CN111467164B - Turning and transferring dual-purpose device and using method thereof - Google Patents
Turning and transferring dual-purpose device and using method thereof Download PDFInfo
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- CN111467164B CN111467164B CN202010223278.0A CN202010223278A CN111467164B CN 111467164 B CN111467164 B CN 111467164B CN 202010223278 A CN202010223278 A CN 202010223278A CN 111467164 B CN111467164 B CN 111467164B
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Abstract
The invention discloses a turning and transferring dual-purpose device and a using method thereof. The turning and transferring dual-purpose device comprises a human body limiting and fixing air bag, wherein the human body limiting and fixing air bag comprises a back air bag cushion and a chest and abdomen air bag cushion which are used for coating the back and the front of a human body, and the back air bag cushion and the chest and abdomen air bag cushion are respectively provided with an air inflation and air deflation port; the device also comprises a moving frame for hoisting and turning over the human body limiting fixed air bag group, wheels with brake mechanisms are installed at the bottom of the moving frame, and three linear sliding table mechanisms arranged from left to right are installed at the top of the moving frame; the top of the moving frame is provided with a hoisting device which slides back and forth along the guide track, the sliding platform of each linear sliding table mechanism is provided with one hoisting device, all the hoisting devices comprise a hoisting motor and a belt matched with the hoisting motor, and the end part of the belt is provided with a lifting hook used for fixing the human body limiting fixed air bag. This patent is convenient for realize standing up, move the bed, and the commonality is strong.
Description
Technical Field
The invention relates to the field of machinery, in particular to a turnover device.
Background
Acute Respiratory Distress Syndrome (ARDS) is acute hypoxia, respiratory insufficiency or failure caused by diffuse pulmonary interstitial and alveolar edema due to injury of pulmonary capillary endothelial cells and alveolar epithelial cells in non-cardiogenic diseases such as severe infection, shock, trauma and burn. It is characterized pathologically by a reduction in lung volume, a decrease in lung compliance, and a severe imbalance in the ratio of ventilation to blood flow. Clinical manifestations are progressive hypoxemia and respiratory distress, and pulmonary imaging presents as non-uniform exudative lesions. Mechanical ventilation is the main treatment method.
The pathogen of the present manyfold global novel coronavirus pneumonia is SARS-CoV-2 virus, most of patients suffering from the pneumonia are about 50 years old, most of the patients are mild, about 25 percent of the patients are seriously required to enter ICU treatment, and 10 percent of the patients are required to be mechanically ventilated. New crown pneumonia diagnosis and treatment schemes (the first to the seventh edition) issued by the nation recommend a prone position ventilation strategy, and recommend that the prone position ventilation should be carried out for more than 12 hours every day under the condition of sufficient human resources.
Prone position ventilation is mechanical ventilation of a patient in a prone position (bone position) by means of a turning-over operation, a turning-over device or manual operation, and is mainly used for improving oxygenation of AIDS patients. Can improve the anoxia state of patients by increasing functional residual capacity to improve ventilation/blood flow ratio and reduce shunting, improving diaphragm movement, and promoting secretion discharge.
Prone position ventilation is also a ventilation strategy routinely practiced in ICU.
However, prone position ventilation often suffers from the following difficulties in practice:
1. patients with mechanical ventilation are critical in disease, sometimes need sedation and analgesia, have limb weakness or cannot be controlled automatically, and are easy to cause limb sprain or dislocation in the turning process.
2. The mechanical ventilation patient often has more pipelines, and the pipelines are easy to fall off accidentally in the turning-over process, thereby forming life danger.
3. In the process of turning over by hands, multiple persons are often needed to cooperate (more than 5 persons) and multiple times of alternately turning over from the prone position to the supine position are needed in 24 hours, the work intensity is high, the patient can not be normally carried out under the condition of tense persons or large number of patients, and the patient is difficult to carry out under the condition of obesity or large weight.
4. The turning-over bed sold in the market at present only needs one person to be used, and the turning-over requirement of a patient on a non-turning-over bed cannot be met.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a turning and transferring dual-purpose device, which is used for solving at least one technical problem. The invention also provides a use method of the turning and transferring dual-purpose device.
