CN110179607B - Device for auxiliary treatment of sepsis - Google Patents

Device for auxiliary treatment of sepsis Download PDF

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Publication number
CN110179607B
CN110179607B CN201910443458.7A CN201910443458A CN110179607B CN 110179607 B CN110179607 B CN 110179607B CN 201910443458 A CN201910443458 A CN 201910443458A CN 110179607 B CN110179607 B CN 110179607B
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CN
China
Prior art keywords
fixedly connected
bed
threaded
rod
plate
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Expired - Fee Related
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CN201910443458.7A
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Chinese (zh)
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CN110179607A (en
Inventor
刘鹏
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN201910443458.7A priority Critical patent/CN110179607B/en
Publication of CN110179607A publication Critical patent/CN110179607A/en
Application granted granted Critical
Publication of CN110179607B publication Critical patent/CN110179607B/en
Expired - Fee Related legal-status Critical Current
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    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/012Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame raising or lowering of the whole mattress frame
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/16Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto converting a lying surface into a chair
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/0497Tube stabilizer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/1414Hanging-up devices
    • A61M5/1415Stands, brackets or the like for supporting infusion accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/1414Hanging-up devices
    • A61M5/1417Holders or handles for hanging up infusion containers
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B65CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65BMACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B69/00Unpacking of articles or materials, not otherwise provided for
    • B65B69/0033Unpacking of articles or materials, not otherwise provided for by cutting

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Nursing (AREA)
  • Vascular Medicine (AREA)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

A device for assisting in treating sepsis comprises a bed body, wherein a first bed plate is fixedly connected to the left side of the upper end of the bed body, a second bed plate is hinged to the right end of the first bed plate, a third bed plate is hinged to the left end of the upper end of the bed body, a lifting device is mounted at the lower end of the interior of the bed body, a turnover device capable of controlling the second bed plate and the third bed plate to turn over is mounted at the upper end of the interior of the bed body, a cross beam capable of moving left and right along the second bed plate is mounted at the right end of the second bed plate, a clamping block is; when the patient is subjected to mechanical ventilation, the mouth of the patient can be spread by the spreading sheet to conveniently insert the tracheal catheter into the trachea, and the patient can be prevented from biting the catheter in an unconscious condition to cause unsmooth ventilation; the catheter can be fixed through the clamping block during ventilation, the mode that the catheter is adhered to the face of a patient through medical adhesive tapes in the prior art is replaced, the firmness of the fixation of the catheter is enhanced, the shape of the patient bed can be changed into the shape of a patient chair, and the patient chair is convenient to move.

Description

Device for auxiliary treatment of sepsis
Technical Field
The invention relates to the field of medical equipment, in particular to a device for adjuvant therapy of sepsis.
Background
Sepsis is a disease state with a serious illness and a high death rate, at present, the severity of sepsis can be divided into sepsis, severe sepsis and septic shock, when the illness state of a patient is very severe, the patient needs to be mechanically ventilated through a tracheal cannula when the state of severe sepsis and septic shock is reached, at present, when the patient is mechanically ventilated in a hospital, the patient is generally placed on a sickbed, when the mechanical ventilation is carried out, a catheter is stuck on the chin or the face of the patient through a medical adhesive tape to fix the catheter, the fixing effect is very poor, the catheter is easy to bite under the unconscious state of the patient to influence the ventilation effect, the sickbed function of the hospital is very single, and the requirement of the patient during the mechanical ventilation can not be met.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a device for assisting in treating sepsis, which replaces the traditional mode of sticking a catheter on the face of a patient by a medical adhesive tape, has diversified functions, and effectively solves the problems that the mechanical ventilation catheter has poor fixing effect, is easy to bite the catheter, has single function of a hospital bed and cannot meet the requirement of the patient during mechanical ventilation in the prior sepsis patient treatment.
In order to solve the problems, the invention adopts the technical scheme that:
a device for assisting in treating sepsis comprises a bed body, wherein a first bed plate is fixedly connected to the left side of the upper end of the bed body, a second bed plate is hinged to the right end of the first bed plate, and a third bed plate is hinged to the left end of the first bed plate; elevating gear is installed to the inside lower extreme of the bed body, it is steerable to install the inside upper end of the bed body the second bed board with the turning device of third bed board upset, mobilizable infusion support is installed to the front end of the bed body, the right-hand member of second bed board is installed and is followed the crossbeam that removes about the second bed board, install on the crossbeam and press from both sides tight piece, curved piece that struts is installed to the intermediate position downside of crossbeam, the cutting bed is installed to the rear end of second bed board.
Preferably, the turnover device comprises a rectangular mounting disc, the mounting disc is fixedly connected to the upper end inside the bed body, a rotating handle is mounted at the right end of the bed body, and one end of the rotating handle penetrates through the bed body and the mounting disc; a first driving bevel gear is fixedly connected to one end, extending into the mounting disc, of the rotating handle, a first driven bevel gear is meshed to one side of the first driving bevel gear, a second central shaft is fixedly connected to the central position of the first driven bevel gear, second driven bevel gears are fixedly connected to the two ends of the second central shaft, third driven bevel gears are meshed to one sides of the second driven bevel gears, a first threaded rod is fixedly connected to the central position of the third driven bevel gears, and the two ends of the first threaded rod are connected with the inner wall of the mounting disc through bearings; the first threaded rods are in threaded connection with first hinge blocks, the upper ends of the first hinge blocks are hinged with first support rods, and the upper ends of the first support rods are hinged to the right end of the lower portion of the second bed board;
the utility model discloses a bed body fixed connection bed board.
Preferably, the lifting device comprises a second bevel gear, the center of the second bevel gear is fixedly connected with a rotating column, and the bottom of the rotating column is connected to the surface of the bottom end in the bed body through a bearing; four corners of the surface of the bottom end inside the bed body are respectively provided with a first bevel gear, the center position of each first bevel gear is fixedly connected with a lifting column, each lifting column is divided into a cylindrical part and a threaded part, the threaded parts at the lower ends of the lifting columns penetrate through the bed body and extend to the outside of the bed body, the upper side and the lower side of the cylindrical part of each lifting column are respectively connected with the mounting disc and the bed body through bearings, four corners of the bottom of the bed body are respectively fixedly connected with supporting legs, the bottoms of the supporting legs are respectively fixedly connected with a foot brake universal wheel, the upper ends of the supporting legs are respectively provided with a downward threaded hole, and the threaded parts of the lifting columns are respectively connected with the supporting legs through threads;
four first supporting shafts are installed at the bottom of the bed body, third bevel gears are fixedly connected to the two ends of the first supporting shafts, the third bevel gears are meshed with the first bevel gears at one ends of the first supporting shafts, the third bevel gears are meshed with the second bevel gears at the other ends of the first supporting shafts, fourth bevel gears are meshed with the front sides of the second bevel gears, first connecting shafts are fixedly connected to the center positions of the fourth bevel gears, and the front ends of the first connecting shafts penetrate through the bed body and lifting handles are fixedly connected to the front ends of the first connecting shafts.
