CN114288139A

CN114288139A - Neural inspection device of shank for department of neurology

Info

Publication number: CN114288139A
Application number: CN202111661794.2A
Authority: CN
Inventors: 赵莹莹; 赵春雷
Original assignee: Zoucheng Hospital Of Traditional Chinese Medicine
Current assignee: Zoucheng Hospital Of Traditional Chinese Medicine
Priority date: 2021-12-31
Filing date: 2021-12-31
Publication date: 2022-04-08

Abstract

The invention discloses a leg nerve examination device for neurology, which relates to the technical field of medical instruments and comprises a horizontally arranged seat plate, wherein two ends of the seat plate are respectively hinged with a backup plate and a supporting plate, and the backup plate and the supporting plate are connected through a transmission mechanism to enable the backup plate and the supporting plate to synchronously rotate; when the backup plate and the supporting plate are both in a horizontal state, the seat plate, the backup plate and the supporting plate together form a sickbed structure for horizontal examination of patients; when the backup plate rotates upwards and drives the supporting plate to rotate downwards, the seat plate, the backup plate and the supporting plate form a sickbed structure for sitting posture examination of patients together. The invention can switch the sick chair and the sick bed, is convenient for the patient with limited action to use, and can automatically lift the telescopic block to support the thigh, thereby being convenient for the knee jerk reflex examination and reducing the labor intensity of doctors.

Description

Neural inspection device of shank for department of neurology

Technical Field

The invention relates to the technical field of medical instruments, in particular to a leg nerve examination device for neurology.

Background

The neurology is clinical medicine for researching nervous system diseases and skeletal muscle diseases, and mainly diagnoses and treats cerebrovascular diseases, migraine, brain inflammatory diseases, myelitis, epilepsy, dementia, nervous system degenerative diseases, metabolic diseases, genetic diseases, trigeminal neuralgia, sciatic neuropathy, central nervous system infection, demyelinating diseases, dyskinesia diseases, peripheral neuropathy, myasthenia gravis and the like by internal medicine means.

In the prior art, the neural inspection of shank is carried out to the patient, generally need carry out the knee jerk reflex of seat and flat position, consequently need the patient to move between sick bed and sick chair, but the most action of department of neurology patient is restricted, it is very inconvenient to the patient to frequently move, and when carrying out the inspection of knee jerk reflex to the patient, need lift patient's shank knee joint department, make the patient in the state that the knee is half bent and the shank is flagging freely, among the prior art, it is by the doctor directly to pass through the hand and lift patient's shank, make the intensity of labour when doctor operates big like this.

Disclosure of Invention

The invention aims to solve the problems that in the prior art, when a patient with inconvenient movement is examined, the patient is inconvenient to move between a hospital bed and a patient chair, and the labor intensity of a doctor for lifting the patient for examining the legs is high, and provides a leg nerve examination device for neurology department.

In order to achieve the purpose, the invention adopts the following technical scheme:

a leg nerve examination device for neurology comprises a horizontally arranged seat plate, wherein a backup plate and a supporting plate are hinged to two ends of the seat plate respectively, and the backup plate and the supporting plate are connected through a transmission mechanism to enable the backup plate and the supporting plate to rotate synchronously;

when the backup plate and the supporting plate are both in a horizontal state, the seat plate, the backup plate and the supporting plate together form a sickbed structure for horizontal examination of patients;

when the backup plate rotates upwards and drives the supporting plate to rotate downwards, the seat plate, the backup plate and the supporting plate form a sickbed structure for sitting posture examination of patients together.

Preferably, drive mechanism is including fixed setting up in the first pivot of backup plate, the backup plate rotates with the seat through first pivot to be connected, the fixed second pivot that is provided with on the layer board, the layer board rotates with the seat through the second pivot to be connected, first pivot and second pivot are all fixed with the sprocket with the tip of one side, two connect through chain drive between the sprocket, rotate backup plate and layer board one of them time, and wherein another rotates thereupon.

