CN108742524B - Vertigo diagnosis and treatment device - Google Patents

Vertigo diagnosis and treatment device Download PDF

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Publication number
CN108742524B
CN108742524B CN201810317499.7A CN201810317499A CN108742524B CN 108742524 B CN108742524 B CN 108742524B CN 201810317499 A CN201810317499 A CN 201810317499A CN 108742524 B CN108742524 B CN 108742524B
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China
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shaft
arm
driving
gear
bevel gear
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CN108742524A (en
Inventor
王斌哲
潘志强
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China Medical Tianjin St Group Co ltd
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China Medical Tianjin St Group Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4005Detecting, measuring or recording for evaluating the nervous system for evaluating the sensory system
    • A61B5/4023Evaluating sense of balance

Abstract

The invention discloses a vertigo diagnosis and treatment device, which comprises a main frame, a main bow, an auxiliary bow and a seat, wherein the main bow is arranged on the main frame through a first rotating shaft; the axis of the first rotating shaft is vertical to the axis of the second rotating shaft; a bottom plate is fixed on the auxiliary bow, a swinging device is arranged on the bottom plate, and the seat is installed on the swinging device. The vertigo diagnosis and treatment device is provided with the main bow and the auxiliary bow for driving the seat to rotate, and the swinging device for driving the seat to swing, so that the patient can be checked or treated more conveniently.