Preferably, the upper side of the front end surface of the bed body is fixedly connected with a mounting box, the mounting box is hollow, the front end surface is provided with a rectangular strip-shaped opening, the upper end and the lower end of the mounting box are both provided with U-shaped sliding chutes, the mounting box is internally provided with moving blocks, the upper end and the lower end of the moving block are both provided with U-shaped bulges which are connected with the sliding grooves in a sliding way, the left end of the moving block is provided with a threaded through hole towards the right, the moving block is connected with a third threaded rod through the threaded through hole in a threaded manner, both ends of the third threaded rod are rotatably connected with the inner wall of the mounting box, a first rotating knob is arranged at the right end of the mounting box, the first rotary knob penetrates through the mounting box and is fixedly connected with the third threaded rod, a third support frame is fixedly connected to the right side of the front end of the mounting box, and an arc-shaped groove is formed in the upper end surface of the third support frame downwards;
the front end of the moving block is connected with a connecting block through a bearing, the surface of the rear end of the connecting block is provided with a through hole forwards, the front end of the connecting block is fixedly connected with a transfusion rod base, the bottom of the transfusion rod is of a cylindrical structure, the upper end and the lower end of the interior of the transfusion rod are hollow, an interlayer is arranged at the middle position of the transfusion rod base, the center of the interlayer is provided with the through hole, and the rear end of the bottom of the transfusion rod is communicated with the connecting; a stop pin column is fixedly connected to the center of the moving block, the stop pin column penetrates through the connecting block and extends into the infusion rod base, a first stop cylinder is installed inside the infusion rod base, the part, extending into the infusion rod base, of the stop pin column is installed inside the first stop cylinder, rectangular bulges are uniformly distributed on the outer circumference of the front end of the stop pin column, rectangular grooves are formed in the first stop cylinder corresponding to the rectangular bulges on the surface of the front end of the stop pin column, and the rectangular bulges at the front end of the stop pin column are installed in the corresponding rectangular grooves in the first stop cylinder; the surface of the first stopping cylinder is sleeved with a second stopping cylinder, the upper side and the lower side of the surface of the first stopping cylinder are both provided with semi-cylindrical bulges, the inner wall of the second stopping cylinder, corresponding to the bulges on the upper side and the lower side of the surface of the first stopping cylinder, is provided with a semi-cylindrical groove, and the bulges on the surface of the first stopping cylinder are in sliding connection with the grooves in the second stopping cylinder;
a first spring column is mounted at the upper end inside the infusion rod base, the lower end of the first spring column penetrates through a through hole inside the infusion rod base and extends to the lower end of the infusion rod base, arc-shaped connecting shafts are hinged to the surfaces of the left side and the right side of the first stopping cylinder, the upper end of each arc-shaped connecting shaft is hinged to the bottom of the first spring column, a flange is arranged at the edge of the upper end of each first spring column, a first spring is sleeved on the surface of each first spring column, and the bottom of each first spring is fixedly connected with the interlayer; the upper end of the transfusion rod base is fixedly connected with a transfusion rod outer barrel, and the transfusion rod base is communicated with the transfusion rod outer barrel; a transfusion rod is arranged in the transfusion rod outer barrel, the bottom of the transfusion rod is contacted with the top of the first spring column, and four ratchet bars are uniformly and fixedly connected to the outer circumference of the transfusion rod; a fixing box is fixedly connected to the upper end of the outer barrel of the infusion rod, blind holes are formed in four corners of the surface of the upper end of the fixing box, a second spring is installed in each blind hole, a fixing box top cover capable of moving up and down is sleeved on the fixing box, a second spring rod is fixedly connected to the position, corresponding to the blind holes, of the bottom of the fixing box top cover, a flange is formed in the bottom of the second spring rod, the second spring rod is installed in the blind holes, and the bottom of the second spring rod is in contact with the second spring; the inner surface of the fixed box is hinged with pawls on the lower sides of the periphery, the top ends of the pawls are meshed with the ratchet bars, the outer side of each pawl is hinged with a first connecting plate, and the other end of each first connecting plate is hinged to the lower side of the inner wall of the top cover of the fixed box; the top of the transfusion rod is fixedly connected with a transfusion stand.
Preferably, a cutting table is fixedly connected to the upper side of the rear portion of the bed body, a rectangular groove is formed in the rear side of the cutting table, a rectangular opening is formed in the middle of the surface of the groove from left to right, a flip cover is hinged to the right side of the groove, rectangular openings are formed in the surface of the flip cover from left to right, sliding grooves are formed in two ends of the inner side of each rectangular opening in the surface of the flip cover, a moving handle is installed in each opening in the surface of the flip cover, a sliding block is fixedly connected to the bottom of the moving handle, the sliding block is in sliding connection with the sliding grooves, a cutting blade is fixedly connected to the bottom of the sliding block, and a rectangular;
the utility model discloses a cutting bed, including cutting bed, bed body, first connecting plate, second connecting plate, bed body, bed cutting table, the downside intermediate position fixedly connected with of cutting bed places the box, place the fixed plate that has placed L shape in the box, place the box downside bed body surface articulates there is the dish of placing, the front end both sides of placing the dish all articulate has the second connecting plate, the upper end of second connecting plate all articulates there is the third connecting plate.
Preferably, the second bed plate is hollow, rollers are mounted at four corners inside the second bed plate, a third transmission shaft is fixedly connected to the center positions of the rollers at the left end and the right end of the second bed plate, two ends of the third transmission shaft are connected to the inner wall of the second bed plate through bearings, toothed belts are mounted on the front side and the rear side inside the second bed plate and sleeved on the surfaces of the rollers at the front end and the rear end inside the second bed plate, and a third transmission bevel gear is fixedly connected to the middle position of the third transmission shaft; a third knob is arranged at the rear end of the second bed board and fixedly connected with a first transmission shaft, the first transmission shaft forwards penetrates through the second bed board and extends to the middle position inside the second bed board, and a part of the first transmission shaft extending to the inside of the second bed board is fixedly connected with a first transmission bevel gear; second transmission shafts are mounted on two sides of the middle position in the second bed board, second transmission bevel gears are fixedly connected to two ends of each second transmission shaft, the second transmission bevel gears on the outer sides of the second transmission shafts are meshed with the third transmission bevel gears, and the third transmission bevel gears on the inner sides of the second transmission shafts are meshed with the first transmission bevel gears;
a second movable plate is arranged on the rear side of the surface of the right end of the second bed board, a first movable plate is arranged on the front side of the surface of the right end of the second bed board, sliding blocks are fixedly connected to two sides of the lower ends of the first movable plate and the second movable plate, sliding grooves are formed in the front side and the rear side of the surface of the second bed board downwards, the sliding blocks are connected with the sliding grooves in a sliding mode, and teeth are formed in the bottoms of the sliding blocks and meshed with the teeth on the surface of the rack belt; the upper end fixedly connected with of first movable block is fixed a section of thick bamboo, the connecting groove of rectangle is seted up to the upper end surface opening part both sides of fixed a section of thick bamboo, fixed a section of thick bamboo inner wall seted up annular spout and connect the groove with the annular spout switch-on, the upper end fixedly connected with second screw thread section of thick bamboo of second fly leaf.
Preferably, a through hole is formed in the middle of the cross beam, two mounting plates are fixedly connected to the surfaces of the cross beam on the two sides of the through hole, two incomplete gears are mounted on the surface of each mounting plate, the two incomplete gears are symmetrically hinged to the two sides of the surface of the mounting plate, a threaded column is meshed between the two incomplete gears, worm gears are fixedly connected to the lower ends of the threaded columns, and the bottoms of the threaded columns are connected with the surfaces of the cross beam through bearings; the two sides of the surface of the cross beam are both provided with worms, the worms penetrate through the mounting plate on the outer side and are rotatably connected with the mounting plate on the inner side, and the worms are all meshed with the worm wheel; the upper end of each incomplete gear is fixedly connected with a clamping frame, each clamping frame is bent inwards and fixedly connected with the clamping blocks, and semi-cylindrical grooves are formed in the inner side surfaces of every two corresponding clamping blocks;
the bottom of the cross beam on two sides of the through hole is fixedly connected with a first threaded cylinder, a fourth threaded rod is connected in the first threaded cylinder through threads, an upper fixing plate is arranged at the bottom end of the fourth threaded rod, U-shaped bulges are arranged at two ends of the upper fixing plate, the middle part of the upper fixing plate is of an arc-shaped structure, arc-shaped through holes are formed in the surface of the upper fixing plate downwards, and the fourth threaded rod is connected to the surfaces of the bulges on two sides of the upper fixing plate through bearings; the number of the spreading pieces is two, the two sides of the upper end of each spreading piece are fixedly connected with a sliding block, the left end and the right end of the bottom of the upper fixing plate are provided with sliding grooves, and the spreading pieces are symmetrically and slidably connected into the sliding grooves at the left end and the right end of the upper fixing plate through the sliding blocks; both ends all rotationally are connected with the second bolt about the upper fixed plate, the lower extreme of second bolt all runs through downwards the upper fixed plate extends to two prop between the piece, second bolt top-down threaded connection has two second thread bush, the surperficial both sides of second thread bush all articulate there is the fourth connecting plate, the other end of fourth connecting plate all articulates prop the inboard surface of piece.
Preferably, the bottom of the cross beam above the fixed cylinder is fixedly connected with a telescopic rod outer cylinder, the telescopic rod outer cylinder is hollow, the bottom of the telescopic rod outer cylinder is provided with a through hole, a telescopic rod is installed in the telescopic rod outer cylinder, a third spring is sleeved on the surface of the telescopic rod, two positions corresponding to the lower side of the surface of the telescopic rod are fixedly connected with a first limiting block, and the bottom of the telescopic rod is installed in the annular sliding groove in the fixed cylinder; the bottom of the cross beam above the second threaded cylinder is connected with a second rotating knob through a bearing, the bottom of the second rotating knob is fixedly connected with a first bolt, and the first bolt is in threaded connection with the second threaded cylinder.
