CN211022745U - Auxiliary frame in TCD diagnosis senile dementia process - Google Patents

Auxiliary frame in TCD diagnosis senile dementia process Download PDF

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Publication number
CN211022745U
CN211022745U CN201921362611.5U CN201921362611U CN211022745U CN 211022745 U CN211022745 U CN 211022745U CN 201921362611 U CN201921362611 U CN 201921362611U CN 211022745 U CN211022745 U CN 211022745U
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supporting plate
cantilever
neck
mounting
support piece
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CN201921362611.5U
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Chinese (zh)
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方俐
刘姝
李玉琢
何颖
申志微
吴云
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Guizhou Provincial Peoples Hospital
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Guizhou Provincial Peoples Hospital
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Abstract

The utility model discloses an auxiliary frame in the process of diagnosing senile dementia by TCD, which comprises a bottom plate, a head supporting piece, a neck supporting piece and at least one probe fixing piece; head support piece includes installs head support piece in the anterior first mount pad of bottom plate and the first layer board of support head, neck support piece includes installs neck support piece in the second mount pad at bottom plate middle part and the second layer board that is used for supporting the neck, head support piece and neck support piece are 10-15cm apart from, the probe mounting includes base, at least one cantilever, cantilever seat that can buckle deformation at will and have certain holding power and the retainer plate that is used for fixed probe to at the in-process that utilizes TCD diagnosis senile dementia, can not change the position and shoot occipital window, temporal window, play fixed probe's effect simultaneously, with the patient's travelling comfort that improves the shooting in-process, reduce medical personnel's burden.

