CN210019700U - Sterilized Arm Support for PICC Cannulation - Google Patents
Sterilized Arm Support for PICC Cannulation Download PDFInfo
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- CN210019700U CN210019700U CN201920131384.9U CN201920131384U CN210019700U CN 210019700 U CN210019700 U CN 210019700U CN 201920131384 U CN201920131384 U CN 201920131384U CN 210019700 U CN210019700 U CN 210019700U
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,具体涉及一种PICC置管中消毒手臂用支撑架。The utility model relates to the technical field of medical devices, in particular to a support frame for a sterilized arm in a PICC intubation.
背景技术Background technique
PICC(Peripheral lyInserted Central Catheter)即外周置入中心静脉导管,是一种从周围静脉导入且末端位于中心静脉的深静脉置管技术,具体来说,就是由手臂的贵要静脉、肘正中静脉、头静脉等这些外周静脉穿刺,然后插管,将管的末端置放到上腔静脉或锁骨下静脉这些中心大静脉。PICC (Peripherally Inserted Central Catheter) is a peripherally inserted central venous catheter. It is a deep venous catheter technology that is introduced from a peripheral vein and the end is located in the central vein. These peripheral veins, such as the cephalic vein, are punctured, then cannulated, and the end of the cannula is placed in the superior vena cava or the subclavian vein, which is a large central vein.
PICC置管中时,患者躺在病床上,给置管中的患者的手臂(通常是右臂)进行消毒时,一般是一个医护人员向上托起患者的手(即患者的手臂向上倾斜),另一个医护人员给患者的手臂消毒(此医护人员的双手需处于无菌状态下)。患者的手臂消毒过程中,医护人员需旋转患者的手臂,将整个手臂全方位消毒。整个手臂消毒过程中,需要两个医护人员配合,人力资源浪费大,特别是医护人员资源紧张的医院;而且消毒持续时间为3~5min,托起患者手臂的医护人员也较累。When the PICC is intubated, the patient is lying on the hospital bed, and when the arm (usually the right arm) of the patient in the intubation is sterilized, a medical staff usually lifts the patient's hand upward (that is, the patient's arm is tilted upward), Another healthcare worker disinfects the patient's arm (this healthcare worker's hands need to be sterile). During the disinfection of the patient's arm, the medical staff needs to rotate the patient's arm to disinfect the entire arm in all directions. The entire arm disinfection process requires the cooperation of two medical staff, which wastes a lot of human resources, especially in hospitals with limited medical staff resources. Moreover, the duration of disinfection is 3 to 5 minutes, and the medical staff holding the patient's arm is also tired.
实用新型内容Utility model content
本实用新型意在提供一种PICC置管中消毒手臂用支撑架,患者手臂消毒过程中无需医护人员托起患者的手,降低医护人员的劳动强度。The utility model is intended to provide a support frame for sterilizing arms during PICC intubation, which eliminates the need for medical staff to hold up the patient's hands during the process of sterilizing the patient's arm, thereby reducing the labor intensity of medical staff.
为达到上述目的,本实用新型采用如下技术方案:PICC置管中消毒手臂用支撑架,包括底座,底座上设有立柱,立柱上设有固定或高度可调节的用于放置手的放置架,该放置架长度固定或长度可调,在放置架上设有支撑垫或支撑手套。In order to achieve the above-mentioned purpose, the present utility model adopts the following technical scheme: a support frame for the disinfection arm in the PICC intubation, including a base, the base is provided with a column, and the column is provided with a fixed or height-adjustable placement rack for placing hands, The length of the placement rack is fixed or adjustable, and the placement rack is provided with support pads or support gloves.
上述技术方案中,在放置架上设支撑垫或支撑手套,患者的手放在支撑垫上或支撑手套中,提高患者的舒适度;消毒时无需医护人员托起患者的手臂,降低医护人员的劳动强度。In the above technical scheme, a support pad or a support glove is arranged on the placing rack, and the patient's hand is placed on the support pad or in the support glove, so as to improve the comfort of the patient; during disinfection, it is not necessary for medical staff to hold up the patient's arm, which reduces the labor of medical staff. strength.
放置架的高度可调节时,则可根据患者手臂的长短,调节放置架的高度,比如儿童的手臂短,对应的放置架高度低;对于手臂长度差不多的人,还可通过调节放置架的高低,改变患者手臂的倾斜角度,便于医护人员对患者手臂消毒。放置架长度可调节时,伸长放置架,使支撑垫/支撑手套远离立柱且位于病床的上方,消毒时,患者不用挪动身体,手臂也不用伸出床边缘,便可将手放在支撑垫上/支撑手套中;对于手臂较短的儿童,放置架的伸出长度大于手臂较长的成人。When the height of the placement rack is adjustable, the height of the placement rack can be adjusted according to the length of the patient's arm. For example, if a child's arm is short, the corresponding placement rack height is low; for people with similar arm lengths, the height of the placement rack can also be adjusted by adjusting the height of the placement rack. , change the inclination angle of the patient's arm, and facilitate the medical staff to disinfect the patient's arm. When the length of the shelf is adjustable, extend the shelf so that the support pad/support glove is away from the column and above the bed. During disinfection, the patient can place his hand on the support pad without moving his body or extending his arm from the edge of the bed. / in support gloves; for children with shorter arms, the extension of the shelf is greater than for adults with longer arms.
