CN106859869B - A kind of Internal Medicine-Oncology rescue carrigae - Google Patents
A kind of Internal Medicine-Oncology rescue carrigae Download PDFInfo
- Publication number
- CN106859869B CN106859869B CN201710170165.7A CN201710170165A CN106859869B CN 106859869 B CN106859869 B CN 106859869B CN 201710170165 A CN201710170165 A CN 201710170165A CN 106859869 B CN106859869 B CN 106859869B
- Authority
- CN
- China
- Prior art keywords
- storehouse
- medical
- setting
- surgical
- oncology
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G3/00—Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
- A61G3/001—Vehicles provided with medical equipment to perform operations or examinations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G3/00—Ambulance aspects of vehicles; Vehicles with special provisions for transporting patients or disabled persons, or their personal conveyances, e.g. for facilitating access of, or for loading, wheelchairs
- A61G3/006—Means for reducing the influence of acceleration on patients, e.g. suspension systems of platforms
-
- E—FIXED CONSTRUCTIONS
- E04—BUILDING
- E04H—BUILDINGS OR LIKE STRUCTURES FOR PARTICULAR PURPOSES; SWIMMING OR SPLASH BATHS OR POOLS; MASTS; FENCING; TENTS OR CANOPIES, IN GENERAL
- E04H3/00—Buildings or groups of buildings for public or similar purposes; Institutions, e.g. infirmaries or prisons
- E04H3/08—Hospitals, infirmaries, or the like; Schools; Prisons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/10—General characteristics of devices characterised by specific control means, e.g. for adjustment or steering
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/30—General characteristics of devices characterised by sensor means
- A61G2203/34—General characteristics of devices characterised by sensor means for pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
- A61G2203/72—General characteristics of devices with special adaptations, e.g. for safety or comfort for collision prevention
- A61G2203/723—Impact absorbing means, e.g. bumpers or airbags
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2220/00—Adaptations of particular transporting means
- A61G2220/10—Aircrafts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2220/00—Adaptations of particular transporting means
- A61G2220/14—Cars
Landscapes
- Health & Medical Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Architecture (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Civil Engineering (AREA)
- Structural Engineering (AREA)
- Radiation-Therapy Devices (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The invention discloses a kind of Internal Medicine-Oncology rescue carrigaes to be arranged in the ventilation mechanism in the surgical chamber including movable medical storehouse and the walking mechanism being arranged under medical storehouse;Medical treatment storehouse inside setting balance monitoring mechanism and control unit, the medical treatment storehouse two sides are arranged groove body, pass through the vertically arranged cambered plate of telescopic prop in the groove body, the balance monitoring mechanism, control unit, telescopic prop are sequentially connected;The Medical Devices of minimally invasive superfreeze ablated tumor are equipped in the surgical chamber;The balance monitoring mechanism includes gyroscope and acceleration transducer;Quick diagnosis and treatment can be carried out to patient that is not can be carried out nuclear magnetic resonance and being equipped with pacemaker, and the excessive module in surgical chamber lower part setting elastic supporting mechanism is able to solve the loading end variation of burst, the safety and steady for ensuring to perform the operation carries out, and improves the effect of rescue efficiency and rescue.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of Internal Medicine-Oncology rescue carrigae.
Background technique
Currently, a kind of tool of the stretcher as first aid and transhipment patient, has been clinically essential rescue apparatus,
But there is also many shortcomings in the application of stretcher, for the urgent patient of Cardiological, for example occur acute
Myocardial infarction needs the patient rescued, must be especially careful in transhipment, but during being transported with stretcher, patient can not be kept away
It to move back and forth with exempting from, this move to critical patient is and its dangerous, it is not only possible to lead to aggravation, in some instances it may even be possible to lead
Cause patient directly dead, this risk for just considerably increasing the burden of doctor and being undertaken.Therefore, it is necessary to a kind of flow model hospitals
To meet the diagnosing and treating of various diseases under above situation etc..
For example, certain mountain areas do not have regular hospital, the Medical Devices even if there is Department Of Health Services, in medical department
Also less, Medical Devices are simple, lack the routine techniques equipment for checking certain diseases, such as X optical test and the super inspection of B
Equipment, make expediently the masses can not obtain preferable medical services, disease can not diagnosing and treating, influence the health of local people
And life.Although, for providing medical services for Marginal Mountainous Areas etc., such as being carried out in white currently, also having Medical health vehicle etc.
Hinder the operation cars such as ophthalmologic operation, still, function is relatively single, generally only for specific medical services, for a variety of diseases
Can not carry out effectively diagnosing and treating, cannot achieve the function of general hospital, cause the disease treatment demand of the people without
Method meets.
Especially in recent years, since taking place frequently with domestic natural disaster, especially Wenchuan earthquake, big and small earthquake
Have very much, local hospital is always overstaffed after every secondary earthquake, and the medical worker supported outside disaster area suffers from no space pair
Rescue is unfolded in patient, and the operating room that scene is built in isolation, health and checks the standard that is all extremely difficult in equipment, and builds
Speed it is also relatively slow, be to meet first aid to use mostly although there is the operation car of some movable types at present, therefore, earthquake
It is badly in need of a kind of Surgery Platform that can be come into operation rapidly in disaster area.
