CN111557821A - A lateral decubitus spinal surgery postural fixation device - Google Patents

Abstract

The invention discloses a lateral recumbent spinal surgery body position fixation device, which belongs to the technical field of medical auxiliary appliances. On the side of the bed board, the installation position of the side sleeping board and the first upper limb placed on the bed board is the same side, and at least two side sleeping boards with spacing are inserted on one side of the bed board, and the side sleeping board is provided with a second binding belt; The pelvic stabilization component is movably connected with the bed board, and the pelvic stabilization component is used to limit the displacement of the lower pelvis when the human body is lying on its side; an airbag cushion is placed at the bottom of the bedboard, and the airbag cushion is composed of at least two first air bags, the sides of the first air bags are mutually fixed and Each of the first air bags is provided with an independent first charging and exhausting port. The device of the present application is suitable for patients of different body types, and can effectively prevent the patient's body position from changing during the operation, effectively maintain the stability of the human spine curve during the operation, and reduce or avoid the adverse effects of the lateral position on the patient.

Description

A lateral decubitus spinal surgery postural fixation device

technical field

The invention belongs to the technical field of medical auxiliary appliances, and in particular relates to a position fixing device for spinal surgery in a lateral position.

Background technique

Due to the use of auxiliary medical equipment, anesthesia, and special surgical positions in the operating room, patients cannot turn over voluntarily during the operation, and local tissues of the body are continuously under pressure, which is very prone to pressure injuries.

The lateral decubitus position has become a common position for surgical operations because it fully exposes the surgical field and is convenient for surgical operations. Spinal surgery, thoracic surgery, renal surgery, and orthopedic surgery are often used in the lateral position, but it is easy to cause respiratory and circulatory dysfunction, nerve damage, skin pressure injury and other complications, and patients often cannot maintain their stability under anesthesia. , It is often necessary to use operating bed accessories to fix it to protect patient safety.

SUMMARY OF THE INVENTION

The purpose of the present invention is to provide a lateral decubitus spine surgery body position fixation device, which is suitable for patients of different body types, can effectively prevent the patient's body position change during the operation, effectively maintain the stability of the human spine curve and reduce or avoid the side during the operation. Adverse effects of the supine position on the patient.

The technical solution adopted by the present invention to achieve the above purpose is: a lateral position spinal surgery body position fixation device, comprising:

a bed plate, one end of the bed plate is connected with a head support plate for placing the head of the human body, and a first upper limb placing plate for placing the upper limbs of the human body is installed on one side of the bed plate;

Side sleeping board, the side sleeping board is plugged on the side of the bed board, the installation position of the side sleeping board and the first upper limb on the bed board is the same side, and at least two side sleeping boards with spacing are inserted on one side of the bed board. The board is provided with a second binding strap for binding the human body;

The pelvis stabilization component is movably connected with the bed board, and the pelvic stabilization component is used to limit the displacement of the lower pelvis when the human body is lying on its side;

Wherein, an airbag cushion is placed at the bottom of the bed board, and the airbag cushion is composed of at least two first air bags, the sides of the first air bags are fixed to each other, and the first air bags are provided with independent first inflation and exhaust ports.

For the lateral decubitus position, after the patient is generally anesthetized, the anesthesiologist protects the tracheal tube, etc., supports the patient's head and neck, and the nurse and the doctor together support the patient's chest, waist, back and lower limbs, etc., along the longitudinal axis of the patient's spine Rotate in the same direction to lie on your side, with your lower limbs slightly flexed. In the present application, the head support plate and the first upper limb placement plate are respectively provided on the bed plate injury to facilitate the placement of the head and upper limbs of the patient after lateral recumbency, so as to provide the patient's body placement space and facilitate the patient to maintain the lateral position. Therefore, this application By setting the side sleeping board to contact the chest and lower abdomen area of the patient in the side lying state, cooperate with the second binding belt to quickly bind the patient's body, and try to avoid contact with the abdomen to reduce the interaction between the abdomen and the side sleeping board when the patient is breathing. The curve of the patient's spine is slightly deformed. At the same time, at least two side sleeping boards can be set up to adjust the contact area between the side sleeping board and the patient according to patients of different sizes. For example, for patients with beer belly, separate side sleeping boards can effectively avoid contact with the beer belly. In order to further ensure the stability of the patient's lateral position, a pelvic stabilization component is installed in the patient's anterior iliac spine area and the sacral layer area to stabilize the patient's lower pelvis, so as to better maintain the patient's lateral position during the operation. The body position is stable in the middle to prevent the change of the patient's spine curve, and the pelvic stabilization component at the part in contact with the patient can avoid the compression of the great inguinal blood vessels, which will affect the patient's hemodynamics, and prevent the occurrence of deep vein thrombosis in the lower extremity after the patient's operation. Purpose.

During the operation, it is necessary to fully expose the surgical field, but it is necessary to ensure that the patient's spine is on the same horizontal line. After the patient chooses the side lying position, there may be insufficient lateral lying angle. In the present application, the airbag cushion is arranged under the bed plate. The first air bag in the lower left and right directions adjusts its internal gas volume to fine-tune the inclination angle of the bed board to adjust the patient's position and avoid touching the patient's body during the operation. the patient's body to prevent adverse effects from touching the patient's body.

