CN111282061A - Hemodialysis monitoring nursing instrument - Google Patents
Hemodialysis monitoring nursing instrument Download PDFInfo
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- CN111282061A CN111282061A CN202010191209.6A CN202010191209A CN111282061A CN 111282061 A CN111282061 A CN 111282061A CN 202010191209 A CN202010191209 A CN 202010191209A CN 111282061 A CN111282061 A CN 111282061A
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- hose
- fixedly connected
- hemodialysis
- motor
- clamping groove
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- 238000001631 haemodialysis Methods 0.000 title claims abstract description 53
- 230000000322 hemodialysis Effects 0.000 title claims abstract description 53
- 238000012544 monitoring process Methods 0.000 title claims abstract description 24
- 230000000474 nursing effect Effects 0.000 title claims abstract description 12
- 238000010438 heat treatment Methods 0.000 claims description 38
- 239000008280 blood Substances 0.000 claims description 27
- 210000004369 blood Anatomy 0.000 claims description 27
- 239000011553 magnetic fluid Substances 0.000 claims description 21
- 210000001367 artery Anatomy 0.000 claims description 20
- 239000007788 liquid Substances 0.000 claims description 15
- 235000008331 Pinus X rigitaeda Nutrition 0.000 claims description 5
- 235000011613 Pinus brutia Nutrition 0.000 claims description 5
- 241000018646 Pinus brutia Species 0.000 claims description 5
- 238000002347 injection Methods 0.000 claims description 4
- 239000007924 injection Substances 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 3
- 206010052904 Musculoskeletal stiffness Diseases 0.000 abstract description 5
- 208000000112 Myalgia Diseases 0.000 abstract description 3
- 210000003462 vein Anatomy 0.000 description 14
- 238000000502 dialysis Methods 0.000 description 12
- 206010052428 Wound Diseases 0.000 description 5
- 208000027418 Wounds and injury Diseases 0.000 description 5
- 238000001514 detection method Methods 0.000 description 5
- 238000005452 bending Methods 0.000 description 4
- 230000036760 body temperature Effects 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000004804 winding Methods 0.000 description 4
- 241000894006 Bacteria Species 0.000 description 3
- 238000009825 accumulation Methods 0.000 description 3
- 230000009471 action Effects 0.000 description 3
- 239000002585 base Substances 0.000 description 3
- 238000009395 breeding Methods 0.000 description 3
- 230000001488 breeding effect Effects 0.000 description 3
- 230000004087 circulation Effects 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 238000005507 spraying Methods 0.000 description 3
- 210000004243 sweat Anatomy 0.000 description 3
- 238000000108 ultra-filtration Methods 0.000 description 3
- 230000017531 blood circulation Effects 0.000 description 2
- 239000006185 dispersion Substances 0.000 description 2
- 230000007613 environmental effect Effects 0.000 description 2
- 239000012510 hollow fiber Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000008855 peristalsis Effects 0.000 description 2
- 239000007858 starting material Substances 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 239000002699 waste material Substances 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 208000009304 Acute Kidney Injury Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 208000002740 Muscle Rigidity Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000033626 Renal failure acute Diseases 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
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- 208000012998 acute renal failure Diseases 0.000 description 1
- 239000003513 alkali Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 208000020832 chronic kidney disease Diseases 0.000 description 1
- 208000022831 chronic renal failure syndrome Diseases 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000007872 degassing Methods 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 239000008151 electrolyte solution Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1621—Constructional aspects thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
- A61H1/02—Stretching or bending or torsioning apparatus for exercising
- A61H1/0274—Stretching or bending or torsioning apparatus for exercising for the upper limbs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1207—Driving means with electric or magnetic drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/1635—Hand or arm, e.g. handle
- A61H2201/1638—Holding means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/06—Arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0413—Blood
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3368—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/36—General characteristics of the apparatus related to heating or cooling
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Urology & Nephrology (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Vascular Medicine (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Engineering & Computer Science (AREA)
- Emergency Medicine (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Physical Education & Sports Medicine (AREA)
- Rehabilitation Therapy (AREA)
- External Artificial Organs (AREA)
Abstract
The invention belongs to the technical field of medical instruments, and particularly relates to a hemodialysis monitoring nursing instrument, which comprises a body; the top of the body is provided with a groove for placing an arm, and the bottom of the groove is provided with a flexible cushion layer; a transverse plate is fixedly connected to the body below the cushion layer, a group of sliding columns are connected in sliding holes formed in the transverse plate in a sliding mode, and the stroke of each sliding column is 1.5-2 cm; the position in the body corresponding to the sliding column is rotationally connected with the rollers through the bracket, and the adjacent rollers are driven by the belt; one side of the roller is fixedly connected with a cam for driving the sliding column, and the roller is driven by a motor fixedly connected to the body through a belt; the motor drives the roller to rotate through the belt, so as to drive the cam to rotate, the sliding column continuously pushes the cushion layer to undulate, further the arm of the patient moves in a small range, discomfort such as muscle stiffness and ache caused by long-time immobilization of the arm is avoided, and the comfort level of the patient during hemodialysis is further improved.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a hemodialysis monitoring and nursing instrument.
