CN203736466U - Prone-position operative position pad - Google Patents
Prone-position operative position pad Download PDFInfo
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- CN203736466U CN203736466U CN201420028617.XU CN201420028617U CN203736466U CN 203736466 U CN203736466 U CN 203736466U CN 201420028617 U CN201420028617 U CN 201420028617U CN 203736466 U CN203736466 U CN 203736466U
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Abstract
本实用新型公开了一种俯卧位手术体位垫，其包括俯卧位床垫、头部垫、躯干部垫、下肢垫，头部垫设置在俯卧位床垫上，俯卧位床垫与躯干部垫连接，下肢垫与躯干部垫连接，躯干部垫与下肢垫连接处设置有下肢部凹槽，整体为纵向沿中心对称结构；本装置在手术过程中能长时间保持患者手术体位不变，实现俯卧位手术时患者体位的标准化摆放，此标准化的摆放充分考虑到了俯卧位手术的特性及患者性别、身高、体重、肢体部位承受压力的不同而合理设置，对患者的肢体通过合理支撑而分散患者躯干及四肢所承受的压力，起到保护患者作用；同时减轻医务工作者的工作量和工作难度；间接缩短患者手术时间，减少患者术中、术后并发症的发生，可缩短住院时间，减少住院费用。
The utility model discloses a position pad for prone position operation, which comprises a prone position mattress, a head pad, a trunk pad and a lower limb pad. The head pad is arranged on the prone position mattress, and the prone position mattress and the trunk pad Connection, the lower limb pad is connected with the trunk pad, and the connection between the trunk pad and the lower limb pad is provided with a lower limb groove, and the whole is a longitudinally symmetrical structure along the center; this device can keep the patient's surgical position unchanged for a long time during the operation, realizing The standardized placement of the patient's body position during prone position surgery takes into account the characteristics of prone position surgery and the patient's gender, height, weight, and pressure on the limbs. Distribute the pressure on the patient's trunk and limbs to protect the patient; at the same time reduce the workload and difficulty of the medical workers; indirectly shorten the patient's operation time, reduce the occurrence of intraoperative and postoperative complications, and shorten the hospital stay , reduce hospitalization costs.
Description
Technical field
This utility model relates to a kind of prone position operation posture pad of the use of performing the operation, and especially for the operation of spinal surgery, belongs to medical instruments field.
Background technology
Prone position operation position is one of position that operative treatment is conventional, and especially in the operation of back spinal surgery, application is wider.Along with the raising of scientific and technical development, spinal surgery level, a lot of irremediable diseases in the past can be resolved now, and the incident vehicle accident of national economic development is multiple, makes spinal trauma more and more, and spinal operation is also more and more.Spinal operation is many to carry out under ventricumbent position, and in art, satisfied position is the important measures that ensure that operation is smooth and safe.Therefore, need use different posture pads to all ages and classes, sex and fat or thin patient; The drawback of simultaneously not noticing before some also slowly displays, and the corrective surgery injury causing because position is improper is increasing, has caused medical personnel's attention; The spinal surgery time is longer, and the nursing in art and anesthesia monitoring are the keys that operative doctor completes operation smoothly.So comfortable position, effectively nursing and anesthesia monitoring are not only conducive to patient and complete operation, and can alleviate patient's misery and post-operative complication, also more and more higher to the requirement of body position mattress for prone position.