In an embodiment of the present invention, a tripod support body is installed on one side of the bed board, and a foot part placing body for placing human legs is arranged on the tripod support body. A fixed plate and a bent foot limit plate, one end of the foot limit plate is connected with the fixed plate. The setting of the tripod support is used to increase the height of the foot placement body. During the patient's lateral recumbency, one thigh can be tied to the bed board, and the other thigh is slightly too high to be fixed with the foot placement body. The field of view can be relatively expanded and the side lying position is relatively comfortable for the patient. The way of setting the first installation slot on the fixed plate is conducive to the adjustment of the upper and lower heights of the foot limit plate, which is convenient for patients of different sizes. After the plate is bent, it is convenient to place the patient's leg, and the patient's leg is bound and fixed with an elastic band or a band through the first through slot.

In an embodiment of the present invention, a head cushion is placed on the head support plate, the head cushion is composed of two adjacently connected second air bags that can be inflated respectively, and the second air cushions on the head cushion are respectively provided with second inflatable and exhaustive air bags. breath. In the side lying state, headrests of different heights and patients of different body types will lead to changes in the patient's vertebral curve. For this reason, the present application controls the height position of the headrest according to patients of different body types by providing an inflatable headrest. Ensure that the patient's spine curve is on the same horizontal line. The head pad with an inflatable structure is relatively more comfortable for the patient. During the operation, try to make the patient's head on one of the second air bags of the head pad, behind the patient's head. There should be a second air bag on the side, and the inflation volume of the air bag should be greater than that of the second air bag placed on the patient's head. The purpose is to form a raised second air bag behind the patient's head to lower the patient's head. Difficulty in rotating or dislodging backwards to maintain a stable lateral position.

In an embodiment of the present invention, the first mounting holes are evenly distributed on the surface of the bed board. The arrangement of the first mounting holes on the bed board can effectively improve the air permeability of the bed board, and it is also convenient to adjust the feet on the bed board according to patients of different sizes or physiological structures. The first installation hole is generally a threaded hole for the installation position of the components such as the frame support body and the pelvis stabilization component of the side bed.

In an embodiment of the present invention, a joint washer made of a flexible material is placed on the surface of the bed plate, and a circular-hole-shaped joint placement through hole is opened in the middle of the joint washer; the joint placement through hole opened in the middle of the joint washer can relieve local pressure. The joint gasket can evenly distribute the weight of the patient's body, fully reduce the pressure and shear force on the patient's skin, and effectively reduce the risk of pressure injury to the patient.

In an embodiment of the present invention, a first binding strap for binding the human body is provided on the bed, so as to bind the body of the patient and ensure the stability of the lateral position.

In an embodiment of the present invention, the surface of the side sleeping board opposite to the side lying on the human body is provided with a half-through plug-in buffer groove body, and the plug-in buffer groove body is plugged with a buffer component;

The height of the buffer assembly is greater than the depth of the slot of the insertion slot. The side bed is provided with a positioning insertion hole that passes through the groove surface of the insertion buffer slot. A positioning insertion rod is inserted into the positioning insertion hole, and the buffer assembly is provided with a positioning insertion hole. A positioning insertion through hole that is matched and inserted with the positioning insertion rod. The side of the side sleeping board is provided with threaded connection holes in order from high to low, the side of the side sleeping board is connected with a second upper limb placing board for placing the upper limbs of the human body, and the side of the second upper limb placing board is connected with a first threaded connection with the threaded connection hole. column. The buffer body and the buffer auxiliary parts are made of rubber. Some patients are in the state of anesthesia when the patient takes the side lying process. The medical staff assists the patient to achieve the side lying. The squeezing force is uncontrollable, and there may be problems that the patient's body is too squeezed on the side bed and the binding is too tight, which may easily lead to pressure injury and pose a safety hazard to the operation. It is controlled by setting buffer components on the surface of the side bed. The contact area between the patient's skin and the side sleeping board provides a buffer effect to adjust the mutual pressure between the patient's tissue and the side sleeping board to avoid the risk of pressure injury. Some of the buffer components outside the plug-in buffer groove can be squeezed. Deformation is generated to expand the contact area with the patient's tissue to relieve the extrusion pressure. The purpose of opening the positioning insertion through hole on the buffer assembly and the positioning insertion hole on the side sleeper is to realize the insertion The buffer assembly in the connected state is further closely connected with the side sleeper to prevent the possibility of the buffer assembly from falling.

In an embodiment of the present invention, the buffer assembly includes:

The buffer body, one end of the buffer body is inserted into the plug-in buffer groove body, the other end is provided with a contact surface with an arc surface, one side surface of the buffer body is provided with at least two first buffer through grooves, and the buffer body is also provided with The opening direction of the first buffer through groove is vertical to the second buffer through groove,

The buffer auxiliary piece is arranged in the first buffer groove body, and a clamping connection is formed between the limiting protrusions on both sides of the buffer auxiliary piece and the first buffer groove body. In the pressed state, the crossed ends change to the outer shape. The arc-shaped contact surface provided on the surface of the buffer body and the patient’s tissue can gradually expand with the contact surface. Compared with the contact surface of the plane structure, the contact surface of the arc-shaped surface can ensure that the effective contact area follows the shape of the buffer body after deformation. The variable expands the contact surface with the patient to maintain a stable relative pressure with the patient. When the buffer body is compressed, the first buffer through groove and the second buffer through groove are correspondingly deformed, so that the buffer body is deformed to a "flattened" state. , and the buffer auxiliary member provided inside it provides an internal support force to adjust the pressure of the buffer body under pressure, and the two ends of the buffer auxiliary member change outwardly from the adjacent buffer body when the pressure is too large. Forming abutment to obtain indirect support, the combination of the compression and deformation adjustment methods of the buffer body and the buffer assistant can fully reduce the pressure and shear force on the patient's tissue, and avoid and reduce long-term compression on local skin, blood vessels, and nerves. , It does not affect the patient's breathing and circulation, and can make each focus point evenly compressed, so as to avoid complications such as skin pressure injury to the greatest extent.

