CN115737352A

CN115737352A - Stomach intubation auxiliary device for emergency department

Info

Publication number: CN115737352A
Application number: CN202211467746.4A
Authority: CN
Inventors: 赵星; 唐源; 税朝莲
Original assignee: Zunyi First Peoples Hospital
Current assignee: Zunyi First Peoples Hospital
Priority date: 2022-11-22
Filing date: 2022-11-22
Publication date: 2023-03-07

Abstract

The invention belongs to the field of stomach intubation auxiliary devices, and particularly relates to a stomach intubation auxiliary device for emergency department, which comprises a base and a head limiting mechanism, wherein a headrest is fixedly connected to the base, the head limiting mechanism is arranged on the headrest, the head limiting mechanism comprises an elastic belt, a limiting block, a limiting frame, a spring and a clamping block, a screw rod is installed inside the base through a bearing, the outer side of the screw rod is connected with a square column through threads, and a guide nozzle is fixedly connected to the square column. According to the invention, the elastic belt, the limiting frame, the limiting block and other structures are additionally arranged on the headrest, so that the head of a patient can be fixed and limited through the elastic belt in the using process of the patient, the problem that the patient is injured due to the avoidance of instinct reaction when the patient is inserted can be avoided, and the patient can bite the fixed guide mouth in the continuous inserting process, so that the gastroscope tube can be inserted more stably.

Description

Stomach intubation auxiliary device for emergency department

Technical Field

The invention belongs to the field of stomach intubation auxiliary devices, and particularly relates to a stomach intubation auxiliary device for an emergency department.

Background

When the stomach of a patient is examined, in the process of examining through a gastroscope, an inserted gastroscope tube needs to be guided and supported through an auxiliary device. In emergency department, the patient is usually treated more urgently. It is often necessary to perform examinations by means of a gastric tube or even to perform gastric lavage. Intubation tests were performed on patients suspected of acute gastrorrhagia, and lavage was performed on some patients suspected of poisoning. The survival rate of the patient can be obviously improved through timely diagnosis and treatment, particularly for the partially poisoned patient, if the stomach can be washed in time, the absorption of the toxic substances by the human body can be reduced, the risk is reduced, and the survival rate of the patient is improved.

However, at present, a related device for stomach intubation mainly focuses on the aspect of hygiene and safety when the related device is used, for example, in the document with chinese patent publication No. CN 114947714A, an auxiliary device for stomach intubation for emergency department is proposed, which includes a body shell, a display screen is disposed on one side surface of the body shell, a control button is disposed on one side surface of the body shell and below the display screen, a stomach tube storage cavity is disposed on one side surface of the body shell away from the display screen, an opening is disposed on one side surface of the stomach tube storage cavity, and a back door cover is disposed on the inner side of the opening; the inside that the chamber was deposited to the stomach tube is provided with the elevating platform structure, the inside wall that the chamber was deposited to the stomach tube is provided with bactericidal lamp and thermoregulator, deposits the chamber through being provided with sealed cavity (the chamber is deposited to the stomach tube), inside putting into sealed cavity with the stomach tube before the use, utilizes the inside temperature controller that sets up to handle with the bactericidal lamp, then passes through the inside of hyaline tube, and whole process contact air receives the probability of pollution and diminishes, safety and sanitation that can be more.

Auxiliary device in the above-mentioned scheme is fixed at patient's mouth, causes patient's discomfort easily at the in-process of inserting the stomach tube, and the patient can avoid by instinct, and the in-process of avoiding can cause the problem of injury to patient's throat department, is unfavorable for promoting holistic intubate speed.

Disclosure of Invention

The invention aims to provide a stomach intubation auxiliary device for an emergency department, which solves the problems that a patient is easy to hurt and the intubation speed is low when the existing auxiliary device is moved in the using process.