The invention has novel structure, ingenious conception and simple and convenient operation, and compared with the prior art, the invention has the following advantages:
1. can strut patient's mouth with the distraction piece when carrying out mechanical ventilation to the patient, make two distraction pieces outwards strut through rotating the second bolt, conveniently insert the trachea with endotracheal tube to can prevent that the patient from biting the pipe under unconscious condition, lead to ventilating unsmoothly.
2. The accessible rotates the worm and presss from both sides tight fixedly with pressing from both sides tight piece to the pipe when ventilating, has replaced the mode that glues the pipe on patient's face with medical sticky tape in the past, and the fastness of the pipe of reinforcing is fixed to the crossbeam can be dismantled, can lift the crossbeam off when not needing to carry out mechanical ventilation for the patient.
3. The second bed board can be turned upwards by rotating the rotating handle, and the third bed board is turned downwards at the same time, so that the sickbed chair is changed from a sickbed shape to a sickbed shape, and the sickbed chair is wide in application range and convenient to move.
4. The transfusion rod base can be moved by rotating the first rotating knob, the transfusion rod can be retracted into the transfusion rod outer barrel by pressing the top cover of the fixing box, and the transfusion rod outer barrel can be transversely placed by pressing the transfusion rod after the transfusion rod is retracted into the transfusion rod outer barrel, so that the transfusion rod base is convenient to store.
5. Can place medical instrument's wrapping bag and use the cutting sword to rip the wrapping bag after flip is fixed for the cutting bed with the cutting bed when medical personnel treat the patient and nurse, make things convenient for medical personnel to take out medical instrument for medical personnel's work efficiency.
6. Through rotating the height of the adjustable bed body of lift handle, make things convenient for medical personnel to treat and nurse the patient.
Drawings
Fig. 1 is a first state structural diagram of the device for assisting sepsis treatment of the invention.
Fig. 2 is a second state diagram of the device for the adjuvant therapy of sepsis.
Fig. 3 is an isometric view of a first condition of an apparatus for adjunctive treatment of sepsis according to the invention.
Fig. 4 is a schematic diagram of an overturned structure of the device for assisting sepsis treatment of the invention.
Fig. 5 is a schematic diagram of the lifting structure of the device for assisting sepsis treatment of the invention.
Fig. 6 is a schematic view of the inside of the mounting box of the device for assisting sepsis treatment of the invention.
Fig. 7 is a schematic structural diagram of a moving block and a stop pin column of the device for assisting sepsis treatment.
FIG. 8 is a schematic view of the internal structure of the infusion rod base of the device for assisting in the treatment of sepsis according to the present invention.
Fig. 9 is an exploded view of the connecting structure of the stop pin column, the first stop cylinder and the second stop cylinder of the device for assisting sepsis treatment of the present invention.
Fig. 10 is a schematic diagram of the internal structure of a fixing box of the device for assisting sepsis treatment of the invention.
Fig. 11 is a structural diagram of a first state of a placing disc of the device for assisting sepsis treatment of the invention.
Fig. 12 is a structural diagram of a second state of a placing disc of the device for assisting in treating sepsis, provided by the invention.
Fig. 13 is a schematic structural diagram of the first state of the cutting table of the device for assisting in treating sepsis.
Fig. 14 is a second state structure diagram of the cutting table of the device for assisting sepsis treatment of the present invention.
Fig. 15 is a schematic diagram of the internal structure of the second bed board of the device for assisting in treating sepsis.
Fig. 16 is a schematic structural diagram of a fixed barrel and a sliding block of the device for assisting sepsis treatment of the invention.
Fig. 17 is a schematic view of the connection structure of the first bolt and the second threaded barrel of the device for assisting sepsis treatment of the invention.
Fig. 18 is a schematic overall cross-beam view of an apparatus for assisting treatment of sepsis according to the present invention.
Fig. 19 is a schematic view of the connection structure of the clamping block of the device for assisting sepsis treatment of the invention.
Fig. 20 is a connection structure diagram of a first threaded barrel and a fourth threaded rod of the device for assisting in treating sepsis.
Fig. 21 is a schematic view of the connection structure of the first support frame, the second support frame, the third hinge block and the second hinge block of the device for assisting sepsis treatment of the invention.
FIG. 22 is a schematic view of the internal structure of the outer barrel of the telescopic rod of the device for adjuvant therapy of sepsis.
FIG. 23 is a cross-sectional view of an infusion rod mount configuration of an apparatus for assisting in the treatment of sepsis in accordance with the present invention.
Fig. 24 is a schematic view of the connection structure of the second bolt, the second threaded sleeve and the third connecting plate of the device for assisting sepsis treatment of the invention.
Fig. 25 is a partially enlarged view of the internal structure of the fixing case of the device for assisting sepsis treatment of the present invention.
Reference numbers in the figures: 1-bed body, 2-supporting legs, 3-foot brake universal wheel, 4-first bed plate, 5-second bed plate, 6-third bed plate, 7-lifting column, 8-first bevel gear, 9-second bevel gear, 10-first supporting shaft, 11-third bevel gear, 12-first connecting shaft, 13-lifting handle, 14-fourth bevel gear, 15-rotating handle, 16-first driving bevel gear, 17-first driven bevel gear, 18-second driven bevel gear, 19-second central shaft, 20-third driven bevel gear, 21-first threaded rod, 22-first supporting rod, 23-first hinging block, 24-fourth driven bevel gear, 25-second threaded rod, 26-first threaded sleeve, 27-a first connecting rod, 28-a second hinge block, 30-a second support frame, 31-a third hinge block, 32-a mounting box, 33-a third threaded rod, 34-a moving block, 35-a first rotating knob, 36-a third support frame, 37-a stop pin column, 38-a connecting block, 39-an infusion rod base, 40-a first stop cylinder, 41-a second stop cylinder, 42-an arc connecting shaft, 43-a first spring column, 44-a first spring, 45-an infusion rod, 46-an infusion rod outer cylinder, 47-a ratchet rack, 48-a first spring, 49-a fixed box, 50-a fixed box top cover, 51-a second spring, 52-a second spring rod, 53-a infusion support, 54-a first connecting plate, 55-a placing disc, 57-second connecting plate, 58-third connecting plate, 59-placing box, 60-fixing plate, 61-front baffle, 62-beam, 63-cutting table, 64-flip cover, 65-moving handle, 66-cutting sheet, 67-second rotating knob, 68-first bolt, 69-telescopic rod outer cylinder, 70-telescopic rod, 71-first limiting block, 72-third spring, 73-worm, 74-mounting plate, 75-incomplete gear, 76-clamping frame, 77-clamping block, 78-threaded column, 79-worm wheel, 80-connecting through hole, 81-expanding sheet, 82-upper fixing plate, 83-second bolt, 84-second threaded sleeve, 85-fourth connecting plate, 87-first threaded cylinder, 88-fourth threaded rod, 89-third knob, 90-first transmission shaft, 91-first transmission bevel gear, 92-second transmission shaft, 93-second transmission bevel gear, 94-third transmission shaft, 95-third transmission bevel gear, 96-roller, 97-toothed belt, 98-first movable plate, 99-fixed cylinder, 100-second movable plate, 101-sliding block, 102-second threaded cylinder, 103-annular chute, 104-connecting groove, 105-mounting disc and 106-rotating column.
Detailed Description
The following are specific embodiments of the present invention, and the technical solutions of the present invention will be further described with reference to the drawings, but the present invention is not limited to these embodiments.
As shown in fig. 1-25, the invention provides a device for adjuvant therapy of sepsis, comprising a bed body 1, wherein a first bed plate 4 is fixedly connected to the left side of the upper end of the bed body 1, a second bed plate 5 is hinged to the right end of the first bed plate 4, and a third bed plate 6 is hinged to the left end of the first bed plate 4; elevating gear is installed to the inside lower extreme of the bed body 1, it is steerable to install the inside upper end of the bed body 1 second bed board 5 with the turning device of the upset of third bed board 6, mobilizable infusion support 48 is installed to the front end of the bed body 1, the right-hand member of second bed board 5 is installed and is followed crossbeam 62 that removes about second bed board 5, install on crossbeam 62 and press from both sides tight piece 77, curved piece 81 that struts is installed to crossbeam 62's intermediate position downside, cutting bed 63 is installed to the rear end of second bed board 5.
