CN112386878B

CN112386878B - PICC puts tub postoperative spring-grip

Info

Publication number: CN112386878B
Application number: CN202011298188.4A
Authority: CN
Inventors: 谭佳丽; 邓安梦; 陈垚; 陶毅
Original assignee: First Affiliated Hospital of Army Medical University
Current assignee: First Affiliated Hospital of Army Medical University
Priority date: 2020-11-18
Filing date: 2020-11-18
Publication date: 2022-02-01
Anticipated expiration: 2040-11-18
Also published as: CN112386878A

Abstract

The invention relates to the technical field of rehabilitation medical instruments, and particularly discloses a PICC (peripherally inserted central catheter) postoperative spring-grip, which comprises a shell, wherein an installation groove area is formed in the middle of the shell, a holding part is arranged below the installation groove area, a control unit is further arranged on the shell and comprises a power supply, a sensor, a storage device, a controller and a loudspeaker which are electrically connected, the sensor is installed at the holding part, prompt voice is recorded in the storage device, and the controller transmits the prompt voice to the loudspeaker. Adopt the spring-grip that this patent provided because the patient can accomplish the training according to suggestion pronunciation, consequently be applicable to some elder or weak patient, these patients are owing to can't be according to the action of making the fist and stretching the fist of the grip size that the display screen shows, consequently adopt the completion training that the pronunciation in this patent reminded can be better.

Description

PICC puts tub postoperative spring-grip

Technical Field

The invention relates to the technical field of rehabilitation medical instruments, in particular to a PICC post-catheterization spring-grip dumb-bells.

Background

Peripherally Inserted Central Catheter (PICC) is a method of puncturing a catheter through a peripheral vein (basilic vein, cephalic vein or median cubital vein) so that the end of the catheter is located in the superior vena cava or subclavian vein. The product has the advantages of small wound, easy operation, long retention time, etc., and can be widely applied to the fields of intravenous nutrition, chemotherapy, antibiotic treatment, etc. After the catheter is placed, the function exercise of the limb needs to be performed, the blood circulation is promoted, and the risk of catheter-related complications such as thrombus is prevented.

In clinical, the function exercise of most common PICC postoperative is the exercise of making a fist, can take turns to the exercise of making a fist with the help of the grip ball initiative and improve hemodynamics, has the promotion meaning to prevention pipe relativity thrombus, nevertheless to make a fist dynamics, frequency, length of a time requirement be that patient is difficult for mastering. Also have at present to use electron spring-grip to take exercise PICC postoperative function, be equipped with the demonstration of grip frequently on the spring-grip for the size of the own grip of observation that the patient can be better, nevertheless do not set up the reminding device of frequency on the current spring-grip, the action of making the fist and stretching the fist can't be done according to the grip size that the display screen shows to some elder or weak patient.

Disclosure of Invention

The invention provides a PICC (peripherally inserted central catheter) postoperative spring-grip dumb-bells, which aims to solve the problem that certain elderly or physically weak patients cannot do the actions of making a fist and stretching the fist according to the grip strength displayed by a display screen because the conventional spring-grip dumb-bells are not provided with a frequency reminding device.

In order to achieve the purpose, the technical scheme of the invention is as follows:

the utility model provides a PICC puts tub postoperative spring-grip, includes the casing, has seted up the mounting groove district at the casing middle part, and the below in mounting groove district is for the portion of gripping, still be equipped with the control unit on the casing, the control unit includes power, sensor, accumulator, controller and the speaker of electricity connection, the sensor is installed in the portion of gripping, it has the suggestion pronunciation to type in the accumulator, and the controller will indicate that pronunciation give the speaker.

The technical principle and the effect of the technical scheme are as follows:

1. when the patient was taken exercise at the spring-grip that this scheme of use provided, at first opened the power, then the fist portion of gripping, through the signal that the sensor sensed, give the controller, the controller is through the suggestion pronunciation of received signal in with the accumulator, plays out through the speaker to the suggestion patient how accurate this scheme of use trains.

2. This scheme is because the patient can accomplish the training according to the suggestion pronunciation, consequently is applicable to some elder or weak patient, and these patients are owing to can't do the action of making a fist and stretching a fist according to the grip size that the display screen shows, consequently adopts the pronunciation in this scheme to remind completion training that can be better.

Furthermore, a timer is also arranged in the control unit.

