CN209574910U - An improved upper limb restraint belt - Google Patents
An improved upper limb restraint belt Download PDFInfo
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- CN209574910U CN209574910U CN201920031330.5U CN201920031330U CN209574910U CN 209574910 U CN209574910 U CN 209574910U CN 201920031330 U CN201920031330 U CN 201920031330U CN 209574910 U CN209574910 U CN 209574910U
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Abstract
Description
技术领域technical field
本实用新型涉及医护过程中的辅助工具技术领域,具体涉及一种改进的上肢约束带。The utility model relates to the technical field of auxiliary tools in the medical care process, in particular to an improved restraint belt for upper limbs.
背景技术Background technique
上肢约束带主要应用于手术、精神行为异常的患者护理过程中,以股骨转子间骨折手术为例,上肢约束带的使用状态为:患者仰卧于手术床上,为了利于手术医生的操作,通常将患者上肢曲肘90°悬吊固定于头架横杆上。传统的上肢约束带包括棉垫、治疗巾和绷带,通常将患者前臂用棉垫和治疗巾包裹后,再用绷带固定在头架上。上述方案存在以下缺陷:包裹固定等过程中护士的工作量大,准备时间长,单人操作困难;绷带松紧度很难控制,收紧绷带,可预防患侧上肢外展,但容易引起患者皮肤损伤;放松绷带,患侧上肢容易发生外展,不仅影响手术者操作和仪器的摆放,而且容易造成神经损伤;对于使用电刀的手术,上肢与金属头架的接触会增加患者电灼伤的风险。The upper limb restraint belt is mainly used in the nursing process of patients with abnormal mental behavior. Taking intertrochanteric fracture surgery as an example, the upper limb restraint belt is used as follows: the patient lies supine on the operating table. In order to facilitate the operation of the surgeon, the patient is usually placed The upper limbs are suspended at 90° with elbows bent and fixed on the crossbar of the headgear. Traditional upper limb restraint belts include cotton pads, treatment towels and bandages. Usually the patient's forearm is wrapped with cotton pads and treatment towels, and then fixed on the head frame with bandages. The above scheme has the following defects: the workload of the nurse in the process of wrapping and fixing is heavy, the preparation time is long, and it is difficult for one person to operate; it is difficult to control the tightness of the bandage. Injury; loosen the bandage, the upper limb of the affected side is prone to abduction, which not only affects the operation of the operator and the placement of the instrument, but also easily causes nerve damage; for the operation using the electric knife, the contact of the upper limb with the metal head frame will increase the risk of electric burns of the patient. risk.
改进的技术方案如CN102973326A中所述的护肩上肢约束带,其结构中包括分别用于包覆前臂和上臂的开放式袖筒,两开放式袖筒之间设置有可弯折包覆肘关节的护肩,上述结构可同时约束和覆盖前臂和上臂,缺陷在于:由于袖筒与手臂之间可容一指,术中容易出现患者手臂外展的问题,外展后的上臂与上臂袖筒之间存在拉扯,会导致袖筒对于上臂局部的约束过紧,进而造成患者的皮肤损伤或者局部压迫。The improved technical solution is as described in CN102973326A, the shoulder guard and upper limb restraint belt, which includes open sleeves for covering the forearm and upper arm respectively in its structure, and a protective sleeve that can bend and cover the elbow joint is arranged between the two open sleeves. Shoulder, the above-mentioned structure can constrain and cover the forearm and upper arm at the same time. The disadvantage is that: because a finger can be accommodated between the sleeve and the arm, it is easy for the patient to abduct the arm during the operation, and there is pulling between the abducted upper arm and the upper arm sleeve , will cause the sleeve to restrict the local upper arm too tightly, which will cause skin damage or local compression of the patient.
实用新型内容Utility model content
本实用新型的目的在于克服现有技术中存在的缺陷,提供一种改进的上肢约束带,通过设置独立的肘关节保护垫,减少肘关节保护垫与袖筒的拉扯,限制患者手臂外展。The purpose of the utility model is to overcome the defects in the prior art and provide an improved restraint belt for the upper limbs. By setting an independent elbow joint protection pad, the pulling of the elbow joint protection pad and the sleeve can be reduced, and the patient's arm abduction can be restricted.
