CN114259224A - Otolithiasis diagnosis and treatment system - Google Patents

Otolithiasis diagnosis and treatment system Download PDF

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Publication number
CN114259224A
CN114259224A CN202111596658.XA CN202111596658A CN114259224A CN 114259224 A CN114259224 A CN 114259224A CN 202111596658 A CN202111596658 A CN 202111596658A CN 114259224 A CN114259224 A CN 114259224A
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patient
seat
arm
rotating
motor
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杜荣海
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Abstract

The invention discloses an otolithiasis diagnosis and treatment system, which comprises a seat, a pressure rod, a transverse moving frame, a vertical rotating motor, a vertical rotating arm, a fixed arm, a longitudinal rotating arm, a transverse rotating motor, an electric push rod, a transverse moving motor, a rack, a gear and a longitudinal rotating motor, wherein the seat is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and a foot support for supporting the two feet of the patient, the upper side of the seat plate is provided with an upper binding band, and the position corresponding to the lower leg of the patient is provided with a lower binding band; the upper end of the backrest is provided with a headrest for fixing the head of a patient; the upper end of the pressure lever is rotationally connected with the seat and driven by an electric push rod, the seat is rotationally connected with the longitudinal rotating arm, the transverse rotating motor drives the transverse rotating motion of the seat, the longitudinal rotating arm is rotationally connected with the vertical rotating arm, the longitudinal rotating motor drives the longitudinal rotating motion of the seat, the vertical rotating arm and the transverse moving frame form a moving pair, the transverse moving motor drives the transverse moving motion of the seat, and the transverse moving frame is rotationally connected with the fixed arm and drives the vertical rotating motion of the seat by the vertical rotating motor.

