CN109966098A - Self-adjustable, which leans forward, to be kneeled position and practices midwifery device - Google Patents
Self-adjustable, which leans forward, to be kneeled position and practices midwifery device Download PDFInfo
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- A—HUMAN NECESSITIES
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- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/0009—Obstetrical tables or delivery beds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
- A61G13/08—Adjustable operating tables; Controls therefor the table being divided into different adjustable sections
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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- 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
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/124—Hands or wrists
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- 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
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/10—Type of patient
- A61G2200/12—Women
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- 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
- A61G2200/00—Information related to the kind of patient or his position
- A61G2200/30—Specific positions of the patient
- A61G2200/38—Specific positions of the patient kneeling
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Abstract
Description
技术领域technical field
本发明涉及助产器械,具体为一种自调式前倾跪位接产装置。The invention relates to a midwifery instrument, in particular to a self-adjusting forward-leaning kneeling position delivery device.
背景技术Background technique
目前,国内产妇在接产时通常是以仰卧位为主。产妇仰卧时身体往后靠紧贴产床垫形成后仰的姿势,这样胎儿的重力朝向母体背部脊柱,加重产妇背痛,导致胎儿纵轴与产妇骨盆产轴不一致,不利胎头入盆、旋转、下降和娩出,造成胎头位置异常、产程延长或停滞,产妇最终以难产和剖宫产结束分娩。At present, domestic women are usually in the supine position during delivery. When the mother is lying on her back, her body leans back against the birth mattress to form a backward posture, so that the gravity of the fetus is directed towards the mother's back spine, which aggravates the mother's back pain, causing the fetal longitudinal axis to be inconsistent with the maternal pelvic axis, which is not conducive to the fetal head entering the pelvis and rotating. , descending and delivery, resulting in abnormal position of the fetal head, prolonged or stagnant labor, and the mother eventually ended labor with dystocia and cesarean section.
而对于胎儿呈枕后位或胎头位置异常,产妇腰骶部疼痛,或产妇仰卧或侧卧位发现胎儿宫内窘迫时,助产士常规建议产妇尝试调整体位,其中前倾跪位可以增加产妇舒适度,促进胎头旋转,有效的纠正胎头位置异常和缓解胎儿宫内窘迫。When the fetus is in the occipital posterior position or the fetal head position is abnormal, the puerpera has pain in the lumbosacral region, or the puerpera is found to have intrauterine distress in the supine or lateral position, the midwives routinely suggest that the puerpera try to adjust the position, among which the forward kneeling position can increase the comfort of the puerpera It can promote the rotation of the fetal head, effectively correct the abnormal position of the fetal head and relieve the fetal distress.
前倾跪位的作用如下:产妇身体前倾,躯干挺直能够有效的利用重力作用,使胎儿纵轴与产妇骨盆产轴一致,骨盆不受压,比仰卧、侧卧更有利增大骨盆的径线、空间和容量;便于背部按摩和产妇骨盆摇摆;缓解脐带受压的发生;促使胎儿在母体骨盆腔内有效的入盆、俯屈、旋转、下降和娩出。The function of the forward-leaning kneeling position is as follows: the body of the parturient leans forward and the trunk is straight, which can effectively utilize the effect of gravity, so that the longitudinal axis of the fetus is consistent with the axis of the pelvis of the parturient, and the pelvis is not compressed, which is more beneficial than lying on the back and side. Diameter, space and capacity; facilitates back massage and maternal pelvic rocking; relieves the occurrence of umbilical cord compression; promotes effective pelvic entry, flexion, rotation, descent and delivery of the fetus in the maternal pelvic cavity.
目前临床上没有供产妇进行前倾跪位接产的专用器械,一般是通过让产妇跪在床上或地板上,身体前倾靠在床头、靠椅、分娩球或其他支撑物上,其缺点在于产妇手部无支靠/抓握的物件,在产妇施力时(或施力后乏力阶段)易造成跌倒,而带来严重的安全隐患和风险,故需要多名助产士进行陪护,以固定产妇躯干,避免危险发生,也增加接产人员劳动强度,占用较大的医疗人力资源。At present, there is no special equipment for puerpera to perform delivery in the anteversion kneeling position. Generally, the puerpera is made to kneel on the bed or the floor, and the body leans forward on the head of the bed, chair, delivery ball or other supports. The object that is not supported or grasped by the hand of the puerpera is prone to fall when the puerpera exerts force (or the stage of fatigue after exertion), which brings serious safety hazards and risks. Therefore, multiple midwives are required to accompany them to fix The torso of the parturient can avoid the occurrence of danger, and also increase the labor intensity of the delivery personnel, occupying a large amount of medical human resources.
发明内容SUMMARY OF THE INVENTION
本发明的目的是为了提供一种自调式前倾跪位接产装置,通过控制器,产妇可以自行的对枕垫的高度和趴垫的长度根据自身情况进行调节,以使产妇可以快速的在接产装置上找到最为准确且舒适的前倾跪位姿势,趴垫表面的凹腔使得产妇可以以前倾跪姿势趴在趴垫表面,躯干在接产装置的支持下,无需手臂施力,产妇不易滑落和跌倒,更为安全。The purpose of the present invention is to provide a self-adjusting forward-leaning kneeling position delivery device, through the controller, the puerpera can adjust the height of the pillow and the length of the lying pad according to her own situation, so that the puerpera can quickly The most accurate and comfortable forward-leaning kneeling position is found on the delivery device. The concave cavity on the surface of the lying pad enables the parturient to lie on the surface of the lying pad in a forward-kneeling position. Not easy to slip and fall, more secure.