In an embodiment of the present invention, the pelvic stabilization assembly includes a first stabilization cylinder vertically connected to the bed board, and a second stabilization cylinder perpendicular to the axis of the first stabilization cylinder is provided at the end of the first stabilization cylinder. The stabilizing cylinder is sleeved with a connecting ring body, and the connecting ring body is connected with an air bag column arranged in parallel with the bed plate. The bottom of the first stabilizing cylinder is provided with a threaded structure for threaded connection with the first mounting hole on the surface of the bed plate. The present application designs a pelvic stabilization component for stabilizing the lower pelvic region of a patient in a lateral recumbent state. The first stabilization column is used to contact the muscles of the lower pelvic region of the human body, and the second stabilization column on the upper part of the first stabilization column is used to form the lower pelvis of the human body. Limiting support, the first stabilization column and the second stabilization column have a right angle to form a limit support in the Z-axis, Y or X-axis direction of the patient's lower pelvis. To improve the comfort of the patient, the surface of the first stabilization column can be Wrap the gel material, and at the same time set the balloon column on the first stabilization column to elastically support the lower back of the patient in the lateral lying state, form a Y or X direction support for the patient, and use the above method to limit the patient's lower pelvis It can achieve the purpose of dispersing the limit pressure to avoid the compression of the great inguinal blood vessels, which will affect the patient's hemodynamics, and achieve the purpose of preventing the occurrence of deep vein thrombosis in the lower extremity after the operation. The amplitude of the patient's body shaking caused by the operation of the medical staff on the patient.

In an embodiment of the present invention, a support body with a columnar structure is arranged in the airbag column, the cross section of the support body is a Laylow triangle, a Laylow triangle-shaped through groove is formed in the middle of the support body, and the surface of the support body is evenly distributed with fluid pores. The side of the airbag column is provided with a third charging and exhausting port. The selection of the airbag column can form a limit support for the patient, and provide elastic support for the patient's back waist to reduce the compression injury caused by long-term surgery. During the supporting process, the gas in the airbag column is compressed and deformed by the patient's body pressure, and the deformation process of the airbag column During the deformation process of the gas in the middle airbag column, it flows into the support body through the fluid pores on the support body, and the gas is squeezed through the fluid pores and consumes the compressed energy of the airbag column. Body contact support, setting a support body in the airbag column can be used to enhance the support strength of the airbag column and limit the compression deformation of the airbag column, and correct the patient's spine curve through the elastic support of the gas-filled airbag column and the deformation support of the support body , Specifically: when the patient is lying on the side, the spine has a slight downward deformation or the doctor may also cause the downward deformation of the spine during spinal surgery. The setting of the airbag column provides upward support and limits the airbag column through the support The compressive deformation variable uses the support body of the Leroy triangle structure to form a reverse thrust to the patient's downward pressure under compression to correct the downward deformation of the spine when the patient is lying on the side or the downward deformation of the spine caused by the doctor during spinal surgery.

In an embodiment of the present invention, the side surface of the airbag column is connected with a fine-tuning strap with an elasticity, the fine-tuning strap is connected with a third binding strap for binding the human body, and the third binding strap is provided with a hook and loop fastener. In order to ensure the tight connection between the airbag column and the human body and the stable support for the human body, the airbag column is bound to the lower back of the human body in the state of lateral recumbency by setting the third binding belt, so as to limit the backward sliding of the human body's back. And provide strong support to ensure the stability of the side lying posture, set the fine-tuning belt between the airbag column and the third binding belt to control the distance between the airbag column and the back of the human body in the side lying state to control the support area of the airbag column to the back of the human body. And it is convenient to provide effective support according to different body types of patients.

In an embodiment of the present invention, the surface of the bed board is provided with a flexible pad, the surface of the flexible pad is provided with air holes, and the bottom surface of the flexible pad and the surface of the bed board are provided with corresponding hook and loop fasteners. The flexible pad is generally a thermal insulation layer pad or a cold gel pad to avoid skin damage caused by the patient's long-term pressure on the hand. Effectively maintain ventilation and reduce patient discomfort.

Compared with the prior art, the beneficial effects of the present invention are as follows: the device of the present invention is suitable for use by patients of different body types, can effectively prevent changes in the patient's body position during the operation, effectively maintain the stability of the human spine curve during the operation, and reduce or avoid it. Adverse effects of the lateral position on the patient.

Description of drawings

In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained according to these drawings without creative efforts.

FIG. 1 shows a schematic diagram of a lateral decubitus spine surgery position fixation device proposed by an embodiment of the present invention;

FIG. 2 shows a schematic structural diagram of an airbag cushion proposed by an embodiment of the present invention;

FIG. 3 shows a schematic structural diagram of a headrest provided by an embodiment of the present invention;

4 shows a schematic structural diagram of a foot placement body proposed in an embodiment of the present invention;

FIG. 5 shows a schematic diagram of a side sleeping board proposed by an embodiment of the present invention;

FIG. 6 shows a schematic structural diagram of a buffer assembly provided by an embodiment of the present invention;

FIG. 7 shows a front view of a buffer assembly proposed by an embodiment of the present invention;

FIG. 8 shows a schematic diagram of a buffer assembly after installing a buffer aid according to an embodiment of the present invention;

FIG. 9 shows a schematic structural diagram of a joint washer provided by an embodiment of the present invention;

Figure 10 shows a schematic diagram of human buttocks;

FIG. 11 shows a schematic structural diagram of a pelvic stabilization assembly provided by an embodiment of the present invention;

FIG. 12 shows a schematic structural diagram of an airbag column proposed in an embodiment of the present invention;

FIG. 13 shows another schematic diagram of the airbag column proposed in the embodiment of the present invention;

FIG. 14 shows a schematic diagram of the connection between the flexible pad and the bed board according to the embodiment of the present invention;

FIG. 15 shows a schematic diagram of a lifter connected to the bottom of a bed board according to an embodiment of the present invention;

FIG. 16 shows the postoperative performance results of the patients of the two test cases in Example 3 of the present invention.