Preferably, the chair further comprises a thigh supporting mechanism arranged at a position, close to the supporting plate, of the seat plate, the thigh supporting mechanism comprises a telescopic block, a through hole is formed in the seat plate, the through hole is connected with the telescopic block in a sliding mode, the supporting plate is connected with the telescopic block through a driving mechanism, and when the supporting plate rotates downwards, the telescopic block extends upwards in the through hole through the driving mechanism to support the thigh of the patient.

Preferably, the perforation is provided with two, two perforation bilateral symmetry sets up in the seat near layer board one end, flexible piece is including installation piece and two thigh layer blocks, thigh layer block and perforation sliding connection correspond patient's both legs.

Preferably, the top surfaces of the two thigh supporting blocks are cambered surfaces with concave surfaces arranged upwards, and the cambered surfaces are wrapped with sponge cushions.

Preferably, the supporting surface of the thigh supporting block is obliquely arranged, and one side of the supporting surface of the thigh supporting block, which is close to the supporting plate, is higher than one side of the supporting surface of the thigh supporting block, which is close to the backup plate.

Preferably, the driving mechanism comprises a spur rack arranged on the side wall of the telescopic block, an arc rack which takes the second rotating shaft as the center of a circle is fixedly arranged on the bottom surface of the supporting plate, a connecting gear is rotatably arranged at the bottom of the seat plate and is respectively meshed with the spur rack and the arc rack, and when the supporting plate drives the arc rack to rotate downwards, the spur rack drives the telescopic block to ascend.

Preferably, the lower leg support mechanism is arranged on the supporting plate and comprises an air cylinder, a sliding block and two lower leg supporting blocks, the air cylinder is fixedly arranged on the supporting plate, the sliding block is fixedly arranged at the telescopic end of the air cylinder, the sliding block is connected with the lower leg supporting blocks through a connecting rod mechanism, when the air cylinder is telescopic, one of the lower leg supporting blocks is lifted to lift the lower leg of the patient, and the other lower leg supporting block is lowered to enable the lower leg of the patient to be horizontally placed.

Preferably, the link mechanism comprises two links rotatably arranged on the lower leg support block, one link on the same lower leg support block is rotatably connected with the support plate, and the other link is rotatably connected with the slide block.

Preferably, the shank support block is arranged in an arc shape with an upward concave surface.

Compared with the prior art, the invention has the following advantages:

1. according to the invention, the sickbed and the sickbed can be switched by the device through the arrangement of the seat plate, the backup plate and the supporting plate which are hinged with each other, the backup plate and the supporting plate can be synchronously adjusted through the arrangement of the transmission mechanism, the device is more convenient to switch the sickbed and the sickbed, and when a patient with mobility disability is examined for knee bounce reflex of different postures, the patient does not need to move the position, so that the patient can conveniently examine leg nerves, and the inconvenience caused by the patient moving the position is reduced.

2. According to the invention, by arranging the telescopic block, matching with the arc rack, the connecting gear and the straight rack, when a patient is subjected to sitting knee jerk reflex examination, the arc rack drives the connecting gear to rotate to drive the straight rack to move upwards through downward overturning of the supporting plate, so that the thigh supporting block on the telescopic block supports the thigh of the patient close to the knee joint, the knee of the patient is semi-flexed, and the shank of the patient is free to droop, thereby facilitating the examination of knee jerk reflex by a doctor, reducing the labor intensity generated when the doctor lifts the leg of the patient with a hand, and when the supporting plate rotates upwards, the device is converted into a hospital bed, the telescopic block can automatically move downwards, keeping the surface of the sitting plate smooth, and improving the comfort level of the patient.

3. According to the invention, by arranging the crus supporting mechanism, when knee jerk reflection of a patient in a horizontal position is carried out, the device is changed into a sickbed state, the position of the sliding block is controlled by the cylinder, so that the crus supporting block lifts a small supporting plate of the patient, a doctor can conveniently carry out examination, meanwhile, the stretching of the cylinder can be controlled, the lifting states of the two crus supporting blocks are changed, the doctor is not required to carry out lifting, and the labor intensity of the doctor is reduced.

