CN111557821B - A lateral decubitus spinal surgery postural fixation device - Google Patents
A lateral decubitus spinal surgery postural fixation device Download PDFInfo
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- CN111557821B CN111557821B CN202010328866.0A CN202010328866A CN111557821B CN 111557821 B CN111557821 B CN 111557821B CN 202010328866 A CN202010328866 A CN 202010328866A CN 111557821 B CN111557821 B CN 111557821B
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
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- A—HUMAN NECESSITIES
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- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
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Abstract
本发明公开一种侧卧位脊柱手术体位固定设备，属于医疗辅助用具技术领域，床板，一端部连接有头部支撑板，且床板一侧安装有第一上肢放置板；侧卧板，插接于床板侧方，侧卧板与第一上肢放置在床板上的安装位置为同一侧，且床板一侧至少插接两个具有间距的侧卧板，侧卧板上设有第二捆绑带；骨盆稳定组件，与床板活动连接，骨盆稳定组件用于限制人体侧卧时下骨盆位移；床板底部放置有气囊垫，气囊垫由至少两个第一气袋组成，第一气袋侧面相互固接且第一气袋均设独立的第一充排气口。本申请的装置适用于不同体型的病人使用，可实现有效防止手术过程中病人体位变化，手术过程中有效保持人体脊椎曲线稳定并降低或避免侧卧位对病人的不良影响。
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
Technical Field
The invention belongs to the technical field of medical auxiliary appliances, and particularly relates to a posture fixing device for lateral position spinal surgery.
Background
The patients can not turn over in the operation because of using auxiliary medical instruments, anaesthetizing, operating special body positions and the like in the operating room, partial tissues of the body are continuously pressed, and pressure injury is easy to occur.
The lateral position is a common body position for surgical operation because the lateral position fully exposes the operation field and is convenient for operation. The lateral position is frequently adopted in spinal surgery, thoracic surgery, renal surgery and orthopedic surgery, but complications such as respiratory and circulatory dysfunction, nerve injury, skin pressure injury and the like are easily caused, and a patient often cannot maintain the stability of the patient by himself in an anesthesia state and is often fixed by using an operating table accessory so as to protect the safety of the patient.
Disclosure of Invention
The invention aims to provide a posture fixing device for lateral position spinal surgery, which is suitable for patients with different body types, can effectively prevent the body position of the patient from changing in the surgery process, effectively keeps the curve of the spine of a human body stable in the surgery process and reduces or avoids the adverse effect of the lateral position on the patient.
The technical scheme adopted by the invention for realizing the purpose is as follows: a lateral position spinal surgery posture fixation device comprising:
the bed plate is characterized in that one end part of the bed plate is connected with a head supporting plate for placing the head of a human body, and a first upper limb placing plate for placing upper limbs of the human body is arranged on one side of the bed plate;
the lateral lying plate is inserted at the side of the bed board, the installation positions of the lateral lying plate and the first upper limb on the bed board are the same side, at least two lateral lying plates with intervals are inserted at one side of the bed board, and a second binding belt for binding a human body is arranged on the lateral lying plate;
the pelvis stabilizing component is movably connected with the bed board and is used for limiting the displacement of the lower pelvis when the human body lies on the side;
wherein, the gasbag pad has been placed to the bed board bottom, and the gasbag pad comprises two at least first air pockets, and the mutual rigid coupling of first air pocket side and first air pocket all establish independent first gas port that inflates.
In the lateral position, after general anesthesia is performed on a patient, an anaesthetist protects a tracheal catheter and the like, supports the head and neck of the patient, and supports the chest, the waist, the back, the lower limbs and the like of the patient together with a nurse and the doctor to rotate along the longitudinal axis of the spine of the patient in the same direction, so that the patient lies on the side with a certain degree and the lower limbs are slightly bent. This application places the board through hindering the placing that sets up head backup pad and first upper limbs respectively at the bed board and be convenient for patient after the side sleeping and upper limbs, place the space in order to provide patient's body and be convenient for patient and keep the posture of side sleeping, for this reason this application through the mode that sets up the side sleeping board with the patient chest under the state of side sleeping, lower abdominal region contact, the cooperation second is tied and is tied the area and binded patient's body fast, belly and side sleeping board interact cause patient's backbone curve to warp when avoiding as far as possible with the contact of belly with the reduction patient breathes, it can adjust side sleeping board and patient contact area according to the patient of different sizes to establish two at least side sleeping boards simultaneously, for example to the patient that has the beer tripe, divide and establish the side sleeping board and effectively avoid the contact with the beer tripe. In order to further ensure the stability of the lateral position of the patient, the pelvis stabilizing component is arranged in the anterior superior iliac spine region and the sacrum region of the patient and is used for stably fixing the lower pelvis of the patient, so that the lateral position of the patient is better maintained to be stable in the operation process, the change of the spine curve of the patient is prevented, the pelvis stabilizing component can avoid the compression on the great vessels of the groin from influencing the blood flow force of the patient at the position contacted with the patient, and the aim of preventing the occurrence of the deep venous thrombosis of the lower limbs of the patient after the operation is fulfilled.
Need fully expose the operation field of vision in the operation process, but guarantee patient's vertebra on same water flat line, it is not enough to have the angle of lying on one's side after patient selects the position of lying on one's side, this application can adjust its inside gas volume to the first gas pocket of direction about the bed board below through the mode that sets up the gasbag pad below the bed board and adjust the inclination of bed board in order to adjust patient's position and avoid touching the patient body among the operation process and adjust patient's position, realize accurate control patient position change, avoid touching the operation in-process patient body simultaneously in order to prevent that touching patient body causes adverse effect.