In order to achieve the purpose, the invention provides a stomach intubation auxiliary device for emergency department, which comprises a base and a head limiting mechanism, wherein a headrest is fixedly connected to the base, the head limiting mechanism is arranged on the headrest, the head limiting mechanism comprises an elastic belt, a limiting block, a limiting frame, a spring and a clamping block, a screw rod is installed in the base through a bearing, the outer side of the screw rod is connected with a square column through a thread, a guide nozzle is fixedly connected to the square column, a first bevel gear is fixedly connected to the outer side of the screw rod, a connecting shaft is installed in the base through a bearing, and one end of the connecting shaft is fixedly connected with a second bevel gear;

the guide nozzle comprises a base body, a contact layer and a pollution layer, wherein the base body, the contact layer and the pollution layer are hollow, two ends of the base body penetrate through the base body, the contact layer and the pollution layer are clamped outside and inside the base body respectively, a plurality of induction contacts and excitation contacts are arranged on the base body, the induction contacts are fixed on the outer side of the base body respectively, the excitation contacts are fixed on the inner side of the base body respectively, each excitation contact comprises an elastic piece, a stress piece and a force application piece, the force application piece is fixedly connected with the base body, the force application piece is a device which generates magnetism when electrified, the surface of the force application piece is fixed with one end of the elastic piece, the other end of the elastic piece is fixed with the stress piece, an elastic silica gel layer is filled between the base body and the pollution layer, the silica gel layer is fixedly connected with the base body, a plurality of through holes which expose the induction contacts so that the induction contacts or the excitation contacts can be contacted with the contact layer or the pollution layer are arranged on the silica gel layer, and the force application piece, the elastic piece and the stress piece are arranged in the through holes;

the control module is used for judging the state of a patient according to the position of the induction contact generating the trigger signal, and if the induction contact is frequently triggered by the contact layer, a warning signal is generated; the control module is also used for generating vibration signals after the induction contacts are all triggered; the buzzer is in signal connection with the control module and makes a sound after receiving the warning signal; the force application part is in signal connection with the control module, and the force application part works intermittently after receiving the vibration signal.

The principle of the invention is as follows: in-process patient's side of using lies on the headrest, push into the inside of stopper and compress the spring with the fixture block, then bind the elastic webbing outside back with the stopper that slides of head, after the outside that the stopper was slided to spacing, the fixture block contacts the recess on the spacing, the fixture block resets, the spring can drive the inside that the fixture block slided into spacing through elasticity, alright preliminary completion is to patient's head spacing, avoid patient's instinct reaction, then rotate the hand wheel, the hand wheel drives bevel gear two through the connecting axle and rotates, bevel gear two drives the screw rod through bevel gear one and rotates, the screw rod removes through the screw-thread fit drive direction mouth between the square column at the pivoted in-process, adjust its height, when direction mouth and patient's oral area highly uniform, stall, then make the patient bite the direction mouth, thereby can avoid causing the injury to the patient at the male in-process.

The invention has the beneficial effects that: according to the invention, the elastic belt, the limiting frame, the limiting block and other structures are additionally arranged on the headrest, so that the head of a patient can be fixed and limited through the elastic belt in the using process of the patient, the problem that the patient is injured due to the avoidance of instinctive reaction when the patient is inserted can be avoided, and the patient can bite the fixed guide mouth in the continuous inserting process, so that the insertion of the gastroscope tube can be more stable.

The direction mouth in this scheme has included base member, contact layer and contaminated layer, and the contact layer contacts with patient's oral area, and the contaminated layer is with the stomach tube contact. Both the contact layer and the contamination layer are replaceable to ensure hygienic requirements. During intubation, the user presses the entire guide mouth against the patient's mouth (and of course the nose) to ensure sufficient opening of the patient's mouth. At this stage, the sensing contacts are all activated. At the moment, the control module controls the excitation contact to work intermittently. The stomach tube is located the pollution intraformational this moment, arouse the contact can higher frequency and stomach tube contact for the stomach tube has the state of a vibration in less within range, even if these vibrations receive certain decay because of the reason of stomach tube material, but this vibration also can make the stomach tube enter into the internal tip of patient and produce certain vibration, thereby make with the gentle contact of stomach tube tip with patient's esophagus, avoid the damage to mucous membrane layer, the operating efficiency of user (medical personnel) has also been improved simultaneously.

