CN110074933B

CN110074933B - Nursing is with frame of changing dressings

Info

Publication number: CN110074933B
Application number: CN201910231208.7A
Authority: CN
Inventors: 陆娴
Original assignee: Changzhou Second Peoples Hospital
Current assignee: Changzhou Second Peoples Hospital
Priority date: 2019-03-26
Filing date: 2019-03-26
Publication date: 2022-04-08
Anticipated expiration: 2039-03-26
Also published as: CN110074933A

Abstract

The invention discloses a dressing change frame for nursing, which comprises a fixed base, a lifting mechanism arranged on the fixed base and a dressing device fixed on the lifting mechanism, wherein the dressing device comprises a fixed disc, a round sliding block and a foot fixing device which are arranged on the fixed disc and a bandage winding device arranged on the round sliding block, the bandage winding device comprises a screw rod in threaded connection with a threaded round hole, a bearing sleeve fixed at one end of the screw rod, a T-shaped connecting rod fixed on the bearing sleeve and an elastic bandage fixing clamp fixed at the bottom end of the connecting rod through a rotating mechanism, and a tensioning mechanism is arranged on the bandage fixing clamp. Meanwhile, the medicine feeding efficiency is improved, the tensioning degree of the bandage can be automatically adjusted during binding, and the phenomenon of loose binding is avoided.

Description

Nursing is with frame of changing dressings

Technical Field

The invention relates to the technical field of medical equipment, in particular to a dressing change frame for nursing.

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 staff check and change dressings for wounds of the patients, which plays a vital 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 that infection of affected parts is avoided, medical staff need to press the bandage with one hand and bind the wound with the other hand in the binding process, and inconvenience is brought to the medical staff.

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 likely to occur in patients with prolonged exposure of their wounds due to the time course of dressing change;

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 a nursing dressing change frame to solve the problems in the background technology.

In order to achieve the purpose, the invention provides the following technical scheme: a dressing change frame for nursing comprises a fixed base, a lifting mechanism arranged on the fixed base and a dressing device fixed on the lifting mechanism, wherein four walking pulleys are symmetrically arranged on the lower end face of the fixed base, the dressing device comprises a fixed disc, a circular sliding block and a foot fixing device which are arranged on the fixed disc and a bandage winding device arranged on the circular sliding block, an annular track is arranged at the edge position of the fixed disc along the thickness of the fixed disc, a gear strip I is arranged on the side wall of the annular track, an annular channel is arranged at the bottom of the annular track, a rectangular groove is arranged on the fixed disc positioned on the inner side of the annular track along the vertical direction of the fixed disc, a foot fixing device is arranged in the rectangular groove and comprises an upper fixing block and a lower fixing block, and the upper fixing block and the lower fixing block are respectively and correspondingly positioned above and below the rectangular groove, the bandage winding device comprises a screw rod in threaded connection with the threaded round hole, a bearing sleeve fixed at one end of the screw rod, a T-shaped connecting rod fixed on the bearing sleeve and an elastic bandage fixing clamp fixed at the bottom end of the T-shaped connecting rod through a rotating mechanism, and the other end of the screw rod is connected with an output shaft of the forward and reverse rotating motor through a coupler, and a tensioning mechanism is arranged on the bandage fixing clamp.

Preferably, the width of the annular channel is equal to the diameter of the threaded circular hole.

Preferably, the lifting mechanism comprises a telescopic rod and a telescopic sleeve sleeved below the telescopic rod, and the telescopic rod is in threaded connection with the telescopic sleeve.

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 is rotated the draw-in groove with the bottom that sets up at "T" shape connecting rod and is 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.

Preferably, the lower end face of the upper fixing block and the upper end face of the lower fixing block are both arc-shaped faces.

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

(1) according to the invention, the screw rod rotates in the threaded round hole on the circular slider and simultaneously drives the circular slider to rotate along the annular track, so that the limb wound of a patient is automatically bound, the difficulty of manually binding the wound of the patient by medical personnel is reduced, the binding efficiency is improved, the binding at different positions can be realized, and the pain of the patient in lifting the leg and changing the dressing for many times is reduced.