Drawings

FIG. 1 is a schematic structural view of a state of a chair of a leg nerve examination device for neurology provided by the present invention;

FIG. 2 is a schematic structural diagram of a patient bed state of a leg nerve examination device for neurology department according to the present invention;

FIG. 3 is a schematic structural view of a telescopic block in a leg nerve examination device for neurology provided in the present invention;

FIG. 4 is a schematic structural view of a lower leg support mechanism in a leg nerve examination device for neurology according to the present invention;

FIG. 5 is a schematic bottom view of a leg nerve examination device for neurology according to the present invention;

fig. 6 is a schematic structural view of a seat plate in a leg nerve examination device for neurology provided by the invention.

In the figure: 1. a seat plate; 2. a backup plate; 3. a support plate; 4. perforating; 5. a telescopic block; 6. mounting blocks; 7. a thigh support block; 8. straight rack; 9. a circular arc rack; 10. a connecting gear; 11. a shank support block; 12. a slider; 13. a cylinder; 14. a connecting rod; 15. a transmission mechanism; 16. a drive mechanism; 17. a first rotating shaft; 18. a second rotating shaft; 19. a sprocket; 20. and a chain.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.

In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.

Referring to fig. 1-2, a leg nerve examination device for neurology department, comprising a seat plate 1 horizontally arranged, wherein two ends of the seat plate 1 are respectively hinged with a backup plate 2 and a support plate 3, the appearance state of the device can be changed by rotating the backup plate 2 and the support plate 3 to adapt to the requirements of different patients, when the backup plate 2 and the support plate 3 are both in the horizontal state, the seat plate 1, the backup plate 2 and the support plate 3 jointly form a sickbed structure for the flat-lying examination of a patient, the knee bounce reflex examination of the flat-lying position can be performed on the patient, when the backup plate 2 rotates upwards and drives the support plate 3 to rotate downwards, the seat plate 1, the backup plate 2 and the support plate 3 jointly form a sickbed structure for the sitting posture examination of the patient, the sitting position knee bounce reflex examination can be performed on the patient, by adjusting the angles of the support plate 3 and the backup plate 2, the patient can perform the examination of the knee bounce reflex of the flat-lying position and the sitting position without moving the position, the examination of the patient is more convenient.

The backup plate 2 and the supporting plate 3 are connected through a transmission mechanism 15, so that the backup plate 2 and the supporting plate 3 synchronously rotate.

Referring to fig. 1-2, the transmission mechanism 15 includes a first rotating shaft 17 fixedly disposed on the backup plate 2, the backup plate 2 is rotatably connected with the seat plate 1 through the first rotating shaft 17, a second rotating shaft 18 is fixedly disposed on the support plate 3, the support plate 3 is rotatably connected with the seat plate 1 through the second rotating shaft 18, chain wheels 19 are fixedly disposed at the end portions of the same side of the first rotating shaft 17 and the second rotating shaft 18, the two chain wheels 19 are in transmission connection through a chain 20, when the backup plate 2 and the support plate 3 are adjusted in angle, the backup plate 2 is adjusted in angle, and can rotate through the chain wheel 19 disposed on the first rotating shaft 17, and the chain wheel 19 disposed on the second rotating shaft 18 is driven to rotate by the transmission of the chain 20, so that the support plate 3 and the backup plate 2 synchronously rotate, and the switching between the hospital bed and the hospital chair is facilitated.

Still including setting up the thigh supporting mechanism who is close to layer board 3 position at seat 1, thigh supporting mechanism includes flexible piece 5, has seted up perforation 4 on the seat 1, perforation 4 and flexible 5 sliding connection of piece, is connected through actuating mechanism 16 between layer board 3 and the flexible piece 5, and when layer board 3 rotates downwards, it upwards stretches out in perforation 4 to support patient's thigh to make flexible piece 5 through actuating mechanism 16. When layer board 3 was in the horizontality, 5 tops of flexible piece and perforation 4 kept flushing, made 1 surperficial keeping of seat level, were favorable to the patient to lie flat, when layer board 3 was in the tilt state, flexible piece 5 extended perforation 4, was close to knee joint position jack-up with patient's thigh, was convenient for carry out the inspection of seat knee jerk reflection.

