CN113274183B - Pelvis fixator - Google Patents

Pelvis fixator Download PDF

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Publication number
CN113274183B
CN113274183B CN202110557473.1A CN202110557473A CN113274183B CN 113274183 B CN113274183 B CN 113274183B CN 202110557473 A CN202110557473 A CN 202110557473A CN 113274183 B CN113274183 B CN 113274183B
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CN
China
Prior art keywords
supporting
silica gel
pelvis
pressing rods
hydraulic cylinders
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CN202110557473.1A
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Chinese (zh)
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CN113274183A (en
Inventor
何斌
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Chongqing Bishan Peoples Hospital
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Chongqing Bishan Peoples Hospital
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Priority to CN202110557473.1A priority Critical patent/CN113274183B/en
Publication of CN113274183A publication Critical patent/CN113274183A/en
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    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests

Abstract

The invention discloses a pelvis fixer, which comprises a supporting mechanism, a fixing mechanism and a driving mechanism, wherein the supporting mechanism is arranged on the pelvis; the fixing mechanisms comprise silica gel pads and a plurality of pressing rods, the pressing rods are distributed in a rectangular array shape and are different in length, the silica gel pads are arranged on one sides of the pressing rods and are connected with the pressing rods, the two fixing mechanisms are symmetrically arranged, and the silica gel pads of the two fixing mechanisms can wrap the two sides of the hip of a human body; the driving mechanism comprises a plurality of hydraulic cylinders, and the hydraulic cylinders are connected with one ends of the pressing rods, which are far away from the silica gel pad; the supporting mechanism comprises two supporting plates and two supporting frames, the two supporting plates are symmetrically arranged, hydraulic cylinders of the two driving mechanisms are respectively arranged on the two supporting plates, and the two supporting plates are connected through the supporting frames. By using the pelvis fixer, the pressing position can be slightly changed, and the pressed skin is relieved while the pelvis fixing effect of a patient is ensured.

Description

Pelvis fixator
Technical Field
The invention particularly relates to a pelvis fixer.
Background
The pelvis is a pelvic framework connecting the spine and the lower limbs, and pelvic fracture is a serious trauma, which is mostly caused by high-energy trauma, and diagnosis and treatment of pelvic fracture are related to the life of patients. When treating in acute stage, pelvis fracture should be stabilized, vital signs should be detected, and simple pelvis belt or external fixing support can be adopted for early pelvis fixation, so as to recover pelvis stability and normal volume, and then operation treatment is performed.
At present, the stability of pelvis is maintained through the mode of parcel to the commonly used pelvis area, and this kind of mode is to patient's skin long-time airtight parcel, leads to skin pressure sore easily, and fixed bolster has the fixed position problem that can not remove, and the long-time same position of pressing skin of support leads to hematoma easily to cause complication etc..
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a pelvis fixer which can fix a pelvis through different positions.
In order to achieve the purpose, the invention is realized by the following technical scheme: a pelvis fixer comprises a supporting mechanism, a fixing mechanism and a driving mechanism;
the fixing mechanisms comprise silica gel pads and a plurality of pressing rods, the pressing rods are distributed in a rectangular array shape and are different in length, the silica gel pads are arranged on one sides of the pressing rods and are connected with the pressing rods, the two fixing mechanisms are symmetrically arranged, and the silica gel pads of the two fixing mechanisms can wrap the two sides of the hip of a human body;
the driving mechanism comprises a plurality of hydraulic cylinders, the number of the hydraulic cylinders is the same as that of the pressing rods, the hydraulic cylinders are connected in a one-to-one correspondence manner, and the hydraulic cylinders are connected with one ends, far away from the silica gel pad, of the pressing rods;
the supporting mechanism comprises two supporting plates and two supporting frames, the two supporting plates are symmetrically arranged, hydraulic cylinders of the two driving mechanisms are respectively arranged on the two supporting plates, and the two supporting plates are connected through the supporting frames.
