CN114652559B - TIPS art head position supports fixing device - Google Patents

TIPS art head position supports fixing device Download PDF

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Publication number
CN114652559B
CN114652559B CN202210195254.8A CN202210195254A CN114652559B CN 114652559 B CN114652559 B CN 114652559B CN 202210195254 A CN202210195254 A CN 202210195254A CN 114652559 B CN114652559 B CN 114652559B
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CN
China
Prior art keywords
headrest
tips
clamping ring
patient
head position
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Active
Application number
CN202210195254.8A
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Chinese (zh)
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CN114652559A (en
Inventor
王小琳
刘曦
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Second Affiliated Hospital of Chongqing Medical University
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Second Affiliated Hospital of Chongqing Medical University
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Priority to CN202210195254.8A priority Critical patent/CN114652559B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • A61G13/1265Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/128Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurosurgery (AREA)
  • Otolaryngology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The application relates to the technical field of medical equipment, in particular to a TIPS operation head position supporting and fixing device, which adopts the following technical scheme: a TIPS operation head position supporting and fixing device comprises a headrest, a bracket and a clamping ring; the headrest is provided with a fixing groove for supporting the head of a patient, and the left side wall of the fixing groove is inclined downwards; the support is fixed at the rear of the headrest, and the upper end of the support is provided with at least two tension winders, and pull ropes are wound on the tension winders; the lower end of the clamping ring is provided with an opening, the clamping ring is used for clamping the lower jaw of a patient, and the inner side of the clamping ring is provided with a flexible liner; the free end of the pull rope is fixedly connected with the upper side of the clamping ring, and the clamping ring is detachably connected with the headrest. The application can ensure enough distance between the mouth and nose of the patient and the sterile sheet in the TIPS operation, and avoid the influence of the sterile sheet on the respiration of the patient.

