CN113952151A - Dismantling-free lithotomy position leg-erecting bed and operation method thereof - Google Patents
Dismantling-free lithotomy position leg-erecting bed and operation method thereof Download PDFInfo
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- CN113952151A CN113952151A CN202111409792.4A CN202111409792A CN113952151A CN 113952151 A CN113952151 A CN 113952151A CN 202111409792 A CN202111409792 A CN 202111409792A CN 113952151 A CN113952151 A CN 113952151A
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- 238000002504 lithotomy Methods 0.000 title claims abstract description 41
- 238000000034 method Methods 0.000 title claims abstract description 23
- 210000002414 leg Anatomy 0.000 claims abstract description 112
- 210000000689 upper leg Anatomy 0.000 claims abstract description 71
- 230000033001 locomotion Effects 0.000 claims abstract description 10
- 244000309466 calf Species 0.000 claims description 20
- 230000000903 blocking effect Effects 0.000 claims description 12
- 239000002184 metal Substances 0.000 claims description 6
- 210000001698 popliteal fossa Anatomy 0.000 claims description 5
- 230000000712 assembly Effects 0.000 claims description 2
- 238000000429 assembly Methods 0.000 claims description 2
- 238000005452 bending Methods 0.000 claims 1
- 230000008569 process Effects 0.000 abstract description 9
- 208000010392 Bone Fractures Diseases 0.000 abstract description 4
- 206010017076 Fracture Diseases 0.000 abstract description 4
- 230000005540 biological transmission Effects 0.000 description 13
- 230000000694 effects Effects 0.000 description 4
- 238000010030 laminating Methods 0.000 description 4
- 210000001624 hip Anatomy 0.000 description 3
- 210000004394 hip joint Anatomy 0.000 description 3
- 210000003414 extremity Anatomy 0.000 description 2
- 210000002640 perineum Anatomy 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 210000001217 buttock Anatomy 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 210000004392 genitalia Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/02—Adjustable operating tables; Controls therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/1245—Knees, upper or lower legs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
- A61G13/129—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having surface parts for adaptation of the size, e.g. for extension or reduction
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- Invalid Beds And Related Equipment (AREA)
Abstract
The invention belongs to the field of medical instruments, and particularly relates to a disassembly-free lithotomy position leg-frame bed and an operation method thereof, wherein the leg-frame bed comprises an upper half body bed body and two deformable leg frames which are positioned on the same plane; the deformable leg frame comprises thigh supporting plates, shank supporting plates and an arc-shaped telescopic sleeve connected between the thigh supporting plates and the shank supporting plates, the shank supporting plates move along an arc-shaped movement track by taking a fixed point as a circle center, the shank supporting plates are of an anti-reverse sliding drawer structure, and the two thigh supporting plates are respectively connected with an upper half bed body through a lockable rotating shaft assembly, so that the two thigh supporting plates can be opened and locked at a certain angle. The invention avoids the inconvenience of dismantling the original bed body and needing an external leg support kit in the previous lithotomy position operation, and the thigh supporting plate, the shank supporting plate and other structures can be always attached to the leg of the patient in the deformation process, thereby ensuring the comfort of the patient, reducing the fracture risk, facilitating the clinical work, improving the efficiency and reducing the risk.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a disassembly-free lithotomy position leg frame bed and an operation method thereof.
Background
The lithotomy position is a commonly used operation position, and can be used for operations of perineum, external genitalia and anus parts due to the fact that the lithotomy position can expose the perineum area to the maximum extent, and is particularly important and commonly used for urology surgery and obstetrics and gynecology. In specific operation process, need let patient's upper half body lie flat or lie flat in certain angle, the buttock is close to the operation table body edge, and two low limbs abduction are raised, use two low limbs that outside fixing device will raise to fix, and the flow is more loaded down with trivial details and needs patient's self cooperation. In most cases, the patient needs to move or be carried to the operating bed by himself, and in the process, the external fixing device of the leg is fixed beside the bed to influence the movement of the patient, so the general leg fixing device is external, and is installed additionally by the operator and the assistant after the patient is placed on the operating bed, and after the patient puts up the two legs, the redundant bed below the hip of the patient needs to be detached again, so as to leave the space for the operator to perform the operation. After the operation is finished, the legs are laid flat, and the leg fixing devices are detached. If the general anesthesia operation is performed, an assistant is required to carry the two legs of the patient. In any of the above procedures of moving the legs, there is a possibility that the waist, hip and even knee joints of the patient are fractured by adjusting the relative positions of the leg fixing devices and the legs, which increases the injuries completely unrelated to the operation.
Therefore, based on the problems, the dismantling-free lithotomy position frame leg bed and the operation method thereof are provided, and have important practical significance.
Disclosure of Invention
In order to reduce the hidden danger and simplify the whole operation process, the dismantling-free lithotomy position leg rest bed integrates the external leg fixing device with the lower half part of the operation bed to be dismantled, when the body position of a patient is regulated, the lower half part of the bed body of the leg rest bed is always attached to two lower limbs of the patient, the body position is placed under the condition that no part is required to be dismantled, and because structures such as a thigh supporting plate and a shank supporting plate are attached to the leg part, the relative position of the leg and the leg rest is not required to be regulated, the risk of fracture caused by excessive movement of the patient is reduced, the manpower in the posture placing process is reduced, and the dismantling-free lithotomy position leg rest bed is used for other operations without deformation.