Has the advantages that: the time-recorder is added to ensure the use duration of the patient, so that the excessive training time is avoided, and the health of the patient is not facilitated.

Furthermore, the holding part is provided with at least 4 arc-shaped bulges, and an arc-shaped groove is formed between every two adjacent arc-shaped bulges.

Has the advantages that: the design is more suitable for the hand-held posture, and is convenient for the patient to use.

Furthermore, a silica gel layer is bonded on the surface of the holding part.

Has the advantages that: the setting on silica gel layer can improve patient's use and feel.

Further, the casing is hollow structure, and equal vertical sliding connection has the wedge pole in every arc recess, and horizontal sliding connection has the voussoir on the casing lateral wall, and the voussoir is the scarf cooperation with the wedge pole, and the top of wedge pole is fixed with the decurrent backup pad of cambered surface, is fixed with a plurality of first elastic component between backup pad bottom and the arc recess, is fixed with the second elastic component between voussoir and casing, still is equipped with the trompil that supplies the voussoir roll-off on the lateral wall of casing.

Has the advantages that: the patient is at the in-process of clenching the fist hard, because wedge bar moves down, it and voussoir cooperation for the voussoir outwards slides, and extrudees patient's palm, suggestion patient need stretch the fist this moment.

Further, sliding connection has the suggestion frame in the mounting groove district, be fixed with the wire rope that is located hollow casing between suggestion frame and the wedge rod, suggestion frame bottom is equipped with arcuation arch and arcuation recess that correspond with the portion of gripping, vertical sliding connection has the magnetic stripe in the suggestion frame, be fixed with the third elastic component between magnetic stripe top and the suggestion frame, be fixed with the dead lever with arcuation recess sliding connection bottom the magnetic stripe, the dead lever bottom is equipped with the pressing plate that is located the cambered surface down, the pressing plate is located the arcuation recess, the suggestion frame top still is equipped with the electro-magnet, the electro-magnet is connected with controller and power.

Has the advantages that: after the electro-magnet circular telegram, it forms the repulsion force with the magnetic stripe, the magnetic stripe lapse, make the pressing plate move down in step, the patient at first holds the portion of gripping with the hand, open switch makes the electro-magnet circular telegram, pressing plate lapse extrusion patient's finger, remind the patient to hold the fist hard, the patient is at the in-process of holding the fist hard, pressing plate moves up along with the tip frame, leave patient's finger, simultaneously because wedge bar lapse, it cooperates with the voussoir, make the voussoir outwards slide, and extrude patient's palm of the hand, the suggestion patient need stretch the fist this moment, and the patient stretches behind the fist, the wedge bar upwards resets, tip frame lapse simultaneously, pressing plate pushes patient's finger once more, remind the patient once more to hold the fist, so circulate, until accomplishing the training.

The patient that all has the obstacle to vision sense of hearing can rely on the voussoir that sets up in this scheme and the suggestion of pressing the clamp plate to accomplish the training, and the spring-grip that sets up like this inequality satisfies special patient's use, still plays the effect of massage finger and palm to vision and the accessible patient of sense of hearing simultaneously.

Furthermore, an elastic layer covering the opening is bonded on the side wall of the shell.

Has the advantages that: therefore, the wedge block can extrude the elastic layer to deform when sliding out from the opening, and the situation that the wedge block generates a pricking feeling to a patient when prompting the patient is avoided.

Drawings

FIG. 1 is a schematic structural view of example 1 of the present invention;

FIG. 2 is a schematic structural diagram of example 2 of the present invention;

FIG. 3 is a cross-sectional view taken along line A-A of FIG. 2;

fig. 4 is a schematic structural view of an electromagnet according to embodiment 2 of the present invention after being energized.

Detailed Description

The following is further detailed by way of specific embodiments:

reference numerals in the drawings of the specification include: the portable electronic device comprises a shell 10, a mounting groove area 11, a holding part 12, an arc-shaped protrusion 13, an arc-shaped groove 14, a loudspeaker 15, a wedge rod 20, a wedge block 21, a supporting plate 22, a first elastic piece 23, a second elastic piece 24, an opening 25, an elastic layer 26, a prompting frame 30, a fixed pulley mechanism 31, a steel wire rope 32, an arc-shaped protrusion 33, an arc-shaped groove 34, a magnetic strip 35, a third elastic piece 36, a fixed rod 37, a pressing plate 38 and an electromagnet 39.

