CN110393598A - Hard tracheae checks head adjusting device - Google Patents

Abstract

The present invention relates to hard tracheaes to check head adjusting device, and it is big to adjust difficulty by patients head when the existing Rigid bronchoscope of effective solution checks, cumbersome, and patient comfort adjusted implacable problem；Its technical solution solved includes first rotating shaft, a headrest is fixed in first rotating shaft, a bull stick is hinged with below headrest, it bull stick, that is, swingable and is able to rotate, first rotating shaft is each side fixed with one group of support unit, every group of support unit includes that two upper ends are hinged, the connecting rod of the V-shaped opening in lower end, a riffled tube is equipped between every group of two connecting rods, the both ends of each riffled tube are respectively fitted with a threaded rod, the top of two riffled tubes is equipped with second shaft, the rotation of second shaft can drive two riffled tubes to rotate synchronously, a reel is fixed in second shaft, rope is wound on reel counterclockwise, one end of rope is fixed on reel, the other end is fixed on the front end face of headrest.

Description

Hard tracheae checks head adjusting device

Technical field

The present invention relates to medical instruments field, especially hard tracheaes to check head adjusting device.

Background technique

Airway wall is broadly divided into two major classes, Rigid bronchoscope and branchofiberoscope, compared with Rigid bronchoscope, fiber Bronchoscope needs to occupy certain air flue space in operation, and ventilatory function will not be generally caused for normal adults Obstacle, but its ventilatory function or even life-threatening safety, Rigid bronchoscope energy may then be influenced for children or airway constriction person Airway patency is kept, and has side opening to be connected with ventilator in operating side, therefore Rigid bronchoscope is also known as " ventilation bronchoscopy.

Due to the construction features of Rigid bronchoscope, needs patients head to layback when in use, patient is made to keep mouth, throat Straight line is kept with tracheae, medical staff could be facilitated to carry out tracheoscopy in this way, conventional rigid tracheoscopy does not have Mating head adjusting device, needs medical staff to pad several cushions below patients head, and adjustment cushion realizes the mouth of patient, pharynx Larynx and tracheae keep straight line, need to apply general anaesthetic when carrying out Rigid bronchoscope inspection due to patient, after being anesthetized to trouble Person is adjusted, and patient can not cooperate medical staff to work without intuition at this time, and medical staff is time-consuming when adjusting patients head Arduously, great work intensity, simultaneously because Rigid bronchoscope implement when the patients head elevation angle it is big, also to cooperate when padding cushion to Patient's shoulder is mobile, and to guarantee the comfort at the patients head elevation angle and patient, the more cumbersome patient comfort of this operating process is more Hardly possible is held, at the same in a manner of filling pillow for, by Rigid bronchoscope from main gas tube lung's bronchus to the left and right when inspection When road switches over, patients head is pulled in left and right to be also inconvenient and is difficult to hold, therefore needs a kind of head tune at this stage Regulating device cooperates the inspection of Rigid bronchoscope.

Summary of the invention

For above situation, for the defect for overcoming the prior art, the present invention provides hard tracheae and checks head adjusting device, It is big to adjust difficulty by patients head when the existing Rigid bronchoscope of effective solution checks, cumbersome, and patient adjusted is relaxed The implacable problem of adaptive.

Its technical solution solved the problems, such as includes a horizontal first rotating shaft, and a hard is fixed in first rotating shaft Headrest, headrest middle position are equipped with the groove of front-rear direction perforation, and being hinged with one below headrest both can be around hinge joint It swings and can coaxially be fixed with a first bevel gear on the bull stick of own axis, bull stick, first bevel gear Lower section is engaged with the cone gear ring being fixed on headrest, and the free end of bull stick is fixed with a bowl-shape supporting plate, first rotating shaft Be each side fixed with one group of support unit, every group of support unit includes that two upper ends are hinged, and lower end is V-shaped The connecting rod of opening, the lower end of each connecting rod is equipped with a runner that can be self-locking, before being equipped with a level between every group of two connecting rods The riffled tube of rear direction, the thread rotary orientation at left and right sides of riffled tube is on the contrary, the both ends of each riffled tube respectively cooperate peace Equipped with a threaded rod, threaded rod outer end is hinged on the connecting rod of respective side, and the top of two riffled tubes is equipped with one and water Second shaft of flat left and right directions arrangement, the rotation of the second shaft can drive two riffled tubes to rotate synchronously, and two to screw thread Pipe rotation can make thereon corresponding two threaded rods in the same direction or reverse movement, be fixed with a reel, spiral in the second shaft Rope is wound on wheel counterclockwise, one end of rope is fixed on reel, and the other end is fixed on the front end face of headrest.

