CN111249073A - Femoral artery puncture operation pressing moving bed - Google Patents
Femoral artery puncture operation pressing moving bed Download PDFInfo
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- CN111249073A CN111249073A CN202010162366.4A CN202010162366A CN111249073A CN 111249073 A CN111249073 A CN 111249073A CN 202010162366 A CN202010162366 A CN 202010162366A CN 111249073 A CN111249073 A CN 111249073A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/02—Stretchers with wheels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G1/00—Stretchers
- A61G1/04—Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Abstract
A femoral artery puncture operation pressing moving bed comprises a movable bed board and a lying board which is rotatably connected with the middle of the movable bed board through a turnover shaft, wherein the lying board is respectively controlled by two hydraulic oil cylinders positioned at the rear ends of the front sections of the lying board to overturn around the turnover shaft with the inclination of 5-15 degrees, a fixed plate is arranged on the lying board through a fixed column, and a puncture pressing device is arranged below the fixed plate through a lifting hydraulic oil cylinder. The invention drives the lying plate to incline by controlling the front hydraulic cylinder and the rear hydraulic cylinder, so that a patient is in an inclined state with a low head and a high foot, thereby reducing the flow of blood and facilitating the hemostasis during pressing.
Description
The patent application of the invention is a divisional application with application number of 2018116024362, the original application date is 12 months and 26 days in 2018, and the application numbers are as follows: 2018116024362, the name of invention creation is: a moving bed for femoral artery puncture operation.
The reason and basis for dividing cases: since claim 1 is not inventive in the examination process of the parent case, and the rest of the claims have no uniqueness, the division is proposed according to the patent laws, the implementation rules of the patent laws and the relevant regulations of the examination guidelines.
Technical Field
The invention relates to a femoral artery puncture surgical instrument in the field of medical instruments, in particular to a pressing moving bed for femoral artery puncture surgery.
Background
Femoral artery puncture is a surgical procedure that has mainly the following objectives: 1. collecting arterial blood samples or some special examinations; 2. pressure blood transfusion and infusion during emergency treatment; 3. for regional chemotherapy; in addition, femoral artery puncture may be required in the treatment of cardiovascular diseases, such as cardiac intervention surgery and the like.
After the femoral artery puncture is finished, the puncture point needs to be pressed so as to facilitate the hemostasis and healing of the puncture opening. The existing pressing modes are generally divided into manual pressing by medical staff and simple mechanical pressing by means of machinery, the manual pressing achieves certain effect, but consumes more manpower, occupies medical care resources, and the pressing strength also depends on the experience of the medical staff, so that the same posture and the pressing strength cannot be kept for a long time;
in order to solve the problems existing in manual pressing, simple machines are invented to press the puncture:
for example, the utility model with application number 2018200567044 discloses a puncture site pressing device after cardiovascular intervention, which is characterized in that the core of the device is actually the use of the expansion of an electric telescopic rod to drive an arc-shaped limiting plate to press a puncture opening, and the pressing device solves the problem of replacing manual pressing with mechanical force, but the puncture point is positioned at the root of the thigh when femoral artery puncture is performed due to the adoption of the arc-shaped limiting plate to press the puncture opening, and the effect of the pressing mode is not ideal due to the special structure of the root of the thigh of the human body;
for another example, the utility model with application number 2016201567555 also discloses a puncture position pressing device after cardiovascular intervention, the device also utilizes a telescopic rod to drive a slide block to adjust the height, a jack catch is arranged on the slide block, and a cotton ball is clamped by the jack catch to press the puncture position; the patent has the problems that the area of the part pressed by the cotton ball clamped by the claws on the puncture part is small, the effective fixation on the body of a patient is lacked, once the patient moves abnormally, the pressed part deviates, and the pressing effect is not ideal in practical application;
in addition, the utility model with application number 992046076 discloses a cardioangiography pressing device, which is characterized in that a pressure lead screw is used to drive a pressure sheet to press a puncture part; the patent still has the problem that the pressing effect is not ideal.
Disclosure of Invention
The invention aims to provide a pressing moving bed for femoral artery puncture operation, which is used for pressing after the femoral artery puncture operation and has better pressing effect than the prior mechanical pressing device.