The lifting device is used for adjusting the height of the bed body 1, the turnover device is used for controlling the second bed board 5 to turn upwards and simultaneously turning the third bed board 6 downwards, so that the sickbed-shaped bed is changed into a sickbed-shaped chair-shaped bed, the infusion support 48 is used for hanging an infusion bottle, the cross beam 62 is used for installing a clamping block and a stretching piece, and the cutting table 63 is used for helping medical staff to open a packaging bag of medical equipment.
The turnover device comprises a rectangular mounting disc 105, the mounting disc 105 is fixedly connected to the upper end inside the bed body 1, a rotating handle 15 is mounted at the right end of the bed body 1, and one end of the rotating handle 15 penetrates through the bed body 1 and the mounting disc 105; a first driving bevel gear 16 is fixedly connected to one end of the rotating handle 15 extending into the mounting disc 105, a first driven bevel gear 17 is engaged with one side of the first driving bevel gear 16, a second central shaft 19 is fixedly connected to the central position of the first driven bevel gear 17, second driven bevel gears 18 are fixedly connected to the two ends of the second central shaft 19, third driven bevel gears 20 are engaged with one sides of the second driven bevel gears 18, a first threaded rod 21 is fixedly connected to the central position of the third driven bevel gears 20, and the two ends of the first threaded rod 21 are connected with the inner wall of the mounting disc 105 through bearings; the first threaded rods 21 are in threaded connection with first hinge blocks 23, the upper ends of the first hinge blocks 23 are hinged with first support rods 22, and the upper ends of the first support rods 22 are hinged to the right end of the lower portion of the second bed plate 5;
a fourth driven bevel gear 24 is meshed with the other side of the first driven bevel gear 17, a second threaded rod 25 is fixedly connected to the center of the fourth driven bevel gear 24, the second threaded rod 25 is divided into a cylindrical part and a threaded part, a first threaded sleeve 26 is connected to the surface of the threaded part of the second threaded rod 25 through threads, first connecting rods 27 are fixedly connected to the front side and the rear side of the middle position of the left end surface of the first threaded sleeve 26, the left end of each first connecting rod 27 penetrates through the bed body 1 and is fixedly connected with a second hinge block 28, a third hinge block 31 is hinged to the left end of each second hinge block 28, second supporting frames 30 are hinged to the left side of the upper end of each third hinge block 31, and the upper ends of the second supporting frames 30 are hinged to the left end of the bottom of the third bed board 6.
The mounting plate 105 is used for mounting a turning device, the turning handle 15 is used for controlling the deformation of the invention, when the turning handle 15 is rotated as shown in fig. 4, the first threaded rod 21 can be driven to rotate under the steering and transmission effects of the first driving bevel gear 16, the second driven bevel gear 18 and the third driven bevel gear 20, the rotation directions of the two first threaded rods 21 are opposite, the first hinged block moves axially along the first threaded rod 21 under the effect of threaded connection of the first driven bevel gear 23 and the first threaded rod 21 while the first threaded rod 21 rotates, the second bed plate 5 can be pushed to turn over by the first supporting rod 22 in the moving process of the first hinged block 23, the fourth driven bevel gear 24 is driven to rotate under the steering effect of the first driven bevel gear 17 while the turning handle 15 rotates, the second threaded rod 25 can be driven to rotate while the fourth bevel gear 24 rotates, and the first threaded sleeve 26 rotates along the second threaded rod 25 under the effect of threaded connection with the second threaded rod 25 while the second threaded sleeve 25 rotates The threaded rod 25 moves, the second support frame 30 can be driven to fold and extend in the moving process of the second threaded rod 25, the third bed board 6 is driven to turn and reset by the second support frame 30, the first connecting rod 27 can be used for connecting the second hinge block 28, the first threaded sleeve 26 is prevented from being driven by the first threaded rod 25 to lose the moving capacity due to the limiting effect of the first connecting rod 27 when the second threaded rod 25 rotates, a rectangular groove is formed in the bottom of the third bed body 6, a groove is formed in the corresponding position of the bed body and the second hinge block 28 at the same time, an accommodating space can be provided for the second support frame 30 and the second hinge block 28 when the third bed body turns rightwards, the cylindrical parts of the second central shaft 19 and the second threaded rod 25 are sleeved with support bases, the support bases are fixedly connected to the bottom of the mounting plate 105 and are used for supporting the second central shaft 19 and the second threaded rod 25, .
The lifting device comprises a second bevel gear 9, the center of the second bevel gear 9 is fixedly connected with a rotating column 106, and the bottom of the rotating column 106 is connected to the surface of the bottom end in the bed body 1 through a bearing; four corners of the surface of the bottom end inside the bed body 1 are respectively provided with a first bevel gear 8, the center position of each first bevel gear 8 is fixedly connected with a lifting column 7, each lifting column 7 is divided into a cylindrical part and a threaded part, the threaded parts at the lower ends of the lifting columns 7 penetrate through the bed body 1 and extend to the outside of the bed body 1, the upper side and the lower side of the cylindrical part of each lifting column 7 are respectively connected with the mounting disc 105 and the bed body 1 through bearings, four corners of the bottom of the bed body 1 are respectively and fixedly connected with supporting legs 2, the bottoms of the supporting legs 2 are respectively and fixedly connected with foot brake universal wheels 3, the upper ends of the supporting legs 2 are respectively provided with a downward threaded hole, and the threaded parts of the lifting columns 7 are respectively connected with the supporting legs 2;
four first supporting shafts 10 are installed at the bottom of the bed body 1, third bevel gears 11 are fixedly connected to two ends of each first supporting shaft 10, the third bevel gears 11 at one ends of the first supporting shafts 10 are meshed with the first bevel gears 8, the third bevel gears 11 at the other ends of the first supporting shafts 10 are meshed with the second bevel gears 9, fourth bevel gears 14 are meshed at the front sides of the second bevel gears 9, first connecting shafts 12 are fixedly connected to the center positions of the fourth bevel gears 14, and the front ends of the first connecting shafts 12 penetrate through the bed body 1 and lifting handles 13 are fixedly connected to the front ends of the first connecting shafts 12.
As shown in FIG. 5, the lifting handle 13 is rotated to drive the second bevel gear 9 to rotate through the fourth bevel gear 14, when the second bevel gear 9 rotates, the first bevel gear 8 is driven to rotate through the transmission action of the third bevel gear 11, when the first bevel gear 8 rotates, the lifting column 7 also rotates, and lifts through the threaded connection between the lifting column 7 and the threaded hole in the supporting leg 2, the foot brake universal wheel 3 is used for facilitating the movement of the invention, the surfaces of the first supporting shaft 10 and the first connecting shaft 12 are both sleeved with a supporting base, and the supporting bases are both fixedly connected to the bottom end in the bed body 1 and are used for supporting the first supporting shaft 10 and the first connecting shaft 12.