Description

Otolithiasis diagnosis and treatment system
Technical Field
The invention relates to the technical field of medical instruments, in particular to an otolithiasis diagnosis and treatment system.
Background
Otolith is also called Benign Paroxysmal Positional Vertigo (BPPV), otolith is a tiny calcium carbonate salt crystal in the inner ear, the otolith is attached to an otolith membrane under normal conditions, the otolith can swim in the lymph fluid in the inner ear after being detached, when the head of a human body changes, the semicircular canal also changes position, and the submerged otolith can move along with the flowing of the fluid, so that semicircular canal hair cells are stimulated, the body is caused to have strong vertigo, and severe symptoms such as nausea and vomiting can be accompanied; the semicircular canal is an important structure for sensing the posture change of a human body, and is divided into an upper semicircular canal, a lower semicircular canal and an outer semicircular canal, wherein the planes of the upper semicircular canal, the lower semicircular canal and the outer semicircular canal are vertical to each other, and the change postures of the human body on different planes are sensed; the diagnosis and treatment principle of the semicircular canals is that the corresponding semicircular canals are stimulated by accelerating or decelerating rotation of the plane where the corresponding semicircular canals are located, and the function conditions of the semicircular canals can be known through the examination of the eye shake.
The treatment of otolithiasis mainly comprises reduction, namely, the otolith falling into the semicircular canal returns to the oval sac again by using the posture change. The clinical treatment methods are divided into manual reduction and medical device reduction, wherein manual reduction is commonly used, but manual reduction has some defects: firstly, the requirement on an attending physician is very high, the physician needs to determine a diagnosis means for the pathogenesis of otolithiasis, and the treatment method has very professional knowledge; secondly, the reduction angle cannot be accurately mastered in the treatment process, and only a plurality of attempts can be made by experience; for obese patients or patients suffering from lumbar spondylosis and cervical spondylosis, the reduction treatment difficulty is higher, and secondary damage to the lumbar vertebra or the cervical vertebra of the patients is easily caused; fourthly, the physical strength requirement of the doctors is high, the body positions of the patients need to be changed for many times in the treatment process, and the doctors are easy to feel tired. Clinical medical equipment that adopts resets and treats has degree of automation height, the efficient characteristics of treatment, but present otolith diagnosis and treatment equipment that resets still has some defects: firstly, the equipment has larger volume and weight, which causes larger occupied space; the freedom degree is less, and generally only two rotational freedom degrees are provided, so that the patient needs to frequently adjust the body position in the resetting treatment process; thirdly, the pipe pair has no freedom of movement, and can not carry out vertigo diagnosis on the semicircular canal in an acceleration or deceleration state; the head position accurate positioning is lacked, the plane of the semicircular canal cannot be accurately positioned, and the accurate positioning of the semicircular canal has very important significance for otolithiasis reduction diagnosis and treatment; the mature system is mostly imported equipment, which causes high purchase cost and is not beneficial to popularization to small and medium hospitals. Therefore, the otolithiasis diagnosis and treatment system with multiple degrees of freedom, low cost and rich functions is developed to finish diagnosis and treatment of patients, and has obvious economic and social benefits.
Disclosure of Invention
In order to overcome the defects of the prior art, the invention aims to provide the otolith diagnosis and treatment system which is low in cost, high in intelligent degree and good in effect.
The technical scheme adopted by the invention is as follows: the utility model provides a system is diagnose to otolith disease, includes seat, depression bar, sideslip frame, erects to change the motor, erects rocking arm, fixed arm, indulges rocking arm, sideslip motor, electric putter, sideslip motor, rack, gear, indulge and change the motor, its characterized in that: the chair is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and foot supports for supporting the feet of the patient, the upper side of the seat plate is provided with an upper bandage, and the position corresponding to the position of the lower leg of the patient is provided with a lower bandage; the upper end of the backrest is provided with a headrest for fixing the head of a patient; the upper end of the pressure lever is rotationally connected with the seat and driven by an electric push rod, the seat is rotationally connected with the longitudinal rotating arm, the transverse rotating motor drives the transverse rotating motion of the seat, the longitudinal rotating arm is rotationally connected with the vertical rotating arm, the longitudinal rotating motor drives the longitudinal rotating motion of the seat, the vertical rotating arm and the transverse moving frame form a moving pair, the transverse moving motor drives the transverse moving motion of the seat, and the transverse moving frame is rotationally connected with the fixed arm and drives the vertical rotating motion of the seat by the vertical rotating motor.
Preferably, the chair is movable and locked in position on the cross-frame so that a centrifugal test can be performed on a patient's unilateral semicircular canal.
Preferably, the compression bar can realize the fixation of the upper half of the body of the patient on the chair, two handles which can be held by both hands of the patient are arranged on the front side of the compression bar, and the compression bar is beneficial to the stabilization of the body of the patient and the enhancement of the safety of the patient in the resetting treatment process.
Preferably, the upper bandage is used for fixing the thigh of the patient, the lower bandage is used for fixing the lower leg of the patient, so that the lower body of the patient is fixed on the chair, and the upper bandage and the lower bandage can be quickly connected and opened through the socket structure.
