CN111419515A

CN111419515A - Clinical restraint strap and using method thereof

Info

Publication number: CN111419515A
Application number: CN202010281206.1A
Authority: CN
Inventors: 刘莉
Original assignee: Union Hospital Tongji Medical College Huazhong University of Science and Technology
Current assignee: Tongji Medical College of Huazhong University of Science and Technology; Union Hospital Tongji Medical College Huazhong University of Science and Technology
Priority date: 2020-04-10
Filing date: 2020-04-10
Publication date: 2020-07-17

Abstract

The invention discloses a clinical restraint strap and a using method thereof, and the clinical restraint strap comprises two fixing mechanisms and a limiting mechanism; the fixing mechanism comprises an annular belt and a fixing belt; the limiting mechanism comprises a fixed plate, the fixed plate is connected with two plugs, the fixed plate is provided with an adjusting mechanism, the adjusting mechanism comprises a fixed seat, a piston cavity is arranged in the fixed seat, a piston block is arranged in the piston cavity, the piston cavity is connected with a pressurizing mechanism, the piston block is connected with a connecting rod, the connecting rod is connected with a top disc, an expansion bag is arranged on the top disc, and an expansion medium is arranged in the expansion bag; the pressurizing mechanism comprises a pressurizing cavity, a pressurizing piston is arranged in the pressurizing cavity, the connecting pipe is communicated with the piston cavity, hydraulic oil is arranged in the pressurizing cavity and the piston cavity, the pressurizing piston is connected with a pressurizing rod and an operating handle, and a threaded seat is arranged in the piston cavity. Through the setting, it can restrict patient's motion joint to can avoid patient to struggle after restricting by restraint area, have the firm advantage of restraint simultaneously.

Description

Clinical restraint strap and using method thereof

Technical Field

The invention relates to the field of medical instruments, in particular to a clinical restraint strap and a using method thereof.

Background

Physical restraint refers to the use of physical methods to limit the movement of an object from exceeding certain limits. In medicine, the physical method different from the chemical method is used, such as guardrails, restraint belts, mouth openers, steel plates, titanium nails, retractors and other instruments to limit the whole or local movement of a patient, so as to avoid the movement from influencing the implementation and effect of treatment means and avoid the conditions of bed falling, biting, self-injuring, suicide or others injury caused by fuzzy consciousness and mental abnormality of the patient.

In clinical work, the restraint strap is an auxiliary medical instrument which is often used for material resource restraint. Existing restraint straps generally include a restraint strap (that wraps around a portion of the body part) and a securing strap (that secures the restraint strap to the bed via a strap). The subject to which the restraint band is applied is generally a patient suffering from critical illness and post-operative disturbance of consciousness, a patient suffering from agitation during psychotherapy, or the like. The need to restrain these patients is due to the fact that these patients are prone to restlessness, are unable to cooperate with treatment and nursing, and even have serious adverse consequences due to adverse events such as accidental extubation and falling from bed, and therefore protective restraint is necessary for critically ill and restless patients.

The utility model with the bulletin number of CN205683176U provides a multifunctional restraint strap, wherein the main part is rectangular in whole, the nylon thread gluing comprises a nylon velvet belt and a nylon hook belt, openings are arranged in the middle parts of the left and right ends of the main part, the nylon hook belt is fixed on 4 corners of the front end surface of the main part through stitches respectively, the nylon velvet belt is fixed on the upper and lower sides of the openings of the left and right ends through stitches respectively, the texture is soft, the air permeability is good, the limbs of a patient are fixed and not easy to slip, the stress is uniform, the local pressure is small, the friction damage to the skin is relatively small, the occurrence of pressure sores at the tail part of the sacrum can be effectively prevented, the lower part adopts silk floss to make a leg sleeve, and a cotton pad at the abdomen has a good; the manufacturing needs less materials, the cost is low, the product is firm and durable, and the product can be manufactured by itself when damaged; is convenient to clean and disinfect at any time; the transfer tool can be used in the transfer process of the infant after the operation, and the base cloths on the two sides are the acting points for the transporter to move the infant.

