CN112690985B - Clinical supplementary device of practising midwifery of obstetrical department - Google Patents

Clinical supplementary device of practising midwifery of obstetrical department Download PDF

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CN112690985B
CN112690985B CN202011585253.1A CN202011585253A CN112690985B CN 112690985 B CN112690985 B CN 112690985B CN 202011585253 A CN202011585253 A CN 202011585253A CN 112690985 B CN112690985 B CN 112690985B
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air
bed
fixed
fetus
air inlet
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CN112690985A (en
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连李斌
王立香
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LIAN LIBIN
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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
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/06Adjustable operating tables; Controls therefor raising or lowering of the whole table surface
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • A61B17/44Obstetrical forceps
    • A61B17/442Obstetrical forceps without pivotal connections, e.g. using vacuum
    • 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
    • A61G13/0009Obstetrical tables or delivery beds
    • 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
    • A61G13/02Adjustable operating tables; Controls therefor
    • A61G13/08Adjustable operating tables; Controls therefor the table being divided into different adjustable sections
    • 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
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Surgery (AREA)
  • Pregnancy & Childbirth (AREA)
  • Reproductive Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

The invention discloses an obstetrical clinical auxiliary normal labor device, which comprises a bed body and a control system, wherein the bed body comprises a bed plate, the bottom of the bed plate is provided with a plurality of lifting mechanisms, the bed plate is connected with a back plate through a rotating mechanism, and a plurality of air bags are arranged along the length direction of the bed plate and the back plate; the unit control system comprises a unit control module, a first air pressure sensor, an air inlet pipe and an exhaust pipe, wherein an air inlet electric control valve is arranged on the air inlet pipe, the air inlet electric control valve is used for controlling the on-off of the air inlet pipe, one end of the air inlet pipe is communicated with an air compressor, the other end of the air inlet pipe is communicated with a corresponding air bag, and compressed air is introduced into the air bag through the air compressor. This auxiliary device can let the lying-in woman obtain the performance of most adaptability on the bed body, lets each part of health in the hand so that smooth mountain fetus improves lying-in woman's comfort level, fully exerts the adaptability function of the bed body simultaneously.

Description

Clinical supplementary device of practising midwifery of obstetrical department
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an obstetrical clinical auxiliary eutocia device.
Background
The benefits of spontaneous delivery are many, and first, in the case of neonates, uterine contraction stimulation during vaginal delivery can promote fetal brain cell development and contribute to the development of neural balance movement of the neonate. And secondly, the birth canal extrudes the fetal lung, so that amniotic fluid in the fetal lung can be discharged, the alveolus is stimulated to generate active substances, the normal lung respiration establishment of a newborn is facilitated, and the occurrence of wet lung and respiratory distress syndrome of the newborn is reduced. Therefore, more and more parturients now choose a parturient to give birth to the fetus.
At present, the normal labor of the lying-in women is mostly performed on an obstetric table. The existing obstetric table generally comprises a bed plate and a backrest, wherein the bed plate and the backrest are generally in a flat plate shape, the shapes of different puerperae bodies are substantially different, and the contact areas and the force applying points of the puerperae bodies when the puerperae bodies lie on the bed plate or the backrest are different. But the bed board of the obstetric table can not be adjusted by the plate surface of the backrest, so that the lying-in woman can hardly feel comfortable all the time.
When in normal delivery, the fetus presses the intestinal tract, and the fetus has the defecation feeling. Also in this process, there is a possibility that excrement is discharged, which is normal. Therefore, the obstetric table is generally paved with the disposable medical pad, and the obstetric table is cleaned manually after production. The existing obstetric table does not have a sealing function, and excrement is not fixed in many times and possibly exists in many places in the obstetric table, so that the cleaning is very time-consuming and labor-consuming. Generally, many hospitals only have one delivery room, if the number of the puerperae is too large, the use efficiency is affected, the puerperae in the natural delivery does not want to be delivered through caesarean, most of the puerperae can not be born on time, and the puerperae can not wait for too long time in the process of birth, so that the delivery room and the delivery bed are required to be in a usable state most of the time.
