Lower jaw lifting frame and working method
Technical Field
The invention relates to the technical field of medical equipment, in particular to a lower jaw lifting frame and a working method.
Background
At present, a lot of patients need to be subjected to intravenous anesthesia clinically, and the intravenous anesthesia refers to non-intubated general anesthesia, such as tracheal intubation and a laryngeal mask. When a patient is anesthetized, partial spontaneous respiration or spontaneous respiration disappearance can be remained, so that the tongue of the patient drops, ventilation is seriously affected, the breathing is unsmooth, and oxygen deficiency in the operation is easy to occur.
The current clinically prevalent solution is to manually lift the mandible or place the oropharyngeal airway. Manually lifting the chin requires the anesthesiologist to lift the patient's chin forward and upward with both hands, which is laborious and time consuming. Especially for durations above 10 minutes, would be very laborious, whereas in most clinical cases the procedure under intravenous anaesthesia would exceed 10 minutes.
Meanwhile, the lower jaw of some patients is hypertrophied, and is very tight along with slight hypoxia during anesthesia, so that the lifting of a male doctor is very laborious, and the female doctor is needless to say. Therefore, the support person is often replaced, otherwise, the ventilation effect is not good, the anesthesia risk is increased, the manpower of an anesthesia physician is occupied, and the manpower is wasted and unsafe for a large number of operations in many hospitals at present.
And the other oropharyngeal airway is a bent hollow channel arranged in the mouth, and the tongue body is pulled open so as to avoid blocking the glottis and influencing the ventilation. However, the method is not effective after clinical use, and firstly, the oropharyngeal airway occupies only limited space in the oral cavity, which affects ventilation on the one hand, is not beneficial to discharge oral secretion on the other hand, and is not beneficial to anaesthetists to suck secretion such as saliva of glottic accessory and the like. Meanwhile, for operations which are only done in the mouth, such as painless gastrointestinal endoscopy, hemangioma injection in the oral cavity and the like, the root cannot be used, and the operation is influenced. And unnecessary accidental injuries such as oral mucosa, teeth and the like can be caused by placing the oropharyngeal airway.
Therefore, there is a need for a chin rest and method of operation that addresses the above issues.
Disclosure of Invention
The invention aims to provide a lower jaw lifting frame which is reasonable in structure, simple to operate, clean, sanitary and capable of achieving self-lifting without manual work and a working method.
The invention provides a lower jaw lifting frame which comprises a frame body and a bracket assembly vertically extending along the frame body, wherein the bracket assembly comprises a base sleeved on the frame body and a telescopic mechanism vertically arranged along the base, the telescopic mechanism comprises a first telescopic rod and a second telescopic rod, the first telescopic rod penetrates through the base and points to the frame body, and the second telescopic rod and the first telescopic rod are arranged in opposite directions; a support plate is vertically arranged along the base and is hinged with the support plate, the second telescopic rod is connected with the support rod through a connecting rod mechanism, the connecting rod mechanism comprises a short connecting rod and a long connecting rod, the short connecting rod and the long connecting rod are arranged in an included angle, one end of the long connecting rod is fixed with one end of the support rod, and the other end of the long connecting rod is hinged with the second telescopic rod; one end of the short connecting rod is fixed with the other end of the supporting rod, and the other end of the short connecting rod is hinged to the long connecting rod, and the hinged point is close to the second telescopic rod.
In order to ensure that the linkage of the link mechanism and the supporting rod is better, the short connecting rod is hinged to the 1/3 position of the long connecting rod, and the included angle between the short connecting rod and the long connecting rod is 90 degrees.
Preferably, the hinged position of the support rod and the support plate is close to the connecting position of the short connecting rod and the support rod.
Preferably, the support rod is an arc-shaped rod, and one end of the support rod, which is close to the short connecting rod, is coated with a layer of sponge.
Preferably, the two ends of the frame body are provided with grooves.
Preferably, the number of the bracket assemblies on the rack body is two.