Description

Vertigo diagnosis and treatment device
Technical Field
The invention relates to a vertigo diagnosis and treatment device, and belongs to the technical field of vertigo diagnosis and treatment equipment.
Background
The vestibule is a main organ for human body balance, and the important structure in the vestibule, which is sensitive to human body posture change, is the semicircular canal which is divided into a horizontal semicircular canal, an upper semicircular canal and a rear semicircular canal, and the planes of the three are mutually vertical to sense the human body posture change in different planes. When the posture of a human body changes, the stimulation intensity of different semicircular canals is different, and when the stimulation on two sides is unbalanced, the eye shake occurs, and the direction of the eye shake faces to one side of the strong stimulation. Therefore, corresponding semicircular canals can be stimulated through the acceleration or deceleration rotation of different semicircular canal planes, so that the balance condition of the function of the vestibules at both sides and the corresponding function condition of the semicircular canals can be known through the examination of the eye shock when the acceleration or deceleration rotation of different directions and different planes is carried out. In addition, through medical clinical research, it has been found that positional vertigo is directly related to vestibular otolith shedding, positional vertigo can be induced by placing a human body in a certain specific posture, and after the shedding otolith is restored by adopting a specific posture, the positional vertigo symptoms of most patients can be clinically cured, and the used devices are basically used for diagnosis and treatment through posture rotation of the patients in three dimensions, such as a posture rotating device and system disclosed in chinese patent document CN101779948B, and a gear type vertigo diagnosis and treatment system disclosed in chinese patent document CN105193389A, or an examination chair disclosed in chinese patent document CN 1901869B. In many body position rotating apparatuses such as this, a safety chair for fixing a patient is basically mounted on a first frame capable of rotating along a first axis, and the first frame is mounted on a second frame capable of rotating along a second axis perpendicular to the first axis, and the two frames are driven to rotate by two motors, respectively. While performing the diagnosis, the doctor rotates the patient slowly in three dimensions, and if positional vertigo is diagnosed, the doctor rotates the patient rapidly in a given plane and suddenly decelerates, thereby detaching the otolith causing the vertigo from the sensitive area. In order to ensure that a patient does not fall off in the rotation process, a seat in the existing diagnosis and treatment device can fix the patient by using a safety belt, and the mode is not particularly convenient and has an unsatisfactory safety effect. In addition, the patient is changed by multi-dimensional rotation at present, because there is no good device for directly realizing the swinging of the body of the patient, so that a novel vertigo diagnosis and treatment device needs to be designed for the situation.
Disclosure of Invention
Therefore, an object of the present invention is to provide a diagnosis and treatment device for vertigo, which can achieve direct oscillation of the body of a patient.
In order to achieve the above object, a diagnosis and treatment device for vertigo of the present invention comprises a main frame, a main bow mounted on the main frame via a first rotating shaft, an auxiliary bow mounted on the main bow via a second rotating shaft, and a seat mounted on the auxiliary bow; the axis of the first rotating shaft is vertical to the axis of the second rotating shaft; a bottom plate is fixed on the auxiliary bow, a swinging device is arranged on the bottom plate, and the seat is arranged on the swinging device; the swing device comprises a lower substrate, an upper substrate, four swing arms and two driving motors, wherein each swing arm comprises an upper arm, a lower arm and a connecting arm in the middle, the upper arm and the lower arm are both rods with right-angled bent structures in the middle, two ends of each connecting arm are provided with mounting clamp grooves, and connecting arm shafts are arranged in the mounting clamp grooves; four upper mounting shafts which are uniformly distributed along the circumferential direction and extend outwards along the radial direction are arranged on the upper base plate, one end of each upper arm is mounted on one upper mounting shaft, and the other end of each upper arm is inserted into the mounting clamp groove of the connecting arm and is connected with the connecting arm shaft; four lower mounting shafts which are uniformly distributed along the circumferential direction and extend outwards along the radial direction are arranged on the lower base plate, one end of each lower arm is mounted on one lower mounting shaft, and the other end of each lower arm is inserted into a mounting clamping groove, far away from the upper arm, of the connecting arm and is connected with the connecting arm shaft; the two adjacent lower arms are respectively connected with the two driving motors through transmission mechanisms and can swing under the driving of the driving motors; a revolution fluted disc is arranged in the main frame, the revolution fluted disc is fixedly arranged on the first rotating shaft, and the first rotating shaft and the revolution fluted disc can synchronously rotate; a driving gear, a driven gear and an auxiliary gear are arranged below the revolution fluted disc, a toothed belt bypasses the driving gear, the driven gear and the auxiliary gear, and the toothed belt is meshed with the revolution fluted disc.
The driving gear is fixed on the driving shaft, one end of the driving shaft is connected to a power output end of the driving motor, a first bevel gear is arranged at the other end of the driving shaft and meshed with a second bevel gear, the second bevel gear is fixed at one end of the middle shaft, a third bevel gear is fixed at the other end of the middle shaft and arranged in the same direction as the second bevel gear, the third bevel gear is meshed with a fourth bevel gear, the fourth bevel gear is fixed on the driven shaft, and the driven gear is fixed on the driven shaft.