实现上述技术效果,本实用新型的技术方案为:一种改进的上肢约束带,其特征在于,包括前臂包覆部、与所述前臂包覆部一端固定连接的延伸带和活动设置在所述延伸带上的肘关节保护垫,所述前臂包覆部上固定设置有头架系带;所述延伸带的自由端和所述前臂包覆部可拆卸式连接,或者所述延伸带的自由端与所述前臂包覆部、所述肘关节保护垫与前臂包覆部分别可拆卸式连接。To achieve the above technical effects, the technical solution of the present invention is: an improved upper limb restraint belt, which is characterized in that it includes a forearm covering part, an extension belt fixedly connected to one end of the forearm covering part and a movable set on the The elbow joint protection pad on the extension belt, the headgear strap is fixedly arranged on the forearm covering part; the free end of the extension belt is detachably connected with the forearm covering part, or the free end of the extension belt The end is detachably connected with the forearm covering part, the elbow joint protection pad and the forearm covering part respectively.
优选的技术方案为,前臂包覆部为开放式的袖套,袖套围合接近的两侧边通过绑接件或者扣接件固定连接。The preferred technical solution is that the covering part of the forearm is an open sleeve, and the two sides surrounding and close to the sleeve are fixedly connected by a binding piece or a fastening piece.
优选的技术方案为,延伸带的自由端和前臂包覆部之间通过尼龙粘扣连接。The preferred technical solution is that the free end of the extension belt is connected to the forearm covering part through nylon gluing.
优选的技术方案为,所述肘关节保护垫为球面型或者类球面型,或为两内凹弧面组合成的折板状。The preferred technical solution is that the elbow joint protection pad is spherical or quasi-spherical, or a folded plate formed by combining two concave arc surfaces.
优选的技术方案为,所述延伸带包含两条带体,肘关节保护垫外表面顶点或者折弯处的一侧设置有第一带袢,另一侧设置有两第二带袢,第一带袢容两条带体同时穿过,第二带袢容带体一一对应穿过,第一带袢对应设置在前臂外侧,第二带袢对应设置在上臂外侧。The preferred technical solution is that the extension belt includes two belt bodies, a first belt loop is provided on one side of the vertex or a bend on the outer surface of the elbow joint protection pad, and two second belt loops are provided on the other side, and the first belt loop is provided on the other side. The belt loops allow the two belts to pass through at the same time, the second belt loop allows the belts to pass through one by one, the first belt loop is correspondingly arranged on the outside of the forearm, and the second belt loop is correspondingly arranged on the outside of the upper arm.
优选的技术方案为,所述延伸带的自由端与所述前臂包覆部、所述肘关节保护垫与前臂包覆部分别通过尼龙粘扣连接。A preferred technical solution is that the free end of the extension belt is connected to the forearm covering part, and the elbow joint protection pad and the forearm covering part are respectively connected by Velcro.
优选的技术方案为,所述肘关节保护垫由球面型或类球面型的肘关节保护部和弧形的上臂挡板部组合而成,肘关节保护部上设置有折返带袢,延伸带穿设在折返带袢中;上臂挡板部上固定设置有固定带,固定带的两端分别与前臂包覆部通过尼龙粘扣连接;折返带袢对应设置在前臂外侧。The preferred technical solution is that the elbow joint protection pad is composed of a spherical or quasi-spherical elbow joint protection part and an arc-shaped upper arm baffle part. It is arranged in the fold-back belt loop; the upper arm baffle part is fixedly provided with a fixing belt, and the two ends of the fix belt are respectively connected with the forearm covering part through nylon velcro; the fold-back belt loop is correspondingly arranged on the outside of the forearm.
优选的技术方案为,前臂包覆部为厚度不小于1cm的海绵材质。A preferred technical solution is that the covering part of the forearm is made of a sponge material with a thickness not less than 1 cm.