The technical means adopted by the invention for realizing the technical purpose is as follows: a femoral artery puncture operation pressing moving bed comprises a movable bed board, wherein an upward lying board for a patient to lie on is arranged on the upper surface of the bed board, the middle part of the upward lying board is rotatably connected with the middle part of the upper surface of the bed board through a turnover shaft penetrating through the width direction of the upward lying board, a front hydraulic oil cylinder and a rear hydraulic oil cylinder are respectively arranged at the front part and the rear part of the bottom of the bed board, piston rods of the front hydraulic oil cylinder and the rear hydraulic oil cylinder respectively penetrate through the bed board and then are hinged with the bottom surfaces of the front part and the rear part of the upward lying board, and the upward lying board is turned over by the inclination of 5-15 degrees around the turnover shaft by adjusting the extension lengths of the piston;
a fixed column is arranged on one side of the upper surface of the lying plate, a fixed plate positioned above one side of the lying plate is arranged at the top end of the fixed column, a lifting base plate is arranged below the fixed plate through a lifting hydraulic oil cylinder, and the distance between the lifting base plate and the upper surface of the lying plate is adjusted through the expansion and contraction of a piston rod of the lifting hydraulic oil cylinder; the device comprises a lifting base plate, a puncture opening pressing device and a hydraulic cylinder, wherein the lifting base plate is provided with a puncture opening pressing device, the puncture opening pressing device comprises a mounting plate connected with the lifting base plate, the lower surface of the mounting plate is provided with a blind hole, a connecting pin is arranged in the blind hole through a compression spring, the tail end of the connecting pin extends out of the blind hole and is connected with a pressing head with a hemispherical pressing surface, the lifting base plate and the mounting plate are driven to descend through the extension of a piston rod of the lifting hydraulic cylinder, and the connecting pin and the pressing head are driven to synchronously press a puncture opening and the periphery of the;
a front auxiliary pressing structure and a rear auxiliary pressing structure are respectively arranged in front of and behind the blind hole in the mounting plate, the front auxiliary pressing structure and the rear auxiliary pressing structure respectively comprise strip-shaped grooves which are distributed in a direction perpendicular to the length direction of the lying plate, a blood vessel pressing plate I is arranged in each strip-shaped groove of the front auxiliary pressing structure through a plurality of compression springs, and an arc-shaped protruding part protruding out of the bottom end of each strip-shaped groove of the blood vessel pressing plate I for pressing the root of a thigh is arranged in the middle of the bottom end of each strip-shaped; the strip inslot of the supplementary structure of pressing of back is provided with blood vessel press platen II through a plurality of compression spring, presses platen II salient in the bottom middle part in strip inslot at the blood vessel and is provided with the arc depressed part of pressing the femoral blood vessel, the base of blood vessel press platen II and blood vessel press platen I is the arc smooth transition of downward bellied.
In a preferred embodiment of the invention, a cold compress auxiliary mechanism is arranged at the front part of the front auxiliary pressing structure on the mounting plate, and when the pressing head on the mounting plate presses the puncture and the periphery of the puncture in the range of 1-2cm, the cold compress auxiliary mechanism covers the 8-10cm of skin at the puncture position close to the heart; the cold compress auxiliary mechanism comprises two arc-shaped cover plates which are symmetrically arranged along the length direction of the lying plate and made of silica gel materials, the two arc-shaped cover plates are spliced to form a semicircle, the inner edges of two sides of each arc-shaped cover plate in the length direction are provided with raised sealing baffle strips made of silica gel materials, a plurality of cold compress metal strips are distributed between the sealing baffle strips at two sides, the cold compress metal strips are of a hollow structure, one end of each cold compress metal strip extends to the bottom of the arc-shaped cover plate and is provided with an opening, the other end of each cold compress metal strip extends into a closed air chamber arranged between the two arc-shaped cover plates on the mounting plate, the closed air chamber is communicated with an ice storage chamber through an air pipe, the ice storage chamber is communicated with an air outlet of an air blower, so that air blown out by the air blower enters the ice storage chamber to be cooled by ice blocks stored in the ice storage chamber and, and the cold compress metal band is tightly attached to the 8-10cm skin surface at the puncture position close to the heart side to carry out cold compress on the body part, so that the blood flowing speed is reduced, and the pressing time is further shortened.
In another preferred embodiment of the present invention, the bottom of the mounting plate is provided with an arc-shaped recess which is in the same direction as the semicircle surrounded by the two arc-shaped cover plates, and the upper ends of the two arc-shaped cover plates are respectively arranged in the arc-shaped recess through a connecting substrate, so that a gap is formed between the outer wall of the arc-shaped cover plate and the side wall of the arc-shaped recess, so as to facilitate the outward expansion of the arc-shaped cover plate after being pressed; the closed air chamber is fixedly arranged in the arc-shaped recess between the two connecting substrates.