为了实现上述发明目的,本发明采用了以下技术方案:一种自调式前倾跪位接产装置,包括依次翻转连接的跪垫、趴垫和枕垫,枕垫的水平高度大于跪垫的水平高度,趴垫倾斜设置,所述趴垫中部设有配合产妇腹部凹腔;所述枕垫下方还设有用于调节高度的升降机构,所述升降机构包括底座和升降器,所述升降器位于枕垫和底座之间;所述趴垫包括前垫、中垫、后垫、伸缩机构和驱动器,前垫与枕垫连接,后垫与跪垫连接,伸缩机构用于前垫和后垫相对中垫产生移动,伸缩机构包括滑轨、滑杆、活动结构和驱动器,前垫和后垫固定于不同的滑杆上,中垫固定于滑轨上,驱动器带动滑杆相对滑轨活动;自调式前倾跪位接产装置还包括用于同驱动器和升降器耦接的控制器。In order to achieve the above purpose of the invention, the present invention adopts the following technical solutions: a self-adjusting forward-leaning kneeling position delivery device, comprising a kneeling pad, a lying pad and a pillow pad that are turned over and connected in turn, and the horizontal height of the pillow pad is greater than the level of the kneeling pad The height, the reclining cushion is inclined, and the middle part of the reclining cushion is provided with a concave cavity that matches the abdomen of the parturient; the lower part of the pillow cushion is also provided with a lifting mechanism for adjusting the height, the lifting mechanism includes a base and a lifter, and the lifter is located in Between the pillow cushion and the base; the lying cushion includes a front cushion, a middle cushion, a rear cushion, a telescopic mechanism and a driver, the front cushion is connected with the pillow cushion, the rear cushion is connected with the kneeling cushion, and the telescopic mechanism is used for the front cushion and the rear cushion to be opposite The middle pad moves, and the telescopic mechanism includes a slide rail, a slide bar, a movable structure and a driver. The front pad and the rear pad are fixed on different slide bars, the middle pad is fixed on the slide rail, and the driver drives the slide bar to move relative to the slide rail; The adjustable forward-leaning kneeling delivery device also includes a controller for coupling with the driver and the lifter.
优选的,所述活动结构用于前垫和后垫相对中垫产生镜像同步移动,所述活动结构包括传动轴和两组对称活动组件,传动轴与驱动器连接,所述对称活动组件包括两根齿条、一个同步齿轮,两根齿条的齿面相对设置,同步齿轮同时啮合两根齿条,传动轴的端部同两组对称活动组件内的同步齿轮啮合。Preferably, the movable structure is used for mirror-image synchronous movement of the front pad and the rear pad relative to the middle pad, the movable structure includes a transmission shaft and two sets of symmetrical movable assemblies, the transmission shaft is connected to the driver, and the symmetrical movable assembly includes two A rack and a synchronizing gear, the tooth surfaces of the two racks are arranged oppositely, the synchronizing gear meshes with the two racks at the same time, and the end of the transmission shaft meshes with the synchronizing gears in the two sets of symmetrical movable assemblies.
优选的,所述控制器包括调高按钮和高度显示器;枕垫上设有调长按钮和长度显示器;Preferably, the controller includes a height adjustment button and a height display; the pillow cushion is provided with a length adjustment button and a length display;
-调高按钮,耦接升降器,用于控制枕垫上升或下降;- Height adjustment button, coupled to the lifter, used to control the up or down of the pillow;
-高度显示器,耦接升降器,用于辅助显示枕垫所处的高度;- a height display, coupled to the lifter, used to assist in displaying the height of the pillow;
-调长按钮,耦接驱动器,用于控制前垫和后垫相对中垫的距离;- The lengthening button, coupled to the driver, is used to control the distance between the front pad and the rear pad relative to the middle pad;
-长度显示器,偶尔及驱动器,用于辅助显示趴垫的长度。- Length display, occasional and driver, used to assist in displaying the length of the pads.
优选的,所述凹腔底面还设有泥塑腔,泥塑腔内填充有泥料,所述泥料为碳酸钙粉末、液体石蜡和甘油的混合物,泥塑腔外层为防止泥料接触空气的隔离层。Preferably, the bottom surface of the cavity is further provided with a clay plastic cavity, and the clay plastic cavity is filled with mud material, the mud material is a mixture of calcium carbonate powder, liquid paraffin and glycerin, and the outer layer of the clay plastic cavity is to prevent the mud material from contacting the air. Floor.
优选的,所述泥塑腔上方还设有气腔,气腔与泥塑腔通过隔离层分隔,气腔外侧通过表层封闭,表层带有充气嘴,充气嘴与气腔连通。Preferably, an air cavity is further provided above the clay plastic cavity, the air cavity and the clay plastic cavity are separated by an isolation layer, the outside of the air cavity is closed by a surface layer, and the surface layer is provided with an inflatable nozzle, and the inflatable nozzle communicates with the air cavity.
优选的,所述枕垫的前方设有用于产妇抓握的抓握杆;所述抓握杆包括侧握杆,侧握杆位于枕垫任意两侧的前方或上表面。Preferably, the front of the pillow is provided with a grasping rod for the parturient to grasp; the grasping rod includes a side gripping rod, and the side gripping rod is located on the front or upper surface of any two sides of the pillow.
