CN112618140A

CN112618140A - Nerve patient nursing restraint device

Info

Publication number: CN112618140A
Application number: CN202110132159.9A
Authority: CN
Inventors: 孙真真
Original assignee: Luohe First Peoples Hospital
Current assignee: Luohe First Peoples Hospital
Priority date: 2020-12-22
Filing date: 2021-01-31
Publication date: 2021-04-09

Abstract

A nerve patient nursing restraint device effectively solves the problems of poor use effect and inconvenient use of the existing nerve patient restraint device; the device comprises an annular shell, wherein a through groove is formed in the annular shell, an arc-shaped plate is hinged in the through groove, a rotating ring is rotatably connected in the annular shell and is hinged with the arc-shaped plate through an arc-shaped rod, a groove is formed in the upper end of the rotating ring, a sliding groove is formed in the upper end of the annular shell, a pushing block is slidably connected in the sliding groove, a U-shaped plate is arranged at the lower end of the pushing block, a sliding block is slidably connected in the U-shaped plate, a winding drum is rotatably connected to the right side in the annular shell, a connecting; the clamping mechanism comprises a fixed plate, an L-shaped plate is connected to the fixed plate in a sliding mode, guide rods are arranged on the L-shaped plate on the lower side of the fixed plate, a connecting block is arranged at the upper ends of the two guide rods, a rotating shaft is connected to the fixed plate in a rotating mode, and a cam is arranged at the right end of the rotating shaft; the invention has novel conception, ingenious structure, convenient operation and strong practicability.

Description

Nerve patient nursing restraint device

Technical Field

The invention relates to the technical field of neurosurgical care instruments, in particular to a nursing restraining device for a neurosurgical patient.

Background

Neurosurgery (neurosurgey) is a branch of surgery, and is a research method of Neurosurgery, which is based on surgery as a main treatment means, and is used for researching the injury, inflammation, tumor, deformity and certain genetic metabolic disorders or dysfunction diseases of human nervous systems, such as brain, spinal cord and peripheral nervous system, and related auxiliary mechanisms, such as skull, scalp, cerebral meninges and other structures, by applying a unique neurosurgical research method, such as: the etiology and pathogenesis of epilepsy, Parkinson's disease, neuralgia and other diseases, and explores a high, precise and advanced discipline of new diagnosis, treatment and prevention technology.

Neurosurgical patients often suffer from disturbance of consciousness, emotional irritability, poor fitting degree and poor compliance during hospitalization, and for the part of patients, in order to prevent self-disability or harm to others, protective restraint needs to be applied to the patients. At present, hospitals generally use ropes to bind to limit the crazy behaviors of patients, but the traditional binding ropes have a plurality of defects, so that the skins of the patients are easy to scratch and strain, the skins are abraded, the blood circulation is easy to influence, the patients are injured, the ropes are easy to slip, the restraint effect is greatly reduced, meanwhile, a supporting structure is lacked, and the use is very inconvenient.

Disclosure of Invention

In view of the above situation, in order to overcome the defects of the prior art, the present invention aims to provide a neural patient nursing restriction device, which effectively solves the problems of poor use effect and inconvenient use of the existing neural patient restriction device.

The invention comprises an annular shell, wherein the left end and the right end of the inner wall of the annular shell are respectively provided with a through groove, arc plates are hinged in the through grooves, the openings of the two arc plates are opposite, a rotating ring is coaxially and rotatably connected in the annular shell, the left end and the right end of the rotating ring are respectively hinged with an arc rod, the free end of the arc rod is hinged with the arc plate on the corresponding side of the rotating ring, the upper end of the rotating ring is provided with a groove, the upper end of the annular shell is provided with an arc-shaped chute, a push block is slidably connected in the chute, the lower end of the push block is provided with a U-shaped plate with a downward opening, the U-shaped plate is slidably connected with a slide block through a pressure spring, the lower end surface of the slide block is an inclined surface with a lower left side and a right side and can be inserted into the groove;

fixture include the fixed plate, both sides difference sliding connection has the L template about the fixed plate, axial guide bar about both ends are equipped with respectively around the L template of downside, two guide bar upper ends run through the L template of upside and are equipped with a connecting block, rotate on the fixed plate and be connected with about the axial and lie in the pivot between the L template of upside and the connecting block, the pivot right-hand member is equipped with the cam, both ends face is the plane around the cam, cam outer fringe face and the L template of connecting block and upside keep in touch.

