CN113274274A

CN113274274A - Back of body device is knocked in chest postoperative care

Info

Publication number: CN113274274A
Application number: CN202110544889.XA
Authority: CN
Inventors: 曹春平; 董梦圆
Original assignee: Henan Provincial Chest Hospital
Current assignee: Henan Provincial Chest Hospital
Priority date: 2021-05-19
Filing date: 2021-05-19
Publication date: 2021-08-20

Abstract

A back percussion device for nursing after a chest operation effectively solves the problem that the back percussion nursing of a patient after the chest operation is time-consuming and labor-consuming by medical staff at present; the bed comprises a bed body, wherein a fixing box is arranged on the right side of the bed body, a box body is arranged at the left end of the fixing box, a through groove is formed in the box body, a rectangular box is connected in the box body in a sliding mode, a back-bending plate is connected in the rectangular box in a sliding mode, a back-bending box is connected in the back-bending plate in a sliding mode, kidney-shaped racks are respectively arranged on the front side wall and the back side wall of the box body, a rotating shaft is connected on the back-bending box in a sliding mode, gears are respectively arranged at the; a fixed rod is connected in the back knocking box in a sliding mode through a spring, a silica gel pad is arranged at the upper end of the fixed rod, an inclined block is connected on the upper side of the fixed rod in a sliding mode through a pressure spring, a sliding block is arranged in the back knocking box, a pressing block is arranged at the upper end of the sliding block, and a wedge block is arranged in the back knocking box; the invention has ingenious design and convenient use, and reduces the workload of medical care personnel.

Description

Back of body device is knocked in chest postoperative care

Technical Field

The invention relates to the technical field of thoracic surgery nursing instruments, in particular to a back percussion device for thoracic surgery postoperative nursing.

Background

Thoracic surgery is a specialized medical department, and in a broad sense, the category of thoracic surgery is mainly from the upper bound, starting from 1 st pair of ribs, the front is the sternum, the back is the spine and encloses a closed ellipse, and from the lower bound, the 12 th costal bone and the front ribs and costal cartilage to the back spine, and all tissues and organs in the range from the upper bound to the back spine belong to the category of thoracic surgery. The narrow category refers to all organs in this anatomical range, including the esophagus, lung, mediastinum, lymph nodes, and the like, except the heart and large blood vessels.

Need carry out many-sided nursing to the patient after the thoracic surgery, wherein respiratory tract nursing is the key of thoracic surgery postoperative nursing, and medical personnel all need hold up the patient and beat the back at an interval period to help the sputum in the patient discharge respiratory tract, make the patient more unobstructed when breathing. But medical personnel hold up the patient alone and very easily pull forward patient's wound, and the hospital generally requires medical personnel to carry out from down upwards, the back of the body nursing of knocking from outside to inside to the patient moreover, wastes time and energy to medical personnel.

Disclosure of Invention

In view of the above situation, in order to overcome the defects of the prior art, the invention aims to provide a device, which effectively solves the problem that medical staff wastes time and labor when performing back percussion nursing on a patient after an external thoracic operation at present.

The technical scheme includes that the bed comprises a bed body, a fixing box is arranged on the right side of the bed body, a box body capable of swinging up and down is arranged at the left end of the fixing box, two through grooves which are opposite in the left-right direction and in the front-back direction are respectively formed in the front side and the back side of the box body, a rectangular box which is communicated up and down is respectively connected to the front side and the back side in the box body in a sliding mode, a return plate is connected in the rectangular box in a sliding mode, a back knocking box with an upward opening is connected in the return plate in a sliding mode, waist-shaped racks in the left-right direction are respectively arranged on the front side wall and the back side wall of the box body, a front axial rotating shaft and a back axial rotating shaft are connected on the back side of the back knocking box in a sliding mode, gears meshed with the waist-shaped racks are respectively arranged at the back ends of the two rotating shafts, U-shaped grooves with rightward openings are respectively formed in the front side and the back side of the lower side of the box body, and guide columns inserted into the U-shaped grooves on the corresponding sides of the return plate are respectively;

kowtow back of the body incasement through the dead lever of spring sliding connection upper and lower direction, the dead lever upper end is equipped with bowl type and opening silica gel pad up, silica gel pad can stretch out the logical groove of its corresponding side, the dead lever upside has the sloping block of left and right directions through pressure spring sliding connection, the sloping block right-hand member face is the high inclined plane in the low right side in a left side, kowtow back of the body incasement is equipped with the slider that can rotate and reciprocate along with the pivot, the slider upper end is equipped with the briquetting, kowtow back of the body incasement is equipped with the wedge that is located the sloping block below, the inclined plane on the wedge can with sloping block right-hand member face contact.