Background
Hemodialysis (HD) is one of the alternative treatments for the kidney of patients with acute and chronic renal failure. The method comprises the steps of draining blood in vivo to the outside of the body, enabling the blood and electrolyte solution (dialysate) with similar body concentration to be inside and outside one hollow fiber through a dialyzer consisting of a plurality of hollow fibers, and carrying out substance exchange through dispersion, ultrafiltration, adsorption and convection principles, so as to remove metabolic waste in the body and maintain the balance of electrolyte and acid and alkali; at the same time, the excess water in the body is removed, and the whole process of purified blood reinfusion is called hemodialysis.
The hemodialysis machine is divided into a blood monitoring alarm system and a dialysate supply system. The blood monitoring and alarming system comprises a blood pump, a heparin pump, arteriovenous pressure monitoring, air monitoring and the like; the dialysate supply system comprises a temperature control system, a liquid preparation system, a degassing system, a conductivity monitoring system, an ultrafiltration monitoring system, a blood leakage monitoring system and the like. The working principle is as follows: the concentrated solution for dialysis and the dialysis water are prepared into qualified dialysate through a dialysate supply system, and solute dispersion, permeation and ultrafiltration are carried out on the qualified dialysate through a hemodialyzer and patient blood led out by a blood monitoring alarm system; the blood of the patient after the action returns to the body of the patient through the blood monitoring alarm system, and the liquid after dialysis is taken as waste liquid and is discharged by the dialysate supply system; the whole dialysis process is completed by continuous circulation.
The hemodialysis machine is communicated with the arterial blood vessel of a human body through an arterial hose and is communicated with the vein of the human body through a venous hose to form a blood circulation loop, when a patient conducts hemodialysis, an arm cannot move for a long time, discomfort such as muscle stiffness and ache is easily caused, and in addition, the wound blood leakage condition of the patient is easily caused in the dialysis process.
Some technical scheme about hemodialysis nursing have also appeared among the prior art, have disclosed a hemodialysis detection care apparatus like chinese patent with application number 2019109748133, including supporting the base, support installing four gyro wheels of terminal surface under the base, the protecting crust is installed to the up end of supporting the base, the control box is installed to the inner wall of protecting crust, the keyboard is installed to the up end of control box, the display is installed to one side of keyboard, the surface mounting of control box one end has adjustment button, blood detection mechanism is installed to adjustment button's below, protection bin gate is installed to blood detection mechanism's below, the surface mounting of protecting crust one end has the connection port of admitting air, the connection port of giving vent to anger is installed to the below of connection port of admitting air. The invention optimizes the internal structure and increases the function of humidifying air and the heating function, but the prior art can not relieve the hand muscle of a patient and can not well fix the arterial hose and the venous hose, so that the normal hemodialysis operation is influenced because the arterial hose and the venous hose are wound and knotted or are excessively bent to cause unsmooth circulation.
Disclosure of Invention
In order to make up for the defects of the prior art and solve the problems that the existing hemodialysis nursing technology cannot relieve hand muscles of patients and can not fix arterial hoses and venous hoses well, so that the arterial hoses and the venous hoses are easy to wind and knot or are excessively bent to cause unsmooth circulation and influence normal hemodialysis operation, the invention provides the hemodialysis monitoring nursing instrument.