优选的,所述抓握杆共包括两个侧握杆,侧握杆均呈矩形,侧握杆包括依次连接的内竖杆、上横杆、外竖杆和下横杆,所述下横杆的高度与枕垫齐平且位于枕垫前方,上横杆位于下横杆上方,内竖杆靠近枕垫中部,外竖杆靠近枕垫侧边部。Preferably, the gripping bar includes a total of two side grip bars, the side grip bars are all rectangular, and the side grip bars include an inner vertical bar, an upper horizontal bar, an outer vertical bar and a lower horizontal bar which are connected in sequence, and the lower horizontal bar is connected in sequence. The height of the rod is flush with the pillow cushion and located in front of the pillow cushion, the upper cross rod is located above the lower cross rod, the inner vertical rod is close to the middle of the pillow cushion, and the outer vertical rod is close to the side edge of the pillow cushion.
优选的,所述抓握杆包括还中握杆,中握杆位于枕垫中部的前方,中握杆的高度与枕垫齐平。Preferably, the gripping bar includes a middle gripping bar, the middle gripping bar is located in front of the middle part of the pillow cushion, and the height of the middle gripping bar is flush with the pillow cushion.
优选的,所述底座包括底板、结构板和支撑柱,所述底板的前方设有前支板,所述前支板与底板一体成型呈“凸”形,所述结构板位于底板上方,结构板两侧与升降杆连接,所述支撑柱两端连接支撑柱和前支板。Preferably, the base includes a bottom plate, a structural plate and a support column, a front support plate is arranged in front of the bottom plate, the front support plate and the bottom plate are integrally formed in a "convex" shape, the structural plate is located above the bottom plate, and the structure The two sides of the plate are connected with the lifting rod, and the two ends of the support column are connected with the support column and the front support plate.
与现有技术相比,采用了上述技术方案的自调式前倾跪位接产装置,具有如下有益效果:Compared with the prior art, the self-adjusting forward-leaning kneeling delivery device that adopts the above technical solution has the following beneficial effects:
一、采用本发明的自调式前倾跪位接产装置,使用时产妇双膝跪在跪垫上方,避免长久跪坐而造成膝盖疼痛,之后大腿、腹部和躯干以倾斜的姿势趴在趴垫上方,双手盘在枕垫上方将头放在手臂上进行休息,或者直接将头趴在枕垫上身体以前倾跪位进行休息。通过该接产装置使产妇以保持合适的前倾跪位,能够有效的利用重力作用,使胎儿纵轴与产妇骨盆产轴一致,骨盆不受压,比仰卧、侧卧更有利增大骨盆的径线、空间和容量;便于背部按摩和产妇骨盆摇摆;缓解脐带受压的发生;解除手腕关节的紧张;促使胎儿在母体骨盆腔内有效的入盆、俯屈、旋转、下降和娩出。1. Adopt the self-adjusting forward-leaning kneeling position delivery device of the present invention, when using, the parturient kneels on the knee pad to avoid knee pain caused by kneeling and sitting for a long time, and then the thigh, abdomen and torso lie on the lying pad in an inclined posture Place your hands on top of the pillow and rest your head on your arms, or lay your head directly on the pillow and lean your body forward for a rest. The delivery device enables the puerpera to maintain a proper forward kneeling position, and can effectively utilize the effect of gravity, so that the longitudinal axis of the fetus is consistent with the pelvic axis of the puerpera, and the pelvis is not compressed, which is more beneficial to increase the size of the pelvis than lying on the supine and side. Diameter, space and capacity; facilitate back massage and maternal pelvic rocking; relieve the occurrence of umbilical cord compression; relieve wrist joint tension; promote effective pelvic entry, flexion, rotation, descent and delivery of the fetus in the maternal pelvic cavity.
二、枕垫设置在头侧,以枕垫和趴垫对上半身进行支撑,缓解手部紧张和压力,无需产妇以手臂进行支撑,避免双手及手臂肌肉痉挛。2. The pillow is set on the side of the head, and the upper body is supported by the pillow and the lying cushion, which relieves the tension and pressure of the hands, and does not need the mother to support the arm, and avoids muscle spasm in the hands and arms.
三、由于枕垫和趴垫对整个躯干进行了支撑,趴垫中部开设了凹腔,以使产妇将腹部置入到凹腔内,使产妇可以腹腔朝下趴在趴垫上,产妇即使在乏力时也有趴垫进行支撑,无需担心产妇从接产装置上方滑倒,从而保障母婴的安全。3. Because the pillow and the lying pad support the entire torso, a concave cavity is opened in the middle of the lying pad, so that the parturient can put the abdomen into the concave cavity, so that the parturient can lie on the lying cushion with the abdominal cavity facing down. There is also a lying pad for support, so there is no need to worry about the mother slipping from the top of the delivery device, thus ensuring the safety of mother and baby.
在自调式前倾跪位接产装置的辅助下,产妇在家属和1位助产士的陪护下,即可实现前倾跪位接产,减少参与的助产士数量,接产助产士只要控制好胎头下降娩出的速度即可,无需扶持产妇躯干,减少助产士人力,降低助产士工作的劳动强度和体力消耗。With the assistance of the self-adjusting forward-leaning kneeling delivery device, the mother can achieve delivery in the forward-leaning kneeling position under the escort of her family members and a midwife, reducing the number of midwives involved. The delivery midwives only need to control the fetal head drop. The speed of delivery is enough, no need to support the torso of the parturient, reduce the manpower of the midwife, and reduce the labor intensity and physical exertion of the midwife's work.