The technical scheme of the invention is as follows: the turning and transferring dual-purpose device is characterized by comprising a human body limiting and fixing air bag, wherein the human body limiting and fixing air bag comprises a back air bag cushion and a chest and abdomen air bag cushion which are used for coating the back and the front of a human body, and the length of the chest and abdomen air bag cushion in the left-right direction is smaller than that of the back air bag cushion in the left-right direction;
the back airbag cushion and the chest and abdomen airbag cushion are provided with inflation and deflation ports;
the front end and the rear end of the back airbag cushion are detachably connected through three groups of mutually matched connecting components, and the three groups of connecting components are arranged from left to right;
the device is characterized by further comprising a moving frame for hoisting and overturning the human body limiting fixed air bag group, wheels with brake mechanisms are mounted at the bottom of the moving frame, three linear sliding table mechanisms arranged from left to right are mounted at the top of the moving frame, and the guide direction of a guide rail of each linear sliding table mechanism is the front-back direction;
the top of the moving frame is provided with a hoisting device which slides back and forth along the guide track, the sliding platform of each linear sliding table mechanism is provided with one hoisting device, all the hoisting devices comprise hoisting motors and belts matched with the hoisting motors, and the end parts of the belts are provided with lifting hooks for fixing the human body limiting and fixing air bags;
the three winding devices are respectively a left winding device, a middle winding device and a right winding device which are arranged from left to right;
in an initial state, the left winding device and the right winding device are positioned on the same side, the left winding device and the middle winding device are positioned on different sides, and the left winding device, the middle winding device and the right winding device are arranged in a triangular shape;
and under the state that the body is turned in place, each hoisting device moves to the other side of the corresponding guide rail through the linear sliding table mechanism, and the left hoisting device, the middle hoisting device and the right hoisting device are arranged in a triangular shape.
This patent is convenient for realize standing up, move the bed, and the commonality is strong. The utility model can realize the sharing of multiple users, and two persons can operate, one person is responsible for looking at and protecting the trachea cannula and various pipelines, and the other person operates. Compared with the traditional manual turning. Greatly saving the manpower.
Further preferably, the connecting components are mutually matched latches or buckles.
Further preferably, the back airbag cushion is provided with a protrusion for neck limitation, and a forehead fixing strap for fixing the head is mounted on the back airbag cushion.
The neck is convenient to support and the head is convenient to fix.
Further preferably, the air bag cushion on the back is further provided with a fixing belt for fixing limbs.
Further preferably, the hook is used for hooking the connecting assembly. The air bag is convenient to realize the lifting of the limit fixed air bag for the human body.
Or the front side and the rear side of the back airbag cushion and the chest and abdomen airbag cushion are respectively provided with three pull tabs which are arranged from left to right and used for fixing the lifting hook, and the three pull tabs are respectively a left pull tab, a middle pull tab and a right pull tab.
The air bag is convenient to realize the lifting of the limit fixed air bag for the human body.
Further preferably, the back airbag cushion and the chest and abdomen airbag cushion are printed with identification bodies for contraposition placement.
The alignment placement during installation is convenient.
Further preferably, the back airbag cushion is provided with a mark body corresponding to at least two of the first upper limb conformal concave part, the first lower limb conformal concave part and the first trunk conformal concave part;
the chest and abdomen airbag cushion is provided with identification bodies corresponding to at least two concave parts in the second shoulder conformal concave part, the second upper limb conformal concave part, the second trunk conformal concave part and the second pudendum concave part.
The back airbag cushion and the chest and abdomen airbag cushion are convenient to form shape-fitting and align.
Preferably, the back airbag cushion and the chest and abdomen airbag cushion are both double-layer airbags, each double-layer airbag comprises an inner airbag and an outer airbag, the outer airbag covers the periphery of the inner airbag, the inner airbag surrounds a first gas storage cavity, and the inner airbag and the outer airbag surround a second gas storage cavity;
the back gasbag pad and chest belly gasbag pad all is equipped with the first inflation and deflation port that is used for inflating the gassing to first gas storage chamber and is used for inflating the second inflation and deflation port of gassing to the second gas storage chamber.
Air leakage is avoided.
Further preferably, alcohol is placed in the second air storage cavity. The heat dissipation is convenient.
Or the back airbag cushion and the chest and abdomen airbag cushion respectively comprise two sub airbags arranged in front and back;
the two sub air bags are provided with independent inflation and deflation ports, the inflation and deflation ports of the two sub air bags are connected with two sub air pipes, and the two sub air pipes are connected with a three-way joint.
Air leakage is avoided.
The back airbag cushion and the three-way joint of the chest and abdomen airbag cushion are spliced to form an interface for connecting a compressed air pump.
The two air bag cushions can be inflated synchronously.
Further preferably, a separation band is fixed to the inside of each of the back airbag cushion and the thorax and abdomen airbag cushion.