In the aforesaid, state through layer board 3 changes, and cooperation actuating mechanism 16 changes the position of flexible piece 5, and when the device becomes the sick chair structure, makes flexible piece 5 protruding, supports patient's thigh, and is more convenient when making the doctor inspect, does not need the doctor to lift with the hand, reduces doctor's working strength, when the device becomes the sick bed structure, makes flexible piece 5 withdraw seat 1 below, makes the patient lie flat more comfortable.

Referring to fig. 4, the lower leg support mechanism further comprises a lower leg support mechanism arranged on the supporting plate 3, the lower leg support mechanism comprises a cylinder 13, a sliding block 12 and two lower leg supporting blocks 11, the cylinder 13 is fixedly arranged on the supporting plate 3, a mounting groove is formed in the supporting plate 3, the cylinder 13 and the sliding block 12 are both located in the mounting groove, the sliding block 12 is fixedly arranged at the telescopic end of the cylinder 13, the sliding block 12 is connected with the lower leg supporting blocks 11 through a connecting rod mechanism, the position of the sliding block 12 is changed through the stretching of the cylinder 13, when the position of the sliding block 12 is changed, one of the lower leg supporting blocks 11 is lifted up to lift the lower legs of a patient by matching with the connecting rod mechanism, and the other lower leg supporting block 11 is lowered to enable the lower legs of the patient to be horizontally placed.

When the knee jerk reflex of the lying position of the patient needs to be carried out, the patient lies on the device, the position of the lower leg of the patient close to the knee joint needs to be lifted in sequence by a doctor, ligament knocking is carried out, in order to reduce the labor intensity of the doctor, the doctor operation is convenient, the slider 12 is driven by the control cylinder 13 to slide leftwards, the position of the slider 12 is changed, the left lower leg supporting block 11 is enabled to rise, the right lower leg supporting block 11 is lowered, the left leg of the patient is enabled to be supported, the doctor examination is convenient, when the right leg needs to be examined, the slider 12 only needs to be driven by the cylinder 13 to slide rightwards, the left lower leg supporting block 11 is enabled to fall, the right lower leg supporting block 11 is enabled to rise, and the right leg of the patient is supported.

Referring to fig. 5, the driving mechanism 16 includes a spur rack 8 disposed on a side wall of the telescopic block 5, an arc rack 9 using a rotation shaft of the support plate 3 as a center of a circle is fixedly disposed on a bottom surface of the support plate 3, when the support plate 3 rotates, a path of the arc rack 9 is a circle using a second rotation shaft 18 as a center of a circle, a connection gear 10 is rotatably disposed at a bottom of the seat plate 1, the connection gear 10 is respectively engaged with the spur rack 8 and the arc rack 9, the arc rack 9 rotates downward along with the support plate 3 to drive the connection gear 10 to rotate, the connection gear 10 drives the spur rack 8 to move upward, so that the telescopic block 5 moves upward to prop up a leg of a patient, otherwise, when the arc rack 9 rotates upward along with the support plate 3, the connection gear 10 is driven to rotate, the connection gear 10 drives the spur rack 8 to move downward, and the telescopic block 5 moves downward to retract to a position below the seat plate 1.