四、产妇在分娩过程中,可以抓握枕垫或枕垫上的抓握杆以使得手部具有着力点,可以更好的控制分娩时所需的力量,降低会阴裂伤的机率。4. During childbirth, the mother can grasp the pillow or the grip rod on the pillow to make the hand have a focus point, which can better control the force required during childbirth and reduce the probability of perineal laceration.
五、枕垫下方设置了升降机构,通过调节升降杆和升降槽之间的活动,调整枕垫的高度和趴垫倾斜的角度,以满足不同产妇的舒适需求。5. There is a lifting mechanism under the pillow. By adjusting the movement between the lifting rod and the lifting groove, the height of the pillow and the inclination angle of the lying cushion can be adjusted to meet the comfort needs of different mothers.
六、本发明中的接产装置,其升降机构和伸缩机构均采用电动控制的方式,可以对枕垫的高度、趴垫的长度进行适应性调节,由于是电动调节,其调节过程更为智能化且轻松简化。因此产妇可以自行通过控制器,对枕垫高度和趴垫长度进行调节,以达到最为舒适的体位,也可以通过助产人员的辅助来进行调节。6. In the delivery device of the present invention, the lifting mechanism and the telescopic mechanism are all controlled by electric control, which can adjust the height of the pillow cushion and the length of the lying cushion adaptively. Because of the electric adjustment, the adjustment process is more intelligent. simplified and easily simplified. Therefore, the mother can adjust the height of the pillow and the length of the lying cushion through the controller by herself to achieve the most comfortable position, and can also adjust it with the assistance of the midwife.
附图说明Description of drawings
图1为本发明自调式前倾跪位接产装置实施例的结构示意图。1 is a schematic structural diagram of an embodiment of a self-adjusting forward-leaning kneeling position delivery device according to the present invention.
图2为实施例中自调式前倾跪位接产装置的侧视图。2 is a side view of the self-adjusting forward-leaning kneeling delivery device in the embodiment.
图3为实施例中接产装置的结构示意图(抬高拉长状态)。FIG. 3 is a schematic diagram of the structure of the delivery device in the embodiment (in a raised and elongated state).
图4为实施例中接产装置的侧视图(抬高拉长状态)。FIG. 4 is a side view of the delivery device in the embodiment (in a raised and elongated state).
图5为实施例中升降机构的结构示意图。FIG. 5 is a schematic structural diagram of the lifting mechanism in the embodiment.
图6为实施例中底座的结构示意图。FIG. 6 is a schematic structural diagram of the base in the embodiment.
图7为实施例中趴垫的结构示意图。FIG. 7 is a schematic view of the structure of the lying mat in the embodiment.
图8为实施例中中垫的剖视图。FIG. 8 is a cross-sectional view of the middle pad in the embodiment.
图9为实施例中中垫和伸缩机构的结构示意图。FIG. 9 is a schematic structural diagram of the middle pad and the telescopic mechanism in the embodiment.
图10为实施例中中垫和伸缩机构的结构示意图。FIG. 10 is a schematic structural diagram of the middle pad and the telescopic mechanism in the embodiment.
图11为图9中A处的局部放大图。FIG. 11 is a partial enlarged view of A in FIG. 9 .
图12为实施例中调高、调长按钮和高度、长度显示器的结构示意图。FIG. 12 is a schematic structural diagram of the height-adjusting and length-adjusting buttons and the height and length displays in the embodiment.
附图标记:1、枕垫;10、顶座;11、限位螺杆;2、趴垫;20、凹腔; 201 、表层;202、气腔;203、隔离层;204、泥塑腔;205、充气嘴;206、支撑板;21、前垫;22、中垫;23、后垫;241、滑杆;242、滑轨;25、传动轴;26、驱动器;27、同步齿轮;28、齿条;3、跪垫;30、凹槽;4、抓握杆;40、侧握杆;401、内竖杆;402、上横杆;403、外竖杆;404、下横杆;41、中握杆;5、底座;50、升降杆;51、底板;52、前支板;53、支撑柱;54、结构板;55、底限位板;6、升降机;71、调高按钮;72、高度显示器;73、调长按钮;74、长度显示器。Reference numerals: 1, pillow; 10, top seat; 11, limit screw; 2, lying pad; 20, cavity; 201, surface layer; 202, air cavity; 203, isolation layer; 204, clay plastic cavity; 205 , air nozzle; 206, support plate; 21, front pad; 22, middle pad; 23, rear pad; 241, slide bar; 242, slide rail; 25, transmission shaft; 26, driver; 27, synchronous gear; 28, Rack; 3. Kneeling pad; 30. Groove; 4. Grip bar; 40. Side grip bar; 401, Inner vertical bar; 402, Upper cross bar; 403, Outer vertical bar; 404, Lower cross bar; 41 , middle grip rod; 5, base; 50, lift rod; 51, bottom plate; 52, front support plate; 53, support column; 54, structural plate; 55, bottom limit plate; 6, elevator; 71, height adjustment button ; 72, height display; 73, length adjustment button; 74, length display.
具体实施方式Detailed ways
下面结合附图对本发明做进一步描述。The present invention will be further described below with reference to the accompanying drawings.
