CN109966100B - Automatic spiral wrapping type dressing change device - Google Patents

Automatic spiral wrapping type dressing change device Download PDF

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Publication number
CN109966100B
CN109966100B CN201910231196.8A CN201910231196A CN109966100B CN 109966100 B CN109966100 B CN 109966100B CN 201910231196 A CN201910231196 A CN 201910231196A CN 109966100 B CN109966100 B CN 109966100B
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bandage
groove
fixed
rod
limb
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CN109966100A (en
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陆娴
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Changzhou Second Peoples Hospital
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Changzhou Second Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F15/00Auxiliary appliances for wound dressings; Dispensing containers for dressings or bandages
    • A61F15/005Bandage applicators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F15/00Auxiliary appliances for wound dressings; Dispensing containers for dressings or bandages
    • A61F15/007Bandage winders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1245Knees, upper or lower legs

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

The invention discloses an automatic spiral dressing type dressing change device, which comprises a sickbed body and wound dressing devices symmetrically arranged on two sides of the sickbed body, wherein each wound dressing device comprises a supporting plate, a lifting mechanism connected with the supporting plate in a sliding manner and a transmission mechanism arranged on the lifting mechanism, and each transmission mechanism comprises a rotary disc and a bandage winding device; the bandage winding device comprises a screw rod, a shell and a walking gear, wherein the shell is arranged on the screw rod in a sleeved mode, the walking gear is connected with the screw rod in a meshed mode, a central shaft of the walking gear extends to the outside of a limiting groove and is connected with a T-shaped connecting rod in a rotating mode, the bottom end of the connecting rod is connected with an elastic bandage fixing clamp through a rotating mechanism, a spiral reverse folding method is achieved through the bandage winding device, bandage deviation is prevented when the bandage is bound, the bandage is uniform and firm to wrap, meanwhile, the medicine applying efficiency is improved, the tensioning degree of the bandage can be automatically adjusted when the bandage is bound, the bandage is prevented from being loosened, the bandage winding device is pushed to the lower portion of a sick bed after the bandage winding device is used, and the occupied space of the bandage winding device is saved.

Description

Automatic spiral wrapping type dressing change device
Technical Field
The invention relates to the technical field of medical equipment, in particular to an automatic spiral wrapping type dressing change device.
Background
At present, in clinic, orthopedic patients need to change dressings frequently after operations to accelerate healing and relieve the pain of the patients, so that medical workers check and change dressings for wounds of the patients, which plays an important role in promoting the healing of the wounds and preventing complications; when changing the medicine, the medical staff generally lifts the affected limb of the patient or places the affected limb on a temporary article so as to fully expose the affected part, so that the patient is required to take a comfortable position when changing the medicine, and then the affected limb is supported by the assistance of a plurality of medical staff together so as to facilitate the medicine changing of the doctor; in addition, for orthopedic patients, the patients are often bound after the medicines are replaced, so as to avoid infection of affected parts.
The application publication number is "CN 107822817A"'s chinese patent, discloses an orthopedics nursing is with device of changing dressings, including base, dead lever, telescopic link I, bracing piece, telescopic link II, layer board, connecting rod, sleeve, has solved the problem that above-mentioned existence, but, this patent still has following problem:
(1) cross-infection is easy to occur when the wound of a patient is exposed for a long time due to the time course of dressing change;
(2) when dressing change is carried out, the wound of a patient needs to be cleaned by using a disinfectant, and blood water or disinfection waste liquid after cleaning flows to the ground, so that the environment is polluted and the cleaning is inconvenient;
(3) when the bandage that the device was equipped with wraps auxiliary device and wraps patient's wound, can only make the bandage carry out annular winding to the wound position and wrap, lead to wrapping unevenly, can make patient's wound periphery and external contact, and then arouse the germ infection easily.
