CN112451295A - Head and neck positioning and adjusting device for general anesthesia patient - Google Patents

Head and neck positioning and adjusting device for general anesthesia patient Download PDF

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Publication number
CN112451295A
CN112451295A CN202011484063.0A CN202011484063A CN112451295A CN 112451295 A CN112451295 A CN 112451295A CN 202011484063 A CN202011484063 A CN 202011484063A CN 112451295 A CN112451295 A CN 112451295A
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China
Prior art keywords
head
neck
restraint cover
belt
cushion
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CN202011484063.0A
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Chinese (zh)
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CN112451295B (en
Inventor
何永涛
张燕彩
王中玉
邢飞
张卫
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/0053Cabins, rooms, chairs or units for treatment with a hot or cold circulating fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • A61G13/1265Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • A61G13/127Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having chambers filled with liquid or gel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0002Head or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0054Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
    • A61F2007/0056Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water for cooling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/70Devices for specific treatment or diagnosis for cooling
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Abstract

The invention discloses a head and neck positioning and adjusting device for general anesthesia patients, which comprises a head restraint cover, a neck restraint cover and a neck belt device. The neck restraint cover is of a groove-shaped structure, and is sleeved with the neck air cushion in a matching manner and connected with the inflation mechanism. The height of the patient's head and neck is changed by separately or simultaneously inflating and deflating the head cushion and the neck cushion. The upper and lower parts of the two sides of the head restraint cover are respectively provided with a hanging part, the two ends of each adjusting belt on each side are respectively sleeved and fixed on the upper and lower hanging parts on the side, the rear side of the middle part of each adjusting belt is fixedly connected with a linear belt, and the tail end of the linear belt is also connected with an annular belt which changes the left and right swinging angles of the head restraint cover and the neck restraint cover through tensioning the left and right linear belts.

Description

Head and neck positioning and adjusting device for general anesthesia patient
Technical Field
The invention belongs to the technical field of head and neck posture adjusting tools for general anesthesia patients, and particularly relates to a device for positioning and adjusting head and neck parts of general anesthesia patients.
Background
When the head operation is carried out, a doctor needs to adjust the position of the skull of a patient, the operation position is determined, the position of the head of the patient cannot be adjusted when the patient lies on the back on a sickbed by the existing head body position cushion, and a position adjusting structure is lacked, so that the accuracy of the operation is influenced, the risk of the operation is increased, and the operation treatment of the patient is influenced. In addition, the eye surgery, especially under the condition of operating under the microscope, has a narrow visual field, and the head of the patient needs to be well fixed so as to avoid influencing the surgery or causing accidents.
Simultaneously, because medical personnel are when carrying out general anesthesia for operation patient, must carry out trachea cannula and connect the breathing machine, in order to implement the medicine inhalation anesthesia and maintain breathing to patient, in order to expose patient's neck, face, guarantee that patient's breathing machine pipeline does not drop, not pressurized, do benefit to operation patient's observation and processing, the pole type head of a bed support that often adopts on the operating table in the past is as supporting, nevertheless less because of supporting the area, put the aseptic cloth and cover the back in operating table shop and allow, often patient's neck, facial exposure is unclear and breathing pipe is crooked, the condition such as pressurized, anesthesia for operation patient, certain inconvenience even danger has been brought with observation and processing.
The utility model is CN 109009464A's anesthesia apparatus mount with end adjustable fixed knot constructs, this mount includes storage tank, first standing groove, flexible bracing piece and tray device, the inside left side of storage tank is provided with first cavity, the inside right side of storage tank is provided with the second cavity, and the intermediate position department of second cavity is fixed with the division board, the first standing groove of top fixedly connected with of storage tank, and the inside bottom mounting of first standing groove has the second slide rail. This scheme has anesthesia apparatus mount of end adjustable fixed knot structure and makes the device can angle regulation through the universal joint, and makes the fixation clamp can make the circumference through first slide rail and first pulley and rotate, can adjust the height of fixation clamp through flexible bracing piece for the device has end adjustable fixed knot structure, obviously can see out, and this scheme is bulky, and the structure is complicated, and the adjustment is difficult, and is inconvenient to use. At present, a useful device which is convenient for medical staff to simply control and position the head and neck and can be adjusted is lacked.
Disclosure of Invention
Aiming at the problems that the head and neck posture positioning and adjusting device for general anesthesia patients is lacked at present and the existing partial devices are complex in structure, large in size, high in adjusting difficulty, inconvenient to use and the like, the invention provides a device which can realize the arbitrary adjustment and positioning of the head and neck of the general anesthesia patients in a proper range through simple adjustment.