Wrap up two fixed establishment respectively on patient's both sides buttock, matrix form array arrangement and the not different press the depression bar and be connected with the silica gel pad, make the shape of silica gel pad and the shape looks adaptation of buttock, thereby can laminate at patient's buttock, the pneumatic cylinder promotes the depression bar and exerts pressure to the buttock, can fix the pelvis, in the use, can make a plurality of press the depression bar and exert pressure and relax the buttock alternately, can change the position of pressing when keeping fixed effect, support frame and backup pad are used for the pneumatic cylinder position of fixed both sides, play stable effect.
The pelvis fixer has the beneficial effects that: the pressing rods arranged in a matrix are connected with the silica gel pad, so that the pressing points of the silica gel pad and the hip can be periodically and alternately changed under the condition that the overall shape of the silica gel pad is not changed, and the pelvis fixing effect can be ensured while the skin is relaxed.
Further, the pressing rod is made of carbon fiber materials.
The carbon fiber has the advantages of light weight and high strength, so that the whole weight of the device is light, and the fixing effect on the pelvis can be ensured.
Furthermore, a sliding rail is arranged on the supporting frame, and the supporting plate is connected with the sliding rail in a sliding manner.
The supporting plate slides on the sliding rail, and the fixing framework can be driven to move, so that the adjustment can be better carried out according to different patient body types.
Furthermore, the support frame is also provided with a driving gear and a rack, the driving gear is rotatably arranged in the middle of the support frame, a through hole is formed in the center of the driving gear, and a threaded hole communicated with the through hole is formed in the support frame;
the two racks are arranged along the axial direction of the sliding rail, are respectively positioned on two sides of the driving gear and are meshed with the driving gear, and the two racks are respectively connected with the two supporting plates.
Through rotating the driving gear, drive two rack orientation and be close to each other or the direction motion of keeping away from each other to drive two backup pads and the fixed establishment that is connected and remove, make both sides can remove simultaneously, have better stability, insert the position that locking bolt can lock backup pad and fixed establishment in through-hole and threaded hole.
Further, fixed establishment still includes the layer board, the shape of the one end of layer board and human buttock rear side looks adaptation to be connected with silica gel pad and backup pad, the other end is close to each other and is straight plate form, be equipped with the silica gel layer on the layer board.
The layer board is used for holding patient's buttock rear side, wraps up the buttock with the cooperation of silica gel pad, promotes the stability fixed to patient's pelvis.
Furthermore, two ends of the support frame are respectively provided with a lifting mechanism, the lifting frame comprises a screw rod and a lifting seat, the screw rod is in threaded connection with the lifting seat, the lifting seat is connected with the support frame, and the bottom of the screw rod is provided with a support seat;
and one end of each of the two supporting plates, which is close to each other, is provided with an arc-shaped groove.
The supporting seat of lead screw bottom is pressed on the sick bed, drives the lift seat through the rotation of lift seat pivot and reciprocates for the lead screw to can hold up patient's buttock through fixed establishment, be convenient for patient from arc wall department defecation.
Furthermore, the rotating shafts of the lifting seats are provided with hand-operated wheels, and the rotating shafts of the two lifting seats are connected along the same axis.
Through rotating one of them hand wheel, can drive two lift seats and rotate together to rise for two lead screws together, it is more convenient and go up and down simultaneously has better stability.
Furthermore, one ends, close to each other, of the two support plates are respectively provided with a limiting groove and a limiting rod, and the limiting rods are inserted in the limiting grooves and connected in a sliding mode.
The supporting plates on two sides can only move in the opposite direction or away from each other through the limiting rods and the limiting grooves, and stability is improved.
Furthermore, slots are formed in the ends, close to each other, of the two support plates, the cross section of one slot is L-shaped, the other end of the slot is communicated with the bottom of the support plate, a roller which is connected in a rotating mode is arranged at the bottom of the other slot, and sawteeth are arranged at the end portions, provided with the roller, of the slots.
The roller is sleeved with a disposable excrement bag, the disposable excrement bag is pulled out from the other slot, the disposable excrement bag can be used for being received by a patient when the patient defecates, and the saw teeth are used for pulling out the next excrement bag after being taken down.