Description

Auxiliary frame in TCD diagnosis senile dementia process
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to auxiliary frame of TCD diagnosis senile dementia in-process.
Background
Transcranial Doppler (TCD) is a non-invasive cerebrovascular disease examination method for detecting the blood flow dynamics and blood flow physiological parameters of intracranial main artery by using the ultrasonic Doppler effect, and by means of pulse Doppler technology and 2MHz transmission frequency, an ultrasonic sound beam can penetrate the thinner part of skull to trace the Doppler signal of intracranial arterial blood flow so as to reflect the functional state of cerebral vessels. Recent studies have shown that TCD has high accuracy and specificity for the diagnosis of senile dementia, and is gradually applied in medicine, while temporal window and occipital window are the main human detection windows for senile dementia.
The temporal window is positioned above the zygomatic arch, and the area from the lateral margin of the orbit to the middle of the front of the ear is generally within the range of the temporal scale of 1-5cm in front of the ear, and can be further divided into 3 areas of the front, middle and back, which become the front, middle and back temples; MCA (middle cerebral artery), ICA (internal carotid artery end), ACA (anterior cerebral artery), and PCA (posterior cerebral artery) were detectable at the temporal window; the occipital window is positioned 2-3cm below the occipital bulge, and in the area which is 2cm beside the left and right midline, when the occipital window is detected, the head and the neck of the occipital window are bent forwards in a prone position so as to expose the large occipital hole and facilitate the transcranial ultrasonic beam detection; VA (vertebral artery), BA (basilar artery), and sometimes PICA (lower posterior cerebellar artery) were detectable at the occipital window.
When the senile dementia is diagnosed, because the occipital window and the temporal window need to be measured at the same time, a patient needs to change the body position in the detection process, which brings unnecessary troubles to the elderly; in TCD detection, because long-time imaging is needed, the detection time is different from 0.5h to 2h, medical staff needs to cling to the skull of a patient by using external force for a long time, and the TCD detection is very inconvenient; meanwhile, the sliding caused by the clothes can also cause unnecessary interference on the final result, and can possibly cause the occurrence of false positive results; chinese patent CN201720419758.8 discloses a fixing frame for ultrasonic probes of a transcranial doppler monitor, which comprises two ultrasonic probes, the fixing frame comprises: the clamping piece comprises two opposite end parts and an elastic body for connecting the two end parts, and the elastic body drives the two end parts to respectively provide clamping force to the inner side; and two cover bodies, its inboard has the binding face that is used for with human head both sides detection window binding, two cover bodies are fixed respectively on two tip of holder, two ultrasonic probe set up respectively on two cover bodies, ultrasonic probe's detection face protrusion binding face, this mount can make ultrasonic probe stabilize binding in monitoring position, eliminate because of the handheld ultrasonic probe shake of medical staff or patient's head removes and lead to ultrasonic probe and detection window to take place the displacement, nevertheless still need the patient to change the position, and only can fix the probe of temporal window department, the flexibility is lower.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to overcome above-mentioned prior art's shortcoming, provide an auxiliary frame of TCD diagnosis senile dementia in-process to utilize TCD diagnosis senile dementia's in-process, play the effect of being fixed in occipital window, temporal window with the probe, with improve the patient travelling comfort of shooting the in-process, reduce medical personnel's burden.
In order to achieve the above object, the utility model provides a following technical scheme:
an auxiliary frame in the process of diagnosing senile dementia by TCD comprises a bottom plate, a head support part, a neck support part and at least one probe fixing part; the head support comprises a first mounting seat for mounting the head support on the front part of the bottom plate and a first supporting plate for supporting the head, and the head support plays a role in supporting the head; the neck support part comprises a second mounting seat for mounting the neck support part on the middle part of the bottom plate and a second supporting plate for supporting the neck, and the neck support part plays a role in supporting the neck; the head support and the neck support are 10-15cm away from each other, so that the occipital window at the rear side of the whispering skull can be fully exposed; the probe fixing part 4 comprises a base, at least one cantilever which can be bent and deformed at will and has a certain supporting force, a cantilever seat and a fixing ring for fixing the probe, the probe fixing part is mainly suitable for fixing a transcranial Doppler detection probe, and generally, human body detection windows mainly used in the diagnosis of senile dementia are an occipital window positioned in the back of the brain and a temporal window positioned in the front of ears; meanwhile, the number of the probe fixing pieces and the number of the cantilevers can be flexibly determined, and when the multi-probe Doppler instrument is used, the most preferable method is that 2 probe fixing pieces are adopted, and each probe fixing piece comprises 2 cantilevers, so that the measurement of the occipital window and the temporal window can be simultaneously realized.
Preferably, the base is arranged on the bottom plate through expansion screws and located between the head supporting piece and the neck supporting piece, the base is provided with two upper and lower through holes, and the base and the bottom plate are connected in various modes including integral forming and mortise and tenon connection, so long as the base and the bottom plate can be fixed;
the cantilever seat is in an inverted T shape, internal threads are arranged inside a vertical edge of the cantilever seat, and the tail end of the cantilever is provided with matched external threads; the horizontal limit both sides of cantilever seat have mounting hole B and pass through this the mounting hole installs the cantilever seat on the base, and specific installation as follows: firstly, the vertical edge of the cantilever seat penetrates out of the through hole of the base, the transverse edge of the cantilever seat is installed on the base, and then the tail end of the cantilever is screwed into the vertical edge of the cantilever seat;
the fixing ring body is in a fan-ring shape with two short sides provided with magic tapes, the two short sides of the fan-ring shape form a reversed round table shape after being pasted by the magic tapes, the fixing ring is fixedly installed at the top end of the cantilever, and the magic tapes are not the only installation form, so long as the fixing ring can be adjusted and fixed in a fastening form, such as a snap fastener, a self-sealing strip and the like.
Preferably, the bottom plate comprises a front end corresponding to the shape of the head and neck of the human body and a rear end corresponding to the shape of the shoulders of the human body, and the neck support piece are respectively arranged at the front part and the rear part of the front end.
Preferably, the first mounting seat comprises a left part and a right part which are the same, any part of the first mounting seat is in an inverted L shape, the bottom end of the long edge of the first mounting seat is mounted on the bottom plate through an expansion screw, the short edge of the first mounting seat is provided with a mounting hole a, the first supporting plate is in an arc shape, the radian of the first supporting plate is attached to the radian of the head of a human body, two ends of the first supporting plate extend outwards to form mounting ends respectively and horizontally, the mounting ends are provided with mounting holes b respectively, and the mounting holes a and the mounting holes b are fixed together through bolts so as to fix the first supporting plate on the mounting seat;
