the first fixed cylinder 21 via a first collar 212, and a treatment tray 26 is provided on the tray 261. The treatment tray 26 is used for accommodating medical instruments, medical consumables and the like for PICC (peripherally inserted central catheter) placement or dressing change sterilization; optionally, a sharp instrument placing area, a test tube rack, a consumable taking area and the like can be arranged in the treatment disc 26, so that the operation of medical staff is facilitated.

In addition, a dustbin 27 is rotatably arranged at the lower part of the first collar 212 and on the outer wall of the first fixed cylinder 21 through a second collar 213; and the bottom positions of the first collar 212 and the second collar 213 are respectively provided with a limiting plate 214 so as to strengthen the stability of the connection between the first collar 212 and the second collar 213 and the first fixed cylinder 21. Those of ordinary skill in the art will appreciate that additional functional components other than the first collar 212 and the second collar 213 may be provided outside the first stationary barrel 21 by non-creative efforts and that the resulting solution is within the scope of the present utility model.

As shown in fig. 3, in the above technical solution, the bracket 30 has a circular arc shape, so as to facilitate the placement of the forearm of the patient in the arc-shaped area; the bracket 30 comprises a supporting layer 31 and a buffer layer 32 from outside to inside; optionally, the cushioning layer 32 is a non-slip sponge cushion to ensure comfort of the patient's arm placed therein. In addition, at least 1 binding band 33 with adjustable tightness is arranged on the bracket 30, and is used for effectively fixing the forearm of the patient on the bracket 30, so that the operation is convenient, and the placing position of the arm of the patient is adjusted by controlling the height of the support rod 20 and the rotation angle of the bracket 30.

Specifically, the binding band 33 may be an integral high-elasticity bandage, or may be divided into two detachable binding surfaces, where the two binding surfaces may be connected by using a hook and loop fastener, a buckle, or a hook. Fig. 3 shows a strap 33 connected by velcro, the strap 33 being composed of a velcro surface 331 and a velcro surface 332 provided on one side of the arc surface of the bracket 30, and the patient's forearm being fixed by detachable connection of the two.

Example 2

The present embodiment optimizes the manner of controlling the height of the support bar and the angle change of the bracket by using the PICC changing frame of the present utility model on the basis of embodiment 1.

In the above technical scheme, the base of the PICC drug-changing rack is provided with the control switch 12, the electric push rod 25 and the electric rotary table 24 are connected with the control switch 12 through wires, and medical staff can control the electric push rod 25 to lift and the electric rotary table 24 to rotate left and right through the control switch 12; and the control switch 12 is a foot switch. Accordingly, before or during PICC puts a pipe, the disinfection of changing dressings begins, all can use this foot switch, through stepping on, put about the button and adjust the height and the angle of patient's arm, need not to use both hands, need not other medical personnel to assist, one just can accomplish the adjustment to patient's arm position of putting, both can practice thrift manpower resources, also can maintain PICC puts a pipe and the sterile environment of changing dressings.

It should be noted that, in order to facilitate the adjustment of the height and angle of the arm placement of the patient by the medical staff, the control switch 12 of the present utility model may be disposed on the top or side of the base 10; those of ordinary skill in the art will appreciate that the control switch 12 can also be placed on the ground as a separate foot switch, and is connected with the PICC drug-changing rack via a wire, so that the medical staff does not need to raise the feet to the height of the base 10 during operation, and the button is more convenient to step on and put.

In the above technical solution, an energy storage bin 13 is disposed in the base of the PICC catheter dressing change rack, and a storage battery 131 is disposed in the energy storage bin 13 to supply power to the electric push rod 25 and the electric rotary table 24; further, a charging port 132 for charging the storage battery 131 through a line is provided on one side of the base 10. The storage battery 131 can be charged repeatedly, so that the PICC drug-changing rack can be used in a plug-in mode, or the storage battery is used for supplying power to get rid of the constraint of a socket and an electric wire, and the PICC drug-changing rack is more convenient to use.

In the technical scheme, the pulley 11 arranged on the base 10 is a universal wheel with a brake, and the universal wheel is very light and convenient to move and can be operated by one person; the safety of the PICC replacement rack is improved by using the brake.

Example 3

The present embodiment shows an operation procedure of PICC catheterization for a patient using the PICC catheterization dressing frame of the present utility model in embodiment 2 under one condition, and it should be noted that the operation procedure is only a presentation of a preferred procedure, and does not limit the protection scope of the present utility model.

Step 1: a medical staff pushes a pulley 11 on a base 10 to move the PICC replacement tube dressing frame to the side of a patient bed; then the brake on the pulley 11 is stepped on, and the tube-replacing medicine rack is fixed.

