CN210131055U

CN210131055U - Operating table

Info

Publication number: CN210131055U
Application number: CN201920383768.XU
Authority: CN
Inventors: 林芳; 余敏玲
Original assignee: Foshan City Gaoming District People's Hospital
Current assignee: Foshan City Gaoming District People's Hospital
Priority date: 2019-03-25
Filing date: 2019-03-25
Publication date: 2020-03-10
Anticipated expiration: 2029-03-25

Abstract

The utility model discloses an operating table, including the operation stage body, set up the upper limbs bearing platform in the operation stage body left and right sides respectively, set up the low limbs bearing platform in the operating table front side, be provided with hand fixture, carousel mechanism, first actuating mechanism on the upper limbs bearing platform, the symmetry is provided with foot fixture, swing mechanism, second actuating mechanism on the low limbs bearing platform. The patient is before carrying out the operation, according to the required position of operation, lie on the operating table, medical personnel adjust the position of hand centre gripping bag and foot centre gripping bag, supplementary patient's hand and foot correspond and stretch into and carry out the centre gripping in hand centre gripping bag and the foot centre gripping bag, at the operation in-process, slewing mechanism drives the relative upper limbs cushion table intermittent type nature of hand and rotates, swing mechanism drives the relative lower limbs cushion table intermittent type nature reciprocal swing of foot, guarantee that patient upper limbs and lower limbs obtain suitable amount of exercise at the operation in-process, thereby accelerate venous blood flow, avoid thrombosis.

Description

Operating table

Technical Field

The utility model relates to the field of medical equipment, in particular to operating table.

Background

In the operation process, because the patient lies on the back and is anesthetized for a long time, the muscles of the upper limb and the lower limb are completely anesthetized, the normal contraction function is lost, the muscles are in a relaxed state, the veins relax, so that the venous blood flow of the upper limb and the lower limb is slowed down, or some veins are pressed for a long time due to improper body position in the operation, and are stimulated by the vein cannula for transfusion, so that the thrombosis is induced. Larger deep vein thrombosis can cause swelling of corresponding limbs and even necrosis of the limbs due to obstruction of venous return. The more serious result is that after the venous thrombus falls off, the venous thrombus flows along with the blood circulation, so that the larger pulmonary artery branch is embolized, and the patient dies suddenly.

Therefore, an operating table which does not affect the operation and can help the patient to move the upper limb and the lower limb during the operation to ensure the normal blood flow of the vein of the upper limb and the lower limb is needed.

SUMMERY OF THE UTILITY MODEL

In view of the foregoing prior art, an object of the present invention is to provide an operating table, which is designed to drive the upper and lower limbs of the patient to move without affecting the operation, so as to ensure the blood flow of the upper and lower limbs to be normal and avoid the thrombosis.

In order to achieve the purpose, the utility model adopts the following technical proposal:

the utility model provides an operating table, includes the operating table body, sets up the upper limbs bearing platform in the operating table body left and right sides respectively, sets up the low limbs bearing platform at the operating table front side, be provided with hand fixture, carousel mechanism, a drive mechanism on the upper limbs bearing platform, hand fixture sets up in carousel mechanism, a drive mechanism is used for driving carousel mechanism to drive the relative upper limbs bearing platform of hand fixture and is circular motion, the symmetry is provided with foot fixture, swing mechanism, second actuating mechanism on the low limbs bearing platform, foot fixture sets up on swing mechanism, second actuating mechanism is used for driving swing mechanism to drive foot fixture and towards left and right sides reciprocating swing.

The turntable mechanism comprises a turntable, an eccentric shaft eccentrically arranged with the center of the turntable, and a supporting plate fixedly arranged on the eccentric shaft, and the output end of the first driving mechanism is in transmission connection with the turntable.

The upper limbs cushion cap puts the platform including keeping flat the platform and inclining the setting to one side, put the platform to one side and seted up a first cell body, carousel mechanism through first guide mechanism with first cell body sliding connection, first guide mechanism is located including the slope the first spout of first cell body both sides wall to and with first spout sliding connection's first fixture block, the carousel rotationally sets up on first fixture block.

The hand clamping mechanism comprises a hand clamping bag and a first water supply device, the hand clamping bag is fixedly arranged on the supporting plate, an inner cavity capable of extending into a hand is formed in one end of the hand clamping bag, the hand clamping bag is provided with an outer layer and an inner layer, and the first water supply device is used for filling water between the outer layer and the inner layer of the hand clamping bag to enable the hand clamping bag to expand.

The inner layer of the hand clamping bag is provided with a plurality of elastic bulges.