A mounting box 32 is fixedly connected to the upper side of the front end surface of the bed body 1, the mounting box 32 is hollow, a rectangular strip-shaped opening is formed in the front end surface, U-shaped sliding grooves are formed in the upper end and the lower end of the interior of the mounting box 32, a moving block 34 is mounted in the mounting box 32, U-shaped protrusions are formed in the upper end and the lower end of the moving block 34, the protrusions are slidably connected with the sliding grooves, a threaded through hole is formed in the left end of the moving block 34 towards the right, the moving block 34 is in threaded connection with a third threaded rod 33 through the threaded through hole, both ends of the third threaded rod 33 are rotatably connected with the inner wall of the mounting box 32, a first rotating knob 35 is arranged at the right end of the mounting box 32, the first rotating knob 35 penetrates through the mounting box 32 and is fixedly connected with the third threaded rod 33, and a third supporting frame 36 is, an arc-shaped groove is formed downwards on the upper end surface of the third supporting frame 36;
the front end of the moving block 34 is connected with a connecting block 38 through a bearing, a through hole is formed in the surface of the rear end of the connecting block 38 forward, an infusion rod base 39 is fixedly connected to the front end of the connecting block 38, the bottom of the infusion rod 45 is of a cylindrical structure, the upper end and the lower end of the interior of the infusion rod are hollow, an interlayer is arranged in the middle of the infusion rod 45, a through hole is formed in the center of the interlayer, and the rear end of the bottom of the infusion rod 45 is communicated with the connecting block; a stop pin column 37 is fixedly connected to the center of the moving block 34, the stop pin column 37 penetrates through the connecting block 38 and extends into the infusion rod base 39, a first stop cylinder 40 is installed inside the infusion rod base 39, the part of the stop pin column 37 extending into the infusion rod base 39 is installed inside the first stop cylinder 40, rectangular protrusions are evenly distributed on the outer circumference of the front end of the stop pin column 37, rectangular grooves are formed inside the first stop cylinder 40 corresponding to the rectangular protrusions on the surface of the front end of the stop pin column 37, and the rectangular protrusions on the front end of the stop pin column 37 are installed inside the corresponding rectangular grooves inside the first stop cylinder 40; the surface of the first stop cylinder 40 is sleeved with a second stop cylinder 41, the upper side and the lower side of the surface of the first stop cylinder 40 are both provided with semi-cylindrical bulges, the inner wall of the second stop cylinder 41 corresponding to the bulges on the upper side and the lower side of the surface of the first stop cylinder 40 is provided with semi-cylindrical grooves, and the bulges on the surface of the first stop cylinder 40 are in sliding connection with the grooves in the second stop cylinder 41;
a first spring column 43 is mounted at the upper end inside the infusion rod base 39, the lower end of the first spring column 43 penetrates through a through hole inside the infusion rod base 39 and extends to the lower end of the infusion rod base 39, arc-shaped connecting shafts 42 are hinged to the surfaces of the left side and the right side of the first stopping cylinder 40, the upper ends of the arc-shaped connecting shafts 42 are hinged to the bottom of the first spring column 43, a flange is arranged at the edge of the upper end of the first spring column 43, a first spring 44 is sleeved on the surface of the first spring column 43, and the bottom of the first spring 44 is fixedly connected with the interlayer; the upper end of the transfusion rod base 39 is fixedly connected with a transfusion rod outer barrel 46, and the transfusion rod base 39 is communicated with the transfusion rod outer barrel 46; a transfusion rod 45 is arranged in the transfusion rod outer barrel 46, the bottom of the transfusion rod 45 is contacted with the top of the first spring column 43, and four ratchet bars 47 are uniformly and fixedly connected to the outer circumference of the transfusion rod 45; a fixed box 49 is fixedly connected to the upper end of the infusion rod outer cylinder 46, blind holes are formed in four corners of the upper end surface of the fixed box 49, a second spring 51 is installed in each blind hole, a fixed box top cover 50 capable of moving up and down is sleeved on the fixed box 49, a second spring rod 52 is fixedly connected to the position, corresponding to the blind hole, of the bottom of the fixed box top cover 50, a flange is formed at the bottom of the second spring rod 52, the second spring rod 52 is installed in the blind hole, and the bottom of the second spring rod 52 is in contact with the second spring 51; the lower sides of the periphery of the inner surface of the fixed box 49 are all hinged with pawls 53, the top ends of the pawls 53 are meshed with the ratchet bars 47, the outer sides of the pawls 53 are hinged with first connecting plates 54, and the other ends of the first connecting plates 54 are hinged on the lower sides of the inner walls of the top covers 50 of the fixed box; the infusion support 48 is fixedly connected to the top of the infusion rod 45.
As shown in fig. 6, the protrusions at the upper end and the lower end of the moving block 34 are slidably connected with the sliding grooves in the mounting box 32, so that the moving block 34 is assisted to move, the moving block 34 can be limited to move axially along the third threaded rod 33, the third threaded rod 33 can be driven to rotate by rotating the first rotating knob 35, the moving block 34 can move under the effect of being in threaded connection with the third threaded rod 33 while the third threaded rod 33 rotates, and the upper end surface of the third support frame 36 is provided with an arc-shaped groove downwards for supporting and fixing the infusion rod 45;
as shown in fig. 7 and 9, the first stopping cylinder 40 can be sleeved on the surface of the stopping pin 37 to fix the infusion rod base 39 by clamping the protrusion through the groove, so that the infusion rod base 39 cannot rotate, and the protrusion on the surface of the first stopping cylinder 40 is slidably connected with the groove in the second stopping cylinder, so that the first stopping cylinder 40 is limited and can be assisted to move;
as shown in fig. 8, 10 and 25, the first spring column 43 can be forced to move downwards by pressing the infusion rod 45, when the first spring column moves downwards, the first stop cylinder 40 is pushed towards the inside of the second stop cylinder 41 through the arc-shaped connecting shaft 42, the first stop cylinder 40 is separated from the stop pin 37, the infusion rod base 39 can resume rotating, the first spring 44 is used for pushing the first spring column 43 to reset, and the first stop cylinder 40 is driven to be sleeved on the surface of the stop pin 37 again through the resetting of the first spring column 43; the pawl 53 accessible and the fixed transfusion rod 45 of ratchet 47 meshing on transfusion rod 45 surface, make pawl 53 break away from ratchet 47 under the drive of pressing fixed box top cap 50 accessible first connecting plate 54, make transfusion rod 45 resume the mobility, second spring 51 is used for fixed box top cap 50 to reset, drive pawl 53 through first connecting plate 54 again and the fixed transfusion rod 45 of ratchet 47 meshing when fixed box top cap 50 resets, the crooked peg of two fixedly connected with of infusion support 48 is used for hanging the infusion bottle, infusion rod urceolus 46 and infusion rod base 39 inner wall all offer slottedly and are used for providing the removal space for ratchet 47.
A cutting table 63 is fixedly connected to the upper side of the rear portion of the bed body 1, a rectangular groove is formed in the rear side of the cutting table 63, a rectangular opening is formed in the middle of the surface of the groove from left to right, a turning cover 64 is hinged to the right side of the groove, rectangular openings are formed in the surface of the turning cover 64 from left to right, sliding grooves are formed in two ends of the inner side of the rectangular opening in the surface of the turning cover 64, a moving handle 65 is installed in the opening in the surface of the turning cover 64, a sliding block is fixedly connected to the bottom of the moving handle 65, the sliding block is connected with the sliding grooves in a sliding manner, a cutting blade 66 is fixedly connected to the bottom of the sliding block, and a;
the cutting table 63 is fixedly connected with a placing box 59 in the middle of the lower side of the cutting table, an L-shaped fixing plate 60 is placed in the placing box 59, a placing plate 55 is hinged to the surface of the bed body 1 on the lower side of the placing box 59, second connecting plates 57 are hinged to the two sides of the front end of the placing plate 55, third connecting plates 58 are hinged to the upper ends of the second connecting plates 57, and the upper ends of the third connecting plates 58 are hinged to the surface of the bed body 1.
As shown in fig. 13 and 14, the rectangular opening prevents that the cutting blade is blocked by cutting table 63 when cutting piece 66 cuts the article, the bottom both sides of flip 64 have all been seted up protrudingly, the recess surface of cutting table 63 surface rectangle pinches the back both sides and sets up the recess corresponding with the arch of flip 64 bottom, the article can be put and fix with flip 64 on the rectangular groove on cutting table 63 surface, it removes the cutting article to drive cutting piece 66 through removing mobile handle 65, it is used for placing fixed plate 60 to place box 59, place the rear end upper side of board 55 and open and be equipped with the recess, fixed plate 60 can insert and place board 55 in the recess internal fixation of placing the dish 55 rear end upside as shown in fig. 12, place the dish 55 and be used for placing the rim charge after the plastic bag cutting, second connecting plate 57 and third connecting plate 58 are used for connecting and place.