The technical scheme adopted by the invention for solving the problem is as follows:
a disassembly-free lithotomy position frame leg bed comprises an upper half body bed body and two deformable leg frames which are positioned on the same plane;
the deformable leg frame comprises thigh supporting plates, shank supporting plates and an arc-shaped telescopic sleeve connected between the thigh supporting plates and the shank supporting plates, the shank supporting plates move along an arc-shaped movement track by taking a fixed point as a circle center, the shank supporting plates are of an anti-reverse sliding drawer structure, and the two thigh supporting plates are respectively connected with an upper half bed body through a lockable rotating shaft assembly, so that the two thigh supporting plates can be opened and locked at a certain angle.
Preferably, when the two deformable leg frames are in an undeformed state, the two deformable leg frames are mounted side by side on the feet of the upper body bed body, and the upper end surface of the upper body bed body is positioned on the same plane as the upper end surfaces of the thigh supporting plate and the shank supporting plate.
Preferably, a headrest is fixed on the head side of the upper half bed body, and handrail fences are fixed on the two sides of the upper half bed body.
Preferably, the shank support plate comprises a drawer support plate and a sliding support plate slidably mounted in the drawer support plate, a ratchet layer is arranged on the upper end surface of the drawer support plate along the length direction of the drawer support plate, an anti-slip grid blocking piece is rotatably arranged on the foot side of the sliding support plate, and when the anti-slip grid blocking piece abuts against one ratchet on the ratchet layer, the sliding support plate cannot move towards the foot side of the drawer support plate.
Preferably, the upper end of the sliding support plate is integrally provided with a leg pad, and the upper end surface of the leg pad is provided with a concave surface matched with the position of the lower leg of the patient along the length direction.
Further preferred, scalable external member includes the arc inner tube, matches the arc outer tube of cup jointing in the arc inner tube outside and is used for the first screw thread retaining member of fixed arc inner tube and arc outer tube position between, the free end of arc inner tube links to each other with the lower extreme of drawer support plate through the loose axle subassembly that can lock, the free end of arc outer tube and the lower extreme fixed connection of thigh support plate.
Further preferably, the movable shaft assembly includes:
the connecting piece is an n-shaped metal piece and is fixed at the lower end of the drawer supporting plate;
and the connecting shaft is integrally formed at the free end of the arc-shaped inner pipe, and the connecting shaft is inserted into the connecting piece and is movably connected and locked through a second threaded locking piece.
Further preferably, the rotating shaft assembly includes:
a rotating shaft fixed at the lower end of the upper half body bed body;
the rotary rod, it is the metal pole of buckling, the rotary rod is located the below of the upper half of the body bed body, the one end of rotary rod is passed through the axle sleeve and is rotated and install on the rotation axis, and the other end passes through the lower extreme of fix with screw at thigh layer board.
Further preferably, the rotation axis subassembly still includes the control handle pole that is used for locking position between axle sleeve and the rotation axis, the one end of control handle pole is fixed with third screw thread retaining member, seted up along its radial on the axle sleeve and link up the screw hole, third screw thread retaining member screw thread is installed and is link up on the screw hole and offset with the rotation axis.
The second invention of the present invention is directed to: the operation method of the dismantling-free lithotomy position leg bed comprises the following steps:
the method comprises the following steps: when the two deformable leg frames are in an undeformed state, the leg frame bed is used as a normal operating bed;
step two: before operation, a patient lies on a leg-supporting bed, the head of the patient is positioned above a headrest, the upper half body of the patient is positioned above a bed body of the upper half body, two legs of the patient are respectively positioned on two deformable leg supports, thighs of the patient are positioned above thigh supporting plates, and the calves of the patient are positioned above calf supporting plates;
step three: the two thigh supporting plates can be adjusted to be opened at a certain angle on the plane of the cross section of the upper body bed body through the rotating shaft assembly, and the opening angle is locked through the control handle rod;
step four: the lower leg supporting plate can be adjusted to rotate on the sagittal plane of the lower leg supporting plate through the movable shaft assembly and is locked by the second threaded locking piece;
step five: the telescopic sleeve can adjust the shank supporting plate to move along an arc-shaped movement track on the plane where the longitudinal section of the thigh supporting plate is located by taking a certain point as the center of a circle and lock the position through the first threaded locking part, so that the shank supporting plate is ejected in the air and lifted, and the patient lifts the two legs to keep the lithotomy position;
step six: the position of the sliding support plate in the drawer support plate is adjusted according to the leg length of a patient, the sliding support plate can be pushed towards the head side of the drawer support plate by pushing the sliding support plate, after the sliding support plate reaches a proper position, the anti-skidding grid blocking piece abuts against one of the ratchets on the ratchet layer, and the sliding support plate cannot move towards the foot side of the drawer support plate, so that when the patient is in a state that the shank is raised at the lithotomy position and the thigh is suspended, the sliding support plate can push towards the head side of the patient to abut against the fitting popliteal fossa;
step seven: after the leg-supporting bed is deformed, starting the operation;
step eight: after the operation is finished, resetting is carried out;
firstly, manually rotating the anti-skid grid blocking piece, separating the anti-skid grid blocking piece from the ratchet layer, and moving the sliding supporting plate towards the foot side of the drawer supporting plate for resetting;
then, the first threaded locking piece is unlocked to adjust the shank supporting plate to reset through the telescopic sleeve piece, and the shank supporting plate is locked through the first threaded locking piece after the resetting is finished;
then, the second threaded locking piece is unlocked, the movable shaft assembly is used for adjusting the shank supporting plate to reset, and the second threaded locking piece is locked after the resetting is finished;
and finally, rotating the control handle rod, adjusting the two thigh supporting plates to reset through the rotating shaft assembly, and locking the positions through the control handle rod after the resetting is completed, so that the leg support bed can be continuously used as a normal operation bed.
