CN111529276A

CN111529276A - Multifunctional vascular neurosurgery nursing moving support

Info

Publication number: CN111529276A
Application number: CN202010297170.6A
Authority: CN
Inventors: 罗雪; 尤佳; 黄小娟; 黄慧
Original assignee: First Peoples Hospital of Longquanyi District Chengdu
Current assignee: First Peoples Hospital of Longquanyi District Chengdu
Priority date: 2020-04-15
Filing date: 2020-04-15
Publication date: 2020-08-14

Abstract

The invention discloses a multifunctional movable bracket for nursing in vascular neurosurgery, relating to the technical field of medical instruments, and the specific scheme is as follows: the treatment bed comprises a treatment bed, wherein a fixing device is arranged on the lower surface of the treatment bed, a sliding track and a supporting plate in sliding connection with the sliding track are arranged on the upper surface of the treatment bed, and a pillow, a head clamp, an assembly and a workbench are arranged on the upper surface of the supporting plate; the pillow is connected with the supporting plate through a first telescopic assembly, and the head clamp assembly comprise a clamp and a plate, and a clamp and a telescopic rod for adjusting the clamp, the plate clamp and the angle. The multifunctional vascular neurosurgery nursing mobile bracket provided by the invention can be correspondingly adjusted according to different patients so as to meet different requirements; the multifunctional vascular neurosurgical care mobile support enables a patient to obtain a more comfortable experience; the multifunctional movable support for vascular neurosurgery nursing can support the hands of medical workers in an operation, and the fatigue of the medical workers is reduced.

Description

Multifunctional vascular neurosurgery nursing moving support

Technical Field

The invention relates to the technical field of medical instruments, in particular to a multifunctional movable bracket for nursing in vascular neurosurgery.

Background

The rapid development of modern minimally invasive neurosurgery benefits patients, such as microperforation craniotomy; the continuous improvement of microsurgical instruments; wide application of high definition microscopes; intraoperative neuro-navigation; b ultrasonic; neuroelectrophysiological monitoring; non-invasive functional imaging; the technologies such as awakening anesthesia in the operation undoubtedly protect the nerve and blood vessels; it is helpful to reduce complications. However, the structure of the nervous system and its blood vessels is very complex and has important functions, and they are not as strong in damage resistance as bone, muscle and intestinal tissues, and sometimes some slight damage can cause obvious structural damage to cause serious dysfunction, so corresponding auxiliary medical devices in neurosurgery are necessary.

For the reason that the existing operation is provided with few auxiliary tools, and the support is generally simple and cannot play a good role in the operation, the multifunctional movable support for nursing of vascular neurosurgery is provided.

Disclosure of Invention

The technical purpose of the invention is realized by the following technical scheme:

a multifunctional movable support for nursing in vascular neurosurgery comprises a treatment bed, wherein a fixing device is arranged on the lower surface of the treatment bed, a sliding track and a supporting plate which is in sliding connection with the sliding track are arranged on the upper surface of the treatment bed, and a pillow, a head clamp, an assembly and a workbench are arranged on the upper surface of the supporting plate; the pillow is connected with the supporting plate through a first telescopic assembly, and the head clamp assembly comprise a clamp and a plate, and a clamp and a telescopic rod for adjusting the clamp, the plate clamp and the angle.

In the scheme, the fixing device on the lower surface of the treatment bed can use four fixed supporting legs, and the bottom of each supporting leg can also be provided with a movable wheel and a limiting device, so that the whole treatment bed can be moved and fixedly used; one or more parallel rails can be arranged on the sliding rail on the upper surface of the treatment bed, then a supporting plate is arranged on the rail, the supporting plate can slide on the rail, the position of the supporting plate relative to the treatment bed can be conveniently adjusted, and the position can be adjusted according to the body heights of different patients and the wound parts of the head; the pillow is connected with the supporting plate through the first telescopic assembly, so that the height of the pillow can be adjusted, and a patient can feel more comfortable; the head clamp and the assembly adjust the clamp and the angle of the clamp and the plate through the clamp and the telescopic rod so as to adapt to the sizes of the heads of different people and the requirements of different patients on the head clamp and the tightness.

Above-mentioned scheme can realize adjusting different patients to the size of adaptation different patients 'health position also can carry out the regulation of elasticity degree to different patients' wound position simultaneously, improves patient's comfort level promptly, also is convenient for medical personnel's the operation of also being convenient for and the regulation in the later stage nursing process, in order to adapt to the different operations of medical personnel.

As a preferred scheme, the card and the plate are two independent plates matched with the radian of the head of a human body, and the two independent plates can move in the opposite direction or in the opposite direction through a moving track or a connecting telescopic rod.