Compared with the prior art, the invention has the following beneficial effects:
1) according to the invention, the lying plate is arranged on the bed plate in a rotating manner by using the turnover shaft, and the front hydraulic cylinder and the rear hydraulic cylinder are utilized to drive the lying plate to turn over at the two ends at an inclination angle of 5-15 degrees, so that after puncture is completed, the front hydraulic cylinder and the rear hydraulic cylinder are controlled to drive the lying plate to incline, and a patient is in an inclined state with a low head and high feet, thereby reducing the flow of blood and facilitating hemostasis during pressing; meanwhile, a lifting base plate driven by a lifting hydraulic oil cylinder is arranged on one side of the lying plate, a pressing head driven by a compression spring and a connecting pin is arranged on the lifting base plate to synchronously press the puncture and the periphery of the puncture in a range of 1-2cm, and a hemispherical pressing surface is arranged on the pressing head and can be well attached to the physiological structure of the root of the thigh and synchronously press the puncture point and the periphery of the puncture point, so that the pressing effect is improved, and the pressing position can be prevented from being deviated due to the movement of the body;
2) the mounting plate connected with the pressing head is connected with the lifting base plate through the adjusting screw rod, so that the height of the pressing head is finely adjusted by stirring the adjusting screw rod, and the compression force is adjusted;
3) the hemostatic cotton yarn is easily fixed on the hemispherical pressing surface, and the hemostatic cotton yarn is more conveniently replaced; more importantly, due to the existence of the pressing pressure and the fact that the height of the hemispherical pressing surface is only 1.5cm, the outer wall of the extension sleeve can also be in contact with the skin around the puncture point, the pressing area is increased, and the puncture point is not easy to separate from the pressing range;
4) according to the invention, the front auxiliary pressing structure and the rear auxiliary pressing structure are respectively arranged in front of and behind the pressing head, and the front auxiliary pressing structure and the rear auxiliary pressing structure are respectively provided with the downward convex arc-shaped convex part and the upward concave arc-shaped concave part which are respectively matched with the physiological structure, so that the front side and the rear side of the puncture point are subjected to auxiliary pressing, the effect of fixing and preventing the puncture from moving is achieved, more importantly, the blood vessel can be pressed, the blood flow speed is reduced, and the pressing time is shortened;
5) the cold compress auxiliary mechanism is arranged in front of the pressing head, the cold compress auxiliary mechanism is internally provided with an arc-shaped cover plate supported by a silica gel material and can be tightly attached to the surface of skin under the action of pressure, a cold compress metal strip is arranged in the arc-shaped cover plate, the cold compress metal strip is cooled by utilizing cold air generated by gas after passing through an ice storage chamber, and meanwhile, because an opening of the cold compress metal strip is also positioned in the arc-shaped cover plate, the generated cold air is also positioned in the arc-shaped cover plate, so that the blood flow rate of the skin covered by the cold compress auxiliary mechanism is reduced under the stimulation of the cold air, and the pressing time is further shortened;
6) the invention fixes the waist and the puncture thigh of the patient by respectively arranging the waist fixing mechanism and the thigh fixing mechanism in front of and behind the puncture opening pressing device, thereby preventing the pressing head from deviating from the puncture opening caused by the movement of the patient, and preventing the displacement of the patient caused by the overturn of the lying plate.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of the puncture pressing device;
FIG. 3 is a schematic view of the pressing head;
FIG. 4 is a schematic view of the structure of the extension sleeve;
FIG. 5 is a schematic structural view of a blood vessel pressing plate I;
FIG. 6 is a schematic structural view of a blood vessel pressing plate II;
FIG. 7 is a schematic structural view of a cold compress assist mechanism;
FIG. 8 is a schematic view of the thigh securing mechanism;
FIG. 9 is a schematic view of the waist securing mechanism;
FIG. 10 is a top view of the lumbar fixation mechanism;
reference numerals: 1. a bed board, 101, a lying board, 102, a turnover shaft, 103, a front hydraulic cylinder, 104, a rear hydraulic cylinder, 105, a neck pillow part, 106, a headrest part, 2, a waist fixing mechanism, 201, a fixing fixture block, 202, a track groove, 203, a transmission worm, 204, a transmission gear, 205, a speed reducer, 206, a clamping tile, 3, a puncture opening pressing device, 301, a mounting board, 302, a strip-shaped groove, 303, a blood vessel pressing board II, 3031, an arc-shaped recess part, 304, a pressing head, 3041, an expansion part, 305, a connecting pin, 306, a blind hole, 307, a blood vessel pressing board I, 3071, an arc-shaped protrusion part, 308, hemostatic cotton yarn, 309, an extension sleeve, 3010, an arc-shaped recess, 4, a fixing board, 401, a lifting hydraulic cylinder, 402, a fixing column, 403, a lifting base board, 404, an adjusting screw rod, 405, an adjusting block, 5, a thigh fixing mechanism, 501, a fixing base board, the cold compress device comprises an arc-shaped clamp, 6, a cold compress auxiliary mechanism, 601, an arc-shaped cover plate, 602, a sealing baffle strip, 603, a cold compress metal belt, 604, a closed air chamber, 605, a connecting base plate, 606, an air pipe, 607, an ice storage chamber, 608 and a blower.