The multifunctional nursing bed is ingenious in concept and convenient to use, can replace hands of medical workers to carry out back-beating nursing on a patient from bottom to top and from outside to inside, accelerates the discharge of sputum in the respiratory tract of the patient, meets the nursing requirements of a hospital on a patient after a thoracic surgery, saves precious working time of the medical workers, and reduces the workload of the medical workers.

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 front elevational, step-cut isometric view of the housing of the present invention.

FIG. 4 is a top isometric view in full section of the case of the present invention.

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

FIG. 6 is a front perspective cutaway view of the housing of the present invention.

FIG. 7 is a left side elevational view, in full section, of the housing of the present invention.

Fig. 8 is an enlarged view of a in fig. 7 of the present invention.

Detailed Description

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

The multifunctional bed comprises a bed body 1, wherein a fixed box 2 is arranged on the right side of the bed body 1, a box body 3 capable of swinging up and down is arranged at the left end of the fixed box 2, two through grooves 4 which are opposite in the left-right direction and in the front-back direction are respectively arranged on the front side and the back side of the box body 3, a rectangular box 5 which is through up and down is respectively connected on the front side and the back side in the box body 3 in a sliding manner, a return plate 6 is connected in the rectangular box 5 in the sliding manner, a back knocking box 7 with an upward opening is connected in the return plate 6 in the sliding manner, kidney-shaped racks 8 in the left-right direction are respectively arranged on the front side wall and the back side wall of the box body 3, a rotating shaft 9 which is axial in the front-back direction and rotatable is connected on the back knocking box 7 in the sliding manner, gears 10 which are meshed with the kidney-shaped racks 8 are respectively arranged at the opposite ends of the rectangular box 5, U-shaped grooves 11 with rightward openings are respectively arranged on the front side and the back side of the box body 3, and the lower end of the return plate 6 is provided with a guide column 12 which is inserted into the U-shaped groove 11 on the corresponding side;

kowtow back of the body case 7 in through the dead lever 13 of spring sliding connection with upper and lower direction, dead lever 13 upper end is equipped with bowl type and opening silica gel pad 14 up, silica gel pad 14 can stretch out its logical groove 4 that corresponds the side, dead lever 13 upside has the sloping block 15 of left and right directions through pressure spring sliding connection, the sloping block 15 right-hand member face is the high inclined plane in the low right side in a left side, kowtow back of the body incasement is equipped with the slider 16 that can rotate and reciprocate along with pivot 9, slider 16 upper end is equipped with briquetting 17, kowtow back of the body incasement is equipped with the wedge 18 that is located sloping block 15 below, the inclined plane on the wedge 18 can with 15 right-hand member face contacts of sloping block.

In order to enable the swinging box to swing up and down, left and right axial fixed shafts 19 are respectively arranged on the front side and the rear side in the fixed box 2, a supporting block 20 is connected on the two fixed shafts 19 in a sliding manner, left and right connecting rods 21 are respectively hinged on the front side and the rear side of the box body 3, the free ends of the connecting rods 21 penetrate through the fixed box 2 and are connected with the sliding blocks 16 in a hinged manner, a left and right axial screw rod 22 in threaded connection with the supporting block 20 is connected on the fixed box 2 in a rotating manner, and the right end of the screw rod 22 penetrates through the fixed box 2 and is provided with a rocking handle.

In order to drive the two rotating shafts 9 to synchronously rotate, the box body 3 is internally and slidably connected with a shell 23 positioned between the two rectangular boxes 5, a front double-end motor 24 and a rear double-end motor 24 are arranged in the shell 23, and two free ends of the double-end motor 24 are respectively and coaxially and fixedly connected with the rotating shafts 9 on the corresponding sides.

In order to make the sliding block 16 move up and down along with the rotation of the rotating shaft 9, the back knocking box 7 is hinged with a rocker 25 in the up-down direction through a pin shaft, the rotating shaft 9 and the pin shaft are respectively provided with a belt wheel 26 coaxially, the belt wheel 26 on the rotating shaft 9 can slide along with the movement of the back knocking box 7, the two belt wheels 26 on the same side are connected through a belt, the lower end of the sliding block 16 is provided with a waist-shaped ring 27 in the left-right direction, and the free end of the rocker 25 is provided with an insertion column 28 inserted into the waist-shaped ring 27.