The technical scheme adopted by the invention for solving the technical problems is as follows: the invention relates to a hemodialysis monitoring nursing instrument, which comprises a body; the top of the body is provided with a groove for placing an arm, and the bottom of the groove is provided with a flexible cushion layer; a transverse plate is fixedly connected to the body below the cushion layer, a group of sliding columns are connected in sliding holes formed in the transverse plate in a sliding mode, and the stroke of each sliding column is 1.5-2 cm; the position in the body corresponding to the sliding column is rotatably connected with the rollers through the bracket, and the adjacent rollers are driven through the belt; one side of the roller is fixedly connected with a cam for driving the sliding column, the roller is driven by a motor fixedly connected to the body through a belt, and the motor is connected with a power supply through a controller; the during operation, patient will be connected the arm of hemodialysis machine and put in the recess, simultaneously through controller starter motor, the motor passes through the belt and drives the running roller rotation, drive the cam rotation when the running roller rotates, and then make the continuous reciprocal slip from top to bottom of cam drive traveller, the continuous top of traveller moves the bed course and fluctuates, and then makes the activity of patient's arm small-amplitude, avoid the arm to keep discomfort such as muscle stiffness ache that the motionlessness arouses for a long time, further improve the comfort level of patient when hemodialysis.
Preferably, the top of the sliding column is fixedly connected with an elastic air bag, and the top of the air bag is provided with a group of air injection holes; the cushion layer is made of a breathable material; when the sliding column slides upwards, the air bag is extruded, air is sprayed out of the air spraying holes after the air bag is extruded, air flow between the cushion layer and the arms is increased, sweat accumulation at the arms is reduced, breeding of bacteria is further reduced, and the probability of infection of wounds of patients is reduced; meanwhile, the contact area of the sliding column and the cushion layer is increased when the air bag deforms, large-area smooth fluctuation of the cushion layer is further guaranteed, the local pressure to the arm when the sliding column pushes the cushion layer is increased and reduced, and the comfort level is enabled by fluctuation and creeping of the cushion layer.
Preferably, one side of the body is fixedly connected with a boss, the boss is provided with a first clamping groove and a second clamping groove, the first clamping groove is used for fixing an arterial hose of the hemodialysis machine, and the second clamping groove is used for fixing a venous hose of the hemodialysis machine; an arc-shaped heating sheet is arranged in the first clamping groove and is connected with a power supply through a controller; an arc-shaped temperature sensor is arranged in the second clamping groove and is connected with a power supply through a controller; the temperature of the venous hose is detected by the temperature sensor, so that the heating sheet heats the arterial hose, and the blood is ensured to be at the normal temperature; the first clamping groove is matched with the second clamping groove, so that the arterial hose and the venous hose connected with the arms of the patient are regularly arranged and fixed, the winding and excessive bending of the arterial hose and the venous hose are reduced, and the normal operation of the hemodialysis machine is ensured; when the ambient temperature is lower, the temperature of the blood in the patient body is reduced after being filtered by the hemodialysis machine, and then the blood returns to the arm of the patient through the venous hose to bring cold discomfort, at the moment, when the temperature of the venous hose is lower through the detection of the temperature sensor, the heating piece is controlled by the controller to heat the arterial hose until the temperature of the venous hose detected by the temperature sensor is close to the normal body temperature, and the comfort level of the patient during dialysis is further improved.
Preferably, the heating piece is embedded with a C-shaped bimetallic strip at the periphery, and the bimetallic strip contracts and tightly clamps the heating piece after being heated, so that the contact area between the heating piece and the arterial hose is increased; when the bimetallic strip is heated, the bimetallic strip deforms, the deformed bimetallic strip tightly holds the heating strip, so that the heating strip is tightly attached to the artery hose, the contact area between the heating strip and the artery hose is further increased, the heating efficiency of the heating strip is increased, and the comfort level of a patient during dialysis is further improved.
Preferably, the outer edges of the first clamping groove and the second clamping groove are fixedly connected with elastic side curtains, an elastic tube is embedded in one side of each side curtain, which is far away from the boss, magnetic fluid is filled in the elastic tube, the firmness of the arterial hose and the venous hose is improved by matching the side curtains with the elastic tube, and the looseness of the arterial hose and the venous hose is reduced; after a draw-in groove and No. two draw-in grooves are gone into to artery hose and vein hose card, because the side curtain has certain elasticity, and then increase the fixity ability of a draw-in groove and No. two draw-in grooves, reduce the pine of artery hose and vein hose and take off, simultaneously because the side curtain is kept away from one side of boss and is embedded to have the elastic tube, the intraductal magnetic fluid that is equipped with of elastic tube, after artery hose and vein hose are fixed to target in place, the intraductal magnetic fluid inter attraction of elastic tube, and then drive the side curtain and wrap up artery hose and vein hose, the fixed fastness of artery hose and vein hose has further been improved, reduce the blood seepage that artery hose and vein hose warp or pine take off and arouse.