As preferred, the headrest surface covers there is the silica gel material, also has comparatively comfortable contact experience when realizing patient's head location.
Preferably, the upper end of the pressure lever is arranged to be spacious, so that the shoulders of a patient are prevented from being crushed, and the lower end of the pressure lever is arranged to be a transverse lever protruding forwards, so that the pressure lever is prevented from causing excessive compression on the abdomen of the patient.
Preferably, the number of the transverse rotating motors is two, so that the rotating torques at two sides of the seat are the same, and seat torsion caused by single-side driving is avoided.
The invention has the beneficial effects that: the chair has three rotational degrees of freedom, so that the patient can rotate in any angle and direction in three dimensions of space, and the reduction treatment of the otolithiasis of the patient is completed through the rotation and the positioning of the three dimensions; the chair has a degree of freedom of movement, and the transverse moving motor can enable a patient to realize transverse acceleration or deceleration, so that the semicircular canal can be tested in an acceleration and deceleration state; and thirdly, the centrifugal test can be carried out on the unilateral semicircular canal of the patient by changing the vertical rotation axis position of the seat.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention.
Fig. 2 is a schematic view of the overall structure of the present invention.
Fig. 3 is a schematic view showing four postures of otolith diagnosis and treatment according to the present invention.
FIG. 4 is a schematic diagram of a semicircular tube centrifugation test.
Reference numerals: the multifunctional seat comprises a seat 1, a headrest 1.1, an upper binding belt 1.2, a lower binding belt 1.3, a foot support 1.4, an adapter seat 1.5, a pressure lever 2, a handle 2.1, a rotating rod 2.2, a transverse moving frame 3, a vertical rotating motor 4, a vertical rotating arm 5, a fixed arm 6, a longitudinal rotating arm 7, a transverse rotating motor 8, an electric push rod 9, a transverse moving motor 10, a rack 11, a gear 12 and a longitudinal rotating motor 13.
Detailed Description
The present invention will be further described with reference to specific examples, which are illustrative of the invention and are not to be construed as limiting the invention.
As shown in figure 1, the seat 1 is provided with a seat plate for a patient to sit, the upper side of the seat plate is provided with an upper bandage 1.2, the upper bandage 1.2 can be connected and opened quickly through a socket structure, the upper bandage 1.2 is used for binding the thigh part of the patient to fix the body of the patient on the seat, the back is arranged at the rear side of the seat 1, the top end of the back is provided with a headrest 1.1, the middle of the headrest 1.1 is of a concave structure for positioning the head of the patient to prevent the head of the patient from swinging left and right in the process of restoration treatment, the outer surface of the headrest 1.1 is covered with silica gel materials, the seat 1 has more comfortable contact experience while the head is positioned, the lower end of the seat 1 is provided with a foot support 1.4, the foot support 1.4 can be trampled by two feet of the patient to support the shank of the patient, the lower end of the seat 1 is provided with a lower bandage 1.3 corresponding to the shank position of the patient, the socket structure can be connected and opened quickly, the lower bandage 1.3 is used for binding the shank part of the patient, the lower leg is fixed to the seat 1.
2 upper ends of depression bar and the 1 upper end rear side of seat rotate to be connected, depression bar 2 is pipe fitting bending structure, be used for compressing tightly patient's upper part of the body on the back, 2 outside claddings of depression bar have the silica gel material, make the patient have better contact experience, 2 front sides of depression bar are equipped with two handles 2.1, handle 2.1 can supply patient's both hands to grip, the health that is favorable to the patient to stabilize oneself and reinforcing patient's sense of safety in the treatment process that resets, because shoulder position soft tissue covers less, so the comparatively spacious that 2 upper ends of depression bar set up, prevent to press wounded patient's shoulder, because the belly position does not have the skeleton protection, so 2 lower extremes of depression bar set up to outstanding horizontal pole forward, prevent that depression bar 2 from causing too much oppression to patient's belly.
As shown in fig. 2, the rear side of the backrest is provided with an adapter 1.5, the rear end of the pressure lever 2 is provided with a rotating lever 2.2, the lower end of the electric push rod 9 is rotatably connected with the adapter 1.5, the upper end of the electric push rod 9 is rotatably connected with the rotating lever 2.2, so that the electric push rod 9 extends to enable the pressure lever 2 to rotate downwards and press the upper half of the patient, and the electric push rod 9 contracts to enable the pressure lever 2 to rotate upwards to enable the patient to get on or off the chair.
The left side of the seat 1 is transversely provided with a left rotating shaft, the left rotating shaft is fixedly connected with the left side of the seat 1 through three support rods, the right side of the seat 1 is transversely provided with a right rotating shaft, the right rotating shaft is fixedly connected with the right side of the seat 1 through three support rods, the axes of the left rotating shaft and the right rotating shaft are superposed, the front end of the longitudinal rotating arm 7 is divided into a left fork arm and a right fork arm, the left fork arm and the right fork arm are respectively provided with a lightening hole, the front end of the left fork arm and the left rotating shaft on the left side of the seat 1 form a revolute pair, the outer side of the front end of the left fork arm is fixedly provided with a transverse rotating motor 8, the output shaft of the transverse rotating motor 8 is coaxially and fixedly connected with the left rotating shaft, the front end of the right fork arm and the right rotating shaft on the right side of the seat 1 form a revolute pair, the outer side of the front end of the left fork arm is fixedly provided with a transverse rotating motor, the output shaft of the transverse rotating motor is coaxially and fixedly connected with the right rotating shaft, and encoders and brake mechanisms are respectively integrated in the two transverse rotating motors, accurate angular rotation and stable locking positioning can be achieved, so that the two transverse motors 8 can jointly drive the transverse movement and positioning of the seat 1.