Description

TIPS art head position supports fixing device
Technical Field
The application relates to the technical field of medical equipment, in particular to a TIPS operation head position supporting and fixing device.
Background
TIPS surgery, also known as transjugular intrahepatic portal vena cava stent bypass (transjugular intrahepatic stent portal bypass), is a novel interventional radiological therapy for treating portal hypertension and upper gastrointestinal hemorrhage. The surgical bypass principle is utilized, and a series of interventional instruments are used to establish a manual bypass channel between hepatic veins and portal veins in liver parenchyma, so that portal vein pressure is reduced, and symptoms such as esophageal varices rupture bleeding, ascites and the like caused by portal vein high pressure are reduced or eliminated. When in operation, the head of the patient is deviated to the left side, the head of the patient is completely covered by a sterile sheet after conventional sterilization, and vein puncture is carried out on the neck of the right side of the patient, so that the patient can obviously breathe unsmoothly, and is choked and difficult to breathe.
In TIPS surgery, the patient needs to lie on his back on the operating table with his head biased to the left and the face covered with a sterile drape, and the medical staff exposes the right neck surgical site of the patient in a local drape for surgery. Because the sterile sheet is easy to block the mouth and nose of a patient when the patient breathes, the normal breathing of the patient is easily affected, and even the patient is choked.
Disclosure of Invention
Aiming at the technical problem that the sterile sheet is easy to influence the respiration of a patient during the prior ITPS operation; the application provides a TIPS operation head position supporting and fixing device which can ensure enough distance between the mouth and nose of a patient and a sterile sheet in the TIPS operation and avoid the influence of the sterile sheet on the breathing of the patient.
The application is realized by the following technical scheme:
the application provides a TIPS operation head position supporting and fixing device, which comprises a headrest, a bracket and a clamping ring; the headrest is provided with a fixing groove for supporting the head of a patient, and the left side wall of the fixing groove is inclined downwards; the support is fixed at the rear of the headrest, and the upper end of the support is provided with at least two tension winders, and pull ropes are wound on the tension winders; the lower end of the clamping ring is provided with an opening, the clamping ring is used for clamping the lower jaw of a patient, and the inner side of the clamping ring is provided with a flexible liner; the free end of the pull rope is fixedly connected with the upper side of the clamping ring, and the clamping ring is detachably connected with the headrest.
In an alternative embodiment, the upper side of the bracket is adapted with a first magnetic stripe, the upper side of the clamping ring is provided with a second magnetic stripe, and the bracket and the clamping ring are both made of magnetically attractable materials.
In an alternative embodiment, the snap ring is U-shaped, and both ends of the snap ring are engaged with the headrest.
In an alternative embodiment, two ends of the clamping ring are provided with U-shaped clamping parts, the headrest is provided with two clamping grooves at intervals, and the clamping parts can be clamped in the clamping grooves.
In an alternative embodiment, the distance between the bracket and the headrest is adjustable.
In an alternative embodiment, the back side of the headrest is provided with a sleeve plate and a sliding plate; the sleeve plate is fixedly connected with the headrest, the sliding plate is slidably inserted into the sleeve plate, and the bracket is fixed on one side of the sliding plate far away from the headrest; the sliding plate is vertically provided with a positioning screw, the sleeve plate is provided with a strip hole for the positioning screw to pass through, and the end part of the positioning screw passes through the strip hole and is in threaded connection with a compression nut.
In an alternative embodiment, the tension reel is a spring balancer.
In an alternative embodiment, a plurality of first air bags are arranged on two side walls of the fixing groove, and the first air bags are connected with the inflation pump.
In an optional embodiment, two walls of the fixing groove are further fixed with second air bags, the first air bags and the second air bags are connected with the inflating pump through reversing valves, and the second air bags and the first air bags are arranged in a staggered mode.
In an alternative embodiment, a safety valve is connected to both the first and second air bags.
The application has the beneficial effects that:
the application provides a TIPS operation head position supporting and fixing device, wherein a headrest is provided with a fixing groove for supporting the head of a patient, the left side wall of the fixing groove is inclined downwards, so that the head of the patient is kept in a leftward tilting mounting state in operation, a support is fixed at the rear of the headrest, the upper end of the support is provided with at least two tension winders, the tension winders are winded with pull ropes, the lower end opening of each pull ring is used for clamping the mandible of the patient, the inner side of each pull ring is provided with a flexible liner, the free end of each pull rope is fixedly connected with the corresponding pull ring, the corresponding pull rings are detachably connected with the headrest, the corresponding pull rings are clamped on the mandible of the patient when the TIPS operation is used, the pull ropes are kept in a tensioning state, at least two pull ropes are positioned above the mouth and nose of the patient, and the sterility Shan Zhangshe is arranged on a supporting structure consisting of the corresponding pull rings, the corresponding support and the sterility Shan Zhangshe can ensure that a sufficient distance between the mouth and nose of the patient and a sterile sheet in the TIPS operation, and the influence of the sterile sheet on the breathing of the patient is avoided.
