CN115363884A - System is laid to external life support equipment - Google Patents
System is laid to external life support equipment Download PDFInfo
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- CN115363884A CN115363884A CN202211319656.0A CN202211319656A CN115363884A CN 115363884 A CN115363884 A CN 115363884A CN 202211319656 A CN202211319656 A CN 202211319656A CN 115363884 A CN115363884 A CN 115363884A
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- object placing
- placing plate
- frame
- support
- bed
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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
- A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
- A61G12/001—Trolleys for transport of medicaments, food, linen, nursing supplies
Abstract
The invention discloses an in vitro life support equipment placing system, which comprises a cart and an equipment support, wherein the cart comprises a frame and wheels positioned at the bottom of the frame, a lifting frame and a driving device capable of driving the lifting frame to move up and down are arranged on the cart, an object placing plate is arranged on the lifting frame, a locking structure capable of fixing the device on a sickbed is arranged on the equipment support, a moving seat capable of moving back and forth and higher than the upper surface of the sickbed is arranged at the upper part of the equipment support, when the cart is positioned at the rear side of the equipment support and medical equipment is arranged on the object placing plate, the moving seat moves backwards to be below the object placing plate, the driving device drives the lifting frame to move downwards so that the object placing plate is supported on the moving seat, and then the moving seat drives the object placing plate to move forwards to be above the sickbed. The placing system can place the devices related to the ECMO treatment above the sickbed for use, almost does not occupy the space on the left side and the right side of the sickbed, and is convenient for medical care personnel to perform operations.
Description
Technical Field
The invention relates to the technical field of in-vitro life support, in particular to an in-vitro life support equipment placing system.
Background
In vitro life support, also called ECMO, is mainly used to provide continuous in vitro respiration and circulation to sustain the life of a patient with severe cardiopulmonary failure. For example, in patients with severe disease such as COVID-19, ECMO can be used for treatment.
During ECMO treatment, need be applied to many equipment, for example artificial heart lung machine, water tank, monitor, transfer pump, wherein artificial heart lung machine is the most central equipment, can replace severe patient's heart, lung work, win the time for the rescue of critically ill.
At present, ECMO treatment equipment is generally placed in specific wards for use, such as ICU wards, when the condition of patients in general wards is worsened and the patients are difficult to transfer to the specific wards for treatment, the equipment needs to be moved to the general wards for use by using a trolley, and after the equipment is moved to the wards, the trolley filled with the equipment is stopped beside a sickbed for use. Such a procedure also has the problem that the trolley and the above equipment, as well as the pulled-out pipes and wires, take up a lot of space, and it is inconvenient for medical staff to perform the operation on the patient.
Disclosure of Invention
In view of this, it is an object of the present invention to provide an extracorporeal life support device placement system which is capable of placing a device required for extracorporeal life support into a space above a patient's bed for use.
The technical scheme adopted by the invention for solving the technical problem is as follows:
the utility model provides an external life support equipment system of laying, includes shallow and equipment support, the shallow includes the frame and is located the wheel of frame bottom, be provided with the crane on the shallow and can drive the drive arrangement that the crane reciprocated, place on the crane and put the thing board, be provided with on the equipment support and fix its locking structure on the sick bed, the upper portion of equipment support is provided with the removal seat that can the back-and-forth movement and be higher than the upper surface of sick bed, the shallow is located when placing medical equipment on equipment support rear side and the thing board, it moves backward to remove the seat put under the thing board, the drive arrangement drive the crane moves down so that it is in to put the thing board bearing remove on the seat, then remove the seat and take the thing board to move forward to the top of sick bed.
In a preferred embodiment of the present invention, a positioning structure capable of limiting horizontal movement of the object placing plate relative to the movable base is provided between the movable base and the object placing plate.
In a preferred embodiment of the present invention, the wheels are universal wheels, the positioning structure includes a first positioning hole disposed on the movable base and a positioning post disposed on the object placing plate and capable of being inserted into the first positioning hole, an annular positioning table surrounding the first positioning hole is disposed on the upper surface of the movable base, and an annular groove capable of accommodating the annular positioning table is disposed on the object placing plate.