By adopting the technical scheme, the vertigo diagnosis and treatment device is characterized in that the swinging device is driven by the two driving motors, so that the two lower arms connected with the driving motors through the transmission mechanism swing to different angles, and the four swinging arms are driven to change different forms so as to swing the seat to different angles. The vertigo diagnosis and treatment device is provided with the main bow and the auxiliary bow for driving the seat to rotate, and the swinging device for driving the seat to swing, so that the patient can be more conveniently checked or treated; the driving is carried out by the meshing of the toothed belt and the revolution fluted disc, the operation is stable, and the vibration is small; through the transmission of a plurality of bevel gears, can make driving gear and driven gear drive the cingulum simultaneously to it is comparatively even to the cingulum application of force.
Drawings
FIG. 1 is a schematic structural diagram of the present invention.
Fig. 2 is a schematic view of a swing device.
Fig. 3 is a schematic view of the installation of a connecting arm.
Fig. 4 is a partially enlarged view of a portion a of fig. 3.
Fig. 5 is a schematic structural view of the seat.
Fig. 6 is another angle view of fig. 5.
Fig. 7 is a partially enlarged view of portion B of fig. 6.
Fig. 8 is a schematic view of the installation structure of the leaf spring.
FIG. 9 is a schematic view of the assembly of the reinforcing plate with the guide plate and the connecting plate.
Fig. 10 is a cross-sectional view taken along line C-C of fig. 9.
Fig. 11 is an exploded view of fig. 9.
Fig. 12 is another angle view of fig. 11.
Fig. 13 is a schematic view of the mounting of the revolving toothed plate.
Fig. 14 is another angle view of fig. 13.
FIG. 15 is a schematic view of the installation of the revolving toothed disc and the toothed belt.
FIG. 16 is a schematic view of the installation of multiple bevel gears.
Fig. 17 is a schematic perspective view of the driving gear, the driven gear, and the auxiliary gear.
Detailed Description
The invention is described in further detail below with reference to the figures and the detailed description.
As shown in the drawings, the present embodiment provides a vertigo diagnosis and treatment apparatus, including a main frame 1, a main bow 101 mounted on the main frame 1 through a first rotating shaft 101a, an auxiliary bow 102 mounted on the main bow 101 through a second rotating shaft 102a, and a seat 103 mounted on the auxiliary bow 102; the axis of the first rotating shaft 101a is perpendicular to the axis of the second rotating shaft 102a, and the auxiliary bow 102 can be driven to rotate by a rotating motor (not shown in the figure).
A base plate is fixed to the auxiliary bow 102, a swing device 8 is provided on the base plate, and the seat 103 is attached to the swing device 8.
Swing device 8 includes infrabasal plate 802, upper substrate 801, four swing arms 803, two driving motor 804, swing arm 803 includes upper arm 831, underarm 832 and middle linking arm 833, upper arm 831 and underarm 832 are the pole that a middle part was provided with the right angle structure of buckling, every the installation clamp groove 833a has all been seted up at the both ends of linking arm 833, be provided with linking arm axle 833b in the installation clamp groove 833 a.
Four upper mounting shafts 801a are disposed on the upper base plate 801, which are uniformly distributed in the circumferential direction and extend outward in the radial direction, one end of each upper arm 831 is mounted on one of the upper mounting shafts 801a, and the other end of each upper arm 831 is inserted into the mounting clip groove 833a of the connecting arm 833 and is connected to the connecting arm shaft 833 b.
Four lower mounting shafts 802a are provided on the lower base plate 802, which are circumferentially uniformly distributed and extend radially outward, one end of each lower arm 832 is mounted to one of the lower mounting shafts 802a, and the other end of the lower arm 832 is inserted into a mounting clip groove 833a of the connecting arm 833, which is away from the upper arm 831, and is connected to the connecting arm shaft 833 b.
Two adjacent lower arms 832 are respectively connected to two driving motors 804 through a transmission mechanism and can swing under the driving of the driving motors 804.
The transmission mechanism comprises a gearbox 851 connected with the power output end of the driving motor 804, a swinging rod 852 connected with the gearbox 851 and a connecting rod 853 hinged with the swinging rod 852; the link 853 is hinged to the lower arm 832.
By adopting the technical scheme, the vertigo diagnosis and treatment device is driven by the swing device through the two driving motors 804, so that the two lower arms 832 connected with the driving motors 804 through the transmission mechanism swing to different angles, and the four swing arms 803 are driven to change different forms so as to swing the seat to different angles. The vertigo diagnosis and treatment device is provided with the main bow and the auxiliary bow for driving the seat to rotate, and the swinging device for driving the seat to swing, so that the patient can be checked or treated more conveniently.
A revolution fluted disc 701 is arranged in the main frame 1, the revolution fluted disc 701 is fixedly installed on the first rotating shaft 101a, and the first rotating shaft 101a can synchronously rotate with the revolution fluted disc 701; a driving gear 702, a driven gear 703 and an auxiliary gear 704 are disposed below the revolving toothed plate 701, a toothed belt 705 passes around the driving gear 702, the driven gear 703 and the auxiliary gear 704, and the toothed belt 705 is engaged with the revolving toothed plate 701.
The driving gear 702 is fixed on a driving shaft 702a, one end of the driving shaft 702a is connected to a power output end of a driving motor 706, the other end of the driving shaft 702a is provided with a first bevel gear 707, the first bevel gear 707 is engaged with a second bevel gear 708, the second bevel gear 708 is fixed at one end of a middle shaft 709, the other end of the middle shaft 709 is fixed with a third bevel gear 710, the third bevel gear 710 and the second bevel gear 708 are arranged in the same direction, the third bevel gear 710 is engaged with a fourth bevel gear 711, the fourth bevel gear 711 is fixed on a driven shaft 703a, and the driven gear 703 is fixed on the driven shaft 703 a.
A concentric annular groove 701a is formed in a side wall of the revolution toothed disc 701, a plurality of support wheels 712 are disposed in the annular groove 701a, the support wheels 712 are mounted on a support shaft 712a, and the support shaft 712a is fixed to the main frame 1.