Disclosure of Invention
The invention aims to provide an automatic spiral wrapping type dressing change device to solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: an automatic spiral wrapping type dressing change device comprises a hospital bed body and wound wrapping devices symmetrically arranged on two sides of the hospital bed body, wherein each wound wrapping device comprises a supporting plate, a lifting mechanism connected with the supporting plate in a sliding mode and a transmission mechanism arranged on the lifting mechanism, the supporting plate is of a fan-shaped structure and is installed on the hospital bed body through the sliding mechanism, a storage cavity is formed in the bottom of the supporting plate along the length of the supporting plate, a liquid storage drawer is arranged in the storage cavity, the lifting mechanism comprises a first lifting mechanism and a second lifting mechanism which are identical in structure, the upper ends of the first lifting mechanism and the second lifting mechanism are respectively and correspondingly provided with a first limb supporting block and a second limb supporting block, the first limb supporting block is fixed on the first lifting mechanism through the transmission mechanism, the lifting mechanism comprises a threaded telescopic rod and a limiting sliding block arranged at the bottom of the threaded telescopic rod, the limiting slide block is connected with a sliding groove which is arranged along the length of the upper end surface of the supporting plate in a sliding way, fixing holes are arranged at the edges of two sides of the upper end of the sliding groove at equal intervals along the length of the sliding groove, and a plurality of filtrate holes are arranged on the bottom surface of the sliding groove;
the driving mechanism comprises a rotating disc and a bandage winding device, a rotating groove is formed in one side of the rotating disc, a Z-shaped rotating handle is fixed to the center of the other side of the rotating disc through a bearing sleeve, the rotating disc is fixed to the top end of a threaded telescopic rod through a fixing rod through the bearing sleeve, a driving gear is fixed to one end of the rotating handle and vertically extends into the rotating groove, a Z-shaped connecting shaft is fixed to the right side of the driving gear through a bearing, a first limb supporting block is fixed to the connecting shaft, at least two driven gears meshed and connected with the driving gear are arranged in the rotating groove located on the outer side of the driving gear, and the driven gears are meshed and connected with gear strips arranged on the inner wall of the rotating groove;
bandage wind includes the screw rod, sets up the walking gear of establishing the casing on the screw rod and being connected with the screw rod meshing, and one of them is passed to the one end of screw rod driven gear's central point puts and with this driven gear fixed connection, driven gear's one end is connected to the screw rod is passed through the bearing and is fixed in rotatory recess bottom, the spacing groove has been seted up along its length to the casing, walking gear's center pin extends to outside the spacing groove and swivelling joint has "T" shape connecting rod, and the connecting rod bottom is connected elastic bandage fixation clamp through slewing mechanism, be provided with straining device on the bandage fixation clamp.
Preferably, the upper end faces of the support plate positioned at the left side and the right side of the sliding groove are arc-shaped faces inclined towards the sliding groove.
Preferably, the top ends of the first limb support block and the second limb support block are provided with arc grooves matched with the curved surface of the limb, and fixing bandages for fixing the limb are arranged on the side walls of the first limb support block and the second limb support block.
Preferably, the sliding mechanism comprises a pair of moving rods fixed on the side walls of the supporting plate close to the sickbed body, the upper ends of the moving rods are of a spherical structure, the upper ends of the moving rods are in sliding connection with spherical grooves I which are of an arc-shaped structure along the track formed by the width of the bottom end face of the sickbed body, and the curved surface formed between the two spherical grooves I is the same as the curved surface of the supporting plate located between the moving rods.
Preferably, the two side walls of the sickbed body above the spherical groove I are provided with a spherical groove II matched with the moving rod along the length of the two side walls, the spherical groove II is connected with the tail end of the spherical groove I through a transition sliding groove, and the spherical groove II is internally provided with limiting blind holes at equal intervals.
Preferably, the distance between every two adjacent limiting blind holes is equal to the diameter of the upper end of the movable rod.
Preferably, the distance between every two adjacent fixing holes is equal to the width of the limiting slide block.
Preferably, the inner walls of the two sides of the liquid storage drawer are provided with ultraviolet disinfection lamps, and the ultraviolet disinfection lamps are electrically connected with a power supply arranged on the supporting plate.
Preferably, slewing mechanism includes the dwang of being connected with the bandage fixation clamp, the dwang is "T" shape structure, and the dwang top is provided with the arc arch, and the dwang top rotates the draw-in groove with the bottom that sets up at the connecting rod and rotates and be connected.