优选的技术方案为,肘关节保护垫包括硬质外层和柔性内衬层叠合而成。The preferred technical proposal is that the elbow joint protection pad comprises a laminated hard outer layer and a flexible inner lining layer.
优选的技术方案为,肘关节保护垫的边缘设置有外翻边。The preferred technical solution is that the edge of the elbow joint protection pad is provided with an outward turning edge.
本实用新型的优点和有益效果在于:Advantage and beneficial effect of the present utility model are:
该改进的上肢约束带中前臂的袖套与肘关节保护垫相互独立,肘关节保护垫与避免因患者术中手臂外展导致的袖套牵伸、局部压迫等问题;The forearm sleeve and the elbow joint protection pad in the improved upper limb restraint belt are independent of each other, and the elbow joint protection pad can avoid problems such as sleeve drafting and local compression caused by the patient's arm abduction during the operation;
使用时先包覆患者的前臂,移动肘关节保护垫至合适位置,然后将肘关节保护垫与前臂的袖套连接,使肘关节保护垫与肘关节相顶,最后将前臂包覆部的头架系带与手术床的头架连接,上述过程操作方便,可单人完成;When using, cover the patient's forearm first, move the elbow joint protection pad to a suitable position, then connect the elbow joint protection pad to the sleeve of the forearm, make the elbow joint protection pad and the elbow joint touch, and finally put the head of the forearm covering part The frame tie is connected with the head frame of the operating bed, the above process is easy to operate and can be completed by one person;
改进的上肢约束带适用于不同身高、胖瘦程度的患者使用。The improved upper limb restraint belt is suitable for patients of different heights and degrees of fat and thin.
附图说明Description of drawings
图1是实施例1改进的上肢约束带展开状态内表面的结构示意图;Fig. 1 is the structural schematic view of the inner surface of the upper limb restraint belt expanded state improved in embodiment 1;
图2是实施例1改进的上肢约束带展开状态外表面的结构示意图;Fig. 2 is a schematic structural view of the outer surface of the upper limb restraint belt in the expanded state of the improved embodiment 1;
图3是实施例1中关节保护垫的立体结构示意图;Fig. 3 is the three-dimensional structure schematic diagram of joint protection pad in embodiment 1;
图4是实施例1中关节保护垫的另一立体结构示意图;Fig. 4 is another three-dimensional structural schematic diagram of the joint protection pad in embodiment 1;
图5是实施例1改进的上肢约束带的使用状态图;Fig. 5 is a diagram of the use state of the upper limb restraint belt improved in embodiment 1;
图6是实施例2改进的上肢约束带展开状态内表面的结构示意图;Fig. 6 is a schematic structural view of the inner surface of the upper limb restraint belt in the expanded state of the improved embodiment 2;
图7是实施例2改进的上肢约束带展开状态外表面的结构示意图;Fig. 7 is a schematic structural view of the outer surface of the upper limb restraint belt in the expanded state of the improved embodiment 2;
图8是实施例2改进的上肢约束带的使用状态图;Fig. 8 is a diagram of the use state of the upper limb restraint belt improved in embodiment 2;
图9是实施例2中关节保护垫沿对称面的剖视图。Fig. 9 is a cross-sectional view of the joint protection pad in Embodiment 2 along the plane of symmetry.
图中:1、前臂包覆部;2、延伸带;3、肘关节保护垫;3a、硬质外层;3b、柔性内衬层;3c、外翻边;31、肘关节保护部;32、上臂挡板部;4、第一带袢;5、第二带袢;6、折返带袢;7、固定带;8、头架系带;a1、带状钩面;a2、带状绒面。In the figure: 1, forearm covering part; 2, extension belt; 3, elbow joint protection pad; 3a, hard outer layer; 3b, flexible inner lining layer; 3c, outward turning edge; 31, elbow joint protection part; 32 , the upper arm baffle; 4, the first belt loop; 5, the second belt loop; 6, the return belt loop; 7, the fixed belt; 8, the head frame tie; a1, the ribbon hook surface; noodle.