Description of reference numerals: 10-bed board; 11-first installation hole; 12-first binding strap; 13-foot support body; 14-joint washer; 141-joint placement through hole; 15-first upper limb placement plate; 16-head support plate; 17-flexible pad; 18-vent holes; 19-lifter; 20-airbag cushion; 21-first air bag; 22-first inflation and exhaust port; 30-foot placement body ; 31-fixed plate; 32-first installation slot hole; 33-limit plate installation hole; 34-foot limit plate; 35-first through slot; 40-side sleeping plate; 41-second binding strap; 42- The second upper limb placing plate; 43- The plug-in buffer tank body; 44- The second threaded connection column; 45- The positioning plug-in hole; 46- The positioning plug-in rod; hole; 50-pelvic stabilization component; 51-first stabilization cylinder; 52-second stabilization cylinder; 60-head pad; 61-second air bag; 62-second inflation and exhaust port; 70-buffer assembly; 71-contact surface; 72-first buffer through-slot; 73-positioning insertion through hole; 74-second buffer-through slot; 75-buffer body; 76-auxiliary insertion through hole; 77-buffer auxiliary; 78- Limiting convex body; 80-airbag column; 81-connecting ring body; 82-support body; 83-flow air hole; 84-third inflation and exhaust port; 85-fine adjustment belt; 86-third binding belt; Buckle; A iliac anterior superior spine region; B sacral region.

Detailed ways

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

Example 1:

Referring to Figure 1-15, a lateral decubitus spinal surgery postural fixation device includes:

The bed board 10, one end of the bed board 10 is connected with a head support plate 16 for placing the head of a human body, and a first upper limb placing plate 15 for placing the upper limbs of the human body is installed on one side of the bed board 10;

The side sleeping board 40, the side sleeping board 40 is inserted on the side of the bed board 10, the side sleeping board 40 and the installation position of the first upper limb 15 on the bed board 10 are on the same side, and at least two sides of the bed board 10 are inserted and connected with a spacing. The side sleeping board 40, the side sleeping board 40 is provided with a second binding belt 41 for binding the human body;

The pelvis stabilization assembly 50 is movably connected with the bed board 10, and the pelvic stabilization assembly 50 is used to limit the displacement of the lower pelvis when the human body is lying on its side;

The airbag cushion 20 is placed at the bottom of the bed board 10 , and the airbag cushion 20 is composed of at least two first air bags 21 . twenty two.

For the lateral decubitus position, after the patient is generally anesthetized, the anesthesiologist protects the tracheal tube, etc., supports the patient's head and neck, and the nurse and the doctor together support the patient's chest, waist, back and lower limbs, etc., along the longitudinal axis of the patient's spine Rotate in the same direction to lie on your side at a 90-degree angle, with your lower limbs slightly flexed. In the present application, the head support plate 16 and the first upper limb placing plate 15 are respectively arranged on the bed board 10 to facilitate the placement of the patient's head and upper limbs (arms) after lateral recumbency, so as to provide the patient's body placement space and facilitate the patient to keep the side lying. For this reason, the present application contacts the patient's chest and lower abdomen area in the side lying state by setting the side sleeping board 40, and cooperates with the second binding belt 41 to quickly bind the patient's body to avoid contact with the abdomen as much as possible to reduce the patient's breathing. The interaction between the abdomen and the side sleeping board 40 causes the patient's spinal curve to deform slightly. At the same time, at least two side sleeping boards 40 are arranged separately so that the contact area between the side sleeping board 40 and the patient can be adjusted according to patients of different sizes. The sleeping board 40 effectively avoids contact with the beer belly. In order to further ensure the stability of the patient's lateral position, a pelvic stabilization assembly 50 is provided in the patient's anterior superior iliac spine region and the sacral region to stabilize and fix the patient's lower pelvis. The placement area of the pelvic stabilization assembly 50 is shown in Figure 10. As shown, it is better to maintain lateral recumbency to stabilize the patient's position during the operation to prevent changes in the patient's vertebral curve, and the pelvic stabilization component 50 at the part in contact with the patient can avoid the compression of the great inguinal blood vessels and affect the patient's health. Hemodynamics, to achieve the purpose of preventing the occurrence of deep vein thrombosis in the lower extremity after surgery.

During the operation, the surgical field of view needs to be fully exposed, but the patient's spine must be on the same horizontal line. After the patient chooses the side lying position, there may be insufficient lateral lying angle. In the present application, the airbag cushion 20 is arranged under the bed board. The first air bag 21 in the left and right directions under the bed board 10 adjusts its internal gas volume to fine-tune the inclination angle of the bed board 10 to adjust the patient's body position and avoid touching the patient's body during the operation to adjust the patient's body position, so as to achieve precise control of the patient's body position changes, while avoiding Touch the patient's body during surgery to prevent adverse effects from touching the patient's body.

The airbag cushion 20 in this embodiment can be replaced by the lifter 19 to realize different lifting height adjustment of the two sides of the bed board 10 .