Further preferably, the winding motor is a stepping motor.
Further preferably, the length of the thoracoabdominal airbag cushion ranges from the shoulder to the ankle of the human body.
Further preferably, the length of the back airbag cushion in the left-right direction is 1900-;
the length of the back airbag cushion in the front-back direction is 800-900 mm.
The length of the chest and abdomen portion air bag cushion in the left and right direction is 1400-1500 mm;
the length of the thoracoabdominal portion airbag cushion in the front-back direction is 800-900 mm.
The thickness of the back airbag cushion and the chest and abdomen airbag cushion in the inflated state is 80mm-90 mm.
Further preferably, the moving frame comprises four upright columns, and the bottom of each upright column is provided with the wheel;
the distance between the upright columns in the front-back direction of the four upright columns is more than 1500 mm;
the movable frame further comprises connecting rods used for connecting the four upright posts.
The hospital bed is sleeved in a sliding mode, so that the movable frame can be moved conveniently, and the hospital bed can be transported.
The using method of the turning-over and transferring dual-purpose device is characterized in that the turning-over and transferring dual-purpose device is used for turning over a supine position to a prone position by using the device, and comprises the following steps:
s1, the air-free back air bag cushion is padded on the back of the patient or is horizontally placed on a sickbed in advance;
and S2, limiting and fixing the forehead by a forehead fixing band, and placing the neck on the conformal protrusion part of the neck. The limbs are arranged in the corresponding concave parts;
s3, temporarily disconnecting the various pipeline connections; the trachea cannula can be kept in mechanical ventilation with the breathing machine, the urine collecting belt is emptied, and the device is placed between two legs;
s4, covering the pneumothorax part with an airless pneumothorax part airbag cushion;
s5, the connecting components on the two sides of the back airbag cushion and the chest and abdomen airbag cushion are aligned and fastened in pairs;
and S6, connecting a compression air pump, inflating the back airbag cushion and the chest and abdomen airbag cushion simultaneously by the air pump, inflating the airbag cushion to about 150mmHg until the pressure in the airbag is about 150mmHg, inflating and hardening the airbag cushion, stopping compressing air, and breaking off an inflation tube.
And S7, arranging the left winding device and the right winding device on one side and the middle winding device on the other side, fastening the left tab and the right tab of the human body limiting and fixing air bag on the same side by the left winding device and the right winding device, and fastening the middle tab on the same side of the human body limiting and fixing air bag by the middle winding device.
S8, lifting the human body limiting fixing air bag horizontally by three hoisting devices at the same time, enabling the patient to leave the bed surface, and disconnecting the breathing machine pipeline or being watched by a specially-assigned person;
s9, the three winding devices lift the human body limiting fixed air bag to a position which is more than 1/2 of the length of the human body limiting fixed air bag in the front-back direction, belts of the left winding device and the right winding device continue to rise, the left winding device and the right winding device move towards the opposite side, the belt of the middle winding device descends at the same speed, and the middle winding device also moves towards the opposite side;
s10, when the three winding devices move to the position of the central axis and the patient is at the side position of 90 degrees, the three winding devices are suspended;
s11, loosening the lifting hook of the middle winding device, moving the belt to the other side of the patient, and fastening the lifting hook to the original middle pull tab again;
s12, the middle winding device is started again and continues to move towards the opposite sides, meanwhile, the left winding device and the right winding device descend, the middle winding device rises until the patient is at the horizontal position, and the machine is stopped;
s13, after confirming the position, starting three winding devices to synchronously and horizontally descend to the bed surface, and stopping the machine;
s14, exhausting the air in the air bag, loosening the forehead fixing belt and the connecting assembly, removing the back air bag cushion and reserving the chest and abdomen air bag cushion for standby;
and S15, connecting various pipelines.
The procedure of turning from prone position to supine position is as follows:
the method comprises the following steps: repeating step S3;
step two: the back is covered with an airless back airbag cushion.
Step three: repeating steps S5 to S13;
step four: the air in the air bag is exhausted, the forehead fixing belt and the connecting assembly are loosened, and the air bag cushion at the chest and abdomen part is removed to reserve the air bag cushion at the back part for later use;
step five: various pipelines are connected.
The steps of carrying out the transfer are as follows:
firstly, an airless back airbag cushion is padded into the back, the connecting assembly is fastened, the inflation and deflation port is connected with the compression air pump for inflation, the human body limiting fixed airbag is inflated and hardened, the steps S7 and S8 are repeated, the movable frame moves to the target bed through the wheels, and the steps S13 to S15 are repeated.