Also, during normal delivery, the fetus comes out of the head first. For a fetus who is not smooth in delivery, a doctor is also required to assist in pulling out the fetus from the woman in the vagina. When in operation, a doctor sucks the head of the fetus by using a manual sucking disc, and then manually pulls out the fetus by using the assistance force in an arc-shaped track from bottom to top. But the existence of excrement causes inconvenience to the doctor in operation.
Disclosure of Invention
The invention provides an obstetrical clinical auxiliary paragenesis device, which aims to solve the problems in the background technology.
The technical scheme of the invention is as follows: an obstetrical clinical auxiliary normal labor device comprises a bed body and a control system, wherein the bed body comprises a bed board, the bottom of the bed board is provided with a plurality of lifting mechanisms, and the lifting mechanisms are used for adjusting the vertical distance between the bed board and the ground; the bed board is connected with a back plate through a rotating mechanism, and the bed board further comprises a plurality of air bags arranged along the length direction of the bed board and the back plate, all the air bags are uniformly distributed along the length direction of the surface of the back plate of the bed board, and the length of each air bag is equal to the width of the bed board or the width of the back plate; the control system comprises a main control module, unit control systems and an air compressor, wherein one unit control system corresponds to one air bag, and the main control module controls all the unit control systems; the unit control system comprises a unit control module, a first air pressure sensor, an air inlet pipe and an exhaust pipe, wherein an air inlet electric control valve is arranged on the air inlet pipe, the on-off of the air inlet pipe is controlled by the air inlet electric control valve, one end of the air inlet pipe is communicated with an air compressor, the other end of the air inlet pipe is communicated with a corresponding air bag, and compressed air is introduced into the air bag by the air compressor; the exhaust pipe is provided with an exhaust electric control valve, the exhaust electric control valve is used for controlling the on-off of the exhaust pipe, one end of the exhaust pipe is communicated with the corresponding air bag, and the other end of the exhaust pipe is communicated with the atmosphere.
Further: slewing mechanism includes pivot and small motor, the bed board is articulated through the pivot with the back-up plate, the pivot with back-up plate fixed connection, pivot and the bed board rotates to be connected, small motor and bed board fixed connection, the output shaft and the coaxial fixed of pivot of small motor drive pivot are rotatory and then are adjusted the face of back-up plate and the contained angle size on the horizontal direction through the small motor drive pivot.
Further: elevating system is equipped with threely, and three elevating system all includes a base, a two-way cylinder and a supporting seat along the length direction equipartition of bed board, each elevating system, supporting seat and bed board fixed connection, the piston rod of cylinder is articulated with the supporting seat, the cylinder with base fixed connection.
Further: the cross section of the air bag is semicircular, and the bottom plane of the air bag is fixedly connected with the bed board.
Has the advantages that: this scheme provides a clinical supplementary device of being in good order of obstetrical department, this auxiliary device includes the bed board, the back board, the gasbag that sets up along the long direction of bed board and back board, a control system for controlling the gasbag inflation, a slewing mechanism for adjusting bed board slope or horizontally elevating system and regulation back board inclination, above-mentioned each part is in the same place, and cooperate the adaptability adjustment of accomplishing the bed body together jointly, when making the lying-in woman lie on the bed body, not only whole health can lie on the bed body with best most comfortable angle, and each part of health can fully balanced with each gasbag contact, and realize that each part of contact all equals with the pressure between the bed body, the regulation of pressure is accomplished by control system. Can let the lying-in woman obtain the performance of most adaptability on the bed body, let each part of health in the hand so that smooth mountain fetus improves lying-in woman's comfort level, fully gives play to the adaptability function of bed body simultaneously.