In an embodiment of the invention, a foot rest supporting body is installed on one side of the bed board, a foot placing body for placing the legs of a human body is arranged on the foot rest supporting body, the foot placing body comprises a fixing plate fixedly connected with the side surface of the foot rest supporting body and a foot limiting plate subjected to bending treatment, and one end of the foot limiting plate is connected with the fixing plate. The setting of foot rest supporter is used for improving the high position of the foot placement body, in-process lies on one's side at patient, can adopt a thigh to bind on the bed board, another thigh is too high slightly and places the body with the foot and fix, can enlarge relatively and this posture of lying on one's side is comfortable relatively to patient's impression, the mode that sets up first installation slotted hole on the fixed plate does benefit to the upper and lower altitude mixture control of foot limiting plate, so that the patient of different sizes uses, the foot limiting plate is convenient for place patient's shank through bending the processing and adopts elastic cord or bandage to bind fixedly to patient's shank through first logical groove.
In one embodiment of the present invention, a head cushion is disposed on the head support plate, the head cushion is composed of two adjacent second air bags which are connected and can be inflated respectively, and the second air bags on the head cushion are respectively provided with second inflation and deflation ports. The patient who lies on one side state in to different height headrest and different sizes can lead to patient's vertebra to curve changes, for this reason this application is through setting up inflatable headrest to control the high position of headrest according to the patient of different sizes, guarantee that patient's vertebra curve is on same water flat line, the headrest that adopts inflatable structure is to patient's travelling comfort relatively higher, make patient's head as far as possible put on one of the second air pocket of headrest in the operation process, should be equipped with a second air pocket in patient's head rear side, the inflation volume of this air pocket should be greater than the inflation volume of the second air pocket that patient's head placed, aim at to form protruding second air pocket to patient's head rear in order to reduce patient's head and rotate or the degree of difficulty of displacement backward, in order to keep the posture of lying on one side stable.
In an embodiment of the present invention, the first mounting holes are uniformly distributed on the surface of the bed board, and the arrangement of the first mounting holes on the bed board can effectively improve the air permeability of the bed board, and also facilitate the adjustment of the mounting positions of the components such as the foot stool support body, the side lying plate pelvis stabilizing component and the like on the bed board according to patients of different body sizes or physiological structures, and the first mounting holes are generally threaded holes.
In one embodiment of the invention, a joint gasket made of flexible material is placed on the surface of the bed plate, and a round-hole-shaped joint placing through hole is formed in the middle of the joint gasket; the joint that sets up in joint packing ring middle part places the through-hole and can alleviate local pressure and have the guard action to joint department, and joint packing ring can make the weight of patient's health distribute uniformly, fully reduces pressure and the shearing force that patient's skin received, effectively reduces the danger that the patient takes place pressure nature damage.
In an embodiment of the invention, the bed board is provided with a first binding belt for binding a human body, and the first binding belt is used for binding the body of the patient to ensure the stability of the lateral position.
In one embodiment of the invention, the surfaces of the lateral lying plates on the opposite sides of the human body are provided with semi-through inserting buffer groove bodies, and the inserting buffer groove bodies are inserted with buffer components;
the buffer assembly is higher than the groove depth of the insertion groove body, a positioning insertion hole penetrating through the groove surface of the insertion buffer groove body is formed in the lateral lying plate, a positioning insertion rod is inserted into the positioning insertion hole, and a positioning insertion through hole which is inserted into the positioning insertion rod in a matched mode is formed in the buffer assembly. Threaded connection holes are sequentially formed in the side face of the side lying plate from high to low, the side face of the side lying plate is connected with a second upper limb placing plate used for placing upper limbs of a human body, and the side face of the second upper limb placing plate is connected with a first threaded connection column connected with the threaded connection holes. Buffering body and buffering auxiliary member are rubber materials, take the state after the side process of lying on one's side is anesthesia at patient, realize the side by medical personnel's supplementary patient and lie on one's side, the patient of this in-process side position and the relative extrusion force of side lying board are uncontrollable, there may be the problem that patient's trunk is too extrudeed the side lying board and is binded the tension, this leads to pressure nature damage to make the operation have the potential safety hazard easily, adopt the mode of all establishing the buffering subassembly at the side lying board surface to control the area of contact of patient's skin and side lying board and provide the cushioning effect and adjust the mutual pressure between patient's tissue and the side lying board in order to reach and avoid taking place the danger of pressure damage, partial buffering subassembly outside the grafting buffer slot body can produce deformation under the extrusion state and enlarge its area of contact with patient's tissue and alleviate extrusion pressure, through set up location grafting perforating hole on the buffering subassembly and set up the spliced pole through seting the location spliced pole and realizing on the side lying board The buffer assembly in the plugging state is further tightly connected with the lateral lying plate, and the buffer assembly is used for preventing the falling probability possibly existing in the buffer assembly.
In one embodiment of the present invention, the buffer assembly includes:
a buffer body, one end part of the buffer body is inserted with the insertion buffer groove body, the other end is provided with a contact surface with a cambered surface, the surface of one side of the buffer body is provided with at least two first buffer through grooves, the buffer body is also provided with a second buffer through groove which is vertical to the first buffer through groove,
buffering auxiliary member, buffering auxiliary member locate first buffer tank internal, and buffering auxiliary member both sides face has spacing convex body and forms the joint between the first buffer tank body, and buffering auxiliary member is cross structure, and the outside deformation of the alternately tip of buffering auxiliary member under the atress extrusion state. The contact surface of the arc-shaped contact surface arranged on the surface of the buffering body can be gradually enlarged along with the contact surface of the patient tissue, compared with the contact surface of a plane structure, the contact surface of the arc-shaped contact surface can ensure that the effective contact area is enlarged along with the deformation after the buffering body is deformed so as to keep the relative pressure with the patient stable, the first buffering through groove and the second buffering through groove which are arranged under the compressed state of the buffering body are correspondingly deformed so that the buffering body is deformed towards a flattened state, the buffering auxiliary part arranged in the buffering body provides internal supporting force to adjust the compression of the buffering body under the compressed state, meanwhile, the two end parts of the buffering auxiliary part are outwards deformed to form butt joint with the adjacent buffering body under the overlarge compression to obtain indirect support, and the compression deformation adjusting modes of the buffering body and the buffering auxiliary part are combined to fully reduce the pressure and the shearing force which the patient tissue is subjected to, avoids and relieves long-time compression on local skin, blood vessels and nerves, does not influence the respiratory circulation of a patient, can ensure that all force points are uniformly compressed, and avoids complications such as skin pressure injury and the like to the maximum extent.
