CN107669297A - A kind of knee jerk reaction nerve percussion device - Google Patents

A kind of knee jerk reaction nerve percussion device Download PDF

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Publication number
CN107669297A
CN107669297A CN201711142668.XA CN201711142668A CN107669297A CN 107669297 A CN107669297 A CN 107669297A CN 201711142668 A CN201711142668 A CN 201711142668A CN 107669297 A CN107669297 A CN 107669297A
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China
Prior art keywords
knee jerk
fixed
knee
patient
jerk reaction
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CN201711142668.XA
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CN107669297B (en
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魏征
张海玉
陈名林
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Xiangya Hospital of Central South University
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魏征
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B9/00Instruments for examination by percussion; Pleximeters
    • A61B9/005Electric apparatus for detecting reflex action, e.g. monitoring depth of anaesthesia

Abstract

The invention discloses a kind of knee jerk reaction nerve percussion device, belong to medical diagnostic equipment technical field, be used for making somebody a mere figurehead patient legs provided with telescopic prop, be ready for knee jerk reaction detection;Percussion hammer is realized provided with percussion hammer mechanism and hammers knee automatically, and passes through the determination of pressure sensor hammer force degree in hammer body;Provided with knee jerk amplitude detection mechanism, the knee jerk reaction amplitude of patient can be accurately measured;The timer in control module is set to determine the time of neural traffic in patient's knee jerk course of reaction, and show that hammer body hammer force degree, the knee jerk reaction neural traffic time of patient and knee jerk reaction amplitude, doctor can make by related data and accurately judge that by display screen.The present invention realizes the automation of knee jerk reaction Nerve Testing process, reduces the workload of medical personnel;Related significant data can be measured, detailed clear and definite foundation is provided for the diagnosis of doctor, is easy to doctor accurately to be judged;And device manipulation is simple, strong applicability is easy to utilize.