Detailed Description
The technical solution of the present invention is further described with reference to the following specific embodiments. The definition of front and back in the present invention is defined based on the patient lying on the lying board 1, the front being the side facing the head of the patient and the back being the side facing the feet of the patient.
Example 1
As shown in fig. 1, 2 and 3, a femoral artery puncture surgery pressing moving bed comprises a movable bed board 1, the bottom of the movable bed board 1 is provided with a support leg, the bottom of the support leg is provided with a universal wheel and a lock catch for locking the universal wheel, the universal wheel and the lock catch are the prior art and are not described herein, the upper surface of the bed board 1 is provided with a lying board 101 for a patient to lie on, the middle part of the lying board 101 is rotatably connected with the middle part of the upper surface of the bed board 1 through a turnover shaft 102 running through the width direction of the lying board, the front part and the rear part of the bottom of the bed board 1 are respectively provided with a front hydraulic cylinder 103 and a rear hydraulic cylinder 104, and the piston rods of the front hydraulic cylinder 103 and the rear hydraulic cylinder 104 are hinged with the front part and the rear part of the lying board 101 after respectively passing through the bed board 1, and the extension, so that the lying plate 101 is turned over by 5-15 degrees of inclination around the turning shaft 102;
the arrangement positions of the front hydraulic oil cylinder 103 and the rear hydraulic oil cylinder 104 are preferably arranged below the bed plate 1 generally, a separation box can be arranged below the front hydraulic oil cylinder 103 and the rear hydraulic oil cylinder 104, and then the front hydraulic oil cylinder 103 and the rear hydraulic oil cylinder 104 are arranged in the separation box;
the lying plate comprises a lying plate 101, a fixed column 402, a lifting base plate 403, a lifting hydraulic cylinder 401, a lifting hydraulic cylinder base plate 401, a piston rod of the lifting hydraulic cylinder 401, a lifting base plate 403 and the upper surface of the lying plate 101, wherein the fixed column 402 is arranged on one side of the upper surface of the lying plate 101, the fixed plate 4 is arranged at the top end of the fixed column 402 and is positioned above one side of the lying plate 101, the fixed plate 4 and the fixed column 402 are arranged at the position, close to the rear, of the middle of the lying plate 101, the piston rod of the lifting hydraulic cylinder 401 is downwards perpendicular to the lying plate 101, and the distance between the lifting; the puncture pressing device 3 is arranged on the lifting base plate 403, the puncture pressing device 3 comprises a mounting plate 301 connected with the lifting base plate 403, a blind hole 306 is arranged on the lower surface of the mounting plate 301, a connecting pin 305 is arranged in the blind hole 306 through a compression spring, the tail end of the connecting pin 305 extends out of the blind hole 306 and is connected with a pressing head 304 with a hemispherical pressing surface, the lifting base plate 403 and the mounting plate 301 are driven to descend through the extension of a piston rod of a lifting hydraulic oil cylinder 401, and then the connecting pin 305 and the pressing head 304 are driven to synchronously press the puncture and the puncture periphery within the range of 1-2cm through the compression spring.
When the patient lies on the lying plate 101, the patient needs to press the puncture hole after the femoral artery puncture is completed, the front hydraulic oil cylinder 103 and the rear hydraulic oil cylinder 104 are started firstly, the lying plate 101 is turned around the turning shaft 102 at a turning angle of 5-15 degrees, and the patient is in a lying position with a low head and high feet after the turning is completed; then, adjusting the thigh to enable the puncture opening of the thigh to be positioned below the puncture opening pressing device 3, starting the lifting hydraulic oil cylinder 401 to enable the piston rod of the lifting hydraulic oil cylinder to extend out, further driving the lifting base plate 403 and the puncture opening pressing device 3 on the lifting base plate to move downwards, enabling the pressing head 304 of the puncture pressing device 3 to move downwards and to be pressed at the puncture opening and the range of 1-2cm of the puncture opening, and wrapping hemostatic cotton yarn 308 outside the pressing head 304; because the pressing head 304 is arranged in the blind hole 306 by virtue of the compression spring, the compression spring plays a role of storing force and buffering, so that medical personnel can better observe and judge the length of the connecting pin 305 retracted into the blind hole 306 to judge the pressure testing strength.
The foregoing is a basic embodiment of the present invention, and further modifications, optimizations and limitations can be made on the foregoing, so as to obtain the following examples:
example 2
The present embodiment is an improvement made on the basis of embodiment 1, as shown in fig. 1, the mounting plate 301 is connected to the lifting base plate 403 through an adjusting screw 404, the bottom end of the adjusting screw 404 is rotatably connected to the upper surface of the mounting plate 301 through a rotating bearing, the top end is connected to the through hole on the lifting base plate 403 in a matching manner to form a screw slider structure, an adjusting block 405 for rotating the adjusting screw 404 is disposed on the adjusting screw 404, and the position of the mounting plate 301 is finely adjusted by rotating the adjusting block 405, so that the pressing head 304 thereon presses the puncture hole and the periphery thereof within a range of 1-2 cm.