The lifting mechanism is matched with the air bag on the bed plate, so that the large inclination angle of the whole bed plate can be adjusted, and the plate surface of the bed plate can be adapted to the body curve of the lower body of the lying-in woman; the rotation mechanism is matched with the air bag on the backrest plate, so that the inclination angle of the backrest plate is adjustable, and the plate surface of the backrest plate is completely adapted to the back body curve of the lying-in woman. The structure enables the parturient to fully utilize the body of the parturient to promote the fetus to grow out in the normal delivery process, all the forces can better act on the fetus, and the comfort of the parturient in the production process is improved.
Drawings
FIG. 1 is a schematic view of the overall installation structure of the bed body and the midwifery mechanism in the invention;
FIG. 2 is a plan view of the air bag of the present invention disposed on the bed;
FIG. 3 is a schematic structural view of the midwifery mechanism of the present invention;
fig. 4 is a control schematic diagram of the control system of the present invention.
Detailed Description
The invention is further illustrated with reference to the following figures and examples:
as shown in fig. 1, fig. 2, fig. 3 and fig. 4, the invention discloses an obstetrical clinical antenatal auxiliary device, which comprises a bed body and a control system. The bed body comprises a bed plate 2, a plurality of lifting mechanisms are arranged at the bottom of the bed plate 2, and the lifting mechanisms are used for adjusting the vertical distance between the bed plate 2 and the ground, so that a user can conveniently lie on the bed plate 2.
In the scheme, three lifting mechanisms are arranged and are uniformly distributed along the length direction of the bed plate 2. The lifting mechanism comprises a base 13, a bidirectional cylinder 12 and a supporting seat 11. Supporting seat 11 and bed board 2 fixed connection, the piston rod of two-way cylinder 12 is articulated with supporting seat 11, and two-way cylinder 12 fixed connection is on base 13.
The bed board 2 is connected with a back board 8 through a rotating mechanism. The rotating mechanism comprises a rotating shaft and a small motor 9. The bed board 2 is hinged with the back board 8 through a rotating shaft. The pivot with back plate 8 fixed connection, the pivot with bed board 2 rotates to be connected, small motor 9 and bed board 2 fixed connection, and the output shaft and the coaxial fixed of pivot of small motor 9 drive pivot are rotatory and then adjust the face of back plate 8 and the ascending contained angle size of horizontal direction through small motor 9. That is, the angle adjustment of the backrest plate 8 is driven by the small motor 9, and is not manually operated.
In the scheme, a plurality of air bags 5 are arranged on the bed plate 2 and the backrest plate 8. All the air bags 5 are uniformly distributed along the long direction of the plate surface of the backrest plate 8 of the bed plate 2. The length of the air bag 5 on the bed board 2 is equal to the width of the bed board 2, and the length of the air bag 5 on the back board 8 is equal to the width of the back board 8. In the optimized embodiment, the cross section of the air bag 5 is semicircular, and the bottom plane of the air bag 5 is fixedly connected with the bed plate 2 or the backrest plate 8.
Whether the air bag 5 is inflated or how much compressed air is inflated and how much deformation is generated is performed by the control system in the scheme. The control system comprises a main control module, unit control systems and an air compressor, wherein one unit control system corresponds to one air bag 5, and the main control module controls all the unit control systems. The unit control system comprises a unit control module, a first air pressure sensor, an air inlet pipe and an exhaust pipe, wherein an air inlet electric control valve is arranged on the air inlet pipe, the on-off of the air inlet pipe is controlled by the air inlet electric control valve, one end of the air inlet pipe is communicated with an air compressor, the other end of the air inlet pipe is communicated with a corresponding air bag 5, and compressed air is introduced into the air bag 5 by the air compressor; and an exhaust electric control valve is arranged on the exhaust pipe, the exhaust electric control valve is utilized to control the on-off of the exhaust pipe, one end of the exhaust pipe is communicated with the corresponding air bag 5, and the other end of the exhaust pipe is communicated with the atmosphere.