Description

A kind of knee jerk reaction nerve percussion device
Technical field
The present invention relates to medical diagnostic equipment technical field, is specifically related to a kind of knee jerk reaction nerve percussion device.
Background technology
In the diagnosis of neurology department, the instrument of doctor includes percussion hammer, touch needle, flashlight, gage instrument etc. A variety of apparatus, wherein, percussion hammer be doctor to check the utensil of neuromuscular reflex, include one piece of rubber head end and one more Wooden or metal handle.In use, with the rubber head end gently relevant position of knocking, to observe nervimuscular reflection case.
At present, it is exactly that doctor holds percussion hammer handle, with general dynamics knocking patient in knee jerk reaction nerve percussion Knee, then directly visually observe patient legs and whether swing and hunting time and amplitude of fluctuation, then reckon and make General diagnosis.Following deficiency be present in its test diagnosis process:One, medical personnel directly control percussion hammer manually, for multiple The situation of patient can only carry out test diagnosis one by one, and the workload of medical personnel is larger, and knocking power is not easy to hold, knocking The adjustment of power is also inaccurate;Two, medical personnel can only reckon the situation of patient's knee jerk reaction by rule of thumb, do not judge accurately according to According to can only make general diagnosis, be unfavorable for the treatment of patient.
The content of the invention
1. technical problems to be solved
The technical problem to be solved in the present invention is to provide a kind of knee jerk reaction nerve percussion device, and it is anti-that it realizes knee jerk The automation of Nerve Testing process is answered, reduces the workload of medical personnel, adjustment control is more accurate;Related weight can also be measured Data are wanted, detailed clear and definite foundation is provided for the diagnosis of doctor, is easy to doctor accurately to be judged;And device manipulation is simple, Strong applicability, it is easy to utilize.
2. technical scheme
To solve the above problems, the present invention adopts the following technical scheme that:
A kind of knee jerk reaction nerve percussion device, including telescopic prop, percussion hammer mechanism, knee jerk amplitude detection mechanism and control Molding block, wherein,
The telescopic prop is "T"-shaped, and its lower end is fixed on a base;
The percussion hammer mechanism includes hammer body, lever, shelf, mobile putter, spring and driving part, the hammer body and Shelf is respectively arranged on lever both ends, and the support rotating shaft that the lever is set by its middle part is fixed on one piece of fixed block side, The fixed block is fixed on a telescopic strut upper end being vertically arranged, and the telescopic strut lower end is fixed on base;The shifting Dynamic push rod lower end and shelf upper surface, and the connection of mobile putter upper end is on the driving part, the spring is located at glove Between plate and driving part, the driving part is fixed on fixed block by support bar;Inside the rubber head end of the hammer body Provided with pressure sensor;
The knee jerk amplitude detection mechanism includes being used for detecting the detection sensor that patient's shank swings angle, the detection Sensor is fixed on patient's shank by bandage;
The control module includes controller, guidance panel, timer, display screen and attaching plug, the guidance panel Power-on button, pressure adjustment knob, indicator lamp and start button are provided with, the pressure adjustment knob, start button, pressure pass Sensor and detection sensor are connected with controller input, the indicator lamp, driving part, timer and display screen with control Device output end connection processed.
As the improvement to such scheme, the telescopic prop upper surface is the lower concave curved surface being adapted with leg.So that Supporting role of the more favourable performance of telescopic prop to patient legs, increase the comfort of patient.
As further improvement of these options, the telescopic prop upper surface is fixed with soft rubber cushion.With telescopic prop Compare, the material of soft rubber cushion is obvious more soft, pads between patient legs and telescopic prop, further increases the comfortable of patient Sense.
There is soft rubber cushion two by rubber band band connection as to the further improvement of such scheme, the soft rubber cushion side, The side of the soft rubber cushion opposite side and soft rubber cushion two away from soft rubber cushion is fixed with the VELCRO being adapted.Soft rubber cushion two and flexible glue Collective effect is padded, around patient legs;Simultaneously when shelf pushes, soft rubber cushion two can stop that shelf connects with patient legs Touch, further increase the comfort of patient.On the other hand, with rubber band band connection soft rubber cushion and soft rubber cushion two, it is applicable to each The individual of kind different thicknesses leg;And the fixed form of VELCRO is more convenient.