The invention has the advantages and positive effects that:
1. the invention avoids the inconvenience of dismantling the original bed body and needing an external leg support kit in the previous lithotomy position operation, and the thigh supporting plate, the shank supporting plate and other structures can be always attached to the leg of the patient in the deformation process, thereby ensuring the comfort of the patient, reducing the fracture risk, facilitating the clinical work, improving the efficiency and reducing the risk.
2. In the invention, the upper half part of the deformable leg frame is a thigh supporting plate for placing the thighs of the patient, and the upper half part is connected with the upper bed body through the rotating shaft assembly, so that the deformable leg frame can help the legs of the patient to be fixed at any time when the legs are unfolded at any angle.
3. According to the invention, the lower half part of the deformable leg frame is of an anti-reverse-sliding drawer structure, and due to the fact that the lengths of thighs of different patients are different, when the shank of the lithotomy position is raised and the thigh is suspended, the sliding support plate can be pushed to the head side of the patient to abut against the fitting popliteal fossa and be locked, the leg of the patient can be fitted, the leg can be suspended and fixed more firmly, and the comfort level of the patient is improved.
4. According to the invention, the thigh supporting plate and the shank supporting plate are connected by virtue of the telescopic sleeve, when the telescopic sleeve is extended, the shank tray can be ejected out in the air to be lifted, so that the effect of helping a patient to lift two legs to keep the lithotomy position is achieved, and meanwhile, the telescopic sleeve is designed to be semicircular, so that the arc-shaped inner tube is ensured to move around a fixed circle center in the extending and extending process, and the physiological characteristic of rotating around the hip joint as the thigh is lifted is met.
5. According to the invention, the arc-shaped inner tube is connected with the drawer supporting plate by the movable shaft assembly, the drawer supporting plate can rotate on the sagittal plane by the shaft, the sagittal plane rotation is improved when the shank is placed, and the movable shaft assembly is provided with a locking piece, so that the position can be fixed when the shank rotates to a satisfactory position.
Drawings
The technical solutions of the present invention will be described in further detail below with reference to the accompanying drawings and examples, but it should be understood that these drawings are designed for illustrative purposes only and thus do not limit the scope of the present invention. Furthermore, unless otherwise indicated, the drawings are intended to be illustrative of the structural configurations described herein and are not necessarily drawn to scale.
FIG. 1 is a schematic perspective view of the present invention;
FIG. 2 is a perspective view of a lower leg support plate;
FIG. 3 is a schematic perspective view of a drawer tray;
FIG. 4 is a schematic perspective view of a sliding plate;
FIG. 5 is a schematic top view of the present invention;
FIG. 6 is a schematic view of the deformable leg of FIG. 5 in an open position;
FIG. 7 is a schematic bottom view of the present invention;
FIG. 8 is an enlarged view of the portion A of FIG. 7;
FIG. 9 is an enlarged view of the portion B of FIG. 7;
FIG. 10 is a schematic bottom view of the structure of FIG. 6;
FIG. 11 is a side view schematic of the present invention;
FIG. 12 is a schematic structural view of the lower leg support of FIG. 11 in a deformed state;
fig. 13 is an enlarged view of the portion C of fig. 12.
In the figure: 1. the novel multifunctional bed comprises an upper half bed body, 2 parts of a deformable leg frame, 201 parts of a thigh supporting plate, 202 parts of a calf supporting plate, 2021 parts of a drawer supporting plate, 2022 parts of a sliding supporting plate, 2023 parts of a slide way, 2024 parts of a ratchet layer, 2025 parts of an anti-slip grid blocking piece, 203 parts of a telescopic kit, 2031 parts of an arc-shaped inner pipe, 2032 parts of an arc-shaped outer pipe, 2033 parts of a first threaded locking member, 3 parts of a rotating shaft assembly, 301 parts of a rotating shaft, 302 parts of a rotating shaft, 303 parts of a shaft sleeve, 304 parts of a control handle rod, 305 parts of a third threaded locking member, 4 parts of a headrest, 5 parts of an armrest fence, 6 parts of a movable shaft assembly, 601 parts of a connecting member, 602 parts of a connecting shaft, 603 parts of a second threaded locking member.
Detailed Description
First, it should be noted that the specific structures, features, advantages, etc. of the present invention will be specifically described below by way of example, but all the descriptions are for illustrative purposes only and should not be construed as limiting the present invention in any way. Furthermore, any single feature described or implicit in any embodiment or any single feature shown or implicit in any drawing may still be combined or subtracted between any of the features (or equivalents thereof) to obtain still further embodiments of the invention that may not be directly mentioned herein. In addition, for the sake of simplicity, the same or similar features may be indicated in only one place in the same drawing.
In the present invention, unless otherwise expressly specified or limited, the terms "mounted," "disposed," "connected," "secured," "screwed" and the like are to be construed broadly, e.g., as meaning fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; the terms may be directly connected or indirectly connected through an intermediate, and may be communication between two elements or interaction relationship between two elements, unless otherwise specifically limited, and the specific meaning of the terms in the present invention will be understood by those skilled in the art according to specific situations. The present invention will be described in detail with reference to the accompanying drawings.