Preferably, the tensioning mechanism comprises a fixed rod fixed on the bandage fixing clamp, and a first tensioning roller and a second tensioning roller which are sequentially fixed on the fixed rod from left to right, the first tensioning roller is fixed on the fixed rod through a spring, and the distance from the first tensioning roller to the fixed rod is greater than the distance from the second tensioning roller to the fixed rod.
Compared with the prior art, the invention has the beneficial effects that:
(1) according to the invention, the driven gears are driven to rotate through the hand-operated driving gear, the driven gears drive the rotating discs to rotate while rotating, and the bandage winding device is arranged on one of the driven gears and comprises the screw rod, the shell which is sleeved on the screw rod and the walking gear which is meshed and connected with the screw rod, so that the walking gear moves on the screw rod and revolves around the rotating discs along with the driven gear, and therefore, the wound is bound movably by the bandage on the walking gear, the wound of the limb of a patient can be conveniently dressed by medical personnel, dressing at different positions is realized, and the pain of the patient in lifting the leg and changing the dressing for many times is relieved.
(2) The rotating mechanism comprises a rotating rod connected with the bandage fixing clamp, the rotating rod is of a T-shaped structure, and the top end of the rotating rod is provided with an arc-shaped bulge and is rotationally connected with a rotating clamping groove arranged at the bottom end of the connecting rod, gaps are reserved between the left side and the right side of the upper end of the connecting rod and the inner wall of the rotary clamping groove, on one hand, in order to enable the connecting rod to swing left and right by taking the arc-shaped bulge as a supporting point, the rotating rod can swing in the rotary clamping groove, the two ends of the bandage can swing together by the rotating rod, because the diameter of the limb is not uniform, the bandage can be more attached to the limb of the patient when the limb is wound in the dressing process, on the other hand, when the other end of wound is wrapped to the one end spiral of wound from patient's limbs wound to bandage wind, make the bandage turn over through rotatory dwang, continue to wrap the wound in reverse direction, improved and wrapped the effect.
(3) When the walking gear moves from one end of the limb wound to the edge of the other end of the limb wound, medical staff only need to rotate the rotating mechanism with hands to reversely fold the bandage and then reversely rotate the rotating handle to reversely wrap the wound by the walking gear.
(4) The top ends of the first limb supporting block and the second limb supporting block are provided with arc grooves matched with limb curved surfaces, so that the comfort of limbs of a patient is improved, the fixing bandages for fixing the limbs are arranged on the side walls of the first limb supporting block and the second limb supporting block and are used for fixing the limbs of the patient, the leg pain of the patient is prevented from causing the involuntary contraction of knees when the patient receives the drug effect in the drug applying process, the drug applying unevenness is effectively prevented, the drug applying time is shortened, the drug applying efficiency is improved, and meanwhile, the cross infection of wounds caused by the overlong drug applying time is avoided.
(5) The upper end surfaces of the support plate positioned on the left side and the right side of the sliding groove are arc surfaces inclined towards the sliding groove, when a medical worker cleans a wound of a patient, disinfection waste liquid or blood can fall into the liquid storage drawer from the support plate, so that the waste liquid can be prevented from flowing to the ground, the environment pollution caused by the waste liquid and the necessity of cleaning the waste liquid are avoided, the bottom of the support plate is provided with a storage cavity along the length of the support plate, the liquid storage drawer is arranged in the storage cavity, and the inner walls of the two sides of the liquid storage drawer are provided with ultraviolet disinfection lamps for sterilizing and disinfecting the waste liquid collected in the liquid storage drawer, so that the cross infection of the patient during reuse is prevented.