In S9, the human body limiting fixing air bag rises to a position 10-20 cm away from the bed surface. Thereby giving a space for turning over.
Has the advantages that: 1. when the prone position mechanical ventilation is needed, the turnover can be easily realized, and the implementation rate of the prone position mechanical ventilation in the ICU is improved.
2. Only two persons are needed for implementation, one person is responsible for seeing and protecting the tracheal cannula and various pipelines, and the other person operates the system. Easy and convenient, and greatly saves labor. Ventilating in the prone position is no longer a daunting physical task.
3. The restraint effect of the air bag cushion reduces the occurrence rate of limb sprain and pipeline shedding, and ensures that the operations of turning over, moving the bed and the like are safer.
4. In operating theatre applications, for special operations, such as orthopedic posterior spinal surgery: secondary injury can be prevented in the process of changing from the initial anesthesia position to the operation position.
5. Is suitable for various transferring and moving beds of patients without self-competence, especially for obese/heavy patients. Easy, safe and reliable.
6. The multifunctional medical examination bed is generally used for standard sickbeds, operating beds, CT (computed tomography) and C-arm machine examination beds which are used at present.
Drawings
FIG. 1 is a top view of a mobile frame according to the present invention;
FIG. 2 is a front view of the mobile frame of the present invention;
FIG. 3 is a left side view of the mobile frame of the present invention;
FIG. 4 is a top view of the back airbag cushion of the present invention;
FIG. 5 is a side view of the back airbag cushion of the present invention employing the structure of FIG. 4;
FIG. 6 is a top view of the thoracoabdominal airbag cushion of the present invention;
FIG. 7 is a side view of the thoracoabdominal airbag cushion of the present invention employing the structure of FIG. 6;
FIG. 8 is another schematic view of the configuration of the back airbag cushion and the thorax airbag cushion of the present invention.
In the figure: 1 is the removal frame, 2 is the hoisting device, 3 is the guide track, 4 is the wheel, 5 is the lifting hook, 6 is the belt, 7 is the tab, 8 is the inflation and deflation port, 9 is the forehead fixed band, 10 is the bulge, 11 is first upper limbs shape-conforming depressed part, 12 is first lower limbs shape-conforming depressed part, 14 is second shoulder shape-conforming depressed part, 15 is second upper limbs shape-conforming depressed part, 16 is second truck shape-conforming depressed part, 17 is second private parts depressed part, 18 is the air bag pad of back, 19 is the air bag pad of chest abdomen, A is left side hoisting device, B is middle hoisting device, C is right side hoisting device.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
Referring to fig. 1 to 8, the turning and transferring dual-purpose device comprises a human body limiting and fixing air bag, wherein the human body limiting and fixing air bag comprises a back air bag cushion and a chest and abdomen air bag cushion which are used for coating the back and the front of a human body, and the length of the chest and abdomen air bag cushion in the left-right direction is smaller than that of the back air bag cushion in the left-right direction; the back airbag cushion and the chest and abdomen airbag cushion are both provided with an inflation and deflation port 8; the front end and the rear end of the back airbag cushion are detachably connected through three groups of mutually matched connecting components, and the three groups of connecting components are arranged from left to right;
the device is characterized by further comprising a moving frame 1 used for hoisting and overturning the human body limiting fixed air bag group, wheels with brake mechanisms are mounted at the bottom of the moving frame 1, three linear sliding table mechanisms arranged from left to right are mounted at the top of the moving frame 1, and the guide direction of a guide rail 3 of each linear sliding table mechanism is the front-back direction; the top of the moving frame 1 is provided with a hoisting device 2 which slides back and forth along the guide track 3, the sliding platform of each linear sliding table mechanism is provided with one hoisting device 2, all the hoisting devices 2 comprise hoisting motors and belts 6 matched with the hoisting motors, and the end parts of the belts 6 are provided with lifting hooks 5 for fixing human body limiting and fixing air bags; the hoisting devices 2 are respectively provided with three left hoisting devices A, middle hoisting devices B and right hoisting devices C which are arranged from left to right.
In an initial state, the left winding device A and the right winding device C are positioned on the same side, and the left winding device A and the middle winding device B are positioned on different sides;
and under the state that the body is turned over in place, each hoisting device 2 moves to the other side of the corresponding guide rail 3 through the linear sliding table mechanism.