如图1至12所示的自调式前倾跪位接产装置,包括依次翻转连接的跪垫3、趴垫2、枕垫1和控制器;枕垫1的水平高度大于跪垫3的水平高度,趴垫2倾斜设置,趴垫2中部设有配合产妇腹部凹腔20。As shown in Figures 1 to 12, the self-adjusting forward-leaning kneeling delivery device includes kneeling pad 3, lying pad 2, pillow pad 1 and a controller that are turned and connected in turn; the horizontal height of pillow pad 1 is greater than that of kneeling pad 3 The height of the lying pad 2 is inclined, and the middle of the lying pad 2 is provided with a concave cavity 20 for matching the abdomen of the puerpera.
跪垫3上表面开设有两个用于产妇膝盖定位的凹槽30,产妇在跪坐在跪垫3上时,可以通过凹槽30对躯干的位置进行定位,以保持正确的前倾跪位姿势。The upper surface of the kneeling pad 3 is provided with two grooves 30 for positioning the knees of the parturient. When the parturient is kneeling and sitting on the kneeling pad 3, the position of the torso can be positioned through the grooves 30 to maintain the correct forward leaning kneeling position. posture.
如图5所示,枕垫1下方还设有用于调节高度的升降机构,升降机构包括底座5、升降杆50、顶座10和升降器6,升降杆50固定于底座5上方,顶座10开设有升降槽,升降杆50穿入到升降槽内,升降器6位于升降槽和升降杆50之间。As shown in FIG. 5 , a lifting mechanism for adjusting the height is also provided below the pillow 1. The lifting mechanism includes a base 5, a lifting rod 50, a top seat 10 and a lifter 6. The lifting rod 50 is fixed above the base 5, and the top seat 10 A lifting groove is provided, the lifting rod 50 penetrates into the lifting groove, and the lifter 6 is located between the lifting groove and the lifting rod 50 .
如图6所示,底座5上方设有底限位板55,通过底限位板55形成一个升降器6固定的底槽,使得升降器6可以稳定的固定在底座5和枕垫1之间,本实施例中升降器6采用剪式升降机,其升降幅度较大,可以允许产妇在任意高度内选择所需的最舒适高度。As shown in FIG. 6 , a bottom limit plate 55 is arranged above the base 5 , and a bottom groove for fixing the lifter 6 is formed by the bottom limit plate 55 , so that the lifter 6 can be stably fixed between the base 5 and the pillow 1 . , in this embodiment, the lifter 6 adopts a scissor lift, which has a large lifting range, which can allow the puerpera to choose the most comfortable height required within any height.
如图7至图11所示,趴垫2包括前垫21、中垫22、后垫23、伸缩机构和驱动器26,前垫21与枕垫1连接,后垫23与跪垫3连接,伸缩机构用于前垫21和后垫23相对中垫22产生移动,伸缩机构包括滑轨242、滑杆241、活动结构和驱动器26,前垫21和后垫23固定于不同的滑杆241上,中垫22固定于滑轨242上,驱动器26带动滑杆241相对滑轨242活动;通过滑轨242与滑杆241的配合,使得前垫21和后垫23可以相对中垫22进行直线往复活动,前垫21和后垫23之间的间距即为趴垫2的整体长度。As shown in FIGS. 7 to 11 , the lying pad 2 includes a front pad 21 , a middle pad 22 , a rear pad 23 , a telescopic mechanism and a driver 26 , the front pad 21 is connected to the pillow pad 1 , and the rear pad 23 is connected to the kneeling pad 3 . The mechanism is used to move the front pad 21 and the rear pad 23 relative to the middle pad 22. The telescopic mechanism includes a slide rail 242, a slide bar 241, a movable structure and a driver 26. The front pad 21 and the rear pad 23 are fixed on different slide bars 241. The middle pad 22 is fixed on the slide rail 242, and the driver 26 drives the slide bar 241 to move relative to the slide rail 242; through the cooperation of the slide rail 242 and the slide bar 241, the front pad 21 and the rear pad 23 can perform linear reciprocating movement relative to the middle pad 22 , the distance between the front pad 21 and the rear pad 23 is the overall length of the lying pad 2 .
如图12所示,控制器包括调高按钮71和调长按钮73;枕垫1上设有高度显示器72和长度显示器74。As shown in FIG. 12 , the controller includes a height adjustment button 71 and a length adjustment button 73 ; a height display 72 and a length display 74 are provided on the pillow cushion 1 .
调高按钮71,耦接升降器6,用于控制枕垫1上升或下降,来对枕垫1的高度进行调节。The height adjustment button 71 is coupled to the lifter 6 and is used to control the up or down of the pillow pad 1 to adjust the height of the pillow pad 1 .
高度显示器72,耦接升降器6,用于辅助显示枕垫1所处的高度;A height display 72, coupled to the lifter 6, is used to assist in displaying the height of the pillow pad 1;
调长按钮73,耦接驱动器26,用于控制前垫21和后垫23相对中垫22的距离,来对趴垫2的长度进行调节。The length adjustment button 73 is coupled to the driver 26 and is used to control the distance between the front pad 21 and the rear pad 23 relative to the middle pad 22 to adjust the length of the lying pad 2 .
长度显示器74,偶尔及驱动器26,用于辅助显示趴垫2的长度。A length indicator 74, and occasionally the driver 26, is used to assist in displaying the length of the bed pad 2.