The multifunctional restraint strap is consistent with the restraint principle of the traditional restraint strap, the fixing strap is in a tensioned state so as to limit the body of a patient, however, the limitation cannot correspondingly limit the joints of the patient, so that the patient can still struggle, and the struggle is very harmful clinically, and therefore the multifunctional restraint strap is provided for improvement.

Disclosure of Invention

The invention aims to provide a clinical restraint strap and a using method thereof, which can limit the movement joint of a patient, so that the patient can be prevented from struggling after being restrained by the restraint strap, and meanwhile, the clinical restraint strap has the advantage of firm restraint.

In order to achieve the purpose, the invention provides the following technical scheme: a clinical restraint strap comprises two fixing mechanisms, wherein a limiting mechanism is detachably connected between the two fixing mechanisms;

The fixing mechanism comprises an annular belt used for winding a human body part, a magic tape used for connecting the annular belt into an annular shape is arranged on the annular belt, a fixing belt is fixedly connected with the annular belt and is connected with a sickbed, and an insertion hole is formed in the annular belt;

The limiting mechanism comprises a fixed plate, the fixed plate is connected with two plugs, the plugs are inserted into the jacks, an adjusting mechanism is arranged at the middle position of the fixed plate, the adjusting mechanism comprises a fixed seat fixedly connected with the fixed plate, a piston cavity is arranged in the fixed seat, a piston block is arranged in the piston cavity, the piston cavity is connected with a pressurizing mechanism for pressurizing the piston cavity, the piston block is connected with a connecting rod, the connecting rod is connected with a top disc, an accommodating opening cavity is arranged on the top disc, an expansion bag is fixedly connected in the accommodating opening cavity, and an expansion medium is arranged in the expansion bag;

The loading mechanism is including setting up the pressurization chamber of fixing base side, be provided with the pressurization piston in the pressurization chamber, the pressurization chamber be connected with the connecting pipe of piston chamber intercommunication, the pressurization intracavity with the piston intracavity is provided with hydraulic oil, the pressurization piston is connected with the pressure bar, the pressure bar is connected with operating handle, the piston intracavity is provided with the screw thread seat, the screw thread seat with pressure bar threaded connection.

Through the technical scheme, when a user rotates the operating handle, the volume of the pressurizing cavity is reduced, and the pressure of the corresponding piston cavity is increased, so that the piston block can be pushed to move, and the displacement of the expansion bag can be conveniently adjusted; because the expansion bag at this moment contacts with human joint to withstood the joint, fixed plate and annular band have also carried out corresponding fixed with the health position of joint both sides simultaneously, and at this moment, the joint can not rotate, therefore the patient can be very difficult when making struggle the action, thereby can avoid struggling of patient, simultaneously owing to can avoid the patient struggle, consequently can be very easy carry out good fixed with patient's health through the fixed band.

Preferably, the expansion part is connected with a joint part jointed with the human body joint.

Through above-mentioned technical scheme, through laminating portion and human joint department direct contact, can follow the human engineering and realize the contact of laminating portion and joint department to avoid producing the problem that too much pressure arouses the injury to the joint.

Preferably, the expansion medium is air or water.

Through above-mentioned technical scheme, the inflation medium adopts air and water to have the convenient advantage of taking, and the user can select and use according to actual conditions.

Preferably, the expansion medium is air, an exhaust switch is arranged on the expansion bag, a switch seat is arranged in the expansion bag, a communicating pipe is arranged in the switch seat, the communicating pipe is connected with a high-pressure air source, and a switch mechanism which is touched by the attaching portion to enable the air to flow into the expansion bag is arranged on the switch seat.

Through above-mentioned technical scheme, accomplish the fixed back of annular area, the removal that can the minimalism of patient's joint, if the patient continues struggling, then can be struggling the in-process, touch switch mechanism through laminating portion to can further inflate the inflation bag is inside, can increase the inside pressure of inflation bag after aerifing, thereby further reinforcing avoids the patient to struggle to the limiting displacement of joint.