Authorized announcement date is a kind of ambulance-mounted active buffer Surgery Platform of disclosure of the invention of 104434450 B of CN, rail
Road support base is made of bottom plate and the baffle being arranged on bottom plate, and first that the middle part of bottom plate is equipped with for stepping down for buffer board allows
Position hole, a buffer board is slidably fitted on the bottom plate of track support base, extend by top panel and vertically downward two pieces of buffer board
Connecting plate is constituted, and two spring bracings are separately fixed on track support base, two air springs be located at connecting plate and
Between spring bracing, the 3-axis acceleration for acquiring ambulance motion state is separately installed on two connecting plates of buffer board
Sensor is equipped on the bottom plate of the track support base for the displacement sensor using buffer board displacement.The present invention passes through
Air spring drives buffer board to slide on track support base, to generate during acceleration, braking, parking etc. to ambulance
Vibration buffered, maintain the steady of operating table.The invention can be only used to shift the wounded, and do in transfer
Simple processing, can not give treatment to the grievous hurt under disaster in time;Especially for the patient for being equipped with pacemaker,
Nuclear magnetic resonance cannot be applicable in, it is therefore desirable to a kind of to be suitable for the rescue carrigae with pacemaker patient.
Authorization Notice No. is that the utility model of 203341940 U of CN discloses a kind of flow first-aid operation car, mainly by vapour
Chassis, carriage body, access way composition, characterized in that be equipped with 4 hydraulically extensible supporting legs in automobile chassis, carriage body is totally-enclosed
Type light steel skeleton, aluminium sheet stressed-skin construction are divided into carriage body between material stock, between dissipation is changed clothes and operating room, between dissipation is changed clothes
Sliding door and observation window are equipped between operating room, between dissipation is changed clothes and operating room side is equipped with univalve door and pedal stairs.?
The carriage body two side wall panels at operating room position are designed to that layback case, the intracorporal fixed floor in compartment are slided equipped with what layback case stretched
Track and hydraulic drive mechanism are equipped with bivalve door in the tail portion of carriage body, the hydraulic liter of vehicle-mounted tailored version are equipped with below carriage body tail portion
Tailgate drops.The utility model has the advantage of:Carriage body structure is novel, and treatment is vdiverse in function, and the useful space is big in compartment, surgical operation
When car body it is steady, convenient for treatment operation.Suitable for transporting flow first-aid operation car when the critical sick and wounded.But the patent still without
Method reproduces field and carries out operation first aid to severely injured personnel, and treatment ambulant patient is only capable of in earthquake disaster;And exists and solve that aftershock occurs
When, if performed the operation, it may occur that body vibration makes the phenomenon that operative failure.
Summary of the invention
The problem to be solved by the invention is to provide a kind of Internal Medicine-Oncology rescue carrigaes, and X-ray machine and operating room are incorporated in one
It rises, greatly reduces the two the space occupied, and be integrated in a movable medical storehouse, pass through helicopter in urgent use
Use can be direct plungeed by transporting directly to disaster area, and largely be directed to the operating equipment of tumor operation, Neng Gou great in wherein setting
The big speed for accelerating rescue, mitigates the pain of patient, while special supporting mechanism is arranged to ensure the stability supported.
In order to solve the above technical problems, the technical solution adopted by the present invention is:
A kind of Internal Medicine-Oncology rescue carrigae, including movable medical storehouse and the walking mechanism being arranged under medical storehouse, setting
In the hermatic door of the medical storehouse one end;
The medical treatment storehouse includes surgical chamber, and the disinfection storehouse between the surgical chamber and the hermatic door is arranged in, and setting exists
Ventilation mechanism in the surgical chamber;
Setting balance monitoring mechanism and control unit inside the medical treatment storehouse, groove body is arranged in the medical treatment storehouse two sides, described
By the vertically arranged cambered plate of telescopic prop in groove body, the balance monitoring mechanism, control unit, telescopic prop are sequentially connected;
The Medical Devices of minimally invasive superfreeze ablated tumor are equipped in the surgical chamber;
The balance monitoring mechanism includes gyroscope and acceleration transducer;
Setting Surgery Platform and the X-ray detection module matched with the Surgery Platform in the middle part of the surgical chamber, and institute
Stating X-ray examination module includes being arranged in the surgical chamber inner top, and the ball tube of X-ray machine being connected by adjusting arm mechanism,
The image receiver structure matched on the Surgery Platform with the ball tube of X-ray machine is set, and is arranged in the surgical chamber
Interior X-ray machine controller;
The inverted L shape bracket that can be rotated, the end of the inverted L shape bracket are set in the surgical chamber positioned at disinfection storehouse side
Shadowless lamp for surgical light is set;
Elastic supporting mechanism is arranged in the medical treatment orlop portion, and the elastic supporting mechanism includes being arranged in the surgical chamber
The floating support module of surgical chamber quadrangle lower part is arranged in the MEMS gyroscope of bottom center;
The floating support module includes the electronic support rod being connected with the surgical chamber bottom surface, the electronic support rod
Lower margin is arranged by excessive module in lower end;
The excessive module includes the excessive bar being arranged in the electronic support rod lower end blind hole, and setting is described excessive
The lower margin of bar lower end, the compressed spring for being arranged on the excessive bar and being matched with the electronic support rod lower end;
The blind hole is made of the first stepped hole and the second stepped hole, the excessive bar upper end setting and first ladder
The axis platform that hole matches, and setting buckles and for controlling the electromagnetism of excessive rod locking for fixed electricity in second stepped hole
The pressure sensor for monitoring bottom surface instantaneous pressure is arranged on the lower margin for the fixed ring of magnetic card button.
Shown adjusting arm mechanism includes the main fixed arm that the surgical chamber inner top is arranged in, and the main fixed arm passes through the
One rotating module be arranged the first support arm, the first support arm by the second rotating module be arranged the second support arm, described second
The ball tube of X-ray machine is arranged by third rotating module in the end of brace.