In the above preferred scheme, the moving track is arranged on the supporting plate, or a telescopic rod is used, the telescopic rod can use a bolt, a hydraulic cylinder or an electric control telescopic rod and the like, the independent plate has a radian to meet the shape of the head of a human body, and then soft fillers such as rubber pads and cotton can be arranged on the independent plate, or soft materials are used, so that a patient has good comfort; the two independent plates move relatively, so that the card and the plates are more fit with the head of a patient, and the whole head card and the whole head assembly are higher in adjustment degree.

As a preferred scheme, the card and the telescopic link include two, connect an independent board and backup pad respectively, and card and telescopic link are hydraulic telescoping rod.

In above-mentioned preferred scheme, card and telescopic link can use hydraulic telescoping rod, also can use bolt or automatically controlled telescopic link etc. and then adjust the degree of agreeing with of independent board and human head for fixed effect is better.

As an optimal scheme, a support placing frame is arranged on the treatment bed and is connected with the treatment bed through a second telescopic assembly, and the vertical height of the support placing frame is adjusted by the second telescopic assembly.

The first telescopic assembly is used for adjusting the height of the support placing frame to meet the requirements of different medical staff, and is mainly used for supporting hands of the medical staff in a surgical operation to relieve the fatigue of the medical staff; can also be used for placing needed medical articles.

In neurosurgery, the time of using the microscope is long, the phenomenon that an operator hangs both arms in the air for a long time and the upper arms are easy to be tired and even the hands are trembled is easily caused, and the preferable scheme can well relieve the upper limb fatigue of nursing personnel in the operation.

As a preferred scheme, the second telescopic assembly is connected with the treatment bed through universal wheels, and the supporting and placing frame reciprocates between a position higher than the treatment bed and a position lower than the treatment bed by taking the universal wheels as circle centers.

In the preferred scheme, the second telescopic assembly can rotate relatively due to the arrangement of the universal wheels, and then the whole support placing frame can be placed below or above the treatment bed so as to be placed when the treatment bed is not used, and a patient can get out of the treatment bed from the side surface of the treatment bed without shielding; when the patient lies in the bed, the second telescopic assembly can also be used as a protective frame to prevent the patient from turning over and slipping, and the support rack is used for placing articles.

As a preferred scheme, the multifunctional blood vessel neurosurgery nursing moving support further comprises a hanging assembly, the hanging assembly comprises a third telescopic assembly and a hanging rod, the length of the third telescopic assembly is adjusted in the vertical direction, the hanging rod is connected with the top of the third telescopic assembly, and a plurality of hooks are arranged on the hanging rod.

In the above preferred embodiment, the third telescopic assembly is used for adjusting the height of the suspension rod, so that a drip required by a patient can be suspended during an operation, and the third telescopic assembly can also be used for liquid required during an operation, such as an electrocoagulator, which needs to be continuously flushed with physiological saline to achieve a cooling effect and an anti-adhesion effect, or mannitol to perform specific cooling.

Preferably, the third telescopic assembly is detachably connected with the treatment couch.

In the above preferred embodiment, the third telescopic assembly and the treatment couch can be connected by screw threads, and can be installed when needed and disassembled when not needed.

As a preferred scheme, the operating auxiliary frame is arranged on the workbench and comprises a base connected with the workbench through bolts and a cranium nail frame movably connected with the base.

In the above preferred embodiment, the surgical auxiliary frame is mounted on the table, and then the head fixing and surgical auxiliary operations are performed on the patient.

As a preferred scheme, the cranium nail rack comprises two arc-shaped sub-racks which are connected through screw threads so as to adjust the relative distance between the two sub-racks; the fixing disc is movably connected with the cranium nail frame and is connected with a universal shaft through a supporting arm, and the universal shaft is rotatably connected with the base.

The two arc-shaped sub-frames are matched with the radian of the head of a human body, then the relative distance between the two sub-frames is adjusted through threads, a hydraulic rod can be used, the adjustment is carried out by using hands, an electric control assembly is not used, and the fixed disc is used for adjusting the rotation of the cranial nail frame so as to adapt to different wound parts of the head of the human body; the angles of the fixed disc and the sub-frame above the fixed disc are adjusted through the supporting arms and the universal shafts.