In particular, each unit control module is used to control one airbag 5. The control principle is shown in fig. 4 and is divided into three processes. The process a: all the air bags 5 are filled with certain compressed air firstly, and the value of the compressed air in the air bags 5 is controlled to be p1 (generally, 1/3 of the maximum pressure-bearing limit of the air bags 5); and a process b: when lying on the bed board 2 and the head or back of the parturient leans against the backrest board 8, each unit control module detects the compressed air value in each air cell 5 through the respective first air pressure sensor and records the compressed air value in the main control module. Through the compressed air value in each gasbag 5 among contrast process a and the process b, when can obtain the user back and lie on bed board 2 and back plate 8, with bed board 2 and back plate 8 for the curve of lying of adaptation most, and give each gasbag 5 according to this curve with direct proportion mode and pour into corresponding air pressure, make 5 unsmooth the meeting of gasbag on the long direction along bed board 2 and back plate 8 and form a state similar with the shape of back when lying with the user, make each position homoenergetic of user's health and gasbag 5 contact and the softness and hardness degree of the gasbag 5 that contacts roughly equal. At the moment, the user feels most comfortable, and the force sent by each part of the body is most suitable when the parturient gives out the fetus with strength.
Above-mentioned in-process, different users 'back curve is different, but repeats above-mentioned process a and process b, can make along the unsmooth curve that bed board 2 and back plate 8 ascending gasbag 5 formed coincide with user's back curve, and then makes the user no matter lie or when sitting and lying, the back homoenergetic obtains the powerful support of gasbag 5, and the comfort level is better. The backrest angle of the backrest plate 8 can be adjusted through the small motor 9, the overall height of the bed plate 2 and the inclination angle of the bed plate 2 can be adjusted through the three lifting mechanisms, so that a puerpera can feel more comfortable when the puerpera is in the midwifery delivery, and a doctor can deliver the puerpera in the most favorable posture by adjusting the angles so as to facilitate the operation.
The present invention also contemplates such a configuration for cleaning purposes. Be equipped with scalable waterproof cushion 3 on the face that bed board 2 was kept away from to gasbag 5 also for gasbag 5, scalable waterproof cushion 3 covers entirely bed board 2 and back board 8 to scalable waterproof cushion 3 is connected with detachable connected mode and gasbag 5, if adopt the detachable adhesive structure that the magic was pasted.
As shown in fig. 1, the two sides of the telescopic waterproof cushion 3 along the width direction of the bed plate 2 are provided with water-blocking folding awnings 4, and the water-blocking folding awnings 4 are foldable along the length direction of the bed plate 2. No matter what angle the back plate 8 is in, what kind of curve is changed to scalable waterproof cushion 3 under the effect of gasbag 5, and manger plate folding covering 4 all can prevent effectively that clean water from splashing out the bed body. Meanwhile, the device can effectively isolate the splashing of the excrement of the puerpera so as to avoid the contamination of the delivery room. The protection of the delivery room environment is realized as much as possible, so that the turnover use efficiency of the delivery room is accelerated by replacing the telescopic waterproof cushion 3.
And in a further optimization, the inside of the telescopic waterproof cushion 3 is embedded with an electric heating wire. The electric heating wire can realize the heating of the telescopic waterproof cushion 3 so as to avoid the puerpera from being cooled. As an optimization, the retractable waterproof cushion 3 can be a latex cushion or a silica gel cushion.
It is known that when a fetus is separated from the body of a parturient, the fetus sometimes needs assistance of a doctor. The existing assistance mode is manually performed by a doctor. The head of the fetus is sucked by a manual midwifery device similar to a sucking disc, and then the fetus is assisted to be ejected from the body of the parturient from bottom to top in an arc-shaped track. However, this procedure is a burden on the doctor, which sometimes makes it difficult for the doctor to take into account other symptoms of the parturient, and sometimes makes it difficult for the doctor to operate in the presence of excrements. Therefore, the invention also designs a midwifery mechanism 1.