Present inventive concept is novel, and clever structure is practical, patient when the existing Rigid bronchoscope of effective solution checks Head adjusting difficulty is big, cumbersome, and the implacable problem of patient comfort adjusted.

Detailed description of the invention

Fig. 1 is main view of the present invention.

Fig. 2 is the right view when present invention is not promoted.

Fig. 3 is the right pseudosection after the present invention is promoted.

Fig. 4 is the rear pseudosection of present invention headrest and its accessory structure.

Fig. 5 is top view of the present invention.

Fig. 6 is the overlooking structure diagram of push plate of the present invention and its driving device.

Fig. 7 is the overlooking structure diagram of riffled tube driving device of the present invention.

Fig. 8 is the right side structural representation of riffled tube driving device of the present invention.

Specific embodiment

Below in conjunction with attached drawing, specific embodiments of the present invention will be described in further detail.

By Fig. 1 to Fig. 6 it is found that the present invention includes a horizontal first rotating shaft 1, one is fixed in first rotating shaft 1 firmly The headrest 2 of matter, 2 middle positions of headrest are equipped with the groove 3 of front-rear direction perforation, and 2 lower section of resting the head on is hinged with one and both may be used It swings around hinge joint and can coaxially be fixed with a first bevel gear 5 on the bull stick 4 of own axis, bull stick 4, the The lower section of one bevel gear 5 is engaged with the cone gear ring 6 being fixed on headrest 2, the free end of bull stick 4 be fixed with one it is bowl-shape Supporting plate 7, first rotating shaft 1 are each side fixed with one group of support unit, and every group of support unit includes two upper end phases Mutually hinged, the lower end of the connecting rod 8 of the V-shaped opening in lower end, each connecting rod 8 is equipped with a runner 9 that can be self-locking, every group of two connecting rods The riffled tube 10 of a level in the front-back direction is equipped between 8, the thread rotary orientation of 10 left and right sides of riffled tube is on the contrary, each The both ends of riffled tube 10 are respectively fitted with a threaded rod 11, and 11 outer end of threaded rod is hinged on the connecting rod 8 of respective side, The top of two riffled tubes 10 is equipped with the second shaft 12 of one with horizontal left and right directions arrangement, and the rotation of the second shaft 12 can Drive two riffled tubes 10 to rotate synchronously, two to rotated threaded tubular can make thereon corresponding two threaded rods 11 it is in the same direction or anti- To movement, it is fixed with a reel 13 in the second shaft 12, is wound with rope 14 on reel 13 counterclockwise, the one of rope 14 End is fixed on reel 13, and the other end is fixed on the front end face of headrest 2.

Preferably the neck of patient is fixed in order to facilitate the present apparatus, the left and right sides of the groove 3 is respectively provided with one The bottom of a air bag 15, groove 3 is equipped with an opening up piston cylinder 16, and the piston rod upper end of piston cylinder 16 is fixed with an arc Arc panel 17 directed downwardly is pushed up, a gas outlet is respectively provided at left and right sides of the lower end of piston cylinder 16, each gas outlet is respectively through soft Pipe is connected to the air bag 15 of respective side, pushes gas in extrudable piston cylinder 16 by patient's neck and its body is made to enter correspondence In side air bag 15, the expansion of air bag 15 can be achieved to hold the auxiliary of patient's neck tightly.

In order to realize that the rotation of the second shaft 12 can drive two riffled tubes 10 to rotate synchronously, each riffled tube Coaxially it is fixed with second bevel gear 18 on 10, the inside of each second bevel gear 18 is engaged with a third hand tap gear 19, and two Third hand tap gear 19 is fixedly and coaxially connected through third shaft 20, and first gear 21, the second shaft are further fixed in third shaft 20 12 are equipped with the second gear 22 engaged with first gear 21, are also fitted with a L-shaped branch on each riffled tube 10 Support 23, the corner location of support frame 23 are rotatably connected on riffled tube 10, and third shaft 20 is rotatably connected on support frame 23 Transverse slat end position, the second shaft 12 is rotatably connected on the riser end position of support frame 23, wherein riffled tube 10, third shaft 20 and second shaft 12 can only produce relative rotation with support plate.

In order to realize that the present apparatus oneself will not slip during support, the right end of second shaft 12 is coaxially fixed with Ratchet 24, Right side support frame 23 are equipped with the pawl 25 matched with ratchet 24, and pawl 25 does not hinder ratchet 24 to rotate clockwise.

In order to facilitate the operation of that present apparatus, the right end of second shaft 12 is coaxially fixed with a crank 26.