Example 1:

substantially as shown in figure 1: the utility model provides a PICC puts tub postoperative spring-grip, includes square casing 10, has seted up mounting groove district 11 at casing 10 middle part, and mounting groove district's 11 below is for the portion of gripping 12, and the portion of gripping 12 is equipped with 4 at least arc archs 13, and is arc recess 14 between the arc arch 13, and it has the soft silica gel layer of one deck to bond on the surface of the portion of gripping 12, makes things convenient for the patient to hold the portion of gripping 12 with the hand like this, is equipped with the control unit who is located mounting groove district 11 tops in casing 10.

In this embodiment, the control unit includes a power supply, a sensor, a storage, a controller, and a speaker 15, wherein the power supply may be a rechargeable battery or a disposable battery, the sensor is a pressure sensor and is fixed at the holding portion 12, the power supply, the sensor, the storage, the controller, and the speaker 15 are electrically connected, a main switch for controlling the power supply is disposed at the top of the housing 10, a prompt voice is recorded in the storage, and the content of the prompt voice includes: the force is too light, too heavy, too fast, too slow, etc. when the user clenches and stretches a fist; the playing rule of the voice is as follows: the fist making and the fist stretching are played once, 20 times are played every 1min, the rest is suspended for 3min every 2min, and the exercise time is not more than 30min, so that the power supply is automatically turned off after the exercise is performed for 30min from the power supply is turned on.

The content of the memory controls the loudspeaker 15 to make sound through the sensor signal received by the controller, and the control unit is provided with a timer which is electrically connected with the controller, and the controller controls the automatic closing of the power supply through the signal received by the timer. When a patient exercises, firstly, a switch button of a power supply is turned on, then the fist holding part 12 is clenched, and the patient exercises according to the prompt voice; after a specified time, the switch of the power supply informs the controller to automatically turn off.

Example 2:

substantially as shown in figures 2 and 3: the difference from embodiment 1 is that for some hearing-impaired patients, training cannot be performed by means of voice reminding, and therefore in this embodiment, a hollow structure is provided in the housing 10 below the mounting groove region 11, a wedge rod 20 is vertically and slidably connected in each arc-shaped groove 14, a wedge 21 is horizontally and slidably connected to a side wall of the housing 10, the wedge 21 and the wedge rod 20 are in wedge surface fit, a support plate 22 with a downward arc surface is fixed to the top of the wedge rod 20, the support plate 22 is located below the silicone layer, the support plate 22 is made of a deformable elastic material, a plurality of first elastic members 23 are fixed between the bottom of the support plate 22 and the arc-shaped grooves 14, and a second elastic member 24 is fixed between the wedge 21 and the housing 10, wherein the first elastic members 23 are compression springs, and the second elastic members 24 are tension springs.

The side wall of the shell 10 is further provided with an opening 25 for the wedge 21 to slide out, in addition, an elastic layer 26 for covering the opening 25 is adhered on the side wall of the shell 10, so that the elastic layer 26 is extruded to deform when the wedge 21 slides out of the opening 25, the pricking feeling of the wedge 21 to a patient is avoided, in addition, the end part of one end, away from the second elastic piece 24, of the wedge 21 is provided with a round head, the elastic layer 26 is prevented from being punctured by the wedge 21, the wedge surface of the wedge 21 is larger than the wedge surface of the wedge rod 20, and therefore the second elastic piece 24 is prevented from interfering the movement of the wedge rod 20.

A prompt frame 30 is slidably connected in the installation groove area 11, a steel wire rope 32 is fixed between the prompt frame 30 and the wedge rod 20, the steel wire rope 32 is located in the hollow shell 10, specifically, one end of the steel wire rope 32 is fixed at the top of the prompt frame 30, a plurality of fixed pulley mechanisms 31 are arranged in the hollow shell 10, the steel wire rope 32 is guided by the fixed pulley mechanisms 31, and the other end of the steel wire rope is fixed on the wedge rod 20, when the wedge rod 20 moves downwards, the prompt frame 30 moves upwards, otherwise, when the wedge rod 20 moves upwards, the prompt frame 30 slides downwards.