In a preferable scheme of the invention, the driving device comprises a horizontal shaft and a handle which is connected with one end of the horizontal shaft and can drive the horizontal shaft to rotate, a guide mechanism which guides the lifting frame is arranged between the lifting frame and the vehicle frame, and a transmission mechanism which can drive the lifting frame to move up and down when the horizontal shaft rotates is connected between the horizontal shaft and the lifting frame.
In a preferred scheme of the invention, the transmission mechanism comprises a vertical nut which is arranged on the frame and can rotate around a vertical axis, a vertical screw which is arranged on the lifting frame and is meshed with the vertical nut, and a worm which is arranged on the horizontal shaft, a fluted disc which is meshed with the worm is arranged on the outer side wall of the vertical nut, and the fluted disc and the worm form a worm gear and worm transmission pair.
In a preferred embodiment of the present invention, the top of the lifting frame has a left support seat and a right support seat, the left support seat is provided with a first slot for receiving the left end of the object placing plate, the right support seat is provided with a second slot for receiving the right end of the object placing plate, and the lifting frame moves down to support the object placing plate on the movable seat, and when the left end of the object placing plate is disengaged from the first slot and the right end of the object placing plate is disengaged from the second slot, the movable seat can be moved forward to move the object placing plate above the hospital bed.
In a preferable scheme of the invention, the frame is provided with a fixed platform positioned below the object placing plate, the lifting frame can place the object placing plate on the lifting frame on the fixed platform when moving downwards, the fixed platform is provided with a second positioning hole matched with the positioning column, and the edge of the object placing plate is provided with a blocking platform for limiting an object on the object placing plate to slide down.
In a preferred embodiment of the present invention, the hospital bed includes a bed frame and a bed board fixed on the top of the bed frame, the equipment support has an access frame located below the hospital bed, and the locking structure includes a first locking device capable of locking the access frame with the bed frame and a second locking device capable of locking the access frame with the bed board.
In a preferred embodiment of the present invention, the bottom of the device bracket is provided with a roller, the roller is provided with a brake device, and the first locking device comprises a groove into which a leg of the bed frame can be inserted and a threaded fastener capable of locking the leg in the groove.
In a preferable scheme of the invention, the extension frame is provided with a transverse plate positioned below the bed plate, the transverse plate is provided with a vertical screw hole, the second locking device comprises a set screw installed in the screw hole, and the threaded end of the set screw is connected with a pressing plate capable of pressing the bottom surface of the bed plate.
In a preferable scheme of the invention, a guide rail is arranged on the equipment support, a sliding block in sliding fit with the guide rail is arranged on the moving seat, and a driver capable of driving the moving seat to move back and forth is further arranged on the equipment support.
The beneficial effects of the invention are:
firstly, adopt the in-process of ECMO treatment, the relevant equipment of ECMO treatment all is located the top of patient's shank, is the top of tailstock promptly, hardly occupies the space of the sick bed left and right sides, and the medical personnel of being convenient for carry out the operation.
Secondly, the weight of the relevant equipment of ECMO treatment is great, and wherein artifical heart-lung machine and water tank all weigh tens kilograms, and the process of transferring these equipment from the shallow to the equipment support of tailstock need not artifical transport, has reduced medical personnel's working strength by a wide margin.
Drawings
FIG. 1 is a perspective view of a first state of the present invention;
FIG. 2 is a perspective view of a second state of the present invention;
FIG. 3 is a cross-sectional view of a second state of the invention;
FIG. 4 is an enlarged view of portion A of FIG. 3;
FIG. 5 is a perspective view of a third state of the present invention;
fig. 6 is an enlarged view of a portion B in fig. 5.
Detailed Description
The technical scheme of the invention is clearly and completely described below with reference to the accompanying drawings.