(2) The rotating mechanism comprises a rotating rod connected with a bandage fixing clamp, the rotating rod is of a T-shaped structure, an arc-shaped bulge is arranged at the top end of the rotating rod, the top end of the rotating rod is rotatably connected with a rotating clamping groove arranged at the bottom end of a T-shaped connecting rod, gaps are reserved between the left side and the right side of the upper end of the T-shaped connecting rod and the inner wall of the rotating clamping groove, on one hand, in order to enable the T-shaped connecting rod to swing left and right by taking the arc-shaped bulge as a supporting point, the rotating rod can swing in the rotating clamping groove, the two ends of the bandage can swing together, and in the wrapping process, the bandage can be more attached to the limbs of a patient when the limbs are wound, on the other hand, when the bandage winding device is spirally wrapped from one end of the limbs wound of the patient to the other end of the wound, the bandage is reversely folded by rotating the rotating rod, and the wound is continuously wrapped reversely, the binding effect is improved.

(3) When the screw moves and simultaneously drives the bandage winding device at the end part to move from one end of a limb wound to the edge of the other end of the limb wound, a medical worker only needs to rotate the rotating mechanism with hands to reversely fold the bandage, then the forward and reverse rotating motor is started to rotate in the opposite direction and continuously wrap the wound, and when the bandage winding device moves to the original position, the forward and reverse rotating motor stops working.

(4) The foot fixing device comprises an upper fixing block and a lower fixing block, medical staff only need to put the ankle of a patient on the lower fixing block and correspondingly insert the toe holes of the upper fixing block on the toes of the patient respectively, then the upper fixing block is fixed in the rectangular groove by the bolt, at the moment, the limbs of the patient are fixed on the fixing disc, because the fixing mode can not cling to the toes of the patient, the comfort level is higher, the operation is simple, the phenomenon that the blood circulation of the fixed limb part is not smooth because the limb of the patient is fixed on the device by using a bandage or other modes in the prior art is overcome, the phenomenon that the knee is unconsciously contracted because the leg is painful when the patient receives the drug effect in the drug applying process is also prevented, thereby effectively preventing uneven medicine application, reducing the medicine application time, improving the medicine application efficiency and avoiding the cross infection of the wound caused by overlong medicine application time.

(5) 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 degree of a bandage in a binding process, so that the bandage is always in a tightened state, and the phenomenon of binding and loosening can be effectively avoided.

Therefore, the dressing change frame for nursing provided by the invention has the advantages that the automatic wound dressing function is realized, the difficulty of manually dressing the wound of a patient by medical staff is reduced, the dressing mode is a spiral reverse folding method through the dressing device, the phenomenon of bandage deviation in the dressing process is avoided, the dressing frame is suitable for positions with different limb thicknesses and is uniform and firm in dressing, the problem of germ infection caused by contact between the periphery of the wound of the patient and the outside is avoided, the dressing efficiency is improved, the tensioning degree of the bandage can be automatically adjusted through the tensioning mechanism in the dressing process, the phenomenon of loose dressing is avoided, the limb of the patient is indirectly fixed through the toe fixing device, and the phenomenon that the blood circulation of the fixed limb part is not smooth due to the fact that the limb of the patient is fixed on the dressing frame through the bandage or other modes in the prior art is overcome.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is an enlarged view of a portion of FIG. 1;

FIG. 3 is a side view of the construction of the bandage wrapping apparatus;

FIG. 4 is a schematic structural view of a fixed disk;

FIG. 5 is a schematic representation after wound packing;