First rotating module includes first fixing seat fixed with the main fixed arm, and setting is fixed described first
Driving motor on seat, is arranged in the first mounting base in the driving motor output shaft, setting in the first mounting base of institute and
The second fixing seat being flexibly connected by pin shaft, and the pin shaft is flexibly connected by rotary electric machine with second fixing seat,
Second fixing seat is fixedly connected with the first support arm end.
Second rotating module and the second rotating module are identical as the first rotating module structure.
The Surgery Platform includes the lying board being arranged on bracket and the bracket, and the lying board is transparent material product, institute
State on bracket setting longitudinal movement module and transverse shifting module, and in the transverse shifting module setting for the X
The image receiver structure that ray machine bulb matches;
The longitudinal movement module includes that the sliding rail matched with the bracket and the sliding rail are arranged in parallel in lead screw,
Mobile Slide on the sliding rail and lead screw is set, the stepper motor of the lead screw tail portion is set;
The transverse shifting module includes transversal stretching bar, in the main MEMS gyroscope of setting of the transversal stretching boom end
With main MEMS accelerometer, and the image receiver structure of the transversal stretching boom end is set.
The hermatic door includes the inlet/outlet of the medical storehouse end setting and is arranged by hydraulic hinge in the disengaging
Door-plate on door, the edge of the door-plate correspond to the one circle seal groove of inlet/outlet setting, and one circle of setting is close in the seal groove
Air bag is sealed, the pressure bladder is connect with air pump.
The air regenerating device includes the air inlet of the medical storehouse top setting and the gas outlet of lower part setting, the air inlet
Air filter is arranged in mouth and gas outlet.
Surgical supplies mechanism is set between the disinfection room and the operating table in the surgical chamber, and the operation is used
Product mechanism includes being used for metal detector, defibrillator, ECG monitor and surgical knife tool disinfection storehouse.
The secondary MEMS top matched with the main MEMS gyroscope and main MEMS accelerometer is arranged in the ball tube of X-ray machine end
Spiral shell instrument and secondary MEMS accelerometer, and range sensor is set on the ball tube of X-ray machine, for preventing damage caused by touching.
The detector for detecting air quality, and the air filter at air inlet is arranged in the air filter avris
Side setting oxygen generator.
A kind of application method of Internal Medicine-Oncology rescue carrigae:
S1:It is carried it by way of air transportion or land transportation to disaster area and is placed on designated position, then pass through lower part
Elastic supporting mechanism, to guarantee the level in surgical chamber, if can be delayed by floating support module when there is ground vibration
Punching can quickly adjusted, it is ensured that rescue carrigae when then will appear suddenly change when being more than to bear pressure by excessive module
Balance;
S2:Hermatic door is opened, patient or medical staff are entered together then, hermatic door is then shut off and carries out disinfection,
Enter surgical chamber after disinfection is qualified, and patient is guided to lie low on Surgery Platform, then passes through the control adjustment of X-ray machine controller
Arm mechanism controls the position of ball tube of X-ray machine, moves it to above band detection patient's heart, and by the coordinate at ball tube of X-ray machine
X-ray machine controller is fed back to, and figure acceptance agencies is controlled by it and is run to the ball tube of X-ray machine of formation, completes to prepare
Work;
S3:Then medical care person people takes pictures, obtain pacemaker patient x-ray chest radiograph, then by ball tube of X-ray machine into
Row resets, and is then diagnosed by doctor to x-ray chest radiograph, and makes further step by it, judges to need that is carried out
Kind operative treatment;
S4:Prepare to need surgical supplies when operative treatment by surgical supplies mechanism, with this come ensuring perform the operation just
Often carry out;After operation, it is directly connected to a patient monitoring storehouse outside hermatic door, patient is transferred to and is wherein seen
It examines, then surgical chamber is cleared up, carry out the preparation of lower step work.
The present invention provides a kind of Internal Medicine-Oncology rescue carrigae, solve vehicular Surgery Platform in existing technology be divided into it is several
It cuts, length is very big, is not appropriate for carrying out swimming type rescue in disaster area.And the present invention is to be combined together X-ray machine and operating room,
The space occupied is greatly reduced, and movable medical storehouse can be transferred quickly to disaster area with helicopter, it can be to being equipped with
The patient of pacemaker carries out surgical procedure, substantially increase the speed of rescue, it is ensured that prestissimo saves patient, will cure
It treats storehouse and is divided into disinfection storehouse and surgical chamber two parts, common operation sterilizing equipment is arranged in disinfection storehouse, such as wiper mechanism and Airshower chamber
Deng, belonging to prior art content, in the present invention few explanation, surgical chamber combines Surgery Platform with X-ray examination module,
X-ray examination module be arranged at the top of surgical chamber, patient be sent into surgical chamber in after, can directly to the injury of patient into
Row is checked and is taken pictures, and can check the injured situation for being equipped with pacemaker patient rapidly, carries out specific aim operation or treatment.
The change in location of the adjustment arm mechanism control ball tube of X-ray machine used simultaneously, specific location is carried out specific by X-ray machine controller
Adjustment, and image receiver structure is set on Surgery Platform, it can be adjusted according to the change in location of adjustment arm mechanism, with this
To obtain position coordinates, and then coordinate data is fed back on X-ray machine controller, the longitudinal movement mould being then arranged by lower part
Block and transverse shifting module carry out position adjustment to adjust image mechanism, keep it corresponding with the position coordinates of X-ray controller.