As shown in fig. 3, the midwifery mechanism 1 includes a support body 15, a hanging seat 14 is fixedly mounted on the support body 15, an arc-shaped slide way 14a and an arc-shaped friction step 14b are arranged on the hanging seat 14, the arc-shaped slide way 14a and the arc-shaped friction step 14b are concentric, and a moving assembly is arranged in the arc-shaped slide way 14 a; the moving assembly comprises a main hanging rod 16 and an auxiliary hanging rod 17 which are parallel to each other and are vertically arranged, the upper end of the auxiliary hanging rod 17 is rotatably connected with a pulley, the auxiliary hanging rod 17 is rotatably connected with the arc-shaped track through the pulley, and the lower end of the auxiliary hanging rod 17 is fixed with the main hanging rod 16; a connecting shaft is arranged at the upper end of the main hanging rod 16 and penetrates through the arc-shaped slide way 14a along the axial direction, one end of the connecting shaft is rotatably connected with the upper end of the main hanging rod 16, a friction wheel 19 is fixedly mounted at the other end of the connecting shaft, and the wheel surface of the friction wheel 19 is abutted to the arc-shaped step surface of the arc-shaped friction step 14 b; the upper end of the main hanging rod 16 is also fixedly provided with a driving motor 18, an output shaft of the driving motor 18 is coaxially fixed with the connecting shaft, and the driving motor 18 can drive the friction wheel 19 to rotate so as to realize that the friction wheel 19 moves along the arc-shaped steps.
The lower end of the main hanging rod 16 is provided with a pulling-assisting assembly, the pulling-assisting assembly comprises a pulling-assisting cylinder 20, a vacuum air pump and a fixed sucker 22 adapted to the shape of the head of the fetus, and the vacuum air pump is communicated with the fixed sucker 22; the pull-assisting cylinder 20 is rotatably connected with the main hanging rod 16, a piston rod of the pull-assisting cylinder 20 is coaxially fixed with the fixed sucker 22, the piston rod of the pull-assisting cylinder 20 is sleeved with a tension spring 21, one end of the tension spring 21 is fixed with the pull-assisting cylinder 20, and the other end of the tension spring 21 is fixed with the fixed sucker 22.
The pull-assisting cylinder 20 of the delivery assisting mechanism 1 moves along the track of the arc-shaped slide way 14a from bottom to top under the synergistic action of the main hanging rod 16, the auxiliary hanging rod 17, the arc-shaped slide way 14a and the driving motor 18, so that the movement track of a doctor during manual fetal pull assisting is simulated. And the pull-assisting air cylinder 20 is fixed with the head of the fetus through the fixed suction cup 22, so as to provide an acting point for pulling the fetus. The principle of the connection of the fixed suction cup 22 to the fetal head is as follows: the fixed suction cup 22 approaches the direction of the bed body until the fixed suction cup 22 contacts with the head of the fetus, and at this time, manual guidance is needed by a doctor. The vacuum is then drawn by the vacuum pump and the fixed suction cup 22 holds and holds the fetal head. The driving motor 18 drives the friction wheel 19 to rotate through the connecting shaft, the rotating friction wheel 19 pulls the main hanging rod 16 and the auxiliary hanging rod 17 to move along the arc-shaped slide way 14a to the direction far away from the bed body, and in the process, the auxiliary pulling cylinder 20 and the main hanging rod 16 can rotate, so that the adaptation of angle change can be automatically completed, and the simulation of manually pulling the fetus is finally realized.