Preferably, the output shaft of the motor is sleeved with a friction ring, and the periphery of the friction ring is fixedly connected with a pull rope; an air cylinder fixedly connected with the body is arranged on one side of the motor, which is far away from the roller, and a rodless cavity of the air cylinder is communicated with an exhaust hole which is communicated with one end of the elastic tube through an air tube; the other end of the elastic tube is communicated with a high-pressure cavity through a pipeline, and the air pressure in the high-pressure cavity is 0.3-0.4 MPa; when the motor does not work, a liquid column formed by the magnetic fluid is positioned in the air pipe on one side of the elastic pipe away from the high-pressure cavity; when the motor rotates, the motor rotating shaft drives the friction ring to rotate, the pull rope is tightened after the friction ring rotates, the pull rope drives the piston of the air cylinder to slide, the air pressure of compressed gas generated by a rodless cavity in the air cylinder is larger than the air pressure in the high-pressure cavity, a liquid column formed by magnetic fluid in the air pipe moves towards the direction close to the high-pressure cavity, the liquid column formed by the magnetic fluid is filled into an elastic pipe in the side curtain, the fixing firmness of the arterial hose and the venous hose is improved, the rotation of the friction ring is limited by the pull rope after the piston in the air cylinder reaches the maximum stroke, the friction ring and the rotating shaft of the motor slide relatively at the moment, and the sliding friction force between the friction ring and the motor rotating shaft enables the piston of the air cylinder to be kept at the position of; after patient accomplished hemodialysis, the motor stall, during the compressed air promotion magnetic fluid formed liquid column inflow trachea of high-pressure intracavity this moment, and then made the side curtain open, conveniently take out artery hose and vein hose, the initial position of keeping away from stay cord one side is resumeed to the piston in the cylinder under the effect of trachea internal gas pressure.
The invention has the following beneficial effects:
1. according to the hemodialysis monitoring and nursing instrument, the arm connected with the hemodialysis machine is placed in the groove through a patient, the motor is started through the controller, the motor drives the roller to rotate through the belt, the roller drives the cam to rotate when rotating, the cam drives the sliding column to continuously slide up and down in a reciprocating mode, the sliding column continuously pushes the cushion layer to undulate, the arm of the patient can move in a small range, discomfort such as muscle stiffness, aching pain and the like caused by the fact that the arm is kept still for a long time is avoided, and the comfort level of the patient during hemodialysis is further improved.
2. According to the hemodialysis monitoring and nursing instrument, the arterial hose and the venous hose connected with the arms of a patient are regularly arranged and fixed through the matching of the first clamping groove and the second clamping groove, so that the winding and excessive bending of the arterial hose and the venous hose are reduced, and the normal operation of the hemodialysis machine is ensured; when the ambient temperature is lower, the temperature of the blood in the patient body is reduced after being filtered by the hemodialysis machine, and then the blood returns to the arm of the patient through the venous hose to bring cold discomfort, at the moment, when the temperature of the venous hose is lower through the detection of the temperature sensor, the heating piece is controlled by the controller to heat the arterial hose until the temperature of the venous hose detected by the temperature sensor is close to the normal body temperature, and the comfort level of the patient during dialysis is further improved.
Drawings
The invention will be further explained with reference to the drawings.