Example 1:
a disassembly-free lithotomy position frame leg bed comprises an upper body bed body 1 and two deformable leg frames 2 which are positioned on the same plane; the deformable leg frame 2 comprises a thigh supporting plate 201, a shank supporting plate 202 and an arc-shaped telescopic sleeve 203 connected between the thigh supporting plate 201 and the shank supporting plate 202, wherein the telescopic sleeve 203 is preferably semicircular, so that the shank supporting plate 202 moves along an arc-shaped movement track on a plane where a longitudinal section of the thigh supporting plate 201 is located with a certain point as a center of a circle, the shank supporting plate 202 is of an anti-backsliding drawer structure, and the two thigh supporting plates 201 are respectively connected with the upper half bed 1 through lockable rotating shaft assemblies 3, so that the two thigh supporting plates 201 can be opened and locked at a certain angle on the plane where a transverse section of the upper half bed 1 is located.
In this embodiment, as shown in fig. 1 to 13, the leg rest bed includes an upper body bed body 1 and two deformable leg rests 2 located on the same plane, and when the two deformable leg rests 2 are in an undeformed state, the leg rest bed can be used as a normal operating bed.
Wherein: the deformable leg frame is divided into two parts, the upper half part is a thigh supporting plate 201 for placing the thigh of the patient, the upper half part is connected with the upper half body bed body 1 through a rotating shaft component 3, the axis of the rotating shaft component is vertical to the horizontal plane, and the rotating shaft component is provided with a locking piece and can rotate on the horizontal plane, so that the deformable leg frame of the lower half body can be fixed at any time when the deformable leg frame of the lower half body helps the patient to abduct at any angle. The lower leg support plate 202 is an anti-reverse sliding drawer structure, which is composed of a drawer support plate 2021 with a ratchet layer (sawtooth slide rail) at the bottom and a sliding support plate 2022 at the top. The sliding support plate 2022 at the top can be pushed to the head side of the patient, the tail end (namely the foot side) of the sliding support plate is provided with an anti-slip grid baffle plate, the anti-slip grid baffle plate can rotate in the sagittal plane, when the sliding support plate 2022 slides, the anti-slip grid baffle plate can prop against the sawteeth of the sliding rail to play a role in preventing anti-slip, and when the position of the sliding support plate 2022 needs to be restored, the anti-slip grid baffle plate is rotated to separate the anti-slip grid baffle plate from the sawteeth. Because different patients thigh length is different, can push sliding support plate 2022 to patient's head side and withstand laminating popliteal nest when the lithotomy position shank is raised and the thigh hangs empty, laminating patient's shank can let the unsettled fixed more firm of shank and patient's comfort level improve. And is connected between the thigh support plate 201 and the shank support plate 202 by a semicircular telescopic sleeve. This scalable external member mainly includes two parts, and the outside part is hollow arc outer tube, welds with thigh layer board bottom, and the inside part is that the arc inner tube links to each other by the loose axle subassembly with drawer layer board 2021, and this axle makes drawer layer board can be rotatory at the sagittal plane, and the rotatory improvement of sagittal plane when the position is put to the help shank has the retaining member on the loose axle subassembly, makes rotatory can fixed position when to the satisfied position. And the arc inner tube inserts the arc outer tube inboard, and when needs used, the arc outer tube part of outside is taken out to inboard arc inner tube part, and the extension of this semi-circular scalable external member makes the unsettled ejecting of shank tray raise, reaches the effect that the help patient raised both legs and keeps the lithotomy position. The telescopic sleeve is designed to be semicircular, so that the arc-shaped inner tube is ensured to move around a fixed circle center in the extending and extending process, and the physiological characteristic of rotation around the circle center of the hip joint when the thigh is lifted is met. And a locking piece is arranged between the arc-shaped inner pipe and the arc-shaped outer pipe to fix the relative position. This leg-rest bed has removed the inconvenience that the former bed body just needs external leg-rest external member of previous lithotomy position operation dismantlement from, and the bed body can laminate patient's shank always at deformation in-process, has guaranteed patient's comfort level, has reduceed the fracture risk, makes clinical work more convenient, raises the efficiency and reduces the risk.
The specific operation steps are as follows: when an operation is needed, a patient lies on a leg-supporting bed, the upper half body is positioned above a bed body of the upper half body, two legs are respectively positioned on two deformable leg frames, thighs are positioned above thigh supporting plates, and calves are positioned above the calf supporting plates, firstly, the rotating shaft assembly 3 is used for adjusting the two thigh supporting plates to be opened at a certain angle on the plane of the transverse section of the upper half body 1 and locking the opened angle, then the calf supporting plates are adjusted to rotate on the sagittal plane and to be locked at the position, then, the arc-shaped telescopic sleeve piece can be used for adjusting the calf supporting plates to move along the arc-shaped motion track on the plane of the longitudinal section of the thigh supporting plates by taking a certain point as the circle center and pass through the locked position, so that the calf supporting plates are suspended and ejected and lifted, the patient raises the two legs to keep the lithotomy position, finally, the position of the sliding supporting plates in the popliteal supporting plate is adjusted according to the leg length of the patient, so that the sliding supporting plate 2022 is supported against the position of the fitting fossa, that is, when the patient is in the state that the lower leg of the lithotomy position is raised and the thigh is suspended, the sliding support plate can push the head side of the patient to prop against the popliteal fossa, the leg support bed is deformed, and the operation is started.