When the puncture pressing device 3 is used, the puncture pressing device 3 is firstly lowered to the height close to the puncture opening in the manner of embodiment 1, then the adjusting screw rod 404 is rotated by rotating the adjusting block 405, and the mounting plate 301 and the pressing head 304 are further driven to descend and press the puncture opening and the range of 1-2cm, and in the process, the adjusting block 405 is rotated while observing, so that the proper pressure is determined.
Example 3
The present embodiment is another modification made on the basis of embodiment 1, as shown in fig. 2 and 3, the pressing head 304 has a hemispherical pressing surface for pressing the puncture, an expansion part 3041 with an upward diameter gradually expanding is arranged on the upper portion of the hemispherical pressing surface, and the minimum diameter of the bottom of the expansion part 3041 is equal to the diameter of the hemispherical pressing surface; the hemispherical pressing surface of the pressing head 304 is covered with hemostatic cotton yarn 308.
This example, when used, is the same as example 1.
Example 4
As shown in fig. 2, 3 and 4, the extension sleeve 309 is sleeved outside the pressing head 304, the extension sleeve 309 is a hollow funnel-shaped sleeve with a bottom diameter smaller than a top diameter, the bottom end of the extension sleeve 309 is sleeved at a joint of the expansion portion 3041 and the hemispherical pressing surface, the expansion portion 3041 is accommodated inside the extension sleeve, so that the hemostatic cotton yarn 308 is fixed on the hemispherical pressing surface, and an included angle of 100 and 120 ° is formed between a side wall of the extension sleeve 309 and the hemispherical pressing surface. This contained angle is extension cover 309 and hemispherical press surface contact position's tangent line and the contained angle that extension cover 309 lateral wall formed in fact, the height of hemispherical press surface on the press head 304 is 1.5cm, it is 1.5cm that its height that exceeds extension cover 309 minimum also, like this when actually pressing, because the existence of pressure, the outer wall that can make extension cover 309 also presses skin, patient's removal has not only been prevented, and increased the pressure area, make the puncture opening be difficult to more break away from pressing of press head 304.
This example, when used, is the same as example 1.
Example 5
As shown in fig. 2, 5 and 6, a front auxiliary pressing structure and a rear auxiliary pressing structure are respectively disposed in front of and behind a blind hole 306 on the mounting plate 301, and both the front auxiliary pressing structure and the rear auxiliary pressing structure include a strip-shaped groove 302 which is perpendicular to the length direction of the lying plate 101, a blood vessel pressing plate i 307 is disposed in the strip-shaped groove of the front auxiliary pressing structure through a plurality of compression springs, and an arc-shaped protrusion 3071 which presses the root of a thigh is disposed in the middle of the bottom end of the blood vessel pressing plate i 307 protruding out of the strip-shaped groove 302; a blood vessel pressing plate II 303 is arranged in the strip-shaped groove of the rear auxiliary pressing structure through a plurality of compression springs, an arc-shaped sunken part 3031 for pressing femoral vessels is arranged in the middle of the bottom end, protruding out of the strip-shaped groove 302, of the blood vessel pressing plate II 303, and the bottom edges of the blood vessel pressing plate II 303 and the blood vessel pressing plate I307 are both in downward convex arc-shaped smooth transition. The distance between the front auxiliary pressing structure and the pressing head 304 is 2-3cm, and the distance between the rear auxiliary pressing structure and the pressing head 304 is 3-5 cm.
This example, when used, is the same as example 1.