In an embodiment of the present invention, the pelvis stabilizing assembly includes a first stabilizing column vertically connected to the bed plate, a second stabilizing column perpendicular to an axis of the first stabilizing column is disposed at an end of the first stabilizing column, a connecting ring body is sleeved on the first stabilizing column, and the connecting ring body is connected to an air bag column parallel to the bed plate. The bottom of the first stabilizing column body is provided with a thread structure which is used for being in threaded connection with a first mounting hole on the surface of the bed board. The pelvis stabilizing component is designed to be used for stabilizing the stability of the lower pelvis region of a patient in a lateral lying state, a first stabilizing column is in contact with muscles of the lower pelvis region of the human body, a second stabilizing column arranged at the upper part of the first stabilizing column is used for forming limit support for the lower pelvis region of the human body, a right-angle included angle is formed between the first stabilizing column and the second stabilizing column, so that the lower pelvis region of the patient is formed into limit support in the Z-axis direction, the Y-axis direction or the X-axis direction, gel materials can be wrapped on the surface of the first stabilizing column for improving the comfort degree of the patient, meanwhile, an air bag column is arranged on the first stabilizing column to elastically support the lower back of the patient in the lateral lying state and form support in the Y-axis or X-axis direction for the patient, the limit of the lower pelvis region of the patient is limited by adopting the mode to achieve the aim of dispersing limit pressure so as to avoid the oppression on the great vessels of the groin from influencing the hemodynamics of the lower limbs of the patient, and achieve the aim of preventing deep venous thrombosis of the occurrence of the patient after the operation, mechanical equipment is adopted to maintain the lateral stability of the patient, and the reduction of the shaking amplitude of the body of the patient caused by the operation of medical staff on the patient in the operation process is facilitated.
In an embodiment of the present invention, a support body with a columnar structure is disposed in the air bag column, the cross section of the support body is a lelotriangle, a lelotriangle-shaped through groove is disposed in the middle of the support body, and fluid air holes are uniformly distributed on the surface of the support body. The side surface of the air bag column is provided with a third air charging and discharging port. Select the gasbag post and can form spacing support to patient, waist provides elastic support in order to reduce the oppression injury that long-time operation caused behind the patient, gas in the gasbag post receives patient's body pressure and compression deformation in the support process, gas deformation in the gasbag post deformation process flows in to the support through the fluid gas pocket on the supporter, gas forms the extrusion through the fluid gas pocket in-process and consumes gasbag post pressurized energy, the pressurized shape scope of gasbag post is until the supporter supports to human body contact, it can be used to strengthen the support intensity of gasbag post and inject gasbag post pressurized deformation volume to set up the supporter in the gasbag post, the vertebra curve of patient is revised to the mode of the deformation support of gasbag post elastic support and supporter that is full of gas, it is concrete: when a patient lies on the side, the spine of the patient slightly deforms downwards or the spine of the doctor can deform downwards during spine surgery, the arrangement of the air bag columns provides upward support, the support bodies limit the compression deformation amount of the air bag columns, the support bodies of the Lelo triangular structures are used for pressing the patient downwards in a compression state to form reverse thrust to correct the downward deformation of the spine of the patient when the patient lies on the side or the downward deformation of the spine of the doctor during spine surgery.
In one embodiment of the invention, the side surface of the air bag column is connected with a fine adjustment belt with elasticity, the fine adjustment belt is connected with a third binding belt for binding a human body, and the third binding belt is provided with a thread gluing. In order to ensure that the air bag column is tightly connected with a human body and stably supports the human body, the third binding belt is arranged to bind the air bag column below the back of the human body in the lateral lying state in a binding mode so as to limit the backward sliding of the back of the human body and provide powerful support to ensure the stability of the lateral lying posture, and the fine adjustment belt is arranged between the air bag column and the third binding belt to control the distance between the air bag column and the back of the human body in the lateral lying state so as to control the support area range of the air bag column to the back of the human body and provide effective support for patients with different body types.
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 thread gluing. The flexible pad is generally for heat preservation layer pad or cryogel pad, avoids patient's in-process pressurized to cause skin damage on long-time hand, adopts the bonding mode to set up flexible pad and be convenient for dismouting and dress bleeder vent on the flexible pad on the bed board can effectively keep breathing freely and reduce patient's uncomfortable and feel.
Compared with the prior art, the invention has the beneficial effects that: the device is suitable for patients with different body types, can effectively prevent the body position of the patient from changing in the operation process, effectively keeps the curve of the spine of the human body stable in the operation process, and reduces or avoids the adverse effect of the lateral position on the patient.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic diagram of a posture fixing device for lateral position spinal surgery according to an embodiment of the invention;
fig. 2 is a schematic view showing a structure of an airbag cushion according to an embodiment of the present invention;
FIG. 3 is a schematic view of a headrest according to an embodiment of the present invention;
FIG. 4 is a schematic structural view of a foot placement body according to an embodiment of the present invention;
FIG. 5 shows a schematic view of a lateral decubitus plate according to an embodiment of the present invention;
FIG. 6 is a schematic structural diagram of a cushion assembly according to an embodiment of the present invention;
FIG. 7 illustrates a front view of a cushioning assembly set forth in accordance with an embodiment of the present invention;
FIG. 8 is a schematic view of the buffer assembly after installation of the buffer aid according to an embodiment of the invention;
FIG. 9 shows a schematic structural view of a joint washer according to an embodiment of the present invention;
FIG. 10 shows a schematic view of a human hip;
fig. 11 shows a schematic structural view of a pelvic stabilization assembly according to an embodiment of the present invention;
FIG. 12 is a schematic view showing the structure of an airbag pillar according to an embodiment of the present invention;
FIG. 13 is a schematic view of another embodiment of an airbag pillar according to an embodiment of the present invention;
fig. 14 is a schematic view illustrating the connection of the flexible mat and the bed board according to the embodiment of the present invention;
fig. 15 is a schematic view of a bedplate bottom connection lifter according to an embodiment of the present invention;
figure 16 shows the results of the two experimental patients in example 3 of the present invention after surgery.