The rear end of the longitudinal rotating arm 7 is longitudinally provided with a rotating shaft, the rotating shaft is installed on the front side of the lower end of the vertical rotating arm 5 and forms a rotating pair, the longitudinal rotating motor 13 is installed on the rear side of the lower end of the vertical rotating arm 5 in a fastening mode through screws, an output shaft of the longitudinal rotating motor 13 is coaxially and fixedly connected with the rotating shaft at the rear end of the longitudinal rotating arm 7, an encoder and a brake mechanism are integrated in the longitudinal rotating motor 13, accurate angle rotation and stable locking and positioning can be achieved, the longitudinal rotating motor 13 can drive longitudinal rotating movement and positioning of the longitudinal rotating arm 7, and longitudinal rotating movement and positioning of the seat 1 are achieved.
The vertical rotating arm 5 is of a 90-degree bent rod structure, four sliding blocks are fixedly mounted at the upper end of the vertical rotating arm 5, the transverse moving motor 10 is fixedly mounted at the upper end of the vertical rotating arm 5 through screws, a gear 12 is coaxially and fixedly connected with an output shaft of the transverse moving motor 10, two parallel guide rails are transversely arranged at the lower side of the transverse moving frame 3 and are matched and mounted with the four sliding blocks at the upper end of the vertical rotating arm 5, so that the vertical rotating arm 5 and the transverse moving frame 3 form a moving pair, a rack 11 is transversely and fixedly arranged at the rear side of the transverse moving frame 3, the rack 11 is meshed with the gear 12 to form a gear-rack transmission structure, an encoder and a brake mechanism are integrated in the transverse moving motor 10, accurate angle rotation and stable locking and positioning can be realized, the transverse moving motor 10 can drive the transverse moving and positioning of the vertical rotating arm 5, further realize the transverse moving and positioning of the seat 1, a rotating shaft is arranged at the middle position of the upper side of the transverse moving frame 3, the rotating shaft is rotatably connected with the front end of the fixing arm 6, the vertical rotating motor 4 is fixedly arranged on the upper side of the front end of the fixing arm 6 through a screw, an output shaft of the vertical rotating motor 4 is coaxially and fixedly connected with the rotating shaft on the upper side of the transverse moving frame 3, and an encoder and a brake mechanism are integrated in the vertical rotating motor 4, so that accurate angle rotation and stable locking and positioning can be realized, the vertical rotating motor 4 can drive the vertical rotating movement and positioning of the vertical rotating arm 5, and further the vertical rotating movement and positioning of the seat 1 can be realized; fixed arm 6 be 90 camber beam structures, 6 lower extremes of fixed arm are provided with dull and stereotyped structure, are provided with two gusset between dull and stereotyped structure and the pole setting of fixed arm 6 for strengthen dull and stereotyped structure and pole setting joint strength, dull and stereotyped structure passes through rag bolt fixed mounting in ground, thereby realize fixed arm 6 stable fixed on ground.
The first embodiment is as follows: when diagnosing otolith patient, for guaranteeing patient's personal safety and treatment effect that resets, need effectively be fixed in on the seat 1 with the patient, electric putter 9 contracts at first and makes depression bar 2 upwards rotate the back and open, the patient sits on seat 1, the head is close to headrest 1.1 and the holding position is motionless, later electric putter 9 extension makes depression bar 2 push down the patient upper part of the body after rotating down, two handles 2.1 are tightly held to patient's both hands, under medical staff's help, it makes patient thigh position be fixed in on the seat to tie up bandage 1.2, it makes patient shank position be fixed in on the seat to tie up bandage 1.3 down again, thereby realize that the whole health of patient is fixed on the seat.
Example two: the transverse rotation motor 8 can realize the transverse rotation of the patient, the longitudinal rotation motor 13 can realize the longitudinal rotation of the patient, the vertical rotation motor 4 can realize the vertical rotation of the patient, namely, the patient can realize the rotation of any angle and direction in three dimensions of space, so that the patient can determine the state of an illness of the patient through detecting the eye shake condition in the three-dimensional acceleration or deceleration rotation process, and the reset treatment of the otolith disease of the patient is completed through the rotation and the positioning of the three dimensions.
Example three: the traversing motor 10 can transversely accelerate or decelerate the patient, so that the semicircular canal can be tested in an acceleration and deceleration state.
Example four: when the seat 1 is positioned under the axis of the vertical rotation motor 4, the vertical rotation motor 4 can drive a patient on the seat 1 to rotate by taking the middle position of the left ear and the right ear as the axis after rotating, and the bilateral semicircular canal centrifugal test can be carried out in the state for detecting the functional state of the eye shake.
Example five: the transverse moving motor 10 rotates to enable the seat 1 to move leftwards, the right ear semicircular canal is located under the axis of the vertical rotating motor 4, the vertical rotating motor 4 can drive a patient on the seat 1 to rotate by taking the position of the right ear semicircular canal as the axis after rotating, and centrifugal test can be carried out on the left ear semicircular canal in the state;
the transverse moving motor 10 rotates to enable the seat 1 to move rightwards, the left ear semicircular canal is located under the axis of the vertical rotating motor 4, the vertical rotating motor 4 can drive a patient on the seat 1 to rotate by taking the position of the left ear semicircular canal as the axis, and centrifugal test can be conducted on the right ear semicircular canal in the state.