A tripod support 13 is installed on one side of the bed board 10 . The tripod support 13 is provided with a foot placement body 30 for placing human legs. The foot placement body 30 includes a fixed plate that is fixedly connected to the side of the tripod support 13 . 31 and the bent foot limiting plate 34 , and one end of the foot limiting plate 34 is connected to the fixing plate 31 . The mounting position of the tripod support body 13 and the first upper limb placement 15 on the bed board 10 is on the same side, the tripod support body 13 is provided with a triangular support structure, and the middle of the fixing plate 31 is provided with a first installation slot with a double semicircular head through-slot structure Hole 32, the surface of the foot limit plate 34 connected with the fixed plate 31 is provided with a limit plate mounting hole 33, the limit plate installation hole 33 and the first installation slot 32 are convenient for the foot limit plate 34 and the foot limit plate 34 by bolts and nuts. The fixing plate 31 is used to fix and adjust the installation height of the foot limiting plate 34 , and the foot limiting plate 34 is provided with a first through slot 35 that is convenient for connecting the straps. The setting of the tripod support body 13 is used to increase the height of the foot placement body 30. During the patient's lateral recumbency, one thigh can be used to bind the bed board 10, and the other thigh is slightly too high to be connected to the foot placement body 30. Fixed, the surgical field of view can be relatively enlarged and the lateral position is relatively comfortable for the patient. The way of setting the first installation slot 32 on the fixed plate 31 is conducive to the adjustment of the upper and lower heights of the foot limit plate 34, so as to facilitate the adjustment of the height of the foot limit plate When used by a patient, the foot limiting plate 34 is bent to facilitate placement of the patient's leg, and the first through slot 35 is used to bind and fix the patient's leg with an elastic band or a bandage.

A head pad 60 is placed on the head support plate 16. The head pad 60 is composed of two second air bags 61 that are connected adjacently and can be inflated respectively. mouth 62. In the side lying state, headrests of different heights and patients of different body types will lead to changes in the curvature of the patient's spine. For this reason, the present application provides an inflatable headrest 60 to control the height of the headrest 60 according to patients of different body types. position, to ensure that the patient's spine curve is on the same horizontal line, the head pad 60 with an inflatable structure is relatively more comfortable for the patient, and during the operation, try to make the patient's head on one of the second air bags 61 of the head pad 60, A second air bag 61 should be provided at the back of the patient's head, and the inflation volume of the air bag should be greater than that of the second air bag 61 placed on the patient's head, in order to form a raised second air bag on the back of the patient's head. The air bag 61 is used to reduce the difficulty of the patient's head to rotate or move backwards, so as to keep the lateral position stable. Generally, the height of the head pad 60 is about 7-10 cm, which is determined according to the body shape of the patient.

The first mounting holes 11 are evenly distributed on the surface of the bed board 10. The arrangement of the first mounting holes 11 on the bed board 10 can effectively improve the air permeability of the bed board 10, and it is also convenient to adjust the foot support on the bed board 10 according to different body types of patients or physiological structures. For the installation positions of the components such as the body 13 , the side bed 40 and the pelvic stabilization component 50 , the first installation hole 11 is generally a threaded hole.

A joint washer 14 made of a flexible material is placed on the surface of the bed plate 10, and a circular-hole-shaped joint placement through hole 141 is opened in the middle of the joint washer 14; the joint placement through hole 141 opened in the middle of the joint washer 14 can relieve local pressure and have a protective effect on the joint. The joint washer 14 can evenly distribute the weight of the patient's body, fully reduce the pressure and shear force on the patient's skin, and effectively reduce the risk of pressure injury to the patient.

The bed board 10 is provided with a first binding strap 12 for binding the human body, which is used to bind the patient's body to ensure the stability of the lateral position. Generally, the first binding strap 12 is used to fix one thigh of the patient. When using the first binding strap 12 When immobilizing the thigh, the outer side of the knee should be avoided, generally 5cm above or below the knee joint to avoid damage to the common peroneal nerve. The patient can put a pillow between the patient's legs when lying on the side.

The tripod support body 13 and the pelvis stabilization component 50 of the side sleeping board 40 are respectively connected to the bed board 10 through the first mounting hole 11 . It is convenient to adjust the installation positions of the tripod support body 13 and the pelvic stabilization assembly 50 of the side sleeping board 40 on the bed board 10 according to different body types of patients or physiological structures.

The surface of the side sleeping board 40 opposite to the side lying on the human body is provided with a half-through plug-in buffer groove body 43, and the plug-in buffer groove body 43 is plugged with a buffer assembly 70;

The height of the buffer assembly 70 is greater than the groove depth of the insertion groove body 43 , the side sleeper plate 40 is provided with a positioning insertion hole 45 passing through the groove surface of the insertion buffer groove body 43 , and a positioning insertion rod is inserted into the positioning insertion hole 45 46 , the buffer assembly 70 is provided with a positioning insertion through hole 73 that is matched and inserted with the positioning insertion rod 46 . The side of the side sleeping board 40 is provided with threaded connection holes 48 in sequence from high to low. The first threaded connection post 47 is connected. The buffer body 75 and the buffer auxiliary member 77 are both made of rubber. During the process of the patient lying on the side, some patients are in an anesthetized state, and the medical staff assists the patient to achieve the side lying. During this process, the patient in the lateral position and the side sleeping board The relative pressing force of 40 is uncontrollable, and there may be problems that the patient's body is too pressed against the side bed 40 and the binding is too tight, which may easily lead to pressure injury and pose a safety hazard to the operation. The component 70 is used to control the contact area between the patient's skin and the side bed 40 and provide a buffering effect to adjust the mutual pressure between the patient's tissue and the side bed 40 to avoid the risk of pressure injury, partly in the insertion buffer tank body. The buffer assembly 70 outside 43 can be deformed in the squeezed state to expand its contact area with the patient's tissue to relieve the squeeze pressure. The purpose of the insertion hole 45 is to further closely connect the buffer assembly 70 with the side sleeper board 40 in the plugged state by positioning the insertion rod 46 , so as to prevent the possibility of the buffer assembly 70 from falling.