The invention adopts a scheme for solving the technical problem that a head and neck positioning and adjusting device for general anesthesia patients is adopted, and the device mainly comprises a head restraint cover, a neck restraint cover and a neck belt device. The head restraint cover is of a basin body structure and comprises a cavity enclosed by peripheral side walls and a bottom plate, a head air cushion is sleeved at the bottom of the cavity in a matching mode, and the head air cushion is connected with an inflation mechanism. The head air cushion is an annular head air cushion ring and comprises an air cushion layer at the bottom and an air cushion ring at the periphery, wherein the air cushion layer and the air cushion ring are separated or combined. The neck restraint cover is of a groove-shaped structure, a groove is formed in the middle of the neck restraint cover in a sunken mode, a neck air cushion is sleeved in the groove in a matched mode, and the neck air cushion is also connected with an inflating mechanism. The head air cushion and the neck air cushion are used for respectively or simultaneously inflating and deflating the head air cushion and the neck air cushion to change the height of the head and the neck of the patient.
One way of the adopted inflation mechanism is that an air bag inflation pipeline is connected with each air bag, a compression air bag is connected with the air bag inflation pipeline, and the compression air bag comprises an air bag outlet one-way valve, an air bag inlet one-way valve and an air release valve. When the air bag is operated through one compression air bag, an air bag inflation pipeline which can be connected with the output end of the same compression air bag is Y-shaped, the output ends of two fork pipes are respectively connected with a head air cushion and a neck air cushion, and valves are respectively arranged on the fork pipes.
And the upper side of each air bag is provided with a water absorption pad (the materials of the diaper can be paved if necessary) sleeved in the head restraint cover and the neck restraint cover, and the water absorption pad is a single body or a combined body and comprises a head water absorption pad and a neck water absorption pad.
The lower part of the head restraint cover is movably connected with the upper part of the neck restraint cover, such as hinged connection or buckling connection or direct butt joint (one form of the movable connection is that the head restraint cover and the neck restraint cover are hinged together, the hinged connection is that a transverse cylinder is arranged on the rear end face of the head restraint cover, a transverse cylindrical groove is arranged on the front end face of the neck restraint cover, the head restraint cover and the neck restraint cover are sleeved in a matched mode and can rotate, and the hinged connection is that a connecting ball hole is arranged on the rear end face of the head restraint cover, a connecting ball is arranged on the front end face of the neck restraint cover, and the head restraint cover and. The neck belt device is characterized in that hanging parts are respectively arranged at the upper part and the lower part of two sides of the head restraint cover, the upper hanging parts and the lower hanging parts are respectively positioned at the upper side and the lower side of the movable connecting part so as to be properly rotated around the movable connecting part when in adjustment and traction (the neck belt device is positioned at the upper part and the lower part of the two sides of the head restraint cover and is respectively positioned at the upper side and the lower side of the hinged part). The adjusting device comprises a head restraint cover, a connecting sliding sleeve, a locking wire, a locking mechanism and a locking mechanism, wherein the head restraint cover is provided with a plurality of hanging parts, the head restraint cover is provided with a plurality of adjusting belts, the upper hanging parts and the lower hanging parts are respectively hung on the upper hanging part and the lower hanging parts of each adjusting belt, the connecting sliding sleeve is sleeved in the middle of each adjusting belt, the locking wire is arranged on the connecting sliding sleeve and used for locking the sliding of the adjusting belts, the vertical swinging angle of the head restraint cover is changed by adjusting the lengths of the upper. Meanwhile, the rear side of the connecting sliding sleeve is fixedly connected with a linear belt, the middle section of the linear belt is provided with a fastening clamping sleeve which can change the length of the linear belt and can be fixed, for example, the linear belt is designed to be a binding belt, the side surface of the linear belt is distributed with inverted teeth, the fastening clamping sleeve is arranged in the middle section of the linear belt in a displacement mode, the end part of the linear belt is provided with an elastic clamping head which is matched with the inverted teeth, the elastic clamping head can be meshed in a corresponding inverted tooth clamping groove in a natural state, and the elastic clamping head is separated from the inverted teeth after the elastic clamping head is broken. The tail end of the linear belt is also connected with an annular belt (or fixed to form an annular shape through a magic tape or a connector) for being sleeved in the armpit of the arm. During adjustment, the left-right swinging angle of the head restraint cover and the neck restraint cover is changed by tensioning the left-right linear belt.