Traditional posture pad in current clinical surgery operation, is divided into two classes substantially: a kind of soft foaming kind product for solid shape, fixed width; Another kind of scalable but the very complicated machinery of structure, entirety is comparatively heavy.When spinal operation, patient is prostrate on operating-table, for vertebra part can be significantly exposed in face of doctor, the conventional way for prone body position is just put cushion, soft medicated pillow in bed now, make patient prostrate, head margin circle, because mat is not an entirety, in long operative process, often make the best surgical exposure position of patient change; At patient's breast, abdominal pad one back-up block, spinal column is upwards arched upward, in the middle of the breast of back-up block in patient, abdominal part, the bad impression such as easily produce discomfort uncomfortable in chest, feel sick; Knee joint, instep pad foam-rubber cushion.And these methods are mainly to expose surgical field of view as main, poor to the protection of patient safety, lay particular stress on the prevention in decubital ulcer, to reduce pressure as main, and ignored adjustment position, patient is protected.But in operation and nursing, needs of patients keeps this position for a long time, add the effect of anaesthetic, patient's limbs are in palsy, whole-body muscle, tissue, blood vessel are in improper state, cause long fixation postures in operation process, cause body part blood circulation freely not occur local blood supply insufficiency, increase the injured probability of patient; And patient body position's particularity, be unfavorable for anesthesia monitoring and nursing, can not effectively control the control to patient's unexpected injury in operation process, strengthen the difficulty that operating room position risk quality control, operation position are managed, also increase the work difficulty of anesthesia doctor and nursing.
Therefore, situation about patient being damaged due to a variety of causes happens occasionally, and the injury that common spinal operation causes to patient mainly contains several below:
1. nerve, spinal cord, injury of muscle and tendon.With position factor analysis be undesired mobile patient in preoperative art, enough measures to reduce stresses etc. are not provided.Cause in non-functional position mainly due to the improper limbs that cause of position support.When patient with operation needs general anesthesia, the endotracheal tube of indwelling putting of position in the time of ventricumbent position has difficulties.Usual way is to adopt lateral position clinically, then pads sponge pillow, and endotracheal tube easily comes off like this, also easily occurs pulling of musculi colli, even the damage of cervical vertebra.
2. facial injury.Due to patient's compression facies, especially, after patient's anesthesia, self-pain sensation protective capability declines, and muscular tension reduces, and pressurized can cause skin of face necrosis for a long time, the organ injury such as eyes, mouth and nose of face.
3. the dysfunction of respiratory system.Ventricumbent position causes breast abdominal part directly to contact pressurized with posture pad, and the fluctuating and the diaphram that have a strong impact on thorax move down amplitude, have weakened the function of pulmonary ventilation and pulmonary ventilation, even make patient occur anaerobic condition etc.Caused by position factor, a variety of causes causes and all can cause the compressing of thorax.
4. the dysfunction of cardiovascular system.The high-order veins of lower extremity back-flow velocity of accelerating of low foot, increases cardiac load, particularly increases the incidence rate of old people's cardiovascular disease.Tourniquet application etc. is also its influence factor.
5. digestive system: prolonged operations causes abdominal part pressurized to affect the normal wriggling function of gastrointestinal tract, patient's digestive and absorptive functions is weakened, add postoperative patient anxiety, often there is anorexia,, there is hypoproteinemia, hypoglycemia etc. in the Deficiency of Intake such as protein, saccharide, has a strong impact on wound healing after operation in patients, extend the hospital stays, increase hospitalization cost.
6. genitals, injury of breast.When prone position operation, conventionally place two foam-rubber cushions at chest, hip.But when male performs the operation, the foam-rubber cushion that is positioned over hip tends to oppress the operation of male genital organ, particularly long period, may cause certain influence to male genital organ.And the supporting pad of breast abdominal part global shape can make again women's patient's chest pressurized.
In addition, what usually ignored by everybody is a bit that surgical operation is a teamwork, and adjustable posture pad heaviness is used complicatedly, and the patient who if needed places urinary catheter, often makes urinary catheter be in the oppression state, be unfavorable for Urine in Patients draw with art in urine metering; Prostrate pad height design is unreasonable, and while making patient prostrate, forehead is too near apart from operating-table, makes tracheal intubation bending fold, and the breathing that affects patient is also unfavorable for anaesthetizing doctor's monitoring.Therefore, existing posture pad great majority have only met the needs of surgical doctor, have ignored anesthesia doctor and observation and the processing of theatre sister to patient's vital sign, have strengthened medical personnel's workload and work difficulty.