Description of reference numerals: 10-bed board; 11-a first mounting hole; 12-a first bundle of straps; 13-a foot rest support; 14-knuckle washer; 141-knuckle placement through holes; 15-a first upper limb placing plate; 16-a head support plate; 17-a flexible mat; 18-installing air holes; 19-a lifter; 20-an airbag cushion; 21-a first air pocket; 22-a first charge and discharge port; 30-a foot placement body; 31-a fixing plate; 32-a first mounting slot; 33-a limiting plate mounting hole; 34-a foot limiting plate; 35-a first through slot; 40-lateral lying plate; 41-a second tying band; 42-second upper limb resting plate; 43-inserting buffer groove body; 44-a second threaded connection post; 45-positioning plug holes; 46-positioning plug-in rods; 47-a first threaded connection post; 48-threaded connection holes; 50-a pelvic stabilization assembly; 51-a first stabilization column; 52-a second stabilization column; 60-head pad; 61-a second air pocket; 62-a second charging and discharging port; 70-a cushioning component; 71-a contact surface; 72-a first buffer through slot; 73-positioning the inserting through hole; 74-a second buffer through slot; 75-a buffer body; 76-auxiliary plugging through holes; 77-a buffer aid; 78-limit convex body; 80-an airbag column; 81-connecting ring body; 82-a support; 83-flow-through vent; 84-a third charge and discharge port; 85-trimming band; 86-a third tying band; 90-sticking buckle; the region of anterior superior iliac spine; b sacral layer region.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1:
referring to fig. 1-15, a posture fixing device for lateral position spinal surgery comprises:
a head support plate 16 for placing the head of a human body is connected to one end of the bed plate 10, 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 plate 10;
the lateral lying plate 40 is inserted at the side of the bed plate 10, the lateral lying plate 40 and the installation position of the first upper limb placing 15 on the bed plate 10 are the same side, at least two lateral lying plates 40 with intervals are inserted at one side of the bed plate 10, and a second binding belt 41 for binding a human body is arranged on the lateral lying plate 40;
the pelvis stabilizing assembly 50 is movably connected with the bed plate 10, and the pelvis stabilizing assembly 50 is used for limiting the displacement of the lower pelvis when the human body lies on the side;
wherein, the gasbag pad 20 has been placed to bed board 10 bottom, and gasbag pad 20 comprises at least two first air pockets 21, and the mutual rigid coupling of first air pocket 21 side and first air pocket 21 all establish independent first gas charging and discharging port 22.
In the lateral position, after general anesthesia is performed on a patient, an anaesthetist protects a tracheal catheter and the like, supports the head and neck of the patient, and supports the chest, the waist, the back, the lower limbs and the like of the patient together with a nurse and the doctor to rotate in the same direction along the longitudinal axis of the spine of the patient, so that the patient lies on the side by 90 degrees and the lower limbs are slightly bent. This application places the placing of the patient's head and upper limbs (arm) after the side is convenient for through hindering respectively to set up head backup pad 16 and first upper limbs at bed board 10 and placing board 15, in order to provide patient's body and place the space and be convenient for patient and keep the posture of lying on the side, for this reason this application through the mode that sets up side plate 40 with the patient chest under the state of lying on the side, lower abdominal region contact, cooperation second tie 41 is binded the patient body fast, belly and the side plate 40 interact causes patient's spine curve micro-deformation when avoiding as far as possible with the contact of belly when reducing patient and breathing, it can adjust side plate 40 and patient contact area according to the patient of different sizes to establish two at least side plates 40 simultaneously, for example to the patient that has the beer tripe, divide and establish side plate 40 effectively and avoid the contact of beer tripe. In order to further ensure the stability of the lateral position of the patient, the pelvis stabilizing component 50 is arranged in the anterior superior iliac spine region and the sacral layer region of the patient for stably fixing the lower pelvis of the patient, the placement region of the pelvis stabilizing component 50 is shown in figure 10, the lateral position of the patient is better maintained to be stable in the operation process, so that the change of the spine curve of the patient is prevented, the pelvis stabilizing component 50 at the position contacted with the patient can avoid the compression on the great vessels of the groin from influencing the blood flow force of the patient, and the aim of preventing the occurrence of deep venous thrombosis of the lower limbs of the patient after the operation is fulfilled.
Need fully expose the operation field of vision in the operation process, but guarantee that patient's vertebra is on same water flat line, it is not enough to have the angle of lying on one's side after patient selects the position of lying on one's side, this application can adjust its inside gas volume to the first air pocket 21 of direction about bed board 10 below through the mode that sets up gasbag pad 20 below the bed board and adjust the inclination of bed board 10 in order to adjust patient's position and avoid touching the patient body among the operation process and adjust patient's position, realize accurate control patient position change, avoid touching the operation in-process patient body simultaneously in order to prevent that the touching patient body causes adverse effect.
The air bag cushion 20 in the embodiment can be replaced by the lifter 19 to realize the adjustment of different lifting heights of the two side areas of the bed board 10.