Furthermore, the bottom of the support plate with the L-shaped slot is provided with a groove and a spring clamp, and the spring clamp is arranged in the groove.
When the patient defecates, the disposable defecation bag is pulled to the spring clamp and is fixed through the spring clamp, so that the nursing personnel can more conveniently take care of the defecation.
Drawings
In order to more clearly illustrate the embodiments of the present invention, the drawings, which are required to be used in the embodiments, will be briefly described below. In all the drawings, the elements or parts are not necessarily drawn to actual scale.
FIG. 1 is a front view of a pelvic fixator, according to an embodiment of the present invention;
FIG. 2 is a front view of a pelvic fixator as shown in FIG. 1;
FIG. 3 is a control view of a pressing rod of the pelvic fixator shown in FIG. 1;
FIG. 4 is a top view of the plate of a pelvic fixator shown in FIG. 1;
FIG. 5 is a side view of the plate of a pelvic fixator shown in FIG. 1;
reference numerals:
10-a support mechanism, 11-a support frame, 111-a slide rail, 112-a driving gear, 113-a rack, 114-a locking bolt and 12-a support plate;
20-a fixing mechanism, 21-a silica gel pad, 22-a pressing rod, 23-a supporting plate, 231-an arc groove, 232-a limiting rod, 233-a slot, 234-a roller and 235-a spring clamp;
30-driving mechanism, 31-hydraulic cylinder;
40-lifting mechanism, 41-screw rod, 42-lifting seat and 43-supporting seat.
Detailed Description
Embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for illustrating the technical solutions of the present invention more clearly, and therefore are only used as examples, and the protection scope of the present invention is not limited thereby.
Referring to fig. 1 to 5, the present invention provides a pelvis fixer, which includes a supporting mechanism 10, a fixing mechanism 20 and a driving mechanism 30, wherein the driving mechanism 30 drives the fixing mechanism 20 to fix and stabilize the pelvis of a patient, and can adjust the fixing position and force, and the supporting mechanism 10 is used for providing a supporting function for the device.
Specifically, fixed establishment 20 includes silica gel pad 21 and a plurality of pressing rod 22, presses the setting that the pressing rod 22 is array form distribution, and adjacent pressing rod 22 is close to mutually and forms a inseparable whole, and a plurality of length of pressing rod 22 differ, and the shape of enclosing is similar with human buttock side, and one side all is connected with silica gel pad 21, and fixed establishment 20 is equipped with two symmetrically, makes the silica gel pad 21 of both sides can include on the buttock of patient both sides.
Actuating mechanism 30 includes a plurality of pneumatic cylinders 31, and pneumatic cylinder 31 is miniature pneumatic cylinder 31, and quantity is the same with pressing the pressure pole 22, and is connected with the one end one-to-one that keeps away from silica gel pad 21 according to the pressure pole 22, can drive and press pressure pole 22 along axial motion, and supporting mechanism 10 includes backup pad 12 and support frame 11, and backup pad 12 symmetry is equipped with two, and sets up respectively on the both ends of support frame 11, and the pneumatic cylinder 31 of both sides is installed respectively in the backup pad 12 of both sides.
The two silica gel pads 21 are sleeved on the buttocks of the two sides of a patient, the silica gel pads 21 can be pushed to be attached to the buttocks of the patient through the pressing rods 22, further pressure is applied to achieve the effect of fixing a pelvis, a large number of pressing rods 22 are arranged behind the silica gel pads 21, the pressing rods 22 are telescopic through controlling different pressing rods, under the condition that the fixing effect is kept on the same position, the pressing position can be slightly changed, pressed skin is relaxed, and the control mode can be as shown in fig. 3. In order to improve the effect of stabilizing the pelvis, in the present embodiment, the pressing rod 22 is made of a carbon fiber material, which has the advantages of high strength and light weight, and the device provided with a large number of pressing rods 22 can reduce the weight and ensure the pelvis fixing effect.