The invention has the beneficial effects that: the invention can change the up-down swing angle of the head restraint cover by adjusting the length of the upper part and the lower part of the adjusting belt, change the left-right swing angle of the head restraint cover and the neck restraint cover by tensioning the left-right linear belt, and change the height of the head and the neck of a patient by respectively or simultaneously inflating and deflating the head air cushion and the neck air cushion. Not only can adjust as required, still retrain the neck portion effectively, prevent that the neck of general anesthesia patient from to one side skew problem to appear in the operation in-process.
The invention adopts the annular head air cushion ring, and the air cushion ring at the periphery of the annular head air cushion ring can appropriately clamp the head of a patient under the condition of being inflated, so that a larger gap between the head of the patient and the head restraint cover is prevented. The neck restraint cover is sunken in the middle part, and both sides are protruding, also can suitably centre gripping neck from both sides after it aerifys to prevent that the patient neck and neck restraint cover may have great clearance between them. The device can keep the head and the neck of the general anesthesia patient stable by adjusting the adjusting belts on the left side and the right side and the linear belts, so that the general anesthesia patient can be kept in a proper position and can not swing randomly. But can also be used for changing the head and neck direction and the combined direction of the patient by adjusting the adjusting belts on either side and the linear belts.
The invention can further design a piston type water-gas compression cylinder and a corresponding driving mechanism to realize the requirements of controlling the head and neck shape by inflating the gas of the patient and cooling the temperature by inflating ice water. The liquid inlet stop valve is closed and the air inlet stop valve is opened, and the height of the head and the neck is changed by controlling the inflation and deflation of the air bag. When needs cooling, open the feed liquor stop valve through closing the stop valve that admits air to piston aqueous vapor compression section of thick bamboo can realize pouring into the corresponding gasbag with the ice water, is used for cooling to patient. Meanwhile, exhaust valves are respectively arranged on the corresponding air bags, and redundant air in the air bags is exhausted while water is fed.
Drawings
Fig. 1 is a schematic view of an assembly scheme for a head and neck restraint and harness.
Fig. 2 is a schematic view of a second assembly scheme of the head and neck restraint and the harness.
Fig. 3 is a perspective view of the head restraint cover.
Fig. 4 is a schematic view of a head inflatable gasket.
Fig. 5 is a perspective view of the neck restraint shield.
Fig. 6 is a schematic view of a neck inflatable gasket.
Fig. 7 is a schematic view of a water absorbent pad.
Fig. 8 is a schematic view of the neck strap apparatus of fig. 1.
Fig. 9 is a schematic view of the neckband apparatus of fig. 2.
FIG. 10 is a schematic diagram of a single-action control structure for switching between inflation and water injection.
FIG. 11 is a schematic view of the linkage control structure for switching between inflation and water injection.
Fig. 12 is a schematic diagram of the structure of the inflation/water injection switching control.
Fig. 13 is a schematic view of the structure of the assembly of the present invention.
Fig. 14 is a perspective view of another head restraint housing.
Fig. 15 is a perspective view of another neck restraint shield.
Reference numbers in the figures: 1. a head restraint cover 101, a cambered curved wall 102, a bottom surface 103, a side wall positioning hook 104, a neck notch 105, a connecting ball hole 106, a cylinder 107, a cylinder groove 201, a rear end cambered surface groove 202, a front end cambered surface groove 203, a connecting ball 2, a neck restraint cover 3a, a first neck strap device 3b, a second neck strap device 301, a fixing head 302, a fastening hole 303, a connecting sliding sleeve 304, a compression bolt 305, a fastening clamping sleeve 306a, a linear belt 307, a hole 308, an annular belt 306b.Y type belt 309, a press paste 310, an adjusting belt 4, an annular head air cushion ring 41, a head air bag exhaust valve 5, an air bag inflation pipeline (water injection pipeline), a compression air bag 6a, a piston type water vapor compression cylinder 6b, a cylinder 601, a cylinder 602, an ice water bag 603, a liquid inlet one-way valve 604, a liquid inlet stop valve 605 and a piston body 605, 606. the air bag type air bag comprises a push-pull rod, 607, a handle, 608, an air inlet one-way valve, 609, an air inlet stop valve, 610, a breathing air pipe, 7, an air release valve, 71, an air bag outlet one-way valve, 72, an air bag inlet one-way valve, 8, a neck air cushion, 81, a neck air bag exhaust valve, 9, a water absorption cushion, 901, a head water absorption cushion and 902, a neck water absorption cushion.