A foot rest supporting body 13 is installed on one side of the bed board 10, a foot placing body 30 used for placing legs of a human body is arranged on the foot rest supporting body 13, the foot placing body 30 comprises a fixing plate 31 fixedly connected with the side face of the foot rest supporting body 13 and a foot limiting plate 34 processed through bending, and one end of the foot limiting plate 34 is connected with the fixing plate 31. The mounting position of 15 on bed board 10 is placed for same side with first upper limbs to foot rest support body 13, foot rest support body 13 is equipped with triangle bearing structure, the first installation slotted hole 32 of two semicircle head logical groove structures is seted up at fixed plate 31 middle part, limiting plate mounting hole 33 is seted up on the foot limiting plate 34 surface of being connected with fixed plate 31, limiting plate mounting hole 33 and first installation slotted hole 32 are convenient for realize fixing and the mounting height position of adjusting foot limiting plate 34 with foot limiting plate 34 and fixed plate 31 through bolt and nut, set up the first logical groove 35 of being convenient for cross-under bandage on the foot limiting plate 34. The foot rest supporting body 13 is arranged to improve the height position of the foot placing body 30, in the process of lateral lying of a patient, one thigh can be adopted to be bound on the bed plate 10, the other thigh is slightly too high and is fixed with the foot placing body 30, the visual field can be relatively enlarged for the operation, and the lateral lying posture is relatively comfortable for the patient to feel, the mode of arranging the first installation slotted hole 32 on the fixing plate 31 is beneficial to the up-and-down height adjustment of the foot limiting plate 34, so that the patient with different body types can be conveniently used, the foot limiting plate 34 is convenient to place the legs of the patient through bending treatment and is bound and fixed to the legs of the patient through the first through groove 35 by elastic bands or binding bands.
A head cushion 60 is placed on the head support plate 16, the head cushion 60 is composed of two adjacent second air bags 61 which are connected and can be inflated respectively, and the second air bags 61 on the head cushion 60 are provided with second inflation and deflation ports 62 respectively. The patient can have spine curvature change for different height headrests and patients with different body types in the side lying state, therefore, the inflatable head cushion 60 is arranged to control the height position of the head cushion 60 according to the patients with different body types, the spine curves of the patients are ensured to be on the same horizontal line, the comfort of the patient is relatively high for the head cushion 60 adopting the inflatable structure, the head of the patient is placed on one second air bag 61 of the head cushion 60 as much as possible in the operation process, the rear side of the head of the patient is provided with a second air bag 61, the inflation quantity of the air bag is larger than that of the second air bag 61 placed on the head of the patient, and the purpose is to form the convex second air bag 61 behind the head of the patient to reduce the difficulty of backward rotation or displacement of the head of the patient so as to keep the side lying stable. The height of the head cushion 60 is generally about 7-10 cm, which is determined according to the body type of the patient.
The first mounting holes 11 are uniformly distributed on the surface of the bed plate 10, the arrangement of the first mounting holes 11 on the bed plate 10 can effectively improve the air permeability of the bed plate 10, and the mounting positions of the components such as the foot stool supporting body 13, the side lying plate 40, the pelvis stabilizing component 50 and the like can be conveniently adjusted on the bed plate 10 according to patients with different body sizes or physiological structures, wherein the first mounting holes 11 are generally threaded holes.
A joint gasket 14 made of flexible materials is placed on the surface of the bed plate 10, and a round-hole-shaped joint placing through hole 141 is formed in the middle of the joint gasket 14; the joint placing through hole 141 formed in the middle of the joint gasket 14 can relieve local pressure and has a protection effect on joints, the joint gasket 14 can enable the weight of the body of a patient to be uniformly distributed, the pressure and the shearing force on the skin of the patient are fully reduced, and the risk of pressure injury of the patient is effectively reduced.
The bed board 10 is provided with a first binding belt 12 for binding a human body and binding the body of a patient to ensure the stability of the lateral position, the first binding belt 12 is generally used for fixing one thigh of the patient, the outer side of the knee should be avoided when the thigh is fixed by the first binding belt 12, the common peroneal nerve is generally prevented from being damaged by a distance of 5cm above or below the knee joint, and a pillow can be placed between the two legs of the patient when the patient lies on the side.
The foot stool support body 13 and the pelvis stabilizing assembly 50 of the lateral lying plate 40 are respectively connected with the bed plate 10 through the first mounting holes 11. The installation positions of the foot support body 13 and the pelvis stabilizing component 50 of the lateral lying plate 40 can be conveniently adjusted on the bed plate 10 according to patients with different body sizes or physiological structures.
The surfaces of the lateral lying plates 40 on the opposite sides of the lateral lying of the human body are respectively provided with a semi-through inserting buffer groove body 43, and the inserting buffer groove bodies 43 are inserted with buffer components 70;
the height of the buffer component 70 is larger than the groove depth of the insertion groove body 43, a positioning insertion hole 45 penetrating through the groove surface of the insertion buffer groove body 43 is formed in the lateral lying plate 40, a positioning insertion rod 46 is inserted in the positioning insertion hole 45, and a positioning insertion through hole 73 which is matched with the positioning insertion rod 46 in an insertion mode is formed in the buffer component 70. Threaded connection holes 48 are sequentially formed in the side face of the side lying plate 40 from high to low, a second upper limb placing plate 42 used for placing upper limbs of a human body is connected to the side face of the side lying plate 40, and a first threaded connection column 47 connected with the threaded connection holes 48 is connected to the side face of the second upper limb placing plate 42. The buffer body 75 and the buffer auxiliary member 77 are made of rubber, some patients are anesthetized in the process of lateral lying, the medical staff assists the patients to realize lateral lying, the relative extrusion force between the patients in the lateral lying position and the lateral lying plate 40 is not controllable in the process, the problems that the bodies of the patients excessively extrude the lateral lying plate 40 and are bound too tightly can exist, pressure injury is easily caused, so that potential safety hazards exist in the operation, the mode that the buffer assemblies 70 are arranged on the surface of the lateral lying plate 40 is adopted to control the contact area between the skin of the patients and the lateral lying plate 40, the buffer effect is provided to adjust the mutual pressure between the tissues of the patients and the lateral lying plate 40, the danger of pressure injury is avoided, part of the buffer assemblies 70 outside the inserting buffer 43 can deform in the extrusion state to enlarge the contact area between the buffer assemblies and the tissues of the patients to relieve the extrusion pressure, the positioning inserting through holes 73 are formed in the buffer assemblies 70, and the positioning inserting holes 45 are formed in the lateral lying plate 40 The purpose is to achieve a further tight connection of the damping assembly 70 in the plugged-in state with the side lying plate 40 by positioning the plug rod 46 for preventing possible falling probabilities of the damping assembly 70.