It should be noted that all the directional indicators (such as up, down, left, right, front, and back \8230;) in the present invention are only used to explain the relative position relationship between the components, the motion situation, etc. in a specific posture (as shown in the attached drawings), and if the specific posture is changed, the directional indicator is changed accordingly. In addition, the descriptions related to "preferred", "less preferred", etc. in the present invention are for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "preferred" or "less preferred" may explicitly or implicitly include at least one such feature.
Referring to fig. 1 to 6, the invention provides an external life support equipment placing system, which comprises a cart 1 and an equipment support 2, and is used for matching with a sickbed 4 of a general ward, wherein the sickbed 4 comprises a bed frame 41 and a bed board 42 fixed on the top of the bed frame 41, and the front side edge of the bed board 42 is provided with a guardrail 43. The left side edge and the right side edge of the bed board 42 can be provided with a guardrail 43, or the guardrail 43 is not required.
The cart 1 comprises a frame 11 and wheels 12 positioned at the bottom of the frame 11, a lifting frame 13 and a driving device capable of driving the lifting frame 13 to move up and down are arranged on the cart 1, a storage plate 3 is placed on the lifting frame 13, a locking structure capable of fixing the storage plate on a sickbed 4 is arranged on the equipment support 2, and a moving seat 5 which can move back and forth and is higher than the upper surface of the bed plate 42 is arranged on the upper portion of the equipment support 2.
The mounting system is used for mounting the ECMO treatment related equipment on the sickbed 4 as follows: the equipment support 2 is first fixed on the hospital bed 4, and then the cart 1 is used to transport the equipment to the rear side of the equipment support 2, at this time, the medical equipment is all placed on the object placing plate 3 of the cart 1, and the bottom surface of the object placing plate 3 is slightly higher than the upper surface of the moving seat 5. Then the moving seat 5 moves backwards and is inserted into the position below the object placing plate 3, then the lifting frame 13 is driven by the driving device to move downwards so that the object placing plate 3 is supported on the moving seat 5, when the object placing plate 3 is completely separated from the lifting frame 13, the moving seat 5 can move forwards, the moving seat 5 drives the object placing plate 3 to move forwards to the upper part of the sickbed 4 for use, and then the trolley 1 is moved away. The movable seat 5 and the bed plate 42 support leave a space in which the patient's legs are placed during treatment with ECMO. By adopting the design, the following advantages are achieved: firstly, in the ECMO treatment process, devices related to ECMO treatment are all positioned above the legs of a patient, namely above the bed tail, so that the space on the left side and the right side of a sickbed 4 is hardly occupied, and the operation of medical staff is facilitated; secondly, the weight of the equipment related to the ECMO treatment is large, wherein the weight of the artificial heart-lung machine 7 and the weight of the water tank reach dozens of kilograms, the process of transferring the equipment from the cart 1 to the equipment support 2 at the tail of the bed does not need manual carrying, and the working strength of medical staff is greatly reduced.
Referring to fig. 3 and 4, a positioning structure capable of restricting horizontal movement of the object placing plate 3 with respect to the moving seat 5 is provided between the moving seat 5 and the object placing plate 3. Specifically, the wheel 12 is a universal wheel with a brake, the positioning structure includes a first positioning hole 51 disposed on the movable seat 5 and a positioning column 31 disposed on the object placing plate 3 and capable of being inserted into the first positioning hole 51, an annular positioning table 52 surrounding the first positioning hole 51 is disposed on the upper surface of the movable seat 5, and an annular groove 32 capable of accommodating the annular positioning table 52 is disposed on the object placing plate 3. Preferably, the number of the positioning columns 31, the first positioning holes 51, the annular positioning platforms 52 and the annular groove 32 is 2, the annular positioning platforms 52 are coaxial with the first positioning holes 51, the positioning columns 31 and the first positioning holes 51 are matched through conical surfaces, and the annular positioning platforms 52 and the annular groove 32 are also matched through conical surfaces. After the object placing plate 3 is supported on the moving seat 5, the positioning column 31 is inserted into the first positioning hole 51, the annular positioning table 52 is inserted into the annular positioning, the positioning and the relative movement prevention of the object placing plate and the positioning column can be achieved, in addition, by adopting the positioning structure, a user can observe the relative positions of the annular positioning table 52 and the positioning column 31 through the gap between the moving seat 5 and the object placing plate 3, judge whether the positioning column 31 is aligned with the first positioning hole 51, when the two are not aligned, the cart 1 can be continuously moved until the positioning column 31 is aligned with the first positioning hole 51, then the universal wheel can be locked through braking, and then the lifting frame 13 is moved downwards to place the object placing plate 3 on the moving seat 5.