As the improvement to such scheme, the base bottom is equipped with stoppable roller.Easily the device can be moved And stably park at an arbitrary position, practical value is improved.
Preferably, the driving part is cylinder, and the mobile putter is fixedly connected with the piston rod of cylinder.Driven by cylinder The mode that dynamic mobile putter moves up and down is relatively simple, it is easy to accomplish.
As the improvement to such scheme, the shelf both ends are equipped with spring and are connected on driving part.Spring is The reset of shelf provides power-assisted, increases the quantity of spring, can improve the speed of glove sheet reset, shortens hammer body as far as possible and carries out The process of effective action, improve device operating efficiency.
Preferably, the detection sensor is photoelectric rotary coder.Rotary encoder is for measuring rotating speed and matching somebody with somebody The device of quick speed governing can be realized by closing PWM technologies, and photoelectric rotary coder, can be by the angle position of output shaft by opto-electronic conversion The mechanical quantities such as shifting, angular speed are converted into corresponding electric pulse can be incited somebody to action with digital output (REP), i.e. photoelectric rotary coder The swing angle direct measurement of patient's lower leg portion comes out, and can be transferred directly to controller.
Preferably, the bandage is provided with the VELCRO two being adapted.The fixed form of VELCRO is more convenient, and is easy to Adjustment.
Further, support column is further fixed on the base, its upper end is fixed with skewback, the controller and timing For device inside support column, the guidance panel and display are located at skewback upper surface, the connecting wire of the attaching plug Passed from support column bottom, the support column surface is provided with the hook for being used for winding the connecting wire.It is arranged such, medical care Personnel need to only stand manipulation, and required data can be directly obtained by display screen, easy to operate, it might even be possible to allow patient certainly Row manipulation, gives data to doctor afterwards, significantly reduces the workload of medical personnel.
3. beneficial effect
(1) present invention devises telescopic prop to make somebody a mere figurehead patient legs, is ready for knee jerk reaction detection;Devise and kowtow Examine hammer mechanism and realize that percussion hammer hammers the action of knee automatically, and by the determination of pressure sensor hammer force degree in hammer body, so Hammer force degree is transmitted to controller by pressure sensor afterwards, and hammer force degree is digitized and shown by display screen by controller, Medical personnel can be made to the appropriate of hammer force according to patient's knee jerk reaction effect by the pressure adjustment knob in guidance panel Regulation, controller control mobile putter realization to push the adjustment of height to shelf, hammer are adjusted so as to realize by driving part The purpose of body hammer force.The experiment action process of knee jerk reaction realizes automation, is not required to medical personnel and takes action on one's own to operate, subtracts The workload of medical personnel is lacked, adjustment control is more accurate, improves the operating efficiency of diagnosis.
(2) present invention devises knee jerk amplitude detection mechanism, the accurate knee jerk reaction amplitude for measuring patient, in control module The timer of middle setting can determine the time of neural traffic in patient's knee jerk course of reaction, and show that hammer body hammers by display screen Related data, the doctors such as dynamics, the knee jerk reaction neural traffic time of patient and knee jerk reaction amplitude obtain phase by display screen After closing data, you can make and accurately judging that.The test data of knee jerk reaction, which obtains, realizes automation, and the diagnosis of doctor has Reliable data foundation, is no longer to reckon to make general judgement, so as to improve the diagnosis accuracy of doctor, is advantageous to promote Enter the treatment of patient.
(3) the relatively stable fixed operation of device provided by the present invention and patient are simple, can be real by control panel The manipulation of existing overall process, is not only medical personnel, and family numbers of patients or he or she are operable, and manipulation is simple, strong applicability, is easy to Popularization and application.
The present invention realizes the automation of knee jerk reaction Nerve Testing process, reduces the workload of medical personnel, regulation Control is more accurate;Related significant data can be also measured, detailed clear and definite foundation is provided for the diagnosis of doctor, is easy to doctor to carry out Accurately judge;And device manipulation is simple, strong applicability is easy to utilize.