Specifically, the support frame 11 is provided with a slide rail 111 and a rack 113 along the axial direction, the middle portion of the support frame is provided with a driving gear 112 rotatably connected, the number of the racks 113 is two, the racks are respectively engaged with two sides of the driving gear 112, the support plates 12 on two sides are both slidably connected with the slide rail 111, and are respectively connected with one ends of the two racks 113 far away from the driving gear 112, the driving gear 112 is provided with a through hole, and the support frame 11 is provided with a threaded hole communicated with the through hole. The driving gear 112 is screwed to drive the two racks 113 to move towards or away from each other, so as to drive the supporting plate 12 and the fixing mechanism 20 on the two sides to move relatively, when the medical instrument is used by a patient, the supporting frame 11 can be firstly placed on a sickbed, the medical instrument is gradually attached to the hip of the patient through the relative movement of the fixing mechanism 20, the driving gear 112 is fixed by the locking bolt 114, and then the driving mechanism 30 is used for further pressing.
Further, the fixing mechanism 20 further comprises a supporting plate 23, one end of the supporting plate 23 is matched with the rear side of the human hip in shape and is connected with the silica gel pad 21 and the supporting plate 12, and the other end of the supporting plate is in a straight plate shape and is arranged in a direction of approaching to each other. Because the patient of pelvis fracture all is bed-ridden state, consequently layer board 23 is used for holding the rear side of buttock, cooperates silica gel pad 21 to wrap up patient's buttock together, promotes the stability fixed to the pelvis. Be equipped with the silica gel layer on the layer board 23 for promote the travelling comfort, and the arc wall 231 has all been seted up to the one end that just is close to each other.
Still be equipped with elevating system 40 on support frame 11, including lead screw 41 and lift seat 42, the both ends of support frame 11 all are connected with lift seat 42, lead screw 41 sets up along vertical direction, and with lift seat 42 threaded connection, the bottom of lead screw 41 is equipped with supporting seat 43, supporting seat 43 is used for supporting whole device on the sick bed, rotate lift seat 42, make lift seat 42 for lead screw 41 upward movement, drive supporting mechanism 10 and fixed establishment 20 upward movement together, can upwards hold up patient's buttock, make the patient that the bed can not remove can pass through the arc wall 231 department defecation of two layer boards 23.
As shown in fig. 1 and 4, in order to improve stability, the rotating shafts of the two lifting seats 42 are arranged along the same axis and connected, and the hand wheel of one rotating shaft is shaken to drive the other rotating shaft to rotate together, so that the lifting seats 42 on two sides can be lifted simultaneously. The one end that two layer boards 23 are close to each other is equipped with spacing groove and gag lever post 232 respectively, and gag lever post 232 inserts and establishes spacing inslot and sliding connection, and gag lever post 232 and spacing groove can make two layer boards 23 remain on same horizontal plane all the time to go up and down simultaneously, hold up patient's buttock.
Specifically, as shown in fig. 5, slots 233 are further formed in the ends of the two support plates 23 close to each other, the slots 233 are formed in the horizontal direction, the cross section of the slot 233 of one support plate 23 is L-shaped, a roller 234 is arranged at the bottom of the other slot 233, and saw teeth are arranged at the end of the roller. The disposable defecation bag is sleeved on the roller 234, the disposable defecation bag is pulled into the other slot 233 and pulled out from the lower part each time a patient defecates, the patient defecates into the disposable defecation bag at the arc-shaped groove 231, and the disposable defecation bag is cut off by the saw teeth after use. In this embodiment, the bottom of the supporting plate 23 is provided with a groove and a spring clamp 235, the spring clamp 235 is arranged in the groove, the disposable urine bag is pulled to the spring clamp 235 during defecation, and the disposable urine bag is fixed by the spring clamp 235, so that a caregiver does not need to pull the urine bag all the time, and the work of the caregiver is reduced for a patient who defecates slowly.