Preferably, the driving device comprises a horizontal shaft 101 and a handle 102 which is connected with one end of the horizontal shaft 101 and can drive the horizontal shaft 101 to rotate, a guiding mechanism for guiding the lifting frame 13 is arranged between the lifting frame 13 and the vehicle frame 11, and a transmission mechanism which can drive the lifting frame 13 to move up and down when the horizontal shaft 101 rotates is connected between the horizontal shaft 101 and the lifting frame 13.
Preferably, the transmission mechanism comprises a vertical nut 105 which is arranged on the frame 11 and can rotate around a vertical axis, a vertical screw 106 which is arranged on the lifting frame 13 and is meshed with the vertical nut 105, and a worm 107 which is arranged on the horizontal shaft 101, the lower end of the vertical nut 105 is rotatably connected with the frame 11 through a plane bearing, a fluted disc 1051 which is meshed with the worm 107 is arranged on the outer side wall of the vertical nut 105, and the fluted disc 1051 and the worm 107 form a turbine worm transmission pair. The guide mechanism comprises a vertical guide post 103 arranged on the frame 11 and a guide sleeve 104 arranged on the lifting frame 13, wherein the vertical guide post 103 is inserted in the guide sleeve 104 and is in sliding fit with the guide sleeve 104.
The lifting frame 13 is moved up and down by the method that the worm 107 is driven to rotate by the hand handle 102, the vertical nut 105 is driven to rotate when the worm 107 rotates, and then the vertical screw 106 and the lifting frame 13 can be driven to move up and down. By adopting the transmission mechanism, the speed reduction ratio is large, labor is saved, and the lifting frame 13 can form self-locking after moving in place.
Referring to fig. 5, the top of the lifting frame 13 has a left support seat 131 and a right support seat 132, the left support seat 131 is provided with a first slot 1311 for receiving the left end of the object plate 3, the right support seat 132 is provided with a second slot 1321 for receiving the right end of the object plate 3, and when the lifting frame 13 moves down to support the object plate 3 on the movable seat 5, the movable seat 5 can be moved forward to move the object plate 3 to the upper side of the hospital bed 4 after the left end of the object plate 3 is removed from the first slot 1311 and the right end of the object plate 3 is removed from the second slot 1321.
Furthermore, the frame 11 is provided with a fixing table 108 located below the object placing plate 3, the lifting frame 13 can place the object placing plate 3 on the lifting frame on the fixing table 108 when moving downwards, the fixing table 108 is provided with a second positioning hole 1081 matched with the positioning column 31, and the edge of the object placing plate 3 is provided with a blocking table 33 for limiting the object on the object placing plate to slide down. When medical equipment on the object placing plate 3 is moved by adopting the cart 1, if the medical equipment needs to pass through a bumpy road surface, the lifting frame 13 can be lowered, so that the object placing plate 3 is supported on the fixing table 108, and at the moment, the positioning column 31 is inserted into the second positioning hole 1081 to fix the object placing plate and the second positioning hole 1081, so that the object placing plate 3 can be prevented from sliding off the cart 1 due to the bumpy road surface.