Claims (7)

1. The utility model provides a system is diagnose to otolith disease, includes seat, depression bar, sideslip frame, erects to change the motor, erects rocking arm, fixed arm, indulges rocking arm, sideslip motor, electric putter, sideslip motor, rack, gear, indulge and change the motor, its characterized in that: the chair is provided with a seat plate for a patient to sit, a backrest for the patient to lean on and foot supports for supporting the feet of the patient, the upper side of the seat plate is provided with an upper bandage, and the position corresponding to the position of the lower leg of the patient is provided with a lower bandage; the upper end of the backrest is provided with a headrest for fixing the head of a patient; the upper end of the pressure lever is rotationally connected with the seat and driven by an electric push rod, the seat is rotationally connected with the longitudinal rotating arm, the transverse rotating motor drives the transverse rotating motion of the seat, the longitudinal rotating arm is rotationally connected with the vertical rotating arm, the longitudinal rotating motor drives the longitudinal rotating motion of the seat, the vertical rotating arm and the transverse moving frame form a moving pair, the transverse moving motor drives the transverse moving motion of the seat, and the transverse moving frame is rotationally connected with the fixed arm and drives the vertical rotating motion of the seat by the vertical rotating motor.
2. The otolithiasis diagnosis and treatment system according to claim 1, wherein: the chair can be moved and locked in position on the cross-frame to allow for centrifugal testing of a patient's unilateral semicircular canal.
3. The otolithiasis diagnosis and treatment system according to claim 1, wherein: the depression bar can realize that the patient is first fixed on the seat, the depression bar front side is equipped with two handles that can supply patient's both hands to grip, is favorable to the patient to stabilize oneself and strengthens patient's sense of safety at the treatment process that resets.
4. The otolithiasis diagnosis and treatment system according to claim 1, wherein: the upper bandage is used for fixing the thigh of the patient, the lower bandage is used for fixing the shank of the patient, so that the lower body of the patient is fixed on the chair, and the upper bandage and the lower bandage can be quickly connected and opened through the socket structure.
5. The otolithiasis diagnosis and treatment system according to claim 1, wherein: headrest surface cover have the silica gel material, also have comparatively comfortable contact when realizing patient's head location and experience.
6. The otolithiasis diagnosis and treatment system according to claim 1, wherein: the depression bar upper end set up comparatively spaciously, prevent to press wounded the patient shoulder, the depression bar lower extreme sets up to outstanding horizontal pole forward, prevents that the depression bar from causing too much oppression to patient's belly.
7. The otolithiasis diagnosis and treatment system according to claim 1, wherein: the number of the transverse rotating motors is two, so that the rotating torques at two sides of the seat are the same, and the seat torsion caused by unilateral driving is avoided.
CN202111596658.XA 2021-12-24 2021-12-24 Otolithiasis diagnosis and treatment system Pending CN114259224A (en)

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Application Number Priority Date Filing Date Title
CN202111596658.XA CN114259224A (en) 2021-12-24 2021-12-24 Otolithiasis diagnosis and treatment system

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Application Number Priority Date Filing Date Title
CN202111596658.XA CN114259224A (en) 2021-12-24 2021-12-24 Otolithiasis diagnosis and treatment system

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CN114259224A true CN114259224A (en) 2022-04-01

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CN202111596658.XA Pending CN114259224A (en) 2021-12-24 2021-12-24 Otolithiasis diagnosis and treatment system

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104116614A (en) * 2014-07-31 2014-10-29 安阳工学院 Big arm left-and-right swinging rehabilitation training device
CN105769440A (en) * 2015-10-22 2016-07-20 华中科技大学同济医学院附属协和医院 Otolithiasis diagnosis and treatment and semicircular canal function test integrated system
CN205411144U (en) * 2015-09-24 2016-08-03 屈寅弘 Positioning system device is diagnose to gear formula vertigo
CN108670698A (en) * 2018-04-10 2018-10-19 国医华科(天津)医疗科技集团有限公司 Inspection chair for vertigo diagnosis and treatment

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104116614A (en) * 2014-07-31 2014-10-29 安阳工学院 Big arm left-and-right swinging rehabilitation training device
CN205411144U (en) * 2015-09-24 2016-08-03 屈寅弘 Positioning system device is diagnose to gear formula vertigo
CN105769440A (en) * 2015-10-22 2016-07-20 华中科技大学同济医学院附属协和医院 Otolithiasis diagnosis and treatment and semicircular canal function test integrated system
CN108670698A (en) * 2018-04-10 2018-10-19 国医华科(天津)医疗科技集团有限公司 Inspection chair for vertigo diagnosis and treatment

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