Further, in the present embodiment, when the two deformable legs 2 are in the non-deformed state, the two deformable legs 2 are mounted side by side on the foot side of the upper body bed 1, and the upper end surface of the upper body bed 1 is located on the same plane as the upper end surfaces of the thigh support plate 201 and the shank support plate 202, and in this case, the leg rest bed may be used as a normal operation bed.
In this embodiment, a headrest 4 is fixed to the head side of the upper body bed 1, and handrail bars 5 are fixed to both sides of the upper body bed, and the handrail bars 5 can be used to clamp and mount an instrument.
Further, in this embodiment, it is considered that the lower leg support plate 202 includes a drawer support plate 2021 and a sliding support plate 2022 slidably mounted in the drawer support plate 2021, the sliding support plate 2022 is slidably connected to the drawer support plate 2021 through a slide 2023, the slide 2023 extends along the length direction of the drawer support plate 2021, a ratchet layer 2024 is disposed on the upper end surface of the drawer support plate 2021 along the length direction thereof, an anti-slip stopper 2025 is rotatably disposed on the foot side of the sliding support plate 2022, and when the anti-slip stopper 2025 abuts against one of the ratchets on the ratchet layer 2024, the sliding support plate 202 cannot move toward the foot side of the drawer support plate 2021.
In this embodiment, as shown in fig. 1-4, the lower leg support plate 202 includes a drawer support plate 2021 and a sliding support plate 2022 slidably mounted within the drawer support plate 2021. The top sliding splint 2022 can be pushed towards the head of the patient, the foot side of the sliding splint is provided with the anti-slip grid baffle 2025, the anti-slip grid baffle 2025 can rotate on the sagittal plane, when the sliding splint 2022 slides, the anti-slip grid baffle 2025 can prop against one of the ratchets on the ratchet layer 2024, thereby playing the effect of preventing the anti-slip, and when the position of the sliding splint 2022 needs to be restored, the anti-slip grid baffle 2025 is rotated, and the anti-slip grid baffle 2025 is separated from the ratchet layer 2024. This design makes when the patient is in the lithotomy position, can be different according to different patient thigh length, can push sliding support plate 2022 to patient head side and withstand laminating popliteal nest when the lithotomy position shank is raised and the thigh hangs, and laminating patient's shank can let the unsettled fixed more firm and patient's comfort level improve of shank.
Further, in this embodiment, it can be considered that the upper end of the sliding support plate 202 is integrally provided with a leg pad, and the upper end surface of the leg pad is provided with a concave surface 2026 matched with the position of the lower leg of the patient along the length direction thereof, so that the leg of the patient can be attached to the leg of the patient, the leg can be suspended and fixed more firmly, and the comfort of the patient is improved.
Example 2:
For example: as shown in fig. 11 to 13, the retractable set 203 includes an arc-shaped inner tube 2031, an arc-shaped outer tube 2032 sleeved outside the arc-shaped inner tube 2031 in a matching manner, and a first thread locking member 2033 for fixing the position between the arc-shaped inner tube 2031 and the arc-shaped outer tube 2032, the free end of the arc-shaped inner tube 2031 is connected with the lower end of the drawer tray 2021 through a lockable movable shaft assembly 6, and the free end of the arc-shaped outer tube 2032 is fixedly connected with the lower end of the thigh tray 201.
In this embodiment, thigh layer board 201 and shank layer board 202 are connected by semicircular scalable external member 203, this scalable external member mainly includes two parts, the outside part is hollow arc outer tube, with thigh layer board bottom welding, the inside part is that arc inner tube and drawer layer board 2021 lean on loose axle subassembly 6 to be connected, loose axle subassembly 6 can make drawer layer board 2021 rotatory at the sagittal plane, help the shank when putting the position sagittal plane rotation and improve, the loose axle subassembly is last to have the retaining member, can fix the position when making rotatory to the satisfaction position.
As shown in fig. 11-12, the inner arc-shaped tube is inserted into the inner side of the outer arc-shaped tube, when the position of the calf support plate needs to be adjusted, the inner arc-shaped tube 2031 is partially drawn out from the outer arc-shaped tube 2032, the semi-circular telescopic sleeve is extended, so that the calf tray is lifted in a suspended and ejected manner, and the effect of helping a patient to lift the both legs to keep the lithotomy position is achieved. The telescopic sleeve is designed to be semicircular, so that the arc-shaped inner tube is ensured to move around a fixed circle center in the extending and extending process, and the physiological characteristic of rotation around the circle center of the hip joint when the thigh is lifted is met. And a locking piece is arranged between the arc-shaped inner pipe and the arc-shaped outer pipe to fix the relative position.
It should be noted that there are various implementations of locking the position between the inner arc-shaped tube 2031 and the outer arc-shaped tube 2032 by the first threaded locking member 2033, for example, one implementation form is as follows: a pair of spout has been seted up along the circumferencial direction of arc outer tube, and the arc inner tube stretches into the tip in the arc outer tube and sets up the inner tube screw hole that runs through, and first thread locking piece 2033 can be but not be limited to for the large bolt, and first thread locking piece 2033 runs through spout and inner tube screw hole and locks through the nut. Or in another embodiment: the circumferencial direction interval along the arc outer tube is equipped with a plurality of outer tube screw holes that run through, and the arc inner tube stretches into the intraductal tip of arc outer and offers the inner tube screw hole that runs through, and first thread locking piece 2033 can be but not limited to for the large-size bolt, and first thread locking piece 2033 runs through outer tube screw hole and inner tube screw hole and locks through the nut.