Example 6
This embodiment is a further improvement on embodiment 5, as shown in fig. 2 and 7, a cold compress auxiliary mechanism 6 is disposed at a front position of the front auxiliary pressing structure on the mounting plate 301, and when the pressing head 304 on the mounting plate 301 presses on the puncture and the periphery within a range of 1-2cm, the cold compress auxiliary mechanism 6 covers the skin 8-10cm away from the puncture position and towards the heart, in this words, the cold compress auxiliary mechanism 6 covers the skin 8-10cm away from the puncture position and towards the heart; the cold compress auxiliary mechanism 6 comprises two arc-shaped cover plates 601 which are symmetrically arranged along the length direction of the lying plate 101 and made of silica gel materials, the two arc-shaped cover plates 601 are spliced to form a semicircle, sealing baffle strips 602 made of convex silica gel materials are arranged at the inner edge positions of two sides of each arc-shaped cover plate 601 in the length direction, a plurality of cold compress metal bands 603 are distributed between the sealing baffle strips 602 at two sides, the cold compress metal bands 603 are of a hollow structure, one end of each cold compress metal band 603 extends to the bottom of the arc-shaped cover plate 601 and is provided with an opening, the other end of each cold compress metal band extends into a closed air chamber 604 arranged between the two arc-shaped cover plates 601 on the mounting plate 301, the closed air chamber 604 is communicated with an ice storage chamber 607 through an air pipe 606, the ice storage chamber 607 is communicated with an air outlet of an air blower 608, so that air blown out by the air blower 608 enters the ice storage chamber 607 to be cooled by ice cubes stored therein and then enters the However, the cold compress metal band 603 is closely attached to the 8-10cm skin surface on the side of the puncture position close to the heart to perform cold compress on the body part, so that the blood flow speed is reduced, and the pressing time is further shortened. The ice storage chamber 607 can be opened to facilitate medical staff to put ice cubes therein; the ice storage 607 and the blower 608 are disposed on the mounting plate 301, or within an openable chamber thereon; the cold-rolled metal strip 603 is made of a metal having good elasticity, for example, two metal strips with a thickness of not more than 1mm are used as raw materials, and the side edges of the metal strips are provided with micro ribs, so that the two metal strips are hollow in the middle when they are integrated by hot-working or cold-working.
This example, when used, is essentially the same as example 1, except that: the ice storage chamber 607 needs to be opened to put ice cubes therein, then when the pressing head 403 presses the puncture and the periphery, the cold compress auxiliary mechanism 6 is tightly attached to the skin, at this time, the blower 608 is opened, the air blown out by the blower is cooled by the ice storage chamber 607 and enters the cold compress metal band 603 through the closed air chamber 604, and the cold compress metal band 603 is tightly attached to the skin to carry out cold compress cooling on subcutaneous tissues, so that the blood flow rate is reduced.
Example 7
In this embodiment, a further improvement is made on the basis of embodiment 6, as shown in fig. 7, an arc-shaped recess 3010 is provided at the bottom of the mounting plate 301, and the arc-shaped recess 3010 and the two arc-shaped cover plates 601 enclose a semicircle in the same direction, where the same direction means that the axial directions of the two arc-shaped recess 3010 are the same, and the radius of curvature of the arc-shaped recess 3010 is greater than the radius of curvature of the semicircle enclosed by the two arc-shaped cover plates 601, and the upper ends of the two arc-shaped cover plates 601 are respectively disposed in the arc-shaped recess 3010 through a connection substrate 605, so that a gap is provided between the outer wall of the arc-shaped cover plate 601 and the side wall of the arc-; the closed air chamber 604 is fixedly disposed in the arc-shaped recess 3010 between the two connection substrates 605. In order to enable the distance between the two arc cover plates 601 to be adjustable, two parallel screws are arranged in the direction perpendicular to the axial direction of the arc recess 3010, two ends of each screw are rotationally fixed at the bottom of the mounting plate 301 through bearings, the middle parts of the two screws penetrate through the closed air chamber 604, and the part of each screw penetrating through the closed air chamber 604 does not have a spiral line, so that the part penetrating through the side wall of the closed air chamber 604 is sealed by using a wear-resistant sealing ring; the connection base plates 605 of the two arc-shaped cover plates 601 are connected with the two screws in a matching way through threaded holes and are respectively positioned at two sides of the closed air chamber 604, and the two screws are rotated, so that the two arc-shaped cover plates 601 synchronously move towards or away from each other, and the distance between the two arc-shaped cover plates is adjusted.
Example 8
This embodiment is a further modification of embodiment 1, as shown in figures 1 and 8, a vertically downward thigh fixing mechanism 5 is arranged behind the puncture pressing device 3 on the lifting base plate 403 through an adjusting screw 404, the thigh fixing mechanism 5 comprises a fixing base plate 501, an arc-shaped clamp 503 which presses the thigh and protrudes upward is provided on the bottom surface of the fixing base 501 by a plurality of compression springs 502, the bottom end of the adjusting screw 404 is rotatably connected with the upper surface of the fixed base plate 501 through a rotating bearing, the top end is matched and connected with the through hole on the lifting base plate 403 to form a screw slider structure, an adjusting block 405 for rotating the adjusting screw 404 is provided on the adjusting screw 404, the position of the fixing base plate 501 is finely adjusted by rotating the adjusting block 405, so that the arc-shaped clamp 503 on the fixing base plate presses the thigh below the puncture hole, thereby clamping and fixing the thigh. The distance between the thigh fixing mechanism 5 and the puncture pressing device 3 is typically 15-20 cm.
This example, when used, is essentially the same as example 1, except that: the pressing head 304 is pressed against the puncture and the adjustment screw 404 is then used to adjust the arcuate clamp 503 to clamp the thigh.