The medical care device is novel in concept, ingenious in structure, convenient to operate and high in practicability, the arc-shaped plates and the winding drum are arranged, medical care personnel can drive the two arc-shaped plates to swing towards opposite directions only by pushing the pushing block rightwards, so that the fixation of limbs of a patient is realized, the effect is better compared with the mode of fixing a rope, the connecting belt on the winding drum gradually extends out of the annular shell while pushing the pushing block rightwards, the rocker and the cam are arranged, the medical care personnel can fix the clamping structure on a patient bed only by pulling the rocker, and therefore the restraint of the limbs of the patient is realized, and the medical care personnel can conveniently operate.

Drawings

Fig. 1 is an isometric view of the present invention.

FIG. 2 is a front elevational view in stepped section of the present invention.

FIG. 3 is a full section left side fracture isometric view of the present invention.

Fig. 4 is a front view of the invention in full section and broken away.

FIG. 5 is a front elevational perspective view, in full section, of the present invention.

FIG. 6 is a front elevational perspective view in full section of the present invention

Fig. 7 is a right perspective view of the clamping mechanism of the present invention.

FIG. 8 is a right side elevational view in step section of the clamping mechanism of the present invention.

Fig. 9 is an enlarged view of a in fig. 2 of the present invention.

Detailed Description

The following describes embodiments of the present invention in further detail with reference to the accompanying drawings.

It is shown by figures 1 to 9, comprising a ring-shaped shell 1, wherein the left and right ends of the inner wall of the ring-shaped shell 1 are respectively provided with a through groove, arc-shaped plates 2 are hinged in the through grooves, the openings of the two arc-shaped plates 2 are opposite, a rotating ring 3 is coaxially and rotatably connected in the ring-shaped shell 1, the left and right ends of the rotating ring 3 are respectively hinged with arc-shaped rods 4, the free ends of the arc-shaped rods 4 are hinged with the arc-shaped plates 2 on the corresponding sides, the upper end of the rotating ring 3 is provided with a groove 5, the upper end of the ring-shaped shell 1 is provided with an arc-shaped chute 6, the chute 6 is in sliding connection with a push block 7, the lower end of the push block 7 is provided with a U-shaped plate 8 with a downward opening, the U-shaped plate 8 is in sliding connection with a slide block 9 through a pressure spring, the lower end surface of the slide block 9 is an, the right end of the connecting belt 11 penetrates through the annular shell 1 and is provided with a clamping mechanism;

fixture include fixed plate 12, both sides difference sliding connection has L template 13 about fixed plate 12, axial guide bar 14 about both ends are equipped with respectively around the L template 13 of downside, two guide bar 14 upper ends run through the L template 13 of upside and are equipped with a connecting block 15, rotate on the fixed plate 12 and be connected with about the axial and be located the L template 13 of upside and pivot 16 between the connecting block 15, pivot 16 right-hand member is equipped with cam 17, both ends face is the plane around the cam 17, cam 17 outer fringe face and connecting block 15 and the L template 13 of upside keep in contact.

In order to enable the winding drum 10 to slide left and right along with the push block 7 to rotate, an annular rack 18 is coaxially and rotatably connected to the inner front side of the annular shell 1, the right end of the U-shaped plate 8 is connected with the annular rack 18 through a fixed rod, and a driving gear 19 meshed with the annular rack 18 is coaxially arranged at the front end of the winding drum 10.

In order to limit the rotating ring 3 conveniently, the upper end of the annular shell 1 is provided with a plurality of clamping teeth 20 uniformly distributed along the circumferential direction of the annular shell, the upper end of the rotating ring 3 is connected with a limiting strip 21 positioned at the left side of the U-shaped plate 8 through a torsion spring in a rotating manner, the limiting strip 21 can be clamped between two adjacent clamping teeth 20, and the front end of the sliding block 9 is provided with a pressing plate 22 capable of pressing the limiting strip 21.