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a cross-sectional view of the present invention;
FIG. 3 is an enlarged view of a portion of FIG. 2 at A;
FIG. 4 is a cross-sectional view taken at B-B of FIG. 2;
FIG. 5 is an enlarged view of a portion of FIG. 2 at C;
FIG. 6 is an enlarged view of a portion of FIG. 4 at D;
FIG. 7 is a cross-sectional view of the bladder of the present invention;
FIG. 8 is a schematic view of the operation of the cylinder and side curtain of the present invention;
in the figure: the device comprises a body 1, a groove 11, a cushion layer 12, a transverse plate 13, a sliding column 14, a roller wheel 15, a cam 16, a motor 17, an air bag 18, an air injection hole 19, a boss 2, a first clamping groove 21, a second clamping groove 22, a heating sheet 23, a temperature sensor 24, a bimetallic strip 25, a side curtain 26, an elastic tube 27, a friction ring 3, a pull rope 31, an air cylinder 32, an exhaust hole 33, an air pipe 34 and a high-pressure cavity 35.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
As shown in fig. 1 to 8, the hemodialysis monitoring nursing instrument of the present invention comprises a body 1; the top of the body 1 is provided with a groove 11 for placing an arm, and the bottom of the groove 11 is provided with a flexible cushion layer 12; a transverse plate 13 is fixedly connected to the body 1 below the cushion layer 12, a group of sliding columns 14 are connected in sliding holes formed in the transverse plate 13 in a sliding mode, and the stroke of each sliding column 14 is 1.5-2 cm; the position in the body 1 corresponding to the sliding column 14 is rotatably connected with the rollers 15 through a bracket, and the adjacent rollers 15 are driven by a belt; one side of the roller wheel 15 is fixedly connected with a cam 16 for driving the sliding column 14, the roller wheel 15 is driven by a motor 17 fixedly connected on the body 1 through a belt, and the motor 17 is connected with a power supply through a controller; the during operation, the arm that patient will be connected the hemodialysis machine is put in recess 11, simultaneously through controller starter motor 17, motor 17 passes through the belt and drives running roller 15 and rotate, running roller 15 drives cam 16 when rotating and rotates, and then make the continuous reciprocal slip from top to bottom of cam 16 drive traveller 14, traveller 14 constantly pushes up and moves cushion 12 and fluctuates, and then make the activity of patient's arm small-amplitude, avoid the arm to keep discomfort such as muscle rigidity ache that the motionlessness arouses for a long time, further improve the comfort level of patient when hemodialysis.
As an embodiment of the invention, the top of the sliding column 14 is fixedly connected with an elastic air bag 18, and the top of the air bag 18 is provided with a group of air injection holes 19; the cushion layer 12 is made of a breathable material; when the sliding column 14 slides upwards, the air bag 18 is pressed, air is sprayed out of the air spraying holes 19 after the air bag 18 is pressed, so that the air flow between the cushion layer 12 and the arm is increased, the sweat accumulation at the arm is reduced, the breeding of bacteria is further reduced, and the probability of infection of the wound of the patient is reduced; meanwhile, when the air bag 18 deforms, the contact area between the sliding column 14 and the cushion layer 12 is increased, large-area smooth fluctuation of the cushion layer 12 is further ensured, the local pressure to the arm when the sliding column 14 pushes against the cushion layer 12 is increased and reduced, and the fluctuation and peristalsis of the cushion layer 12 are increased, so that the comfort level is ensured.
As an embodiment of the invention, one side of the body 1 is fixedly connected with a boss 2, the boss 2 is provided with a first clamping groove 21 and a second clamping groove 22, wherein the first clamping groove 21 is used for fixing an arterial hose of a hemodialysis machine, and the second clamping groove 22 is used for fixing a venous hose of the hemodialysis machine; an arc-shaped heating sheet 23 is arranged in the first clamping groove 21, and the heating sheet 23 is connected with a power supply through a controller; an arc-shaped temperature sensor 24 is arranged in the second clamping groove 22, and the temperature sensor 24 is connected with a power supply through a controller; the temperature of the venous hose is detected by the temperature sensor 24, so that the heating sheet 23 heats the arterial hose to ensure that the blood is at normal temperature; the first clamping groove 21 and the second clamping groove 22 are matched, so that the arterial hose and the venous hose connected with the arms of the patient are regularly arranged and fixed, the winding and excessive bending of the arterial hose and the venous hose are reduced, and the normal operation of the hemodialysis machine is ensured; when the environmental temperature is low, the temperature of the blood in the patient body is reduced after being filtered by the hemodialysis machine, and then the blood returns to the arm of the patient through the venous hose to bring cold discomfort, at the moment, when the temperature of the venous hose is detected to be low through the temperature sensor 24, the heating sheet 23 is controlled by the controller to heat the arterial hose until the temperature of the venous hose detected by the temperature sensor 24 is close to the normal body temperature, and the comfort level of the patient during dialysis is further improved.
As an embodiment of the invention, a C-shaped bimetallic strip 25 is nested on the periphery of the heating strip 23, and the bimetallic strip 25 contracts and tightly clamps the heating strip 23 after being heated, so that the contact area between the heating strip 23 and the arterial hose is increased; when the bimetallic strip 25 is heated, the bimetallic strip 25 deforms, the deformed bimetallic strip 25 tightly holds the heating strip 23, so that the heating strip 23 is tightly attached to the artery hose, the contact area between the heating strip 23 and the artery hose is further increased, the heating efficiency of the heating strip 23 is increased, and the comfort level of a patient during dialysis is further improved.