Specific work process of the invention: two 8 lower ends of connecting rod under the original state of the present apparatus in every group of support unit It separates to maximum rating, rope 14 wind on reel 13 at this time lacks, and rope 14 is in relaxed state, at this time will entirely The patients head of fiber crops lifts, and the present apparatus is placed under patient's neck, and the weight of patients head itself is made to squeeze arc panel 17, Arc panel 17 is squeezed, so that gas is extruded and enters in air bag 15 in piston cylinder 16, air bag 15 is inflated at this time, by patient Neck Auxiliary support and encircle, while the head of patient is placed on supporting plate 7, bull stick 4 at this time with 2 vertical, patients of headrest In a relaxation state, two threaded rods, the 11 outer end extension elongation longest being coupled on each riffled tube 10, runner 9 In on-position.

When needing to carry out Rigid bronchoscope implantation, release runner 9 first is braked, and by shaking crank 26 clockwise, is made It obtains the second shaft 12 to rotate clockwise, driving pawl 24 and reel 13 rotate clockwise in this rotation process, reel 13 Rotation realizes that 14 rewinding of rope on reel 13, can select the rope 14 of different length according to different crowd herein, can also incite somebody to action The modes such as the knotting of rope 14 convert 14 length of rope to meet different patient demands, and the rotation of the second shaft 12 is driven simultaneously Dynamic second gear 22 rotates, and the engagement in rotation first gear 21 of second gear 22 simultaneously drives third shaft 20 to rotate, third shaft 20 rotation is rotated through second bevel gear 18 and the engagement driving riffled tube 10 of third hand tap gear 19, and the rotation of riffled tube 10 is real Two screwed pipes being now coupled thereon are synchronous to 10 intermediary movements of riffled tube to realize that the lower end of two connecting rods 8 is inside Synchronous, two 8 lower ends of connecting rod are moved up to middle shrinkage realization device is whole, due to patient's general anesthesia at this time, body Weight is significantly larger than head weight, and while lifting patient's neck upwards, the body of patient is not active, therefore the head of patient The trend nodded downwards is had, while headrest 2 rotates clockwise, simultaneously as reel is realized in the rotation of the second shaft 12 13 gradually realize the tightening of rope 14, and the process that rope 14 is tightened realizes that headrest 2 rotates counterclockwise, patient is had the trend of nodding Head reversing reset can realize the stretching of neck since body is lifted in reseting procedure at this time, at this time the runner 9 in the present apparatus It is not bound, under patient body gravity, the present apparatus can be mobile to patient body, it is steeved backward with meeting patients head, Back-and-forth motion of present apparatus fully relies on the trend of patient's self gravity during this, is an adaptive process, therefore whole Patient's musculi colli and bone are in relaxation state.

It can be implanted into when completing lifting after i.e. patient mouthful, throat and tracheae are adjusted to straight line for patient's neck Airway wall operation, when need from main tracheae collateral branch's tracheae enters to the left and right when, can be realized by moving left and right supporting plate 7, to the left When mobile bull stick 4, bull stick 4 is moved to the left while realizing the counterclockwise of bull stick 4 in first bevel gear 5 and winning for cone gear ring 6 Rotation, what this rotation process had both met hunt also achieves stirring for face, more convenient efficiently to help medical care Personnel can intratracheally penetrate Rigid bronchoscope in the bronchus of right side from main, direction phase Tongfang when penetrating to left bronchus inside To inverse operation.

After completing airway wall implantation, airway wall is extracted, the head of patient is held, patients head is lifted, by this equipment After lifting below patient's neck, air bag 15 after the gas pressure by piston cylinder 16, can not unclamp patient's neck, at this time will The present apparatus is moved away from.

In order to realize the fast driving of riffled tube 10 Yu threaded rod 11, it is possible to increase riffled tube 10 is pushed away with threaded rod 11 Journey, the self-lock ability of riffled tube 10 and threaded rod 11, which will descend through, at this time adds 24 clip claw mechanism of ratchet and can effectively avoid this Device from master reset.

Present apparatus comparison traditional equipment has following benefit:

1, the present apparatus 2 is arranged to rotatable, while 2 inverse time of auxiliary headrest during support equipment rising by that will rest the head on Needle rotation, so that even if still the mouth, throat and tracheae of patient can be adjusted to straight line after patient's neck lifts, and And patient's self gravitation effect is relied on during adjustment, it realizes that the present apparatus deacclimatizes patient, gives one branch flexible of patient The musculi colli and bone of patient can be effectively protected in pushing out ring border.