in the figure: 1. a fixed base; 2. a traveling pulley; 3. fixing the disc; 4. a circular slider; 5. an annular track; 6. an annular channel; 7. a rectangular groove; 8. an upper fixed block; 9. a lower fixed block; 10. a toe hole; 11. a circular hole; 12. fixing the blind hole; 13. a screw; 14. a bearing housing; 15. a "T" shaped connecting rod; 16. a bandage fixing clip; 17. a positive and negative rotation motor; 18. a telescopic rod; 19. a telescopic sleeve; 20. rotating the rod; 21. tensioning the first roller; 22. 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. 1-3, an embodiment of the present invention is shown: a dressing frame for nursing comprises a fixed base 1, a lifting mechanism arranged on the fixed base 1 and a dressing device fixed on the lifting mechanism, wherein the lifting mechanism comprises a telescopic rod 18 and a telescopic sleeve 19 sleeved below the telescopic rod 18, the telescopic rod 18 is in threaded connection with the telescopic sleeve 19, the structure is simple, the height of the dressing device is convenient to adjust, and the comfort level of limbs of a patient is improved, four walking pulleys 2 are symmetrically arranged on the lower end face of the fixed base 1, the dressing device comprises a fixed disc 3, a circular sliding block 4 and a foot fixing device which are arranged on the fixed disc 3 and a bandage winding device arranged on the circular sliding block 4, an annular rail 5 is arranged at the edge position of the fixed disc 3 along the thickness of the annular rail, a gear strip I is arranged on the side wall of the annular rail 5, and an annular channel 6 is arranged at the bottom of the annular rail 5, the width of the annular channel 6 is equal to the diameter of the threaded circular hole, in order to ensure that the screw 13 is not blocked by the annular track 5 in the moving process in the circular slide block 4, the fixed disc 3 positioned at the inner side of the annular track 5 is provided with a rectangular groove 7 along the vertical direction, a foot fixing device is arranged in the rectangular groove 7, the foot fixing device comprises an upper fixing block 8 and a lower fixing block 9, the upper fixing block 8 and the lower fixing block 9 are respectively and correspondingly positioned above and below the rectangular groove 7, the bottom end surface of the upper fixing block 8 is provided with five toe holes 10 matched with toes at equal intervals along the length direction, the upper fixing block 8 is connected with the left side wall and the right side wall of the rectangular groove 7 in a sliding manner, the left end and the right end of the upper fixing block 8 are both provided with circular holes 11, the lower fixing block 9 is fixed below the rectangular groove 7, the left side and the right side of the bottom of the rectangular groove 7 are provided with fixed blind holes 12 matched with the circular holes 11 at equal intervals along the length, and the rectangular groove 7 is connected with the upper fixed block 8 through a bolt, a threaded round hole is arranged at the central position of the circular slider 4, a gear bar II meshed with the rack I and connected with the outer side wall of the circular slider 4 is arranged on the outer side wall of the circular slider 4, the bandage winding device comprises a screw rod 13 in threaded connection with the threaded round hole, a bearing sleeve 14 fixed at one end of the screw rod 13, a T-shaped connecting rod 15 fixed on the bearing sleeve 14 and an elastic bandage fixing clamp 16 fixed at the bottom end of the T-shaped connecting rod 15 through a rotating mechanism, the rotating mechanism comprises a rotating rod 20 connected with the bandage fixing clamp 16, the rotating rod 20 is of a T-shaped structure, an arc-shaped bulge is arranged at the top end of the rotating rod 20, the top end of the rotating rod 20 is rotationally connected with a rotating clamping groove arranged at the bottom end of the T-shaped connecting rod 15, and gaps are left and right sides of the upper end of the T-shaped connecting rod 15 and the inner wall of the rotating clamping groove, on one hand, in order to enable the T-shaped connecting rod 15 to swing left and right by taking the arc-shaped bulge as a supporting point, the rotating rod 20 can swing in the rotating clamping groove, the rotating rod 20 can enable two ends of the bandage to swing together, and the bandage can be more attached to the limbs of a patient when being wound by the limbs due to uneven diameter of the limbs, on the other hand, when the bandage winding device is spirally wound to the other end of the wound from one end of the wound of the patient, the bandage is reversely folded by rotating the rotating rod 20 to continuously wrap the wound, the wrapping mode is a spiral reverse folding method and is suitable for different thicknesses of the limbs, the other end of the screw rod 13 is connected with an output shaft of a forward and reverse rotating motor 17 through a coupler, a tensioning mechanism is arranged on the bandage fixing clamp 16 and comprises a fixing rod fixed on the bandage fixing clamp 16 and a first tensioning roller 21 and a second tensioning roller 22 which are sequentially fixed on the fixing rod from left to right, and the first tensioning roller 21 is fixed on the fixed rod through a spring, the distance from the first tensioning roller 21 to the fixed rod is larger than the distance from the second tensioning roller 22 to the fixed rod, and the bandage can be always kept in a tightening state in the binding process so as to avoid the loosening phenomenon of the bandage.

The working principle is as follows: firstly, the feet of a patient are lapped on the lower fixing block 9 on the rectangular groove 7, the position of the upper fixing block 8 is adjusted according to the size of the feet of the patient, the toe holes 10 of the upper fixing block 8 are respectively and correspondingly inserted on the toes of the patient, then the upper fixing block 8 is fixed in the rectangular groove 7 by bolts, the feet of the patient are fixed on the fixing disc 3 at the moment, because the fixing mode can not be clung to the toes of the patient, the comfort level is higher, the operation is simple, the phenomenon that the blood circulation of the fixed limb part is not smooth because the limbs of the patient are fixed on the device by using bandages or other modes in the prior art is overcome, the phenomenon that the knees are unconsciously contracted because the legs of pain when the patient receives the effect in the medicine applying process is also prevented, the medicine applying is further effectively prevented from being uneven, the medicine applying time is also reduced, and the medicine applying efficiency is improved, meanwhile, the wound cross infection caused by too long medicine application time is avoided, the bandage winding device is placed at the edge of the wound of the limb, the forward and reverse rotating motor 17 is started, the forward and reverse rotating motor 17 drives the screw 13 to rotate in the threaded circular hole on the circular sliding block 4, the bandage winding device at the end part of the forward and reverse rotating motor is moved to the edge of the other end of the wound of the limb from the edge of the wound of the limb, the bandage on the bandage fixing clamp 16 is wrapped along the surface of the wound, meanwhile, the circular sliding block 4 rotates along the annular track 5 under the rotation of the screw 13, the wound of the limb of the patient is wrapped, when the bandage winding device is moved to the edge of the other end of the wound of the limb of the patient, a medical worker rotates the rotating rod 20 by hand to reversely fold the bandage, and starts the forward and reverse rotating motor 17 to continuously wrap the wound, when the bandage winding device moves to the original position, the forward and reverse rotating motor 17 stops working, the bandage is wrapped in a spiral reverse folding mode, the phenomenon that the bandage deviates in the wrapping process is avoided, the bandage is suitable for positions with different limb thicknesses, and the bandage is wrapped uniformly and firmly.