Example 9
The present embodiment is a further improvement on embodiment 1, as shown in fig. 1, 9 and 10, a waist fixing mechanism 2 for clamping and fixing the waist of the patient is disposed on the lying plate 101, the waist fixing mechanism 2 includes a track groove 202 disposed on the lying plate 101 and penetrating the width direction thereof, a transmission worm 203 is disposed in the track groove 202, fixing blocks 201 are symmetrically disposed at two ends of the transmission worm 203, and the two fixing blocks 201 are in threaded fit with the transmission worm 203 through threaded holes at the bottoms thereof, so that during the rotation of the transmission worm 203, the two fixing blocks 201 move towards or away from each other, and further clamp and fix or separate the waist of the patient; arc-shaped concave clamping tiles 206 are symmetrically arranged on the opposite surfaces of the two fixed clamping blocks 201, and the two clamping tiles 206 are attached to the waist of the patient in shape so as to facilitate better clamping; two ends of the transmission worm 203 are fixed in the track groove 202 through rotating bearings, a transmission gear 204 is arranged between the rotating bearing on one side of the transmission worm 203 and the fixed fixture block 201, the transmission gear 204 is meshed with a gear on an output shaft of a speed reducer 205 driven by a micro motor, the transmission worm 203 is driven to rotate in different rotating directions through forward and reverse rotation of the micro motor, and then opposite or opposite movement of the two fixed fixture blocks 201 is realized.
This example, when used, is essentially the same as example 1, except that: the pressing head 304 is pressed tightly on the puncture hole, then the micro motor is started to drive the speed reducer 205 to rotate, so that power is transmitted to the transmission worm 203, the transmission worm 203 drives the two fixing fixture blocks 201 to move oppositely in the rotating process, and the waist of a patient is clamped and fixed.
Example 10
In this embodiment, a further modification is made on the basis of embodiment 1, and as shown in fig. 1, a headrest portion 106 for supporting the head and a neck pillow portion 105 for supporting the neck are provided on an upper surface of the lying plate 101 near one end of the front hydraulic cylinder 103.
Claims (3)
1. The utility model provides a femoral artery puncture operation presses moving bed, includes mobilizable bed board (1), its characterized in that: the upper surface of the bed plate (1) is provided with a lying plate (101) for a patient to lie on, the middle part of the lying plate (101) is rotatably connected with the middle part of the upper surface of the bed plate (1) through a turnover shaft (102) penetrating through the width direction of the lying plate, the front part and the rear part of the bottom of the bed plate (1) are respectively provided with a front hydraulic oil cylinder (103) and a rear hydraulic oil cylinder (104), piston rods of the front hydraulic oil cylinder (103) and the rear hydraulic oil cylinder (104) respectively penetrate through the bed plate (1) and then are hinged with the bottom surfaces of the front part and the rear part of the lying plate (101), and the lying plate (101) is turned over by the inclination of 5-15 degrees around the turnover shaft (102) by adjusting the extension lengths of the piston rods of the front hydraulic oil cylinder (103) and the rear;
a fixing column (402) is arranged on one side of the upper surface of the lying plate (101), a fixing plate (4) positioned above one side of the lying plate (101) is arranged at the top end of the fixing column (402), a lifting base plate (403) is arranged below the fixing plate (4) through a lifting hydraulic oil cylinder (401), and the distance between the lifting base plate (403) and the upper surface of the lying plate (101) is adjusted through the expansion and contraction of a piston rod of the lifting hydraulic oil cylinder (401); the puncture opening pressing device (3) is arranged on the lifting base plate (403), the puncture opening pressing device (3) comprises a mounting plate (301) connected with the lifting base plate (403), a blind hole (306) is arranged on the lower surface of the mounting plate (301), a connecting pin (305) is arranged in the blind hole (306) through a compression spring, the tail end of the connecting pin (305) extends out of the blind hole (306) and is connected with a pressing head (304) with a hemispherical pressing surface, the lifting base plate (403) and the mounting plate (301) are driven to descend through the extension of a piston rod of the lifting hydraulic oil cylinder (401), and the connecting pin (305) and the pressing head (304) are driven by the compression spring to synchronously press the puncture opening and the periphery of the puncture opening within the range of 1-2 cm;
a front auxiliary pressing structure and a rear auxiliary pressing structure are respectively arranged in front of and behind a blind hole (306) in the mounting plate (301), the front auxiliary pressing structure and the rear auxiliary pressing structure respectively comprise strip-shaped grooves (302) which are perpendicular to the length direction of the lying plate (101), blood vessel pressing plates I (307) are arranged in the strip-shaped grooves of the front auxiliary pressing structure through a plurality of compression springs, and arc-shaped protruding parts (3071) protruding out of the middle parts of the bottom ends of the strip-shaped grooves (302) of the blood vessel pressing plates I (307) for pressing the root of a thigh are arranged; a blood vessel pressing plate II (303) is arranged in the strip-shaped groove of the rear auxiliary pressing structure through a plurality of compression springs, an arc-shaped sunken part (3031) for pressing femoral vessels is arranged in the middle of the bottom end, protruding out of the strip-shaped groove (302), of the blood vessel pressing plate II (303), and the bottom edges of the blood vessel pressing plate II (303) and the blood vessel pressing plate I (307) are in downward convex arc-shaped smooth transition.