The lower limb supporting platform is obliquely arranged, two symmetrically arranged second groove bodies are formed in the lower limb supporting platform, the swinging mechanism is connected with the second groove bodies in a sliding mode through a second guide mechanism, and the second guide mechanism comprises second sliding grooves which are obliquely arranged on two side walls of the second groove bodies and second clamping blocks which are connected with the second sliding grooves in a sliding mode.

The swing mechanism comprises a vertical rod, a rotary rod, a swing rod and a sliding block, the vertical rod is fixedly arranged on the second fixture block, the upper end of the vertical rod is rotatably connected with the rotary rod, the other end of the vertical rod is rotatably connected with the swing rod, the sliding block is slidably connected with the swing rod, the rotary rod is rotatably connected with the sliding block, and the output end of the second driving mechanism is in transmission connection with the rotary rod.

The foot fixture comprises a foot clamping bag of an L shape and a second water supply device, the foot clamping bag is fixedly arranged on the swing rod, one end of the foot clamping bag is provided with an inner cavity capable of extending into feet, the foot clamping bag is provided with an outer layer and an inner layer, and the second water supply device is used for filling water between the outer layer and the inner layer of the foot clamping bag to enable the foot clamping bag to expand to realize foot clamping.

The inner layer of the foot clamping bag is provided with a plurality of elastic bulges.

The first clamping block realizes the positioning on the first sliding groove through the positioning assembly, and the second clamping block realizes the positioning on the second sliding groove through the positioning assembly.

Has the advantages that:

the utility model provides an operating table, compared with the prior art, the patient is before carrying out the operation, according to the required position of operation, lie on the operating table, medical personnel adjust the position of hand centre gripping bag and foot centre gripping bag, supplementary patient's hand and foot correspond and stretch into in hand centre gripping bag and the foot centre gripping bag, then start water supply installation and carry the warm water to hand centre gripping bag and foot centre gripping bag, make the centre gripping of centre gripping bag inflation realization to hand and foot, and the operation is simple, guarantee the normal limbs temperature of hand and foot. In the operation process, the rotating mechanism drives the hands to intermittently rotate relative to the upper limb supporting table, and the swinging mechanism drives the feet to intermittently and reciprocally swing relative to the lower limb supporting table, so that the upper limbs and the lower limbs of a patient can obtain proper motion amount in the operation process, venous blood flow is accelerated, and thrombosis is avoided.

Drawings

Fig. 1 is a schematic structural diagram of an operating table provided by the present invention.

Fig. 2 is a schematic structural diagram of a turntable mechanism in the operating table provided by the present invention.

Fig. 3 is a schematic structural diagram of a swing mechanism in the operating table provided by the present invention.

Fig. 4 is a partially enlarged view of the region L in fig. 1.

Detailed Description

The utility model provides an operating table, for making the utility model discloses a purpose, technical scheme and effect are clearer, more clear and definite, and it is right to refer to the attached drawing below and to lift the embodiment the utility model discloses further detailed description. It should be understood that the specific embodiments described herein are merely illustrative of the present invention and are not intended to limit the scope of the invention.

Referring to fig. 1-4, the utility model provides an operating table, including the operating table body 1, set up upper limbs bearing platform 2 in the operating table body both sides respectively, set up the low limbs bearing platform 3 in the operating table front side, be provided with hand fixture 4, carousel mechanism 5, first actuating mechanism 6 on the upper limbs bearing platform 2, hand fixture 4 sets up 5 on carousel mechanism, first actuating mechanism 6 is used for driving carousel mechanism 5 to drive hand fixture 4 and is circular motion for upper limbs bearing platform 2 relatively, the symmetry is provided with foot fixture 7, swing mechanism 8, second actuating mechanism 9 on the low limbs bearing platform 3, foot fixture 7 sets up on swing mechanism 8, second actuating mechanism 9 is used for driving swing mechanism 8 to drive foot fixture 7 towards left and right sides reciprocating swing. Here, the sizes of the operating table body 1, the upper limb support table 2, and the lower limb support table 3 are designed according to the size of the adult human body. It should be noted that the operating table provided by the utility model is suitable for operations in operative positions such as horizontal position, prone position and lateral position. Preferably, the first driving mechanism and the second driving mechanism are set as servo motors, the first driving mechanism 6 and the second driving mechanism 9 are both connected with a PLC (programmable logic controller) arranged on the operating table body, and the PLC can control the output rotating speed, the operating time and the operating frequency of the servo motors, so that the upper limbs and the lower limbs of a patient can obtain proper amount of exercise in the operation process, the blood flow is accelerated, and the thrombosis is avoided.