Brief description of the drawings
Fig. 1 is structural representation front view of the present apparatus in application;
Fig. 2 is structural representation right view of the present apparatus when not applying;
Fig. 3 is 37 positive structural representation of skewback.
Wherein, 1- bases, 2- telescopic props, 3- hammer bodies, 4- levers, 5- shelfs, 6- mobile putters, 7- springs, 8- drive Dynamic component, 9- support rotating shafts, 10- percussion hammer mechanisms, 11- fixed blocks, 12- telescopic struts, 13- support bars, 14- pressure sensings Device, 15- soft rubber cushions, 16- rubber band bands, 17- soft rubber cushions two, 18- VELCROs, 19- stoppable rollers, 20- knee jerk amplitude detection machines Structure, 21- detection sensors, 22- bandages, 23- VELCROs two, 30- control modules, 31- controllers, 32- guidance panels, 33- meters When device, 34- display screens, 35- attaching plugs, 36- support columns, 37- skewbacks, 38- hook, 321- power-on buttons, 322- pressure Adjusting knob, 323- indicator lamps, 324- start buttons.
Embodiment
The present invention is further detailed explanation with reference to the accompanying drawings and examples.
Embodiment
A kind of knee jerk reaction nerve percussion device as shown in Figures 1 and 2, including telescopic prop 2, percussion hammer mechanism 10, Knee jerk amplitude detection mechanism 20 and control module 30, wherein,
The telescopic prop 2 is "T"-shaped, and its lower end is fixed on a base 1;
The percussion hammer mechanism 10 includes hammer body 3, lever 4, shelf 5, mobile putter 6, spring 7 and driving part 8, institute State hammer body 3 and shelf 5 is respectively arranged on the both ends of lever 4, the support rotating shaft 9 that the lever 4 is set by its middle part is fixed on one The side of block fixed block 11, the fixed block 11 are fixed on a upper end of telescopic strut 12 being vertically arranged, under the telescopic strut 12 End is fixed on base 1;The lower end of mobile putter 6 and the upper surface of shelf 5, and the upper end of mobile putter 6 is connected to drive On dynamic component 8, the spring 7 is located between shelf 5 and driving part 8, and the driving part 8 is fixed on by support bar 13 On fixed block 11;Pressure sensor 14 is provided with inside the rubber head end of the hammer body 3;
The knee jerk amplitude detection mechanism 20 includes being used for detecting the detection sensor 21 that patient's shank swings angle, described Detection sensor 21 is fixed on patient's shank by bandage 22;
The control module 30 includes controller 31, guidance panel 32, timer 33, display screen 34 and attaching plug 35, As shown in figure 3, the guidance panel 32 is provided with power-on button 321, pressure adjustment knob 322, indicator lamp 323 and start button 324, the pressure adjustment knob 322, start button 324, pressure sensor 14 and detection sensor 21 are defeated with controller 31 Enter end connection, the indicator lamp 323, driving part 8, timer 33 and display screen 34 are connected with the output end of controller 31.
Patient legs are caused with sense of discomfort in order to slow down telescopic prop 2, the upper surface of telescopic prop 2 is mutually to be fitted with leg The lower concave curved surface matched somebody with somebody.So that supporting role of the more favourable performance of telescopic prop 2 to patient legs, realizes increase patient comfort Purpose.
In order to increase patient comfort, the upper surface of telescopic prop 2 is fixed with soft rubber cushion 15.Compared with telescopic prop 2, The material of soft rubber cushion 15 is obvious more soft, pads between patient legs and telescopic prop 2, further increases the comfortable of patient Sense.
In order to ensure the comfort of patient, the side of soft rubber cushion 15 is connected with soft rubber cushion 2 17, institute by rubber band band 16 State the side of the opposite side of soft rubber cushion 15 and soft rubber cushion 2 17 away from soft rubber cushion 15 and be fixed with the VELCRO 18 being adapted.Soft rubber cushion two 17 and the collective effect of soft rubber cushion 15, around patient legs;Simultaneously when shelf 5 pushes, soft rubber cushion 2 17 can stop shelf 5 Contacted with patient legs, further increase the comfort of patient.On the other hand, soft rubber cushion 15 and flexible glue are connected with rubber band band 16 Pad 2 17, it is applicable to the individual of various different thicknesses legs;And the fixed form of VELCRO 18 is more convenient.
For the ease of the mobile present apparatus, the bottom of base 1 is equipped with stoppable roller 19.Easily the device can be moved And stably park at an arbitrary position, practical value is improved.
In the present embodiment, the driving part 8 is cylinder, and the piston rod of the mobile putter 6 and cylinder 8 fixes company Connect.It is relatively simple to be driven by the cylinder the mode that mobile putter 6 moves up and down, it is easy to accomplish.