Preferably, the telescopic mechanism is a double-head telescopic cylinder.
The invention also provides a working method of the lower jaw lifting frame, which comprises the following steps:
s1, moving the bracket assembly to a proper position, and enabling one end of the upper short connecting rod of the supporting rod to face to the lower jaw;
s2, the first telescopic rod is extended to abut against the outer side surface of the rack body, so that the position of the bracket assembly on the rack body is fixed;
s3, retracting the second telescopic rod, pulling the long connecting rod to move downwards and the short connecting rod to move upwards, and driving the supporting rod to rotate clockwise by the movement of the long connecting rod and the short connecting rod until the supporting rod supports the lower jaw, and limiting by the telescopic mechanism to complete lifting;
s4, after the operation is finished, the second telescopic rod is controlled to extend to push the long connecting rod to move upwards and the short connecting rod to move downwards; the long connecting rod and the short connecting rod move upwards and downwards to drive the support rod to rotate anticlockwise, and one end of the short connecting rod of the support rod is far away from the lower jaw;
s5, retracting the first telescopic rod to be far away from the outer side surface of the frame body;
s6, moving the bracket assembly to two outer sides of the bracket body;
and S7, removing the lower jaw lifting frame from two sides of the operating table.
Compared with the prior art, the lower jaw lifting frame provided by the invention can completely replace the existing two means of artificial lifting and oropharynx air passage, so that the vein anesthesia is more comfortable, safe, labor-saving and higher in efficiency. Under the condition of the scheme, an anaesthetist can perform 3-4 cases of intravenous anaesthesia simultaneously, the safety of outpatient intravenous anaesthesia such as painless gastroscope is improved, and the operation of an operating doctor is not influenced. The invention also provides a working method of the lower jaw lifting frame.
Drawings
Fig. 1 is a schematic structural view of a chin underlying frame according to the present invention;
FIG. 2 is a cross-sectional view taken along line A-A of FIG. 1;
FIG. 3 is a schematic view of the chin rest of the present invention;
fig. 4 is a schematic structural view of the chin rest releasing the chin according to the present invention.
Detailed Description
The present invention will be described in detail below with reference to the embodiments with reference to the attached drawings. It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict. For convenience of description, the words "upper", "lower", "left" and "right" in the following description are used only to indicate the correspondence between the upper, lower, left and right directions of the drawings themselves, and do not limit the structure.
Referring to fig. 1 and 2, fig. 1 is a schematic structural view of a chin underlying frame according to the present invention, and fig. 2 is a cross-sectional view taken along a-a of fig. 1. The chin lifting frame comprises a frame body 1 and a bracket assembly 2 vertically extending along the frame body 1. The bracket assembly 2 includes a base 21, a telescoping mechanism 22, a support plate 23, a strut 24 and a linkage 25.
Two ends of the frame body 1 are provided with grooves 11 for being clamped at two sides of the operating table to fix the lower jaw lifting frame. The groove 11 is concavely formed along a side remote from the bracket assembly 2.
The base 21 is sleeved on the frame body 1, and the base 21 is matched with the frame body 1 in shape and can slide along the frame body 1.
The telescopic mechanism is vertically arranged on the base 21 and comprises a first telescopic rod 222 and a second telescopic rod 221. The first expansion link 222 is extended and retracted toward the frame 1 through the base 21, and the second expansion link 221 is disposed opposite to the first expansion link 222.
The second expansion link 221 is connected to the support rod 24 through the link mechanism 25.
The first extension rod 222 can be extended to abut against the outer side surface of the frame body 1, so as to fix the position of the bracket assembly 2. The extension and retraction of the second telescopic rod 221 can realize clockwise or counterclockwise rotation of the supporting rod along the hinged point between the supporting rod and the supporting plate 23 through the connecting rod mechanism 25, clockwise rotation lifts the jaw, counterclockwise rotation releases the jaw, automatic lifting is realized, safety and stability are realized, and the operation of an operator is facilitated. In this embodiment, the extension stroke of the first extension bar 222 is shorter than that of the second extension bar 221.