Still further in this embodiment, it is contemplated that the movable shaft assembly 6 includes:
the connecting piece 601 is an n-shaped metal piece, and the connecting piece 601 is fixed at the lower end of the drawer supporting plate 2021;
a connecting shaft 602 integrally formed at a free end of the inner pipe 2031, wherein the connecting shaft 602 is inserted into the connecting member 601 and movably connected and locked by a second screw locking member 603, and the second screw locking member 603 may be, but not limited to, a bolt.
In this embodiment, as shown in fig. 12-13, when the angle of inclination of the calf support plate on the sagittal plane needs to be adjusted, the second threaded locking member 603 is unscrewed, and at this time, the arc-shaped inner tube 2031 can drive the connecting shaft 602 to rotate in the connecting member 601, so that the drawer support plate 2021 rotates on the sagittal plane, which helps the calf to rotate higher in the sagittal plane when in a laying position, and when the calf rotates to a satisfactory position, the second threaded locking member is screwed on the nut, and the n-shaped connecting member 601 deforms and presses on the connecting shaft 602, so that the position between the arc-shaped inner tube and the calf support plate 202 is fixed, thereby fixing the position of the calf support plate.
Example 3:
For example: as shown in fig. 5 to 10, the rotating shaft assembly 3 includes:
a rotating shaft 301 fixed to the lower end of the upper body frame 1, wherein the axis of the rotating shaft 301 is perpendicular to the upper body frame 1;
and a rotating rod 302 which is a metal bent rod, wherein the rotating rod 302 is positioned below the upper half bed body 1, one end of the rotating rod 302 is rotatably installed on the rotating shaft 301 through a shaft sleeve 303, and the other end of the rotating rod 302 is fixed at the lower end of the thigh supporting plate 201 through a screw.
In this embodiment, the axis of the rotating shaft 301 of the rotating shaft assembly 3 is perpendicular to the horizontal plane and fixed at the lower end of the upper half bed body 1, a shaft sleeve 303 is integrally formed at one end of the rotating rod 302, the shaft sleeve 303 is rotatably installed on the rotating shaft 301, the other end of the rotating rod 302 is fixed at the lower end of the thigh supporting plate 201 through a screw, and the rotating rod and the deformable leg frame can be driven to rotate on the horizontal plane by rotating the shaft sleeve on the rotating shaft, so that the deformable leg frame of the lower half body can help the legs of the patient to extend at any angle. In the present embodiment, it is preferable that the deformable leg frame 2 is rotated between 0 and 120 degrees on the horizontal plane.
It should be noted that the two shaft sleeves 303 can also be connected through a transmission assembly, so that the two shaft sleeves 303 can synchronously rotate in opposite directions, and when the shaft sleeves 303 rotate, the other shaft sleeve 303 can also rotate in the opposite direction at the same angle. The transmission assembly can be but is not limited to transmission gears meshed with each other, and the two transmission gears are respectively arranged on the outer sides of the two shaft sleeves; the transmission assembly can also be a transmission chain wheel and a transmission chain, the two transmission chain wheels are respectively arranged on the outer sides of the two shaft sleeves and are meshed with the transmission chain, one transmission chain wheel is arranged on the inner side of the transmission chain, and the other transmission chain wheel is arranged on the outer side of the transmission chain.
It is further contemplated in this embodiment that the rotation shaft assembly 3 further comprises a control handle rod 304 for locking the position between the shaft sleeve 303 and the rotation shaft 301, a third threaded locking member 305 is fixed at one end of the control handle rod 304, the third threaded locking member 305 can be, but is not limited to, a threaded rod, a through screw hole is formed in the shaft sleeve 303 along the radial direction thereof, and the third threaded locking member 305 is threadedly mounted on the through screw hole and abuts against the rotation shaft 301, so that the transformable leg support 2 can be fixed at any time when the patient abducts legs at any angle.
In this embodiment, when the opening included angle between two deformable leg frames 2 needs to be adjusted, the reverse rotation control handle bar 304 enables the third threaded locking piece 305 to be screwed out towards the outer side of the shaft sleeve 303, at this time, the third threaded locking piece 305 does not offset against the rotating shaft 301, the forward and backward swinging control handle bar 304 can drive the shaft sleeve to rotate on the rotating shaft, and then the rotating rod is driven, the deformable leg frames rotate on the horizontal plane, after the satisfactory position is adjusted, the forward rotation control handle bar 304 enables the third threaded locking piece 305 to be screwed in towards the inner side of the shaft sleeve 303, the third threaded locking piece 305 offsets against the rotating shaft 301, so that the deformable leg frames 2 can be fixed at any time when the patient abduction arbitrary angle is achieved.