具体实施方式Detailed ways
下面结合附图和实施例,对本实用新型的具体实施方式作进一步描述。以下实施例仅用于更加清楚地说明本实用新型的技术方案,而不能以此来限制本实用新型的保护范围。Below in conjunction with accompanying drawing and embodiment, the specific embodiment of the utility model is further described. The following examples are only used to illustrate the technical solution of the utility model more clearly, but not to limit the protection scope of the utility model.
[绑接件和扣接件][Binders and Fasteners]
绑接件中最常用的为绑带,绑带的好处在于容易控制松紧。扣接件通常包括尼龙粘扣、相配合的纽扣与扣孔等,为了方便使用,减少对于患者手臂的按压,优选为尼龙粘扣。The most commonly used bindings are straps. The advantage of straps is that they are easy to control the tightness. Fasteners usually include Velcro, matching buttons and buttonholes, etc., and are preferably Velcro for ease of use and to reduce pressure on the patient's arm.
[两条带体组成的延伸带][Extended belt consisting of two belts]
两条带体呈叠合或并排状,带体依次穿过肘关节保护垫的第一带袢和第二带袢,最后带体的自由端与前臂包覆部连接,上述结构中前臂包覆部与肘关节保护垫位置固定,由于被约束的患者手臂有外展的趋势,因此肘关节处与肘关节保护垫持续顶压而不发生滑脱。The two straps are superimposed or side by side, and the straps pass through the first and second straps of the elbow joint protection pad in turn, and finally the free end of the strap is connected to the forearm covering part. In the above structure, the forearm covering The position of the upper part and the elbow joint protection pad is fixed. Since the restrained patient's arm has a tendency to abduct, the elbow joint and the elbow joint protection pad continue to press without slipping.
进一步的,上肢约束状态下,两条带体的自由端经手臂的两侧与前臂包覆部连接。Further, in the restrained state of the upper limbs, the free ends of the two straps are connected to the covering part of the forearm through both sides of the arm.
[折返带袢][Fold back belt loop]
带体穿过折返带袢,当肘关节保护垫调整到适当位置时,带体折返与前臂包覆部连接,或者与带体的固定端连接,折返带袢与带体的连接结构仅用于固定肘关节保护垫与前臂包覆部的间隔长度,以适应手臂长度不同的患者使用。The belt passes through the fold-back belt loop. When the elbow joint protection pad is adjusted to an appropriate position, the belt body is folded back and connected to the forearm covering part, or connected to the fixed end of the belt body. The connection structure between the fold-back belt loop and the belt body is only used for The distance between the elbow joint protection pad and the forearm covering is fixed to accommodate patients with different arm lengths.
[前臂包覆部表面的尼龙粘扣][Velcro on the surface of the forearm covering part]
为了方便带体、固定带与前臂包覆部连接,优选的是在前臂包覆部外表面设置一圈尼龙粘扣的绒面,而相应的带体自由端和固定带上设置有尼龙粘扣的钩面。In order to facilitate the connection of the belt body and the fixing belt with the forearm covering part, it is preferable to set a circle of suede with nylon velcro on the outer surface of the forearm covering part, and the corresponding free end of the belt body and the fixing belt are provided with velcro of hook noodles.
[前臂包覆部的材质及厚度][Material and thickness of the forearm covering part]
前臂包覆部的材质为具有柔性、弹性或者缓冲性能的材质,包括但不限于海绵、医用凝胶等。由于具有良好的言行和透气性,因此前臂包覆部的优选材质为海绵。The material of the forearm covering part is a material with flexibility, elasticity or cushioning properties, including but not limited to sponge, medical gel and the like. Due to good performance and air permeability, the preferred material of the forearm covering is sponge.
增加海绵的厚度,以及在肘关节保护垫的边缘设置外翻边,作用均在于:使得绷紧的带体不直接接触患者病号服或者体表,减少局部摩擦。The effect of increasing the thickness of the sponge and setting the flanging on the edge of the elbow joint protection pad is to make the tight belt not directly contact the patient's hospital gown or body surface, and reduce local friction.