Preferably, the switch mechanism is including setting up the switch chamber in the switch seat, the sealed sliding of switch chamber is connected with the touching slider, the touching slider be connected with can with the touch pole of laminating portion touching, the touching slider with be provided with compression spring between the switch chamber, the side in switch chamber is provided with the inlet port, the inlet port with communicating pipe intercommunication works as the touch pole with laminating portion contactless, the inlet port by the touching slider blocks, laminating portion touching the touch pole and promotion the motion of touch pole, the inlet port is not blocked.

Through the technical scheme, when laminating portion touching pole and propelling movement of touching pole, touching pole can drive the resistance that touching slider overcome compression spring and remove, moving the in-process, the inlet port that is plugged up by touching slider originally, just can be in the connected state, then gas among the high pressurized air source begins to enter into the inflation bag, the pressure of inflation bag begins to increase, then promote patient's joint, plug up the inlet port again until touching slider, through the process, can struggle when the patient, automatically carry out the pressure boost to the inflation bag, further restrict articular motion range, avoid the patient to struggle.

Preferably, a switch valve is arranged on the communicating pipe.

Through the technical scheme, when a patient does not have struggle space, the high-pressure air source can be removed through closing the switch valve, so that the restraint strap can be used for a long time.

Preferably, the method for using the clinical restraint band is characterized in that: the method comprises the following steps:

S1, inserting the plugs of the fixing mechanism into the jacks of the two annular belts respectively;

S2, fixing the annular belt to two sides of the joint needing to be limited through a magic tape, and fixing the fixing belt to the sickbed;

S3, opening a switch valve, manually pressing a touch rod to enable the expansion bag to be filled with certain gas, adjusting an operating handle to enable the joint part to be in contact with the position in the opposite direction of the joint movement, and enabling the joint and the positions on the two sides of the joint to be on the same straight line;

S4, keeping the switch valve open, and the patient struggles to enable the fitting part to touch the touch rod, so that the gas pressure is further increased, and the switch valve is closed in five minutes;

And S5, keeping the use state until the end. .

Through above-mentioned technical scheme, realization that can be quick can restrict patient's joint simultaneously and remove to the installation of this restraint strap, furthest's reduction patient struggles the scope to avoid the patient to struggle.

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

(1) The rotation of the joint of the patient can be limited through the arrangement of the fixing mechanism and the limiting mechanism, so that the struggling difficulty of the patient is increased, and the fixation is firmer;

(2) The pressurizing mechanism can be conveniently adjusted, so that the expansion bag and the joint of the body are in a relatively proper position, and struggle of a patient is better avoided;

(3) Through switch mechanism, can be at the in-process of patient's motion, the automatic pressure that increases the inflation bag to increase stop gear to the articular pressure of health, and then further reduce the removal scope of patient's joint, thereby avoid the patient struggle at the restraint in-process.

Drawings

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

FIG. 2 is a schematic view of the internal structure of the limiting mechanism of the present invention;

FIG. 3 is a schematic view of a portion of the enlarged structure of A in FIG. 2;

FIG. 4 is a schematic view showing an internal structure of a pressurizing mechanism according to the present invention;

Fig. 5 is a schematic view of the elbow joint, knee, neck and waist attachment structure of the present invention.

In the figure: 1. an endless belt; 2. magic tape; 3. fixing belts; 4. a jack; 5. a plug; 6. a fixing plate; 7. a fixed seat; 8. a piston cavity; 9. a piston block; 10. a connecting rod; 11. a top tray; 12. an accommodating open cavity; 13. an inflation bladder; 14. an expansion medium; 15. a pressurization cavity; 16. a pressurizing piston; 17. a connecting pipe; 18. hydraulic oil; 19. a pressurizing rod; 20. an operating handle; 21. a threaded seat; 22. a bonding section; 23. an exhaust switch; 24. a switch base; 25. a communicating pipe; 26. a high pressure gas source; 27. a switch cavity; 28. touching the sliding block; 29. a touch lever; 30. a compression spring; 31. an air inlet; 32. and (5) opening and closing the valve.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1-5, an embodiment of the present invention is shown:

A clinical restraint strap comprises two fixing mechanisms, and a limiting mechanism is detachably connected between the two fixing mechanisms.