(6) The sliding mechanism comprises a pair of moving rods fixed on the side walls of a supporting plate close to a sickbed body, the upper ends of the moving rods are of a spherical structure, the moving rods are prevented from being drawn out of a first spherical groove when the supporting plate is drawn out, the upper ends of the moving rods are in sliding connection with a first spherical groove which is of an arc-shaped structure along the track formed on the bottom end face of the sickbed body, the curved surface formed between the first spherical grooves is the same as the curved surface of the supporting plate positioned between the moving rods, when the sickbed is used, the supporting plate can be drawn out of the sickbed body along the arc-shaped track, the supporting plate slides into the sickbed body after use, so that the occupied space of the supporting plate is saved, the sickbed is very convenient to use, second spherical grooves matched with the moving rods are formed in the two side walls of the sickbed body above the first spherical grooves along the length of the two spherical grooves, and the second spherical grooves are connected with the tail ends of the first spherical grooves through transition sliding grooves, the support plate drawn out slides into the spherical groove II through the transition sliding groove, the position of the support plate can be properly moved in the spherical groove II according to the height of a patient, and the practicability is high.
(7) The bandage fixing clamp is provided with the tensioning mechanism, the tensioning mechanism comprises a fixing rod fixed on the bandage fixing clamp, and a first tensioning roller and a second tensioning roller which are sequentially fixed on the fixing rod from left to right, the first tensioning roller is fixed on the fixing rod through a spring, the distance from the first tensioning roller to the fixing rod is larger than the distance from the second tensioning roller to the fixing rod, and the first tensioning roller can automatically adjust the tightness of a bandage in a wrapping process, so that the bandage is always in a tightened state, and the phenomenon of loose wrapping can be effectively avoided.
Therefore, according to the automatic spiral wrapping type dressing change device provided by the invention, the wrapping mode is a spiral reverse folding method through the wrapping device, the phenomenon that a bandage deviates in the wrapping process is avoided, the device is suitable for positions with different limb thicknesses, the wrapping is uniform and firm, the problem of germ infection caused by the fact that the periphery of a wound of a patient is in contact with the outside is avoided, meanwhile, the dressing efficiency is improved, waste liquid can be prevented from flowing to the ground, the waste liquid pollutes the environment and the necessity of cleaning the waste liquid is avoided, the tensioning degree of the bandage can be automatically adjusted through the tensioning mechanism in the wrapping process, the phenomenon of loosening of the wrapping is avoided, the wrapping device can be pushed to the lower side of a patient bed after use, the occupied space of the wrapping device is saved, and the practicability is high.
Drawings
Figure 1 is a schematic view of the moment the dressing is fixed to the side wall of the bed;
FIG. 2 is a top expanded view of the structure of the present invention;
FIG. 3 is a side view of the construction of the dressing;
figure 4 is a schematic view of the moment the dressing is slid to the bottom of the bed;
FIG. 5 is a schematic view of the construction of the bandage winding apparatus;
FIG. 6 is a side view of the construction of the bandage wrapping apparatus;
figure 7 is a schematic representation of a wound after dressing.
In the figure: 1. a sickbed body; 2. a support plate; 3. a storage chamber; 4. a liquid storage drawer; 5. a first lifting mechanism; 6. a first lifting mechanism; 7. a limb supporting block I; 8. a limb supporting block II; 9. a threaded telescopic rod; 10. a limiting slide block; 11. a sliding groove; 12. a fixing hole; 13. a filtrate well; 14. rotating the disc; 15. rotating the groove; 16. a bearing housing; 17. rotating the handle; 18. a driving gear; 19. a driven gear; 20. a screw; 21. a housing; 22. a traveling gear; 23. a limiting groove; 24. a connecting rod; 25. a bandage fixing clip; 26. fixing a bandage; 27. a travel bar; 28. a first spherical groove; 29. a spherical groove II; 30. a limiting blind hole; 31. an ultraviolet disinfection lamp; 32. rotating the rod; 33. tensioning the first roller; 34. and tensioning the second roller.