The buffer assembly 70 includes:
a buffer body 75, one end of the buffer body 75 is inserted into the insertion buffer groove 43, the other end is provided with a contact surface 71 with a cambered surface, one side surface of the buffer body 75 is provided with at least two first buffer through grooves 72, the buffer body 75 is also provided with a second buffer through groove 74 which is perpendicular to the opening direction of the first buffer through groove 72,
buffering auxiliary member 77, buffering auxiliary member 77 is located in first buffering cell body 72, and buffering auxiliary member 77 both sides face has spacing convex body 78 and forms the joint with first buffering cell body 72 between, and buffering auxiliary member 77 is cross structure, and buffering auxiliary member 77 is outside deformation of the tip that intersects under the atress extrusion state. The buffer body 75 and the buffer auxiliary member 77 are made of rubber, and the adjacent side surfaces of the buffer body 75 are provided with corresponding auxiliary insertion holes 76. The contact between the arc contact surface 71 arranged on the surface of the buffer body 75 and the tissue of the patient can be gradually enlarged along with the contact surface, compared with the contact surface with a planar structure, the contact surface 71 with the arc surface can ensure that the effective contact area is enlarged along with the deformation after the buffer body 75 is deformed so as to keep the relative pressure with the patient stable, the first buffer through groove 72 and the second buffer through groove 74 arranged on the buffer body 75 under the compressed state correspondingly deform to enable the buffer body 75 to deform towards the 'flattened' state, the buffer auxiliary member 77 arranged in the buffer body 75 provides internal supporting force to adjust the compression of the buffer body 75 under the compressed state, meanwhile, the two end parts of the buffer auxiliary member 77 deform outwards under the excessive compression to form abutting connection with the adjacent buffer body 75 to obtain indirect support, and the compression deformation adjusting mode of the buffer body 75 and the buffer auxiliary member 77 is combined to fully reduce the pressure and the shearing force applied to the tissue of the patient, avoids and relieves long-time compression on local skin, blood vessels and nerves, does not influence the respiratory circulation of a patient, can ensure that all force points are uniformly compressed, and avoids complications such as skin pressure injury and the like to the maximum extent.
The pelvis stabilizing assembly 50 comprises a first stabilizing column body 51 vertically connected with the bed plate 10, the end part of the first stabilizing column body 51 is provided with a second stabilizing column body 52 vertical to the axis of the first stabilizing column body 51, a connecting ring body 81 is sleeved on the first stabilizing column body 51, and the connecting ring body 81 is connected with an air bag column 80 arranged in parallel with the bed plate 10. The bottom of the first stabilizing column 51 is provided with a thread structure for being in threaded connection with the first mounting hole 11 on the surface of the bed plate 10. The pelvis stabilizing component 50 is designed to be used for stabilizing the stability of the lower pelvis region of a patient in a lateral lying state, a first stabilizing column 51 is used for contacting muscles of the lower pelvis region of the human body, the bottom of the first stabilizing column 51 is connected and fixed with a bed plate 10 in a threaded connection mode, a second stabilizing column 52 on the upper portion of the first stabilizing column 51 is used for forming limiting support for the lower pelvis region of the human body, the first stabilizing column 51 and the second stabilizing column 52 have a right-angle included angle to form limiting support in the Z-axis direction, the Y-axis direction or the X-axis direction for the lower pelvis of the patient, a gel material can be wrapped on the surface of the first stabilizing column 51 for improving the comfort of the patient, meanwhile, the air bag column 80 is arranged on the first stabilizing column 51 to elastically support the lower back of the patient in the lateral lying state, the support in the Y-axis or X-axis direction is formed for the patient, the limiting of the lower pelvis of the patient in the mode is used for dispersing limiting the lower pelvis of the patient so as to avoid the compression of a large blood vessel of a groin the patient from influencing the hemodynamics of the patient, the purpose of preventing the occurrence of the deep venous thrombosis of the lower limbs of the patient after the operation is achieved, the lateral lying stability of the patient is maintained by adopting mechanical equipment, and the reduction of the body shaking amplitude of the patient caused by the operation of medical staff on the patient in the operation process is facilitated.
A supporting body 82 with a columnar structure is arranged in the air bag column 80, the section of the supporting body 82 is in a Lelo triangle shape, a Lelo triangle-shaped through groove is formed in the middle of the supporting body 82, and fluid air holes 83 are uniformly distributed in the surface of the supporting body 82. The side of the air bag column 83 is provided with a third inflation/deflation port 84. The air bag column 80 is selected to form limiting support for a patient, elastic support is provided for the back waist of the patient to reduce compression injury caused by long-time operation, gas in the air bag column 80 is compressed and deformed by the pressure of the body of the patient in the supporting process, the gas in the air bag column 80 flows into the supporting body 83 through the fluid air holes 83 in the supporting body 82 in the deformation process of the air bag column 80, the gas is extruded to consume the compression energy of the air bag column 80 in the process of passing through the fluid air holes 83, the compression range of the air bag column 80 is until the supporting body 82 supports the body of the human body in a contact mode, the supporting body 82 is arranged in the air bag column 83 and can be used for enhancing the supporting strength of the air bag column 80 and limiting the compression deformation of the air bag column 83, and the spine curve of the patient is corrected in the elastic support of the air bag column 80 filled with the gas and the deformation support of the supporting body 82 in a mode, specifically: when the patient lies on the side, the spine of the patient slightly deforms downwards or the doctor can also cause the spine to deform downwards during the spine surgery, the arrangement of the air bag columns 80 provides upward support, and the support bodies 82 limit the amount of the compression deformation of the air bag columns 82, and the support bodies 82 with the Lelo triangle structures are used for forming reverse thrust on the downward pressure of the patient in a compression state to correct the downward deformation of the spine when the patient lies on the side or the doctor causes the downward deformation of the spine during the spine surgery.