The interior of the second bed board 5 is hollow, four corners of the interior of the second bed board 5 are respectively provided with a roller 96, the central positions of the rollers 96 at the left end and the right end of the second bed board 5 are fixedly connected with a third transmission shaft 94, two ends of the third transmission shaft 94 are respectively connected to the inner wall of the second bed board 5 through bearings, the front side and the rear side of the interior of the second bed board 5 are respectively provided with a toothed belt 97, the toothed belts 97 are sleeved on the surfaces of the rollers 96 at the front end and the rear end of the interior of the second bed board 5, and the middle position of the third transmission shaft 94 is respectively fixedly connected with a third transmission bevel gear 95; a third knob 89 is arranged at the rear end of the second bed plate 5, the third knob 89 is fixedly connected with a first transmission shaft 90, the first transmission shaft 90 penetrates through the second bed plate 5 forwards and extends to the middle position inside the second bed plate 5, and the part of the first transmission shaft 90 extending to the inside of the second bed plate 5 is fixedly connected with a first transmission bevel gear 91; second transmission shafts 92 are respectively installed on two sides of the middle position in the second bed plate 5, two ends of each second transmission shaft 92 are respectively and fixedly connected with a second transmission bevel gear 93, the second transmission bevel gears 93 on the outer sides of the second transmission shafts 92 are respectively meshed with the third transmission bevel gears 95, and the third transmission bevel gears 95 on the inner sides of the second transmission shafts 92 are respectively meshed with the first transmission bevel gears 91;
a second movable plate 100 is arranged on the rear side of the right end surface of the second bed plate 5, a first movable plate 98 is arranged on the front side of the right end surface of the second bed plate 5, sliding blocks 101 are fixedly connected to two sides of the lower ends of the first movable plate 98 and the second movable plate 100, sliding grooves are formed in the front side and the rear side of the surface of the second bed plate 5 downwards, the sliding blocks 101 are connected with the sliding grooves in a sliding mode, and teeth are formed in the bottoms of the sliding blocks 101 and meshed with the teeth on the surface of the rack strips 97; the upper end of the first movable block is fixedly connected with a fixed cylinder 99, rectangular through grooves 104 are formed in two sides of an opening on the upper end surface of the fixed cylinder 99, an annular sliding groove 103 is formed in the inner wall of the fixed cylinder 99, the through grooves 104 are communicated with the annular sliding groove 103, and a second threaded cylinder 102 is fixedly connected to the upper end of the second movable plate 100.
As shown in fig. 15, the third knob 89 is rotated to drive the first transmission bevel gear 91 to rotate, and the roller 96 is rotated through the steering and transmission effects of the first transmission bevel gear 91, the second transmission bevel gear 93 and the third transmission bevel gear 95, the rack belt 97 is driven to move in the process of rotating the roller 96, and the rack belt 97 can drive the first movable plate 98 and the second movable plate 100 to move through the meshing effect with the teeth at the bottom of the sliding block 101 when moving; the connecting groove 104 is used for providing a passage for a first limiting block 71 on the surface of the telescopic rod 70, the annular sliding groove 103 is used for clamping the first limiting block 71 to fix the telescopic rod 70, the second threaded cylinder 102 can be connected with the first bolt 68 through threads to fix the first bolt 68, the surfaces of the first transmission shaft 90 and the second transmission shaft 92 are sleeved with a support base, and the bottom of the support base is fixedly connected to the bottom end inside the second bed plate 5 and used for supporting the first transmission shaft 90 and the second transmission shaft 92.
A through hole 80 is formed in the middle of the cross beam 62, two mounting plates 74 are fixedly connected to the surfaces of the cross beam 62 on the two sides of the through hole 80, two incomplete gears 75 are mounted on the surface of each mounting plate 74, the two incomplete gears 75 are symmetrically hinged to the two sides of the surface of the mounting plate 74, a threaded column 78 is meshed between each two incomplete gears 75, a worm wheel 79 is fixedly connected to the lower end of each threaded column 78, and the bottom of each threaded column 78 is connected with the surface of the cross beam 62 through a bearing; two sides of the surface of the cross beam 62 are provided with worms 73, the worms 73 penetrate through the mounting plate 74 on the outer side and are rotatably connected with the mounting plate 74 on the inner side, and the worms 73 are meshed with the worm wheel 79; the upper end of each incomplete gear 75 is fixedly connected with a clamping frame 76, each clamping frame 76 is bent inwards and fixedly connected with the clamping block 77, and the inner side surfaces of each two corresponding clamping blocks 77 are provided with semi-cylindrical grooves;
the bottom of the cross beam 62 at two sides of the through hole 80 is fixedly connected with a first threaded cylinder 87, a fourth threaded rod 88 is connected in the first threaded cylinder 87 through threads, the bottom end of the fourth threaded rod 88 is provided with an upper fixing plate 82, two ends of the upper fixing plate 82 are provided with U-shaped bulges, the middle part of the upper fixing plate 82 is of an arc structure, the surface of the upper fixing plate is downwards provided with an arc through hole, and the fourth threaded rods 88 are connected to the surfaces of the bulges at two sides of the upper fixing plate 82 through bearings; the number of the expanding pieces 81 is two, sliding blocks are fixedly connected to two sides of the upper end of each expanding piece 81, sliding grooves are formed in the left end and the right end of the bottom of the upper fixing plate 82, and the expanding pieces 81 are symmetrically and slidably connected to the sliding grooves in the left end and the right end of the upper fixing plate 82 through the sliding blocks; both ends all rotationally are connected with second bolt 83 about upper fixed plate 82, the lower extreme of second bolt 83 all runs through downwards upper fixed plate 82 extends to two prop between the piece 81, second bolt 83 top-down threaded connection has two second thread bush 84, the surperficial both sides of second thread bush 84 all articulate there is fourth connecting plate 85, the other end of fourth connecting plate 85 all articulates prop the inboard surface of piece 81.
The tracheal catheter can be inserted into the trachea of a patient through the connecting hole 80, as shown in fig. 18 and 19, the worm gear 79 is driven to rotate by rotating the worm 73, the worm gear 79 drives the threaded column 78 to rotate simultaneously, the threaded column 78 drives the clamping block 77 to move relatively by meshing the surface threads with the incomplete gear 75 simultaneously when rotating, and the semi-cylindrical groove on the inner side of the clamping block 77 is used for fixing the tracheal catheter; as shown in fig. 20 and 24, when the second bolt 83 is rotated, the second thread bushing 84 moves axially along the second bolt 83 under the action of the threads of the second thread bushing 84 and the second bolt 83, the third connecting plate 85 is used for connecting the second thread bushing 84 and limiting the second thread bushing 84, the second thread bushing 84 is prevented from rotating under the drive of the second bolt 83 when the second bolt 83 rotates, the first thread bushing 84 loses the ability of moving axially along the second bolt 83, and the second thread bushing 84 can move along the second bolt 83 and simultaneously drive the opening piece 81 to move relatively through the third connecting plate 85.
The bottom of the cross beam 62 above the fixed cylinder 99 is fixedly connected with a telescopic rod outer cylinder 69, the telescopic rod outer cylinder 69 is hollow, the bottom of the telescopic rod outer cylinder 69 is provided with a through hole, a telescopic rod 70 is installed in the telescopic rod outer cylinder 69, a third spring 72 is sleeved on the surface of the telescopic rod 70, two positions corresponding to the lower side of the surface of the telescopic rod 70 are fixedly connected with a first limiting block 71, and the bottom of the telescopic rod 70 is installed in the annular sliding groove 103 in the fixed cylinder 99; the bottom of the cross beam 62 above the second threaded cylinder 102 is connected with a second rotating knob 67 through a bearing, the bottom of the second rotating knob 67 is fixedly connected with a first bolt 68, and the first bolt 68 is in threaded connection with the second threaded cylinder 102.
The height of the cross beam 62 can be adjusted by rotating the first bolt 68 through the threaded connection between the first bolt 68 and the second threaded cylinder 102, the telescopic rod 70 is used for connecting the fixed cylinder 99, the third spring 72 is used for supporting the telescopic rod 70, and the telescopic rod 70 can be pushed into the telescopic rod outer cylinder 69 by the self-elastic force when the telescopic rod 70 is separated from the fixed cylinder 99.
When the invention is used, a patient can naturally lie on a bed, the height of the bed body 1 can be adjusted by rotating the lifting handle 13, the patient can put the opening sheet 81 into the mouth of the patient when mechanical ventilation is needed, the second bolt 83 is slightly rotated to ensure that the opening sheet 81 moves outwards to open the mouth of the patient, the tracheal catheter can be put in the middle of the clamping block 77 after the tracheal catheter is inserted into the trachea of the patient, the clamping block 77 is used for fixing the catheter by rotating the worm 73, if the patient does not need to rotate the first bolt 68 to separate the first bolt 68 from the second threaded barrel 102 when mechanical ventilation is needed, the telescopic rod 70 is rotated to take out the telescopic rod 70 from the fixed barrel 99, so that the cross beam 62 can be detached, the transfusion frame 48 is used for hanging a transfusion, the transfusion rod 45 can be retracted into the transfusion rod outer barrel 46 by pressing the top cover 50 of the fixed box, the transfusion rod 45 can be transversely placed by pressing the transfusion rod 45 when the transfusion rod 45 is moved, the support frame 36 can support the transfusion rod 45, and the sickbed form of the invention can be changed into the sickbed form by rotating the rotating handle 15, so that the movement of the invention is convenient.
The specific embodiments described herein are merely illustrative of the spirit of the invention. Various modifications or additions may be made to the described embodiments or alternatives may be employed by those skilled in the art without departing from the spirit or ambit of the invention as defined in the appended claims.