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-7, an embodiment of the present invention is shown: an automatic spiral wrapping type dressing change device comprises a hospital bed body 1 and wound wrapping devices symmetrically arranged on two sides of the hospital bed body 1, wherein each wound wrapping device comprises a supporting plate 2, a lifting mechanism connected with the supporting plate 2 in a sliding mode and a transmission mechanism arranged on the lifting mechanism, the supporting plate 2 is of a fan-shaped structure, the supporting plate 2 is installed on the hospital bed body 1 through the sliding mechanism, the sliding mechanism comprises a pair of moving rods 27 fixed on the side wall of the supporting plate 2 close to the hospital bed body 1, the upper ends of the moving rods 27 are of a spherical structure, the moving rods 27 are prevented from being drawn out of spherical center grooves I28 when the supporting plate 2 is drawn out, the upper ends of the moving rods 27 are in sliding connection with spherical grooves I28 of an arc-shaped structure along the track formed on the width of the bottom end face of the hospital bed body 1, and the curved surface formed between the two spherical grooves I28 is identical to the curved surface of the supporting plate 2 between the moving rods 27, when the sickbed is used, the supporting plate 2 can be pulled out from the sickbed body 1 along an arc-shaped track, the supporting plate 2 slides into the sickbed body 1 after the sickbed is used up, so that the occupied space of the supporting plate 2 is saved, two side walls of the sickbed body 1 above the spherical groove I28 are provided with spherical grooves II 29 matched with the moving rod 27 along the length of the two side walls, the spherical grooves II 29 are connected with the tail ends of the spherical grooves I28 through transition sliding grooves, the pulled-out supporting plate 2 slides into the spherical grooves II 29 through the transition sliding grooves, the position of the supporting plate 2 can be properly moved in the spherical grooves II 29 according to the height of a patient, the spherical grooves II 29 are internally provided with limiting blind holes 30 at equal intervals, the distance between every two adjacent limiting blind holes 30 is equal to the diameter of the upper end of the moving rod 27, the upper end of the moving rod 27 is fixed in the spherical groove II 29 between the two adjacent limiting blind holes 30 through a bolt after the supporting plate 2 is adjusted, thereby fixing the support plate 2 on the side wall of the sickbed body 1, the upper end surfaces of the support plate 2 positioned at the left side and the right side of the sliding groove 11 are arc surfaces inclined towards the sliding groove 11, when a medical staff cleans a wound for a patient, the disinfection waste liquid or blood can fall into the liquid storage drawer 4 from the support plate 2, thereby preventing the waste liquid from flowing to the ground, avoiding the necessity of the waste liquid polluting the environment and needing to clean the waste liquid, the bottom of the support plate 2 is provided with a storage chamber 3 along the length thereof, the liquid storage drawer 4 is arranged in the storage chamber 3, the inner walls at the two sides of the liquid storage drawer 4 are provided with ultraviolet disinfection lamps 31, the ultraviolet disinfection lamps 31 are electrically connected with a power supply arranged on the support plate 2 and are used for sterilizing and disinfecting the waste liquid collected in the liquid storage drawer 4 and preventing the patient from cross infection when the patient uses again, the lifting mechanism comprises a first lifting mechanism 5 and a second lifting mechanism 6 which have the same structure, the upper ends of the lifting mechanism I5 and the lifting mechanism II 6 are respectively and correspondingly provided with a limb supporting block I7 and a limb supporting block II 8, the top ends of the limb supporting block I7 and the limb supporting block II 8 are provided with arc-shaped grooves matched with the curved surface of the limb, so that the comfort of the limb of the patient is improved, the side walls of the limb supporting block I7 and the limb supporting block II 8 are provided with fixing bandages 26 for fixing the limb of the patient, the limb of the patient is fixed, the situation that the knee is not unconscious and contracted due to the pain of the leg when the patient is subjected to the drug effect in the drug administration process is prevented, the drug administration is further prevented from being uneven and the drug administration time is reduced effectively, so that the drug administration efficiency is improved, the limb supporting block I7 is fixed on the lifting mechanism I5 through a transmission mechanism, the lifting mechanism comprises a threaded telescopic rod 9 and a limiting slide block 10 arranged at the bottom of the threaded telescopic rod 9, the limiting slide block 10 is