The side surface of the air bag column 80 is connected with a fine adjustment belt 85 with tightness, the fine adjustment belt 85 is connected with a third binding belt 86 for binding a human body, and the third binding belt 86 is provided with a thread gluing 90. In order to ensure the tight connection between the airbag pillar 80 and the human body and the stable support of the human body, the airbag pillar 80 is bound under the back of the human body in the lateral lying state by the third binding belt 86, so as to limit the backward sliding of the back of the human body and provide a strong support to ensure the stable lateral lying posture, and the distance between the airbag pillar 80 and the back of the human body in the lateral lying state is controlled by the fine adjustment belt 85 arranged between the airbag pillar 80 and the third binding belt 86, so as to control the support area range of the airbag pillar 80 to the back of the human body and provide effective support for patients with different body types.
The surface of the bed board 10 is provided with a flexible pad 17, the surface of the flexible pad 17 is provided with air holes 18, and the bottom surface of the flexible pad 17 and the surface of the bed board 10 are both provided with corresponding thread gluing 90. The circle centers of the air containing holes 18 and the first mounting holes 11 correspond to each other, the diameter of the air containing holes 18 is larger than that of the first mounting holes 11, the flexible pad 17 is generally a heat insulation layer pad or a cold gel pad, skin damage caused by pressure of a patient in a long-time hand-on process is avoided, the flexible pad 17 is arranged on the bed plate 10 in a bonding mode, the air containing holes 18 in the flexible pad 17 can be conveniently detached, air permeability can be effectively kept, and discomfort of the patient is reduced. The arrangement of the air-containing holes 18 corresponds to the circle center of the first mounting hole 11, and the diameter of the air-containing holes 18 is larger than that of the first mounting hole 11, so that the foot rest supporting body 13, the pelvis stabilizing component 50 of the lateral lying plate 40 and other components can be conveniently mounted.
Example 2:
the embodiment is a use method based on the lateral position spine hand-position fixing equipment in embodiment 1:
before the lateral position spine hand-fixing device is used, the device needs to be checked to check whether all parts are intact or not, so that the situation that damage of some parts affects normal operation is avoided, when the lateral position of a patient is fixed, a cushion strip can be properly placed at the armpit of the patient according to the body type of the patient, compression of nerves under the armpit is prevented, and the device is properly tightened when a binding belt is used for binding. The contact part with the patient should be free of metal materials, and gel materials or rubber materials can be selected to improve the comfort of the patient, reduce the pressure injury, and more importantly, prevent the electric burn when the high-frequency electric knife is used.
Firstly, a left side or a right side operation body position is arranged according to the operation requirement, after general anesthesia is carried out on a patient, a tracheal catheter and the like are protected by an anaesthetist, the head and the neck of the patient are supported, a nurse and the doctor support the chest, the waist, the back, the lower limbs and the like of the patient together, the patient rotates along the longitudinal axis of the spine of the patient in the same direction, the patient is enabled to lie on the side by 90 degrees, the lower limbs are slightly bent, the head of the patient is enabled to be arranged on one second air bag 61 of a head cushion 60, the rear side of the head of the patient is provided with a second air bag 61, the inflation amount of the air bag is larger than that of the second air bag 61 arranged on the head of the patient, two arms of the patient are respectively arranged above a first upper limb placing plate 15 and a second upper limb placing plate 42, the legs of the patient are respectively bound by a first binding band 12, the other legs are arranged above a foot placing body 30, a gap is left between the two legs, objects such as a pillow and a joint gasket 14 is properly arranged below the ankle of the feet arranged on a bed plate 10, through the mode that sets up side lying board 40 with the patient chest under the state of lying on one's side, lower abdomen regional contact, cooperate second tie 41 to bind the patient body fast, avoid as far as possible with the contact of belly in order to reduce patient breathing belly and side lying board 40 interact and cause patient's spine curve micro-deformation, it is firm to patient's lower pelvis through pelvis stabilizing component 50 simultaneously, later carry out relevant operation according to patient's size and operation demand by medical personnel, for example to operation such as increase the cushion to patient specific part.
Example 3:
this embodiment sets up experimental group 1 and experimental group 2 and carries out the contrast test, experimental group 1 is fixed for adopting the fixed equipment of embodiment 1 to carry out the lateral position to patient, experimental group 2 is fixed for adopting traditional lateral position hand rest to carry out the lateral position to patient, two experimental groups use in same hospital, all should be used for spinal surgery, two experimental groups are used in 60 spinal surgeries respectively, 75 patients men in the operation, 45 women, age 25 ~ 74 years old, two sets of patients do not have statistical significance in the aspect of sex, age etc. (P > 0.05), have comparability.
The 120 patients recorded the degree of skin integrity, elasticity and history of trauma before surgery, and specifically known whether there were scapulohumeral periarthritis, rheumatoid disease, osteoarthritis, etc. In the operation process, patients of the two test groups are placed in left or right operation positions according to the operation requirements after general anesthesia.
Two-group patient posture arrangement time comparison table
Postoperative performance of two groups of patients
After 120 cases of operations, the number of people with redness of the skin of the patient after the operation is counted, specifically, the number of people with discomfort of the upper limb within 3 days after the operation and the number of people with pressure sores after the operation are counted respectively, and the result is shown in fig. 16.