In addition, shadowless lamp is installed by the L-type support of rotary setting in one end of Surgery Platform, it will be without shadow when taking pictures and checking
Lamp turns to other directions, will not impact to inspection, when performing an operation by shadowless lamp go to Surgery Platform direction to perform the operation into
Row illumination;The elastic supporting mechanism being arranged below medical storehouse plays the role of buffering when medical storehouse is landed, and at surgical chamber bottom
MEMS gyroscope is arranged in face center, and the floating support module that can be arranged with quadrangle matches, and realizes hand by MEMS gyroscope
The balance in art orlop face, and there is a phenomenon where attachment surface deformation suddenly in order to prevent, are detected by the pressure sensor on lower margin
To the suddenly change of pressure, and then electromagnetism buckle is quickly unclamped, to guarantee promptly to discharge the pressure of loading end,
And then ensure the stability of structure, it avoids due to that when aftershock occurring suddenly, can obtain in disaster area, especially earthquake-stricken area
Extraordinary effectiveness in vibration suppression.
X-ray machine and operating room are combined together by the present invention, greatly reduce the two the space occupied, and be integrated in one
In movable medical treatment storehouse, use can be direct plungeed by transporting directly to disaster area by helicopter in urgent use, can be to not
Patient that is can be carried out nuclear magnetic resonance and being equipped with pacemaker carries out quick diagnosis and treatment, and sets in surgical chamber lower part
Set the loading end variation that the excessive module in elastic supporting mechanism is able to solve burst, it is ensured that the safety and steady of operation carries out, and mentions
The high effect of rescue efficiency and rescue.
Detailed description of the invention
The invention will be further described below in conjunction with the accompanying drawings:
Fig. 1 is overall structure diagram of the invention;
Fig. 2 is the overlooking structure diagram in medical storehouse of the invention;
Fig. 3 is the structural schematic diagram of the first rotating module of the invention;
Fig. 4 is the structural schematic diagram of floating support module of the present invention;
Fig. 5 is the structural schematic diagram of hermatic door of the present invention;
Fig. 6 is the structural schematic diagram of the sectional view of door-plate of the present invention;
Fig. 7 is the overlooking structure diagram at Surgery Platform of the present invention;
Fig. 8 is the side structure schematic diagram at Surgery Platform of the present invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention
Attached drawing 1-8, the technical solution of the embodiment of the present invention is clearly and completely described.Obviously, described embodiment is this
A part of the embodiment of invention, instead of all the embodiments.Based on described the embodiment of the present invention, the common skill in this field
Art personnel every other embodiment obtained, shall fall within the protection scope of the present invention.
Embodiment one
A kind of Internal Medicine-Oncology rescue carrigae, including movable medical storehouse and the walking mechanism 69 being arranged under medical storehouse, if
Set the hermatic door 1 in the medical storehouse one end;
Balance monitoring mechanism 62 and control unit 63 are set inside the medical treatment storehouse 61, and slot is arranged in medical treatment 61 two sides of storehouse
Body 64, the groove body 64 is interior to pass through the vertically arranged cambered plate 66 of telescopic prop 65, the balance monitoring mechanism 62, control unit
63, telescopic prop 65 is sequentially connected.
The balance monitoring mechanism 62 includes gyroscope 67 and acceleration transducer 68, angular speed of the gyroscope to medical storehouse
It is monitored, i.e., the gradient in medical storehouse is monitored, and movement velocity when accelerometer tilt medical storehouse monitors, the two is mutual
Direction, speed when benefit can be completed to the inclination of medical storehouse are monitored, and convenient for scenting a hidden danger in time, and are tilted according to medical storehouse
Speed control stretching time of cambered plate, the balance in medical storehouse is controlled to realize, cambered plate is also avoided to stretch out the time
It is too long, cause secondary overturning hidden danger.
Described control unit 63 includes singlechip chip, is a kind of IC chip, is using ultra-large integrated electricity
Road technique is the central processor CPU, random access memory ram, read only memory ROM, I/O mouthfuls a variety of with data-handling capacity
The small and perfect microcomputer constituted on one piece of silicon wafer is integrated into functions such as interruption system, timer/counters
System, small volume, arithmetic speed is very fast, can complete monitoring and control to balance.
The telescopic prop 65 is laterally arranged using hydraulic lifting post, and the effect of telescopic prop is that cambered plate is ejected or received
In return-enclosure body, whether control cambered plate is in operating position, and the support degree of hydraulic lifting post is larger, can be very good conduction arc
Panel is applied to the pulling force in medical storehouse.
The cambered plate 66 is four, is separately positioned on the two sides of 51 front-end and back-end of the medical storehouse, and cambered plate is preferred
It is four, the inclination in medical storehouse is not that side is integral inclined, but whipping or out of control caused occurs for the side of certain one end, because
The two sides of medical storehouse front-end and back-end are arranged in this four cambered plates, and when certain end side run-off the straight, other side cambered plate stretches out
Apply opposite pulling force to inclined direction, avoids medical storehouse tipping.Regulation is sensitiveer, and the pulling force of application is more direct,
Conducive to quickly restoring balance to the medical storehouse of unstability.
It is of the invention to focus on medical storehouse expressway when driving adjusting the wind of left and right sides using bernoulli principle
Pressure avoids the generation for shaking the accidents such as vibration overturning to guarantee the balance in medical storehouse.Balance monitoring unit is to medical storehouse
Gradient is monitored, and when rolling oblique to certain, control unit control telescopic prop ejects cambered plate, cambered plate and medical storehouse
In parallel, side is plane, and side is cambered surface, and after such cambered plate is ejected groove body, air when running at high speed is from cambered plate
The reason of two sides are flowed through, and side is because of cambered surface flow velocity can be accelerated, because being that plane flow velocity is inconvenient, such cambered plate will for the other side
By the pressure to cambered surface side, and the pressure can numerical value be bigger when speed is bigger, and medical treatment storehouse is steady when guarantee is run at high speed
It is qualitative, it assists maintaining the steady of medical storehouse by lateral pressure when being in an emergency and turning to, medical storehouse is avoided to overturn, it is swollen in this way
Tumor patient not will cause the bigger pain of tumor patient during being transported, and medical storehouse the moving stability can be good, and tumour is not
It can be because shaking or overturning back and forth cause tumour to rupture.