2. A femoral artery puncture surgery pressing moving bed according to claim 1, characterized in that: the cold compress auxiliary mechanism (6) is arranged at the front part of the front auxiliary pressing structure on the mounting plate (301), and when the pressing head (304) on the mounting plate (301) presses the puncture and the periphery within the range of 1-2cm, the cold compress auxiliary mechanism (6) covers the 8-10cm of skin at the puncture position close to the heart; the cold compress auxiliary mechanism (6) comprises two arc-shaped cover plates (601) which are symmetrically arranged along the length direction of the lying plate (101) and made of silica gel materials, the two arc-shaped cover plates (601) are spliced to form a semicircle, sealing barrier strips (602) made of convex silica gel materials are arranged at the inner edge positions of two sides of the length direction of each arc-shaped cover plate (601), a plurality of cold compress metal bands (603) are distributed between the sealing barrier strips (602) at two sides, the cold compress metal bands (603) are of a hollow structure, one end of each cold compress metal band extends to the bottom of the arc-shaped cover plate (601) and is provided with an opening, the other end of each cold compress metal band extends into a closed air chamber (604) arranged between the two arc-shaped cover plates (601) on the mounting plate (301), the closed air chamber (604) is communicated with an ice storage chamber (607) through an air pipe (606), and the air outlet of, so that the air blown out by the blower (608) enters the ice storage chamber (607) and is cooled by the ice stored therein, then enters the cold compress metal belt (603) through the air pipe (606) and the closed air chamber (604) to cool the cold compress metal belt (603), and the cold compress metal belt (603) is closely attached to the skin surface 8-10cm close to the heart side of the puncture position to carry out cold compress on the body part, thereby reducing the blood flow speed and further shortening the pressing time.
3. A femoral artery puncture surgery pressing moving bed according to claim 1, characterized in that: the bottom of the mounting plate (301) is provided with an arc-shaped recess (3010) which is in the same direction as a semicircle surrounded by the two arc-shaped cover plates (601), the upper ends of the two arc-shaped cover plates (601) are respectively arranged in the arc-shaped recess (3010) through a connecting substrate (605), so that a gap is formed between the outer wall of the arc-shaped cover plate (601) and the side wall of the arc-shaped recess (3010), and the arc-shaped cover plate (3010) is conveniently expanded after being pressed; the closed air chamber (604) is fixedly arranged in an arc-shaped recess (3010) between the two connecting substrates (605).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010162366.4A CN111249073B (en) | 2018-12-26 | 2018-12-26 | Femoral artery puncture operation pressing moving bed |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811602436.2A CN109646193B (en) | 2018-12-26 | 2018-12-26 | Moving bed for femoral artery puncture operation |
| CN202010162366.4A CN111249073B (en) | 2018-12-26 | 2018-12-26 | Femoral artery puncture operation pressing moving bed |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201811602436.2A Division CN109646193B (en) | 2018-12-26 | 2018-12-26 | Moving bed for femoral artery puncture operation |
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| Publication Number | Publication Date |
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| CN111249073A true CN111249073A (en) | 2020-06-09 |
| CN111249073B CN111249073B (en) | 2021-12-07 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201811602436.2A Active CN109646193B (en) | 2018-12-26 | 2018-12-26 | Moving bed for femoral artery puncture operation |
| CN202010162366.4A Active CN111249073B (en) | 2018-12-26 | 2018-12-26 | Femoral artery puncture operation pressing moving bed |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201811602436.2A Active CN109646193B (en) | 2018-12-26 | 2018-12-26 | Moving bed for femoral artery puncture operation |
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Cited By (2)
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| CN111973363A (en) * | 2020-09-14 | 2020-11-24 | 青岛大学附属医院 | Multifunctional gynecological nursing bed with expansion plate body |
| CN115998545A (en) * | 2023-03-28 | 2023-04-25 | 广州华一生物科技有限公司 | Intelligent nursing bed |
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| CN110507399B (en) * | 2019-08-27 | 2020-08-25 | 张逸飞 | Directional navigation device for bone traction |
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| CN111568563B (en) * | 2020-05-20 | 2021-06-04 | 河北医科大学第一医院 | Fixing and supporting device for cardiac intervention operation |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN109646193A (en) | 2019-04-19 |
| CN109646193B (en) | 2020-06-05 |
| CN111249073B (en) | 2021-12-07 |
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