In order to limit the push block 7 conveniently, the right end of the annular shell 1 is provided with an arc-shaped strip 23, the front end of the arc-shaped strip 23 is provided with a plurality of clamping grooves 24 uniformly distributed along the length direction of the arc-shaped strip, the push block 7 is connected with a front cylindrical rod 25 and a rear cylindrical rod 25 in the front-rear axial direction in a sliding mode, the rear end of the cylindrical rod 25 is provided with a clamping block 26, the rear end face of the clamping block 26 is an inclined plane inclined forwards, the rear end of the clamping block 26 penetrates through the push block 7 and can be clamped in the clamping grooves 24, and the cylindrical.

For better fixing effect, the opposite surfaces of the two arc plates 2 are respectively provided with an air bag 27, the inner upper end of the annular shell 1 is provided with an air cylinder 28 in the front-back axial direction, the left end and the right end of the air cylinder 28 are respectively provided with an air pipe 29, the free end of the air pipe 29 is connected with the air bag 27 on the corresponding side, the inner of the air cylinder 28 is coaxially and slidably connected with a piston 30, the front end of the piston 30 is rotatably connected with a screw rod 31, and the front end of the screw rod 31 penetrates through the air cylinder 28.

In order to keep the connecting belt 11 in the annular shell 1 tensioned, two drums 32 which are positioned at the right side of the winding drum 10 and are in the front-back axial direction are rotatably connected in the annular shell 1, the two drums 32 are opposite up and down, the front ends of the two drums 32 are respectively and coaxially provided with driven gears 33, the two driven gears 33 are meshed with each other, the driven gear 33 at the upper side is meshed with the driving gear 19 through a connecting gear, and the connecting belt 11 passes between the two drums 32 and keeps contact with the outer edge surfaces of the two drums 32.

In order to make the two L-shaped plates 13 resettable, the guide rod 14 is sleeved with a second spring positioned between the two L-shaped plates 13.

In order to rotate the cam 17, a rocker 34 is vertically arranged on the rotating shaft 16.

When the device is used, a limb needing to be restrained of a patient passes through the space between the two arc-shaped plates 2, the restraining position is adjusted, then the push block 7 is pushed to slide rightwards along the sliding groove 6, the push block 7 drives the slide block 9 to move rightwards through the U-shaped plate 8, the lower end of the slide block 9 drives the rotating ring 3 to rotate clockwise, and the rotating ring 3 drives the arc-shaped plates 2 to swing towards the limb of the patient through the arc-shaped rods 4;

when the air bags 27 on the two arc-shaped plates 2 are in contact with the limbs of a patient, the arc-shaped plates 2 cannot continuously swing, namely the rotary ring 3 cannot continuously rotate, because the lower end surfaces of the sliding blocks 9 are inclined planes with a lower left part and a higher right part, the sliding blocks 9 compress the pressure spring upwards while continuously moving rightwards, the lower ends of the sliding blocks 9 gradually leave the grooves 5, the sliding blocks 9 drive the pressure plates 22 to move rightwards and upwards, due to lack of pressing of the pressure plates 22, the limiting strips 21 start to swing upwards under the action of the torsion springs, when the sliding blocks 9 completely leave the grooves 5, the pressure plates 22 are separated from the limiting strips 21, the limiting strips 21 swing upwards and are clamped between the two adjacent clamping teeth 20, at the moment, the rotary ring 3 is limited at the;

when the push block 7 slides rightwards, the fixed rod is driven to move rightwards through the U-shaped plate 8, the fixed rod drives the annular rack 18 to rotate clockwise, the annular rack 18 drives the driving gear 19 to rotate anticlockwise, the driving gear 19 drives the winding drum 10 to rotate anticlockwise, the connecting belt 11 on the winding drum 10 is gradually unfolded, meanwhile, the driving gear 19 drives the driven gear 33 on the upper side to rotate anticlockwise through the connecting gear, the driven gear 33 on the upper side drives the driven gear 33 on the lower side to rotate clockwise, the driven gear 33 drives the right end of the connecting belt 11 to move rightwards through the two rotary drums 32 and extends out of the annular shell 1, and the connecting;