Example 4:
an operation method of a dismantling-free lithotomy position leg-frame bed comprises the following steps:
the method comprises the following steps: when the two deformable leg frames 2 are in an undeformed state, the leg frame bed is used as a normal operating bed;
step two: before operation, a patient lies on a leg-supporting bed, the head of the patient is positioned above a headrest 4, the upper half of the patient is positioned above an upper half bed body 1, two legs of the patient are respectively positioned on two deformable leg supports 2, thighs of the patient are positioned above a thigh supporting plate 201, and the calves of the patient are positioned above a calf supporting plate 202;
step three: the two thigh supporting plates 201 can be adjusted to be opened at a certain angle on the plane of the cross section of the upper body bed body 1 through the rotating shaft assembly 3, and the opening angle is locked through the control handle rod 304;
step four: the lower leg support plate 202 can be adjusted to rotate in the sagittal plane through the movable shaft assembly 6 and is locked in position through the second threaded lock 603;
step five: the shank supporting plate 202 can be adjusted to move along an arc-shaped movement track on the plane where the longitudinal section of the shank supporting plate 201 is located by the telescopic sleeve 203 with a certain point as a circle center and is locked by the first threaded locking part 2033, so that the shank supporting plate 202 is lifted in the air and lifted, and the patient lifts the two legs to keep the lithotomy position;
step six: the position of the sliding support plate 2022 in the drawer support plate 2021 is adjusted according to the leg length of the patient, the sliding support plate 2022 is pushed towards the head side of the drawer support plate 2021 by pushing the sliding support plate 2022, after the proper position is reached, the anti-slip lattice blocking piece 2025 abuts against one of the ratchets on the ratchet layer 2024, and the sliding support plate 2022 cannot move towards the foot side of the drawer support plate 2021, so that when the patient is in a state that the shank is raised at the lithotomy position and the thigh is suspended, the sliding support plate 2022 can push towards the head side of the patient to abut against the popliteal fossa;
step seven: after the leg-supporting bed is deformed, starting the operation;
step eight: after the operation is finished, resetting is carried out;
firstly, the anti-slip grid block sheet 2025 is manually rotated, the anti-slip grid block sheet 2025 is separated from the ratchet layer 2024, and the sliding support plate 202 moves towards the foot side of the drawer support plate 2021 to reset;
then, the first threaded locking member 2033 is unlocked, the shank support plate 202 is adjusted to reset through the telescopic sleeve 203, and the shank support plate is locked by the first threaded locking member 2033 after the reset is completed;
then, the second threaded locking member 603 is unlocked, the movable shaft assembly 6 is used for adjusting the shank supporting plate 202 to reset, and the second threaded locking member 603 is locked after the resetting is finished;
finally, the control handle rod 304 is rotated, the two thigh supporting plates 201 are adjusted through the rotating shaft assembly 3 to reset, and after the resetting is completed, the leg support bed can be continuously used as a normal operation bed through the control handle rod 304 to be locked.
The present invention has been described in detail with reference to the above examples, but the description is only for the preferred examples of the present invention and should not be construed as limiting the scope of the present invention. All equivalent changes and modifications made within the scope of the present invention shall fall within the scope of the present invention.
Claims (10)
1. The utility model provides a exempt from to dismantle lithotomy position frame leg bed which characterized in that: comprises an upper half body bed body (1) and two deformable leg frames (2) which are positioned on the same plane;
the deformable leg frame (2) comprises thigh supporting plates (201), shank supporting plates (202) and arc-shaped telescopic kits (203) connected between the thigh supporting plates and the shank supporting plates, the shank supporting plates (202) move along arc-shaped movement tracks by taking a certain point as a circle center, the shank supporting plates (202) are of anti-reverse sliding drawer structures, the two thigh supporting plates (201) are connected with an upper body bed body (1) through lockable rotating shaft assemblies (3), and the two thigh supporting plates (201) can be opened and locked at a certain angle.
2. The disassembly-free lithotomy position frame leg bed of claim 1, characterized in that: when the two deformable leg frames (2) are in an undeformed state, the two deformable leg frames (2) are arranged side by side on the foot side of the upper half body bed body (1), and the upper end surface of the upper half body bed body (1) and the upper end surfaces of the thigh supporting plate (201) and the shank supporting plate (202) are positioned on the same plane.
3. The disassembly-free lithotomy position frame leg bed of claim 2, characterized in that: the headrest (4) is fixed on the head side of the upper half bed body (1), and the handrail fences (5) are fixed on the two sides.
4. The disassembly-free lithotomy position frame leg bed of claim 2, characterized in that: the calf supporting plate (202) comprises a drawer supporting plate (2021) and a sliding supporting plate (2022) which is slidably mounted in the drawer supporting plate (2021), a ratchet layer (2024) is arranged on the upper end face of the drawer supporting plate (2021) along the length direction of the drawer supporting plate, an anti-slip lattice blocking piece (2025) is rotatably arranged on the foot side of the sliding supporting plate (2022), and when the anti-slip lattice blocking piece (2025) abuts against one of the ratchets on the ratchet layer (2024), the sliding supporting plate (2022) cannot move towards the foot side of the drawer supporting plate (2021).
5. The disassembly-free lithotomy position frame leg bed of claim 4, characterized in that: the upper end of the sliding supporting plate (2022) is integrally provided with a leg pad, and the upper end surface of the leg pad is provided with a concave surface (2026) matched with the shank of the patient along the length direction.
6. The disassembly-free lithotomy frame leg bed of any of claims 1-5, wherein: scalable external member (203) including arc inner tube (2031), match and cup joint arc outer tube (2032) in the arc inner tube (2031) outside and be used for fixed arc inner tube (2031) and arc outer tube (2032) between first screw thread retaining member (2033) of position, the free end of arc inner tube (2031) links to each other with the lower extreme of drawer support plate (2021) through lockable loose axle subassembly (6), the free end of arc outer tube (2032) and the lower extreme fixed connection of thigh support plate (201).
7. The disassembly-free lithotomy position frame leg bed of claim 6, characterized in that: the movable shaft assembly (6) comprises:
the connecting piece (601) is an n-shaped metal piece, and the connecting piece (601) is fixed at the lower end of the drawer supporting plate (2021);
and the connecting shaft (602) is integrally formed at the free end of the arc-shaped inner pipe (2031), and the connecting shaft (602) is inserted into the connecting piece (601) and movably connected and locked through a second threaded locking piece (603).