This patent is convenient for realize standing up, move the bed, and the commonality is strong. The utility model can realize the sharing of multiple users, and two persons can operate, one person is responsible for looking at and protecting the trachea cannula and various pipelines, and the other person operates. Compared with the traditional manual turning. Greatly saving the manpower.
The connecting components are mutually matched buckles or hasps.
The back airbag cushion is provided with a protrusion 10 for neck limitation, and a forehead fixing band 9 for fixing the head is installed on the back airbag cushion. The neck is convenient to support and the head is convenient to fix. The back air bag cushion is also provided with a fixing belt for fixing four limbs.
The hook 5 is used to hook the coupling assembly. The air bag is convenient to realize the lifting of the limit fixed air bag for the human body. Or the front side and the rear side of the back airbag cushion and the chest and abdomen airbag cushion are respectively provided with three pull tabs 7 which are arranged from left to right and used for fixing the lifting hook 5, and the three pull tabs 7 are respectively a left pull tab, a middle pull tab and a right pull tab. The air bag is convenient to realize the lifting of the limit fixed air bag for the human body.
The back airbag cushion and the chest and abdomen airbag cushion are printed with mark bodies for contraposition placement. The alignment placement during installation is convenient. The back airbag cushion is provided with a first upper limb conformal concave part 11, a first lower limb conformal concave part 12 and mark bodies corresponding to at least two concave parts in the first trunk conformal concave part; the thoracic and abdominal airbag cushion is provided with identification bodies corresponding to at least two of the second shoulder conformal concave part 14, the second upper limb conformal concave part 15, the second trunk conformal concave part 16 and the second pudendum concave part 17. The back airbag cushion and the chest and abdomen airbag cushion are convenient to form shape-fitting and align.
The dorsal airbag cushion 18 and the thoracoabdominal airbag cushion 19 enclose a humanoid recess for accommodating a human body.
The back airbag cushion and the chest and abdomen airbag cushion can be double-layer airbags, each double-layer airbag comprises an inner airbag and an outer airbag, the outer airbag covers the periphery of the inner airbag, the inner airbag is enclosed into a first gas storage cavity, and the inner airbag and the outer airbag are enclosed into a second gas storage cavity; the back airbag cushion and the chest and abdomen airbag cushion are respectively provided with a first inflation and deflation port for inflating and deflating the first air storage cavity and a second inflation and deflation port for inflating and deflating the second air storage cavity. The pressure in the first air storage cavity is smaller than the pressure in the second air storage cavity. Facilitating different body types. After the first air storage cavity is ventilated, the human body is prepositioned between the back airbag cushion and the inner airbag of the chest and abdomen airbag cushion. Then the second air storage cavity is used for filling the gap between the human body and the inner air bag after ventilation. Alcohol is placed in the second air storage cavity. The heat dissipation is convenient. The back airbag cushion and the inner airbag of the chest and abdomen airbag cushion enclose a human-shaped recess for accommodating the human body in an inflated state.
The back airbag cushion and the chest and abdomen airbag cushion are fixed with separation belts inside.
The hoisting motor is a stepping motor.
The left and right length of the air bag cushion at the chest and abdomen part is the length range from the shoulder part to the ankle joint of the human body. The length of the chest and abdomen part air bag cushion in the left and right direction is 1400-1500 mm; the length of the thoracoabdominal portion airbag cushion in the front-rear direction is 800-900 mm. The length of the back airbag cushion in the left-right direction is 1900-2000 mm; the length of the back airbag cushion in the front-rear direction was 800-900 mm. The thickness of the back airbag cushion and the thorax and abdomen airbag cushions in the inflated state is 80mm-90 mm.
The moving frame 1 comprises four upright columns, and the bottom of each upright column is provided with a wheel 4; the distance between the upright columns in the front-back direction of the four upright columns is more than 1500 mm; the mobile frame 1 further comprises connecting rods for connecting the four uprights. The movable frame 1 can be conveniently slid and sleeved into the sickbed, and the transportation is realized. The upright post is a telescopic rod. Such as an electric telescopic pole. The synchronous lifting of the human body limiting fixed air bag is convenient to realize.