进一步,支撑垫和支撑手套可旋转并带动患者的手臂旋转;和/或支撑垫和支撑手套内设置有柔性层。转动支撑垫/支撑手套使患者的手臂转动,支撑手套的转动起辅助作用,使患者转动手臂时不那么费力,同时可提示患者转动方向。Further, the support pad and the support glove can rotate and drive the patient's arm to rotate; and/or the support pad and the support glove are provided with a flexible layer. Rotating the support pad/support glove makes the patient's arm rotate, and the rotation of the support glove plays an auxiliary role, making it less laborious for the patient to rotate the arm, and at the same time, it can remind the patient of the direction of rotation.
进一步,放置架与立柱竖向滑动连接;立柱上可转动的连接有竖向的丝杆,丝杆与放置架螺纹连接,或者立柱上设有若干卡合位,放置架上设有与卡合位配合的卡合部。Further, the placing frame is vertically slidably connected to the column; the vertical screw rod is rotatably connected to the column, and the screw rod is threadedly connected to the placing frame, or the column is provided with a number of engaging positions, and the placing frame is provided with and engaging The snap-fit part.
进一步,支撑手套上设有调节手套口大小的调节带。防止患者的手从支撑手套中滑出。Further, the support glove is provided with an adjustment belt for adjusting the size of the mouth of the glove. Prevent the patient's hand from slipping out of the support glove.
进一步,支撑手套内设有气腔,气腔连通有第一气源。由此通过第一气源给支撑手套内的气腔充气、放气,以改变支撑手套的容纳空间大小,以适应不同大小的手;当手较小时,支撑手套气腔内的气体多,使支撑手套能更好的支撑手,使手随支撑手套转动。Further, an air cavity is arranged in the support glove, and the air cavity is communicated with the first air source. In this way, the air cavity in the support glove is inflated and deflated through the first air source, so as to change the size of the accommodating space of the support glove to suit different sizes of hands; The support glove can better support the hand, so that the hand rotates with the support glove.
进一步,放置架上固接有支撑环,支撑环的内壁上螺纹连接有转环,支撑手套的外周与该转环的内壁固接。转环与支撑环螺纹连接,自锁效果好。Further, a support ring is fixed on the placing frame, a swivel ring is threaded on the inner wall of the support ring, and the outer circumference of the support glove is fixedly connected with the inner wall of the swivel ring. The swivel ring and the support ring are threadedly connected, and the self-locking effect is good.
进一步,支撑环的内壁上设有螺旋槽,转环的外壁上设有与螺旋槽配合的螺旋凸起。Further, the inner wall of the support ring is provided with a spiral groove, and the outer wall of the swivel ring is provided with a spiral protrusion matched with the spiral groove.
进一步,螺旋槽的圈数为0.75~1圈。即转环可相对支撑环转动的角度为270°~360°,由此对转环的转动角度进行限位;一般人的手正向翻转的角度为180°左右,反向翻转为90°~180°,因此转环转动的角度为270°~360°较为合理。Further, the number of turns of the spiral groove is 0.75 to 1 turn. That is, the rotation angle of the swivel ring relative to the support ring is 270°~360°, which limits the rotation angle of the swivel ring; the normal hand flip angle is about 180°, and the reverse flip is 90°~180° °, so the rotation angle of the swivel ring is 270°~360° is more reasonable.
进一步,放置架上固接有支撑环,支撑环的内壁上转动连接有转环,支撑手套的外周与该转环的内壁固接;转环上固接有齿轮,齿轮啮合有齿条,齿轮连接有气缸,气缸连接有第二气源。Further, a support ring is fixed on the placing frame, a rotating ring is rotatably connected to the inner wall of the support ring, the outer circumference of the support glove is fixedly connected with the inner wall of the rotating ring; A cylinder is connected, and the cylinder is connected with a second air source.
通过第二气源给气缸打气、放气,从而使齿条往复运动,齿条通过齿轮带动转环转动,转环使支撑手套转动;由此消毒过程中只需一个医护人员即可,降低人力成本。The second air source is used to inflate and deflate the air cylinder, so that the rack reciprocates, the rack drives the swivel to rotate through the gear, and the swivel rotates the supporting gloves; thus, only one medical staff is needed during the disinfection process, reducing manpower cost.