Specifically, referring to fig. 2, the turntable mechanism 5 includes a turntable 51, an eccentric shaft 52 eccentrically disposed with respect to a center of the turntable, and a supporting plate 53 fixedly disposed on the eccentric shaft, and an output end of the first driving mechanism 6 is in transmission connection with the turntable. Through setting up like this, after hand fixture centre gripping hand, first actuating mechanism drive carousel rotates and drives the layer board and be circular motion, and the motion is steady, comfortable, and the hand can drive the arm small amplitude extension and shrink simultaneously in the motion process to make whole upper limbs all obtain the motion. It should be noted that, because the range of motion and the rate of motion of the upper limb are small, the operation of the medical staff and the patient is not affected.

Further, referring to fig. 1 and 2, the upper limb supporting table 2 includes a flat placing table 21 and an inclined placing table 22 disposed in an inclined manner, the inclined placing table is provided with a first groove 23, the rotating disc mechanism 5 is slidably connected to the first groove 23 through a first guiding mechanism 10, the first guiding mechanism 10 includes a first sliding groove 10a disposed in an inclined manner on two side walls of the first groove, and a first clamping block 10b slidably connected to the first sliding groove, and the rotating disc 51 is rotatably disposed on the first clamping block 10 b. Here, patient's shoulder is placed on the platform of keeping flat, and the arm is placed along the inclined plane on the platform of putting to one side with the hand, makes the transition of placing of patient's upper limbs steady, improves patient's travelling comfort. Preferably, the inclined plane of the inclined platform inclines to the ground, the inclined angle with the horizontal plane is 15 degrees, and by arranging the inclined platform, more blood flows to the hands due to the downward inclination of the upper limbs in the operation process, the blood circulation flow is accelerated, and the formation of thrombus is further reduced. In addition, when the patient adopts the lateral position to perform the operation, the inclined platform can reduce the compression strength of the vein of the upper limb and reduce the generation of vein thrombosis. Furthermore, through setting up first guide mechanism, can be according to the first fixture block position of length adjustment of patient's upper limbs to make patient's hand better by the centre gripping of hand fixture.

In this embodiment, referring to fig. 1 and 2, the hand clamping mechanism 4 includes a hand clamping bag 41 and a first water supply device 42, the hand clamping bag 41 is fixedly disposed on a supporting plate 51, an inner cavity capable of extending into a hand is formed at one end of the hand clamping bag 41, the hand clamping bag 41 is provided with an outer layer and an inner layer, and the first water supply device 42 is used for filling water between the outer layer and the inner layer of the hand clamping bag to expand the hand clamping bag 41. The hand holding bag 41 is provided with a water supply port and a water discharge port, and the hand holding bag is connected with the first water supply device through the water supply port and the water discharge port. Through the arrangement, the hand clamping bag clamps the hands placed in the inner layer through water pressure expansion, so that the hands with different sizes can be clamped, and the applicability is good; and the hands do not need to have specific telescopic postures in the inner layer, and the patient can adopt different hand telescopic postures according to personal comfort, so that the steps of fixedly clamping the hands of the patient are simplified. In addition, first water supply installation includes a water pump and a water storage ware that can self-heating, and this water pump and water storage ware are connected with the PLC controller respectively, and first water supply installation can be for hand centre gripping bag filling warm water (35 ℃ -50 ℃), for patient's hand heat transfer, guarantees that the patient can not lead to venous blood flow to slow down because of the low temperature at long-time operation in-process, the hand. Preferably, when the turntable mechanism stops moving, the first water supply device can apply appropriate acting force to the hand of the patient by continuously changing the water pressure between the outer layer and the inner layer of the hand clamping bag, so that the effect of massaging the hand is achieved. The material of the hand holding bag is preferably high-elasticity silica gel.

Preferably, the inner layer of the hand gripping pocket is provided with a plurality of resilient protrusions (not shown in the figures). Through setting up elastic bulge, can increase the frictional force of hand centre gripping bag and hand, improve the centre gripping effect, elastic bulge can be better in hand centre gripping bag inflation shrink in-process moreover, amazing hand skin reaches better massage effect. The elastic bulge is preferably made of a silica gel material.