实施例1Example 1
如图1-5所示,实施例1的改进的上肢约束带,包括前臂包覆部1、与前臂包覆部1一端固定连接的延伸带2和活动设置在延伸带2上的肘关节保护垫3,前臂包覆部1上固定设置有头架系带8;延伸带2的自由端和前臂包覆部1连接。As shown in Figures 1-5, the improved upper limb restraint belt of Embodiment 1 includes a forearm covering part 1, an extension belt 2 fixedly connected to one end of the forearm covering part 1, and an elbow joint protector movably arranged on the extension belt 2 The pad 3 is fixed with a headgear strap 8 on the forearm covering part 1 ; the free end of the extension belt 2 is connected with the forearm covering part 1 .
前臂包覆部1为开放式的袖套,袖套围合接近的两侧边通过尼龙粘扣连接,具体结构为开放式袖套的一侧边设置有尼龙粘扣的带状钩面a1,开放式袖套的另一侧边外表面缝接设置有尼龙粘扣的带状绒面a2。The forearm covering part 1 is an open sleeve, and the two sides of the sleeve are closed by Velcro, and the specific structure is that one side of the open cuff is provided with a strip hook surface a1 of Velcro, The outer surface of the other side of the open sleeve is seamed with a tape-shaped suede a2 provided with Velcro.
前臂包覆部1的袖套为(50*20*2)cm的海绵构成,距袖套两端15cm处分别缝合(75*5)cm的头架系带,开放式袖套一侧边三个尼龙粘扣的带状钩面长度为15cm,开放式袖套的另一侧边外表面的带状绒面为10cm。The cuff of the forearm covering part 1 is made of (50*20*2) cm sponge, and the (75*5) cm headgear tie is sewn at 15 cm from both ends of the cuff, and the open cuff has three sides on one side. The strip hook surface length of the first Velcro is 15cm, and the strip suede surface on the other side outer surface of the open cuff is 10cm.
实施例1中的肘关节保护垫为两内凹弧面组合成的折板状。The elbow joint protection pad in Example 1 is in the shape of a folded plate composed of two concave arc surfaces.
延伸带2的自由端和前臂包覆部1之间通过尼龙粘扣连接:延伸带2包含两条带体,肘关节保护垫3外表面折弯处的一侧设置有第一带袢4,另一侧设置有两第二带袢5,第一带袢4容两条带体同时穿过,第二带袢5容带体一一对应穿过,第一带袢4对应设置在前臂外侧,第二带袢5对应设置在上臂外侧。The free end of the extension belt 2 and the forearm covering part 1 are connected by a Velcro: the extension belt 2 includes two belt bodies, and one side of the outer surface of the elbow joint protection pad 3 is provided with a first belt loop 4, The other side is provided with two second belt loops 5, the first belt loop 4 allows two belts to pass through at the same time, the second belt loop 5 allows belts to pass through one by one, and the first belt loop 4 is correspondingly arranged on the outside of the forearm , the second belt loop 5 is correspondingly arranged on the outer side of the upper arm.
肘关节保护垫3包括硬质外层3a和柔性内衬层3b叠合而成。The elbow joint protection pad 3 is composed of a hard outer layer 3a and a flexible inner lining layer 3b.