In the present embodiment, the both ends of shelf 5 are equipped with spring 7 and are connected on driving part 8.Spring 7 is glove The reset of plate 5 provides power-assisted, increases the quantity of spring 7, can improve the speed of the reset of shelf 5, shortens hammer body 3 as far as possible and carries out The process of effective action, improve device operating efficiency.
In the present embodiment, the detection sensor 21 is photoelectric rotary coder.Rotary encoder is for measuring Rotating speed simultaneously coordinates PWM technologies to realize the device of quick speed governing, and photoelectric rotary coder will can be exported by opto-electronic conversion The mechanical quantities such as the angular displacement of axle, angular speed are converted into corresponding electric pulse with digital output (REP), i.e. photo-electric rotary coding Device can come out the swing angle direct measurement of patient's lower leg portion, and can be transferred directly to controller 31.
In the present embodiment, the bandage 22 is provided with the VELCRO 2 23 being adapted.The fixed form of VELCRO 23 compared with To be convenient, and it is conveniently adjusted.
Being operated for the ease of medical personnel, support column 36 is further fixed on the base, its upper end is fixed with skewback 37, The controller 31 and timer 33 are inside support column 36, and the guidance panel 32 and display 34 are on skewback 37 Surface, the connecting wire of the attaching plug 35 are passed from support column bottom, and the surface of support column 36, which is provided with, to be used for winding The hook 38 of the connecting wire.It is arranged such, medical personnel need to only stand manipulation, and can directly be obtained by display screen 34 It is easy to operate to required data, it might even be possible to allow patient voluntarily to manipulate, give data to doctor afterwards, significantly reduce The workload of medical personnel.
The concrete application process of above-mentioned knee jerk reaction nerve percussion device is:
(1) plug in after plug 35, detection sensor 21 is first bundled on shank by patient with bandage 22, is then being sat Leg is placed on telescopic prop 2 and (telescopic prop can stretched about 2, be adjusted to optimum altitude) under appearance state, by soft rubber cushion 2 17 are attached to leg upper surface, and are fixed on by VELCRO 18 in soft rubber cushion 15;Adjust the height of telescopic strut 12 so that hammer The rubber head end of body 3 touches patient's knee, that is, completes the preparation of knee jerk reaction Nerve Testing percussion, as shown in Figure 1;
(2) power-on button 321 is pressed, indicator lamp 323 is bright to be represented to be powered normally, then selected by pressure adjustment knob 322 Pressure needed for probably, you can press start button 324, controller 31 controls driving part 8, and driving mobile putter 6 pushes glove Plate 5, lift hammer body 3, then the related mobile putter 6 of driving part 8 resets, in the case where the reset response of spring 7 helps, pressed thing Plate 5, which more quickly rises, to be resetted, and hammer body 3 is faster to lower swing, and to patient's knee is hammered, pressure sensor 14 detects this When hammer force, and pass to controller 31, while start timer 33 and start timing;When knee jerk reaction is made in leg, inspection Survey sensor 21 and detect the angle of swing of leg, and pass to controller 31, while timer 33 is stopped timing, timer 33 will be clocked between pass to controller 31, controller 31 is by hammer body hammer force degree, the knee jerk reaction neural traffic time of patient And knee jerk reaction amplitude is shown by display screen 34;
(3) in order to which further Precise Diagnosis, medical personnel can be made to the appropriate of hammer force by pressure adjustment knob 323 Regulation, controller 31 are realized the adjustment that height is pushed to shelf 5 by the control mobile putter 6 of driving part 8, adjusted so as to realize The purpose of the whole hammer force of hammer body 3.In this way, multigroup related data can be obtained, medical personnel can make accurately diagnosing accordingly.
From the foregoing, knee jerk reaction nerve percussion device provided by the present invention realizes knee jerk reaction Nerve Testing mistake The automation of journey, reduce the workload of medical personnel;Related significant data can also be measured, for doctor diagnosis provide in detail it is bright True foundation, is easy to doctor accurately to be judged;And device manipulation is simple, strong applicability is easy to utilize.
Those of ordinary skill in the art it should be appreciated that the embodiment of the above be intended merely to explanation the present invention, And be not used as limitation of the invention, as long as in the spirit of the present invention, the change to embodiment described above Change, modification will all fall in scope of the presently claimed invention.