After intubation, during the gastric juice extraction or gastric lavage phase, washing is carried out by means of an automatic gastric lavage machine (which effects the infusion and aspiration of the liquid). If the patient has convulsion during this stage (which is likely to occur due to the type of intoxication and the constitution of the patient), the intubation should be stopped to avoid injury to the patient (which may affect respiration if the liquid enters the trachea). When a patient convulsions, the mouth of the patient may have a twitch condition, resulting in frequent contact of the contact layer with the substrate, resulting in the contact tip being triggered. At the moment, medical care personnel can be reminded in time.

According to the scheme, the head of the patient is fixed, so that time waste caused by unconscious behaviors of the patient due to fear is avoided; the detection of the states of the gastric tube and the patient is realized through the contact point and the excitation contact point, the gastric tube is vibrated during intubation, the end part of the gastric tube is forced to be in contact with the esophagus, the operation burden of medical personnel is reduced, and the intubation speed is further improved; in the gastric lavage stage, the state of the patient can be detected, and when convulsion occurs to the patient, medical care personnel can be reminded in time, so that the life safety of the patient is guaranteed. To sum up, this scheme has promoted the intubate speed on safety and sanitation and guarantee patient life safety's basis, has avoided causing the injury to the patient.

Furthermore, the base is fixedly connected with anti-skidding legs, the anti-skidding legs are made of rubber materials, and the anti-skidding legs can increase the friction force between the base and the placing surface.

Furthermore, the second bevel gear is meshed with the first bevel gear, the other end of the connecting shaft is fixedly connected with a hand wheel, and the hand wheel can drive the connecting shaft to drive the second bevel gear to rotate.

Further, the square pipe of fixedly connected with on the base, square pipe with square post fixed connection, square pipe can lead the moving direction of square post.

Further, fixedly connected with elastic webbing on the headrest, fixedly connected with stopper on the headrest, the spacing frame of one end fixedly connected with of elastic webbing, the inside of stopper is provided with the spring, the inside sliding connection of stopper has the fixture block, and the stopper can carry on spacingly to spacing frame.

Furthermore, the fixture block is connected with the limiting frame in a sliding manner, and the limiting frame is connected with the limiting block in a sliding manner; the clamping block is made of a metal material which can be magnetically adsorbed, the first electromagnet is fixed at the joint of the limiting block and the spring, the electromagnet can adsorb the clamping block to overcome the elasticity of the spring after being electrified, and the electromagnet is in signal connection with the control module; the control module is also used for controlling the electromagnet to be electrified after the warning signal is generated. The fixture block can limit the limiting frame. When a patient convulsions, the elastic clamp can be automatically loosened, so that the patient can be rescued conveniently and timely.

Furthermore, one end of the spring is fixedly connected with the limiting block, the other end of the spring is fixedly connected with the clamping block, and the spring can drive the clamping block to automatically reset through elasticity.

Drawings

FIG. 1 is a perspective view of a gastric intubation auxiliary device for emergency department according to an embodiment of the present invention;

FIG. 2 is a front cross-sectional view of the gastric intubation aid of FIG. 1 for emergency department according to the embodiment of the present invention;

fig. 3 is an enlarged view of a part a of the stomach intubation auxiliary device for emergency department in fig. 2 according to the embodiment of the invention.

Detailed Description

The following is further detailed by way of specific embodiments:

the reference numbers in the drawings of the specification include: the anti-skid device comprises a base 1, anti-skid legs 2, a headrest 3, a head limiting mechanism 4, a screw rod 5, a square column 6, a guide nozzle 7, a bevel gear I8, a connecting shaft 9, a bevel gear II 10, a hand wheel 11, a square pipe 12, an elastic belt 41, a limiting block 42, a limiting frame 43, a spring 44 and a clamping block 45.