The use method of the turnover and transport dual-purpose device is characterized in that the turnover and transport dual-purpose device is used for turning over a supine position to a prone position by using the device, and comprises the following steps:
s1, the air-free back air bag cushion is padded on the back of the patient or is horizontally placed on a sickbed in advance;
and S2, limiting and fixing the forehead by a forehead fixing band 9, and placing the neck on the protrusion part 10 which is shaped like the neck. The limbs are arranged in the corresponding concave parts;
s3, temporarily disconnecting the various pipeline connections; the trachea cannula can be kept in mechanical ventilation with the breathing machine, the urine collecting belt is emptied, and the device is placed between two legs;
s4, covering the pneumothorax part with an airless pneumothorax part airbag cushion;
s5, the connecting components on the two sides of the back airbag cushion and the chest and abdomen airbag cushion are aligned and fastened in pairs;
and S6, connecting a compression air pump, inflating the back airbag cushion and the chest and abdomen airbag cushion simultaneously by the air pump, inflating the airbag cushion to about 150mmHg until the pressure in the airbag is about 150mmHg, inflating and hardening the airbag cushion, stopping compressing air, and breaking off an inflation tube.
And S7, the left winding device A and the right winding device C are arranged on one side, the middle winding device B is arranged on the other side, the left winding device A and the right winding device C fasten the left pull tab and the right pull tab of the human body limiting fixed air bag on the same side, and the middle winding device B fastens the middle pull tab of the human body limiting fixed air bag on the same side.
S8, lifting the patient horizontally by the three hoisting devices 2 to leave the bed surface, and disconnecting the breathing machine pipeline or being watched by a specially-assigned person;
s9, at the position 10-20 cm away from the bed surface, the belts 6 of the left winding device A and the right winding device C continuously rise, meanwhile, the left winding device A and the right winding device C move towards the opposite side, and the belt 6 of the middle winding device B descends at the same speed and simultaneously moves towards the opposite side;
s10, when the three winding devices 2 move to the central axis position and the patient is at the side position of 90 degrees, the three winding devices 2 are suspended;
s11, loosening the lifting hook 5 of the middle winding device B, moving the belt 6 to the other side of the patient, and fastening the lifting hook 5 to the original middle pull tab again;
s12, the middle winding device B is started again and continues to move towards the opposite sides, meanwhile, the belt 6 of the left winding device A and the right winding device C descends, the belt 6 of the middle winding device B ascends until the patient is at the horizontal position, and the machine is stopped;
s13, after confirming the position, starting three winding devices to synchronously and horizontally descend to the bed surface, and stopping the machine;
s14, exhausting the air in the air bag, loosening the forehead fixing belt and the connecting assembly, removing the back air bag cushion and reserving the chest and abdomen air bag cushion for standby;
and S15, connecting various pipelines.
The motors of the three winding devices are all connected with a controller, and the controller also controls the driving motor connected with the linear sliding table mechanism.
The controller is connected with a display screen;
the display screen inputs the length a of the back airbag cushion in the front-back direction and the length b of the linear sliding table mechanism in the front-back direction, and the sliding platform of the adjacent linear sliding table mechanism in the three linear sliding table mechanisms is positioned at the farthest end;
the controller adjusts the position of a sliding platform of the linear sliding platform mechanism according to the parameters input by the display screen, and each linear sliding platform is subjected to translational displacement (b-a)/2;
in S9, the three winding devices lift the human body limiting fixed air bag to a position which is more than 1/2 of a, belts of the left winding device A and the right winding device C rise by B/2 displacement, meanwhile, the left winding device A and the right winding device C move towards opposite sides, and a belt 6 of the middle winding device B descends by B/2 displacement at the same speed;
in S12, the middle winding device B is started again and continues to move towards the opposite sides, meanwhile, the belts 6 of the left winding device A and the right winding device C descend for B/2 displacement, the belts 6 of the middle winding device B ascend for B/2 displacement until the patient is at the horizontal position, and the patient is stopped;
and S13, after the position is confirmed, three hoisting devices are started to synchronously and horizontally descend to the bed surface, and the machine is stopped.
The procedure of turning from prone position to supine position is as follows:
the method comprises the following steps: repeating step S3;
step two: the back is covered with an airless back airbag cushion.
Step three: repeating steps S5 to S13;
step four: the air in the air bag is exhausted, the forehead fixing belt and the connecting assembly are loosened, and the air bag cushion at the chest and abdomen part is removed to reserve the air bag cushion at the back part for later use;
step five: various pipelines are connected.
Has the advantages that: 1. when the prone position mechanical ventilation is needed, the turnover can be easily realized, and the implementation rate of the prone position mechanical ventilation in the ICU is improved.
2. Only two persons are needed for implementation, one person is responsible for seeing and protecting the tracheal cannula and various pipelines, and the other person operates the system. Easy and convenient, and greatly saves labor. Ventilating in the prone position is no longer a daunting physical task.
