CN110051491B

CN110051491B - Portable PICC special nursing car of changing dressings

Info

Publication number: CN110051491B
Application number: CN201910455872.XA
Authority: CN
Inventors: 张莉; 李宁; 周萍
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-05-29
Filing date: 2019-05-29
Publication date: 2020-09-25
Anticipated expiration: 2039-05-29
Also published as: CN110051491A

Abstract

The invention discloses a movable PICC special nursing vehicle for dressing change, which comprises a vehicle body, wherein a garbage can and a push-pull handle are fixedly connected to two sides of the vehicle body respectively, rollers are fixedly arranged on the lower surface of the vehicle body, an opening is formed in the upper surface of the vehicle body, a cushion block is connected in the opening in an up-and-down sliding manner, a height adjusting mechanism, a disinfecting mechanism and a fixing mechanism are fixedly connected in the vehicle body, the height adjusting mechanism comprises a motor, two threaded rods and two driven gears, the motor is fixedly arranged in the vehicle body, the two threaded rods are both fixedly connected to the lower surface of the cushion block, the two driven gears are both connected in the vehicle body in a limiting and rotating manner, and internal threads are formed in the. According to the invention, through the matching among the structures, the cushion block is convenient for supporting and fixing the arm of the patient, the vehicle body is fixed, and the cushion block is convenient for disinfecting.

Description

Portable PICC special nursing car of changing dressings

Technical Field

The invention relates to the technical field of PICC dressing change, in particular to a movable nursing trolley special for PICC dressing change.

Background

At present, the PICC catheter (central venous catheter punctured through the periphery) is accepted by patients with the advantages of less pain of repeated puncture, long retention time and the like. For keeping unobstructed and normal use of pipe, prevent pipeline blockage and infection complication's emergence, the patient must go to the hospital every week and carry out the pipe and change dressings once to twice, when medical personnel carried out PICC pipe to the patient and changed dressings, need put the patient arm on the car of changing dressings, the patient all directly places the arm at the mesa of car of changing dressings in the tradition, then at the in-process of changing dressings, patient's arm removal by a wide margin easily to influence the process of changing dressings.

Disclosure of Invention

The invention aims to provide a movable PICC special nursing trolley for dressing change, which has the advantages that the cushion block is convenient for supporting and fixing the arm of a patient, the trolley body is fixed, the cushion block is convenient for sterilizing, and the problem that the arm of the patient is directly placed on the table top of the dressing change trolley in the traditional method, so that the arm of the patient is easy to move greatly in the dressing change process, and the dressing change process is influenced is solved.

In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a special nursing car of portable PICC changing dressings, includes the automobile body, the both sides of automobile body fixedly connected with dustbin and push-and-pull handle respectively, the lower fixed surface of automobile body installs the gyro wheel, the opening has been seted up to the upper surface of automobile body, sliding connection has the cushion about in the opening, fixedly connected with height adjusting mechanism, disinfection mechanism and fixed establishment in the automobile body.

Height adjusting mechanism includes motor, two threaded rods and two driven gear, motor fixed mounting is in the automobile body, two the equal fixed connection of threaded rod is at the lower surface of cushion, two driven gear is equal spacing rotation and is connected in the automobile body, two the internal thread has all been seted up to driven gear's medial surface, two driven gear passes through internal thread difference threaded connection on two threaded rods, the output shaft fixedly connected with pivot of motor, the armshaft fixedly connected with driving gear of pivot, the driving gear all is connected, two with two driven gear meshing the lower fixed surface of threaded rod is connected with the stopper, the stopper slides and overlaps from top to bottom along the inner wall of automobile body and establishes on the armshaft of pivot.

Preferably, disinfection mechanism includes two rack plates, two incomplete gears, two baffles and two spacing arms, two the equal fixed connection of rack plate is at the lower surface of cushion, two incomplete gear all rotates through the center pin is connected in the automobile body, two incomplete gear is connected with two rack plate meshing respectively, two the lower tip of spacing arm all articulates with the inner wall of automobile body, two the upper end of spacing arm is articulated with two baffles respectively, two the equal fixedly connected with driving arm of lateral surface of incomplete gear, two the upper end of driving arm is articulated with two baffles respectively.

Preferably, the lower surfaces of the two baffles are fixedly connected with ultraviolet germicidal lamps, and the ultraviolet germicidal lamps are located right above the cushion blocks.