In order to enable the belt wheel 26 on the rotating shaft 9 to slide along with the movement of the back knocking box 7, a baffle 29 is arranged in the back knocking box 7, the belt wheel 26 on the rotating shaft 9 is positioned between the baffle 29 on the corresponding side and the back knocking box 7, the upper side and the lower side of the rotating shaft 9 are respectively provided with a key slot 30 distributed along the length direction, and the upper side and the lower side of the belt wheel 26 coaxial with the rotating shaft 9 are respectively provided with a guide rail 31 corresponding to the key slot 30.

In order to keep the gear 10 meshed with the corresponding kidney rack 8, fixing plates 32 are respectively arranged at the front side and the rear side in the box body 3, kidney slots 33 penetrating through the fixing plates 32 in the front and the rear direction are formed in the fixing plates 32, and the rotating shaft 9 is kept in contact with the side walls of the kidney slots 33 at the corresponding side.

In order to enable the clip 6 to be slidably connected with the rectangular box 5, the left end and the right end of the rectangular box 5 are respectively provided with two slide rails 34 which are opposite to each other in the front-back direction and in the up-down direction, and the clip 6 is provided with slide grooves which are in one-to-one correspondence with the guide rails 31.

In order to enable the rotating shaft 9 to move up and down in the clip-shaped plate 6 and the rectangular box 5, the left end and the right end of the clip-shaped plate 6 and the rectangular box 5 are respectively provided with an abdicating groove 35 which is vertically and horizontally communicated.

In order to prevent the patient from falling off the bed body 1, the front end and the rear end of the fixed box 2 are respectively provided with a guardrail.

When the invention is used, firstly, the upper end surface of the box body 3 is set to be in a horizontal initial state, the press block 17 is in an initial state above the inclined block 15, the silica gel pad 14 is in an initial state in the two through grooves 4 at the outer side, then a patient after operation is made to lie on the bed body 1, the upper body of the patient is made to be positioned right above the box body 3, and the lower body of the patient is made to be positioned right above the fixing box 2;

when a patient needs to be helped to knock the back to discharge sputum, a medical worker can rotate the rocking handle clockwise, the rocking handle drives the screw rod 22 to rotate clockwise, the screw rod 22 drives the supporting block 20 to slide leftwards along the two fixing shafts 19, the supporting block 20 drives the two connecting rods 21 to move leftwards, the two connecting rods 21 jointly push the box body 3 to swing upwards, the box body 3 drives the upper half of the patient to swing upwards, when the body of the patient swings, the guardrails at the front end and the rear end of the fixing box 2 can effectively prevent the patient from falling off the bed body 1, when the patient sits up from the bed body 1, the medical worker can stop rotating the rocking handle, and as the threaded connection between the screw rod 22 and the supporting block 20 has self-locking performance, the box body 3 is kept at the current position, namely, the body of the patient is kept in a sitting state;

medical personnel orders a patient to attach the back to the box body 3 tightly, then the double-end motor 24 is started, the double-end motor 24 drives the two rotating shafts 9 to rotate anticlockwise, the rotating shafts 9 drive the gears 10 on the corresponding sides to rotate anticlockwise, the gears 10 are meshed with the kidney-shaped racks 8 on the corresponding sides, when the gears 10 rotate anticlockwise, the back knocking box 7 is driven by the rotating shafts 9 to move leftwards, the back knocking box 7 drives the rectangular box 5 to slide leftwards through the back plate 6, and the back plate 6 drives the guide columns 12 to slide leftwards in the U-shaped grooves 11 on the corresponding sides;

meanwhile, the rotating shaft 9 drives the pin shaft to rotate anticlockwise through the belt and the belt wheel 26, the pin shaft drives the rocker 25 to swing anticlockwise, the rocker 25 drives the waist-shaped ring 27 to move downwards through the inserted column 28, the waist-shaped ring 27 drives the pressing block 17 to move downwards through the sliding block 16, the pressing block 17 drives the fixing rod 13 to move downwards through the inclined block 15, the fixing rod 13 drives the silica gel pad 14 to move downwards and compress the spring, the silica gel pad 14 gradually enters the box body 3, when the right end face of the inclined block 15 is in contact with the inclined face on the wedge block 18, the wedge block 18 continuously moves downwards along with the inclined block 15, the inclined block 15 is pressed leftwards, the inclined block 15 compresses a pressure spring between the inclined block 15 and the fixing rod 13 leftwards, and the contact area between the inclined block 15 and the pressing block 17 is gradually reduced;