In conclusion, the invention has the following beneficial effects:

(1) the multifunctional vascular neurosurgery nursing mobile bracket provided by the invention can be correspondingly adjusted according to different patients so as to meet different requirements;

(2) the multifunctional vascular neurosurgery nursing movable support provided by the invention enables a patient to obtain more comfortable experience;

(3) the multifunctional vascular neurosurgery nursing movable support provided by the invention can support the hands of medical workers in an operation, so that the fatigue of the medical workers is reduced;

(4) the multifunctional vascular neurosurgery nursing moving support provided by the invention is provided with a detachable suspension component for placing a suspension object required in an operation;

(5) the multifunctional movable nursing bracket for vascular neurosurgery provided by the invention is provided with an operation auxiliary bracket to perform auxiliary operation on an operation;

(6) the multifunctional movable nursing bracket for vascular neurosurgery provided by the invention has the advantages of simple structure, good use effect, and good economical efficiency and practicability.

Drawings

FIG. 1 is a schematic structural diagram of a multifunctional vascular neurosurgical care mobile stent of an embodiment of the invention;

FIG. 2 is an overall view of a multifunctional vascular neurosurgical care mobile stent of an embodiment of the present invention;

FIG. 3 is a disassembled view of the multifunctional vascular neurosurgical care mobile stent of embodiment 2 of the present invention;

FIG. 4 is a schematic structural view of a surgical assistant frame according to embodiment 4 of the present invention;

1. a treatment couch; 2. a fixing device; 3. a sliding track; 4. a support plate; 5. a pillow pad; 61. a card and a plate; 62. clamping and stretching rods; 7. a work table; 8. supporting the placing rack; 9. a second telescoping assembly; 101. a third telescoping assembly; 102. a suspension rod; 103. hooking; 11. a base; 12. a cranial nail rack; 13. fixing the disc; 14. a cardan shaft.

Detailed Description

The present invention will be described in further detail with reference to the accompanying drawings.

Example 1:

referring to fig. 1, the multifunctional vascular neurosurgery nursing movable support comprises a treatment bed 1, wherein a fixing device 2 is arranged on the lower surface of the treatment bed 1, a sliding rail 3 and a support plate 4 which is in sliding connection with the sliding rail 3 are arranged on the upper surface of the treatment bed 1, and a pillow 5, a head clamp and assembly and a workbench 7 are arranged on the upper surface of the support plate 4; the pillow 5 is connected to the support plate 4 by means of a first telescopic assembly, the head clamp and assembly comprising a clamp and plate 61 and a clamp and telescopic rod 62 to adjust the clamping and angle of the clamp and plate 61.

In embodiment 1, the fixing device 2 on the lower surface of the treatment couch 1 can use four fixed supporting legs, and the bottom of the supporting legs can also be provided with a moving wheel and a limiting device, so that the whole treatment couch 1 can be moved and fixed for use; one or more parallel rails can be arranged on the sliding rail 3 on the upper surface of the treatment bed 1, then the supporting plate 4 is arranged on the rails, the supporting plate 4 can slide on the rails, the position of the supporting plate 4 relative to the treatment bed 1 can be conveniently adjusted, and the position can be adjusted according to the body heights of different patients and the wound parts of the head; the pillow 5 is connected with the supporting plate 4 through the first telescopic assembly, and the height can be adjusted, so that a patient can feel more comfortable; the head clamp and assembly adjusts the clamping and angle of the clamp and plate 61 through the clamp and telescoping rod 62 to accommodate different person head sizes and different patient head clamping and tightness requirements.

Above-mentioned embodiment can realize adjusting different patients to the size of adaptation different patients 'health position also can carry out the regulation of elasticity degree to different patients' wound position simultaneously, improves patient's comfort level promptly, also is convenient for medical personnel's operation and the regulation in the later stage nursing process, in order to adapt to the different operations of medical personnel.

As a preferred embodiment, the card and plate 61 is two independent plates matching with the radian of the head of the human body, and the two independent plates can move towards or away from each other through a moving track or a connecting telescopic rod.

In the above preferred embodiment, the moving track is disposed on the supporting plate 4, or a telescopic rod is used, the telescopic rod can use a bolt, a hydraulic cylinder or an electric control telescopic rod, etc., the independent plate has a radian to satisfy the shape of the head of a human body, and then the independent plate can be provided with soft fillers such as rubber pads, cotton, etc., or soft materials, so that a patient has good comfort; the relative movement of the two independent plates makes the card and plate 61 fit the head of the patient better and also makes the adjustment degree of the whole head card and assembly higher.

As a preferred embodiment, the two clamp and telescopic rods 62 are respectively connected to a separate plate and the support plate 4, and the clamp and telescopic rods 62 are hydraulic telescopic rods.