The medical treatment storehouse 61 includes surgical chamber 22, and the disinfection storehouse between the surgical chamber 22 and the hermatic door 1 is arranged in
2, the ventilation mechanism in the surgical chamber 22 is set;
The X-ray detection mould that Surgery Platform 20 is set in the middle part of the surgical chamber 22 and is matched with the Surgery Platform 20
Block, and the X-ray examination module includes being arranged in 22 inner top of surgical chamber, and the X being connected by adjusting arm mechanism
The image receiver structure matched on the Surgery Platform 20 with the ball tube of X-ray machine 5, and setting is arranged in ray machine bulb 5
X-ray machine controller 15 in the surgical chamber 20;
The inverted L shape bracket 4 that can be rotated, the inverted L shape bracket 4 are set positioned at 2 side of disinfection storehouse in the surgical chamber 22
End setting be used for surgical light shadowless lamp 3;
Elastic supporting mechanism is arranged in the medical treatment orlop portion, and the elastic supporting mechanism includes being arranged in the surgical chamber
The floating support module of surgical chamber quadrangle lower part is arranged in the MEMS gyroscope 21 of bottom center;
The floating support module includes the electronic support rod 17 being connected with the surgical chamber bottom surface, the electronic support
Lower margin 18 is arranged by excessive module in bar lower end;
The excessive module includes the excessive bar 174 being arranged in the 17 lower end blind hole of electronic support rod, is arranged in institute
The lower margin 18 of excessive 174 lower end of bar is stated, be arranged on the excessive bar 174 and is matched with electronic 17 lower end of support rod
The compressed spring 173 of conjunction;
It is equipped with the Medical Devices 70 of minimally invasive superfreeze ablated tumor in the surgical chamber, is commonly called as argon helium knife.
The blind hole is made of the first stepped hole 171 and the second stepped hole 177, excessive 174 upper end of the bar setting and institute
The axis platform 172 that the first stepped hole 171 matches is stated, and setting is locked for controlling excessive bar 174 in second stepped hole 177
Electromagnetism buckle 176 and fixed ring 175 for Motionless electromagnetic buckle 176, be arranged for monitoring bottom surface wink on the lower margin 18
When pressure pressure sensor 19.
A kind of Internal Medicine-Oncology rescue carrigae is provided in the embodiment, vehicular Surgery Platform in existing technology is solved and is divided into
Several sections, length is very big, is not appropriate for carrying out swimming type rescue in disaster area.And the present invention is to be incorporated in X-ray machine and operating room
Together, the space occupied is greatly reduced, and movable medical storehouse can be transferred quickly to disaster area with helicopter, it can be to peace
Patient equipped with pacemaker carries out surgical procedure, substantially increase the speed of rescue, it is ensured that and prestissimo saves patient,
Medical storehouse is divided into disinfection storehouse and surgical chamber two parts, common operation sterilizing equipment, such as wiper mechanism is arranged in disinfection storehouse, belongs to
In prior art content, few explanation, surgical chamber combine Surgery Platform with X-ray examination module in the present invention, X-ray
Check that module is arranged at the top of surgical chamber, patient can directly examine the injury of patient after being sent into surgical chamber
It looks into and takes pictures, can check that the case where being equipped with pacemaker patient carries out specific aim operation or treatment rapidly.It uses simultaneously
Adjustment arm mechanism control ball tube of X-ray machine change in location, specific location specifically adjusted by X-ray machine controller, and
It image receiver structure is set on Surgery Platform, can be adjusted according to the change in location of adjustment arm mechanism, obtained with this
Position coordinates, and then coordinate data is fed back on X-ray machine controller, then pass through the longitudinal movement module and cross of lower part setting
Image mechanism is adjusted to mobile module and carries out position adjustment, keeps it corresponding with the position coordinates of X-ray controller.
Embodiment two
The difference of itself and embodiment one is:Shown adjusting arm mechanism includes the master that 22 inner top of surgical chamber is arranged in
The first support arm 9 is arranged by the first rotating module 11 in fixed arm 10, the main fixed arm 10, and the first support arm 9 passes through second
The second support arm 7 is arranged in rotating module 8, and the X-ray machine is arranged by third rotating module 6 in the end of second support arm 7
Bulb 5.
First rotating module 11 includes first fixing seat 111 fixed with the main fixed arm, and setting is described the
The first mounting base 113 on 112 output shaft of driving motor is arranged in driving motor 112 in one fixing seat 111, setting
The second fixing seat 115 for being flexibly connected in the first mounting base 113 and by pin shaft 114, and second fixing seat 115 with
First support arm, 9 end is fixedly connected, and the pin shaft 114 is flexibly connected by rotary electric machine with second fixing seat 115.
Second rotating module 8 and third rotating module 6 are identical as 11 structure of the first rotating module.