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 various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.

Claims

1. The utility model provides a nursing is with frame of changing dressings, includes unable adjustment base (1), sets up elevating system on unable adjustment base (1) and fixes the device of wrapping on elevating system, its characterized in that: the lower end face of the fixed base (1) is symmetrically provided with four walking pulleys (2), the binding device comprises a fixed disc (3), a circular sliding block (4) and a foot fixing device which are arranged on the fixed disc (3) and a bandage winding device which is arranged on the circular sliding block (4), the edge position of the fixed disc (3) is provided with an annular track (5) along the thickness of the fixed disc, the side wall of the annular track (5) is provided with a gear strip I, the bottom of the annular track (5) is provided with an annular channel (6), the fixed disc (3) which is positioned at the inner side of the annular track (5) is provided with a rectangular groove (7) along the vertical direction of the fixed disc, the rectangular groove (7) is internally provided with the foot fixing device, the foot fixing device comprises an upper fixing block (8) and a lower fixing block (9), and the upper fixing block (8) and the lower fixing block (9) are respectively and correspondingly positioned above and below the rectangular groove (7), the bandage winding device is characterized in that five toe holes (10) matched with toes are formed in the bottom end face of the upper fixing block (8) at equal intervals along the length direction of the bottom end face, the upper fixing block (8) is connected with the left side wall and the right side wall of the rectangular groove (7) in a sliding mode, round holes (11) are formed in the left end and the right end of the upper fixing block (8), the lower fixing block (9) is fixed below the rectangular groove (7), fixed blind holes (12) matched with the round holes (11) are formed in the left side and the right side of the bottom of the rectangular groove (7) at equal intervals along the length direction of the bottom of the rectangular groove (7), the rectangular groove (7) is connected with the upper fixing block (8) through a bolt, a threaded round hole is formed in the center of the circular sliding block (4), a gear strip II meshed with a rack is arranged on the outer side wall of the circular sliding block (4), and the bandage winding device comprises a screw rod (13) in threaded connection with the threaded round hole, fix bearing housing (14) in screw rod (13) one end, "T" shape connecting rod (15) on bearing housing (14) and fix elastic bandage fixation clamp (16) that have in "T" shape connecting rod (15) bottom through slewing mechanism, and the other end of screw rod (13) passes through the output shaft of shaft coupling and just reversing motor (17), be provided with straining device on bandage fixation clamp (16), the lower terminal surface of going up fixed block (8) and the up end of lower fixed block (9) are the arcwall face, slewing mechanism includes dwang (20) of being connected with bandage fixation clamp (16), dwang (20) are "T" shape structure, and dwang (20) top is provided with the arc arch, and dwang (20) top rotates the draw-in groove with the bottom that sets up at "T" shape connecting rod (15) and is connected.

2. The nursing dressing change stand of claim 1, wherein: the width of the annular channel (6) is equal to the diameter of the threaded circular hole.

3. The nursing dressing change stand of claim 1, wherein: the lifting mechanism comprises a telescopic rod (18) and a telescopic sleeve (19) sleeved below the telescopic rod (18), and the telescopic rod (18) is in threaded connection with the telescopic sleeve (19).

4. The nursing dressing change stand of claim 1, wherein: the tensioning mechanism comprises a fixed rod fixed on the bandage fixing clamp (16), and a first tensioning roller (21) and a second tensioning roller (22) which are sequentially fixed on the fixed rod from left to right, the first tensioning roller (21) is fixed on the fixed rod through a spring, and the distance from the first tensioning roller (21) to the fixed rod is larger than the distance from the second tensioning roller (22) to the fixed rod.