As shown in fig. 1 and 2, the present embodiment provides a stomach intubation auxiliary device for emergency department, which includes a base 1 and a head limiting mechanism 4, a headrest 3 is fixedly connected to the base 1, the head limiting mechanism 4 is arranged on the headrest 3, anti-skid legs 2 are fixedly connected to the base 1, the anti-skid legs 2 are made of rubber materials, and the anti-skid legs 2 can increase the friction force between the base 1 and the placing surface.

As shown in fig. 1 and 2, a screw rod 5 is installed in the base 1 through a bearing, the outer side of the screw rod 5 is connected with a square column 6 through a thread, a guide nozzle 7 is fixedly connected to the square column 6, a bevel gear 8 is fixedly connected to the outer side of the screw rod 5, a connecting shaft 9 is installed in the base 1 through a bearing, a bevel gear 10 is fixedly connected to one end of the connecting shaft 9, the bevel gear 10 is meshed with the bevel gear 8, a hand wheel 11 is fixedly connected to the other end of the connecting shaft 9, the hand wheel 11 can drive the connecting shaft 9 to drive the bevel gear 10 to rotate, a square pipe 12 is fixedly connected to the base 1, the square pipe 12 is fixedly connected with the square column 6, and the square pipe 12 can guide the moving direction of the square column 6.

As shown in fig. 1, fig. 2, fig. 3, head limiting mechanism 4 includes elastic band 41, stopper 42, limiting frame 43, spring 44, fixture block 45, fixedly connected with elastic band 41 on the headrest 3, fixedly connected with stopper 42 on the headrest 3, the one end fixedly connected with limiting frame 43 of elastic band 41, stopper 42's inside is provided with spring 44, stopper 42's inside sliding connection has fixture block 45, stopper 42 can be spacing to limiting frame 43, fixture block 45 and limiting frame 43 sliding connection, limiting frame 43 and stopper 42 sliding connection, fixture block 45 can be spacing to limiting frame 43, spring 44's one end and limiting frame 42 fixed connection, spring 44's the other end and fixture block 45 fixed connection, spring 44 can drive fixture block 45 self-resetting through elasticity.

The guide nozzle 7 comprises a base body, a contact layer and a pollution layer, wherein the base body, the contact layer and the pollution layer are hollow, two ends of the base body penetrate through the base body, the contact layer and the pollution layer are clamped outside and inside the base body respectively, a plurality of induction contacts and excitation contacts are arranged on the base body, the induction contacts are fixed on the outer side of the base body respectively, the excitation contacts are fixed on the inner side of the base body respectively, each excitation contact comprises an elastic piece, a stress piece and a force application piece, the force application piece is fixedly connected with the base body, each force application piece is a device which generates magnetism when electrified, the surface of each force application piece is fixed with one end of each elastic piece, the other end of each elastic piece is fixed with each stress piece, an elastic silica gel layer is filled between the base body and the pollution layer, each silica gel layer is fixedly connected with the base body, a plurality of through holes which expose the induction contacts so that the induction contacts or the excitation contacts can be contacted with the contact layer or the pollution layer are arranged on each silica gel layer, and the force application pieces, the elastic pieces and the stress pieces are all located in the through holes;

The clamping block 45 is made of a metal material capable of being magnetically adsorbed, the first electromagnet is fixed at the joint of the limiting block 42 and the spring 44, the electromagnet can adsorb the clamping block 45 to overcome the elasticity of the spring 44 after being electrified, and the electromagnet is in signal connection with the control module; the control module is also used for controlling the electromagnet to be electrified after the warning signal is generated.