Preferably, the two said baffles can completely block the opening.

Preferably, fixed establishment includes external screw thread, driving plate, two first springs and two second springs, the lower tip at the pivot is seted up to the external screw thread, states the driving plate and slides from top to bottom along the inner wall of automobile body, the internal thread that link up each other is seted up to the surface about the driving plate, the driving plate passes through internal thread threaded connection on the external screw thread of pivot, two first spring and two second springs are located the upper and lower side of driving plate respectively.

Preferably, the lower surfaces of the transmission plates close to the two sides of the transmission plates are fixedly connected with transmission rods, and the lower surfaces of the two transmission rods penetrate through the lower surface of the vehicle body and are fixedly connected with rubber pads.

Preferably, the vehicle body is fixedly provided with a time relay, and the lower surface of the cushion block abuts against a button switch of the time relay.

Compared with the prior art, the invention has the following beneficial effects:

according to the invention, the effect of adjusting the height of the cushion block is realized through the arrangement of the motor, the threaded rod, the driven gear, the rotating shaft, the driving gear and the limiting block, so that the cushion block height adjusting device is suitable for patients with different heights.

The rack plate, the incomplete gear, the baffle, the limiting arm, the transmission arm and the ultraviolet germicidal lamp are arranged, so that the effect of disinfecting the cushion block is achieved.

The automobile body fixing device has the advantages that the effect of fixing the automobile body is achieved through the arranged external threads, the transmission plate, the first spring, the second spring, the transmission rod and the rubber pad.

To sum up, be convenient for support fixedly to patient's arm through the cushion, realized simultaneously fixing the automobile body to made things convenient for the effect of disinfecting to the cushion, solved in the tradition patient and all directly placed the mesa at the car of changing dressings with the arm, then at the in-process of changing dressings, patient's arm is easy by a wide margin removal, thereby the problem of the process of changing dressings is influenced.

Drawings

FIG. 1 is a front view of a cross-sectional rear structure of a vehicle body of the present invention;

fig. 2 is a top view of the structure of the present invention.

In the figure: 1-vehicle body, 2-dustbin, 3-push-pull handle, 4-roller, 5-opening, 6-cushion block, 7-height adjusting mechanism, 8-disinfection mechanism, 9-fixing mechanism, 10-motor, 11-threaded rod, 12-driven gear, 13-rotating shaft, 14-driving gear, 15-limiting block, 16-rack plate, 17-incomplete gear, 18-baffle, 19-limiting arm, 20-driving arm, 21-ultraviolet germicidal lamp, 22-external thread, 23-driving plate, 24-first spring, 25-second spring, 26-driving rod, 27-rubber pad and 28-time relay.

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 and fig. 2, the present invention provides a technical solution: the utility model provides a portable PICC special nursing car of changing dressings, which comprises a carriage body 1, the both sides of automobile body 1 are fixedly connected with dustbin 2 and push-and-pull handle 3 respectively, dustbin 2 through the setting, be convenient for collect the medical waste of the in-process of changing dressings, push-and-pull handle 3 through the setting, the operator of being convenient for covers push-and-pull handle 3, thereby it removes to push away automobile body 1, the fixed surface of automobile body 1 installs gyro wheel 4, gyro wheel 4 is used for the walking of automobile body 1, opening 5 has been seted up to the upper surface of automobile body 1, sliding connection has cushion 6 from top to bottom in the opening 5, the patient places the arm on cushion 6 so that change dressings, fixedly connected with height adjusting mechanism 7 in the automobile body 1, disinfection mechanism 8 and fixed establishment.

The height adjusting mechanism 7 comprises a motor 10, two threaded rods 11 and two driven gears 12, the motor 10 is fixedly installed in the vehicle body 1, the two threaded rods 11 are fixedly connected to the lower surface of the cushion block 6, the two driven gears 12 are connected to the vehicle body 1 in a limiting and rotating manner, internal threads are respectively arranged on the inner side surfaces of the two driven gears 12, the two driven gears 12 are respectively in threaded connection with the two threaded rods 11 through the internal threads, an output shaft of the motor 10 is fixedly connected with a rotating shaft 13, a driving gear 14 is fixedly connected to a shaft arm of the rotating shaft 13, the driving gear 14 is respectively in meshed connection with the two driven gears 12, a limiting block 15 is fixedly connected to the lower surfaces of the two threaded rods 11, the limiting block 15 slides up and down along the inner wall of the vehicle body 1 and is sleeved on the shaft arm of the rotating shaft 13, the rotating shaft 13 is driven to, by the rotation of driving gear 14 and through the driven process of meshing between driving gear 14 and two driven gear 12 and through stopper 15 along the gliding process of automobile body 1 inner wall upwards, make two threaded rods 11 synchronous upward movement, by the synchronous upward movement's of two threaded rods 11 process, make cushion 6 upward movement and stretch out opening 5 so that use, adjust the height of cushion 6 so that when adapting to the higher patient of height afterwards, through the continuation rotation of motor 10 output shaft, make cushion 6 continue the upward movement be convenient for adapt to the higher patient of height.