By adopting the technical scheme, the vertigo diagnosis and treatment device provided by the invention carries out transmission by meshing the toothed belt and the revolution fluted disc, and has the advantages of relatively stable operation and small vibration; through the transmission of a plurality of bevel gears, can make driving gear and driven gear drive the cingulum simultaneously to it is comparatively even to the cingulum application of force.
The seat 103 includes a headrest portion 91, a back plate portion 92, a seat plate portion 93, a lower leg plate portion 94, and a footrest portion 95.
The chair 103 further comprises a safety bar 96 for fixing the upper torso of the patient, wherein the safety bar 96 comprises a V-shaped portion 961, a cross bar portion 962 connected to both ends of the V-shaped portion 961 and perpendicular to the plane of the V-shaped portion 961, and a connecting bar portion 963 connected between the cross bar portions 962.
A reinforcing plate 97 is fixed to the back plate portion 92 and the rear side of the headrest portion 91, a safety lever shaft holder 971 is provided on the reinforcing plate 97 at a position located on the rear side of the headrest portion 91, a safety lever shaft 964 is provided on the crossbar portion 962, and the safety lever shaft 964 is inserted into a safety lever shaft hole 971a of the safety lever shaft holder 971.
Two parallel guide rails 972 are provided at positions on the reinforcing plate 97 and behind the back plate portion 92, each guide rail 972 includes a fixed plate portion 972a fixed to the back plate portion 92 and a vertical plate portion 972b perpendicular to the fixed plate portion 972a, the two vertical plate portions 972b are disposed opposite to each other so that a guide groove 972c is formed between the two guide rails 972, a guide plate 98 is provided in the guide groove 972c, and the guide plate 98 can move along the guide groove 972c so as to be close to or away from the safety lever shaft seat 971.
A shaft sleeve 965 is arranged on the connecting rod portion 963, a connecting plate 966 is fixed on the shaft sleeve 965, and an end of the connecting plate 966, which is far away from the shaft sleeve 965, is hinged to the guide plate 98. When the safety lever 96 is raised or buckled down, the safety lever 96 rotates about the axis of the safety lever shaft 964, thereby moving the shaft sleeve 965 and the link plate 966 and moving the guide plate 98.
A V-shaped plate spring 99 including a first plate portion 991 and a second plate portion 992 is disposed on one side of the connecting plate 966 close to the safety lever shaft seat 971, the first plate portion 991 is fixed to the connecting plate 966, a bent clamping plate portion 993 is disposed at an end of the second plate portion 992, and a clamping groove 973 for accommodating the clamping plate portion 993 is disposed on the reinforcing plate 97. When the safety bar 96 is lifted, the catch plate portion 993 is positioned outside the catch groove 973 and the hand plate spring 99 is pressed against the reinforcing plate 97 by its elastic force; when the safety lever 96 starts to rotate to be buckled, the guide plate 98 moves towards the direction close to the safety lever seat 971, so that the clamping plate portion 993 also moves towards the same direction; when the safety bar 96 is completely buckled down, the clamping plate portion 993 moves into the clamping groove 973 and is clamped in the clamping groove 973, so that the safety bar cannot be lifted up. When the safety bar 96 needs to be lifted after diagnosis or treatment is finished, the clamping plate part 993 is manually taken out of the clamping groove 973, and the safety bar 96 can be lifted.
Further, in order to ensure that the safety bar 96 cannot be opened accidentally or under stress after being buckled down, a linear sliding groove 974 is further arranged in the reinforcing plate 97, the linear sliding groove 974 is communicated with the clamping groove 973, a sliding rod 975 is arranged in the linear sliding groove 974, one end of the sliding rod 975, which is close to the clamping groove 973, is a first wedge-shaped surface 975a, and the other end of the sliding rod 975 is a second wedge-shaped surface 975 b; a limit stop 976 is further arranged in the linear sliding groove 974, and a third wedge-shaped surface 976a matched with the second wedge-shaped surface 975b is arranged on the limit stop 976; a window hole 97a for the limit stopper 976 to extend is opened in the reinforcing plate 97, and a limit hole 98a for the limit stopper 976 to be inserted is opened in the guide plate 98.
The limit stopper 976 includes a bottom plate portion 976b and a plurality of projection portions 976c that are provided at intervals on the bottom plate portion 976b, and the window hole 97a and the limit hole 98a are provided in plural numbers, respectively, so that the plurality of projection portions 976c can block the guide plate 98 at the time of limiting.
The limit stopper 976 is provided with at least one side plate portion 976d, and a return spring 977 is provided on a side of the side plate portion 976d close to the guide plate 98.
The reinforcing plate 97 is provided with a receiving groove 97b for receiving the return spring 977.
By adopting the improved structure, when the clamping plate portion 993 moves into the clamping groove 973, the end portion of the clamping plate portion 993 is pressed against the first wedge-shaped surface 975a by the elastic force of the plate spring 99, so that the slide rod 975 moves in the direction away from the safety lever shaft seat 971, and because the second wedge-shaped surface 975b is matched with the third wedge-shaped surface 976a, when the slide rod 975 moves, the second wedge-shaped surface 975b applies force to the third wedge-shaped surface 976a, so that the limit stop 976 moves in the direction close to the guide plate, and then passes through the window hole 97a and is inserted into the limit hole 98a to limit the guide plate, that is, the limit stop 976 and the clamping plate portion 993 form double limits on the guide plate, thereby more effectively avoiding the accidental opening of the safety lever 96 in the diagnosis and treatment process.
A thigh harness 931 for fixing the thigh of the patient is provided to the seat plate portion 93. A lower leg portion securing strap 941 for securing the lower leg portion of the patient is provided on the lower leg plate portion 94. The seat 103 also includes armrest portions 90.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.