Through above-mentioned experiment and experimental result, compare in current tradition side support hand rack and carry out experimental group 2 of performing the operation, adopt experimental group 1's equipment can settle patient's position fast in the short time to it can guarantee that operation in-process patient vertebra curve is stable, has to reduce the potential safety hazard of performing the operation at the operation in-process, makes things convenient for the doctor to perform the operation, and the operation process patient appears the pressure nature damage probability extremely low, has ensured patient's safety.
The above disclosure is only for the purpose of illustrating the preferred embodiments of the present invention, and it is therefore to be understood that the invention is not limited by the scope of the appended claims.
Claims (7)
1. A lateral position spinal surgery posture fixation device comprising:
the bed plate (10), one end of the bed plate (10) is connected with a head supporting plate (16) for placing the head of a human body, and one side of the bed plate (10) is provided with a first upper limb placing plate (15) for placing upper limbs of the human body;
the side lying plate (40) is inserted at the side of the bed plate (10), the side lying plate (40) and the first upper limb placing plate (15) are arranged at the same side on the bed plate (10), at least two side lying plates (40) with intervals are inserted at one side of the bed plate (10), and a second binding belt (41) for binding a human body is arranged on the side lying plate (40);
the pelvis stabilizing assembly (50), the pelvis stabilizing assembly (50) is movably connected with the bed plate (10), and the pelvis stabilizing assembly (50) is used for limiting the displacement of the lower pelvis when the human body lies on the side;
the air bag mattress (20) is placed at the bottom of the bed plate (10), the air bag mattress (20) is composed of at least two first air bags (21), the side surfaces of the first air bags (21) are fixedly connected with each other, and the first air bags (21) are provided with independent first air charging and discharging ports (22);
semi-through inserting buffer groove bodies (43) are arranged on the surfaces of the lateral lying plates (40) on the opposite sides of the lateral lying of the human body, and buffer assemblies (70) are inserted into the inserting buffer groove bodies (43);
the height of the buffer assembly (70) is greater than the groove depth of the insertion groove body (43), a positioning insertion hole (45) penetrating through the groove surface of the insertion buffer groove body (43) is formed in the lateral lying plate (40), a positioning insertion rod (46) is inserted into the positioning insertion hole (45), and a positioning insertion through hole (73) which is matched and inserted with the positioning insertion rod (46) is formed in the buffer assembly (70);
the cushioning assembly (70) includes:
the buffer structure comprises a buffer body (75), one end of the buffer body (75) is spliced with the splicing buffer groove body (43), the other end of the buffer body is provided with a contact surface (71) with a cambered surface, at least two first buffer through grooves (72) are formed in the surface of one side of the buffer body (75), a second buffer through groove (74) which is perpendicular to the first buffer through groove (72) is further formed in the buffer body (75),
buffering auxiliary member (77), buffering auxiliary member (77) are located in first buffering cell body (72), buffering auxiliary member (77) both sides face has spacing convex body (78) and forms the joint between first buffering cell body (72), buffering auxiliary member (77) are cross structure, buffering auxiliary member (77) are outside deformation of tip that intersects under the atress extrusion state.
2. A lateral position spinal surgery posture fixation device as recited in claim 1, further comprising: foot rest supporter (13) is installed to bed board (10) one side, be equipped with the foot that is used for placing human shank on foot rest supporter (13) and place body (30), foot place body (30) include with foot rest supporter (13) side fixed connection's fixed plate (31) and bend foot limiting plate (34) of handling, foot limiting plate (34) one end is connected with fixed plate (31).
3. A lateral position spinal surgery posture fixation device as recited in claim 1, further comprising: a head cushion (60) is placed on the head supporting plate (16), the head cushion (60) is composed of two adjacent connected second air bags (61) which can be inflated respectively, and the second air bags (61) on the head cushion (60) are provided with second inflation and deflation ports (62) respectively.
4. A lateral position spinal surgery posture fixation device as recited in claim 1, further comprising:
first mounting holes (11) are uniformly distributed on the surface of the bed plate (10);
a joint gasket (14) made of flexible materials is placed on the surface of the bed plate (10), and a round-hole-shaped joint placing through hole (141) is formed in the middle of the joint gasket (14);
the bed board (10) is provided with a first binding belt (12) for binding a human body.
5. A lateral position spinal surgery posture fixation device as recited in claim 1, further comprising: the subassembly (50) is stabilized to pelvis include the first cylinder (51) of stabilizing with the vertical connection of bed board (10), first cylinder (51) tip of stabilizing is equipped with and stabilizes cylinder (52) with first cylinder (51) axis vertically second of stabilizing, first cylinder (51) of stabilizing goes up to cup joint and is connected ring body (81), connect ring body (81) and be connected with gasbag post (80) with bed board (10) parallel arrangement.
6. A lateral position spinal surgery posture fixation device of claim 5, characterized in that: the side of the air bag column (80) is connected with a fine adjustment belt (85) with elasticity, the fine adjustment belt (85) is connected with a third binding belt (86) used for binding a human body, and a thread gluing (90) is arranged on the third binding belt (86).
7. A lateral position spinal surgery posture fixation device as recited in claim 1, further comprising: the novel bed plate is characterized in that a flexible pad (17) is arranged on the surface of the bed plate (10), air holes (18) are formed in the surface of the flexible pad (17), and corresponding thread gluing (90) are arranged on the bottom surface of the flexible pad (17) and the surface of the bed plate (10).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010328866.0A CN111557821B (en) | 2020-04-23 | 2020-04-23 | A lateral decubitus spinal surgery postural fixation device |
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| CN112569074B (en) * | 2020-12-28 | 2021-08-17 | 南昌大学第二附属医院 | Intelligent fixation device for minimally invasive spine surgery in lateral decubitus position and using method thereof |
| CN113509622A (en) * | 2021-03-30 | 2021-10-19 | 冯翠翠 | Local nursing device of operation anesthesia |
| CN114432081B (en) * | 2022-02-07 | 2024-04-16 | 中国人民解放军海军军医大学第一附属医院 | Use method of pelvis fixing device |
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| CN111557821A (en) | 2020-08-21 |
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