Referring to fig. 1 and 6, the number of the through holes 4 is two, the two legs of the patient are arranged, the two through holes 4 are arranged at one end, close to the supporting plate 3, of the seat plate 1 in a bilateral symmetry mode, the telescopic block 5 comprises an installation block 6 and two thigh supporting blocks 7, the thigh supporting blocks 7 are in sliding connection with the through holes 4, the legs of the patient are supported through the thigh supporting blocks 7, the installation block 6 is arranged to be connected with the thigh supporting blocks 7, the through holes 4 are matched with the thigh supporting blocks 7, the telescopic block 5 can be limited, the telescopic block 5 can only move longitudinally, the positions of the thigh supporting blocks 7 are close to the positions of knee joints, and when the thigh supporting blocks 7 support the legs of the patient, the patient is in a state that the knees are half bent and the legs are free to droop.

Referring to fig. 4, the link mechanism includes two links 14 rotatably disposed on the calf support 11, one link 14 on the same calf support 11 is rotatably connected to the supporting plate 3, and the other link 14 is rotatably connected to the slider 12, when the slider 12 moves leftward, the two links 14 on the left calf support 11 tend to be perpendicular to the supporting plate 3, the calf support 11 is jacked up, the two links 14 on the right calf support 11 tend to be parallel to the supporting plate 3, the right calf support 11 is lowered, and when the slider 12 moves rightward, the right calf support 11 is raised and the left calf support 11 is lowered, so that the doctor can sequentially check the reflection of the supine knee jerk of the patient on both legs.

Referring to fig. 3-4, the top surfaces of the two thigh supporting blocks 7 and the shank supporting block 11 are cambered surfaces with concave surfaces arranged upwards, the cambered surfaces are arranged to be more fit with the contours of legs of a human body, and the cambered surfaces are wrapped with sponge cushions, so that the comfort of a patient is improved.

Referring to fig. 3, thigh tray 7's holding surface sets up for the slope, and thigh tray 7 holding surface is close to layer board 3 one side and is higher than being close to backup plate 2 one side, and when the patient knee joint was propped up, the thigh was upwards lifted certain angle with thigh root as the fulcrum, and through the thigh tray 7 that the slope set up, the holding surface more laminates the profile when the thigh was lifted up, improves patient's travelling comfort.

The specific working principle of the invention is as follows:

when this device uses, when carrying out the knee jump reflex inspection of the position of lying on the back to the patient, adjust backup plate 2 and layer board 3 to with 1 horizontally state of seat, let the patient lie on the device, move left through cylinder 13 control slider 12, make left shank tray 11 prop up patient's left leg, beat patient's left knee ligament, observe patient's reaction, move slider 12 to the right side through cylinder 13 again, make left shank tray 11 descend, shank tray 11 on right side rises and props up patient's right leg, beat patient's right knee ligament, observe patient's reaction.

When the examination of knee jerk reflection of sitting position is carried out to the patient, upwards rotate backup plate 2, make the patient sit up, make layer board 3 synchronous rotation downwards through drive mechanism 15 simultaneously, layer board 3 drives circular arc rack 9 and rotates, drive connection gear 10 rotates, it shifts up to connect gear 10 to drive spur rack 8, make flexible piece 5 move up, thigh tray 7 extends sitting plate 1 this moment, jack up patient's big knee joint department, make patient's knee half bend and the freely state of drooping of shank, the doctor of being convenient for inspects, and do not need the doctor to lift patient's shank with the hand, reduce doctor intensity of labour.

The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims

1. A leg nerve examination device for neurology comprises a horizontally arranged seat plate (1), wherein two ends of the seat plate (1) are respectively hinged with a backup plate (2) and a supporting plate (3), and the leg nerve examination device is characterized in that the backup plate (2) and the supporting plate (3) are connected through a transmission mechanism (15) to enable the backup plate (2) and the supporting plate (3) to synchronously rotate;

when the back plate (2) and the supporting plate (3) are both in a horizontal state, the seat plate (1), the back plate (2) and the supporting plate (3) jointly form a sickbed structure for horizontal examination of patients;

when the backup plate (2) rotates upwards and drives the supporting plate (3) to rotate downwards, the seat plate (1), the backup plate (2) and the supporting plate (3) jointly form a sickbed structure for sitting posture examination of patients.