Drawings
The accompanying drawings, which are included to provide a further understanding of embodiments of the application and are incorporated in and constitute a part of this specification, illustrate embodiments of the application and together with the description serve to explain the principles of the application. In the drawings:
FIG. 1 is a schematic view of a TIPS surgical head position supporting and fixing device according to an embodiment of the present application;
FIG. 2 is a schematic diagram of a snap ring according to an embodiment of the present application;
FIG. 3 is a schematic top view of a headrest body according to an embodiment of the present application;
fig. 4 is a schematic diagram of gas circuit connection according to an embodiment of the present application.
In the drawings, the reference numerals and corresponding part names:
1-headrest, 11-fixing groove, 13-sleeve plate, 14-slide plate, 15-positioning screw, 16-strip hole, 17-compression nut, 18-first air bag and 19-second air bag;
2-a bracket, 21-a winder, 22-a pull rope and 23-a first magnetic stripe;
3-snap rings, 31-flexible gaskets, 32-second magnetic strips and 33-clamping parts;
4-inflating pump;
5-reversing valve;
6-safety valve.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present application more apparent, the technical solutions of the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application, and it is apparent that the described embodiments are some embodiments of the present application, but not all embodiments of the present application. The components of the embodiments of the present application generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the application, as presented in the figures, is not intended to limit the scope of the application, as claimed, but is merely representative of selected embodiments of the application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
It should be noted that: like reference numerals and letters denote like items in the following figures, and thus once an item is defined in one figure, no further definition or explanation thereof is necessary in the following figures.
In the description of the embodiments of the present application, the terms "center", "upper", "lower", "left", "right", "vertical", "longitudinal", "lateral", "horizontal", "inner", "outer", "front", "rear", "top", "bottom", etc. indicate orientations or positional relationships based on those shown in the drawings, or those conventionally put in use of the product of the application, or those conventionally understood by those skilled in the art, are merely for convenience of description and simplicity of description, and do not indicate or imply that the apparatus or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and therefore should not be construed as limiting the present application.
In the description of the present application, unless explicitly stated and limited otherwise, the terms "disposed," "mounted," "connected," "coupled," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present application will be understood in specific cases by those of ordinary skill in the art.
It should be noted that, without conflict, the embodiments of the present application and features of the embodiments may be combined with each other.
Example 1
With reference to fig. 1, the embodiment provides a TIPS operation head position supporting and fixing device, which comprises a headrest 1, a bracket 2 and a clamping ring 3; the headrest 1 is provided with a fixing groove 11 for supporting the head of a patient, and the left side wall of the fixing groove 11 is inclined downwards; the bracket 2 is fixed at the rear of the headrest 1, and at least two tension winders 21 are arranged at the upper end of the bracket 2, and pull ropes 22 are wound on the tension winders 21; the lower end of the clamping ring 3 is provided with an opening, the clamping ring 3 is used for clamping the mandible of a patient, and the inner side of the clamping ring 3 is provided with a flexible liner 31; the free end of the pull rope 22 is fixedly connected with the clamping ring 3, and the clamping ring 3 is detachably connected with the headrest 1.
It should be understood that the fixing groove 11 is provided at the middle of the upper side of the headrest 1 so that the patient can rest his head on his head, and the left side wall of the fixing groove 11 is inclined downward, so that the patient's head can be inclined to the left side when the patient's head is rested in the fixing groove 11, and the patient's head can be supported by the side wall of the fixing groove 11 so that the patient's head maintains the posture of being inclined to the left side, ensuring the smooth progress of the operation.
Referring to fig. 2, the shape of the clasp 3 is just required to be clamped on the mandible of a patient, the usual clasp 3 is U-shaped, and two ends of the clasp 3 are clamped with the headrest 1, so that the clasp 3 is connected with the headrest 1 and the clasp 3 is detached from the headrest 1 conveniently. And the clasp 3 is detachably connected with the headrest 1,
specifically, the two ends of the snap ring 3 are provided with U-shaped clamping portions 33, the headrest 1 is provided with two clamping grooves at intervals, and the clamping portions 33 can be clamped in the clamping grooves so as to fix the snap ring 3 on the head in the clamping grooves through clamping of the clamping portions 33. The clasp 3 can be separated from the headrest 1 before the headrest 1 is positioned on the head of the patient, so that the head of the patient can be conveniently positioned on the head.