Claims (7)

1. A device for the adjunctive therapy sepsis, includes bed body (1), its characterized in that: a first bed board (4) is fixedly connected to the left side of the upper end of the bed body (1), a second bed board (5) is hinged to the right end of the first bed board (4), and a third bed board (6) is hinged to the left end of the first bed board (4); the bed is characterized in that a lifting device is installed at the lower end of the inside of the bed body (1), a turnover device capable of controlling the second bed plate (5) and the third bed plate (6) to turn over is installed at the upper end of the inside of the bed body (1), a movable infusion support (48) is installed at the front end of the bed body (1), a cross beam (62) capable of moving left and right along the second bed plate (5) is installed at the right end of the second bed plate (5), a clamping block (77) is installed on the cross beam (62), an arc-shaped opening piece (81) is installed on the lower side of the middle position of the cross beam (62), and a cutting table (63) is installed at the rear end of the second bed plate;
the upper side of the front end surface of the bed body (1) is fixedly connected with a mounting box (32), the mounting box (32) is hollow, the front end surface is provided with a rectangular strip-shaped opening, the upper end and the lower end of the interior of the mounting box (32) are provided with U-shaped sliding grooves, a moving block (34) is mounted in the mounting box (32), the upper end and the lower end of the moving block (34) are provided with U-shaped bulges, the bulges are connected with the sliding grooves in a sliding manner, the left end of the moving block (34) is provided with a threaded through hole towards the right, the moving block (34) is connected with a third threaded rod (33) through the threaded through hole in a threaded manner, the two ends of the third threaded rod (33) are rotatably connected with the inner wall of the mounting box (32), the right end of the mounting box (32) is provided with a first rotating knob (35), and the first rotating knob (35) penetrates through the mounting box, a third supporting frame (36) is fixedly connected to the right side of the front end of the mounting box (32), and an arc-shaped groove is formed in the upper end surface of the third supporting frame (36) downwards;
the front end of the moving block (34) is connected with a connecting block (38) through a bearing, the surface of the rear end of the connecting block (38) is provided with a through hole forwards, the front end of the connecting block (38) is fixedly connected with an infusion rod base (39), the bottom of the infusion rod (45) is of a cylindrical structure, the upper end and the lower end of the interior of the infusion rod are hollow, an interlayer is arranged at the middle position of the infusion rod (45), the center of the interlayer is provided with the through hole, and the rear end of the bottom of the infusion rod (45) is communicated with the connecting; a stop pin column (37) is fixedly connected to the center of the moving block (34), the stop pin column (37) penetrates through the connecting block (38) and extends into the infusion rod base (39), a first stop cylinder (40) is installed inside the infusion rod base (39), the part, extending into the infusion rod base (39), of the stop pin column (37) is installed inside the first stop cylinder (40), rectangular bulges are uniformly distributed on the outer circumference of the front end of the stop pin column (37), rectangular grooves are formed inside the first stop cylinder (40) corresponding to the rectangular bulges on the surface of the front end of the stop pin column (37), and the rectangular bulges on the front end of the stop pin column (37) are installed inside the corresponding rectangular grooves inside the first stop cylinder (40); a second stop cylinder (41) is sleeved on the surface of the first stop cylinder (40), semi-cylindrical bulges are formed on the upper side and the lower side of the surface of the first stop cylinder (40), semi-cylindrical grooves are formed in the inner wall of the second stop cylinder (41) corresponding to the bulges on the upper side and the lower side of the surface of the first stop cylinder (40), and the bulges on the surface of the first stop cylinder (40) are in sliding connection with the grooves in the second stop cylinder (41);
a first spring column (43) is mounted at the upper end inside the infusion rod base (39), the lower end of the first spring column (43) penetrates through a through hole inside the infusion rod base (39) and extends to the lower end of the infusion rod base (39), arc-shaped connecting shafts (42) are hinged to the surfaces of the left side and the right side of the first stopping barrel (40), the upper ends of the arc-shaped connecting shafts (42) are hinged to the bottom of the first spring column (43), flanges are arranged on the edge of the upper end of the first spring column (43), a first spring (44) is sleeved on the surface of the first spring column (43), and the bottom of the first spring (44) is fixedly connected with the interlayer; the upper end of the transfusion rod base (39) is fixedly connected with a transfusion rod outer barrel (46), and the transfusion rod base (39) is communicated with the transfusion rod outer barrel (46); a transfusion rod (45) is arranged in the transfusion rod outer barrel (46), the bottom of the transfusion rod (45) is in contact with the top of the first spring column (43), and four ratchet bars (47) are uniformly and fixedly connected to the outer circumference of the transfusion rod (45); a fixed box (49) is fixedly connected to the upper end of the infusion rod outer barrel (46), blind holes are formed in four corners of the upper end surface of the fixed box (49), a second spring (51) is installed in each blind hole, a fixed box top cover (50) capable of moving up and down is sleeved on the fixed box (49), a second spring rod (52) is fixedly connected to the position, corresponding to the blind hole, of the bottom of the fixed box top cover (50), a flange is formed in the bottom of the second spring rod (52), the second spring rod (52) is installed in the blind hole, and the bottom of the second spring rod (52) is in contact with the second spring (51); the lower sides of the periphery of the inner surface of the fixed box (49) are hinged with pawls (53), the top ends of the pawls (53) are meshed with the ratchet bars (47), the outer side of each pawl (53) is hinged with a first connecting plate (54), and the other end of each first connecting plate (54) is hinged to the lower side of the inner wall of the top cover (50) of the fixed box; the top of the transfusion rod (45) is fixedly connected with a transfusion stand (48).
2. An apparatus for adjunctive treatment of sepsis as claimed in claim 1 wherein: the turnover device comprises a rectangular mounting disc (105), the mounting disc (105) is fixedly connected to the upper end inside the bed body (1), a rotating handle (15) is mounted at the right end of the bed body (1), and one end of the rotating handle (15) penetrates through the bed body (1) and the mounting disc (105); one end of the rotating handle (15) extending into the mounting disc (105) is fixedly connected with a first driving bevel gear (16), one side of the first driving bevel gear (16) is meshed with a first driven bevel gear (17), the center position of the first driven bevel gear (17) is fixedly connected with a second central shaft (19), two ends of the second central shaft (19) are fixedly connected with a second driven bevel gear (18), one side of the second driven bevel gear (18) is meshed with a third driven bevel gear (20), the center position of the third driven bevel gear (20) is fixedly connected with a first threaded rod (21), and two ends of the first threaded rod (21) are connected with the inner wall of the mounting disc (105) through bearings; the first threaded rods (21) are in threaded connection with first hinge blocks (23), the upper ends of the first hinge blocks (23) are hinged with first supporting rods (22), and the upper ends of the first supporting rods (22) are hinged to the right end of the lower portion of the second bed board (5);
a fourth driven bevel gear (24) is meshed with the other side of the first driven bevel gear (17), the center of the fourth driven bevel gear (24) is fixedly connected with a second threaded rod (25), the second threaded rod (25) is divided into a cylindrical part and a threaded part, the surface of the threaded part of the second threaded rod (25) is connected with a first thread sleeve (26) through threads, the front side and the rear side of the middle position of the left end surface of the first thread sleeve (26) are fixedly connected with first connecting rods (27), the left ends of the first connecting rods (27) penetrate through the bed body (1) and are fixedly connected with second hinged blocks (28), the left end of the second hinging block (28) is hinged with a third hinging block (31), the left side and the right side of the upper end of the third hinge block (31) are respectively hinged with a second support frame (30), the upper ends of the second supporting frames (30) are hinged to the left end of the bottom of the third bed board (6).