The Surgery Platform includes the lying board 201 being arranged on bracket 203 and the bracket 203, and the lying board 201 is transparent
Material, setting longitudinal movement module and transverse shifting module on the bracket 203, and set in the transverse shifting module
Set the image receiver structure 203 for matching with the ball tube of X-ray machine 5;
The longitudinal movement module includes that the sliding rail 27 matched with the bracket and the sliding rail 27 are arranged in parallel in silk
The Mobile Slide 25 on the sliding rail 27 and lead screw 28 is arranged in thick stick 28, and the stepper motor 26 of 28 tail portion of lead screw is arranged in;
The transverse shifting module includes the transversal stretching bar 24 being arranged on the Mobile Slide 25, is stretched in the transverse direction
The main MEMS gyroscope 21 of the setting of 24 end of contracting bar and main MEMS accelerometer 22, and be arranged in 24 end of transversal stretching bar
Image receiver structure 23.
The hermatic door 1 includes the inlet/outlet 29 of the medical storehouse end setting and is arranged by hydraulic hinge 30 described
Door-plate 34 on inlet/outlet, the edge of the door-plate 34 correspond to the one circle seal groove 32 of inlet/outlet setting, the seal groove 32
Interior one circle pressure bladder 33 of setting, the pressure bladder 33 are connect with air pump 31.
The pair matched with the main MEMS gyroscope 21 and main MEMS accelerometer 22 is arranged in the ball tube of X-ray machine end
MEMS gyroscope 51 and secondary MEMS accelerometer 52, and range sensor 53 is set on the ball tube of X-ray machine 5, it is touched for preventing
Caused by damage.
Shadowless lamp is installed by the L-type support of rotary setting in one end of the Surgery Platform used in the examples, is taking pictures
Shadowless lamp is turned into other directions when inspection, inspection will not be impacted, shadowless lamp is gone into Surgery Platform when performing an operation
Direction illuminates operation.The elastic supporting mechanism being arranged below medical storehouse plays the role of buffering when medical storehouse is landed,
And MEMS gyroscope is set in surgical chamber bottom center, the floating support module that can be arranged with quadrangle matches, and passes through MEMS
Gyroscope realizes the balance of surgical chamber bottom surface, and there is a phenomenon where attachment surface deformation suddenly in order to prevent, pass through the pressure on lower margin
Force snesor detects the suddenly change of pressure, and then quickly unclamps electromagnetism buckle, to guarantee loading end promptly
Pressure is discharged, and then ensures the stability of structure, is avoided due to more than in disaster area, especially earthquake-stricken area, occurring suddenly
When shake, extraordinary effectiveness in vibration suppression can be obtained.
Embodiment three
The difference of itself and embodiment two is:The air regenerating device includes 14 He of air inlet of the medical storehouse top setting
Air filter is arranged in the gas outlet 16 of lower part setting, the air inlet 14 and gas outlet 16.
Surgical supplies mechanism 35 is set between the disinfection room 2 and the operating table 20 in the surgical chamber, it is described
Surgical supplies mechanism 35 includes being used for metal detector, defibrillator, ECG monitor and surgical knife tool disinfection storehouse.
The detector 36 for detecting air quality, and the air filtration at air inlet is arranged in the air filter avris
Oxygen generator 13 is set by device.
It is equipped with the Medical Devices of minimally invasive superfreeze ablated tumor in the surgical chamber, is commonly called as argon helium knife.
X-ray machine and operating room are combined together by the embodiment, greatly reduce the two the space occupied, and be integrated in one
In a movable medical storehouse, use can be direct plungeed by transporting directly to disaster area by helicopter in urgent use, can be right
Patient that is not can be carried out nuclear magnetic resonance and being equipped with pacemaker carries out quick diagnosis and treatment, and in surgical chamber lower part
The excessive module being arranged in elastic supporting mechanism is able to solve the loading end variation of burst, it is ensured that and the safety and steady of operation carries out,
Improve the effect of rescue efficiency and rescue.
And the image receiver structure used in the examples is conventional image X receiving device, structure is similar with conventional X
Receiver is consistent.
Example IV
A kind of application method of Internal Medicine-Oncology rescue carrigae:
S1:It is carried it by way of air transportion or land transportation to disaster area and is placed on designated position, then pass through lower part
Elastic supporting mechanism, to guarantee the level in surgical chamber, if can be delayed by floating support module when there is ground vibration
Punching can quickly adjusted, it is ensured that rescue carrigae when then will appear suddenly change when being more than to bear pressure by excessive module
Balance;
S2:Hermatic door is opened, patient or medical staff are entered together then, hermatic door is then shut off and carries out disinfection,
Enter surgical chamber after disinfection is qualified, and patient is guided to lie low on Surgery Platform, then passes through the control adjustment of X-ray machine controller
Arm mechanism controls the position of ball tube of X-ray machine, moves it to above band detection patient's heart, and by the coordinate at ball tube of X-ray machine
X-ray machine controller is fed back to, and figure acceptance agencies is controlled by it and is run to the ball tube of X-ray machine of formation, completes to prepare
Work;
S3:Then medical care person people takes pictures, obtain pacemaker patient x-ray chest radiograph, then by ball tube of X-ray machine into
Row resets, and is then diagnosed by doctor to x-ray chest radiograph, and makes further step by it, judges to need that is carried out
Kind operative treatment;
S4:Prepare to need surgical supplies when operative treatment by surgical supplies mechanism, with this come ensuring perform the operation just
Often carry out;After operation, it is directly connected to a patient monitoring storehouse outside hermatic door, patient is transferred to and is wherein seen
It examines, then surgical chamber is cleared up, carry out the preparation of lower step work.
Finally, it is stated that the above examples are only used to illustrate the technical scheme of the present invention and are not limiting, this field is common
Other modifications or equivalent replacement that technical staff makes technical solution of the present invention, without departing from technical solution of the present invention
Spirit and scope, be intended to be within the scope of the claims of the invention.
