CN206080954U - PICC puts a tub bed - Google Patents

Abstract

The utility model discloses a PICC puts a tub bed, including main bed and hand device, the side of main bed is provided with layer board and arm board, layer board and arm board for main bed can turn over the book downwards, hand device includes hand and adjusting device, hand for adjusting device can reciprocate and circular rotation. The utility model discloses simple structure, convenient to use makes things convenient for medical personnel to put the disinfection operation before the pipe to the patient, need not to remove the patient simultaneously and just can conveniently put a tub operation.

Description

PICC bed

technical field

The utility model belongs to the technical field of medical instruments, in particular to a PICC tube bed.

Background technique

PICC is punctured and inserted from the vein of the peripheral arm by using a catheter. The tip of the catheter is delivered to the superior vena cava close to the heart to avoid direct contact between chemotherapy drugs and the peripheral superficial vein of the arm. In addition, the blood flow of the superior vena cava is very fast. It can quickly dilute chemotherapy drugs, prevent drugs from stimulating blood vessels, and reduce the number of venipunctures. Therefore, it can effectively protect the veins of the upper limbs, reduce the occurrence of phlebitis, reduce the pain of patients, and improve the quality of life of patients. It has been widely used in clinical. At present, the PICC catheterization bed is an ordinary hospital bed. During the clinical catheterization, the patient lies flat on the bed and moves his body to the other side of the bed as much as possible, and the arms need to be abducted 90 degrees and straightened perpendicular to the body and the bed to leave room for the catheterization. In the operating space, some medical staff will make their own table to place the patient's arm, and the sterile field is laid on the side of the patient's tube. Due to the low location of the bed unit, the medical staff must bend down or twist the waist more than 60° to insert the tube during the whole tube insertion process. The tube can be inserted for as little as 30 minutes and as long as 1 hour. If things go on like this, it will cause or increase the reset Manage lumbar muscle strain, shoulder and neck pain and visual fatigue of medical staff. In addition, it is very inconvenient to move the patient to one side of the bed, which may easily cause other adverse consequences. Special medical staff need to fully disinfect the patient's arm (up to the wrist and down to the armpit). During disinfection, the patient needs to raise the arm to 45 degrees and rotate the arm under the guidance of the medical staff. For the patient, the arm is raised for a long time And rotation is easy to cause fatigue. At the same time, due to the different arm lengths of different patients, the medical staff need to guide the patient to place the arm at the corresponding height, and the medical staff needs to help the patient rotate the arm, which greatly increases the labor intensity of the patient and the medical staff, and the operation is inconvenient. ;Sometimes the patient cannot correctly place the sterilized arm in the correct sterile field, and the sterilized part may be contaminated. At the same time, during the catheterization process, the nurse could not observe the change of the patient's complexion because the patient's head was turned to one side. When the catheter reaches 15-20cm, the medical staff need to instruct the patient to raise the head, and press the head to one side after the mandibular is close to the chest, or the medical staff can press the patient's neck with their own hands to prevent the PICC catheter from being inserted into the internal jugular vein. And during the catheterization process, after the medical staff needs to use a syringe to perform local anesthesia on the puncture point, the medical staff uses a scalpel to break the skin at the puncture point, and the syringe needle and the surgical blade are directly thrown into the curved plate after use. After the catheterization is completed, the syringe needle and the scalpel blade are processed. During this process, the medical staff are prone to needlestick injuries. In addition, after intubation, medical staff need to explain to patients the relevant precautions after PICC intubation, which takes time.

Patent No. CN201220457446.3 discloses a PICC tube insertion operation bed, which includes a bed, a bracket, and movable wheels. The bed is set on the bracket, and the four legs of the bracket are equipped with movable wheels. The two drawers are arranged horizontally along the length of the bed. The drawers are installed above the bracket through the guide rails. The two drawers can be drawn to the same side of the bed along their respective guide rails. The lower tray is installed under the bracket. Movable cushions are arranged on the lower tray. Although this solution also solves the problem of moving patients to a certain extent, its function is relatively single, and it cannot provide medical staff with a convenient tube insertion operation platform and aseptic operation area, and it is inconvenient for disinfection before tube insertion.

Utility model content

The purpose of the utility model is to overcome the deficiencies of the prior art, and provide a PICC with simple structure, easy to use, convenient for medical staff to disinfect the patient before placing the catheter, and at the same time, it can conveniently perform the catheterization operation without moving the patient. Insertion bed.