Claims (10)

1. a kind of knee jerk reaction nerve percussion device, it is characterised in that including telescopic prop (2), percussion hammer mechanism (10), knee jerk Amplitude detection mechanism (20) and control module (30), wherein,
The telescopic prop (2) is "T"-shaped, and its lower end is fixed on a base (1);
The percussion hammer mechanism (10) includes hammer body (3), lever (4), shelf (5), mobile putter (6), spring (7) and driving Part (8), the hammer body (3) and shelf (5) are respectively arranged on lever (4) both ends, and the lever (4) is set by its middle part Support rotating shaft (9) is fixed on one piece of fixed block (11) side, and the fixed block (11) is fixed on a telescopic strut being vertically arranged (12) upper end, telescopic strut (12) lower end are fixed on base (1);On mobile putter (6) lower end and shelf (5) Surface is contacted, and mobile putter (6) upper end is connected on driving part (8), and the spring (7) is located at shelf (5) and driving Between part (8), the driving part (8) is fixed on fixed block (11) by support bar (13);The rubber of the hammer body (3) Pressure sensor (14) is provided with inside head end;
The knee jerk amplitude detection mechanism (20) includes being used for detecting the detection sensor (21) that patient's shank swings angle, described Detection sensor (21) is fixed on patient's shank by bandage (22);
The control module (30) is inserted including controller (31), guidance panel (32), timer (33), display screen (34) and power supply Head (35), the guidance panel (32) are provided with power-on button (321), pressure adjustment knob (322), indicator lamp (323) and opened Dynamic button (324), the pressure adjustment knob (322), start button (324), pressure sensor (14) and detection sensor (21) it is connected with controller (31) input, the indicator lamp (323), driving part (8), timer (33) and display screen (34) it is connected with controller (31) output end.
A kind of 2. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that the telescopic prop (2) Upper surface is the lower concave curved surface being adapted with leg.
A kind of 3. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that the telescopic prop (2) Upper surface is fixed with soft rubber cushion (15).
A kind of 4. knee jerk reaction nerve percussion device according to claim 3, it is characterised in that the soft rubber cushion (15) one Side is connected with soft rubber cushion two (17), soft rubber cushion (15) opposite side and soft rubber cushion two (17) away from flexible glue by rubber band band (16) The side of pad (15) is fixed with the VELCRO (18) being adapted.
A kind of 5. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that base (1) bottom Equipped with stoppable roller (19).
A kind of 6. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that the driving part (8) For cylinder, the mobile putter (6) is fixedly connected with the piston rod of cylinder.
A kind of 7. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that the shelf (5) two End is equipped with spring (7) and is connected on driving part (8).
A kind of 8. knee jerk reaction nerve percussion device according to claim 1, it is characterised in that the detection sensor (21) it is photoelectric rotary coder.
9. a kind of knee jerk reaction nerve percussion device according to claim 1, it is characterised in that set on the bandage (22) There is the VELCRO two (23) being adapted.
A kind of 10. knee jerk reaction nerve percussion device according to any one of claim 1~9, it is characterised in that the bottom Support column (36) is further fixed on seat, its upper end is fixed with skewback (37), and the controller (31) and timer (33) are located at Support column (36) is internal, and the guidance panel (32) and display (34) are located at skewback (37) upper surface, the attaching plug (35) connecting wire is passed from support column bottom, and support column (36) surface, which is provided with, to be used for winding the connecting wire Link up with (38).
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Cited By (4)

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Publication number Priority date Publication date Assignee Title
CN108904246A (en) * 2018-07-19 2018-11-30 桂兆林 A kind of lower limb hemiplegic patient knee jerk reflex stimulating apparatus
CN110327078A (en) * 2019-08-08 2019-10-15 成都天府新区人民医院 A kind of Neurology knee jerk reaction detection device
CN111839989A (en) * 2020-06-02 2020-10-30 胡玉刚 Detection device for leg stimulation
CN113230080A (en) * 2021-06-21 2021-08-10 中国人民解放军空军军医大学 Multifunctional device for neurosurgery clinical examination

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CN113230080A (en) * 2021-06-21 2021-08-10 中国人民解放军空军军医大学 Multifunctional device for neurosurgery clinical examination

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Inventor after: Wang Zhigang

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