Claims (2)

1. A vertigo diagnosis and treatment device, characterized in that: the chair comprises a main frame, a main bow, an auxiliary bow and a seat, wherein the main bow is installed on the main frame through a first rotating shaft; the axis of the first rotating shaft is vertical to the axis of the second rotating shaft; a bottom plate is fixed on the auxiliary bow, a swinging device is arranged on the bottom plate, and the seat is arranged on the swinging device; the swing device comprises a lower substrate, an upper substrate, four swing arms and two driving motors, wherein each swing arm comprises an upper arm, a lower arm and a connecting arm in the middle, the upper arm and the lower arm are both rods with right-angled bent structures in the middle, two ends of each connecting arm are provided with mounting clamp grooves, and connecting arm shafts are arranged in the mounting clamp grooves; four upper mounting shafts which are uniformly distributed along the circumferential direction and extend outwards along the radial direction are arranged on the upper base plate, one end of each upper arm is mounted on one upper mounting shaft, and the other end of each upper arm is inserted into the mounting clamp groove of the connecting arm and is connected with the connecting arm shaft; four lower mounting shafts which are uniformly distributed along the circumferential direction and extend outwards along the radial direction are arranged on the lower base plate, one end of each lower arm is mounted on one lower mounting shaft, and the other end of each lower arm is inserted into a mounting clamping groove, far away from the upper arm, of the connecting arm and is connected with the connecting arm shaft; the two adjacent lower arms are respectively connected with the two driving motors through transmission mechanisms and can swing under the driving of the driving motors; a revolution fluted disc is arranged in the main frame, the revolution fluted disc is fixedly arranged on the first rotating shaft, and the first rotating shaft and the revolution fluted disc can synchronously rotate; a driving gear, a driven gear and an auxiliary gear are arranged below the revolution fluted disc, a toothed belt bypasses the driving gear, the driven gear and the auxiliary gear, and the toothed belt is meshed with the revolution fluted disc.
2. The vertigo diagnosis and treatment apparatus according to claim 1, wherein: the driving gear is fixed on the driving shaft, one end of the driving shaft is connected to a power output end of the driving motor, a first bevel gear is arranged at the other end of the driving shaft and meshed with a second bevel gear, the second bevel gear is fixed at one end of the middle shaft, a third bevel gear is fixed at the other end of the middle shaft and arranged in the same direction as the second bevel gear, the third bevel gear is meshed with a fourth bevel gear, the fourth bevel gear is fixed on the driven shaft, and the driven gear is fixed on the driven shaft.
CN201810317499.7A 2018-04-10 2018-04-10 Vertigo diagnosis and treatment device Active CN108742524B (en)

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CN108742524B true CN108742524B (en) 2020-11-03

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CN206322352U (en) * 2016-11-16 2017-07-11 天津海运职业学院 A kind of six degree of freedom can vibrate marine simulator platform
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004000191A1 (en) * 2002-06-24 2003-12-31 Teixera De Almeida Eurico Eman Chair for executing the epley maneuver
WO2007062240A3 (en) * 2005-11-28 2007-10-18 John M Epley Hemispheroidal-truss spatial manipulator system and apparatus
CN201441362U (en) * 2009-01-16 2010-04-28 北京斯睿美医疗科技有限公司 Body position rotary device and system
CN102379791A (en) * 2011-08-16 2012-03-21 上海交通大学 Intelligent-control three-dimensional axial benign paroxysmal positional vertigo (BPPV) repositioning rotating chair
WO2013151773A1 (en) * 2012-04-06 2013-10-10 Massachusetts Eye & Ear Infirmary Data collection for vestibulogram construction
WO2013153239A1 (en) * 2012-04-12 2013-10-17 Virtual Fly, S.L. Structure for a transport vehicle simulator
CN105246448A (en) * 2013-05-30 2016-01-13 金湘植 Revolving chair for medical examination and treatment
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CN206322352U (en) * 2016-11-16 2017-07-11 天津海运职业学院 A kind of six degree of freedom can vibrate marine simulator platform
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CN107374586A (en) * 2017-07-05 2017-11-24 杭州电子科技大学 A kind of total balance of the body method for dynamically assessing and its device

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