Summary of the invention
For adapting to current clinical needs, overcome the deficiency in above-mentioned background technology, this utility model provides a kind of novel operation prone position operation posture pad of being convenient in art nursing and anesthesia monitoring.
In order to realize foregoing invention object, the technical problem that this utility model solves realizes by the following technical solutions:
This utility model is designed according to the mechanical structure of human spine's physiological camber and the psychological need of breathing for the ease of the prone position operation posture pad of nursing and anesthesia monitoring in art, can make patient's vertebra part outstanding, can be exposed to significantly in face of doctor; This prone position operation posture pad is an entirety; in operation process, can keep for a long time corrective surgery position constant; can realize prone position operation time, patient body position's standardization is put; this standardized characteristic and patient's height of having fully taken into account prone position operation of putting; body weight; limbs position is born the difference of pressure and is rationally arranged; ensure the safety of patient in operation process; add the decompression characteristic itself possessing; the pressure that disperses patient's trunk and extremity to bear by reasonable support to patient's limbs, thus play protection patient's effect.
This utility model comprises ventricumbent position mattress 1, head pad 2, trunk pad 3, lower limb pad 4, head pad 2 is arranged on ventricumbent position mattress 1, ventricumbent position mattress 1 is connected with trunk pad 3, lower limb pad 4 is connected with trunk pad 3, trunk pad 3 is provided with lower limb portion groove 16 with lower limb pad 4 junctions, be connected successively as a whole, entirety is for longitudinally along centrosymmetric structure.
Described head pad 2 comprises Head And Face support 5, support column 6, base 7, and base 7 is arranged on ventricumbent position mattress 1, and Head And Face supports 5 and is arranged on base 7 by support column, on base 7, mirror is housed; Head And Face supports four support sections that are provided with forehead, lower jaw and bilateral malar reduction on 5, and four support sections are all designed to interior arcuation according to face shape, and the structure of a hollow ring of four support section compositions, agrees with to reach better face; Head And Face supports 5 and is supported by four support columns 6.
The mat that described trunk pad 3 is surperficial arc surface, it is by upper breast pad 8, abdominal pad 9 and hip pad 10 are integrated as a whole, upper breast pad 8 both sides are provided with the shoulder groove 12 of placing patient's bilateral shoulder when prostrate, upper breast pad 8 middle parts are provided with two chest grooves 13, in chest groove 13, be provided with removable breast pad 14, chest groove 13 belows are hollow splanchnocoel 15, trunk pad 3 lower ends are hip pad 10, hip pad 10 middle parts have U-shaped groove 17, U-shaped groove 17 inner surfacies tilt to hollow splanchnocoel 15 directions, angle theta between inclined plane and vertical is 23-26, two lower limb pads are connected with hip pad respectively, junction is provided with lower limb portion groove 16.
Described chest groove 13 is semi-circular recesses.
Described hollow splanchnocoel 15 is for running through the cavity of trunk pad 3, and cavity is inverted cone bench-type, and its bottom is the circular hole of a diameter 10-15cm.
Described lower limb portion groove 16 is wide 2-3cm, the groove of dark 2-3cm.
This prone position operation posture pad is wrapped up by cushion, cushion has leather parcel outward, entirety is for longitudinally along centrosymmetric structure, its width is 450-500mm, trunk pad 3 middle part high positions are highly 245-255mm, one end height of the relative head pad of lower limb pad is 100mm, and the length of trunk pad is 900-950mm.
compared with prior art, adopt after technique scheme, the beneficial effects of the utility model are:
1, because head pad is similar to annular face shield, Head And Face can be put into it, and the support section of interior arcuation and face agree with effective, and the time that is conducive to the continuous pressurized of skin of patient's face all can be not long, thereby avoid ischemic necrosis, and saved the loaded down with trivial details of timing adjustment patient body position.The structure of a hollow ring of four support section compositions, can not only protect facial eyes, the organs such as mouth and nose, and facilitate tracheal intubation and various pipeline to pass.Doctor can, by vital sign such as skin, die Blausucht situation, the degree of depth of endotracheal tube and position and patient's the consciousness situations of the mirror observation patient on hollow structure and base, can also facilitate the head to patient in art to nurse.