The fixing mechanism comprises an annular belt 1 used for winding a human body part, the annular belt 1 is provided with a magic tape 2 which enables the annular belt 1 to be connected into an annular shape, the annular belt 1 is fixedly connected with a fixing belt 3, the fixing belt 3 is connected with a sickbed, and the annular belt 1 is provided with a jack 4.

Stop gear includes fixed plate 6, fixed plate 6 is connected with two plugs 5, plug 5 is pegged graft with jack 4, the intermediate position of fixed plate 6 is provided with guiding mechanism, guiding mechanism includes fixing base 7 with 6 fixed connection of fixed plate, be provided with piston chamber 8 in the fixing base 7, be provided with piston block 9 in the piston chamber 8, piston chamber 8 is connected with and is used for the loading system to piston chamber 8 pressor, piston block 9 is connected with connecting rod 10, connecting rod 10 is connected with top dish 11, be provided with holding opening chamber 12 on the top dish 11, fixedly connected with inflation bag 13 in the holding opening chamber 12, be provided with inflation medium 14 in the inflation bag 13.

The pressurizing mechanism comprises a pressurizing cavity 15 arranged on the side face of the fixed seat 7, a pressurizing piston 16 is arranged in the pressurizing cavity 15, the pressurizing cavity 15 is connected with a connecting pipe 17 communicated with the piston cavity 8, hydraulic oil 18 is arranged in the pressurizing cavity 15 and the piston cavity 8, the pressurizing piston 16 is connected with a pressurizing rod 19, the pressurizing rod 19 is connected with an operating handle 20, a threaded seat 21 is arranged in the piston cavity 8, and the threaded seat 21 is in threaded connection with the pressurizing rod 19.

When the user rotates the operating handle 20, the volume of the pressurizing cavity 15 is reduced, and the pressure of the corresponding piston cavity 8 is increased, so that the piston block 9 is pushed to move, and the displacement of the expansion bag 13 can be conveniently adjusted; because the expansion bag 13 at this moment contacts with the joint of human body to withstood the joint, fixed plate 6 and annular belt 1 have also carried out corresponding fixed with the health position of joint both sides simultaneously, and at this moment, the joint can not rotate, so the patient can be very difficult when making struggle action, thereby can avoid struggling of patient, simultaneously because can avoid the patient struggle, consequently can be very easy carry out good fixed with patient's health through fixed band 3.

The expansion part is connected with a joint part 22 jointed with the human body joint. The joint 22 is in direct contact with the joint of the human body, so that the joint 22 can be in contact with the joint ergonomically, and the problem of injury caused by excessive pressure on the joint is avoided.

The expansion medium 14 is air or water. The expansion medium 14 is air and water, so that the expansion medium has the advantage of convenient taking and can be selected and used by a user according to actual conditions.

In this embodiment, the expansion medium 14 is air, the expansion bag 13 is provided with the air discharge switch 23, the expansion bag 13 is provided with the switch base 24, the switch base 24 is provided with the communicating tube 25, the communicating tube 25 is connected with the high-pressure air source 26, and the switch base 24 is provided with the switch mechanism which touches the fitting portion 22 to enable the air to flow into the expansion bag 13. After accomplishing annular belt 1's fixed back, the removal that can the minimalistic joint of patient, if the patient continues struggling, then can be in struggling the in-process, touch switch mechanism through laminating portion 22 to can further inflate the inside pressure of inflation bag 13, can increase the inside pressure of inflation bag 13 after aerifing, thereby further reinforcing is to the limiting displacement of joint, avoids the patient to struggle.