As an embodiment of the invention, the outer edges of the first clamping groove 21 and the second clamping groove 22 are fixedly connected with an elastic side curtain 26, an elastic tube 27 is embedded in one side of the side curtain 26 away from the boss 2, magnetic fluid is filled in the elastic tube 27, the firmness of the arterial hose and the venous hose is increased by matching the side curtain 26 with the elastic tube 27, and the looseness of the arterial hose and the venous hose is reduced; after a draw-in groove 21 and No. two draw-in grooves 22 are gone into to artery hose and vein hose card, because side curtain 26 has certain elasticity, and then increase the fixity ability of a draw-in groove 21 and No. two draw-in grooves 22, reduce the pine of artery hose and vein hose and take off, simultaneously because side curtain 26 keeps away from that one side of boss 2 is embedded to have an elastic tube 27, the elastic tube 27 is built-in to have magnetic fluid, after artery hose and vein hose are fixed to target in place, the magnetic fluid inter attraction in the elastic tube 27, and then drive side curtain 26 and wrap up artery hose and vein hose, the fixed fastness of artery hose and vein hose has further been improved, reduce the blood seepage that artery hose and vein hose warp or pine and take off and arouse.
As an embodiment of the invention, a friction ring 3 is sleeved on an output shaft of the motor 17, and a pull rope 31 is fixedly connected to the periphery of the friction ring 3; an air cylinder 32 fixedly connected with the body 1 is arranged on one side of the motor 17, which is far away from the roller 15, a rodless cavity of the air cylinder 32 is communicated with an exhaust hole 33, and the exhaust hole 33 is communicated with one end of the elastic tube 27 through an air tube 34; the other end of the elastic tube 27 is communicated with the high-pressure cavity 35 through a pipeline, and the air pressure in the high-pressure cavity 35 is 0.3-0.4 MPa; when the motor 17 does not work, the liquid column formed by the magnetic fluid is positioned in the air pipe 34 on the side of the elastic pipe 27 far away from the high-pressure cavity 35; when the motor 17 rotates, the rotating shaft of the motor 17 drives the friction ring 3 to rotate, the pull rope 31 is tightened after the friction ring 3 rotates, the pull rope 31 further drives the piston of the cylinder 32 to slide, the pressure of compressed gas generated by a rodless cavity in the cylinder 32 is greater than that in the high-pressure cavity 35, a liquid column formed by magnetic fluid in the air pipe 34 moves towards the direction close to the high-pressure cavity 35, the liquid column formed by the magnetic fluid is filled into the elastic pipe 27 in the side curtain 26, the fixing firmness of the arterial hose and the venous hose is increased, the piston in the cylinder 32 limits the rotation of the friction ring 3 through the pull rope 31 after reaching the maximum stroke, the friction ring 3 slides relative to the rotating shaft of the motor 17 at the moment, and the sliding friction force between the friction ring 3 and the rotating shaft of the motor 17 enables the piston of the cylinder 32 to be kept at the position of the maximum stroke; after the patient finishes hemodialysis, the motor 17 stops rotating, and at this time, the compressed air in the high-pressure cavity 35 pushes the liquid column formed by the magnetic fluid to flow into the air pipe 34, so that the side curtain 26 is opened, the arterial hose and the venous hose are conveniently taken out, and the piston in the air cylinder 32 is restored to the initial position on the side far away from the pull rope 31 under the action of the air pressure in the air pipe 34.