The method specifically comprises the following steps: the link mechanism 25 comprises a short link 251 and a long link 252, and the short link 251 and the long link 252 form an included angle of 90 °.
One end of the long connecting rod 252 is fixed to one end of the support rod 24, and the other end of the long connecting rod 252 is hinged to the second telescopic rod 221. One end of the short connecting rod 251 is fixed with the other end of the supporting rod 24, and the other end of the short connecting rod 251 is hinged to the long connecting rod 252, and the hinged point is arranged close to the second telescopic rod 221. Repeated experiments show that the short connecting rod 251 is hinged to the position 1/3 of the long connecting rod 252, and linkage is better.
The supporting rod 24 is hinged and fixed through supporting plates 23 positioned at two sides of the telescopic mechanism 22, and the supporting rod 24 is driven by the link mechanism 25 to rotate around a hinged point of the supporting plate 23. The hinge point position is close to the connecting position of the short connecting rod 251 and the supporting rod 24, the long connecting rod 252 can move in a short distance to drive the supporting rod 24 to rotate in a large range, the telescopic mechanism 22 is guaranteed to apply force slightly, the supporting rod 24 can be lifted quickly, and the efficiency is improved. The supporting rod 24 is an arc-shaped rod and is matched with the physiological curve of the lower jaw of a human body. One end of the supporting rod 24 close to the short connecting rod 251 is coated with a layer of sponge 241, so that the skin injury of the lower jaw of the patient is avoided during lifting.
In this embodiment, the telescopic mechanism 22 is a double-head telescopic cylinder, and is controlled separately, that is, when the first telescopic rod 222 extends, the second telescopic rod 221 retracts. The cylinder body of the telescopic mechanism 22 is fixedly arranged on the base 21, and the first telescopic rod 222 extends to the support body 1. The retraction amount of the second telescopic rod 221 is equal to the thrust of the support rod 24, and is preset. The specific principle of stretching out and retracting back of the telescopic rod of the air cylinder is the prior art, and can be realized by a person skilled in the art, and the detailed description is omitted in the technical scheme.
The number of the bracket components 2 on the frame body 1 can be one or more, and preferably two according to the size of the jaw of a patient in actual use, so that the lifting effect is better.
As shown in fig. 3, the method for lifting the lower jaw of the lower jaw lifting frame provided by the invention comprises the following steps:
s1, the groove 11 of the frame body 1 is clamped at two sides of the operating table (not shown).
S2, moving pallet assembly 2 into position and bringing one end of short link 251 on tray bar 24 toward the chin of the patient.
S3, the first expansion link 222 extends and abuts against the outer side surface of the frame body 1, and the position of the bracket component 2 on the frame body 1 is fixed.
S4, the second telescopic rod 221 retracts, and the long connecting rod 252 is pulled to move downwards and the short connecting rod 251 moves upwards. The long link 252 and the short link 251 move downwards and upwards to drive the supporting rod 24 to rotate clockwise until one end of the short link 251 of the supporting rod 24 supports the lower jaw.
At the moment, the lifting is completed through the limit of the telescopic mechanism.
As shown in fig. 4, the invention provides a chin rest
A method of releasing a chin lift comprising the steps of:
s1, the second telescopic rod 221 is controlled to extend, and the long connecting rod 252 is pushed to move upwards and the short connecting rod 251 is pushed to move downwards. The upward and downward movement of the long link 252 and the short link 251 drives the supporting rod 24 to rotate counterclockwise, and one end of the short link 251 of the supporting rod 24 is far away from the lower jaw.
S2, retracting the first telescopic rod 222 to be far away from the outer side surface of the frame body 1.
S3, moving the bracket assembly 2 to the two outer sides of the frame body 1.
And S4, removing the lower jaw lifting frame from two sides of the operating table.
The above description is only an embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes, which are made by using the contents of the present specification and the accompanying drawings, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.