进一步,底座为圆盘,圆盘上设有带刹车的万向轮;或者底座为三角架,每个三角架上均设有带刹车的万向轮。由此可移动该消毒手臂用支撑架,且可在指定位置固定,防止移位。Further, the base is a disc, and the disc is provided with a universal wheel with a brake; or the base is a tripod, and each tripod is provided with a universal wheel with a brake. Thereby, the support frame for the disinfection arm can be moved, and can be fixed at a designated position to prevent displacement.
附图说明Description of drawings
图1为本实用新型实施例的结构示意图。FIG. 1 is a schematic structural diagram of an embodiment of the present invention.
具体实施方式Detailed ways
下面通过具体实施方式对本实用新型作进一步详细的说明:Below by specific embodiment, the present utility model is described in further detail:
说明书附图中的附图标记包括:底座1、万向轮11、立柱2、丝杆21、旋钮22、放置架3、支撑手套4、调节带41、支撑环5、转环6、手柄61、置物盘7。The reference signs in the drawings include:
在本实用新型的描述中,需要理解的是,术语“横向”、“竖向”、“上”、“下”、“左”、“右”、“前”、“后”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。In the description of the present invention, it should be understood that the terms "horizontal", "vertical", "upper", "lower", "left", "right", "front", "rear", etc. indicate orientations Or the positional relationship is based on the orientation or positional relationship shown in the accompanying drawings, which is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation, be constructed and operation, so it cannot be construed as a limitation to the present invention.
实施例一Example 1
本实施例基本如图1所示:PICC置管中消毒手臂用支撑架,包括底座1,底座1可以为图1中的圆盘,圆盘上设有带刹车的万向轮11;底座1也可为三角架,每个三角架上均设有带刹车的万向轮11。底座1上通过螺栓连接有竖向设置的立柱2,立柱2的顶部设有置物盘7,立柱2的侧壁上设有高度可调节的用于放置手的三角形的放置架3。在放置架3上设有可相对放置架3旋转的支撑垫或支撑手套4,且可带动患者的手臂旋转。This embodiment is basically as shown in Figure 1: the support frame for the disinfection arm in the PICC cannulation includes a
支撑垫和支撑手套4内设有柔性层,柔性层由聚酯纤维、棉花、乳胶或者海绵等制成,由此提高患者的舒适度。本实施例中,优选在放置架3上设置支撑手套4,该支撑手套4上设有调节手套口大小的调节带41,调节带41为现有结构,在此不再赘述。支撑手套4内还设有气腔,气腔连通有第一气源,此处第一气源为手动打气、放气的气囊,由此通过气囊给支撑手套内部充气、放气,使支撑手套可容纳不同大小的手且不会松动。可充气、放气的气囊其原理与现有的血压测量袖带的充气、放气原理相同,为现有技术,在此不再赘述。The support pad and the
优选地,放置架3的长度可调节,由此可调节支撑手套4到立柱2的距离;具体地,放置架为双管结构,内管可相对外管横向滑动,此结构为现有技术,在此不再赘述。伸长放置架3后,通过转动立柱2使支撑手套4向靠近病床的方向运动且位于病床上方。使得消毒时,患者不用挪动身体,手臂也不用伸出床边缘,便可进行手臂的消毒工作。Preferably, the length of the placing
具体地,放置架3的高度调节方式具体为:立柱2上设有竖向的滑槽,放置架3上设有与滑槽配合的竖向的滑柱,使得放置架3与立柱2竖向滑动连接。立柱2内部可转动的连接有竖向的丝杆21,丝杆21的上端和下端均可相对立柱2转动,该丝杆21与放置架3螺纹连接。立柱2的上部设有开口槽,开口槽内设有旋钮22,丝杆21的上端与旋钮22固接;由此通过转动旋钮22使丝杆21转动,丝杆21使放置架3竖向运动且能够自锁。当然也可在立柱2上设若干卡合位,放置架3上设有与卡合位配合的卡合部,由此实现放置架3的高度调节。Specifically, the height adjustment method of the
具体地,支撑手套4相对放置架3旋转的方式为:如图1,放置架3的左端焊接有支撑环5,支撑环5的内壁上螺纹连接有转环6,支撑手套4的外周与该转环6的内壁固接。转环6转动时,为了使支撑手套4的跟随性更好,支撑手套4的外层可由塑料、铝合金、不锈钢等刚性材料制成。转环6上还焊接有手柄61,优选手柄61设在转环6的后端面上,由此便于医护人员操作手柄61。支撑环5与转环6的具体连接方式为:支撑环5的内壁上设有螺旋槽,可设计螺旋槽的圈数为0.75~1圈,转环6的外壁上设有与螺旋槽配合的螺旋凸起,由此使得转环6可相对支撑环5转动270°~360°,本实施例优选螺旋槽的圈数为5/6圈。初始时,手柄61水平设置,螺旋槽的圈数为5/6圈,手柄61可随转环6顺时针旋转180°,手柄61可随转环6逆时针旋转120°。Specifically, the rotation of the supporting