2, because trunk pad overlooks to see it is to design according to ventricumbent position organization of human body, breast abdominal part is hollow, upper breast, hip respectively have an interior arc structure that protrudes into hollow breast abdominal part inside, add the design of both shoulders shoulder groove, make presternum, both shoulders and anterior superior iliac spine both sides to pubic symphysis portion and mattress laminating, when patient is prostrate like this, parts of body impetus pressurized is even, has farthest avoided the pressure ulcer producing because of after the long-time pressurized in part; And breast abdominal part is not oppressed by health, avoid the impact on breathing pattern and normal gastrointestinal tract digestive function, reduce abdominal pressure and cerebrospinal pressure, be conducive to leak healing, and make patient can tolerate for a long time ventricumbent position; And hollow splanchnocoel 15 bottoms are provided with circular hole in the middle of abdominal part, if intraoperative blood loss is more, can flow out outside pad, be convenient to cleaning.Upper breast is provided with two chest grooves, in the time that female patient is performed the operation, the removable breast pad in it can be taken out, avoid female patient breast compression, the U-shaped groove that hip pad and lower limb pad are connected to form, can be positioned over male genital organ herein, can avoid it to cause compressing.
3, due to prone position operation posture pad for longitudinally along centrosymmetric structure, thereby better maintain health neutral position.
4, due to long limit, prone position operation posture pad side position be seen as middle part high, the beam type structure that both sides are low, patient's eupnea and digestive function avoided affecting in a high ventricumbent position of low buttocks.
5, be inserted with the patient of urinary catheter, can from lower limb portion groove, passing through connecting the drainage bag pipe of urinary catheter, the prostrate urinary catheter of can not oppressing of patient, affects the drain of urine, facilitates the enforcement of nursery work in the urine amount of patient in logistic and art simultaneously.
6, because this prone position operation posture pad is an entirety, can allow patient feel that position is comfortable, avoid each position separately to use little posture pad, in operative process, make the change of best surgical exposure position, anesthesia monitoring position and nursing position.
7, the high-density sponge that this prostrate pad uses is filled, light weight, high resilience, good permeability, and toughness is strong, can be fully and contact skin, increase lifting surface area, reduce pressure, reduce the generation of postoperative skin wound; The leather substance of outsourcing, smooth surface, soft wear-resisting, is convenient to clean, sterilize, and can avoid cross infection.So, greatly reduced workload and the work difficulty of nursing.
8, this prostrate pad low cost, is adapted at situation of all-level hospitals and promotes the use of.
To sum up, this prone position operation posture pad can make the long-time comfortable high ventricumbent position of low buttocks that maintains of patient, avoid the impact of the physiological activity on patient, be conducive to doctor's operation, anesthesia monitoring and nursing procedure, indirectly shorten the corrective surgery time, reduce the generation of operation in patients infectious-related complication, bring simultaneously and shorten the hospital stays, alleviate the beneficial effects such as hospitalization cost;
This utility model can keep for a long time corrective surgery position constant in operation process; while realizing prone position operation, patient body position's standardization is put; this is standardized put fully taken into account the characteristic of prone position operation and Gender, height, body weight, limbs position is born the difference of pressure and is rationally arranged; the pressure that disperses patient's trunk and extremity to bear by reasonable support to patient's limbs, plays protection patient effect.Meanwhile, this utility model considers that surgical operation is a teamwork, is conducive to doctor's operation, anesthesia monitoring and nursing procedure, alleviates medical personnel's workload and work difficulty; Indirectly shorten the corrective surgery time, reduce the generation of operation in patients infectious-related complication, bring and shorten the hospital stays, alleviate the beneficial effects such as hospitalization cost.This prostrate pad low cost, is adapted at situation of all-level hospitals and promotes the use of.