In order to achieve the above object, the utility model provides a PICC tube bed, including a main bed and a hand-held device, the side of the main bed is provided with a supporting board and an arm board, and the supporting board and the arm board are relatively The main bed can be folded downwards, and the hand-holding device includes a hand-holding frame and an adjustment device, and the hand-holding frame can move up and down and rotate in a circle relative to the adjustment device.

Further, the side of the main bed is provided with two support edges, and the arm board is located between the two support edges.

Further, the supporting board and the arm board can be folded down 90° relative to the main bed.

Further, the adjustment device includes a gear, a first motor, a foot plate and a switch, bar teeth are provided on the outer wall of the hand frame, and the bar teeth of the hand frame mesh with the gears, the The hand frame moves up and down relative to the gear, the lower end of the hand frame is connected to the first motor, the hand frame can rotate in a circle relative to the gear, and the switch is arranged on the foot plate on board.

Further, the adjusting device further includes a housing, the gear and the motor are disposed in the housing, the lower end of the handrail is located in the housing, and the foot plate is disposed outside the housing.

Further, the gear is connected to the second motor, and the switch includes a positive rotor switch of the first motor, a reverse sub-switch of the first motor, a positive rotor switch of the second motor, and a reverse sub-switch of the second motor. A positive rotor switch of a motor and a reverse sub-switch of the first motor are connected to the first motor through wires, and a positive rotor switch of the second motor and a reverse sub-switch of the second motor are connected to the second motor through wires .

Further, the upper end of the handrail is hook-shaped.

Further, the bedside of the main bed is provided with a mobile phone stand or an ipad stand.

Further, the two sides of the main bed are provided with movable guardrails, the head of the main bed can be adjusted in height relative to the ground, and the head of the main bed is provided with a movable sharps box installation groove.

Further, the head of the main bed is provided with a guard bar that is rotatable relative to the head of the bed, and a transparent partition.

When the patient’s elbow is disinfected before the tube is placed, the patient lies on the main bed, the patient’s arm is supported on the upper end of the handrail, and the medical staff steps on the first motor positive rotor switch or the first motor reverse rotor switch on the foot board to start The first motor, the first motor rotates forward or reverse accordingly, under the action of the first motor, it drives the armrest to rotate in a circle, so that the patient's arm rotates to the left or right, when the patient's arm rotates to the corresponding position , the medical staff releases their feet immediately, and the first motor stops moving. When the height of the patient's arm needs to be adjusted, the second motor is started by stepping on the positive rotor switch of the second motor or the reverse sub-switch of the second motor on the foot plate by the medical personnel, and the second motor rotates forward or reverse accordingly. Under the action of the second motor, the gear is driven to rotate in a circle, and the gear rotates to drive the bar teeth on the hand-held frame meshed with it to move up or down, thereby adjusting the height of the hand-held frame and the height of the patient's arm. When the patient's When the arm is adjusted to the corresponding height, the medical staff releases the foot immediately, and the second motor stops moving. The above operations realize the automatic process of patient arm rotation and height adjustment, without the need for manual adjustment by patients or medical staff, which greatly reduces the labor intensity of patients and medical staff, and is easy to operate. pollution situation.

When the catheter is placed after disinfection, the patient does not need to move the body, just put the arm on the arm board with the arm outstretched, which can fully expose the catheter placement site, and the medical staff can easily place the patient while sitting next to the arm board Tube operation, no need to twist the waist, making it easier for patients and medical staff during tube insertion. The two pallets are used to expand the space for tube insertion operation, which is convenient for medical staff to operate. After the tube placement operation is completed, it and the arm board are folded down relative to the main bed, so as not to take up extra space and are convenient to use. After the corresponding two pallets are used up, they can be folded down relative to the main bed so as not to take up extra space.

The mobile phone bracket or the ipad bracket arranged beside the main bed of the utility model is convenient for the patient to play the corresponding video when the tube is placed, which has ensured that the patient can complete the tube placement operation in a more comfortable state. The mobile phone holder or ipad holder is detachable relative to the main bed. When you don't need to use the mobile phone holder or ipad holder, just remove it, and it is quite flexible to use. It is especially used to play relevant precautions after tube placement, so as to prevent medical staff from dictating and explaining, which takes a long time, and realizes playing relevant precautions while tube placement.