The above process enables automated pulling of the fetus. In a further optimization, the fixed suction cup 22 has a conical inner cavity, the fixed suction cup 22 axially comprises a closed end and an open end, and the inner cavity of the fixed suction cup 22 is gradually enlarged from the closed end to the open end; an annular inflatable rubber ring 25 is arranged at the open end of the fixed sucker 22, and the outer ring surface of the annular inflatable rubber ring 25 is fixedly connected with the open end of the fixed sucker 22 in a sealing manner along the circumferential direction of the fixed sucker 22; the annular inflatable rubber ring 25 is provided with an inflatable tube communicated with compressed air. The open end of the fixed suction cup 22 is provided with a plurality of annular inflatable rubber rings 25, and the diameter of the inner annular surface of each annular inflatable rubber ring 25 is gradually increased from the closed end to the open end of the fixed suction cup 22.
The working principle of the optimized fixed suction cup 22 is as follows: the annular inflatable rubber ring 25 is in contact with the head of the fetus after the open end of the fixed suction cup 22 first contacts the head of the fetus. Compressed air is injected into the annular inflatable rubber ring 25 through the inflation tube, and the annular inflatable rubber ring 25 expands and is tightly attached to the skin of the head of the fetus. The vacuum pump draws the interior of the fixed suction cup 22 to vacuum and maintains it. If the annular inflatable rubber ring 25 is loosened from the scalp of the fetus during the pulling process of the fetus, the inflation tube continues to inject the compressed air into the annular inflatable rubber ring 25, and the vacuum suction pump continues to suck the air inside the fixed suction cup 22 at the same time until the fixed suction cup 22 sucks the head of the fetus again.
In the above process, it is possible that the detachment of the annular inflatable rubber ring 25 from the head of the fetus is instantaneous and the system has not yet responded. Therefore, a plurality of annular inflatable rubber rings 25 are designed. When the fixed suction cup 22 is contacted with the head of the fetus, the contact position of each inflatable rubber ring and the head of the fetus is different, and the annular inflatable rubber rings 25 with different inner annular surface diameters are just matched and adapted to the shape of the head of the fetus. The vacuum area formed between the fixed suction cup 22 and the fetal head is gradually increased from the closed end to the open end, and multi-stage connection and fixation are formed. This effectively solves the problem that the holding cup 22 is unstable in holding the fetus.
However, we also consider other factors in the design. Such as: when the body of the fetus is too large, the fetus is not easy to separate from the mother. If the fetus is forcibly pulled, it may cause injury to the parturient. Therefore, the degree of vacuum inside the fixed suction cup 22 needs to be controlled. How to control this vacuum, we consider doing this as follows:
a millimeter scale 23 is arranged on the pull-assisting cylinder 20 along the axial direction of the piston rod, and one end of the millimeter scale 23 is fixedly connected with the fixed sucker 22; a sliding block made of transparent plastic is fixed on the pull-assisting cylinder 20, and the millimeter scale 23 penetrates through the sliding block and is in sliding fit with the sliding block; a triangular pointer 24 is fixed on the slide block, and the triangular pointer 24 points to the millimeter scale 23.
When the child is pulled, the pull-assisting cylinder 20 relies not on the pneumatic energy of the pull-assisting cylinder 20 but on the restoring force of the tension spring 21. Mainly because the action of cylinder is too fast, and the extension spring 21 moves more slowly when resumeing the deformation, more with the action that the manual pulling foetus of manual work matches. By reading the size of the millimeter scale 23 indicated by the triangular pointer 24, we can easily obtain the restoring force value of the tension spring 21 because it can be calculated by multiplying the deformation length of the tension spring 21 by the deformation coefficient of the tension spring 21. Therefore, the structure is designed, the force for pulling the fetus is controlled by rapidly reading the deformation length of the tension spring 21 and further obtaining the restoring force of the tension spring 21, so that the injury to the fetus or a pregnant woman caused by excessive force is avoided, and the fetus is pulled within a controllable range. When this range is exceeded, the tension spring 21 will act in the opposite direction or will not contract but will stretch, at which point the fixed suction cup 22 will no longer pull the fetus outwards.