When the hemodialysis machine works, a patient puts an arm connected with the hemodialysis machine in the groove 11, the motor 17 is started through the controller, the motor 17 drives the roller 15 to rotate through the belt, the roller 15 drives the cam 16 to rotate when rotating, so that the cam 16 drives the sliding column 14 to continuously slide up and down in a reciprocating manner, the sliding column 14 continuously pushes the cushion layer 12 to fluctuate, the arm of the patient can move in a small range, discomfort such as muscle stiffness, ache and the like caused by the fact that the arm is kept still for a long time is avoided, and the comfort level of the patient during hemodialysis is further improved; when the sliding column 14 slides upwards, the air bag 18 is pressed, air is sprayed out of the air spraying holes 19 after the air bag 18 is pressed, so that the air flow between the cushion layer 12 and the arm is increased, the sweat accumulation at the arm is reduced, the breeding of bacteria is further reduced, and the probability of infection of the wound of the patient is reduced; meanwhile, when the air bag 18 deforms, the contact area between the sliding column 14 and the cushion layer 12 is increased, large-area smooth fluctuation of the cushion layer 12 is further ensured, the local pressure to the arm when the sliding column 14 pushes the cushion layer 12 is increased and reduced, and fluctuation and peristalsis of the cushion layer 12 are increased, so that the comfort level is ensured; the first clamping groove 21 and the second clamping groove 22 are matched, so that the arterial hose and the venous hose connected with the arms of the patient are regularly arranged and fixed, the winding and excessive bending of the arterial hose and the venous hose are reduced, and the normal operation of the hemodialysis machine is ensured; when the environmental temperature is low, the temperature of the blood in the patient is reduced after being filtered by the hemodialysis machine, and then the blood flows back to the arm of the patient through the venous hose to bring cold discomfort, at the moment, when the temperature of the venous hose is detected to be low by the temperature sensor 24, the heating sheet 23 is controlled by the controller to heat the arterial hose until the temperature of the venous hose detected by the temperature sensor 24 is close to the normal body temperature, so that the comfort level of the patient during dialysis is further improved; when the bimetallic strip 25 is deformed when being heated, the deformed bimetallic strip 25 tightly holds the heating strip 23, so that the heating strip 23 is tightly attached to the artery hose, the contact area between the heating strip 23 and the artery hose is further increased, the heating efficiency of the heating strip 23 is increased, and the comfort level of a patient during dialysis is further improved; after the arterial hose and the venous hose are clamped into the first clamping groove 21 and the second clamping groove 22, the side curtain 26 has certain elasticity, so that the fixing performance of the first clamping groove 21 and the second clamping groove 22 is improved, the looseness of the arterial hose and the venous hose is reduced, meanwhile, the elastic tube 27 is embedded in one side, away from the boss 2, of the side curtain 26, the elastic tube 27 is filled with magnetic fluid, after the arterial hose and the venous hose are fixed in place, the magnetic fluid in the elastic tube 27 is mutually attracted, the side curtain 26 is driven to wrap the arterial hose and the venous hose, the fixing firmness of the arterial hose and the venous hose is further improved, and blood leakage caused by deformation or looseness of the arterial hose and the venous hose is reduced; when the motor 17 rotates, the rotating shaft of the motor 17 drives the friction ring 3 to rotate, the pull rope 31 is tightened after the friction ring 3 rotates, the pull rope 31 further drives the piston of the cylinder 32 to slide, the pressure of compressed gas generated by a rodless cavity in the cylinder 32 is greater than that in the high-pressure cavity 35, a liquid column formed by magnetic fluid in the air pipe 34 moves towards the direction close to the high-pressure cavity 35, the liquid column formed by the magnetic fluid is filled into the elastic pipe 27 in the side curtain 26, the fixing firmness of the arterial hose and the venous hose is increased, the piston in the cylinder 32 limits the rotation of the friction ring 3 through the pull rope 31 after reaching the maximum stroke, the friction ring 3 slides relative to the rotating shaft of the motor 17 at the moment, and the sliding friction force between the friction ring 3 and the rotating shaft of the motor 17 enables the piston of the cylinder 32 to be kept at the position of the maximum stroke; after the patient finishes hemodialysis, the motor 17 stops rotating, and at this time, the compressed air in the high-pressure cavity 35 pushes the liquid column formed by the magnetic fluid to flow into the air pipe 34, so that the side curtain 26 is opened, the arterial hose and the venous hose are conveniently taken out, and the piston in the air cylinder 32 is restored to the initial position on the side far away from the pull rope 31 under the action of the air pressure in the air pipe 34.
The front, the back, the left, the right, the upper and the lower are all based on figure 1 in the attached drawings of the specification, according to the standard of the observation angle of a person, the side of the device facing an observer is defined as the front, the left side of the observer is defined as the left, and the like.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are used merely for convenience in describing the present invention and for simplifying the description, but do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the scope of the present invention.