According to the height of the arm of the patient, the button for controlling the lifting of the support rod 20 on the foot control switch 12 is operated to start the electric push rod 25, the support frame 20 is adjusted to a proper height, and then the forearm of the patient is placed on the bracket 30 and fixed by the binding belt 33.

According to the position adjustment arm angle that patient PICC puts the pipe and changes dressings, the foot is stepped on control switch 12 and is started electronic revolving stage 24, rotates bracket 30 to suitable angle for patient's pre-puncture arm abduction is 90 with the truck.

Step 2: the treatment tray 26 and the dustbin 27 are rotated along the support bar 20 to be adjusted to a proper position, medical instruments and medical consumables are taken from the treatment tray 26 to clean and disinfect the skin of a patient, a sterile area is established, and then the steps of pre-flushing, puncturing, catheter implantation, cannula sheath and guide wire withdrawal, puncturing, tube arrangement and the like are carried out for the patient, so that PICC tube arrangement is completed. According to different factors such as patient conditions, catheterization conditions and the like, the PICC catheterization process needs to last for more than 15 minutes; the long-term arm outward exhibition that keeps makes the patient feel uncomfortable, and the arm probably takes place the displacement because tired, and at this moment, the medical personnel of operation can adopt foot control switch 12, adjusts the position of putting of patient's pre-puncture arm at any time, improves PICC and puts tub efficiency.

Step 3: after the PICC catheterization operation is completed, the garbage generated during the operation is put into the garbage can 27, and the patient is instructed on the gist.

It should be noted that the above description of the present utility model is further detailed in connection with specific embodiments, and it should not be construed that the present utility model is limited to the specific embodiments; the size data of the embodiment is not limited to the technical scheme, but only shows one specific working condition. It will be apparent to those skilled in the art that several simple modifications and adaptations of the utility model can be made without departing from the spirit of the utility model and are intended to be within the scope of the utility model.

Claims

1. A PICC dressing change frame, comprising:

a base (10) with a pulley (11) at the bottom;

the support rod (20), the support rod (20) comprises a first fixed cylinder (21) and a second fixed cylinder (22) which are sleeved up and down in a sliding manner, and the inner diameter of the first fixed cylinder (21) is larger than the inner diameter of the second fixed cylinder (22); the lower part of the second fixed cylinder (22) is fixedly connected with the center of the top of the base (10), the top of the first fixed cylinder (21) is connected with a fixed disc (23), and an electric rotary table (24) is arranged on the fixed disc (23); an electric push rod (25) is arranged in the second fixed cylinder (22), the electric push rod (25) is fixed at the top of the base (10) and the output end of the electric push rod is connected with the fixed disc (23);

and the bracket (30) is fixedly connected with the electric rotating table (24).

2. The PICC catheter dressing change stand according to claim 1, wherein the inner wall of the first stationary cylinder (21) is provided with a chute (211); and a sliding block (221) is arranged at the position, close to the inner wall of the sliding groove (211), of the second fixed cylinder (22).

3. The PICC catheter changing rack according to claim 1, wherein the outer wall of the first fixed cylinder (21) is rotatably provided with a tray (261) via a first collar (212); a treatment tray (26) is arranged on the tray.

4. The PICC catheter changing stand according to claim 3, wherein the outer wall of the first fixed cylinder (21) is rotatably provided with a dustbin (27) through a second collar (213); the second collar (213) is provided at the lower part of the first collar (212).

5. The PICC catheter dressing change stand according to claim 4, wherein the first collar (212) and the second collar (213) are provided with a stop plate (214) at their bottom positions.

6. The PICC catheter dressing change holder according to claim 1, wherein the bracket (30) is circular arc-shaped, comprising a supporting layer (31) and a buffer layer (32) from outside to inside; at least 1 binding band (33) which is connected with the two sides of the cambered surface of the bracket (30) is arranged on the bracket (30).

7. The PICC catheter dressing change stand according to claim 1, wherein the base (10) is provided with a control switch (12), and the electric push rod (25) and the electric rotary table (24) are connected with the control switch (12) through wires, so as to control the electric rotary table (24) to rotate left and right and the electric push rod (25) to lift.

8. The PICC changing stand according to claim 7, wherein the control switch (12) is a foot switch.

9. PICC changing rack according to claim 1, characterized in that an energy storage bin (13) is arranged in the base (10); a storage battery (131) is arranged in the energy storage bin (13) and is used for supplying power to the electric rotating table (24) and the electric push rod (25); one side of the base (10) is provided with a charging port (132) for charging the storage battery (131) through a circuit.

10. PICC changing stand according to claim 1, characterized in that the pulley wheel (11) is a universal wheel with a brake.