In the above preferred embodiment, the clip and the telescopic rod 62 can use a hydraulic telescopic rod, a bolt or an electric control telescopic rod, etc., so as to adjust the engagement degree between the independent plate and the head of the human body, and the fixing effect is better.

The working principle is as follows: in the operation or nursing process, the movable support can be used for placing a patient on the treatment bed 1, and the posture of the patient can be placed by adjusting the position of the support plate 4, so that the operation or nursing of medical staff is convenient; the height of the pillow 5 is adjusted, so that the patient can have a more comfortable lying posture and can adapt to the operation of medical staff; the head clamp and assembly is then used to clamp and angle the patient's head by adjusting the relative distance of the two separate plates and the clamping and telescoping rods 62 to adjust the clamping and tightness of the entire head clamp and assembly. After the settings are completed, relevant subsequent operations are performed.

Example 2:

referring to fig. 3, the treatment couch is substantially similar to the treatment couch 1, except that a support placing frame 8 is provided on the treatment couch 1, the support placing frame 8 is connected to the treatment couch 1 through a second telescopic assembly 9, and the second telescopic assembly 9 adjusts the vertical height of the support placing frame 8.

In embodiment 2, the first telescopic assembly is used for adjusting the height of the support placing frame 8 to meet the requirements of different medical staff, and is mainly used for supporting hands of the medical staff in a surgical operation to reduce the fatigue of the medical staff; can also be used for placing needed medical articles.

In neurosurgery, the time of using the microscope is long, the phenomenon that an operator hangs both arms in the air for a long time and the upper arms are easy to be fatigued, even the hands are trembled is easily caused, and the preferable embodiment can well relieve the upper limb fatigue of nursing personnel in the operation.

As a preferred embodiment, the second telescopic assembly 9 is connected with the treatment couch 1 through universal wheels, and the support placing frame 8 reciprocates between a position higher than the treatment couch 1 and a position lower than the treatment couch 1 by taking the universal wheels as a circle center.

In the above preferred embodiment, the universal wheels are arranged to enable the second telescopic assembly 9 to rotate relatively, and then the whole support placing frame 8 can be placed below or above the treatment couch 1 so as to be placed when not in use, and a patient can get out of the treatment couch 1 from the side surface without shielding; when a patient lies on the bed, the second telescopic assembly 9 can also be used as a protective frame to prevent the patient from turning over and slipping, and the support placing frame 8 is used for placing articles.

The working principle is as follows: when the support rack 8 is used as an operation bed, firstly, the support rack 8 is positioned below the treatment bed 1, a patient is placed on the treatment bed 1 from the side edge of the treatment bed 1, then the support rack 8 is rotated to the treatment bed 1 through the universal wheels, and the support rack 8 is mainly used for supporting hands of medical staff in an operation so as to relieve the fatigue of the upper limbs of the medical staff; when used as a nursing bed, the support rack 8 can be used as a tray, and can be used as a table for placing articles, such as a patient for eating.

Example 3:

referring to fig. 1, the multifunctional vascular neurosurgical care mobile branch is substantially similar to embodiment 1, except that the multifunctional vascular neurosurgical care mobile branch further comprises a suspension assembly, the suspension assembly comprises a third telescopic assembly 101 with the length adjusted in the vertical direction and a suspension rod 102 connected with the top of the third telescopic assembly 101, and a plurality of hooks 103 are arranged on the suspension rod 102.

In embodiment 3, the third telescopic assembly 101 is used for adjusting the height of the suspension rod 102, so as to suspend the drip needed by the patient during the operation, and can also be used for the liquid needed during the operation, such as the use of an electrocoagulator, the need of continuously flushing with physiological saline to achieve the cooling effect and the anti-adhesion effect, or the use of mannitol to perform specific cooling, etc.

As a preferred embodiment, the third telescopic assembly 101 is detachably connected to the treatment couch 1.

In the preferred embodiment, the third telescopic assembly 101 and the treatment couch 1 are threadably connected, and are installed when necessary and disassembled when not necessary.

The working principle is as follows: the hanging device can be used as a hanging device for drip regardless of being used as an operation bed or a nursing bed, and can also be used as a hanging device for flushing medicine industry, and the like.

Example 4:

referring to fig. 4, the surgical auxiliary frame is substantially similar to that of embodiment 1, except that the working table 7 is provided with a surgical auxiliary frame, and the surgical auxiliary frame comprises a base 11 connected with the working table 7 through bolts and a cranium nail frame 12 movably connected with the base 11.

In the above embodiment 4, the operation assisting frame is mounted to the table 7, and then the head fixing and operation assisting operation is performed on the patient.