2, the present apparatus is fitted with bull stick 4 during setting is adaptively lifted, and patient can be achieved in the rotation of bull stick 4 Neck swings, and carrying out rotation during the swing efficiently can quickly adjust the mouth, throat and tracheae of patient, facilitates doctor Shield personnel find suitable position and enter in bronchus from main tracheae, and this operation is adjusted since patients head is supported The angle haveing suffered that journey medical staff is more laborsaving, while adjusting be also it is electrodeless, for comparing traditional bolster head, stability is more It is strong more labor-saving.

3, the present apparatus realizes that connecting rod 8 is shunk so that stablizing, and pass through L shape by the cooperation of riffled tube 10 and threaded rod 11 Fixed frame, riffled tube 10, third shaft 20, the second shaft 12 are connected and are fixed together, realizes riffled tube 10, the Three shafts 20 and the second shaft 12 form the relationship supported and fixed mutually, so that the present apparatus is more stable and high when in use Effect.

Present inventive concept is novel, and clever structure is practical, patient when the existing Rigid bronchoscope of effective solution checks Head adjusting difficulty is big, cumbersome, and the implacable problem of patient comfort adjusted.

Claims (5)

1. hard tracheae checks head adjusting device, including a horizontal first rotating shaft (1), which is characterized in that described first The headrest (2) of a hard is fixed in shaft (1), headrest (2) middle position is equipped with the groove of front-rear direction perforation (3), one is hinged with below headrest (2) can not only swing around hinge joint but also can turn around the bull stick (4) of own axis It is coaxially fixed with a first bevel gear (5) on bar (4), is engaged with one below first bevel gear (5) and is fixed on headrest (2) On cone gear ring (6), the free end of bull stick (4) is fixed with a bowl-shape supporting plate (7), and first rotating shaft (1) is each side It is fixed with one group of support unit, every group of support unit includes that two upper ends are hinged, the connecting rod of the V-shaped opening in lower end (8), the lower end of each connecting rod (8) is equipped with a runner (9) that can be self-locking, is equipped with a level between every group of two connecting rods (8) Riffled tube (10) in the front-back direction, the thread rotary orientation at left and right sides of riffled tube (10) is on the contrary, each riffled tube (10) Both ends be respectively fitted with a threaded rod (11), threaded rod (11) outer end is hinged on the connecting rod (8) of respective side, two The top of riffled tube (10) is equipped with the second shaft (12) of one with horizontal left and right directions arrangement, the rotation of the second shaft (12) Two riffled tubes (10) can be driven to rotate synchronously, two to rotated threaded tubular can make thereon corresponding two threaded rods (11) it is same To or reverse movement, be fixed with a reel (13) in the second shaft (12), reel is wound with rope on (13) counterclockwise (14), one end of rope (14) is fixed on reel (13), and the other end is fixed on the front end face of headrest (2).

2. hard tracheae according to claim 1 checks head adjusting device, which is characterized in that a left side for the groove (3) Right two sides are respectively provided with an air bag (15), and the bottom of groove (3) is equipped with an opening up piston cylinder (16), piston cylinder (16) Piston rod upper end is fixed with an arc top arc panel directed downwardly (17), is respectively provided with one at left and right sides of the lower end of piston cylinder (16) Gas outlet, each gas outlet are connected to through hose with the air bag (15) of respective side respectively, push extrudable piston by patient's neck The interior gas of cylinder (16) simultaneously enters its body in respective side air bag (15), and the auxiliary to patient's neck can be achieved in air bag (15) expansion It holds tightly.

3. hard tracheae according to claim 1 checks head adjusting device, which is characterized in that described to state each internal screw thread It is coaxially fixed with second bevel gear (18) on pipe (10), is engaged with a third hand tap gear on the inside of each second bevel gear (18) (19), two third hand tap gears (19) are fixedly and coaxially connected through third shaft (20), and third shaft is further fixed on first on (20) Gear (21), the second shaft (12) are equipped with the second gear (22) engaged with first gear (21), each riffled tube (10) On be also fitted with a L-shaped support frame (23), the corner location of support frame (23) is rotatably connected on riffled tube (10) On, third shaft (20) is rotatably connected on the transverse slat end position of support frame (23), and the second shaft (12) is rotatably connected on support frame (23) riser end position, wherein riffled tube (10), third shaft (20) and the second shaft (12) can only be generated with support plate It relatively rotates.

4. hard tracheae according to claim 1 checks head adjusting device, which is characterized in that second shaft (12) Right end be coaxially fixed with ratchet (24), Right side support frame (23) is equipped with the pawl (5) that matches with ratchet (24), pawl (25) ratchet (24) is not hindered to rotate clockwise.

5. hard tracheae according to claim 1 checks head adjusting device, which is characterized in that second shaft (12) Right end be coaxially fixed with a crank (26).