along with the pushing block 7 moving rightwards, the connecting band 11 between the clamping mechanism and the annular shell 1 gradually becomes longer, the fixture block 26 on the pushing block 7 starts to contact with the arc-shaped strip 23, because the right end face of the fixture block 26 is a forward inclined plane, the fixture block 26 starts to compress the first spring and is clamped in the clamping groove 24, the fixture block 26 continues to slide rightwards to leave the clamping groove 24 and enter the adjacent clamping groove 24 until the length of the connecting band 11 between the clamping mechanism and the annular shell 1 meets the constraint requirement, and the pushing block 7 stops being pushed;

the bed plate is positioned between the two L-shaped plates 13, the fixed plate 12 is kept still, the rocker 34 is pulled backwards, the rocker 34 drives the cam 17 to rotate through the rotating shaft 16, the cam 17 drives the connecting block 15 to move upwards, the connecting block 15 drives the L-shaped plate 13 on the lower side to slide upwards through the guide rod 14, meanwhile, the cam 17 drives the L-shaped plate 13 on the upper side to slide downwards, the distance between the two L-shaped plates 13 is gradually reduced, the second spring on the guide rod 14 is gradually compressed, when the plane on the cam 17 is in contact with the L-shaped plate 13 on the upper side and the connecting block 15, the two L-shaped plates 13 are both in contact with the bed plate, and the clamping;

the medical staff can try to insert two fingers between the air bag 27 and the limb of the patient, if a large gap is left after the fingers are inserted, the pressure between the air bag 27 and the limb of the patient is smaller, the medical staff can rotate the screw 31 clockwise, the rear end of the screw 31 drives the piston 30 to slide backwards in the air cylinder 28, the gas behind the piston 30 enters the air bag 27 through the air pipe 29, the air bag 27 is inflated and expanded, the pressure between the air bag 27 and the limb of the patient is increased, if the fingers cannot be inserted, the pressure between the air bag 27 and the limb of the patient is larger, the medical staff can rotate the screw 31 counterclockwise, the rear end of the screw 31 drives the piston 30 to slide backwards, part of the gas in the air bag 27 is sucked into the air cylinder 28, and the pressure between the air bag 27 and the limb of the patient is reduced;

when the restraint needs to be relieved, the rocker 34 is pulled forwards, the two L-shaped plates 13 are gradually separated under the action of the second spring, the clamping mechanism is taken down from the bed plate, then the cylindrical rod 25 is pulled forwards, the cylindrical rod 25 drives the clamping block 26 to move forwards and gradually leave the clamping groove 24, the cylindrical rod 25 is kept still, the push block 7 is pushed leftwards, the push block 7 drives the annular rack 18 to rotate anticlockwise, the annular rack 18 drives the winding drum 10 to rotate clockwise through the driving gear 19, the connecting belt 11 outside the annular shell 1 gradually enters the annular shell 1 and then is wound on the winding drum 10, the slide block 9 moves leftwards along with the push block 7, when the slide block 9 starts to enter the groove 5, the pressure plate 22 on the slide block 9 is in contact with the limiting strip 21, the limiting strip 21 swings downwards, the limiting of the rotary ring 3 is relieved, the rotary ring 3 rotates along with the leftward movement of the push block 7, the rotary ring 3 drives the arc-shaped plate 2 to swing towards the direction far, until the push block 7 slides to the leftmost end of the sliding groove 6, the arc-shaped plate 2 is restored to the state before use, and at this time, the annular shell 1 can be taken down from the limb of the patient.

Therefore, the nerve patient nursing restraining device provided by the invention can effectively solve the problems of poor using effect and inconvenient use of the existing nerve patient restraining device, is simple in structure and operation and convenient to use, and is convenient for medical staff to restrain the limbs of patients.