Detailed Description
The invention is further illustrated with reference to the following figures and examples.
Example 1: a positioning and adjusting device for head and neck comprises a head restraint cover 1, a neck restraint cover, a neck belt device, an air (water) bag gasket and a water absorption gasket.
The head restraint cover 1, the head supports, fixes a position and restraint the mechanism, the water ladle form, the wall thickness, the middle part is penetrating, the inner wall is the curved surface, the profile modeling is in human hindbrain appearance. The wall thickness is small at the top and big at the bottom to ensure the stability of supporting and positioning the head, the hollow part is correspondingly convenient to be attached to the ground at the large at the bottom, the curved surface of the profile modeling ensures that the contact surface with the head is large, and the notch at one end of the water ladle shape is used for bearing the position of the neck. The end part is provided with a hole position which is convenient to be connected with the neck restraint device, and the outer wall is provided with a positioning hook which is used for providing a positioning and fixing position for the neck bridle.
Neck restraint cover, neck and shoulder terminal support, location and restraint mechanism, boss form, middle cambered surface groove. The structure is profiled and fitted with the human neck when working, and the functions of positioning, supporting and restraining are played. The cambered surface of the front end face is large and is connected with the tail end of the shoulder for use, the cambered surface of the rear end is small and is connected with the head restraint cover 1, and the end face is provided with shaping hole sites (long pins, long shafts and double-headed screws) which are matched with connecting ball hole sites on the end face of the head restraint cover.
The neck belt device is an adjusting mechanism for adjusting the left and right positions and the front and back overturning of the head, the neck and the shoulders, and an H-shaped adjusting mechanism is formed by a surrounding belt/Y-shaped belt and a U-shaped belt. Each a set of neck belt device in head restraint cover both sides, U type belt one side is used for binding two location couples at head restraint cover lateral part, arrange mobilizable connection sliding sleeve connecting device in the middle of the U type belt, set up spacing bolt on the draw-in groove connecting device, it fixes to form fixed of relative position at the draw-in groove inner wall to make the belt fix through screwing up the extrusion, another belt (annular or Y type) is connected to the draw-in groove other end, another belt binds one end through the catching groove, patient's shoulder is connected to the other end, it is firm to make patient's first body on the whole, cheap operation.
An annular head air cushion ring, a head afterbrain cushion layer and a hollow air cushion or water cushion. The head support is micro-regulated by air pressure, and the head support has the function of heat dissipation for cheap operation when being used as a water cushion (frozen normal saline and ice water).
An air bag inflation pipeline (water injection pipeline) for inflating (injecting water into) the cushion air bag (water bag).
a, compressing an air bag to provide an air source for the air bag, wherein the air bag is in an ellipsoid shape, and is provided with a front check valve and a rear check valve which are extruded to blow air forwards and are loosened, and the rear end automatically absorbs external air; and b, the piston type water-gas compression cylinder is divided into a head part and a tail part, is cylindrical and is similar to a needle cylinder structure, the head part is an outlet, the two ends of the side edge of the head part are respectively provided with a pipeline, a stop valve and a one-way valve, the outside of one-way valve is directly contacted with air and is used as an air source, the outside of the other one-way valve is connected with a water pipe (a normal saline water bucket and an ice water bag) and is used as a water source pipe, the tail part of the compression cylinder is provided with a piston pad and a corresponding push-pull rod, when the water source is used for inflating the air bag, the air source switch is closed, the.
The air release valve controls the on-off of the air inlet valve, the air release valve and the water discharge valve on the pipeline.
Neck air cushion, neck air cushion layer, hollow air cushion or water cushion. The function is the same as 4.
The water absorption pad is mainly used for absorbing sweat possibly removed from the head and the neck of a patient in the operation process, is made of water absorption materials, and has certain water absorption and storage effects.
The implementation process comprises the following steps:
1) the equipment is aligned in advance according to the physical characteristics of the patient. The head restraint cover 1 and the neck restraint cover 2 are aligned through a long pin, a shaft and a positioning screw, the neck strap device 3a is aligned and fastened with a positioning hook 103 on the side wall of the head restraint device 1 through a fixing head 301, a compression bolt 304 on a connecting sliding sleeve 303 is loosened, an annular head air cushion ring 4 is arranged in the bottom surface 102 of the head restraint cover 1 and is properly inflated through a compression air bag 6a, a neck air cushion 8 is arranged in the neck restraint cover and is properly inflated through a corresponding compression air bag 6a, a water absorption pad 9 is taken out, the head water absorption pad 901 and the neck water absorption pad are respectively aligned and cover the corresponding pads.