Claims (9)
1. a kind of Internal Medicine-Oncology rescue carrigae, it is characterised in that:Including movable medical storehouse and the walking being arranged under medical storehouse
The hermatic door of the medical storehouse one end is arranged in mechanism;
The medical treatment storehouse includes surgical chamber, and the disinfection storehouse between the surgical chamber and the hermatic door is arranged in, is arranged described
Ventilation mechanism in surgical chamber;
Groove body, the groove body is arranged in setting balance monitoring mechanism and control unit inside the medical treatment storehouse, the medical treatment storehouse two sides
It is interior by the vertically arranged cambered plate of telescopic prop, the balance monitoring mechanism, control unit, telescopic prop are sequentially connected;
The Medical Devices of minimally invasive superfreeze ablated tumor are equipped in the surgical chamber;
The balance monitoring mechanism includes gyroscope and acceleration transducer;
Setting Surgery Platform and the X-ray detection module matched with the Surgery Platform in the middle part of the surgical chamber, and the X is penetrated
Ray examination module includes setting in the surgical chamber inner top, and the ball tube of X-ray machine being connected by adjusting arm mechanism, setting exist
The image receiver structure matched on the Surgery Platform with the ball tube of X-ray machine, and the X-ray being arranged in the surgical chamber
Machine controller;
The Surgery Platform includes the lying board being arranged on bracket and the bracket, and the lying board is transparent material product, the branch
Setting longitudinal movement module and transverse shifting module on frame, and in the transverse shifting module setting for the X-ray machine
The image receiver structure that bulb matches;The longitudinal movement module includes the sliding rail matched with the bracket and the cunning
Rail lead screw disposed in parallel, is arranged in the Mobile Slide on the sliding rail and lead screw, and the stepping electricity of the lead screw tail portion is arranged in
Machine;The transverse shifting module includes transversal stretching bar, main MEMS gyroscope and master in transversal stretching boom end setting
MEMS accelerometer, and the image receiver structure of the transversal stretching boom end is set.
2. Internal Medicine-Oncology rescue carrigae as described in claim 1, it is characterised in that:It is located at disinfection storehouse side in the surgical chamber to set
The inverted L shape bracket that can be rotated is set, the end setting of the inverted L shape bracket is used for the shadowless lamp of surgical light.
3. Internal Medicine-Oncology rescue carrigae as claimed in claim 2, it is characterised in that:Resilient support machine is arranged in the medical treatment orlop portion
Structure, and the elastic supporting mechanism includes the MEMS gyroscope that the surgical chamber bottom center is arranged in, and is arranged in the operation
The floating support module of storehouse quadrangle lower part.
4. Internal Medicine-Oncology rescue carrigae as claimed in claim 3, it is characterised in that:The floating support module includes and the hand
Lower margin is arranged by excessive module in the electronic support rod that art orlop face is connected, the electronic support rod lower end.
5. Internal Medicine-Oncology rescue carrigae as claimed in claim 4, it is characterised in that:The excessive module includes being arranged in the electricity
Excessive bar in dynamic support rod lower end blind hole, is arranged in the lower margin of the excessive bar lower end, is arranged on the excessive bar
And the compressed spring matched with the electronic support rod lower end.
6. Internal Medicine-Oncology rescue carrigae as claimed in claim 5, it is characterised in that:The blind hole is by the first stepped hole and second-order
Terraced hole composition, the axis platform matched with first stepped hole is arranged in the excessive bar upper end, and sets in second stepped hole
The electromagnetism buckle for controlling excessive rod locking and the fixed ring for Motionless electromagnetic buckle are set, is arranged on the lower margin for supervising
Survey the pressure sensor of bottom surface instantaneous pressure.
7. Internal Medicine-Oncology rescue carrigae as claimed in claim 6, it is characterised in that:The hermatic door includes the medical storehouse end
The inlet/outlet of setting and the door-plate on the inlet/outlet is arranged in by hydraulic hinge, the edge of the door-plate corresponds to the disengaging
One circle seal groove of door setting, the interior one circle pressure bladder of setting of the seal groove, the pressure bladder are connect with air pump.
8. Internal Medicine-Oncology rescue carrigae as claimed in claim 7, it is characterised in that:The air regenerating device includes on the medical storehouse
Air filter is arranged in the air inlet of portion's setting and the gas outlet of lower part setting, the air inlet and air outlet.