Brief description of the drawings
Fig. 1 is structural representation of the present utility model;
Fig. 2 is this utility model structural representation;
Fig. 3 is this utility model plan structure schematic diagram;
Fig. 4 is this utility model side side-looking structural representation;
Fig. 5 is the perspective view of this utility model face support 5;
In figure: the mattress of 1-ventricumbent position; 2-head pad; 3-trunk pad; 4-lower limb pad; (wherein 5-1 is bilateral malar reduction strong point I to the support of 5-Head And Face; 5-2 is the forehead strong point; 5-3 is bilateral malar reduction strong point II; 5-4 is ramus of mandible support point); 6-support column; 7-base; 8-upper breast pad; 9-abdominal pad; 10-hip pad; 11-circular hole; 12-shoulder groove; 13-chest groove; The removable breast pad of 14-; 15-hollow splanchnocoel; 16-lower limb portion groove; 17-U type groove.
Detailed description of the invention
Below in conjunction with drawings and Examples, this utility model is described in further detail, but protection domain of the present utility model is not limited to described content.
Embodiment 1: this utility model comprises ventricumbent position mattress 1, head pad 2, trunk pad 3, lower limb pad 4, head pad 2 is arranged on ventricumbent position mattress 1, ventricumbent position mattress 1 is connected with trunk pad 3, lower limb pad 4 is connected with trunk pad 3, trunk pad 3 is provided with lower limb portion groove 16 with lower limb pad 4 junctions, be connected successively as a whole, entirety is for longitudinally along centrosymmetric structure, wherein said head pad 2 comprises Head And Face support 5, support column 6, base 7, and base 7 is arranged on ventricumbent position mattress 1, and Head And Face supports 5 and is arranged on base 7 by support column, on base 7, mirror is housed, and is convenient to anaesthetize doctor and observes patient's situation, Head And Face supports on 5 and is provided with forehead strong point 5-2, ramus of mandible support point 5-4, bilateral malar reduction strong point I 5-1, bilateral malar reduction strong point II 5-3, four support sections are all designed to interior arcuation according to face shape, a hollow ring structure of four support section compositions, agrees with to reach better face, Head And Face supports 5 and is supported by four support columns 6, the mat that described trunk pad 3 is surperficial arc surface, it is by upper breast pad 8, abdominal pad 9 and hip pad 10 are integrated as a whole, upper breast pad 8 both sides are provided with the shoulder groove 12 of placing patient's bilateral shoulder when prostrate, upper breast pad 8 middle parts are provided with two chest grooves 13, can hold female breast, in chest groove 13, be provided with removable breast pad 14, male patient can put into chest groove 13 by removable breast pad 14, chest groove 13 belows are hollow splanchnocoel 15, trunk pad 3 lower ends are hip pad 10, hip pad 10 middle parts have U-shaped groove 17, can place the urinary drainage bag pipe that connects patient's urinary catheter, U-shaped groove 17 inner surfacies tilt to hollow splanchnocoel 15 directions, angle theta between inclined plane and vertical is 26, two lower limb pads are connected with hip pad respectively, and junction is provided with lower limb portion groove 16, each one of left and right, described chest groove 13 is circular groove, and hollow splanchnocoel 15 is for running through the cavity of trunk pad 3, and cavity is inverted cone bench-type, and hollow splanchnocoel 15 bottoms are the circular hole of a diameter 10cm, described lower limb portion groove 16 is wide 2cm, the groove of dark 3cm, this prone position operation posture pad is wrapped up by cushion, cushion has leather parcel outward, entirety is for longitudinally along centrosymmetric structure, its width is 500mm, trunk pad 3 middle part high positions are highly 250mm, one end height of the relative head pad of lower limb pad is 100mm, and the length of trunk pad is that 900mm(is shown in Fig. 1,2,3,4,5).