Furthermore, we can also control the vacuum between the fixed suction cup 22 and the fetal head by providing a second air pressure sensor in the fixed suction cup 22. The pressing force of the annular inflatable rubber ring 25 on the fetal scalp is adjusted by adjusting the vacuum degree, so that the head of the fetus is prevented from being damaged by the annular inflatable rubber ring 25.
As shown in fig. 1, a grab bar 7 for a parturient to hold is further disposed on the backrest plate 8, and a grip 6 is rotatably connected to an end of the grab bar 7 far from the backrest plate 8. The handle 6 can be held by the parturient when the parturient gives strength to give birth to the fetus. In the process of the parturient taking a fetus, the delivery assisting mechanism 1 moves towards the direction far away from the bed body. We want to: if the parturient can control the birth of the fetus by himself with the aid of the midwifery mechanism 1, it is a great advantage for the parturient, because the parturient's own feelings are more important than the doctor's judgment once he feels the unfavorable condition.
Thus, we have a pressure sensor inside the grip 6 and electrically connect the pressure sensor to the drive motor 18 through the control system. When the parturient clenches the grip 6 with hand strength, the pressure sensor on the grip 6 transmits the signal to the driving motor 18, at this time, the driving motor 18 can drive the friction wheel 19 to rotate, and the midwifery mechanism 1 can work normally; when the parturient releases the grip 6, the pressure sensor completely blocks the drive motor 18, and the drive motor 18 can no longer continue to operate. It is equivalent to a pressure sensor which is used as a protective measure for lying-in women. When a lying-in woman feels that the body of the lying-in woman cannot bear the pain of breaking away from the fetus, the aid of the delivery assisting mechanism 1 can be immediately stopped by loosening the handle 6, and compared with the situation that a doctor judges firstly and then operates the delivery assisting mechanism 1 to stop, the method is more direct and effective, and protects the lying-in woman to the greatest extent.
The above description is only exemplary of the present invention and should not be taken as limiting, and any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (4)

1. The utility model provides a clinical supplementary natural apparatus of obstetrical department which characterized in that: the bed comprises a bed body, a control system and a moving assembly, wherein the bed body comprises a bed plate (2), a plurality of lifting mechanisms are arranged at the bottom of the bed plate (2), the lifting mechanisms are used for adjusting the vertical distance between the bed plate (2) and the ground, the bed plate (2) is connected with a back plate (8) through a rotating mechanism, the bed body further comprises a plurality of air bags (5) arranged along the length direction of the bed plate (2) and the back plate (8), all the air bags (5) are uniformly distributed along the length direction of the surface of the back plate (8) of the bed plate (2), and the length of each air bag (5) is equal to the width of the bed plate (2) or the width of the back plate (8); the control system comprises a main control module, unit control systems and an air compressor, wherein one unit control system correspondingly controls one air bag (5), and the main control module controls all the unit control systems; the unit control system comprises a unit control module, a first air pressure sensor, an air inlet pipe and an exhaust pipe, wherein an air inlet electric control valve is arranged on the air inlet pipe, the on-off of the air inlet pipe is controlled by the air inlet electric control valve, one end of the air inlet pipe is communicated with an air compressor, the other end of the air inlet pipe is communicated with a corresponding air bag (5), and compressed air is introduced into the air bag (5) by the air compressor; an exhaust electric control valve is arranged on the exhaust pipe, the exhaust electric control valve is used for controlling the on-off of the exhaust pipe, one end of the exhaust pipe is communicated with the corresponding air bag (5), and the other end of the exhaust pipe is communicated with the atmosphere;
the moving assembly comprises a main hanging rod (16) and an auxiliary hanging rod (17) which are parallel to each other and are vertically arranged;