As for the tension reel 21, on the one hand, the accommodating cord 22 can be wound up, and on the other hand, it is necessary to ensure that the tension is in a tensioned state, and a reel 21 with tension control can be employed, and in this embodiment, the tension reel 21 is a spring balancer for improving reliability and reducing manufacturing costs of the device. For the number of tension reels 21, it is determined according to the number of the pull cords 22, and is usually 3.
During the use, establish clasp 3 card at patient's lower jaw, then with clasp 3's lower extreme and headrest 1 joint for stay cord 22 keeps tensioning state, and at least two stay cords 22 are located patient's oral and nasal top this moment, and all stay cords 22 are in tensioning state, then with aseptic Shan Zhangshe on the bearing structure that clasp 3, support 2 and stay cord 22 are constituteed, with aseptic list cover at patient's head according to the distance that sets for, can ensure to have sufficient distance between patient's oral and nasal and the aseptic list in the TIPS art, avoid aseptic list to cause the influence to patient's breathing.
Wherein, the inboard flexible liner 31 that is equipped with of snap ring 3 ensures the travelling comfort of snap ring 3 joint on patient's lower jaw on the one hand, on the other hand can ensure that snap ring 3 inboard and patient's facial profile laminating to separate patient's facial region and operation area completely.
Example 2
Referring to fig. 1, this embodiment provides a TIPS operation head body position supporting and fixing device, based on the structure and principle described in embodiment 1, the upper side of the support 2 is adapted with a first magnetic stripe 23, the upper side of the snap ring 3 is provided with a second magnetic stripe 32, and the materials of the support 2 and the snap ring 3 are all magnetically attractable materials.
In use, the first magnetic strip 23 is removed from the bracket 2 and the second magnetic strip 32 is removed from the clasp 3 before the sterility Shan Zhangshe is applied to the patient's face; after the sterile sheet is paved, the first magnetic stripe 23 is adsorbed on the bracket 2, and the second magnetic stripe 32 is adsorbed on the clamping ring 3, so that the two ends of the sterile sheet are clamped and fixed, the sterile sheet is prevented from being adsorbed on the mouth and nose when a patient inhales, and the influence of the sterile sheet on the respiration of the patient is further avoided.
Example 3
With reference to fig. 1 and 3, this embodiment provides a TIPS surgical head position supporting and fixing device, and based on the structure and principle described in embodiment 1 or 2, the distance between the support 2 and the headrest 1 is adjustable, so as to adjust the length of the pull rope 22 according to different patients, and ensure that the sterile unit can completely cover the head of the patient.
Specifically, the rear side of the headrest 1 is provided with a sleeve plate 13 and a slide plate 14; the sleeve plate 13 is fixedly connected with the headrest 1, the sliding plate 14 is slidably inserted into the sleeve plate 13, and the bracket 2 is fixed on one side of the sliding plate 14 away from the headrest 1; the sliding plate 14 is vertically provided with a positioning screw 15, the sleeve plate 13 is provided with a strip hole 16 for the positioning screw 15 to pass through, and the end part of the positioning screw 15 passes through the strip hole 16 and is in threaded connection with a compression nut 17. So as to unscrew the compression nut 17 when the adjustment is required, so as to pull the slide, and after the distance between the bracket 2 and the headrest 1 is adjusted to a proper value, the compression nut 17 is screwed down to fix the position of the slide plate 14.
Example 4.
Referring to fig. 4, this embodiment provides a TIPS operation head body position supporting and fixing device, based on the structure and principle described in any one of embodiments 1-3, two side walls of the fixing groove 11 are provided with a plurality of first air bags 18, the first air bags 18 are connected with the inflating pump 4, on one hand, the head and the face of the patient are supported by the air bags, so as to prevent damage to the head and the face of the patient, and on the other hand, the head of the patient can be fixed in the fixing groove 11 by inflating the first air bags 18, so that the head of the patient is prevented from being displaced in the operation, and damage is avoided.
As a further technical scheme, the two walls of the fixing groove 11 are also fixed with a second air bag 19, the first air bag 18 and the second air bag 19 are both connected with the inflating pump 4 through the reversing valve 5, and the second air bag 19 and the first air bag 18 are arranged in a staggered manner, so that the first air bag 18 is inflated within a certain time by controlling the action of the reversing valve 5, and the head of a patient is supported and fixed through the inflation of the first air bag 18. Then after a certain time interval, the valve is controlled to act so as to inflate the second air bag 19, and meanwhile, the air in the first air bag 18 is discharged, so that the head of a patient is supported and fixed through the inflation of the second air bag 19, and the pressure of the first air bag 18 acting on the head and the face of the patient is removed, so that the face and the skin of the head of the patient are alternately pressed, and further the long-term pressing of the head and the skin of the face of the patient is avoided, and the damage is avoided.
To facilitate an excessive pressure in the first 18 or second 19 bladder, both the first 18 and the second 19 bladder are connected with a safety valve 6.
The foregoing description of the embodiments has been provided for the purpose of illustrating the general principles of the application, and is not meant to limit the scope of the application, but to limit the application to the particular embodiments, and any modifications, equivalents, improvements, etc. that fall within the spirit and principles of the application are intended to be included within the scope of the application.