2. The leg nerve examination device for the neurology department according to claim 1, wherein the transmission mechanism (15) comprises a first rotating shaft (17) fixedly arranged on the backup plate (2), the backup plate (2) is rotatably connected with the seat plate (1) through the first rotating shaft (17), the support plate (3) is fixedly provided with a second rotating shaft (18), the support plate (3) is rotatably connected with the seat plate (1) through the second rotating shaft (18), the end portions of the same sides of the first rotating shaft (17) and the second rotating shaft (18) are fixedly provided with chain wheels (19), the two chain wheels (19) are in transmission connection through a chain (20), and when one of the backup plate (2) and the support plate (3) is rotated, the other chain wheel rotates along with the chain wheels.

3. The leg nerve examination device for the neurology department according to claim 2, further comprising a thigh supporting mechanism arranged at a position, close to the supporting plate (3), of the seat plate (1), wherein the thigh supporting mechanism comprises a telescopic block (5), a through hole (4) is formed in the seat plate (1), the through hole (4) is in sliding connection with the telescopic block (5), the supporting plate (3) is connected with the telescopic block (5) through a driving mechanism (16), and when the supporting plate (3) rotates downwards, the telescopic block (5) extends upwards in the through hole (4) through the driving mechanism (16) to support a thigh of a patient.

4. The leg nerve examination device for the neurology department according to claim 3, wherein the number of the through holes (4) is two, the two through holes (4) are arranged at one end, close to the supporting plate (3), of the seat plate (1) in a bilateral symmetry mode, the telescopic block (5) comprises a mounting block (6) and two thigh supporting blocks (7), and the thigh supporting blocks (7) are in sliding connection with the through holes (4) and correspond to the legs of a patient.

5. The leg nerve examination device for the neurology department as claimed in claim 3, wherein the top surfaces of the two thigh support blocks (7) are cambered surfaces with concave surfaces facing upwards, and the cambered surfaces are covered with sponge cushions.

6. A leg nerve examination device for neurology department according to claim 4, characterized in that the supporting surface of the thigh supporting block (7) is inclined, and the supporting surface of the thigh supporting block (7) is higher on the side close to the supporting plate (3) than on the side close to the leaning plate (2).

7. The leg nerve examination device for the neurology department according to claim 3, wherein the driving mechanism (16) comprises a straight rack (8) arranged on the side wall of the telescopic block (5), an arc rack (9) with a second rotating shaft (18) as a center is fixedly arranged on the bottom surface of the support plate (3), a connecting gear (10) is rotatably arranged at the bottom of the seat plate (1), and the connecting gear (10) is respectively meshed with the straight rack (8) and the arc rack (9) to be connected, so that when the support plate (3) drives the arc rack (9) to rotate downwards, the straight rack (8) drives the telescopic block (5) to ascend.

8. The leg nerve examination device for the neurology department according to claim 1, further comprising a lower leg support mechanism arranged on the support plate (3), wherein the lower leg support mechanism comprises an air cylinder (13), a sliding block (12) and two lower leg support blocks (11), the air cylinder (13) is fixedly arranged on the support plate (3), the sliding block (12) is fixedly arranged at the telescopic end of the air cylinder (13), the sliding block (12) and the lower leg support blocks (11) are connected through a connecting rod mechanism, when the air cylinder (13) is telescopic, the sliding block (12) is driven to move, one of the lower leg support blocks (11) is lifted to lift the lower leg of the patient by matching with the connecting rod mechanism, and the other lower leg support block (11) is lowered to enable the lower leg of the patient to be flat-placed.

9. The leg nerve examination device for the neurology department according to claim 7, wherein the link mechanism comprises two links (14) rotatably arranged on the lower leg support block (11), one link (14) on the same lower leg support block (11) is rotatably connected with the support plate (3), and the other link (14) is rotatably connected with the sliding block (12).

10. The leg nerve examination device for the department of neurology as set forth in claim 7, wherein the lower leg support block (11) is provided in an arc shape with a concave surface facing upward.