其中高度显示器72和长度显示器74并非对实际的数值进行监测,而是通过按钮的摁压时间,通过驱动器25或升降器6的活动时间的数值进行换算,得到的辅助观察的数值,以降低成本,不然装多个检测器成本过高且意义并不大,反而造成浪费和成本的提高。The height display 72 and the length display 74 do not monitor the actual value, but are converted through the pressing time of the button and the value of the active time of the driver 25 or the lifter 6 to obtain the value of auxiliary observation to reduce the cost. Otherwise, the cost of installing multiple detectors is too high and meaningless, but it will cause waste and increase the cost.
通过上述调高按钮71和调长按钮73,产妇可以趴在接产装置上,控制器位置位于枕垫1的右上角(便于产妇自行进行控制和调节),通过手指控制按钮对枕垫1高度和趴垫2长度进行调节,可以快速的找到最为舒适的前倾跪位姿势。且产妇体力不支时,也可以在助产人员的辅助下对姿势进行调节,更为省力。而枕垫1上的高度显示器72和长度显示器74,产妇可以记住该高度和长度数值,在后续使用时以快速找到最适体位。Through the above-mentioned height adjustment button 71 and length adjustment button 73, the mother can lie on the delivery device, and the controller is located at the upper right corner of the pillow 1 (which is convenient for the mother to control and adjust by herself), and the height of the pillow 1 can be adjusted by the finger control buttons. By adjusting the length of the lying pad 2, you can quickly find the most comfortable forward kneeling position. And when the mother is not physically strong, she can also adjust the posture with the assistance of the midwife, which is more labor-saving. As for the height display 72 and the length display 74 on the pillow 1, the mother can remember the height and length values, so as to quickly find the most suitable body position during subsequent use.
如图10至图11所示,活动结构用于前垫21和后垫23相对中垫22产生镜像同步移动,即使得前垫21移动的距离和后垫23移动距离相同,活动结构包括传动轴25和两组对称活动组件,传动轴25与驱动器26连接,对称活动组件包括两根齿条28、一个同步齿轮27,两根齿条28的齿面相对设置,两根齿条27分别固定在前垫21和后垫23上,同步齿轮27同时啮合两根齿条28,传动轴25的端部同两组对称活动组件内的同步齿轮27啮合。当驱动器25带动传动轴25旋转时,传动轴25端部带动同步齿轮27旋转,使得两个齿条27朝向相反的方向进行同步移动,因此使得前垫21和后垫23相对中垫22移动相同的距离,保证产妇不会因为单边间隙过大而缺乏躯干的支撑。As shown in FIGS. 10 to 11 , the movable structure is used for the mirror-image synchronous movement of the front pad 21 and the rear pad 23 relative to the middle pad 22 , that is, the moving distance of the front pad 21 and the rear pad 23 are the same, and the movable structure includes a transmission shaft. 25 and two sets of symmetrical movable assemblies, the transmission shaft 25 is connected with the driver 26, the symmetrical movable assembly includes two racks 28 and a synchronizing gear 27, the tooth surfaces of the two racks 28 are oppositely arranged, and the two racks 27 are respectively fixed on the On the front pad 21 and the rear pad 23, the synchronizing gears 27 mesh with the two racks 28 at the same time, and the end of the transmission shaft 25 meshes with the synchronizing gears 27 in the two sets of symmetrical movable assemblies. When the driver 25 drives the transmission shaft 25 to rotate, the end of the transmission shaft 25 drives the synchronous gear 27 to rotate, so that the two racks 27 move synchronously in opposite directions, so that the front pad 21 and the rear pad 23 move the same relative to the middle pad 22 The distance ensures that the mother will not lack the support of the trunk due to the excessive unilateral gap.
如图8所示,凹腔20内还设有泥塑腔204和气腔202,泥塑腔204位于凹腔20的底部,气腔202位于泥塑腔204上方。泥塑腔204主要是为了支撑产妇凸起的腹部,由于产妇腹部形状各不相同(腹部有尖有圆,因此腹部与凹腔20底部接触面积各不相同),需要通过助产士或产妇自己将泥塑腔204挤捏形成一个凹凸不平好支撑腹部的软垫,避免胎儿悬空而带来的坠胀感,以及腹部直接接触凹腔20底部所带来的不适(通过泥塑腔204和气腔202缓冲)。As shown in FIG. 8 , the cavity 20 is further provided with a clay cavity 204 and an air cavity 202 , the clay cavity 204 is located at the bottom of the cavity 20 , and the air cavity 202 is located above the clay cavity 204 . The clay sculpting cavity 204 is mainly used to support the protruding abdomen of the puerpera. Since the shape of the puerpera’s abdomen is different (the abdomen has a point and a circle, so the contact area between the abdomen and the bottom of the cavity 20 is different), it is necessary to use the midwife or the puerper to put the clay sculpting cavity into the cavity. 204 is squeezed to form a bumpy cushion that supports the abdomen well, avoiding the feeling of bloating caused by the fetus hanging in the air, and the discomfort caused by the abdomen directly touching the bottom of the cavity 20 (buffered by the clay cavity 204 and the air cavity 202).