An arc-shaped protrusion 33 and an arc-shaped groove 34 corresponding to the holding part 12 are arranged at the bottom of the prompting frame 30, the arc-shaped groove 34 is positioned between the arc-shaped protrusions 33 to accommodate the fingers of a patient, a magnetic strip 35 is vertically and slidably connected in the prompting frame 30, a third elastic piece 36 is fixed between the top of the magnetic strip 35 and the prompting frame 30, a fixing rod 37 slidably connected with the arc-shaped groove 34 is fixed at the bottom of the magnetic strip 35, a pressing plate 38 with a downward arc surface is arranged at the bottom of the fixing rod 37, the pressing plate 38 is positioned in the arc-shaped groove 34, the pressing plate 38 is also made of a variable elastic material, an electromagnet 39 is further arranged at the top of the prompting frame 30, the electromagnet 39 is connected with a controller and a power supply, and as shown in fig. 4, when the electromagnet 39 is powered on, the electromagnet forms a repulsive force with the magnetic strip 35, the magnetic strip 35 slides downwards, so that the pressing plate 38 synchronously moves downwards.

The specific use method of this example 2 is as follows: the patient at first holds the portion of gripping 12 with the hand, and keep the palm of the hand in being equipped with elastic layer 26 one side, the shift knob of power is turned on, press board 38 moves downwards when electro-magnet 39 circular telegram and extrudes the patient and point, remind the patient to make a fist hard, the in-process of the patient making a fist hard, press board 38 moves upwards along with suggestion frame 30, leave the finger of patient, simultaneously because wedge rod 20 moves downwards, it cooperates with wedge block 21, make wedge block 21 outwards slide, and extrude the palm of the patient, it needs to stretch the fist this moment to remind the patient, and the patient stretches the fist after, wedge rod 20 upwards resets, suggestion frame 30 moves downwards simultaneously, press board 38 extrudes the patient's finger once more, remind the patient to make a fist again, so the circulation goes on, until accomplishing the training.

The patient with visual and auditory handicaps can complete the training by means of the wedge block 21 and the pressing plate 38 in the embodiment 2, the grip exerciser is not uniform and meets the use requirements of special patients, and the finger and palm massaging function is also realized for the patient without visual and auditory handicaps.

The foregoing is merely an example of the present invention and common general knowledge of known specific structures and features of the embodiments is not described herein in any greater detail. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims

1. The utility model provides a PICC puts tub postoperative spring-grip, includes the casing, has seted up the mounting groove district at the casing middle part, and the below of mounting groove district is the portion of gripping, its characterized in that: the shell is also provided with a control unit, the control unit comprises a power supply, a sensor, a storage, a controller and a loudspeaker which are electrically connected, the sensor is arranged at the holding part, prompt voice is recorded in the storage, and the controller transmits the prompt voice to the loudspeaker; the shell is of a hollow structure, a wedge rod is vertically and slidably connected in each arc-shaped groove, a wedge block is horizontally and slidably connected on the side wall of the shell, the wedge block is matched with the wedge rod in a wedge surface mode, a support plate with a downward arc surface is fixed at the top of the wedge rod, a plurality of first elastic pieces are fixed between the bottom of the support plate and the arc-shaped grooves, a second elastic piece is fixed between the wedge block and the shell, and an opening for the wedge block to slide out is further formed in the side wall of the shell; the utility model discloses a safety electric appliance, including mounting groove, the mounting groove district is equipped with the cambered surface, the mounting groove district sliding connection has the suggestion frame, be fixed with the wire rope that is located the hollow casing between suggestion frame and the wedge bar, the suggestion frame bottom is equipped with the arcuation arch and the arcuation recess that correspond with the portion of gripping, vertical sliding connection has the magnetic stripe in the suggestion frame, be fixed with the third elastic component between magnetic stripe top and the suggestion frame, be fixed with the dead lever with arcuation recess sliding connection in the magnetic stripe bottom, the dead lever bottom is equipped with the pressing plate that is located the cambered surface down, the pressing plate is located the arcuation recess, the suggestion frame top still is equipped with the electro-magnet, the electro-magnet is connected with controller and power.

2. The PICC post-catheter grip of claim 1, wherein: and a timer is also arranged in the control unit.

3. The PICC post-catheter grip of claim 1, wherein: the gripping part is provided with at least 4 arc-shaped protrusions, and arc-shaped grooves are formed between every two adjacent arc-shaped protrusions.

4. The PICC post-catheter grip of claim 3, wherein: and a silica gel layer is adhered to the surface of the holding part.

5. The PICC post-catheter grip of claim 1, wherein: the side wall of the shell is bonded with an elastic layer covering the opening.