Specifically, referring to fig. 1, the lower limb supporting platform 3 is obliquely arranged, the lower limb supporting platform is provided with two second groove bodies 31 which are symmetrically arranged, the swing mechanism 8 is slidably connected with the second groove bodies through a second guiding mechanism 11, and the second guiding mechanism 11 comprises second sliding grooves 11a which are obliquely arranged on two side walls of the second groove bodies and second clamping blocks 11b which are slidably connected with the second sliding grooves. Through setting up second guiding mechanism 11, can be according to the length adjustment second fixture block position of patient's low limbs to make patient's foot better by the centre gripping of foot fixture. Preferably, the inclined plane of the lower limb supporting platform 3 inclines towards the ground, the inclined angle of the lower limb supporting platform and the horizontal plane is 15 degrees, and by arranging the lower limb supporting platform, more blood flows to the feet due to the downward inclination of the lower limbs in the operation process, the blood circulation flow of the feet is accelerated, and the formation of thrombus is further reduced.

Further, referring to fig. 3, the swing mechanism 8 includes a vertical rod 81, a rotary rod 82, a swing rod 83, and a sliding block 84, the vertical rod 81 is vertically fixed on the second fixture block 11b, an upper end of the vertical rod 81 is rotatably connected to the rotary rod 82, the other end of the vertical rod 81 is rotatably connected to the swing rod 83, the sliding block 84 is slidably connected to the swing rod 83, the rotary rod 82 is rotatably connected to the sliding block 84, and an output end of the second driving mechanism is in transmission connection with the rotary rod. The second driving mechanism drives the rotary rod to rotate around the circumference of the upper end of the vertical rod to drive the sliding block to slide along the oscillating rod in a reciprocating mode, so that the oscillating rod can oscillate in a sector area in a reciprocating mode. Through setting up like this, the foot can drive shank and thigh small-amplitude swing when the swing to make whole low limbs all obtain the motion, resume normal contractile function, guarantee the normal flow rate of low limbs venous blood flow. It should be noted that, because the range of motion and the rate of motion of the lower limbs are less, the operation of medical staff and patients is not affected.

In this embodiment, referring to fig. 1 and 3, the foot clamping mechanism 7 includes an L-shaped foot clamping bag 71 and a second water supply device 72, the foot clamping bag 71 is fixedly disposed on the swing rod 83, an inner cavity capable of extending into the foot is disposed at one end of the foot clamping bag 71, the foot clamping bag has an outer layer and an inner layer, and the second water supply device 72 is configured to fill water between the outer layer and the inner layer of the foot clamping bag to expand the foot clamping bag to achieve foot clamping. When the feet are clamped, the feet extend into the foot clamping bags, the feet placed in the inner layer are clamped by the foot clamping bags through water pressure expansion, the feet with different sizes can be clamped, and the applicability is good; reducing the steps and time of secure gripping of the patient's foot. In addition, the second water supply device comprises a water pump and a water storage device capable of automatically heating, the water pump and the water storage device are respectively connected with the PLC, the second water supply device can fill warm water (35-50 ℃) for the foot clamping bag, and heat is transferred to the feet of the patient, so that the feet of the patient cannot slow down venous blood flow due to low temperature in the long-time operation process. Preferably, when the rotating mechanism stops moving, the second water supply device can apply appropriate acting force to the feet of the patient by continuously changing the water pressure between the outer layer and the inner layer of the foot clamping bag, so as to achieve the effect of massaging the feet. The material of the foot clamping bag is preferably high-elasticity silica gel.

Preferably, the inner layer of the foot gripping pocket is provided with a plurality of resilient protrusions (not shown in the figures). Through setting up elastic bulge, can increase the frictional force of foot centre gripping bag and foot, improve the centre gripping effect, elastic bulge can be better in foot centre gripping bag inflation shrink in-process moreover, amazing foot skin reaches better massage effect. The elastic bulge is preferably made of a silica gel material.

As a preferable scheme, referring to fig. 4, the first latch 10b is positioned on the first sliding chute by a positioning component 12, and the second latch 11b is positioned on the second sliding chute by a positioning component. The positioning component 12 is an iron sheet 12a fixedly arranged on the bottom surface of the chute and matched with the bottom surface in size, and a T-shaped magnetic block 12b (such as neodymium iron boron) which can generate magnetic action with the iron sheet and is clamped in the chute. When the position of the clamping block is adjusted according to the length of the upper limb and the lower limb of the patient, the T-shaped magnetic block abuts against the front side of the clamping block, and the clamping block is prevented from moving forwards continuously.