9. Internal Medicine-Oncology rescue carrigae as claimed in claim 8, it is characterised in that:Be located in the surgical chamber disinfection room with
Surgical supplies mechanism is set between the operating table, and the surgical supplies mechanism includes being used for metal detector, defibrillator, electrocardio
Patient monitor and surgical knife tool disinfection storehouse.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710170165.7A CN106859869B (en) | 2017-03-21 | 2017-03-21 | A kind of Internal Medicine-Oncology rescue carrigae |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710170165.7A CN106859869B (en) | 2017-03-21 | 2017-03-21 | A kind of Internal Medicine-Oncology rescue carrigae |
Publications (2)
Publication Number | Publication Date |
---|---|
CN106859869A CN106859869A (en) | 2017-06-20 |
CN106859869B true CN106859869B (en) | 2018-11-23 |
Family
ID=59172771
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201710170165.7A Expired - Fee Related CN106859869B (en) | 2017-03-21 | 2017-03-21 | A kind of Internal Medicine-Oncology rescue carrigae |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN106859869B (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108578942A (en) * | 2018-04-28 | 2018-09-28 | 安徽腾南纯净设备科技有限公司 | Remotely-controllable unmanned fire truck with flexible escape passage |
CN115969404B (en) * | 2023-03-16 | 2023-05-26 | 安徽厚宏医疗科技有限公司 | Open-air on-vehicle CT machine |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1452939A (en) * | 2002-03-13 | 2003-11-05 | 西门子公司 | System for giving patients medical first-aid treatment and emergency monitoring |
CN202875357U (en) * | 2012-11-06 | 2013-04-17 | 北京国药恒瑞美联信息技术有限公司 | Outdoor-vehicle-mounted whole-body X-ray scanning front-side position synchronous imaging device |
CN203341940U (en) * | 2013-06-28 | 2013-12-18 | 北京北铃专用汽车有限公司 | Mobile first-aid operation van |
CN104434450A (en) * | 2014-12-29 | 2015-03-25 | 重庆耐德工业股份有限公司 | Vehicle-mounted active buffer operation platform of ambulance |
CN105966795A (en) * | 2016-06-23 | 2016-09-28 | 郑州航空工业管理学院 | Balancing device for logistics containers |
CN106114656A (en) * | 2016-06-30 | 2016-11-16 | 南阳理工学院 | A kind of container balance control method based on applied mathematical model |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2041641U (en) * | 1988-09-06 | 1989-07-26 | 湘西仪器仪表总厂科学仪器厂 | Operating room for x-ray patroling automobile |
CN2255842Y (en) * | 1996-02-15 | 1997-06-11 | 周毅 | Multifunctional first-aid vehicle |
CN2750798Y (en) * | 2004-11-22 | 2006-01-11 | 文杰 | general medical vehicle |
US7530616B2 (en) * | 2006-05-19 | 2009-05-12 | Breya, Llc. | Mobile radiation therapy |
CN201239147Y (en) * | 2008-07-01 | 2009-05-20 | 中国人民解放军南京军区福州总医院 | Vehicle-mounted digital X-ray radiography system |
CN202288689U (en) * | 2011-09-30 | 2012-07-04 | 中山厚福应用技术有限公司 | Sliding type full X-ray penetrating bed plate structure |
US9249588B2 (en) * | 2014-03-19 | 2016-02-02 | Pm Holdings | Hybrid operating room for combined surgical and fixed imaging services in an ambulatory surgical center |
CN204158610U (en) * | 2014-10-10 | 2015-02-18 | 宁波凯福莱信息技术有限公司 | A kind of ambulance compartment with remote temperature transmitting device |
-
2017
- 2017-03-21 CN CN201710170165.7A patent/CN106859869B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1452939A (en) * | 2002-03-13 | 2003-11-05 | 西门子公司 | System for giving patients medical first-aid treatment and emergency monitoring |
CN202875357U (en) * | 2012-11-06 | 2013-04-17 | 北京国药恒瑞美联信息技术有限公司 | Outdoor-vehicle-mounted whole-body X-ray scanning front-side position synchronous imaging device |
CN203341940U (en) * | 2013-06-28 | 2013-12-18 | 北京北铃专用汽车有限公司 | Mobile first-aid operation van |
CN104434450A (en) * | 2014-12-29 | 2015-03-25 | 重庆耐德工业股份有限公司 | Vehicle-mounted active buffer operation platform of ambulance |
CN105966795A (en) * | 2016-06-23 | 2016-09-28 | 郑州航空工业管理学院 | Balancing device for logistics containers |
CN106114656A (en) * | 2016-06-30 | 2016-11-16 | 南阳理工学院 | A kind of container balance control method based on applied mathematical model |
Also Published As
Publication number | Publication date |
---|---|
CN106859869A (en) | 2017-06-20 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN106859869B (en) | A kind of Internal Medicine-Oncology rescue carrigae | |
CN107296692B (en) | A kind of vehicular X-ray Surgery Platform | |
CN109498291A (en) | A kind of intelligent monitor type ambulance for ECMO first aid | |
CN106821619B (en) | A kind of medical vehicle-mounted x-ray Surgery Platform of speedily carrying out rescue work | |
CN109172162A (en) | A kind of Cardiological Intensive Care Therapy first aid platform | |
CN108403314A (en) | A kind of nursing stool of the Nephrology nursing equipped with guard mechanism | |
CN209713431U (en) | A kind of intelligent monitor type ambulance for ECMO first aid | |
CN106901910B (en) | A kind of disaster area rescue carrigae for being provided with pacemaker patient | |
CN216168486U (en) | Hyperbaric oxygen chamber system | |
CN217366444U (en) | Plug-in type shank link gear and sick bed | |
KR20160127596A (en) | Integrated functional stretcher-cart platform apparatus for monitoring and emergency resuscitation care | |
CN214752979U (en) | Mobile CT ray protection suit | |
CN108283546A (en) | A kind of lifting bed frame device of medical sickbed | |
CN106859867A (en) | A kind of rescue and relief work vehicle-mounted first-aid platform | |
CN107296691B (en) | A kind of disaster area X-ray Surgery Platform for being easy to build | |
RU164613U1 (en) | MOBILE CARDIOLOGICAL DIAGNOSTIC COMPLEX | |
CN106805992A (en) | A kind of check device of medical image | |
CN107822785A (en) | A kind of first aid portable medical bed | |
CN212089987U (en) | Clinical rescue device of intracardiac branch of academic or vocational study | |
CN208659814U (en) | A kind of first aid packaged type operating bed | |
CN110236802A (en) | A kind of space intensive style Multifunction rescue vehicle | |
CN219413395U (en) | Shock absorbing device in ambulance | |
CN215021456U (en) | Multifunctional emergency resuscitation mattress | |
CN211796529U (en) | Intracardiac branch of academic or vocational study first aid detects thorax equipment | |
CN108969014A (en) | Ultrasound diagnosis bed |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20181123 |