The buffer assembly 70 includes:

The buffer body 75, one end of the buffer body 75 is plugged with the plug-in buffer groove body 43, the other end is provided with a contact surface 71 with an arc surface, and at least two first buffer through grooves 72 are formed on one side surface of the buffer body 75. The body 75 is also provided with a second buffer through groove 74 perpendicular to the opening direction of the first buffer through groove 72 ,

The buffer auxiliary member 77 is arranged in the first buffer groove body 72 , the limiting protrusions 78 on both sides of the buffer auxiliary member 77 form a snap connection with the first buffer groove body 72 , and the buffer auxiliary member 77 is intersected. In the structure, the cross-end portion of the buffer auxiliary member 77 changes outwardly in the state of being pressed by force. The buffer body 75 and the buffer auxiliary member 77 are both made of rubber, and the adjacent side surfaces of the buffer body 75 are provided with corresponding auxiliary insertion holes 76 . The arc-shaped contact surface 71 provided on the surface of the buffer body 75 and the patient's tissue can gradually expand with the contact surface. Compared with the contact surface of the planar structure, the arc-shaped contact surface 71 can ensure that the effective contact area appears on the buffer body 75. After the deformation, the contact surface with the patient is expanded according to the amount of deformation to maintain the relative pressure with the patient stable. 75 is deformed to the "flattened" state, and the buffer auxiliary member 77 provided inside it provides an internal support force to adjust the compression of the buffer body 75 under the pressure state, and the buffer auxiliary member 77 is under excessive pressure. The outward deformation of the end portion forms abutment with the adjacent buffer body 75 to obtain indirect support, and the combination of the compression deformation adjustment of the buffer body 75 and the buffer auxiliary member 77 fully reduces the pressure and shear force on the patient's tissue, Avoid and reduce the long-term compression of local skin, blood vessels and nerves, without affecting the patient's breathing and circulation, and can make each focus point evenly compressed, and avoid complications such as skin pressure injury to the greatest extent.

The pelvic stabilization assembly 50 includes a first stabilization cylinder 51 vertically connected to the bed board 10 , and a second stabilization cylinder 52 perpendicular to the axis of the first stabilization cylinder 51 is provided at the end of the first stabilization cylinder 51 . The body 51 is sleeved with a connecting ring body 81 , and the connecting ring body 81 is connected with an air bag column 80 arranged in parallel with the bed board 10 . The bottom of the first stabilizing cylinder 51 is provided with a threaded structure for threaded connection with the first mounting hole 11 on the surface of the bed plate 10 . The present application designs a pelvic stabilization assembly 50 for stabilizing the lower pelvic region of a patient in a lateral recumbent state. The first stabilization column 51 is used to contact the muscles of the lower pelvic region of the human body, and the bottom of the first stabilization column 51 is connected to the bed board 10 by screwing. The connection is fixed, and the second stabilizing column 52 on the upper part of the first stabilizing column 51 is used to form a limit support for the lower pelvis of the human body. The limit support in the Y or X axis direction, in order to improve the comfort of the patient, a gel material can be wrapped on the surface of the first stability column 51, and at the same time, the airbag column 80 is arranged on the first stability column 51 for the back of the patient in the lateral lying state. The elastic support of the lower row forms a support in the Y or X direction for the patient. The above method is used to limit the patient's lower pelvis to achieve a dispersed limit pressure to avoid the compression of the great inguinal blood vessels, which will affect the patient's hemodynamics and prevent the patient. The purpose of the occurrence of deep vein thrombosis in the lower extremity after surgery is to use mechanical equipment to maintain the stability of the patient's lateral recumbency, which is also conducive to reducing the degree of body shaking of the patient caused by the operation of the patient by the medical staff during the operation.

The airbag column 80 is provided with a support body 82 with a columnar structure. The cross section of the support body 82 is a Laylow triangle. The middle of the support body 82 is provided with a Laylow triangle-shaped through groove. A third inflation and exhaust port 84 is provided on the side of the airbag column 83 . Selecting the airbag column 80 can form a limit support for the patient, and provide elastic support for the back waist of the patient to reduce the compression injury caused by long-term surgery. During the supporting process, the gas in the airbag column 80 is compressed and deformed by the pressure of the patient's body, and the airbag column 80 During the deformation process, the gas in the airbag column 80 flows into the support body 83 through the fluid air hole 83 on the support body 82 during the deformation process, and the gas passes through the fluid air hole 83 to form extrusion and consume the pressure energy of the airbag column 80, and the airbag column 80 The range of the compression shape is until the support body 82 is in contact with the human body, and the support body 82 provided in the airbag column 83 can be used to enhance the support strength of the airbag column 80 and limit the amount of compression deformation of the airbag column 83. 80 The elastic support and the deformation support of the support body 82 are used to correct the spine curve of the patient, specifically: when the patient is lying on the side, the spine has a slight downward deformation or the doctor may also cause the spine to deform downward during spinal surgery. , the arrangement of the airbag column 80 provides upward support and limits the amount of compression deformation of the airbag column 82 through the support body 82. In the compressed state, the support body 82 of the Lello triangle structure is used to correct the downward pressure on the patient to form a reverse thrust. Downward deformation of the spine when the patient is lying on the side or caused by the doctor during spinal surgery.