3. The restraint effect of the air bag cushion reduces the occurrence rate of limb sprain and pipeline shedding, and ensures that the operations of turning over, moving the bed and the like are safer.
4. In operating theatre applications, for special operations, such as orthopedic posterior spinal surgery: secondary injury can be prevented in the process of changing from the initial anesthesia position to the operation position.
5. Is suitable for various transferring and moving beds of patients without self-competence, especially for obese/heavy patients. Easy, safe and reliable.
6. The multifunctional medical examination bed is generally used for standard sickbeds, operating beds, CT (computed tomography) and C-arm machine examination beds which are used at present.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that it is obvious to those skilled in the art that various modifications and improvements can be made without departing from the principle of the present invention, and these modifications and improvements should also be considered as the protection scope of the present invention.
Claims (9)
1. The turning and transferring dual-purpose device is characterized by comprising a human body limiting and fixing air bag, wherein the human body limiting and fixing air bag comprises a back air bag cushion and a chest and abdomen air bag cushion which are used for coating the back and the front of a human body, and the length of the chest and abdomen air bag cushion in the left-right direction is smaller than that of the back air bag cushion in the left-right direction;
the back airbag cushion and the chest and abdomen airbag cushion are provided with inflation and deflation ports;
the front end and the rear end of the back airbag cushion are detachably connected through three groups of mutually matched connecting components, and the three groups of connecting components are arranged from left to right;
the device is characterized by further comprising a moving frame for hoisting and overturning the human body limiting fixed air bag group, wheels with brake mechanisms are mounted at the bottom of the moving frame, three linear sliding table mechanisms arranged from left to right are mounted at the top of the moving frame, and the guide direction of a guide rail of each linear sliding table mechanism is the front-back direction;
the top of the moving frame is provided with a hoisting device which slides back and forth along the guide track, the sliding platform of each linear sliding table mechanism is provided with one hoisting device, all the hoisting devices comprise hoisting motors and belts matched with the hoisting motors, and the end parts of the belts are provided with lifting hooks for fixing the human body limiting and fixing air bags;
the three winding devices are respectively a left winding device, a middle winding device and a right winding device which are arranged from left to right;
in an initial state, the left winding device and the right winding device are positioned on the same side, the left winding device and the middle winding device are positioned on different sides, and the left winding device, the middle winding device and the right winding device are arranged in a triangular shape;
in the in-place state of turning over, each hoisting device moves to the other side of the corresponding guide rail through the linear sliding table mechanism, and the left hoisting device, the middle hoisting device and the right hoisting device are arranged in a triangular shape;
turn over and transport double-purpose device when being used for using this device to carry out the supine position upset to prone position, including following step:
s1, the air-free back air bag cushion is padded on the back of the patient or is horizontally placed on a sickbed in advance;
s2, limiting and fixing the forehead by a forehead fixing band, arranging the neck at the conformal protruding part of the neck, and arranging the four limbs in the corresponding concave parts;
s3, temporarily disconnecting the various pipeline connections; the trachea cannula can be kept in mechanical ventilation with the breathing machine, the urine collecting belt is emptied, and the device is placed between two legs;
s4, covering the pneumothorax part with an airless pneumothorax part airbag cushion;
s5, the connecting components on the two sides of the back airbag cushion and the chest and abdomen airbag cushion are aligned and fastened in pairs;
s6, connecting a compression air pump, inflating the back airbag cushion and the chest and abdomen airbag cushion by the air pump at the same time, controlling the pressure in the bag to be about 150mmHg, inflating and hardening the airbag cushion, stopping the compression air, and breaking off an inflation tube;
s7, arranging a left winding device and a right winding device at one side and an intermediate winding device at the other side, wherein the left winding device and the right winding device fasten a left tab and a right tab of the human body limiting fixed air bag at the same side, and the intermediate winding device fastens an intermediate tab at the same side of the human body limiting fixed air bag;
s8, lifting the patient horizontally to leave the bed surface by three winding devices at the same time, and disconnecting the breathing machine pipeline or being watched by a specially-assigned person;
s9, the three winding devices lift the human body limiting fixed air bag to a position which is more than 1/2 of the length of the human body limiting fixed air bag in the front-back direction, belts of the left winding device and the right winding device continue to rise, the left winding device and the right winding device move towards the opposite side, the belt of the middle winding device descends at the same speed, and the middle winding device also moves towards the opposite side;