实施例2Example 2
如图6-9所示,实施例2与实施例1的区别在于,延伸带2的自由端与前臂包覆部1、肘关节保护垫3与前臂包覆部1分别通过尼龙粘扣连接:肘关节保护垫3由类球面型的肘关节保护部31和弧形的上臂挡板部32组合而成,肘关节保护部31上设置有折返带袢6,延伸带2穿设在折返带袢6中;固定带7的中部与上臂挡板部32固定连接,固定带7的两端分别与前臂包覆部1通过尼龙粘扣连接;折返带袢6对应设置在前臂外侧。As shown in Figures 6-9, the difference between Embodiment 2 and Embodiment 1 is that the free end of the extension belt 2 is connected to the forearm covering part 1, and the elbow joint protection pad 3 and the forearm covering part 1 are respectively connected by Velcro: The elbow joint protection pad 3 is composed of a spherical elbow joint protection part 31 and an arc-shaped upper arm baffle part 32. The elbow joint protection part 31 is provided with a return belt loop 6, and the extension belt 2 is worn on the return belt loop. 6; the middle part of the fixing belt 7 is fixedly connected with the upper arm baffle part 32, and the two ends of the fixing belt 7 are respectively connected with the forearm covering part 1 by nylon gluing;
肘关节保护垫3的边缘设置有外翻边3c。The edge of the elbow joint protection pad 3 is provided with an outward turning edge 3c.
实施例1和实施例2中提及的前臂外侧和上臂外侧是指患者上肢约束状态下,前臂呈水平或近似水平状,上臂呈竖直或近似竖直状态,前臂外侧是指患者前臂的上方,上臂外侧是指患者上臂的外侧面。The outside of the forearm and the outside of the upper arm mentioned in Example 1 and Example 2 refer to the patient’s upper limb restraint state, the forearm is horizontal or approximately horizontal, the upper arm is vertical or approximately vertical, and the forearm outside refers to the top of the patient’s forearm , lateral upper arm refers to the outer side of the patient's upper arm.
使用时:将患者患侧上肢放在展开的前臂包覆部1中,根据患者上肢的围度收紧前臂包覆部1的尼龙粘扣形成袖套,使得袖套与前臂之间可容一指,再将肘关节保护垫3移至肘部,固定上臂,防止肢体外展,根据患者肘关节的围度调节带体长度(实施例1中带体穿过第一带袢和第二带袢,最后与前臂包覆部1尼龙粘扣连接;实施例2中带体穿过折返与前臂包覆部1尼龙粘扣连接,固定带7的两端与前臂包覆部1尼龙粘扣连接)。手术床头架固定在患者健侧,再将头架系带固定在头架的横杆上,袖套距离头架横杆至少4cm,妥善固定。When in use: put the affected upper limb of the patient in the unfolded forearm covering part 1, tighten the Velcro button of the forearm covering part 1 according to the circumference of the patient's upper limb to form a sleeve, so that there is a space between the sleeve and the forearm. Finger, then move the elbow joint protection pad 3 to the elbow, fix the upper arm, prevent the limbs from abducting, adjust the length of the belt according to the circumference of the patient's elbow joint (the belt passes through the first belt loop and the second belt in embodiment 1) loop, and finally connected with the forearm covering part 1 Velcro; in embodiment 2, the belt passes through the fold-back and is connected with the forearm covering part 1 Velcro, and the two ends of the fixing belt 7 are connected with the forearm covering part 1 Velcro ). The head frame of the surgical bed is fixed on the healthy side of the patient, and then the head frame strap is fixed on the crossbar of the head frame. The cuff is at least 4cm away from the cross bar of the head frame and fixed properly.
以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型技术原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above is only the preferred embodiment of the utility model, and it should be pointed out that for those of ordinary skill in the art, without departing from the technical principle of the utility model, some improvements and modifications can also be made. And retouching should also be regarded as the protection scope of the present utility model.
Claims (10)
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| CN201920031330.5U CN209574910U (en) | 2019-01-09 | 2019-01-09 | An improved upper limb restraint belt |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110731851A (en) * | 2019-12-04 | 2020-01-31 | 王冠宇 | medical adjustable restraint strap |
| CN111388259A (en) * | 2020-04-23 | 2020-07-10 | 上海市肺科医院 | A medical arm fixing belt with a new structure and its fixing head frame |
-
2019
- 2019-01-09 CN CN201920031330.5U patent/CN209574910U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110731851A (en) * | 2019-12-04 | 2020-01-31 | 王冠宇 | medical adjustable restraint strap |
| CN111388259A (en) * | 2020-04-23 | 2020-07-10 | 上海市肺科医院 | A medical arm fixing belt with a new structure and its fixing head frame |
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