泥塑腔204内填充有泥料,泥料为碳酸钙粉末、液体石蜡和甘油的混合物,液体石蜡和甘油可以避免碳酸钙粉末干燥,主要用于保湿,使得泥料处于软泥的可塑性状态。隔离层203将泥塑腔204和气腔202进行分离,避免泥料漏出或者空气暴露接触泥料。The clay plastic cavity 204 is filled with mud, and the mud is a mixture of calcium carbonate powder, liquid paraffin and glycerin. Liquid paraffin and glycerin can prevent the calcium carbonate powder from drying, and are mainly used for moisturizing, so that the mud is in a plastic state of ooze. The isolation layer 203 separates the clay plastic cavity 204 and the air cavity 202 to prevent leakage of the clay material or exposure of the air to the clay material.
气腔202外侧通过表层201封闭,表层201带有充气嘴205,充气嘴205与气腔202连通,气腔202主要是避免产妇腹部直接接触泥料,避免腹部皮肤直接接触较硬的载面(泥料或凹腔20底部)带来的不适感,通过空气作为软垫,使得产妇在趴伏在趴垫2上时,腹部放置更为舒适。The outer side of the air cavity 202 is closed by the surface layer 201, and the surface layer 201 is provided with an inflatable nozzle 205. The inflatable nozzle 205 is communicated with the air cavity 202. The air cavity 202 is mainly used to prevent the mother's abdomen from directly contacting the mud and preventing the abdominal skin from directly contacting the hard carrier surface ( The discomfort caused by the mud or the bottom of the cavity 20 ) is used as a soft cushion by the air, so that when the puerpera lies on the tummy cushion 2, the abdomen is more comfortable.
如图5所示,枕垫1的前方设有用于产妇抓握的抓握杆4,抓握杆4包括两个侧握杆40和中握杆41,两个侧握杆40位于枕垫1两侧,中握杆41位于枕垫1中部,侧握杆40和中握杆41均位于枕垫1的前方,产妇在分娩时可以握紧抓握杆4进行施力,侧握杆40和中握杆41允许产妇可以以多种自由的姿势进行抓握,以达到最为舒适的体位。As shown in FIG. 5 , the front of the pillow cushion 1 is provided with a grasping rod 4 for maternity grasping. The grasping rod 4 includes two side grip rods 40 and a middle grip rod 41 , and the two side grip rods 40 are located on the pillow cushion 1 . On both sides, the middle grip bar 41 is located in the middle of the pillow 1, and the side grip bar 40 and the middle grip bar 41 are both located in front of the pillow 1. The parturient can hold the grip bar 4 to exert force during childbirth. The side grip bar 40 and The middle grip bar 41 allows the mother to grasp in various free positions to achieve the most comfortable body position.
其中,侧握杆40均呈矩形,侧握杆40包括依次连接的内竖杆401、上横杆402、外竖杆403和下横杆404,下横杆404的高度与枕垫1齐平且位于枕垫1前方,上横杆402位于下横杆404上方,内竖杆401靠近枕垫1中部,外竖杆403靠近枕垫1侧边部。The side grip bars 40 are all rectangular, and the side grip bars 40 include an inner vertical bar 401 , an upper horizontal bar 402 , an outer vertical bar 403 and a lower horizontal bar 404 connected in sequence, and the height of the lower horizontal bar 404 is flush with the pillow 1 . The upper cross bar 402 is located above the lower cross bar 404 , the inner vertical bar 401 is near the middle of the pillow pad 1 , and the outer vertical bar 403 is near the side of the pillow pad 1 .
内竖杆401、上横杆402、外竖杆403和下横杆404使得产妇可以抓握多个部位,并且可以反手、正手进行抓握,抓握的姿势可以更多,允许产妇在多个抓握姿势中找到最为舒适的抓握方式;且在本实施例中,矩形的侧握杆40使得产妇可以从侧握杆40中部穿过正手抓握下横杆404;上横杆402既可以正手抓握也可以反手抓握,而内竖杆401和外竖杆403均为间距不同的正手抓握方式。The inner vertical bar 401, the upper horizontal bar 402, the outer vertical bar 403 and the lower horizontal bar 404 enable the puerpera to grasp multiple parts, and can grasp with the backhand and the forehand, and the grasping posture can be more, allowing the puerpera to grasp multiple parts. Find the most comfortable way of grasping among the different grasping positions; and in this embodiment, the rectangular side grip bar 40 enables the parturient to grasp the lower cross bar 404 through the forehand from the middle of the side grip bar 40; the upper cross bar 402 Both the forehand and the backhand can be grasped, and the inner vertical rod 401 and the outer vertical rod 403 are both forehand grasping methods with different distances.
如图6所述,底座5包括底板51、结构板54和支撑柱53,底板51的前方设有前支板52,前支板52与底板51一体成型呈“凸”形,结构板54位于底板51上方,结构板54两侧与升降杆50连接,支撑柱53两端连接支撑柱53和前支板52。As shown in FIG. 6 , the base 5 includes a bottom plate 51 , a structural plate 54 and a support column 53 . A front support plate 52 is arranged in front of the bottom plate 51 . The front support plate 52 and the bottom plate 51 are integrally formed in a “convex” shape. Above the bottom plate 51 , the two sides of the structural plate 54 are connected to the lifting rod 50 , and the two ends of the support column 53 are connected to the support column 53 and the front support plate 52 .
底板51增加了整个底座5的接触面积,提高摩擦力,避免产妇在压靠时,底座5前移;而前支板52使得底板51的跨幅增加,避免底座5朝向前侧翻倒,提高底板51的稳定性。The bottom plate 51 increases the contact area of the entire base 5, improves the frictional force, and prevents the base 5 from moving forward when the puerpera is pressed against; and the front support plate 52 increases the span of the bottom plate 51, prevents the base 5 from tipping over toward the front side, and improves the Stability of the bottom plate 51 .