s10, when the three winding devices move to the position of the central axis and the patient is at the side position of 90 degrees, the three winding devices are suspended;
s11, loosening the lifting hook of the middle winding device, moving the belt to the other side of the patient, and fastening the lifting hook to the original middle pull tab again;
s12, the middle winding device is started again and continues to move towards the opposite sides, meanwhile, the belt of the left winding device A and the belt of the right winding device descend, the belt of the middle winding device ascends until the patient is at the horizontal position, and the machine is stopped;
s13, after confirming the position, starting three winding devices to synchronously and horizontally descend to the bed surface, and stopping the machine;
s14, exhausting the air in the air bag, loosening the forehead fixing belt and the connecting assembly, removing the back air bag cushion and reserving the chest and abdomen air bag cushion for standby;
s15, connecting various pipelines;
the procedure of turning from prone position to supine position is as follows:
the method comprises the following steps: repeating step S3;
step two: the back is covered with an airless back airbag cushion;
step three: repeating steps S5 to S13;
step four: the air in the air bag is exhausted, the forehead fixing belt and the connecting assembly are loosened, and the air bag cushion at the chest and abdomen part is removed to reserve the air bag cushion at the back part for later use;
step five: connecting various pipelines;
the steps of carrying out the transfer are as follows:
firstly, an airless back airbag cushion is padded into the back, the connecting assembly is fastened, the inflation and deflation port is connected with the compression air pump for inflation, the human body limiting fixed airbag is inflated and hardened, the steps S7 and S8 are repeated, the movable frame moves to the target bed through the wheels, and the steps S13 to S15 are repeated.
2. The turnover and transport dual-purpose device according to claim 1, characterized in that: the connecting components are mutually matched buckles or hasps.
3. The turnover and transport dual-purpose device according to claim 1, characterized in that: the back gasbag pad is equipped with and is used for the spacing protruding portion of neck, install the forehead fixed band that is used for fixed head on the back gasbag pad.
4. The turnover and transport dual-purpose device according to claim 1, characterized in that: the back airbag cushion is also provided with a fixing belt for fixing four limbs.
5. The turnover and transport dual-purpose device according to claim 1, characterized in that: the lifting hook is used for hooking the connecting component.
6. The turnover and transport dual-purpose device according to claim 1, characterized in that: both sides all are equipped with three from a left side to the right side arrange and are used for the fixed tab of lifting hook around back gasbag pad and chest abdomen gasbag pad, and three tab is left side tab, middle tab and right side tab respectively.
7. The turnover and transport dual-purpose device according to claim 1, characterized in that: the back gasbag pad and the printing has the sign body that is used for counterpointing to put on the thorax belly gasbag pad.
8. The turnover and transport dual-purpose device according to claim 7, characterized in that: the back airbag cushion is provided with a first upper limb conformal concave part, a first lower limb conformal concave part and identification bodies corresponding to at least two concave parts in the first trunk conformal concave part;
the chest and abdomen airbag cushion is provided with identification bodies corresponding to at least two concave parts in the second shoulder conformal concave part, the second upper limb conformal concave part, the second trunk conformal concave part and the second pudendum concave part.
9. The turnover and transport dual-purpose device according to claim 7, characterized in that: the back airbag cushion and the chest and abdomen airbag cushion are both double-layer airbags, each double-layer airbag comprises an inner airbag and an outer airbag, the outer airbag covers the periphery of the inner airbag, the inner airbag surrounds a first gas storage cavity, and the inner airbag and the outer airbag surround a second gas storage cavity;
the back gasbag pad and chest belly gasbag pad all is equipped with the first inflation and deflation port that is used for inflating the gassing to first gas storage chamber and is used for inflating the second inflation and deflation port of gassing to the second gas storage chamber.
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EP3492059A1 (en) * | 2013-11-27 | 2019-06-05 | Sage Products, LLC | Apparatus and system for turning and positioning a patient |
CN108392342A (en) * | 2018-02-08 | 2018-08-14 | 唐广纯 | A kind of semi-paralysis patient gets up comprehensive ancillary equipment |
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CN108056879A (en) * | 2017-12-26 | 2018-05-22 | 首都医科大学附属北京世纪坛医院 | A kind of human body for ward is carried, turning supporter |
CN108175610A (en) * | 2018-01-15 | 2018-06-19 | 刘畅 | A kind of fluctuation-type prone position turning-over air cushion and turn over aid |
CN209361138U (en) * | 2018-08-20 | 2019-09-10 | 上海市杨浦区市东医院 | It is a kind of oval from Stryker frame |
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