As a preferred embodiment, the cranium nail rack 12 comprises two arc-shaped sub-racks which are connected by screw threads to adjust the relative distance of the two sub-racks; the skull nail fixing device further comprises a fixing disc 13 movably connected with the skull nail frame 12, the fixing disc 13 is connected with a universal shaft 14 through a supporting arm, and the universal shaft 14 is rotatably connected with the base 11.

The two arc-shaped sub-frames are matched with the radian of the head of a human body, then the relative distance between the two sub-frames is adjusted through threads, a hydraulic rod can be used, the adjustment is carried out by using hands, an electric control component is not used, and the fixed disc 13 is used for adjusting the rotation of the cranial nail frame 12 so as to adapt to different wound parts of the head of the human body; the angle of the fixed plate 13 and the sub-frame above is adjusted by the supporting arm and the cardan shaft 14.

The working principle is as follows: after the anesthesia intubation of the patient, an operator stands on the head of the patient and places the patient on an operation auxiliary frame, the head wrapping cloth is opened, the operator installs the high-pressure steam sterilized cranial nail, the scalp at the corresponding part of the cranial nail is sterilized by iodophor, and the cranial nail is fixed in the skin of the patient and embedded into the skull by adjusting the distance between the two sub-frames. Then, the operation visual field is fully exposed through the adjustment of the fixed disc 13 and the universal shaft 14, and the relevant operation is carried out.

The present embodiment is only for explaining the present invention, and it is not limited to the present invention, and those skilled in the art can make modifications of the present embodiment without inventive contribution as needed after reading the present specification, but all of them are protected by patent law within the scope of the claims of the present invention.

Claims

1. A multifunctional movable support for nursing in vascular neurosurgery is characterized by comprising a treatment bed (1), wherein a fixing device (2) is arranged on the lower surface of the treatment bed (1), a sliding rail (3) and a supporting plate (4) which is in sliding connection with the sliding rail (3) are arranged on the upper surface of the treatment bed (1), and a pillow (5), a head clamp, a component and a workbench (7) are arranged on the upper surface of the supporting plate (4); the pillow (5) is connected with the supporting plate (4) through a first telescopic assembly, and the head clamp and assembly comprises a clamp and plate (61) and a clamp and telescopic rod (62) for adjusting the clamp and angle of the clamp and plate (61).

2. The multifunctional vessel neurosurgical care moving support as claimed in claim 1, wherein the clamp and plate (61) is two independent plates which are matched with the radian of the head of a human body, and the two independent plates can move towards or away from each other through a moving rail or a connecting telescopic rod.

3. The multifunctional vascular neurosurgical care mobile stent according to claim 2, wherein the two clamping and telescopic rods (62) are respectively connected with a separate plate and the supporting plate (4), and the clamping and telescopic rods (62) are hydraulic telescopic rods.

4. The multifunctional movable support for nursing in vascular neurosurgery according to claim 1, characterized in that a support placing frame (8) is arranged on the treatment couch (1), the support placing frame (8) is connected with the treatment couch (1) through a second telescopic assembly (9), and the vertical height of the support placing frame (8) is adjusted by the second telescopic assembly (9).

5. The multifunctional vascular neurosurgical care mobile support according to claim 4, wherein the second telescopic assembly (9) is connected with the treatment couch (1) through universal wheels, and the support placing frame (8) reciprocates between a position higher than the treatment couch (1) and a position lower than the treatment couch (1) by taking the universal wheels as a circle center.

6. The multifunctional vascular neurosurgical care mobile support according to claim 1, further comprising a hanging component, wherein the hanging component comprises a third telescopic component (101) capable of adjusting the length in the vertical direction and a hanging rod (102) connected with the top of the third telescopic component (101), and a plurality of hooks (103) are arranged on the hanging rod (102).

7. Multifunctional vascular neurosurgical care mobile stent according to claim 6, characterized in that the third telescopic assembly (101) is removably connected with a treatment couch (1).

8. The multifunctional vascular neurosurgical care mobile stent is characterized in that an operation auxiliary frame is arranged on the workbench (7), and comprises a base (11) in bolted connection with the workbench (7) and a cranial nail frame (12) movably connected with the base (11).

9. The multifunctional vascular neurosurgical care mobile support according to claim 8, characterized in that the cranial nail frame (12) comprises two arc-shaped sub-frames which are connected by screw threads to adjust the relative distance of the two sub-frames; the skull nail rack is characterized by further comprising a fixed disk (13) movably connected with the skull nail rack (12), the fixed disk (13) is connected with a universal shaft (14) through a supporting arm, and the universal shaft (14) is rotatably connected with the base (11).