An elastic fine-tuning strap 85 is connected to the side of the airbag column 80 , and the fine-tuning strap 85 is connected to a third binding strap 86 for binding the human body. The third binding strap 86 is provided with a hook and loop fastener 90 . In order to ensure the tight connection between the airbag column 80 and the human body and the stable support for the human body, the third binding strap 86 is provided to bind the airbag column 80 to the lower part of the back of the human body in the lateral lying state by means of binding, so as to limit the direction of the back of the human body. After sliding and providing strong support to ensure the stability of the side lying posture, the fine adjustment belt 85 is arranged between the airbag column 80 and the third binding belt 86 to control the distance between the airbag column 80 and the back of the human body in the side lying state to control the airbag column. The range of support area for the back of the human body is 80%, and it is convenient to provide effective support according to different body types of patients.

The surface of the bed board 10 is provided with a flexible pad 17 , the surface of the flexible pad 17 is provided with mounting air holes 18 , and the bottom surface of the flexible pad 17 and the surface of the bed board 10 are provided with corresponding hook and loop fasteners 90 . The ventilation hole 18 corresponds to the center of the first installation hole 11, and the diameter of the ventilation hole 18 is larger than that of the first installation hole 11. The flexible pad 17 is generally a thermal insulation layer pad or a cold gel pad, so as to prevent the patient from being affected by the hand during a long period of time. The pressure causes skin damage, and the flexible pad 17 is provided on the bed board 10 by means of bonding to facilitate disassembly and assembly, and the ventilation holes 18 on the flexible pad 17 can effectively maintain ventilation and reduce the discomfort of the patient. The setting of the ventilation hole 18 corresponds to the center of the first installation hole 11 and the diameter of the ventilation hole 18 is larger than that of the first installation hole 11 to facilitate the installation of components such as the tripod support 13 , the side bed 40 and the pelvic stabilization component 50 .

Example 2:

This embodiment is a method of use based on the lateral position spinal hand upper fixation device of Embodiment 1:

Before using the lateral position spinal and hand upper fixation device of the present invention, it is necessary to check the device to check whether all parts are in good condition, so as to avoid the damage of some parts affecting the normal operation of the operation. When fixing the patient in the lateral position, it can be properly According to the patient's body shape, place a pad at the patient's axilla to prevent compression of the inferior axillary nerve, and try to make it as tight as possible when using the binding band for binding. Metal materials should be avoided for the parts in contact with the patient, and materials such as gel materials or rubber should be used to improve patient comfort, reduce pressure injuries, and more importantly, prevent electrical burns when using high-frequency electrosurgery.

First, place the left or right surgical position according to the needs of the operation. After the patient is generally anesthetized, the anesthesiologist will protect the tracheal tube, etc., support the patient's head and neck, and the nurse and doctor will support the patient's chest, waist, back and lower limbs together. , rotate in the same direction along the longitudinal axis of the patient's spine, make it lie on the side at 90 degrees, bend the lower limbs slightly, make the patient's head on one of the second air bags 61 of the head pad 60, there should be a second air bag 61 on the back of the patient's head Air bag 61, the inflation volume of the air bag should be greater than the inflation volume of the second air bag 61 placed on the patient's head. The patient's two arms are placed above the first upper limb placing board 15 and the second upper limb placing board 42, respectively. The legs are respectively bound by the first binding straps 12, and the other leg is placed above the foot placement body 30, leaving a gap between the two legs, suitable for placing pillows and other objects, and the feet placed on the bed board 10. The joint washer 14 is placed under the ankle of the upper part of the body, and is in contact with the chest and lower abdomen area of the patient in the side lying state by setting the side sleeping plate 40, and the second binding belt 41 is used to quickly bind the patient's body to avoid contact with the abdomen as much as possible to reduce When the patient breathes, the interaction between the abdomen and the side bed 40 causes the patient's spine curve to deform slightly. At the same time, the patient's lower pelvis is stabilized by the pelvic stabilization component 50. Afterwards, the medical staff performs related operations according to the patient's body shape and surgical needs, such as specific parts of the patient. Add pads and other operations.

Example 3:

In this example, test group 1 and test group 2 are set for comparative tests. Test group 1 uses the fixing device of Example 1 to fix the patient in lateral position, and test group 2 uses traditional lateral support bracket to perform lateral position on the patient. The two experimental groups were used in the same hospital, and both were used in spinal surgery. The two experimental groups were used in 60 cases of spinal surgery respectively. The patients in the operation were 75 males and 45 females, aged 25 to 74 years old. There was no significant difference in gender, age, etc. between the groups (P>0.05), which was comparable.

These 120 patients recorded the skin integrity, elasticity, and history of trauma before surgery, and specifically learned whether there were periarthritis of the shoulder, rheumatoid, osteoarthritis and other diseases. During the operation, the patients in the two experimental groups were placed in the left or right surgical position according to the needs of the operation after general anesthesia.

Comparison table of position placement time of two groups of patients

Postoperative performance of the two groups of patients

After 120 cases of surgery, the number of patients with reddened skin after surgery was counted, specifically 30 minutes after surgery, and the number of patients with upper limb discomfort within 3 days after surgery and the number of patients with postoperative pressure ulcers were also counted. The results are shown in Figure 16. shown.