In the present invention, preferably, the upper end of the hand support frame is hook-shaped. It is convenient for the patient to hold it by hand, so as to prevent the patient from raising the arm for a long time when the patient's arm (up to the wrist and down to the armpit) is fully disinfected, causing arm fatigue and soreness.

The movable guardrails on both sides of the main bed of the utility model are used to prevent the patient from falling from the side and reduce the risk of the patient being injured. In addition, when the patient's head is turned to one side during the catheterization process, medical staff can observe the patient's complexion changes through the transparent partition. When the catheter is sent to 15-20cm during the catheterization process, adjust the adjustment of the head of the main bed relative to the ground to automatically adjust the height of the patient's head, and press the patient's neck through the rotatable guard bar to prevent catheterization. When the catheter is inserted into the internal jugular vein, the whole process is fully automated and the operation is very convenient. When performing the above operations, the medical staff usually guides the patient to raise the head, and the mandible is close to the chest, then press the head to one side or the medical staff use it by themselves. Hand oppresses the patient's neck, which often occurs because the patient does not understand the instructions of the medical staff and makes an operation error, which takes a long time and increases the labor intensity of the patient and the medical staff.

The head of the main bed of the utility model is provided with a movable sharps box installation groove for placing the sharps box. During the catheterization process, the medical staff uses a syringe to perform local anesthesia on the puncture point. After the surgical blade breaks the skin at the puncture point, the used syringe needle and surgical blade can be directly thrown into the sharps box to prevent the medical staff from being stabbed. hurt.

The beneficial effects of the utility model:

1. The utility model is equipped with a supporting edge and an arm board on the side of the main bed, which is convenient for the operation of the tube. The patient does not need to move the body, but only needs to stretch the arm out and place the arm on the arm board, and the medical staff sit in parallel. By the side of the arm board, the patient can easily insert the catheter without twisting the waist, making it easier for both the patient and the medical staff during the catheterization process. The two pallets are used to expand the space for tube insertion operation, which is convenient for medical staff to operate. After use, the arm board and the supporting board are folded down relative to the main bed, so as not to take up extra space and are convenient to use.

2. The hand-holding device of the utility model is convenient for disinfection operation before tube placement, and the adjustment device is a foot-operated adjustment, which is convenient to adjust. The medical staff can adjust the rotation direction and height of the hand-holding frame by stepping on the corresponding switch on the foot board , so as to realize the automatic process of patient arm rotation and height adjustment without manual adjustment by patients or medical staff, which greatly reduces the labor intensity of patients and medical staff, and is easy to operate. pollution situation.

3. The mobile phone holder or ipad holder installed beside the main bed of the utility model is convenient for the patient to play the corresponding video when placing the catheter, which has ensured that the patient can complete the catheterization operation in a more comfortable state.

4. The movable guardrail of the present invention is used to prevent the patient from falling from the side and reduce the risk of injury to the patient. The patient's complexion changes can be observed through the transparent partition. The head of the main bed can be adjusted in height relative to the ground, which is convenient for automatically adjusting the height of the patient's head during catheterization. At the same time, the rotatable guard bar presses the patient's neck to prevent the catheter from being inserted into the internal jugular vein during catheterization. The process is fully automated, and the operation is very convenient, which greatly reduces the labor intensity of patients and medical staff.

5. The head of the main bed of the utility model is provided with a movable sharps box installation slot for placing the sharps box. During the catheterization process, the medical staff uses a syringe to perform local anesthesia on the puncture point. After the surgical blade breaks the skin at the puncture point, the used syringe needle and surgical blade can be directly thrown into the sharps box to prevent the medical staff from being stabbed. hurt.

Description of drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.

Fig. 1 is a schematic structural view of an embodiment of the utility model.

Fig. 2 is a schematic structural view of the hand-holding device in the embodiment of the present invention.

The above reference signs:

1. Main bed, 2. Support board, 3. Arm board, 4. Hand frame, 5. Housing, 6. First motor, 7. Gear, 8. Foot board, 9. Switch.

detailed description

The utility model is further described below in conjunction with the accompanying drawings, but it is not used to limit the scope of the utility model.