The disinfection mechanism 8 comprises two rack plates 16, two incomplete gears 17, two baffles 18 and two limiting arms 19, wherein the two rack plates 16 are fixedly connected to the lower surfaces of the cushion blocks 6, the two incomplete gears 17 are rotatably connected in the vehicle body 1 in a limiting manner through a central shaft, the two incomplete gears 17 are respectively meshed with the two rack plates 16, the lower end parts of the two limiting arms 19 are hinged to the inner wall of the vehicle body 1, the upper end parts of the two limiting arms 19 are respectively hinged to the two baffles 18, the outer side surfaces of the two incomplete gears 17 are respectively and fixedly connected with transmission arms 20, the upper end parts of the two transmission arms 20 are respectively hinged to the two baffles 18, the lower surfaces of the two baffles 18 are respectively and fixedly connected with ultraviolet germicidal lamps 21, the ultraviolet germicidal lamps 21 are positioned right above the cushion blocks 6, the two baffles 18 can completely shield the opening 5, and the vehicle body 1 is fixedly, the lower surface of the cushion block 6 is pressed against a button switch of a time relay 28, the incomplete gear 17 rotates ninety degrees through the upward movement process of the cushion block 6 and the meshing transmission process between the rack plate 16 and the incomplete gear 17, the two baffles 18 are opened towards two sides through the transmission of the transmission arm 20 and the limiting of the limiting arm 19, so that the cushion block 6 conveniently extends out of the opening 5, then in the process of heightening the cushion block 6, the rack plate 16 moves upwards and is separated from the meshing relation with the incomplete gear 17, then the cushion block 6 does not drive the incomplete gear 17 to rotate in the upward heightening process, finally, when the cushion block 6 needs to be sterilized after the dressing change is finished, the mechanism reversely operates through the reverse operation of the output shaft of the motor 10, and returns to the state shown in figure 1, and in the process, the rack plate 16 is meshed transmission with the incomplete gear 17 again, finally, after the cushion block 6 returns to the state shown in fig. 1 and is pressed against the button switch of the time relay 28, the time relay 28 controls the circuit of the ultraviolet germicidal lamp 21 to be switched on and automatically switches off the circuit after the time set by the original time relay 28 is pressed, and therefore the effect of sterilizing the cushion block 6 is achieved.

The fixing mechanism 9 comprises an external thread 22, a transmission plate 23, two first springs 24 and two second springs 25, the external thread 22 is arranged at the lower end part of the rotating shaft 13, the transmission plate 23 slides up and down along the inner wall of the vehicle body 1, the upper surface and the lower surface of the transmission plate 23 are provided with internal threads which are mutually communicated, the transmission plate 23 is connected on the external thread 22 of the rotating shaft 13 through the internal threads, the two first springs 24 and the two second springs 25 are respectively positioned above and below the transmission plate 23, the lower surfaces of the transmission plate 23, which are close to the two sides, are fixedly connected with transmission rods 26, the lower surfaces of the two transmission rods 26 penetrate through the lower surface of the vehicle body 1 and are fixedly connected with rubber pads 27, the transmission plate 23 moves downwards along the inner wall of the vehicle body 1 through the thread transmission between the external thread 22 and the internal threads on the transmission plate 23, and is linked through the two transmission rods, two rubber pads 27 synchronously move downwards and are abutted against the ground, so that the vehicle body 1 is fixed, then in the process of heightening the cushion block 6, the transmission plate 23 is abutted against the second spring 25 through the continuous rotating process of the rotating shaft 13 and the thread transmission between the external thread 22 and the internal thread on the transmission plate 23, and then the diameter of the internal thread hole on the transmission plate 23 is larger than the diameter of the external thread 22 at the lower end of the rotating shaft 13, so that the lower end of the rotating shaft 13 idles in the internal thread hole on the transmission plate 23, the transmission plate 23 does not move, the heightening process of the cushion block 6 is not influenced, finally, when the vehicle body 1 needs to be moved after the dressing change is completed, the mechanism reversely operates and returns to the state shown in figure 1 through the reverse operation of the output shaft of the motor 10, and the upward elastic restoring force of the second spring 25 is utilized in the process, so that the internal thread hole of the transmission plate 23 is in thread transmission with the external, therefore, the transmission plate 23 moves upwards, and as the cushion block 6 may be in a raised state at the beginning, the transmission plate 23 is pressed against the first spring 24 along with the continuous reverse rotation process of the rotating shaft 13 and the thread transmission between the external thread 22 and the internal thread on the transmission plate 23, so that the process that the transmission plate 23 is pressed against the second spring 25 is repeated, and the transmission plate 23 cannot continuously move upwards in the process that the cushion block 6 is completely retracted into the opening 5.