Referring to fig. 3 and 5, in a further development of the invention, the equipment carrier 2 has an access shelf 21 located below the patient bed 4, and the locking arrangement comprises a first locking device capable of locking the access shelf 21 with the bed frame 41, and a second locking device capable of locking the access shelf 21 with the bed plate 42.
Preferably, the bottom of the equipment stand 2 is provided with a roller 22, the roller 22 is provided with a brake device, and the first locking device comprises a groove 201 into which the leg of the bed frame 41 can be clipped and a threaded fastener 202 capable of locking the leg in the groove 201. The extending frame 21 is provided with a transverse plate 203 positioned below the bed plate 42, the transverse plate 203 is provided with a vertical screw hole, the second locking device comprises a set screw 204 installed in the screw hole, and the threaded end of the set screw 204 is connected with a pressing plate 205 capable of pressing the bottom surface of the bed plate 42. In addition, the first locking means may also take other forms, such as a clamp for locking the bed leg to the equipment carrier 2. By adopting the design, the center of the equipment bracket 2 can be balanced, and when the movable seat 5 extends backwards and is used for bearing the medical equipment on the object placing plate 3, the equipment bracket 2 can be prevented from toppling over due to unstable gravity center.
Further, the equipment rack 2 is provided with a guide rail 206, the movable base 5 is provided with a slider 53 slidably engaged with the guide rail 206, and the equipment rack 2 is further provided with a driver (not shown) capable of driving the movable base 5 to move forward and backward. The driver is a motor, an electric push rod cylinder, a hydraulic rod and the like, and when the driver adopts the motor, the driver drives the movable base 5 to move back and forth through a group of lead screw and nut mechanisms.
The above description is only a preferred embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications and equivalents of the present invention, which can be directly or indirectly applied to other related technical fields without departing from the spirit of the present invention, are intended to be included in the scope of the present invention.
Claims (10)
1. The utility model provides an external life support equipment system of emplacing which characterized in that, includes shallow (1) and equipment support (2), shallow (1) includes frame (11) and wheel (12) that are located frame (11) bottom, be provided with crane (13) on shallow (1) and can drive crane (13) the drive arrangement who reciprocates, place on crane (13) and put thing board (3), be provided with on equipment support (2) and fix it the locking structure on sick bed (4), the upper portion of equipment support (2) is provided with the removal seat (5) that can move back and forth and be higher than the upper surface of sick bed (4), when shallow (1) is located when placing medical equipment on equipment support (2) rear side and put thing board (3), remove seat (5) backward to put under thing board (3), drive arrangement drive crane (13) move down so that it is in to make to put thing board (3) the support remove seat (5), then remove seat (5) and take thing board (4) to remove the sick bed top forward.
2. An in vitro life support device placement system according to claim 1, wherein a positioning structure capable of limiting the horizontal movement of the object placing plate (3) relative to the moving seat (5) is arranged between the moving seat (5) and the object placing plate (3).
3. The in vitro life support device placement system according to claim 2, wherein the wheels (12) are universal wheels, the positioning structure comprises a first positioning hole (51) disposed on the movable seat (5) and a positioning post (31) disposed on the object placing plate (3) and capable of being inserted into the first positioning hole (51), an annular positioning table (52) surrounding the first positioning hole (51) is disposed on the upper surface of the movable seat (5), and an annular groove (32) capable of accommodating the annular positioning table (52) is disposed on the object placing plate (3).
4. The system for placing the in-vitro life support equipment according to claim 1, wherein the driving device comprises a horizontal shaft (101) and a handle (102) which is connected to one end of the horizontal shaft (101) and can drive the horizontal shaft (101) to rotate, a guide mechanism for guiding the lifting frame (13) is arranged between the lifting frame (13) and the frame (11), and a transmission mechanism which can drive the lifting frame (13) to move up and down when the horizontal shaft (101) rotates is connected between the horizontal shaft (101) and the lifting frame (13).