the lower end of the main hanging rod (16) is provided with a pulling-assisting component;
the pulling-assisted assembly comprises a pulling-assisted cylinder (20), a vacuum air pump and a fixed sucker (22) adaptive to the shape of the head of the fetus, and the vacuum air pump is communicated with the fixed sucker (22); the pull-assisting air cylinder (20) is rotatably connected with the main hanging rod (16), a piston rod of the pull-assisting air cylinder (20) is coaxially fixed with the fixed sucker (22), a tension spring (21) is sleeved on the piston rod of the pull-assisting air cylinder (20), one end of the tension spring (21) is fixed with the pull-assisting air cylinder (20), and the other end of the tension spring is fixed with the fixed sucker (22);
the fixed sucker (22) is provided with a conical inner cavity, the fixed sucker (22) comprises a closed end and an open end along the axial direction, and the inner cavity of the fixed sucker (22) is gradually enlarged from the closed end to the open end; an annular inflatable rubber ring (25) is arranged at the open end of the fixed sucker (22), and the outer ring surface of the annular inflatable rubber ring (25) is fixedly connected with the open end of the fixed sucker (22) in a sealing manner along the circumferential direction of the fixed sucker (22); the annular inflatable rubber ring (25) is provided with an inflation tube communicated with compressed air;
the pull-assisting cylinder (20) of the delivery assisting mechanism (1) moves from bottom to top along the track of the arc slide way (14a) under the synergistic action of the main hanging rod (16), the auxiliary hanging rod (17), the arc slide way (14a) and the driving motor (18), so that the motion track of a doctor during manual pull-assisting of a fetus is simulated, the pull-assisting cylinder (20) is fixed with the head of the fetus through the fixed sucker (22), and then an acting point is provided for pulling the fetus, and the connection principle of the fixed sucker (22) and the head of the fetus is as follows: the fixed sucker (22) approaches to the direction of the bed body until the fixed sucker (22) contacts with the head of a fetus, manual guiding is needed by a doctor at the moment, then a vacuum air pump extracts vacuum, the fixed sucker (22) sucks and keeps the head of the fetus, the driving motor (18) drives the friction wheel (19) to rotate through the connecting shaft, the rotating friction wheel (19) pulls the main hanging rod (16) and the auxiliary hanging rod (17) to move along the arc-shaped slide way (14a) towards the direction far away from the bed body, and in the process, the auxiliary pulling cylinder (20) and the main hanging rod (16) can rotate, so that the adaptation of angle change can be automatically completed, and the simulation of manually pulling the fetus is finally realized.
2. An obstetrical clinical auxiliary paragenetic device according to claim 1, characterized in that: slewing mechanism includes pivot and small motor (9), bed board (2) are articulated through the pivot with backplate (8), the pivot with backplate (8) fixed connection, pivot with bed board (2) rotate the connection, small motor (9) and bed board (2) fixed connection, the output shaft and the coaxial fixed of pivot of small motor (9), through the rotatory face and the ascending contained angle size in the horizontal direction that advances and adjust backplate (8) of small motor (9) drive pivot.
3. An obstetrical clinical auxiliary paragenetic device according to claim 1, characterized in that: elevating system is equipped with threely, and three elevating system all includes a base (13), a two-way cylinder (12) and a supporting seat (11) along the long direction equipartition of bed board (2), each elevating system, supporting seat (11) and bed board (2) fixed connection, the piston rod of cylinder is articulated with supporting seat (11), the cylinder with base (13) fixed connection.
4. An obstetrical clinical auxiliary paragenetic device according to claim 1, characterized in that: the cross section of the air bag (5) is semicircular, and the bottom plane of the air bag (5) is fixedly connected with the bed plate (2).
CN202011585253.1A 2020-12-28 2020-12-28 Clinical supplementary device of practising midwifery of obstetrical department Active CN112690985B (en)

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CN109044699A (en) * 2018-08-28 2018-12-21 河南科技大学第附属医院 It is a kind of convenient for puerpera disengaging it is underwater delivery bed

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