To sum up, be convenient for support fixedly to patient's arm through cushion 6, realized simultaneously fixing the automobile body to made things convenient for the effect of disinfecting to cushion 6, solved in the tradition patient and all directly placed the arm at the mesa of nursing medicative cart, then at the in-process of changing dressings, patient's arm is removal by a wide margin easily, thereby influence the problem of the process of changing dressings.

The working principle is as follows: when the movable PICC special nursing vehicle for dressing change is used, as shown in a state of figure 1, the rotating shaft 13 is driven to rotate through the operation of the output shaft of the motor 10, the driving gear 14 is driven to rotate synchronously through the rotation of the rotating shaft 13, the two threaded rods 11 are enabled to move upwards synchronously through the rotation of the driving gear 14, the process of meshing transmission between the driving gear 14 and the two driven gears 12 and the process of upward sliding along the inner wall of the vehicle body 1 through the limiting block 15, the two threaded rods 11 are enabled to move upwards synchronously, the cushion block 6 moves upwards, the process of upward movement of the cushion block 6 and the process of meshing transmission between the rack plate 16 and the incomplete gear 17 are enabled to rotate ninety degrees, the process of ninety degrees rotation of the two incomplete gears 17 is enabled to pass through the transmission of the transmission arm 20 and the limiting of the limiting arm 19, the two baffle plates 18 are opened towards two sides, so that the cushion block, meanwhile, the transmission plate 23 moves downwards along the inner wall of the car body 1 through the rotation of the rotating shaft 13 and the thread transmission between the external thread 22 and the internal thread on the transmission plate 23, the two rubber pads 27 synchronously move downwards and are abutted against the ground through the linkage of the two transmission rods 26 in the process that the transmission plate 23 moves downwards, so that the car body 1 is fixed, then when the height of the cushion block 6 is adjusted to be suitable for a patient with a high height, the cushion block 6 continuously moves upwards through the continuous rotation of the output shaft of the motor 10 to be suitable for the patient with the high height, in the process, the transmission plate 23 is abutted against the second spring 25 through the continuous rotation process of the rotating shaft 13 and the thread transmission between the external thread 22 and the internal thread on the transmission plate 23, and then, because the diameter of the internal thread hole on the transmission plate 23 is larger than the diameter of the external thread 22 at the lower end of the rotating shaft 13, therefore, the lower end of the rotating shaft 13 idles in the internal thread hole of the transmission plate 23, so that the transmission plate 23 does not move, and further the heightening process of the cushion block 6 is not influenced, meanwhile, the rack plate 16 moves upwards and is separated from the meshing relation with the incomplete gear 17, and then the incomplete gear 17 is not driven to rotate in the process of heightening the cushion block 6 upwards, and finally, when the cushion block 6 needs to be disinfected after dressing change is completed, the mechanism reversely operates and returns to the state shown in fig. 1 through the reverse operation of the output shaft of the motor 10, in the process, the rack plate 16 is meshed with the incomplete gear 17 again, and meanwhile, the internal thread hole of the transmission plate 23 is in threaded transmission with the external thread 22 again through the upward elastic restoring force of the second spring 25, so that the transmission plate 23 moves upwards, and because the heightening state of the cushion block 6 may exist at the beginning, then, along with the continuous reverse rotation process of the rotating shaft 13 and the thread transmission between the external thread 22 and the internal thread on the transmission plate 23, the transmission plate 23 is enabled to be pressed against the first spring 24, so that the process that the transmission plate 23 is pressed against the second spring 25 is repeated, the transmission plate 23 cannot continuously move upwards in the process that the cushion block 6 is completely retracted into the opening 5, finally, after the cushion block 6 returns to the state shown in fig. 1 and is pressed against the button switch of the time relay 28, the time relay 28 controls the circuit of the ultraviolet sterilizing lamp 21 to be switched on and automatically switches off the circuit after the time set by the original time relay 28 is pressed, and further the sterilizing effect of the cushion block 6 is achieved.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides a portable PICC special nursing car of changing dressings, includes automobile body (1), its characterized in that: the garbage can is characterized in that a garbage can (2) and a push-pull handle (3) are fixedly connected to two sides of the vehicle body (1) respectively, a roller (4) is fixedly mounted on the lower surface of the vehicle body (1), an opening (5) is formed in the upper surface of the vehicle body (1), a cushion block (6) is connected in the opening (5) in an up-and-down sliding mode, and a height adjusting mechanism (7), a disinfecting mechanism (8) and a fixing mechanism (9) are fixedly connected in the vehicle body (1);