2) The surgical patient is operated in conjunction with the device. The head and neck of a patient to be operated are placed according to a preset position, the gap between the head restraint cover 1 and the neck restraint cover 2 is adjusted, the head restraint cover and the neck restraint cover are fixedly fastened through pins, bolts, shafts and the like, the annular belt 308 is fixedly bound through holes 307 around shoulders through armpits on two sides of the patient, the height of the annular head air cushion ring 4 and the height of the neck air cushion 8 are adjusted through the compression air bag 6a, the upper and lower positions of the head and the neck of the patient are proper, the position of the connecting sliding sleeve 303 is adjusted, the patient is fastened through the compression bolt 304 after being balanced front and back, the fastening sleeve 305 is contracted, the shoulders, the neck and the head.
3) And (5) disassembling after operation. The fastening cutting sleeve 305 is loosened, the annular belt 308 is drawn out, the long pin shaft and the fastening bolt are loosened, the water absorption pad 9 is taken out after the patient leaves, the air release valve 7 is opened for air release, and the gasket is taken out.
Example 2:
on the basis of embodiment 1, as shown in fig. 2, 9, 10, 11 and 12, the annular belt 308 in the linear belt 306a is replaced by a Y-shaped belt 306b, and the end part is replaced by a pressing paste 309; the gas compression mechanism 6a is replaced by a piston type water gas compression cylinder 6b.
The process is not changed, wherein (1) when the shoulder is connected, the shoulder is adhered by the pressing paste 309. (2) When inflating, no longer compress gasbag 6a, but through piston aqueous vapor compression section of thick bamboo 6b, inflate through the principle of similar inflater, specifically do: and (3) opening a liquid inlet stop valve 604 at the lower end of the air inlet, pushing a push-pull rod 606 and a piston body 605 to compress air through a handle 607, reversely pulling to automatically suck air, and repeatedly inflating the annular head air cushion ring 4 and the neck air cushion 8. When the head and the neck of a patient are heated, the water injection process is as follows: the liquid inlet stop valve 604 at the air inlet is closed, the liquid inlet stop valve 604 at the ice water bag 602 is opened, and the handle 607 is repeatedly pushed and pulled to inject water.
The other procedures were the same as in example 1.
Example 3:
another device for adjusting the positioning of the head and neck comprises a head restraint cover 1, a neck restraint cover 2, a neck belt device and the like, as shown in fig. 13.
The head restraint cover has a structure shown in fig. 3, and is a basin body structure as a whole, and further comprises a cavity surrounded by peripheral side walls and a bottom plate, wherein a head air cushion is sleeved at the bottom of the cavity in a matching manner, and is connected with an inflation mechanism. The inflation mechanism connected to the head cushion is shown in fig. 4, and it can be seen from the figure that the head cushion in the present embodiment is an annular head cushion ring 4, which includes a bottom cushion layer and a peripheral cushion ring, and the cushion layer and the cushion ring are separated or combined.
The neck restraint cover has a groove-shaped structure matched with the contour of the neck of a human body, and is provided with a neck air cushion in a matching manner in the groove and connected with an inflation mechanism, as shown in fig. 5. The inflation mechanism associated with the neck cushion is shown in figure 6.
The inflation mechanisms in fig. 4 and 6 are the same, and a bag inflation line 5 is connected to the corresponding bag, and a compression bag 6a is connected to the bag inflation line 5, and the compression bag 6a includes a bag outlet check valve 71, a bag inlet check valve 72, and a release valve 7 at the front end. The two mechanisms can respectively use independent compression air bags 6a or the same compression air bag 6a, the air bag inflation pipeline 5 connected with the output end of the compression air bag 6a is Y-shaped, the output ends of the two fork pipes are respectively connected with a head air cushion and a neck air cushion, and valves are respectively arranged on the fork pipes. Thus, the height of the patient's head and neck is changed by separately or simultaneously inflating and deflating the head cushion and the neck cushion.
The water absorption pads 9 sleeved in the head restraint cover 1 and the neck restraint cover 2 are arranged on the upper sides of the air bags, the water absorption pads 9 comprise a head water absorption pad 901 and a neck water absorption pad 902, and the water absorption pads can be made of a diaper material with a regular cutting shape.