To sum up, the patient is before carrying out the operation, according to the required position of operation, lies on the operating table, and medical personnel adjust the position of hand centre gripping bag and foot centre gripping bag, and supplementary patient's hand and foot correspond and stretch into in hand centre gripping bag and the foot centre gripping bag, then start water supply installation and carry the warm water to hand centre gripping bag and foot centre gripping bag, make the centre gripping bag inflation realize the centre gripping to hand and foot, and easy operation guarantees the normal limbs temperature of hand and foot. In the operation process, the rotating mechanism drives the hand to intermittently rotate relative to the first clamping block, the swinging mechanism drives the foot to intermittently and reciprocally swing relative to the second clamping block, and the patient is guaranteed to obtain a proper amount of exercise by the upper limb and the lower limb in the operation process, so that venous blood flow is accelerated, and thrombosis is avoided. When the rotating mechanism stops moving, the water supply device can apply pressure to the hands of the patient by continuously changing the water pressure between the outer layer and the inner layer of the clamping bag to achieve the effect of massaging the hands, and further reduce the formation of thrombus. In the operation process of the patient, the upper limb and the lower limb move with small amplitude and low noise, so that the automatic movement of the upper limb and the lower limb is realized, and the operation is not influenced.

It is understood that equivalent substitutions or changes can be made by those skilled in the art according to the technical solution of the present invention and the inventive concept thereof, and all such changes or substitutions shall fall within the scope of the present invention.

Claims

1. The utility model provides an operating table, its characterized in that, includes the operating table body, sets up the upper limbs bearing platform in the operating table body left and right sides respectively, sets up the low limbs bearing platform at the operating table front side, be provided with hand fixture, carousel mechanism, a drive mechanism on the upper limbs bearing platform, hand fixture sets up in carousel mechanism, a drive mechanism is used for driving carousel mechanism to drive the relative upper limbs bearing platform of hand fixture and is circular motion, the symmetry is provided with foot fixture, swing mechanism, second actuating mechanism on the low limbs bearing platform, foot fixture sets up on swing mechanism, second actuating mechanism is used for driving swing mechanism to drive foot fixture and reciprocates towards left and right sides.

2. The operating table of claim 1, wherein the turntable mechanism includes a turntable, an eccentric shaft eccentrically disposed with respect to a center of the turntable, and a support plate fixedly disposed on the eccentric shaft, and wherein the output of the first driving mechanism is drivingly connected to the turntable.

3. An operating table according to claim 2, wherein the upper limb supporting table comprises a flat placing table and an inclined placing table arranged in an inclined manner, the inclined placing table is provided with a first groove body, the rotary table mechanism is connected with the first groove body in a sliding manner through a first guide mechanism, the first guide mechanism comprises first sliding grooves which are obliquely arranged on two side walls of the first groove body and a first clamping block which is connected with the first sliding grooves in a sliding manner, and the rotary table is rotatably arranged on the first clamping block.

4. The operating table of claim 2, wherein the hand clamping mechanism comprises a hand clamping bag fixedly disposed on the support plate, an inner cavity configured to extend into the hand defined by one end of the hand clamping bag, the hand clamping bag having an outer layer and an inner layer, and a first water supply device configured to fill water between the outer layer and the inner layer of the hand clamping bag to expand the hand clamping bag.

5. An operating table according to claim 4 wherein the inner layer of the hand gripping pocket is provided with a plurality of resilient projections.

6. The operating table according to claim 3, wherein the lower limb supporting table is disposed obliquely, and is provided with two second groove bodies which are symmetrically disposed, the swinging mechanism is slidably connected with the second groove bodies through a second guiding mechanism, and the second guiding mechanism comprises second sliding grooves which are obliquely disposed on two side walls of the second groove bodies, and second clamping blocks which are slidably connected with the second sliding grooves.

7. The operating table according to claim 6, wherein the swing mechanism comprises a vertical rod, a rotary rod, a swing rod and a sliding block, the vertical rod is vertically and fixedly arranged on the second fixture block, the upper end of the vertical rod is rotatably connected with the rotary rod, the other end of the vertical rod is rotatably connected with the swing rod, the sliding block is slidably connected with the swing rod, the rotary rod is rotatably connected with the sliding block, and the output end of the second driving mechanism is in transmission connection with the rotary rod.

8. The operating table of claim 7, wherein the foot clamping mechanism comprises an L-shaped foot clamping pocket fixedly disposed on the swing link, an inner cavity configured to extend into the foot defined at one end of the foot clamping pocket, the foot clamping pocket having an outer layer and an inner layer, and a second water supply device configured to fill water between the outer layer and the inner layer of the foot clamping pocket to expand the foot clamping pocket to achieve foot clamping.

9. An operating table according to claim 8 wherein the inner layer of the foot gripping pocket is provided with a plurality of resilient lugs.

10. The operating table of claim 6, wherein the first detent is positioned on the first runner by a positioning assembly and the second detent is positioned on the second runner by a positioning assembly.