the height adjusting mechanism (7) comprises a motor (10), two threaded rods (11) and two driven gears (12), the motor (10) is fixedly installed in the vehicle body (1), the two threaded rods (11) are fixedly connected to the lower surface of the cushion block (6), the two driven gears (12) are connected to the vehicle body (1) in a limiting and rotating mode, internal threads are formed in the inner side surfaces of the two driven gears (12), the two driven gears (12) are respectively in threaded connection with the two threaded rods (11) through the internal threads, an output shaft of the motor (10) is fixedly connected with a rotating shaft (13), a driving gear (14) is fixedly connected to a shaft arm of the rotating shaft (13), the driving gear (14) is connected with the two driven gears (12) in a meshing mode, and limiting blocks (15) are fixedly connected to the lower surfaces of the two threaded rods (11), the limiting block (15) slides up and down along the inner wall of the vehicle body (1) and is sleeved on the shaft arm of the rotating shaft (13).

2. The special nursing car of portable PICC changing dressings of claim 1 characterized in that: disinfection mechanism (8) are including two rack plate (16), two incomplete gear (17), two baffle (18) and two spacing arm (19), two the equal fixed connection of rack plate (16) is at the lower surface of cushion (6), two incomplete gear (17) all rotate through the center pin is connected in automobile body (1), two incomplete gear (17) are connected with two rack plate (16) meshing respectively, two the lower tip of spacing arm (19) all articulates with the inner wall of automobile body (1), two the upper end of spacing arm (19) is articulated respectively with two baffle (18), two the equal fixedly connected with drive arm (20) of lateral surface of incomplete gear (17), two the upper end of drive arm (20) is articulated respectively with two baffle (18).

3. The special nursing car of portable PICC changing dressings of claim 2 characterized in that: the lower surface of the two baffles (18) is fixedly connected with an ultraviolet germicidal lamp (21), and the ultraviolet germicidal lamp (21) is located right above the cushion block (6).

4. The special nursing car of portable PICC changing dressings of claim 2 characterized in that: the two baffles (18) can completely block the opening (5).

5. The special nursing car of portable PICC changing dressings of claim 1 characterized in that: fixed establishment (9) include external screw thread (22), driving plate (23), two first springs (24) and two second springs (25), the lower tip at pivot (13) is seted up in external screw thread (22), states driving plate (23) and slides from top to bottom along the inner wall of automobile body (1), the internal thread that link up each other is seted up to driving plate (23) upper and lower surface, driving plate (23) are through internal thread threaded connection on external screw thread (22) of pivot (13), two first springs (24) and two second springs (25) are located the top and bottom of driving plate (23) respectively.

6. The special nursing car of portable PICC changing dressings of claim 5, characterized in that: the lower surfaces of the transmission plates (23) close to the two sides of the transmission plates are fixedly connected with transmission rods (26), and the lower surfaces of the transmission rods (26) penetrate through the lower surface of the vehicle body (1) and are fixedly connected with rubber pads (27).

7. The special nursing car of portable PICC changing dressings of claim 3 characterized in that: the automobile body (1) is fixedly provided with a time relay (28), and the lower surface of the cushion block (6) is abutted against a button switch of the time relay (28).