connected with a sliding groove 11 formed along the length of the upper end face of the support plate 2 in a sliding mode, fixing holes 12 are formed in the two side edges of the upper end of the sliding groove 11 at equal intervals along the length of the sliding groove, the distance between every two adjacent fixing holes 12 is equal to the width of the limiting slide block 10, the limiting slide block 10 on the lifting mechanism can be moved properly due to different heights of patients, after the lifting mechanism is moved, the limiting slide block 10 can be fixed in the sliding groove 11 between the adjacent fixing holes 12 through bolts, the lifting mechanism is fixed on the support plate 2, and a plurality of filtrate holes 13 are formed in the bottom face of the sliding groove 11;
the transmission mechanism comprises a rotating disc 14 and a bandage winding device, the diameter of the rotating disc 14 is larger than the length of a foot of a patient, when the rotating disc 14 drives the bandage winding device to rotate, the foot of the patient is prevented from blocking the bandage winding device, a rotating groove 15 is formed in one side of the rotating disc 14, a Z-shaped rotating handle 17 is fixed at the center of the other side of the rotating disc 14 through a bearing sleeve 16, the rotating disc 14 is fixed at the top end of a threaded telescopic rod 9 through a fixing rod by the bearing sleeve 16, a driving gear 18 is fixed in the rotating groove 15 in a manner that one end of the rotating handle 17 vertically extends, a Z-shaped connecting shaft is fixed on the right side of the driving gear 18 through a bearing, a limb supporting block I7 is fixed on the connecting shaft, at least two driven gears 19 meshed with the driving gear 18 are arranged in the rotating groove 15 on the outer side of the driving gear 18, the driven gear 19 is meshed with a gear strip arranged on the inner wall of the rotating groove 15, and the rotating disc 14 is manually shaken;
the bandage winding device comprises a screw rod 20, a shell 21 arranged on the screw rod 20 in a sleeved mode and a walking gear 22 connected with the screw rod 20 in a meshed mode, one end of the screw rod 20 penetrates through the central position of one driven gear 19 and is fixedly connected with the driven gear 19, one end, connected with the driven gear 19, of the screw rod 20 is fixed to the bottom end of the rotary groove 15 through a bearing, the screw rod 20 can rotate along with the rotary disc 14, accordingly, the walking gear 23 can be controlled to horizontally move along the screw rod 20, a limiting groove 23 is formed in the length of the shell 21, the central shaft of the walking gear 22 extends out of the limiting groove 23 and is rotatably connected with a T-shaped connecting rod 24, the bottom end of the connecting rod 24 is connected with an elastic bandage fixing clamp 25 through a rotating mechanism, the rotating mechanism comprises a rotating rod 32 connected with the bandage fixing clamp 25, and the rotating rod 32 is of a T-shaped structure, and the top of the rotating rod 32 is provided with an arc-shaped bulge, and the top of the rotating rod 32 is rotatably connected with a rotating clamping groove arranged at the bottom end of the connecting rod 24, the left and right sides of the upper end of the connecting rod 24 are spaced from the inner wall of the rotating clamping groove, on one hand, the rotating rod 32 can swing in the rotating clamping groove in order to enable the connecting rod 24 to swing left and right by taking the arc-shaped bulge as a supporting point, and the rotating rod 32 can enable the two ends of the bandage to swing together, because the diameter of the limb is not uniform, the bandage can be more attached to the limb of a patient when the limb is wound, on the other hand, when the bandage winding device is spirally wrapped from one end of the limb wound of the patient to the other end of the wound, the bandage is reversely wrapped by rotating the rotating rod 32, the wound is continuously wrapped, the wrapping mode is a spiral reverse folding method, and is suitable for the positions with different thicknesses of the limb, and the bandage fixing clamp 25 is provided with a tensioning mechanism, the tensioning mechanism comprises a fixed rod fixed on the bandage fixing clamp 25, and a first tensioning roller 33 and a second tensioning roller 34 which are sequentially fixed on the fixed rod from left to right, the first tensioning roller 33 is fixed on the fixed rod through a spring, the distance from the first tensioning roller 33 to the fixed rod is larger than the distance from the second tensioning roller 34 to the fixed rod, and in the wrapping process, the bandage can be always kept in a tight and tensioned state, so that the phenomenon that the bandage is loosened is avoided.