The switch mechanism comprises a switch cavity 27 arranged in a switch base 24, the switch cavity 27 is connected with a touch sliding block 28 in a sealing sliding mode, the touch sliding block 28 is connected with a touch rod 29 capable of touching with the attaching portion 22, a compression spring 30 is arranged between the touch sliding block 28 and the switch cavity 27, an air inlet hole 31 is formed in the side face of the switch cavity 27, the air inlet hole 31 is communicated with the communicating pipe 25, when the touch rod 29 is not in contact with the attaching portion 22, the air inlet hole 31 is blocked by the touch sliding block 28, the attaching portion 22 touches the touch rod 29 and pushes the touch rod 29 to move, and the air inlet hole 31 is not blocked. When laminating portion 22 touches and touches touch pole 29 and pushes away touch pole 29 motion, touch pole 29 can drive touch slider 28 and overcome compression spring 30's resistance and move, in the removal process, originally by the inlet port 31 that touch slider 28 stopped up, just can be in the connected state, then gas in high pressurized air source 26 begins to enter into inflation bag 13, inflation bag 13's pressure begins to increase, then promote patient's joint, stop up inlet port 31 again until touch slider 28, through the above-mentioned process, can struggle when the patient, automatically carry out the pressure boost to inflation bag 13, further restrict articular motion scope, avoid the patient to struggle.

The communicating pipe 25 is provided with a switching valve 32. By closing the on-off valve 32, the pressurized air source 26 can be removed when the patient is not struggling to gain room, thereby facilitating prolonged use of the restraint strap.

A method of using a clinical restraint strap, comprising: the method comprises the following steps:

S1, inserting the plugs 5 of the fixing mechanism into the jacks 4 of the two annular belts 1 respectively;

S2, fixing the annular belt 1 to two sides of the joint needing to be limited through the magic tape 2, and fixing the fixing belt 3 to the hospital bed;

S3, opening the switch valve 32, manually pressing the touch rod 29 to make the expansion bag 13 filled with a certain amount of gas, adjusting the operating handle 20 to make the joint part 22 contact with the position opposite to the joint movement, and making the joint and the parts at the two sides of the joint on the same straight line;

S4, keeping the switch valve 32 open, and the patient struggles to enable the fitting part 22 to touch the touch rod 29, so that the gas pressure is further increased, and the switch valve is closed in five minutes;

And S5, keeping the use state until the end.

Realization that can be quick can restrict patient's joint simultaneously and remove to this restraint strap's installation, and furthest reduces patient's struggle the scope to avoid the patient to struggle. Correspondingly, when the fixing belt needs to be disassembled, the air in the expansion bag 13 is exhausted through the air exhaust switch 23, and then the fixing belt 3 and the annular belt 1 are released, so that the fixing belt has the advantage of convenience in disassembly and assembly.

As shown in FIG. 5, a schematic view of the installation of the restraint strap of the present invention in the elbow joint, knee, neck and waist is provided. As can be seen from the figure, the restraint strap in the application can well limit the four parts, and avoids struggling of a patient.

Compared with the prior art, the invention has the beneficial effects that: (1) the rotation of the joint of the patient can be limited through the arrangement of the fixing mechanism and the limiting mechanism, so that the struggling difficulty of the patient is increased, and the fixation is firmer; (2) the pressurizing mechanism can be conveniently adjusted, so that the expansion bag 13 and the joint of the body are in a relatively proper position, and the struggle of a patient is better avoided; (3) through switch mechanism, can be at the in-process of patient's motion, increase inflation bag 13's pressure automatically to increase stop gear to the articular pressure of health, and then further reduce the removal scope of patient's joint, thereby avoid the patient struggle at the restraint in-process.

It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.