When use, patient's Head And Face is placed on Head And Face and supports on 5, and in Head And Face supports, four support sections of arcuation and face agree with effectively, and the time that is conducive to the continuous pressurized of skin of patient's face all can be not long, thereby avoid ischemic necrosis, and saved the loaded down with trivial details of timing adjustment patient body position; The structure of a hollow ring of four support section compositions, can not only protect facial eyes, the organs such as mouth and nose, and facilitate tracheal intubation and various pipeline to pass, doctor can, by vital sign such as skin, die Blausucht situation, the degree of depth of endotracheal tube and position and patient's the consciousness situations of the mirror observation patient on hollow ring structure and base 7, can also facilitate the head to patient in art to nurse; Patient body is prostrate on trunk pad 3, patient's bilateral shoulder is placed in shoulder groove 12, female patient breast is placed in two chest grooves 13, in male patient's chest groove 13, be provided with removable breast pad 14, male genital organ is positioned in U-shaped groove 17 and can avoids it to cause compressing, be inserted with the patient of urinary catheter, the drainage bag pipe that connects urinary catheter can be passed through from lower limb portion groove, the prostrate urinary catheter of can not oppressing of patient, affect the drain of urine, facilitate the enforcement of nursery work in the urine amount of patient in logistic and art simultaneously.
This utility model Medical prone position body position pad for surgery can make patient continue to keep a prostrate low buttocks high position, can play the effect of prevention and treatment cerebrospinal leak, realization overcomes present treatment cerebrospinal leak and maintains for a long time prostrate the high-order impact on patient's body normal physiological function of low foot.
Embodiment 2: the present embodiment structure is with embodiment 1, and difference is that U-shaped groove 17 inner surfacies tilt to hollow splanchnocoel 15 directions, and the angle theta between inclined plane and vertical is 24, and hollow splanchnocoel 15 bottoms are the circular hole 11 of a diameter 15cm; Described lower limb portion groove 16 is wide 3cm, the groove of dark 2cm; This prone position operation posture pad is wrapped up by cushion, and cushion has leather parcel outward, and entirety is for longitudinally along centrosymmetric structure, its width is 450mm, trunk pad 3 middle part high positions are highly 255mm, and one end height of the relative head pad of lower limb pad is 100mm, and the length of trunk pad is 950mm.
Claims (7)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN201420028617.XU CN203736466U (en) | 2014-01-17 | 2014-01-17 | Prone-position operative position pad |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420028617.XU CN203736466U (en) | 2014-01-17 | 2014-01-17 | Prone-position operative position pad |
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| CN203736466U true CN203736466U (en) | 2014-07-30 |
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| CN201420028617.XU Expired - Fee Related CN203736466U (en) | 2014-01-17 | 2014-01-17 | Prone-position operative position pad |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103735384A (en) * | 2014-01-17 | 2014-04-23 | 昭通市第一人民医院 | Prone-operative-position mattress |
| CN109276389A (en) * | 2018-10-25 | 2019-01-29 | 广州市妇女儿童医疗中心 | Intelligent pressure measurement and control modular mattress and its control method |
| CN111374859A (en) * | 2020-04-02 | 2020-07-07 | 宜宾市第二人民医院 | Prone position operation face position adjusting device |
| CN119655737A (en) * | 2025-02-18 | 2025-03-21 | 佳木斯市结核病医院(佳木斯市肿瘤医院) | Positioning device for 3D printing and forming breast cancer prone treatment |
-
2014
- 2014-01-17 CN CN201420028617.XU patent/CN203736466U/en not_active Expired - Fee Related
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103735384A (en) * | 2014-01-17 | 2014-04-23 | 昭通市第一人民医院 | Prone-operative-position mattress |
| CN109276389A (en) * | 2018-10-25 | 2019-01-29 | 广州市妇女儿童医疗中心 | Intelligent pressure measurement and control modular mattress and its control method |
| CN111374859A (en) * | 2020-04-02 | 2020-07-07 | 宜宾市第二人民医院 | Prone position operation face position adjusting device |
| CN119655737A (en) * | 2025-02-18 | 2025-03-21 | 佳木斯市结核病医院(佳木斯市肿瘤医院) | Positioning device for 3D printing and forming breast cancer prone treatment |
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|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20140730 Termination date: 20200117 |