The head restraint cover 1 in fig. 3 and the neck restraint cover 2 in fig. 5 are combined to form a combined body as shown in fig. 1, and at the moment, the lower part of the head restraint cover 1 is movably connected with the upper part of the neck restraint cover 2.
As shown in fig. 8, the neck strap device is provided with side wall positioning hooks 103 (or other hooking members) respectively at upper and lower portions of both sides of the head restraint cover 1, that is, at upper and lower sides of the movable connection portion. As can be seen from fig. 8, two ends of each adjusting strap 310 are respectively fixedly sleeved on the upper and lower hanging members of each adjusting strap 310, a connecting sliding sleeve 303 is sleeved on the middle portion of each adjusting strap 310, and a locking wire is installed on the connecting sliding sleeve 303 to lock the adjusting strap 310 to slide. Thus, the upward and downward swing angle of the head restraint cover 1 can be changed by adjusting the upper and lower lengths of the adjustment band 310.
Meanwhile, a linear belt 306a is fixedly connected to the rear side of the connecting sliding sleeve 303, and a fastening ferrule 305 capable of changing the length thereof and being fixed is arranged at the middle section thereof. The end of the linear belt 306a is connected with an annular belt for being sleeved in the armpit of the arm. Thus, the right and left swing angles of the head restraint cover 1 and the neck restraint cover 2 are changed by tensioning the right and left linear belts 306a.
In the embodiment, when the head and neck of a patient are placed in the corresponding concave areas of the head restraint cover 1 and the neck restraint cover 2, the concave areas of the head restraint cover 1 and the neck restraint cover 2 are generally designed to be slightly larger, and the neck restraint cover 2 is designed to be slightly shorter so as to adapt to patients with various body sizes. But the height of the air cushion can be changed by controlling the compression air bag 6a so as to change the height of the head and the neck of the patient. In particular, an annular head air cushion ring 4 is employed, the peripheral air cushion ring of which can be inflated to moderately grip the head of the patient to prevent a large gap from possibly existing between the head of the patient and the head restraint cover 1. As can also be seen from fig. 6, the neck restraint mask 2 is concave in the middle and convex on both sides, and can also moderately grip the neck from both sides when inflated, so as to prevent a large gap from possibly existing between the neck of the patient and the neck restraint mask 2. The device can keep the head and neck of general anesthesia patient stable by adjusting the adjusting belt 310 and the linear belt 306a on the left and right sides, so that the head and neck of general anesthesia patient can be kept in a proper position and can not swing freely. But may also be used to alter the patient's head and neck orientation and combination orientation by adjusting the adjustment strap 310 on either side, as well as the linear strap 306a.
Example 4:
on the basis of embodiment 3, a mechanism capable of cooling a general anesthesia patient is provided. Referring specifically to fig. 10 and 12, fig. 10 shows a simplified schematic of the mechanism, and fig. 12 shows the specific connection of the components of the mechanism. As can be seen from the figure, the water inflation mechanism connected with each air bag comprises a piston type water vapor compression cylinder 6b. Specifically, the piston type water gas compression cylinder 6b is matched and sleeved with a piston body 605 in a cylindrical cylinder 601, and the rear end of the piston body 605 is connected with a driving part, for example, as shown in fig. 12, the driving part is designed to use a push-pull rod 606 connected to the rear end of the piston body 605, and the piston body 605 is controlled by pushing and pulling the push-pull rod 606 in a linkage manner, so as to drive the piston body to move back and forth in the cylindrical cylinder, and achieve the purpose of sucking gas or sucking ice water.
As can be seen from fig. 12, the front center of the cylindrical barrel 601 is connected to the corresponding airbag through the airbag inflation tube 5. One side of the front end of the cylinder 601 is connected with a liquid inlet check valve 603 and a liquid inlet stop valve 604 in sequence through a pipeline and then connected with a water outlet at the lower end of the ice water bag 602. The other side of the front end of the cylinder 601 is sequentially connected with an air inlet check valve 608 and an air inlet stop valve 609 through pipelines, wherein the air inlet stop valve 604 and the air inlet stop valve 609 are opened and closed alternately.
It can be seen that the present embodiment not only has the function of controlling the inflation of the air bag, but also has the function of filling ice water into the air bag. Normally, the inlet shutoff valve 604 is closed and the inlet shutoff valve 609 is opened to change the height of the head and neck by controlling the inflation and deflation of the air bag. When the temperature needs to be reduced, the liquid inlet stop valve 604 is opened by closing the air inlet stop valve 609, so that the piston type water vapor compression cylinder 6b can inject ice water into the corresponding air bag to reduce the temperature of a patient. Meanwhile, exhaust valves are respectively arranged on the corresponding air bags, and redundant air in the air bags is exhausted while water is fed. When ice water is used for cooling, the water absorbing layer 9 is usually removed.