Claims

1. A clinical restraint band, characterized by: the device comprises two fixing mechanisms, wherein a limiting mechanism is detachably connected between the two fixing mechanisms;

The fixing mechanism comprises an annular belt (1) used for winding a human body part, a magic tape (2) enabling the annular belt (1) to be connected into an annular shape is arranged on the annular belt (1), a fixing belt (3) is fixedly connected with the annular belt (1), the fixing belt (3) is connected with a hospital bed, and a jack (4) is arranged on the annular belt (1);

The limiting mechanism comprises a fixed plate (6), the fixed plate (6) is connected with two plugs (5), the plug (5) is inserted into the jack (4), an adjusting mechanism is arranged at the middle position of the fixing plate (6), the adjusting mechanism comprises a fixed seat (7) fixedly connected with the fixed plate (6), a piston cavity (8) is arranged in the fixed seat (7), a piston block (9) is arranged in the piston cavity (8), the piston cavity (8) is connected with a pressurizing mechanism for pressurizing the piston cavity (8), the piston block (9) is connected with a connecting rod (10), the connecting rod (10) is connected with a top plate (11), an accommodating opening cavity (12) is formed in the top disc (11), an expansion bag (13) is fixedly connected in the accommodating opening cavity (12), and an expansion medium (14) is arranged in the expansion bag (13);

The pressurization mechanism is in including setting up pressurization chamber (15) of fixing base (7) side, be provided with pressurization piston (16) in pressurization chamber (15), pressurization chamber (15) be connected with connecting pipe (17) of piston chamber (8) intercommunication, in pressurization chamber (15) with be provided with hydraulic oil (18) in piston chamber (8), pressurization piston (16) are connected with pressure bar (19), pressure bar (19) are connected with operating handle (20), be provided with screw thread seat (21) in piston chamber (8), screw thread seat (21) with pressure bar (19) threaded connection.

2. A clinical restraint band according to claim 1, wherein: the expansion part is connected with a joint part (22) jointed with the joint of the human body.

3. A clinical restraint band according to claim 2, wherein: the expansion medium (14) is air or water.

4. A clinical restraint band according to claim 3, wherein: the air-conditioning expansion bag is characterized in that the expansion medium (14) is air, an exhaust switch (23) is arranged on the expansion bag (13), a switch seat (24) is arranged in the expansion bag (13), a communicating pipe (25) is arranged in the switch seat (24), the communicating pipe (25) is connected with a high-pressure air source (26), and a switch mechanism which is touched by the attaching part (22) and enables the air to flow into the expansion bag (13) is arranged on the switch seat (24).

5. A clinical restraint band according to claim 4, wherein: the switch mechanism comprises a switch cavity (27) arranged in a switch base (24), the switch cavity (27) is connected with a touch sliding block (28) in a sealing sliding mode, the touch sliding block (28) is connected with a touch rod (29) capable of being touched by a joint part (22), a compression spring (30) is arranged between the touch sliding block (28) and the switch cavity (27), an air inlet hole (31) is formed in the side face of the switch cavity (27), the air inlet hole (31) is communicated with a communicating pipe (25), the touch rod (29) is not contacted with the joint part (22), the air inlet hole (31) is blocked by the touch sliding block (28), the joint part (22) is touched by the touch rod (29) and pushes the touch rod (29) to move, and the air inlet hole (31) is not blocked.

6. A clinical restraint band according to claim 5, wherein: and a switch valve (32) is arranged on the communicating pipe (25).

7. A method of using a clinical restraint band as recited in claim 6, wherein: the method comprises the following steps:

S1, inserting the plugs (5) of the fixing mechanism into the jacks (4) of the two annular belts (1) respectively;

S2, fixing the annular belt (1) to two sides of the joint needing to be limited through the magic tape (2), and fixing the fixing belt (3) to the sickbed;

S3, opening a switch valve (32), manually pressing a touch rod (29) to enable the expansion bag (13) to be filled with certain gas, adjusting an operating handle (20) to enable the joint part (22) to be in contact with the position in the opposite direction of joint movement, and enabling the joint and the parts on the two sides of the joint to be on the same straight line;

S4, keeping the switch valve (32) open, and the patient struggles to enable the fitting part (22) to touch the touch rod (29), so that the gas pressure is further increased, and the switch valve is closed in five minutes;

And S5, keeping the use state until the end.