3. An apparatus for adjunctive treatment of sepsis as claimed in claim 2 wherein: the lifting device comprises a second bevel gear (9), the center position of the second bevel gear (9) is fixedly connected with a rotating column (106), and the bottom of the rotating column (106) is connected to the surface of the bottom end in the bed body (1) through a bearing; four corners of the surface of the bottom end inside the bed body (1) are provided with first bevel gears (8), the central positions of the first bevel gears (8) are fixedly connected with lifting columns (7), the lifting column (7) is divided into a cylindrical part and a threaded part, the threaded part at the lower end of the lifting column (7) penetrates through the bed body (1) and extends to the outside of the bed body (1), the upper side and the lower side of the cylindrical part of the lifting column (7) are connected with the mounting disc (105) and the bed body (1) through bearings, four corners of the bottom of the bed body (1) are fixedly connected with supporting legs (2), the bottoms of the supporting legs (2) are fixedly connected with foot brake universal wheels (3), the upper ends of the supporting legs (2) are all downwards provided with threaded holes, and the threaded parts of the lifting columns (7) are all in threaded connection with the supporting legs (2);
four first supporting shafts (10) are installed at the bottom of the bed body (1), third bevel gears (11) are fixedly connected to the two ends of the first supporting shafts (10), the third bevel gears (11) at one ends of the first supporting shafts (10) are meshed with the first bevel gears (8), the third bevel gears (11) at the other ends of the first supporting shafts (10) are meshed with the second bevel gears (9), fourth bevel gears (14) are meshed with the front sides of the second bevel gears (9), first connecting shafts (12) are fixedly connected to the center positions of the fourth bevel gears (14), and the front ends of the first connecting shafts (12) penetrate through the bed body (1) and lifting handles (13) are fixedly connected to the front ends of the first connecting shafts (12).
4. An apparatus for adjunctive treatment of sepsis as claimed in claim 1 wherein: the upper side of the rear part of the bed body (1) is fixedly connected with a cutting table (63), a rectangular groove is formed in the rear side of the cutting table (63), a rectangular opening is formed in the middle of the surface of the groove from left to right, a turning cover (64) is hinged to the right side of the groove, rectangular openings are formed in the surface of the turning cover (64) from left to right, sliding grooves are formed in two ends of the inner side of the rectangular opening in the surface of the turning cover (64), a moving handle (65) is installed in the opening in the surface of the turning cover (64), a sliding block is fixedly connected to the bottom of the moving handle (65), the sliding block is in sliding connection with the sliding grooves, a cutting blade (66) is fixedly connected to the bottom of the sliding block, and a rectangular opening is formed in the surface;
the utility model discloses a cutting bed, including cutting table (63), place box (59) and place box (59) in the downside intermediate position fixedly connected with of cutting bed (63), place fixed plate (60) of L shape in the box (59), place box (59) downside the bed body (1) surface articulates there is and places dish (55), the front end both sides of placing dish (55) all articulate has second connecting plate (57), the upper end of second connecting plate (57) all articulates there is third connecting plate (58), the upper end of third connecting plate (58) all articulates bed body (1) surface.
5. An apparatus for adjunctive treatment of sepsis as claimed in claim 1 wherein: the inner part of the second bed board (5) is hollow, four corners of the inner part of the second bed board (5) are respectively provided with a roller (96), the central positions of the rollers (96) at the left end and the right end of the second bed board (5) are fixedly connected with a third transmission shaft (94), two ends of the third transmission shaft (94) are respectively connected to the inner wall of the second bed board (5) through bearings, toothed belts (97) are arranged at the front side and the rear side of the inner part of the second bed board (5), the toothed belts (97) are sleeved on the surfaces of the rollers (96) at the front side and the rear side of the inner part of the second bed board (5), and the middle position of the third transmission shaft (94) is respectively and fixedly connected with a third transmission bevel gear (95; a third knob (89) is arranged at the rear end of the second bed plate (5), the third knob (89) is fixedly connected with a first transmission shaft (90), the first transmission shaft (90) penetrates through the second bed plate (5) forwards and extends to the middle position inside the second bed plate (5), and the part of the first transmission shaft (90) extending to the inside of the second bed plate (5) is fixedly connected with a first transmission bevel gear (91); second transmission shafts (92) are mounted on two sides of the middle position in the second bed plate (5), second transmission bevel gears (93) are fixedly connected to two ends of each second transmission shaft (92), the second transmission bevel gears (93) on the outer sides of the second transmission shafts (92) are meshed with the third transmission bevel gears (95), and the third transmission bevel gears (95) on the inner sides of the second transmission shafts (92) are meshed with the first transmission bevel gears (91);
a second movable plate (100) is arranged on the rear side of the surface of the right end of the second bed plate (5), a first movable plate (98) is arranged on the front side of the surface of the right end of the second bed plate (5), sliding blocks (101) are fixedly connected to two sides of the lower ends of the first movable plate (98) and the second movable plate (100), sliding grooves are formed in the front side and the rear side of the surface of the second bed plate (5) downwards, the sliding blocks (101) are connected with the sliding grooves in a sliding mode, and teeth meshed with the teeth on the surface of the rack belt (97) are formed in the bottom of each sliding block (101); the upper end fixedly connected with of first movable block connects a groove (99) fixedly, the rectangle connect logical groove (104) has been seted up to the upper end surface opening part both sides of a fixed section of thick bamboo (99), fixed section of thick bamboo (99) inner wall has been seted up annular spout (103) and connect logical groove (104) with annular spout (103) switch-on, the upper end fixedly connected with second screw thread section of thick bamboo (102) of second fly leaf (100).
6. An apparatus for adjunctive treatment of sepsis as claimed in claim 5, in which: a through connecting through hole (80) is formed in the middle of the cross beam (62), two mounting plates (74) are fixedly connected to the surfaces of the cross beam (62) on the two sides of the connecting through hole (80), two incomplete gears (75) are mounted on the surface of each mounting plate (74), the two incomplete gears (75) are symmetrically hinged to the two sides of the surface of each mounting plate (74), a threaded column (78) is meshed between each two incomplete gears (75), a worm wheel (79) is fixedly connected to the lower end of each threaded column (78), and the bottom of each threaded column (78) is connected with the surface of the cross beam (62) through a bearing; both sides of the surface of the cross beam (62) are provided with worms (73), the worms (73) penetrate through the mounting plate (74) on the outer side and are rotatably connected with the mounting plate (74) on the inner side, and the worms (73) are meshed with the worm wheel (79); the upper end of each incomplete gear (75) is fixedly connected with a clamping frame (76), each clamping frame (76) is bent inwards and fixedly connected with the clamping block (77), and semi-cylindrical grooves are formed in the inner side surfaces of every two corresponding clamping blocks (77);
the bottom of the cross beam (62) at two sides of the through hole (80) is fixedly connected with a first threaded cylinder (87), a fourth threaded rod (88) is connected in the first threaded cylinder (87) through threads, the bottom end of the fourth threaded rod (88) is provided with an upper fixing plate (82), two ends of the upper fixing plate (82) are provided with U-shaped bulges, the middle part of the upper fixing plate is of an arc structure, the surface of the upper fixing plate is downwards provided with an arc through hole, and the fourth threaded rod (88) is connected to the surfaces of the bulges at two sides of the upper fixing plate (82) through bearings; the number of the spreading pieces (81) is two, sliding blocks are fixedly connected to two sides of the upper end of each spreading piece (81), sliding grooves are formed in the left end and the right end of the bottom of the upper fixing plate (82), and the spreading pieces (81) are symmetrically and slidably connected into the sliding grooves in the left end and the right end of the upper fixing plate (82) through the sliding blocks; both ends all rotationally are connected with second bolt (83) about upper fixed plate (82), the lower extreme of second bolt (83) all runs through downwards upper fixed plate (82) extend to two prop between piece (81), second bolt (83) top-down threaded connection has two second thread bush (84), the surperficial both sides of second thread bush (84) all articulate has fourth connecting plate (85), the other end of fourth connecting plate (85) all articulates prop the inboard surface of piece (81).
7. An apparatus for adjunctive treatment of sepsis as claimed in claim 6, in which: the bottom of the cross beam (62) above the fixed cylinder (99) is fixedly connected with an outer telescopic rod cylinder (69), the inner part of the outer telescopic rod cylinder (69) is hollow, a through hole is formed in the bottom of the outer telescopic rod cylinder (69), a telescopic rod (70) is installed in the outer telescopic rod cylinder (69), a third spring (72) is sleeved on the surface of the telescopic rod (70), two corresponding positions on the lower side of the surface of the telescopic rod (70) are fixedly connected with a first limiting block (71), and the bottom of the telescopic rod (70) is installed in the annular sliding chute (103) in the fixed cylinder (99); the bottom of the cross beam (62) above the position corresponding to the second threaded cylinder (102) is connected with a second rotating knob (67) through a bearing, the bottom of the second rotating knob (67) is fixedly connected with a first bolt (68), and the first bolt (68) is in threaded connection with the second threaded cylinder (102).
CN201910443458.7A 2019-05-27 2019-05-27 Device for auxiliary treatment of sepsis Expired - Fee Related CN110179607B (en)

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