5. The in vitro life support equipment placement system according to claim 4, wherein the transmission mechanism comprises a vertical nut (105) which is arranged on the frame (11) and can rotate around a vertical axis, a vertical screw (106) which is arranged on the lifting frame (13) and is meshed with the vertical nut (105), and a worm (107) which is arranged on the horizontal shaft (101), a fluted disc (1051) which is meshed with the worm (107) is arranged on the outer side wall of the vertical nut (105), and the fluted disc (1051) and the worm (107) form a worm gear and worm transmission pair.
6. The in vitro life support device placement system according to claim 1, wherein the crane (13) has a left support seat (131) and a right support seat (132) on the top, the left support seat (131) is provided with a first slot (1311) for receiving the left end of the object placing plate (3), the right support seat (132) is provided with a second slot (1321) for receiving the right end of the object placing plate (3), when the crane (13) moves down to support the object placing plate (3) on the movable seat (5), the movable seat (5) can be moved forward to move the object placing plate (3) above the hospital bed (4) after the left end of the object placing plate (3) is separated from the first slot (1311) and the right end of the object placing plate (3) is separated from the second slot (1321).
7. The in vitro life support equipment placing system according to claim 3, wherein the frame (11) is provided with a fixing platform (108) located below the object placing plate (3), the lifting frame (13) can place the object placing plate (3) on the lifting frame on the fixing platform (108) when moving downwards, the fixing platform (108) is provided with a second positioning hole (1081) matched with the positioning column (31), and the edge of the object placing plate (3) is provided with a blocking platform (33) for limiting the object on the object placing plate to slide down.
8. An extracorporeal life support apparatus emplacement system according to claim 1, wherein the patient bed (4) comprises a bed frame (41) and a bed plate (42) fixed on top of the bed frame (41), the apparatus support (2) has a stretcher (21) located below the patient bed (4), and the locking structure comprises a first locking device capable of locking the stretcher (21) with the bed frame (41) and a second locking device capable of locking the stretcher (21) with the bed plate (42).
9. An extracorporeal life support apparatus placement system according to claim 8, wherein the bottom of the apparatus support (2) is provided with rollers (22), the rollers (22) are provided with braking means, and the first locking means comprises a groove (201) into which the legs of the bed frame (41) can be snapped and a threaded fastener (202) capable of locking the legs in the groove (201).
10. The in vitro life support device placement system according to claim 8, wherein the extension frame (21) is provided with a transverse plate (203) below the bed plate (42), the transverse plate (203) is provided with a vertical screw hole, the second locking device comprises a set screw (204) installed in the screw hole, and the threaded end of the set screw (204) is connected with a pressing plate (205) capable of pressing on the bottom surface of the bed plate (42).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211319656.0A CN115363884B (en) | 2022-10-26 | 2022-10-26 | System is laid to external life support equipment |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211319656.0A CN115363884B (en) | 2022-10-26 | 2022-10-26 | System is laid to external life support equipment |
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| CN115363884A true CN115363884A (en) | 2022-11-22 |
| CN115363884B CN115363884B (en) | 2022-12-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202211319656.0A Active CN115363884B (en) | 2022-10-26 | 2022-10-26 | System is laid to external life support equipment |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116172726A (en) * | 2023-04-25 | 2023-05-30 | 中山市人民医院 | ECMO equipment lays device |
| CN117122476A (en) * | 2023-10-27 | 2023-11-28 | 中山市人民医院 | ECMO equipment rack capable of being used on sickbed |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN116172726A (en) * | 2023-04-25 | 2023-05-30 | 中山市人民医院 | ECMO equipment lays device |
| CN116172726B (en) * | 2023-04-25 | 2023-07-07 | 中山市人民医院 | ECMO equipment lays device |
| CN117122476A (en) * | 2023-10-27 | 2023-11-28 | 中山市人民医院 | ECMO equipment rack capable of being used on sickbed |
| CN117122476B (en) * | 2023-10-27 | 2024-01-09 | 中山市人民医院 | ECMO equipment rack capable of being used on sickbed |
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| CN115363884B (en) | 2022-12-30 |
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