when the inclined block 15 is completely separated from the pressing block 17, the fixing rod 13 starts to slide upwards quickly under the action of the spring, the fixing rod 13 drives the silica gel pads 14 to move upwards and to tap the back of a patient, after the pin shaft drives the rocker 25 to rotate anticlockwise for a half circle, the rocker 25 starts to drive the waist-shaped ring 27 to move upwards through the inserting column 28, the waist-shaped ring 27 drives the pressing block 17 to move upwards through the sliding block 16, the pressing block 17 presses the inclined block 15 leftwards and slides to the upper part of the inclined block 15, and the two silica gel pads 14 tap the back of the patient from bottom to top in the through groove 4 on the outer side along with the continuous rotation of the double-head motor 24;

when the gear 10 moves to the left end of the kidney-shaped rack 8, the gear 10 starts to gradually move downwards along the kidney-shaped rack 8, the gear 10 drives the back knocking box 7 to slide towards the bottom of the box body 3 through the rotating shaft 9, the rotating shaft 9 slides downwards in the abdicating groove 35 on the corresponding side of the rotating shaft 9, the back knocking box 7 drives the silica gel pad 14 to move downwards through the fixing rod 13, the guide post 12 slides to the left end of the U-shaped groove 11 and moves towards the middle of the box body 3 along the U-shaped groove 11, the two return plates 6 slide towards opposite directions along with the guide post 12, each slide rail 34 slides in the slide groove on the corresponding side of the slide rail, the two back knocking boxes 7 move towards opposite directions along with the return plates 6, the belt wheels 26 on the two rotating shafts 9 slide towards opposite directions along with the back knocking boxes 7 and the baffle 29, the two guide rails 31 on the belt wheels 26 respectively slide in the key grooves 30 on the corresponding sides of the belt 26, and the two silica gel pads 14 gradually face the through grooves 4 in the back knocking boxes;

when the gear 10 leaves the left end of the kidney-shaped rack 8, the two guide posts 12 slide to the opposite ends of the two U-shaped grooves 11 respectively, the gear 10 starts to drive the rotating shaft 9 to move rightwards, the rotating shaft 9 drives the return plate 6 and the rectangular box 5 to move rightwards through the back knocking box 7, the silica gel pad 14 is positioned in the box body 3 in the process of moving rightwards of the back knocking box 7, so that the back of a patient is not knocked when the silica gel pad 14 moves up and down in a reciprocating mode until the gear 10 moves to the right end of the kidney-shaped rack 8, the gear 10 drives the back knocking box 7 to slide upwards through the rotating shaft 9, the back knocking box 7 drives the silica gel pad 14 to move upwards and extend out of the through groove 4 on the inner side, when the gear 10 leaves the right end of the kidney-shaped rack 8, the gear 10 starts to drive the back knocking box 7 to move leftwards through the rotating shaft 9, the back knocking box 7 drives the silica gel pad 14 to move leftwards, the silica gel pad 14 moves leftwards and downwards in a reciprocating mode, and the back knocking from bottom to top is carried out on the inner side of the back of a patient.

The double-headed motor 24 of the present invention is prior art, and its circuit adopts the conventional connection method, and its structure will not be described in detail here.

The multifunctional nursing bed has the advantages that the conception is novel, the structure is ingenious, the operation is convenient, the practicability is high, the box body capable of swinging up and down is arranged, a patient lying down can be driven to sit up, the arranged guardrail can effectively avoid the accident that the patient falls down when the patient stands up, then medical personnel can drive the silica gel pad to carry out percussion on the back of the patient only by starting the double-end motor, and due to the arrangement of the gear and the kidney-shaped rack, the silica gel pad can only carry out back percussion nursing on the patient from bottom to top, and the arranged U-shaped groove and the guide column enable the silica gel pad to carry out back percussion on the back of the patient from outside to inside, so that the requirement of carrying out back percussion nursing on the patient in a hospital is met, the discharge of sputum in a fox island of the patient is accelerated, the pain of the patient.

Therefore, the back knocking device for nursing after the external thoracic operation can effectively solve the problems that medical workers waste time and labor when performing back knocking nursing on a patient after the external thoracic operation at present, is simple in structure and operation and convenient to use, and can accelerate the discharge of respiratory sputum of the patient.