The working principle is as follows: firstly, the support plate 2 is drawn out from the bottom end of the sickbed body 1, the support plate 2 is moved into the spherical center groove II 29 through the transition sliding groove, the position of the support plate 2 is adjusted according to the height of a patient, after the adjustment, the moving rod 27 on the support plate 2 is fixed in the spherical groove II 29 through the bolt, then the heights of the first limb support block 7 and the second limb support block 8 are adjusted through the lifting mechanism, the bandage is fixed on the bandage fixing clamp 25, the limb of the patient is moved onto the first support block 7 and the second limb support block 8, the limb of the patient is fixed by the fixing bandage 26, the limb of the patient is prevented from moving in the medicine feeding process, because the upper end surfaces of the support plate 2 at the left side and the right side of the sliding groove 11 are arc surfaces inclined towards the sliding groove 11, when a medical staff cleans the wound of the patient, the disinfection waste liquid or the blood can fall into the liquid storage drawer 4 from the support plate 2, thereby preventing the waste liquid from flowing to the ground, avoiding the waste liquid from polluting the environment and needing to clean the waste liquid, arranging ultraviolet disinfection lamps 31 on the inner walls of the two sides of the liquid storage drawer 4, electrically connecting the ultraviolet disinfection lamps 31 with a power supply arranged on the supporting plate 2, being used for sterilizing and disinfecting the waste liquid collected in the liquid storage drawer 4, preventing cross infection when the patient uses the waste liquid again, fixing a bandage winding device at one end edge of a limb wound after the limb of the patient is fixed, rotating a rotating handle 17 by medical personnel, enabling a driving gear 18 to rotate, driving a driven gear 19 to rotate while the driving gear 18 rotates, driving a rotating disc 14 to rotate by the driven gear 19, driving the bandage winding device fixed on the driven gear 19 to wrap the bandage along the leg of the patient along with the rotation of the rotating disc 14, and driving the bandage to move along a screw rod 20 by a walking gear 22 in the rotating process, when the walking gear 22 moves to the edge of the other end of the limb wound, the medical staff reversely rotates the rotating handle 17 after reversely folding the bandage by using the hand rotating and rotating mechanism to reversely wrap the wound by using the walking gear 22.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments described in the foregoing embodiments, or equivalents may be substituted for elements thereof.

Claims (9)

1. The utility model provides an automatic spiral wraps device of changing dressings of formula, includes that sick bed body (1) and symmetry set up the wound wrapping device in sick bed body (1) both sides, its characterized in that: the wound dressing device comprises a supporting plate (2), a lifting mechanism in sliding connection with the supporting plate (2) and a transmission mechanism arranged on the lifting mechanism, wherein the supporting plate (2) is of a fan-shaped structure, the supporting plate (2) is installed on a sickbed body (1) through a sliding mechanism, a storage cavity (3) is formed in the bottom of the supporting plate (2) along the length of the supporting plate, a liquid storage drawer (4) is arranged in the storage cavity (3), the lifting mechanism comprises a first lifting mechanism (5) and a second lifting mechanism (6) which are identical in structure, the upper ends of the first lifting mechanism (5) and the second lifting mechanism (6) are respectively and correspondingly provided with a first limb supporting block (7) and a second limb supporting block (8), the first limb supporting block (7) is fixed on the first lifting mechanism (5) through the transmission mechanism, the lifting mechanism comprises a threaded telescopic rod (9) and a limiting slide block (10) arranged at the bottom of the threaded telescopic rod (9), the limiting slide block (10) is connected with a sliding groove (11) which is formed along the length of the upper end surface of the supporting plate (2) in a sliding mode, fixing holes (12) are formed in the edges of the two sides of the upper end of the sliding groove (11) at equal intervals along the length of the sliding groove, and a plurality of filtrate holes (13) are formed in the bottom surface of the sliding groove (11);