8. The disassembly-free lithotomy frame leg bed of any of claims 1-5, wherein: the rotating shaft assembly (3) includes:
a rotating shaft (301) fixed to the lower end of the upper body bed (1);
the rotary rod (302) is a metal bending rod, the rotary rod (302) is positioned below the upper half bed body (1), one end of the rotary rod (302) is rotatably installed on the rotary shaft (301) through a shaft sleeve (303), and the other end of the rotary rod is fixed at the lower end of the thigh supporting plate (201) through a screw.
9. The disassembly-free lithotomy position leg rest bed of claim 8, characterized in that: the rotation axis subassembly (3) still include the control handle pole (304) that is used for locking position between axle sleeve (303) and rotation axis (301), the one end of control handle pole (304) is fixed with third screw thread retaining member (305), seted up along its radial on axle sleeve (303) and link up the screw hole, third screw thread retaining member (305) screw thread is installed and is link up on the screw hole and offset with rotation axis (301) are link up.
10. An operation method of a dismantling-free lithotomy position leg-frame bed is characterized in that: the method comprises the following steps:
the method comprises the following steps: when the two deformable leg frames (2) are in an undeformed state, the leg frame bed is used as a normal operating bed;
step two: before operation, a patient lies on a leg-supporting bed, the head of the patient is positioned above a headrest 4, the upper half of the patient is positioned above an upper half bed body (1), two legs of the patient are respectively positioned on two deformable leg frames (2), thighs of the patient are positioned above a thigh supporting plate (201), and the calves of the patient are positioned above a calf supporting plate (202);
step three: the two thigh supporting plates (201) can be adjusted to be opened at a certain angle on the plane of the cross section of the upper body bed body (1) through the rotating shaft assembly (3) and the opening angle is locked through the control handle rod (304);
step four: the shank supporting plate (202) can be adjusted to rotate in the sagittal plane through the movable shaft assembly (6) and is locked in the position through a second threaded locking piece (603);
step five: the shank supporting plate (202) can be adjusted to move along an arc-shaped movement track on the plane where the longitudinal section of the thigh supporting plate (201) is located by using a certain point as a circle center through the telescopic sleeve (203), and the shank supporting plate (202) is ejected in the air and lifted through the locking position of the first threaded locking piece (2033), so that the two legs of a patient are lifted to keep the lithotomy position;
step six: the position of the sliding support plate (2022) in the drawer support plate (2021) is adjusted according to the leg length of a patient, the sliding support plate (2022) is pushed towards the head side of the drawer support plate (2021) by pushing the sliding support plate (2022), after the sliding support plate reaches a proper position, the anti-skidding lattice blocking plate (2025) abuts against one of ratchets on the ratchet layer (2024), and the sliding support plate (2022) cannot move towards the foot side of the drawer support plate (2021), so that when the patient is in a state that the lower leg is lifted at a lithotomy position and the thigh is suspended, the sliding support plate (2022) can push the head side of the patient to abut against the fitting popliteal fossa;
step seven: after the leg-supporting bed is deformed, starting the operation;
step eight: after the operation is finished, resetting is carried out;
firstly, the anti-skid grid blocking piece (2025) is manually rotated, the anti-skid grid blocking piece (2025) is separated from the ratchet layer (2024), and the sliding supporting plate (2022) moves towards the foot side of the drawer supporting plate (2021) to reset;
then, the first thread locking piece (2033) is unlocked, the shank supporting plate (202) is adjusted to reset through the telescopic sleeve piece (203), and the shank supporting plate is locked by the first thread locking piece (2033) after the reset is completed;
then, the second threaded locking piece (603) is unlocked, the shank supporting plate (202) is adjusted to reset through the movable shaft assembly (6), and the shank supporting plate is locked by the second threaded locking piece (603) after the reset is completed;
and finally, the control handle rod (304) is rotated, the two thigh supporting plates (201) are adjusted to reset through the rotating shaft assembly (3), the position is locked through the control handle rod (304) after the resetting is completed, and the leg support bed can be continuously used as a normal operation bed.
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CN202111409792.4A CN113952151A (en) | 2021-11-25 | 2021-11-25 | Dismantling-free lithotomy position leg-erecting bed and operation method thereof |
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CN202111409792.4A CN113952151A (en) | 2021-11-25 | 2021-11-25 | Dismantling-free lithotomy position leg-erecting bed and operation method thereof |
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CN111135008A (en) * | 2020-01-14 | 2020-05-12 | 北京市春立正达医疗器械股份有限公司 | Knee joint operation support |
CN111297613A (en) * | 2020-02-23 | 2020-06-19 | 江西省人民医院 | Assembled multi-angle special bed for orthopedic leg surgery |
CN213770732U (en) * | 2020-12-11 | 2021-07-23 | 河南拾玖卫材有限公司 | Centering mechanism is adjusted in cloth rewinder material loading |
CN216455871U (en) * | 2021-11-25 | 2022-05-10 | 天津市泌尿外科研究所 | Exempt from to dismantle stone cutting position frame leg bed |
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WO2012129097A1 (en) * | 2011-03-21 | 2012-09-27 | Pamichev Christo | Methods and systems for performing hip joint distraction |
CN206044923U (en) * | 2016-05-18 | 2017-03-29 | 浙江中医药大学附属第三医院 | A kind of surgical stent for fracture of femoral neck operation |
CN107432808A (en) * | 2017-05-08 | 2017-12-05 | 北京大学第医院 | Medical operation bed |
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