Claims

1. The utility model provides a back of body device is knocked in extrathoracic postoperative care, which comprises a bed body (1), a serial communication port, bed body (1) right side is equipped with fixed box (2), but fixed box (2) left end is equipped with box (3) of luffing motion, two left and right sides orientation and relative logical groove (4) around and are seted up respectively to box (3) front and back both sides, rectangle box (5) that link up from top to bottom are respectively had to both sides around in box (3), sliding connection has back plate (6) in rectangle box (5), sliding connection has back of the body case (7) of knocking the back of the body case (7) that the opening faces upwards in time, waist shape rack (8) of the left and right sides orientation are equipped with respectively on both sides wall around box (3), sliding connection has front and back of the body case (7) axial and rotatable pivot (9), two pivot (9) back of the body ends of the back of the body run through rectangle box (5) respectively and be equipped with gear (10) that waist shape rack (8) mesh: the front side and the rear side of the lower side wall of the box body (3) are respectively provided with a U-shaped groove (11) with an opening facing right, and the lower end of the square-shaped plate (6) is provided with a guide post (12) inserted into the U-shaped groove (11) on the corresponding side;

kowtow back of body case (7) in through dead lever (13) of spring sliding connection orientation from top to bottom, dead lever (13) upper end is equipped with bowl type and opening silica gel pad (14) up, silica gel pad (14) can stretch out logical groove (4) of its corresponding side, dead lever (13) upside has sloping block (15) of left and right sides orientation through pressure spring sliding connection, the sloping block right-hand member face is the low high inclined plane in the right side in a left side, it rotates slider (16) that reciprocate to be equipped with along with pivot (9) in back of body case (7), slider (16) upper end is equipped with briquetting (17), it is equipped with wedge (18) that are located sloping block (15) below in back of body case (7) to kowtow, the inclined plane on wedge (18) can with sloping block (15) right-hand member face contact.

2. The external thoracic post-operation nursing back percussion device according to claim 1, wherein the fixing box (2) is provided with left and right axial fixing shafts (19) at the front and rear sides, the two fixing shafts (19) are slidably connected with a supporting block (20), the box body (3) is hinged with left and right connecting rods (21) at the front and rear sides, the free ends of the connecting rods (21) penetrate through the fixing box (2) and are hinged with the sliding blocks (16), the fixing box (2) is rotatably connected with left and right axial screws (22) in threaded connection with the supporting blocks (20), and the right end of the screw (22) penetrates through the fixing box (2) and is provided with a rocking handle.

3. The external thoracic post-operation nursing back knocking device according to claim 1, wherein the box body (3) is slidably connected with a shell (23) positioned between the two rectangular boxes (5), a front-back axial double-end motor (24) is arranged in the shell (23), and two free ends of the double-end motor (24) are respectively and coaxially and fixedly connected with the rotating shaft (9) on the corresponding side.

4. The extrathoracic postoperative care back knocking device according to claim 1, wherein the back knocking box (7) is hinged with a rocker (25) in an up-down direction through a pin shaft, belt wheels (26) are coaxially arranged on the rotating shaft (9) and the pin shaft respectively, the belt wheels (26) on the rotating shaft (9) can slide along with the movement of the back knocking box (7), the two belt wheels (26) on the same side are connected through a belt, a waist-shaped ring (27) in a left-right direction is arranged at the lower end of the sliding block (16), and a plug-in post (28) inserted into the waist-shaped ring (27) is arranged at the free end of the rocker (25).

5. The extrathoracic postoperative care back percussion device according to claim 1, wherein a baffle (29) is arranged in the back percussion box (7), the belt pulley (26) on the rotating shaft (9) is positioned between the baffle (29) on the corresponding side and the back percussion box (7), key slots (30) distributed along the length direction of the rotating shaft (9) are respectively arranged on the upper side and the lower side of the rotating shaft (9), and guide rails (31) corresponding to the key slots (30) are respectively arranged on the upper side and the lower side of the belt pulley (26) coaxial with the rotating shaft (9).

6. The external thoracic post-operation nursing back knocking device according to claim 1, wherein the box body (3) is provided with fixing plates (32) at the front and rear sides thereof, the fixing plates (32) are provided with a front and rear through waist-shaped groove (33), and the rotating shaft (9) is in contact with the side wall of the waist-shaped groove (33) at the corresponding side.

7. The external thoracic post-operation nursing back knocking device according to claim 1, wherein the left and right ends of the rectangular box (5) are respectively provided with two slide rails (34) which are opposite to each other in the front-back direction and up-down direction, and the clip-shaped plate (6) is provided with slide grooves which are in one-to-one correspondence with the guide rails (31).

8. The external thoracic post-operation nursing back knocking device according to claim 1, wherein the left and right ends of the clip-shaped plate (6) and the rectangular box (5) are respectively provided with an up-down through abdicating groove (35).

9. The external thoracic post-operation nursing back knocking device as claimed in claim 1, wherein the front and rear ends of the fixing box (2) are respectively provided with a guardrail.