Example 5:
on the basis of the embodiment 3, the movable connection mode is that the lower part of the head restraint cover 1 is hinged with the connection part of the neck restraint cover 2. For example, as shown in fig. 1, 3 and 5, a cylinder 106 is transversely disposed on the rear end surface of the head restraint housing 1, and a transverse cylinder groove 107 is disposed on the front end surface of the neck restraint housing 2, which are fitted together and can rotate.
Example 6:
on the basis of the embodiment 3, the movable connection mode is that the lower part of the head restraint cover 1 is hinged with the connection part of the neck restraint cover 2. As shown in fig. 2, 14 and 15, another way of hinging the lower part of the head restraint cover 1 with the neck restraint cover 2 is to provide a connecting ball hole 105 on the rear end face of the head restraint cover and a connecting ball 203 on the front end face of the neck restraint cover 2, and the two are matched and sleeved together.
As can be seen from fig. 2, the pressing paste 309 at the end of the linear belt 306a is formed by combining two magic tapes, in which case, the length of the linear belt 306a at one side can be adjusted rapidly by changing the pasting position, so as to rapidly change the degree of the head and neck deflection to one side.
Example 7:
in addition to embodiment 4, another form of the driving part located at the rear side of the piston type water vapor compression cylinder 6b is that a compression air bag 6c is connected to the rear end of the cylinder 601 through a breathing air pipe 610, as shown in fig. 11. The compression balloon 6c is communicated with a sealing chamber at the rear side of the piston body 605 through a breathing air tube 610, and the compression balloon 6c is pressed to provide a driving force for driving the piston to advance and retreat.
Example 8:
on the basis of embodiment 4, a linkage valve, such as a double-inlet single-outlet reversing valve, can be further adopted as the liquid stop valve 604 and the air inlet stop valve 609.

Claims (10)

1. The head and neck positioning and adjusting device for general anesthesia patients is characterized by comprising a head restraint cover (1), a neck restraint cover (2) and a neck belt device, wherein the head restraint cover is of a basin body structure and comprises a cavity enclosed by peripheral side walls and a bottom plate, and a head air cushion is sleeved at the bottom of the cavity in a matching manner and is connected with an inflating mechanism; the neck restraint cover (2) is of a groove-shaped structure, a neck air cushion is sleeved in a groove in a matching manner, and an inflation mechanism is connected; the lower part of the head restraint cover (1) is movably connected with the upper part of the neck restraint cover (2); the neck belt device is characterized in that hanging parts are respectively arranged at the upper part and the lower part of two sides of a head restraint cover (1), two ends of each adjusting belt (310) at each side are respectively sleeved and fixed on the upper hanging part and the lower hanging part at the side, a connecting sliding sleeve (303) is sleeved in the middle of each adjusting belt (310), and locking threads are arranged on the connecting sliding sleeve (303) to lock the sliding of the adjusting belt (310); meanwhile, a linear belt (306a) is fixedly connected to the rear side of the connecting sliding sleeve (303), a fastening clamping sleeve (305) which can change the length of the connecting sliding sleeve and can be fixed is arranged at the middle section of the connecting sliding sleeve, and an annular belt is connected to the tail end of the connecting sliding sleeve and is used for being sleeved in an arm armpit; the up-and-down swing angle of the head restraint cover (1) is changed by adjusting the lengths of the upper part and the lower part of the adjusting belt (310), the left-and-right swing angle of the head restraint cover (1) and the neck restraint cover (2) is changed by tensioning the left-and-right linear belt (306a), and the height of the head and the neck of the patient is changed by respectively or simultaneously inflating and deflating the head air cushion and the neck air cushion.
2. The head and neck positioning and adjusting device for general anesthesia patients according to claim 1, wherein a water absorption pad (9) is provided on the upper side of each air cell and is sleeved in the head restraint cover (1) and the neck restraint cover (2), and the water absorption pad (9) comprises a head water absorption pad (901) and a neck water absorption pad (902).
3. The head and neck positioning and adjusting device for general anesthesia patients according to claim 2, wherein the head cushion is an annular head cushion ring (4) comprising a bottom cushion layer and a peripheral cushion ring, wherein the cushion layer and the cushion ring are separated or combined.