Example

As shown in Figures 1 and 2, a kind of PICC tube bed provided by the utility model includes a main bed 1 and a hand-held device, the side of the main bed 1 is provided with a supporting board 2 and an arm board 3, and the supporting The board 2 and the arm board 3 can be folded down relative to the main bed 1, and the hand-held device includes a hand-held frame 4 and an adjustment device, and the hand-held device 4 can move up and down relative to the adjustment device. rotate.

The side of the main bed 1 of the present utility model is provided with two supporting edges 2, and the arm board 3 is located between the two supporting edges 2.

The supporting board 2 and the arm board 3 of the present utility model can be folded downward by 90° relative to the main bed 1 .

The adjustment device of the present utility model includes a gear 7, a first motor 6, a foot plate 8 and a switch 9, and bar-shaped teeth are arranged on the outer wall of the hand-held frame 4, and the bar-shaped teeth of the hand-held frame 4 are connected with the The gear 7 is meshed, the hand frame 4 moves up and down relative to the gear 7, the lower end of the hand frame 4 is connected with the first motor 6, and the hand frame 4 is relatively 7 can rotate in a circle, and the switch 9 is arranged on the board surface of the foot board 8 .

The adjustment device of the present utility model also includes a housing 5, the gear 7 and the motor 6 are arranged in the housing 5, the lower end of the hand frame 7 is located in the housing 5, and the foot plate 8 It is arranged on the outside of the housing 5 .

The gear 7 of the present utility model is connected with the second motor, and the switch 9 includes the positive rotor switch of the first motor 6, the counter switch of the first motor 6, the positive rotor switch of the second motor and the counter rotor of the second motor switch, the positive rotor switch of the first motor 6, the reverse sub-switch of the first motor 6 are connected to the first motor 6 through wires, the positive rotor switch of the second motor, and the reverse sub-switch of the second motor are connected through wires connected to the second motor.

The bedside of the main bed 1 of the present utility model is provided with a mobile phone support or an ipad support. When it is convenient for the patient to place the catheter, the corresponding video can be played to ensure that the patient can complete the catheterization operation in a more comfortable state. The mobile phone holder or the ipad holder is detachable relative to the main bed 1 . When you don't need to use the mobile phone holder or ipad holder, just remove it, and it is quite flexible to use. It is especially used to play relevant precautions after tube placement, so as to prevent medical staff from dictating and explaining, which takes a long time, and realizes playing relevant precautions while tube placement.

When the patient's elbow is disinfected before the tube is placed, the patient lies on the main bed 1, and the patient's arm is supported on the upper end of the hand support frame 4, and the positive rotor switch of the first motor 6 or the first motor 6 on the foot board 8 is stepped on by the medical staff. Invert the sub-switch to start the first motor 6, and the first motor 6 rotates forward or reverse accordingly. Under the action of the first motor 6, it drives the armrest 4 to rotate in a circle, so that the patient's arm rotates left or right When the patient's arm rotates to the corresponding position, the medical staff releases the foot immediately, and the first motor 6 stops moving. When the patient's arm height needs to be adjusted, the second motor forward rotor switch or the second motor reverse rotor switch on the foot plate 8 is stepped on by the medical staff to start the second motor, and the second motor rotates forward or reverse accordingly. Under the action of the second motor, the gear 7 is driven to rotate in a circle, and the rotation of the gear 7 drives the bar-shaped teeth on the hand-held frame 4 meshed with it to move up or down, thereby adjusting the height of the hand-held frame 4 and adjusting the height of the patient's arm. Height, when the patient's arm is adjusted to the corresponding height, the medical staff releases the foot immediately, and the second motor stops moving. The above operations realize the automatic process of patient arm rotation and height adjustment, without the need for manual adjustment by patients or medical staff, which greatly reduces the labor intensity of patients and medical staff, and is easy to operate. pollution situation.

When the catheter is placed after disinfection, the patient does not need to move the body, but only needs to place the arm on the arm board 3, which can fully expose the catheter placement site, and the medical staff can sit parallel to the arm board 3, and they can easily treat the patient. There is no need to twist the waist for the catheterization operation, which makes it easier for patients and medical staff during the catheterization process. The two supporting plates 2 are used to expand the space for tube placement operation, which is convenient for medical staff to operate. After the tube placement operation is completed, it and the arm board 3 are folded down relative to the main bed 1, so as not to take up extra space and are easy to use. After the corresponding two pallets 2 are used up, they are folded down relative to the main bed 1 so as not to take up extra space.