Through the above test and test results, compared with the existing test group 2, which uses the traditional lateral brace for surgery, the equipment of test group 1 can quickly position the patient in a short period of time, and it can ensure the patient's position during the operation. The spine curve is stable, which reduces the hidden danger of surgical safety during the operation, which is convenient for doctors to operate, and the probability of pressure injury of the patient during the operation is extremely low, which ensures the safety of the patient.

The above disclosures are only preferred embodiments of the present invention, and of course, the scope of the rights of the present invention cannot be limited by this. Therefore, equivalent changes made according to the claims of the present invention are still within the scope of the present invention.

Claims (9)

1. A lateral decubitus spine surgery posture fixation device, comprising: A bed board (10), one end of the bed board (10) is connected with a head support plate (16) for placing a human head, and a first upper limb placing board for placing a human upper limb is installed on one side of the bed board (10) (15); A side sleeping board (40), the side sleeping board (40) is plugged on the side of the bed board (10), and the side sleeping board (40) and the first upper limb are placed (15) on the installation position of the bed board (10) are on the same side, and at least two side sleeping boards (40) with spacing are inserted on one side of the bed board (10), and the side sleeping boards (40) are provided with a second binding strap (41) for binding the human body ; A pelvic stabilization assembly (50), the pelvic stabilization assembly (50) is movably connected with the bed board (10), and the pelvic stabilization assembly (50) is used to limit the displacement of the lower pelvis when the human body is lying on its side; Wherein, an airbag cushion (20) is placed at the bottom of the bed board (10), the airbag cushion (20) is composed of at least two first air bags (21), and the sides of the first air bags (21) are fixed to each other And the first air bags (21) are all provided with independent first charging and exhausting ports (22). 2. A lateral decubitus spinal surgery posture fixation device according to claim 1, characterized in that: a tripod support (13) is installed on one side of the bed board (10), and the tripod support (13) ) is provided with a foot placement body (30) for placing human legs, the foot placement body (30) includes a fixing plate (31) fixedly connected to the side of the tripod support body (13) and a bending handle A foot limiting plate (34), one end of the foot limiting plate (34) is connected with the fixing plate (31). 3. A lateral decubitus spine surgery body position fixation device according to claim 1, characterized in that: a head pad (60) is placed on the head support plate (16), and the head pad (60) consists of two The second air bags (61) which are connected adjacently and can be inflated respectively are formed, and the second air cushions (61) on the head cushion (60) are respectively provided with second inflation and exhaust ports (62). 4. a kind of lateral decubitus spine surgery body position fixation device according to claim 1, is characterized in that: Preferably, the first mounting holes (11) are uniformly distributed on the surface of the bed board (10); Preferably, a joint washer (14) made of a flexible material is placed on the surface of the bed plate (10), and a circular hole-shaped joint placement through hole (141) is provided in the middle of the joint washer (14); Preferably, the bed board (10) is provided with a first binding strap (12) for binding the human body. 5. a kind of lateral decubitus spine surgery body position fixation device according to claim 1, is characterized in that: A half-through plug buffer tank body (43) is provided on the surface of the side sleeper board (40) opposite to the side lying side of the human body, and a buffer assembly (70) is inserted into the plug buffer tank body (43); The height of the buffer assembly (70) is greater than the groove depth of the insertion groove body (43), and the side sleeper plate (40) is provided with a positioning insertion hole (45) passing through the groove surface of the insertion buffer groove body (43) The positioning insertion hole (45) is inserted with a positioning insertion rod (46), and the buffer assembly (70) is provided with a positioning insertion through hole ( 73). 6. A lateral decubitus spinal surgery body position fixation device according to claim 5, wherein the buffer assembly (70) comprises: A buffer body (75), one end of the buffer body (75) is plugged with the plug-in buffer groove body (43), and the other end is provided with a contact surface (71) with an arc surface, one side of the buffer body (75) The surface is provided with at least two first buffer through grooves (72), and the buffer body (75) is further provided with a second buffer through groove (74) perpendicular to the opening direction of the first buffer through grooves (72), A buffer auxiliary member (77), the buffer auxiliary member (77) is arranged in the first buffer groove body (72), and the two sides of the buffer auxiliary member (77) have limiting protrusions (78) and the first buffer groove A snap connection is formed between the bodies (72), the buffer auxiliary member (77) is of a cross structure, and the cross end portion of the buffer auxiliary member (77) changes outwardly in a state of being forced and squeezed. 7. A lateral decubitus spinal surgery posture fixation device according to claim 1 or 5, characterized in that: the pelvic stabilization assembly (50) comprises a first stabilization cylinder ( 51), the end of the first stabilizing cylinder (51) is provided with a second stabilizing cylinder (52) perpendicular to the axis of the first stabilizing cylinder (51), and the first stabilizing cylinder (51) is sleeved A connecting ring body (81) is connected, and the connecting ring body (81) is connected with an air bag column (80) arranged in parallel with the bed board (10). 8 . The lateral decubitus spinal surgery posture fixing device according to claim 7 , wherein the side of the airbag column ( 80 ) is connected with an elastic fine-tuning band ( 85 ), and the fine-tuning strap ( 85 ) A third binding band (86) for binding the human body is connected, and a hook and loop fastener (90) is arranged on the third binding band (86). 9. A lateral decubitus spinal surgery body position fixation device according to claim 1, wherein a flexible pad (17) is provided on the surface of the bed board (10), and a surface of the flexible pad (17) is provided with a device The ventilation holes (18) are provided with corresponding hook and loop fasteners (90) on the bottom surface of the flexible pad (17) and the surface of the bed board (10).

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