The specific implementation process of the invention is as follows: in the using process, a patient lies on the side of the headrest 3, the clamping block 45 is pushed into the limiting block 42 and compresses the spring 44, the elastic belt 41 is bound on the outer side of the head, the limiting block 43 slides to the outer side of the limiting block 42, the clamping block 45 contacts with the groove in the limiting block 43 after the limiting block 43 slides to the outer side of the limiting block 42, the clamping block 45 resets, the spring 44 can drive the clamping block 45 to slide into the limiting block 43 through elasticity, the limiting on the head of the patient can be initially completed, the instinctive reaction of the patient is avoided, the hand wheel 11 is rotated, the hand wheel 11 drives the bevel gear II 10 to rotate through the connecting shaft 9, the bevel gear II 10 drives the screw rod 5 to rotate through the bevel gear I8, the screw rod 5 drives the guide nozzle 7 to move through the thread matching with the square column 6 in the rotating process, the height of the guide nozzle is adjusted, when the guide nozzle 7 is consistent with the mouth height of the patient, the guide nozzle 7 stops rotating, and the patient is bitten, and therefore the injury to the patient in the inserting process can be avoided.

According to the invention, the elastic band 41, the limiting frame 43, the limiting block 42 and other structures are additionally arranged on the headrest 3, so that the head of a patient can be fixed and limited through the elastic band 41 in the using process of the patient, the problem that the patient is injured due to the avoidance of instinctive reaction during insertion can be avoided, and the patient can bite the fixed guide mouth 7 in the continuous insertion process, so that the insertion of a gastroscope tube is more stable.

It should be noted that, unless otherwise explicitly stated or limited, the terms "mounted," "connected," "fixed," and the like are used broadly in the present invention, and may be, for example, fixedly connected, detachably connected, or integrally connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.

The foregoing is merely an example of the present invention and common general knowledge of known specific structures and features of the embodiments is not described herein in any greater detail. It should be noted that, for those skilled in the art, without departing from the structure of the present invention, several changes and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be defined by the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims

1. The utility model provides a stomach intubate auxiliary device for emergency department, includes base, head stop gear, its characterized in that: the base is fixedly connected with a headrest, the headrest is provided with a head limiting mechanism, the head limiting mechanism comprises an elastic belt, a limiting block, a limiting frame and a spring, a screw is mounted inside the base through a bearing, the outer side of the screw is connected with a square column through threads, a guide nozzle is fixedly connected onto the square column, a first bevel gear is fixedly connected onto the outer side of the screw, a connecting shaft is mounted inside the base through a bearing, and a second bevel gear is fixedly connected onto one end of the connecting shaft;

2. The gastric intubation assistance device for emergency department according to claim 1, wherein: the anti-skidding leg is fixedly connected to the base and made of rubber materials.

3. The gastric intubation assistance device for emergency department according to claim 1, wherein: the second bevel gear is meshed with the first bevel gear, and the other end of the connecting shaft is fixedly connected with a hand wheel.

4. The gastric intubation assistance device for emergency department according to claim 1, wherein: the base is fixedly connected with a square pipe, and the square pipe is fixedly connected with the square column.

5. The gastric intubation assistance device for emergency department according to claim 1, wherein: the improved headrest is characterized in that an elastic belt is fixedly connected to the headrest, a limiting block is fixedly connected to the headrest, a limiting frame is fixedly connected to one end of the elastic belt, a spring is arranged inside the limiting block, and a clamping block is slidably connected to the inside of the limiting block.

6. The gastric intubation assistance device for emergency department according to claim 1, wherein: the fixture block is connected with the limiting frame in a sliding manner, and the limiting frame is connected with the limiting block in a sliding manner; the clamping block is made of a metal material which can be magnetically adsorbed, the first electromagnet is fixed at the joint of the limiting block and the spring, the electromagnet can adsorb the clamping block to overcome the elasticity of the spring after being electrified, and the electromagnet is in signal connection with the control module; the control module is also used for controlling the electromagnet to be electrified after the warning signal is generated.

7. The gastric intubation assistance device for emergency department according to claim 1, wherein: one end of the spring is fixedly connected with the limiting block, and the other end of the spring is fixedly connected with the clamping block.