the transmission mechanism comprises a rotating disc (14) and a bandage winding device, a rotating groove (15) is arranged on one side of the rotating disc (14), a Z-shaped rotating handle (17) is fixed at the center of the other side of the rotating disc (14) through a bearing sleeve (16), and the bearing sleeve (16) fixes the rotating disc (14) at the top end of the threaded telescopic rod (9) through a fixed rod, one end of the rotating handle (17) vertically extends into the rotating groove (15) and is fixed with a driving gear (18), a Z-shaped connecting shaft is fixed on the right side of the driving gear (18) through a bearing, a limb supporting block I (7) is fixed on the connecting shaft, at least two driven gears (19) which are meshed and connected with the driving gear (18) are arranged in a rotary groove (15) which is positioned on the outer side of the driving gear (18), and the driven gear (19) is meshed with a gear rack arranged on the inner wall of the rotary groove (15);
the bandage winding device comprises a screw rod (20), a shell (21) arranged on the screw rod (20) in a sleeved mode and a walking gear (22) connected with the screw rod (20) in a meshed mode, one end of the screw rod (20) penetrates through the central position of one driven gear (19) and is fixedly connected with the driven gear (19), one end, connected with the driven gear (19), of the screw rod (20) is fixed to the bottom end of a rotary groove (15) through a bearing, a limiting groove (23) is formed in the shell (21) along the length of the shell, the central shaft of the walking gear (22) extends out of the limiting groove (23) and is connected with a T-shaped connecting rod (24) in a rotating mode, the bottom end of the connecting rod (24) is connected with an elastic bandage fixing clamp (25) through a rotating mechanism, and a tensioning mechanism is arranged on the bandage fixing clamp (25);
slewing mechanism includes dwang (32) of being connected with bandage fixation clamp (25), dwang (32) are "T" shape structure, and dwang (32) top is provided with the arc arch, and dwang (32) top rotates the draw-in groove with the bottom that sets up at connecting rod (24) and rotates and be connected.
2. An automatic spiral-wrapped dressing change device according to claim 1, wherein: the upper end surfaces of the support plates (2) positioned at the left side and the right side of the sliding groove (11) are arc surfaces inclined towards the sliding groove (11).
3. An automatic spiral-wrapped dressing change device according to claim 1, wherein: the top ends of the first limb supporting block (7) and the second limb supporting block (8) are provided with arc-shaped grooves matched with the curved surface of the limb, and fixing bandages (26) for fixing the limb are arranged on the side walls of the first limb supporting block (7) and the second limb supporting block (8).
4. An automatic spiral-wrapping dressing change device according to claim 1, wherein: the sliding mechanism comprises a pair of moving rods (27) fixed on the side wall of the supporting plate (2) close to the sickbed body (1), the upper ends of the moving rods (27) are of a spherical structure, the upper ends of the moving rods (27) are in sliding connection with spherical grooves I (28) of an arc-shaped structure along the track formed by the width of the bottom end face of the sickbed body (1), and the curved surface formed between the two spherical grooves I (28) is the same as the curved surface of the supporting plate (2) located between the moving rods (27).
5. An automatic spiral-wrapped dressing change device according to claim 4, wherein: and a spherical groove II (29) matched with the moving rod (27) is formed in two side walls of the sickbed body (1) above the spherical groove I (28) along the length of the two side walls, the spherical groove II (29) is connected with the tail end of the spherical groove I (28) through a transition sliding groove, and limiting blind holes (30) are formed in the spherical groove II (29) at equal intervals.
6. An automatic spiral-wrapped dressing change device according to claim 5, wherein: the distance between every two adjacent limiting blind holes (30) is equal to the diameter of the upper end of the moving rod (27).
7. An automatic spiral-wrapped dressing change device according to claim 1, wherein: the distance between every two adjacent fixing holes (12) is equal to the width of the limiting slide block (10).
8. An automatic spiral-wrapped dressing change device according to claim 1, wherein: ultraviolet disinfection lamps (31) are arranged on the inner walls of the two sides of the liquid storage drawer (4), and the ultraviolet disinfection lamps (31) are electrically connected with a power supply arranged on the support plate (2).
9. An automatic spiral-wrapping dressing change device according to claim 1, wherein: the tensioning mechanism comprises a fixed rod fixed on the bandage fixing clamp (25), and a first tensioning roller (33) and a second tensioning roller (34) which are sequentially fixed on the fixed rod from left to right, the first tensioning roller (33) is fixed on the fixed rod through a spring, and the distance from the first tensioning roller (33) to the fixed rod is larger than the distance from the second tensioning roller (34) to the fixed rod.
CN201910231196.8A 2019-03-26 2019-03-26 Automatic spiral wrapping type dressing change device Active CN109966100B (en)

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