The operating principle of the pelvis fixer is as follows: the device is placed on a sickbed, the driving gear 112 is rotated to drive the two racks 113 to move oppositely, the support plate 12 and the fixing mechanism 20 are driven to move, the silicone pad 21 and the supporting plate 23 wrap the buttocks of a patient, and the hydraulic rod pushes the pressing rod 22 and the silicone pad 21 to apply pressure to the buttocks so as to fix the pelvis. During a long fixing period, the pressing rod 22 is driven to extend and retract by controlling different hydraulic cylinders 31, so that the pressure is applied to the pelvis, and the pressure point of the skin is changed. When the patient needs to defecate, the hand wheel is rotated, the lifting seat 42 drives the support frame 11 to move upwards, so that the buttocks of the patient is supported by the supporting plate 23, the disposable defecation bag in the slot 233 is pulled into the other slot 233 and penetrates out, and the patient can defecate from the arc-shaped slot 231.
Use above-mentioned pelvis fixer, fix the pelvis through a large amount of small press rods, through pressing the alternating exerting pressure of press rod, can enough guarantee the fixed effect to the pelvis, can let the pressurized skin obtain appropriate relaxation again, the patient of still being convenient for defecation, during the patient of pelvis fracture bedridden for a long time, promote patient's comfort level.
The above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the embodiments of the present invention, and they should be construed as being covered by the appended claims and their equivalents.

Claims (5)

1. A pelvis fixer which is characterized in that: comprises a supporting mechanism, a fixing mechanism and a driving mechanism;
the fixing mechanisms comprise silica gel pads and a plurality of pressing rods, the pressing rods are arranged in an array distribution mode and are different in length, the silica gel pads are arranged on one sides of the pressing rods and are connected with the pressing rods, the two fixing mechanisms are symmetrically arranged, and the silica gel pads of the two fixing mechanisms can wrap the two sides of the hip of a human body;
the driving mechanism comprises a plurality of hydraulic cylinders, the number of the hydraulic cylinders is the same as that of the pressing rods, the hydraulic cylinders are connected in a one-to-one correspondence manner, and the hydraulic cylinders are connected with one ends, far away from the silica gel pad, of the pressing rods;
the supporting mechanism comprises two supporting plates and two supporting frames, the two supporting plates are symmetrically arranged, hydraulic cylinders of the two driving mechanisms are respectively arranged on the two supporting plates, and the two supporting plates are connected through the supporting frames;
the support frame is provided with a slide rail, and the support plate is connected with the slide rail in a sliding manner;
the fixing mechanism also comprises a supporting plate, one end of the supporting plate is matched with the rear side of the hip of the human body in shape and is connected with the silica gel pad and the supporting plate, the other end of the supporting plate is close to each other and is in a straight plate shape, and the supporting plate is provided with a silica gel layer;
slots are formed in one end, close to each other, of each supporting plate, the section of one slot is L-shaped, the other end of the slot is communicated with the bottom of each supporting plate, a roller in rotary connection is arranged at the bottom of the other slot, and sawteeth are arranged at the end parts, provided with the rollers, of the slots;
the bottom of the supporting plate with the L-shaped slot is provided with a groove and a spring clamp, and the spring clamp is arranged in the groove;
the pressing rod is made of carbon fiber materials.
2. A pelvic fixation device according to claim 1, wherein: the supporting frame is also provided with a driving gear and a rack, the driving gear is rotatably arranged in the middle of the supporting frame, a through hole is formed in the center of the driving gear, and a threaded hole communicated with the through hole is formed in the supporting frame;
the rack is provided with two racks along the axial direction of the slide rail, the two racks are respectively positioned on two sides of the driving gear and meshed with the driving gear, and the two racks are respectively connected with the two supporting plates.
3. A pelvic fixation device according to claim 1, wherein: the lifting mechanism comprises a screw rod and a lifting seat, the screw rod is in threaded connection with the lifting seat, the lifting seat is connected with the support frame, and a support seat is arranged at the bottom of the screw rod;
and one end of each of the two supporting plates, which is close to each other, is provided with an arc-shaped groove.
4. A pelvic fixator according to claim 3, wherein: the pivot of lift seat is equipped with hand round, and the pivot of two lift seats is connected along same axis.
5. A pelvic fixator according to claim 1, wherein: and one ends of the two supporting plates, which are close to each other, are respectively provided with a limiting groove and a limiting rod, and the limiting rods are inserted in the limiting grooves and are in sliding connection.
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