具体实施过程如下:如图1所示,支撑手套4设在立柱2的左侧,支撑手套4的开口设在前端,支撑手套4的大拇指设在左侧。辅助医护人员(原托患者手臂的医护人员)位于支撑手套4的后方,消毒的医护人员位于支撑手套4的左侧。辅助医护人员转动旋钮22,旋钮22通过丝杆21使放置架3竖向运动,放置架3的高度到合适位置后停止转动旋钮22。然后将患者右手手掌放入支撑手套4中,此时患者的手掌向下,再调节调节带41使支撑手套4的开口缩紧,使患者的手不从支撑手套4中滑出即,然后消毒的医护人员给患者的手臂消毒。The specific implementation process is as follows: As shown in FIG. 1 , the
消毒过程中,需要转动患者手臂时,如图1所述,辅助医护人员通过手柄61顺时针转动转环6至转不动为止,即转动180°,转环6通过支撑手套4使患者的手臂转动,此时患者的手掌由向下转变为向上,即正向翻转180°;在此过程中需患者配合着转动手臂,支撑手套4的转动只是起辅助作用以及提示患者转动方向。再需转动患者手臂时,辅助医护人员通过手柄61使转环6逆时针转动180°,恢复初始位置,再逆时针转动转环6至转不动为止,即转动120°后停止转动转环6,此时患者的手掌相对初始时反向翻转120°,然后消毒的医护人员继续给患者的手臂消毒。完成消毒后,辅助医护人员使转环6顺时针转动120°而恢复初始位置,然后通过调节带41使支撑手套4的开口变松,辅助医护人员再将患者的手从支持手套中取下即可。During the disinfection process, when it is necessary to rotate the patient's arm, as shown in Figure 1, the auxiliary medical staff rotates the
实施例二
本实施例与实施例一的不同之处在于,本实施例中的放置架3高度不可调节,放置架3焊接在立柱2上。此方案虽然简化了结构,但因放置架3高度不可调节,不可根据患者手臂的长短,调节放置架3的高度,也不可调节患者手臂的倾斜角度。The difference between this embodiment and the first embodiment is that the height of the
实施例三
本实施例与上述实施例的不同之处在于:上述实施例中,消毒过程中需要辅助医护人员转动支撑手套4,整个消毒过程中需两名医护人员配合完成,本实施例的消毒手臂用支撑架仅需一个医护人员即可。在本实施例中,具体方案为:转环6与支撑环5转动连接,转环6的端部伸出支撑环5外且固接有齿轮,该齿轮啮合有横向的齿条,齿条通过支架与放置架3横向滑动连接,齿条的右端设有气缸,气缸的活塞杆与齿条固接,气缸连通有第二气源,第二气源为脚踏式打气筒,通过打气筒给气缸打气、放气,从而使齿条左、右移动,齿条通过齿轮带动转环6转动,转环6使支撑手套4转动。The difference between this embodiment and the above-mentioned embodiment is: in the above-mentioned embodiment, the medical staff needs to be assisted to rotate the
实际使用该消毒手臂用支撑架时,消毒的医护人员先调节好放置架3的高度和长度,并将患者的手放在支撑手套4中;其再戴上手套给患者消毒;消毒过程中,需要转动患者手臂时,消毒医护人员用脚踩打气筒的踏板使支撑手套4顺时针、逆时针转动,完成整个消毒工作。虽然实施例的消毒手臂用支撑架的结构更复杂,但消毒过程中只需一个医护人员即可,可降低人力成本。When actually using the support frame for the disinfection arm, the sterilized medical staff first adjust the height and length of the
以上所述仅是本实用新型的优选实施方式,应当指出,对于本领域的技术人员来说,在不脱离本实用新型构思的前提下,还可作出若干变形和改进,这些也应视为本实用新型的保护范围,这些都不会影响本实用新型实施的效果和专利的实用性。本实用新型所省略描述的技术、形状、构造部分均为公知技术。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, some modifications and improvements can be made without departing from the concept of the present invention, which should also be regarded as the present invention. The protection scope of the utility model will not affect the effect of the implementation of the utility model and the practicability of the patent. The technologies, shapes and structural parts that are omitted from the description of the present invention are all known technologies.
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| CN111110366A (en) * | 2020-02-19 | 2020-05-08 | 山东大学齐鲁医院 | Medium Length Catheter Length Mechanical Measuring Ruler |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN111110366A (en) * | 2020-02-19 | 2020-05-08 | 山东大学齐鲁医院 | Medium Length Catheter Length Mechanical Measuring Ruler |
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