而结构板54和支撑柱53用于将整个底座构成框架结构,使得前支板52在底座5向前侧压时,能够承受更大的压力,避免前支板52形变扭曲或折断,而结构板54和底板51之间留有空间,可以用来放置配重的钢块,为底座提供更高的稳定性,避免底座滑动、晃动或翻倒。结构板54和底板51之间的空间还可以用来摆放其他接产工具如一次性的产包、脸盆等,提高接产装置的储放空间。The structural plate 54 and the support column 53 are used to form the entire base into a frame structure, so that the front support plate 52 can bear a greater pressure when the base 5 is pressed forward and sideways, so as to avoid the front support plate 52 from being deformed, twisted or broken, and the structure A space is left between the plate 54 and the bottom plate 51, which can be used to place the steel block of the counterweight, which provides higher stability for the base and prevents the base from sliding, shaking or tipping over. The space between the structural plate 54 and the bottom plate 51 can also be used to place other delivery tools, such as a disposable delivery bag, a washbasin, etc., to improve the storage space of the delivery device.
在自调式前倾跪位接产装置使用时,其使用步骤如下:When using the self-adjusting forward-leaning kneeling delivery device, its use steps are as follows:
1.产妇双膝和小腿跪在跪垫3的凹槽30中,将膝盖贴近趴垫2的底端。1. The parturient kneels in the groove 30 of the kneeling pad 3 with both knees and calves, and brings the knees close to the bottom of the lying pad 2.
2.产妇双手支靠在枕垫1上,同时身体前倾将躯干趴在趴垫2上,通过控制器上的调高按钮71和调长按钮73来调节枕垫1的高度和趴垫2的长度,以适应不同体型产妇,同时当产妇寻找到最舒适的前倾跪位姿势时,将此时的高度显示器72和长度显示器74显示的高度和长度数值进行记录,便于下次调节。2. The puerpera leans forward with both hands on the pillow cushion 1, and at the same time leans forward to lay the torso on the lying cushion 2, and adjusts the height of the pillow cushion 1 and the lying cushion 2 through the height adjustment button 71 and the length adjustment button 73 on the controller. The length of the puerperium can be adapted to different body shapes. At the same time, when the puerpera finds the most comfortable forward kneeling posture, the height and length values displayed by the height display 72 and the length display 74 at this time are recorded to facilitate the next adjustment.
3.产妇双手支撑在趴垫2或枕垫1上,上身不断贴合趴垫2表面,并将隆起的腹部放入到凹腔20内,根据舒适程度用手对泥料进行挤捏,使得泥塑腔204能够与腹部形状相适配,之后通过充气嘴205将气腔202吹胀,之后将腹部重新放入到凹腔20内,放出气腔202内空气,使得产妇腹部可以达到最舒适的状态。3. The puerpera’s hands are supported on the lying pad 2 or the pillow pad 1, the upper body is continuously attached to the surface of the lying pad 2, and the raised abdomen is put into the cavity 20, and the mud is squeezed by hand according to the comfort level, so that The clay plastic cavity 204 can be adapted to the shape of the abdomen, and then the air cavity 202 is inflated through the inflation nozzle 205, and then the abdomen is put back into the cavity 20, and the air in the air cavity 202 is released, so that the mother's abdomen can reach the most comfortable position. state.
4.产妇躯干完全贴合趴垫2表面,并将手向前伸至抓握杆4处,在多个杆(内竖杆401、上横杆402、外竖杆403、下横杆404和中握杆41)之间挑选最为舒适和安全的抓握姿势,以保证分娩时的舒适性和安全性。4. The parturient's torso completely fits the surface of the lying pad 2, and stretches her hand forward to the gripping rod 4. On the multiple rods (the inner vertical rod 401, the upper horizontal rod 402, the outer vertical rod 403, the lower horizontal rod 404 and the The most comfortable and safe grasping position is selected among the middle grip bars 41) to ensure the comfort and safety during childbirth.
以上所述是本发明的优选实施方式,对于本领域的普通技术人员来说不脱离本发明原理的前提下,还可以做出若干变型和改进,这些也应视为本发明的保护范围。The above are the preferred embodiments of the present invention. For those of ordinary skill in the art, without departing from the principles of the present invention, several modifications and improvements can be made, which should also be regarded as the protection scope of the present invention.
Claims (9)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811538245.4A CN109966098A (en) | 2018-12-16 | 2018-12-16 | Self-adjustable, which leans forward, to be kneeled position and practices midwifery device |
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| CN201811538245.4A CN109966098A (en) | 2018-12-16 | 2018-12-16 | Self-adjustable, which leans forward, to be kneeled position and practices midwifery device |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110478182A (en) * | 2019-09-04 | 2019-11-22 | 江苏大学附属医院 | Multi-functional obstetric chair |
| CN111329708A (en) * | 2020-03-13 | 2020-06-26 | 孙冰 | Auxiliary instrument for anorectal examination |
| CN112353615A (en) * | 2020-11-10 | 2021-02-12 | 浙江大学 | Fetal position correcting device |
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| CN111329708A (en) * | 2020-03-13 | 2020-06-26 | 孙冰 | Auxiliary instrument for anorectal examination |
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Application publication date: 20190705 |