Claims

1. A nursing and restraining device for a nerve patient comprises an annular shell (1) and is characterized in that the left end and the right end of the inner wall of the annular shell (1) are respectively provided with a through groove, arc plates (2) are hinged in the through grooves, the openings of the two arc plates (2) are opposite, a rotating ring (3) is coaxially and rotatably connected in the annular shell (1), arc rods (4) are respectively hinged at the left end and the right end of the rotating ring (3), the free ends of the arc rods (4) are hinged with the arc plates (2) at the corresponding sides of the arc rods, a groove (5) is formed in the upper end of the rotating ring (3), an arc chute (6) is formed in the upper end of the annular shell (1), a push block (7) is slidably connected in the chute (6), a U-shaped plate (8) with a downward opening is arranged at the lower end of the push block (7), a sliding block (9) is slidably connected in the U-, a winding drum (10) which is in the front-back axial direction is rotatably connected to the inner right side of the annular shell (1), the winding drum (10) can rotate along with the left-right sliding of the pushing block, a connecting belt (11) is wound on the winding drum (10), and the right end of the connecting belt (11) penetrates through the annular shell (1) and is provided with a clamping mechanism;

fixture include fixed plate (12), both sides difference sliding connection has L template (13) about fixed plate (12), axial guide bar (14) about both ends are equipped with respectively around L template (13) of downside, L template (13) of upside and be equipped with a connecting block (15) are run through to two guide bar (14) upper ends, it is connected with about the axial and is located the pivot 16 between L template (13) of upside and connecting block (15) to rotate on fixed plate (12), pivot (16) right-hand member is equipped with cam (17), both ends face is the plane around the cam, cam (17) outer fringe face and connecting block (15) and L template (13) keep in contact of upside.

2. The nursing restriction device for the neurological patients according to claim 1, wherein the annular housing (1) is coaxially and rotatably connected with an annular rack (18) at the front side, the right end of the U-shaped plate (8) is connected with the annular rack (18) through a fixing rod, and the front end of the winding drum (10) is coaxially provided with a driving gear (19) meshed with the annular rack (18).

3. The nursing restraint device for the neurological patients according to claim 1, wherein a plurality of clamping teeth (20) uniformly distributed along the circumferential direction are arranged at the upper end of the annular shell (1), a limiting strip (21) positioned at the left side of the U-shaped plate (8) is rotatably connected at the upper end of the rotary ring (3) through a torsion spring, and the limiting strip (21) can be clamped between two adjacent clamping teeth (20): the front end of the sliding block (9) is provided with a pressing plate (22) which can be pressed on the limiting strip (21).

4. The nursing restraint device for the neurological patient according to claim 1, wherein an arc-shaped strip (23) is arranged at the right end of the annular shell (1), a plurality of clamping grooves (24) uniformly distributed along the length direction of the arc-shaped strip (23) are formed in the front end of the arc-shaped strip (23), a front axial cylindrical rod (25) and a rear axial cylindrical rod (25) are slidably connected onto the push block (7), a clamping block (26) is arranged at the rear end of the cylindrical rod (25), the rear end surface of the clamping block (26) is a forward inclined surface, the rear end of the clamping block (26) penetrates through the push block (7) and can be clamped in the clamping grooves (24), and a first spring located between the clamping block (26) and the push block (7) is sleeved on.

5. The nursing restraint device for the neurological patients according to claim 1, wherein the opposite surfaces of the two arc-shaped plates (2) are respectively provided with an air bag (27), the upper end in the annular shell (1) is provided with a front axial air cylinder (28), the left end and the right end of the air cylinder (28) are respectively provided with an air pipe (29), the free end of the air pipe (29) is connected with the air bag (27) on the corresponding side thereof, the air cylinder (28) is internally coaxially and slidably connected with a piston (30), the front end of the piston (30) is rotatably connected with a screw rod (31), and the front end of the screw rod (31) penetrates through the air cylinder (28) and is in threaded connection with the annular shell (.

6. The nursing restraint device for the neurological patients according to claim 1, wherein two rotary drums (32) which are positioned at the right side of the winding drum (10) and are in the front-back axial direction are rotatably connected in the annular shell (1), the two rotary drums (32) are opposite up and down, the front ends of the two rotary drums (32) are respectively and coaxially provided with driven gears (33), the two driven gears (33) are meshed with each other, the driven gear (33) at the upper side is meshed with the driving gear (19) through a connecting gear, and the connecting belt (11) passes through the two rotary drums (32) and keeps in contact with the outer edge surfaces of the two rotary drums (32).

7. A neurological patient care restraint device according to claim 1 wherein said guide bar (14) is fitted with a second spring between the two L-shaped plates (13).

8. A neurological patient care restraint device according to claim 1 wherein said shaft (16) is vertically provided with a rocker (34).