The foregoing illustrates and describes the principles, general features, and advantages of the present invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (6)
1. The utility model provides a hemodialysis monitoring nursing appearance which characterized in that: comprises a body (1); the top of the body (1) is provided with a groove (11) for placing an arm, and the bottom of the groove (11) is provided with a flexible cushion layer (12); a transverse plate (13) is fixedly connected to the body (1) below the cushion layer (12), a group of sliding columns (14) are connected in sliding holes formed in the transverse plate (13) in a sliding mode, and the stroke of each sliding column (14) is 1.5-2 cm; the position in the body (1) corresponding to the sliding column (14) is rotatably connected with the rollers (15) through a bracket, and the adjacent rollers (15) are driven by a belt; and one side of the roller (15) is fixedly connected with a cam (16) for driving the sliding column (14), the roller (15) is driven by a motor (17) fixedly connected on the body (1) through a belt, and the motor (17) is connected with a power supply through a controller.
2. A hemodialysis monitoring and care apparatus according to claim 1, wherein: the top of the sliding column (14) is fixedly connected with an elastic air bag (18), and the top of the air bag (18) is provided with a group of air injection holes (19); the cushion layer (12) is made of a breathable material.
3. A hemodialysis monitoring and care apparatus according to claim 2, wherein: one side of the body (1) is fixedly connected with a boss (2), the boss (2) is provided with a first clamping groove (21) and a second clamping groove (22), wherein the first clamping groove (21) is used for fixing an arterial hose of the hemodialysis machine, and the second clamping groove (22) is used for fixing a venous hose of the hemodialysis machine; an arc-shaped heating sheet (23) is arranged in the first clamping groove (21), and the heating sheet (23) is connected with a power supply through a controller; an arc-shaped temperature sensor (24) is arranged in the second clamping groove (22), and the temperature sensor (24) is connected with a power supply through a controller; the temperature of the venous hose is detected through the temperature sensor (24), so that the heating sheet (23) heats the arterial hose, and the blood is ensured to be at the normal temperature.
4. A hemodialysis monitoring and care apparatus according to claim 3, wherein: the heating piece (23) periphery nestification has C shape bimetallic strip (25), and bimetallic strip (25) shrink and chucking heating piece (23) after being heated increase heating piece (23) and artery hose's area of contact.
5. A hemodialysis monitoring and care apparatus according to claim 4, wherein: the outer edge of a draw-in groove (21) and No. two draw-in grooves (22) links firmly elastic side curtain (26), and embedded elastic tube (27) in one side that boss (2) were kept away from in side curtain (26), the built-in magnetic fluid that is equipped with of elastic tube (27), through side curtain (26) cooperation elastic tube (27) increase arterial hose and venous hose's fastness, reduce the pine of arterial hose and venous hose and take off.
6. A hemodialysis monitoring and care apparatus according to claim 5, wherein: a friction ring (3) is sleeved on an output shaft of the motor (17), and a pull rope (31) is fixedly connected to the periphery of the friction ring (3); an air cylinder (32) fixedly connected with the body (1) is arranged on one side, away from the roller (15), of the motor (17), an exhaust hole (33) is communicated with a rodless cavity of the air cylinder (32), and the exhaust hole (33) is communicated with one end of the elastic pipe (27) through an air pipe (34); the other end of the elastic tube (27) is communicated with a high-pressure cavity (35) through a pipeline, and the air pressure in the high-pressure cavity (35) is 0.3-0.4 MPa; when the motor (17) does not work, a liquid column formed by the magnetic fluid is positioned in an air pipe (34) on one side of the elastic pipe (27) far away from the high-pressure cavity (35).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010191209.6A CN111282061A (en) | 2020-03-18 | 2020-03-18 | Hemodialysis monitoring nursing instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010191209.6A CN111282061A (en) | 2020-03-18 | 2020-03-18 | Hemodialysis monitoring nursing instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN111282061A true CN111282061A (en) | 2020-06-16 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202010191209.6A Withdrawn CN111282061A (en) | 2020-03-18 | 2020-03-18 | Hemodialysis monitoring nursing instrument |
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| Country | Link |
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| CN (1) | CN111282061A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111904619A (en) * | 2020-09-04 | 2020-11-10 | 郑玲芬 | Limb bracket for hemodialysis nursing |
-
2020
- 2020-03-18 CN CN202010191209.6A patent/CN111282061A/en not_active Withdrawn
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111904619A (en) * | 2020-09-04 | 2020-11-10 | 郑玲芬 | Limb bracket for hemodialysis nursing |
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Application publication date: 20200616 |