Preferably in the present invention, the upper end of the hand support frame 4 is hook-shaped. It is convenient for the patient to hold it by hand, so as to prevent the patient from raising the arm for a long time when the patient's arm (up to the wrist and down to the armpit) is fully disinfected, causing arm fatigue and soreness.

Both sides of the main bed 1 of the utility model are provided with movable guardrails, and the head of the main bed 1 can be adjusted in height relative to the ground. The head of the main bed 1 is provided with a protective bar rotatable relative to the head of the bed, and a transparent partition. The movable guardrails on both sides of the main bed 1 of the utility model are used to prevent the patient from falling from the side and reduce the risk of the patient being injured. In addition, when the patient's head is turned to one side during the catheterization process, medical staff can observe the patient's complexion changes through the transparent partition. When the catheter is sent to 15-20cm during the catheterization process, adjust the adjustment of the head of the main bed 1 relative to the ground to automatically adjust the height of the patient's head, and press the patient's neck through the rotatable guard bar to prevent placement. When the catheter is inserted into the internal jugular vein, the whole process is fully automated and the operation is very convenient. When performing the above operations, the medical staff usually guides the patient to raise his head, and the mandibular is close to the chest, then press the head to one side or the medical staff do it by themselves. Compressing the patient's neck with hands often occurs that the patient makes an operation error due to not being able to understand the instructions of the medical staff, which takes a long time and increases the labor intensity of the patient and the medical staff.

The head of the main bed 1 of the utility model is provided with a movable sharps box installation groove for placing the sharps box. During the catheterization process, the medical staff uses a syringe to perform local anesthesia on the puncture point. After the surgical blade breaks the skin at the puncture point, the used syringe needle and surgical blade can be directly thrown into the sharps box to prevent the medical staff from being stabbed. hurt.

The basic principles, main features and advantages of the present utility model have been shown and described above. Those skilled in the industry should understand that the utility model is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the utility model. The utility model does not depart from the spirit and scope of the utility model There will also be various changes and improvements, and these changes and improvements all fall within the scope of the claimed utility model. The scope of protection required by the utility model is defined by the appended claims and their equivalents.

Claims (8)

1. a kind of PICC tube bed, it is characterized in that: comprise main bed and hand-held device, the side of described main bed is provided with supporting plate and arm plate, described supporting plate and arm plate can be compared with described main bed Folding down, the hand-held device includes a hand-held frame and an adjustment device, and the hand-held frame can move up and down and rotate in a circle relative to the adjustment device; the adjustment device includes a gear, a first motor, a foot plate and a switch , the outer wall of the hand frame is provided with bar teeth, the bar teeth of the hand frame mesh with the gear, the hand frame moves up and down relative to the gear, and the hand frame moves up and down. The lower end is connected with the first motor, the handrail can rotate circularly relative to the gear, and the switch is arranged on the board surface of the foot plate; the gear is connected with the second motor, and the switch Including the positive rotor switch of the first motor, the reverse sub-switch of the first motor, the positive rotor switch of the second motor and the reverse sub-switch of the second motor, the positive rotor switch of the first motor and the reverse sub-switch of the first motor communicate with the The first motor is connected, the forward rotor switch of the second motor, and the reverse rotor switch of the second motor are connected with the second motor through wires. 2. PICC bed according to claim 1, is characterized in that, the side of described main bed is provided with two support edges, and described arm board is positioned between two described support edges. 3. PICC bed according to claim 1, is characterized in that, described supporting board and arm board can be folded down 90 ° with respect to described main bed. 4. PICC tube bed according to claim 1, is characterized in that, described adjusting device also comprises housing, and described gear and motor are arranged in described housing, and the lower end of described handrail is positioned at described housing. Inside the body, the foot plate is disposed on the outside of the housing. 5. The PICC catheter bed according to claim 1, wherein the upper end of the handrail is hook-shaped. 6. PICC catheterization bed according to claim 1, is characterized in that, the bedside of described master bed is provided with mobile phone support or ipad support. 7. PICC tube bed according to claim 1, is characterized in that, the both sides of described master bed are provided with movable guardrail, the head of a bed of described master bed can adjust height with respect to ground, the bed of described master bed The head is provided with a movable sharps box installation slot. 8. The PICC bed according to claim 1, wherein the head of the main bed is provided with a rotatable guard bar relative to the head of the bed, and a transparent partition.