Claims (9)

1. The TIPS operation head position supporting and fixing device is characterized by comprising a headrest (1), a bracket (2) and a clamping ring (3);
the headrest (1) is provided with a fixing groove (11) for supporting the head of a patient, and the left side wall of the fixing groove (11) is inclined downwards;
the support (2) is fixed at the rear of the headrest (1), at least two tension winders (21) are arranged at the upper end of the support (2), and pull ropes (22) are wound on the tension winders (21);
the lower end of the clamping ring (3) is provided with an opening, the clamping ring (3) is used for clamping the mandible of a patient, and the inner side of the clamping ring (3) is provided with a flexible liner (31);
the free end of the pull rope (22) is fixedly connected with the upper side of the clamping ring (3), and the clamping ring (3) is detachably connected with the headrest (1); the magnetic force sensor is characterized in that a first magnetic stripe (23) is adapted to the upper side surface of the support (2), the clamping ring (3) is U-shaped, a second magnetic stripe (32) is arranged on the upper side surface of the clamping ring (3), and the support (2) and the clamping ring (3) are made of magnetic materials.
2. TIPS surgical head position supporting and fixing device according to claim 1, characterized in that both ends of the snap ring (3) are clamped with the headrest (1).
3. The TIPS surgical head position supporting and fixing device according to claim 2, wherein two ends of the snap ring (3) are provided with U-shaped clamping portions (33), the headrest (1) is provided with two clamping grooves at intervals, and the clamping portions (33) can be clamped in the clamping grooves.
4. TIPS surgical head position support fixture according to claim 1, characterized in that the distance between the bracket (2) and the headrest (1) is adjustable.
5. TIPS surgical head position support and fixation device according to claim 4, characterized in that the back side of the headrest (1) is provided with a sleeve plate (13) and a slide plate (14);
the sleeve plate (13) is fixedly connected with the headrest (1), the sliding plate (14) is slidably inserted into the sleeve plate (13), and the bracket (2) is fixed on one side of the sliding plate (14) away from the headrest (1);
the sliding plate (14) is vertically provided with a positioning screw (15), the sleeve plate (13) is provided with a strip hole (16) for the positioning screw (15) to pass through, and the end part of the positioning screw (15) passes through the strip hole (16) and is in threaded connection with a compression nut (17).
6. TIPS surgical head position support fixture according to claim 1, characterized in that the tension reel (21) is a spring balancer.
7. TIPS surgical head position support and fixation device according to any one of claims 1-6, characterized in that both side walls of the fixation groove (11) are provided with a plurality of first air bags (18), the first air bags (18) being connected to an inflation pump (4).
8. TIPS surgical head position supporting and fixing device according to claim 7, characterized in that the two walls of the fixing groove (11) are also fixed with a second air bag (19), the first air bag (18) and the second air bag (19) are connected with the inflating pump (4) through a reversing valve (5), and the second air bag (19) is staggered with the first air bag (18).
9. TIPS surgical head position support fixture according to claim 8, characterized in that the first balloon (18) and the second balloon (19) are each connected with a safety valve (6).
CN202210195254.8A 2022-03-01 2022-03-01 TIPS art head position supports fixing device Active CN114652559B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210195254.8A CN114652559B (en) 2022-03-01 2022-03-01 TIPS art head position supports fixing device

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Application Number Priority Date Filing Date Title
CN202210195254.8A CN114652559B (en) 2022-03-01 2022-03-01 TIPS art head position supports fixing device

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CN114652559A CN114652559A (en) 2022-06-24
CN114652559B true CN114652559B (en) 2023-09-19

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