4. The head and neck positioning and adjusting device for general anesthesia patients according to claim 1, wherein the inflation mechanism is an air bag inflation conduit (5) connected to each air bag, a compression air bag (6a) connected to the air bag inflation conduit (5), the compression air bag (6a) comprises an air bag outlet check valve (71), an air bag inlet check valve (72) and a release valve (7) at the front end.
5. The patient's head and neck positioning adjustment device of claim 1, wherein said articulation comprises hinging the two together.
6. The head and neck positioning and adjusting device for general anesthesia patients according to claim 5, wherein the two are hinged in such a way that a cylinder (106) is transversely arranged on the rear end face of the head restraint cover (1), and a transverse cylindrical groove (107) is arranged on the front end face of the neck restraint cover (2), and the two are sleeved in a matching way and can rotate.
7. The head and neck positioning and adjusting device for general anesthesia patients as claimed in claim 5, wherein the other way of hinging the two is to arrange a connecting ball hole (105) on the back end face of the head restraint cover and arrange a connecting ball (203) on the front end face of the neck restraint cover (2), and the two are matched and sleeved together.
8. The patient's head and neck positioning adjustment device according to claim 5, wherein the neck strap device is located at the upper and lower positions of the two sides of the head restraint cover (1) and at the upper and lower sides of the hinged portion, respectively.
9. The head and neck positioning and adjusting device for general anesthesia patients as claimed in claim 1, wherein the linear belt (306a) is a ribbon, one side surface of which is distributed with inverted teeth, the middle section of the linear belt (306a) is provided with a fastening cutting sleeve (305), the end part of the linear belt is provided with an elastic clamping head which is matched with the inverted teeth, the elastic clamping head can be naturally engaged in the corresponding inverted teeth clamping groove, and the elastic clamping head is separated from the inverted teeth after being opened so that the linear belt (306a) can stretch and slide in the fastening cutting sleeve (305).
10. The head and neck positioning and adjusting device for general anesthesia patients according to claim 4, wherein the air bag inflation conduit (5) connected with the output end of the same compression air bag (6a) is Y-shaped, the output ends of the two fork tubes are respectively connected with the head air cushion and the neck air cushion, and each fork tube is respectively provided with a valve.
CN202011484063.0A 2020-12-16 2020-12-16 Head and neck positioning and adjusting device for general anesthesia patient Active CN112451295B (en)

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CN211157058U (en) * 2019-09-27 2020-08-04 新疆医科大学第一附属医院 Inflatable posture pad for anterior cervical vertebra operation
CN211327588U (en) * 2019-09-29 2020-08-25 泸州市中医医院(泸州市中西医结合医院、泸州市江阳区中医医院) Anesthesia neck brace

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Publication number Priority date Publication date Assignee Title
CN2290267Y (en) * 1997-03-18 1998-09-09 包春虎 Inflatable and water filling pillow
CN2448206Y (en) * 2000-11-10 2001-09-19 林妙芬 Cradle with electric device
CN2453775Y (en) * 2000-12-28 2001-10-17 凌贤平 Pedal baby's rocking bed
CN200939193Y (en) * 2006-08-28 2007-08-29 王晓灿 Cervical pillow
CN201542167U (en) * 2009-11-24 2010-08-11 张国平 Multifunctional electric cradle bed
CN101756557A (en) * 2009-12-25 2010-06-30 茅鸿勇 Kinetic energy compensating mechanism of child bed
CN201968969U (en) * 2011-01-11 2011-09-14 罗刚 Medical aerating pillow
CN205386226U (en) * 2016-03-09 2016-07-20 金润女 Be applied to medical position of open air flue and adjust pad device
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CN107713524A (en) * 2017-10-20 2018-02-23 邓飞 A kind of automatic swinging type infanette
CN108814134A (en) * 2018-06-20 2018-11-16 钟业发 A kind of paediatrics infant sleep cradle
CN110403624A (en) * 2019-07-30 2019-11-05 河北医科大学第三医院 A kind of lower limb stabilising arrangement for being conducive to have an X-rayed and perform the operation
CN211157058U (en) * 2019-09-27 2020-08-04 新疆医科大学第一附属医院 Inflatable posture pad for anterior cervical vertebra operation
CN211327588U (en) * 2019-09-29 2020-08-25 泸州市中医医院(泸州市中西医结合医院、泸州市江阳区中医医院) Anesthesia neck brace

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