the structure and the matching mode of the second mounting seat and the second supporting plate are the same as those of the first mounting seat and the first supporting plate, the height of the second mounting seat is 2-3cm lower than that of the first mounting seat, so that the pillow window has the advantages that the whole head of a human body is in a high-front-rear-low state, large pillow holes can be fully exposed, the measurement of the pillow window is realized, and the radian of the second supporting plate is matched with that of the neck of the human body.
Preferably, the shoulder pillow is arranged at the rear end, the whole thickness of the shoulder pillow is changed in an arc shape, the thickness of one side close to the rear part of the rear end is obviously smaller than that of one side close to the front part of the rear end, the highest point of the shoulder pillow close to the rear end side and the lowest point of the second supporting plate are at the same height, the whole shoulder pillow conforms to the streamline of the shoulder and back of a human body, fatigue caused by lifting of the head and the neck can be relieved, and the comfort of the old patient is improved.
Preferably, the first support plate and the second support plate are provided with a plurality of through holes which are vertically penetrated, the measurement time of the part TCD can be as long as 1-2 hours, and the through holes can ensure air permeability.
Preferably, the cantilever is made of carbon steel, and can be bent for hundreds of times to maintain the supporting force, so that the use efficiency is increased; after a certain service time, the maintenance of the whole device can be realized by conveniently replacing the cantilever.
Compared with the prior art, the beneficial effects of the utility model are that: (1) the head support piece, the neck support piece and the shoulder pillow are arranged, so that the comfort level of a human body is guaranteed under the condition that the head and the neck are supported, and the resistance psychology of the old is relieved; (2) the large occipital hole at the back of the brain can be fully exposed after the head and neck are supported, the occipital window and the temporal window can be simultaneously detected in the supine position, and great convenience is provided for the old with inconvenient movement; (3) the setting of probe mounting avoids medical personnel to need to fix the probe with the hand always at whole detection in-process, alleviates medical personnel's burden.
Drawings
Fig. 1 is a schematic structural diagram of an embodiment of the present invention;
fig. 2 is a top view of an embodiment of the present invention;
fig. 3 is a side view of an embodiment of the invention;
FIG. 4 is a schematic view of the probe holder of the present invention;
FIG. 5 is a schematic structural diagram of the first mounting seat;
in the figure, 1-bottom plate, 11-front end, 12-rear end, 2-head support, 21-first mounting seat, 211-mounting hole a, 22-first supporting plate, 221-mounting end, 222-mounting hole b, 3-neck support, 31-second mounting seat, 32-second supporting plate, 4-probe fixing piece, 41-base, 42-cantilever, 43-cantilever seat, 431-mounting hole, 44-fixing ring, 441-magic tape and 5-shoulder pillow.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to fig. 1, an auxiliary frame for diagnosing senile dementia by TCD comprises a base plate 1, a head support 2, a neck support 3, two probe fixing pieces 4 and a shoulder pillow 5;
the bottom plate 1 comprises a front end 11 corresponding to the shape of the head and neck of a human body and a rear end 12 corresponding to the shape of the shoulders of the human body, and the head support part 2 and the neck support part 3 are respectively arranged at the front part and the rear part of the front end 11.
The head support 2 comprises a first mounting seat 21 for mounting the head support 2 on the front part of the bottom plate 1 and a first supporting plate 22 for supporting the head, and the first mounting seat and the first supporting plate play a role in supporting the head; the neck support 3 comprises a second mounting seat 31 for mounting the neck support 3 on the middle part of the bottom plate 1 and a second supporting plate 32 for supporting the neck, and the function of supporting the neck is achieved; the head support 2 and the neck support 3 are 15cm away, so that the occipital window at the rear side of the whispering skull can be fully exposed;
the head support piece 2 and the neck support piece 3 are almost the same in structure and matching mode, the head support piece 2 is taken as an example for explanation, the first mounting seat 21 comprises a left part and a right part which are the same, any part of the left part and the right part is in an inverted L shape, the bottom end of the long edge of the first mounting seat is mounted on the bottom plate 1 through an expansion screw, the short edge of the first mounting seat is provided with a mounting hole a211, the first supporting plate 22 is in a circular arc shape, the radian of the first supporting plate is attached to the radian of the head of a human body, two ends of the first supporting plate 22 outwards and horizontally extend out to form mounting ends 221, the mounting ends 221 are respectively provided with mounting holes b222, and the mounting holes a211 and the mounting holes b222 are fixed together through bolts so as;
the structure and the matching mode of the second mounting seat 31 and the second supporting plate 32 are the same as those of the first mounting seat 21 and the first supporting plate 22, the height of the second mounting seat 31 is 2.5cm lower than that of the first mounting seat 21, and the pillow window has the advantages that the whole head of a human body is in a state of being high in the front and low in the back, the large pillow hole can be fully exposed, the measurement of the pillow window is realized, and the radian of the second supporting plate 32 is matched with that of the neck of the human body.
The first supporting plate 22 and the second supporting plate 32 are both provided with a plurality of through holes which are vertically through, the measurement time of part TCD can be as long as 1-2 hours, the through holes can ensure air permeability, and the first supporting plate 22 and the second supporting plate 32 can be made of hard plastics.
The probe fixing part 4 comprises a base 41, 2 cantilevers 42 which can be bent and deformed at will and have a certain supporting force, a cantilever seat 43 and a fixing ring 44 for fixing the probes, the probe fixing part 3 is mainly suitable for fixing a transcranial Doppler detection probe, and generally, human body detection windows mainly used in the diagnosis of senile dementia are an occipital window positioned in the back of the brain and a temporal window positioned in the front of ears;
the base 41 is installed on the bottom plate 1 through expansion screws and located between the head support piece 2 and the neck support piece 3, the base 41 is provided with two upper and lower through holes, and the base 41 and the bottom plate are connected in various modes including integral forming and mortise and tenon connection, so long as the base 41 and the bottom plate 1 can be fixed; the cantilever seat 43 is in an inverted T shape, the inner part of the vertical edge of the cantilever seat is provided with an internal thread, and the tail end of the cantilever 42 is provided with a matched external thread; the two sides of the transverse edge of the cantilever seat 43 are provided with mounting holes 431, and the cantilever seat 43 is mounted on the base 41 through the mounting holes 431, and the specific mounting process is as follows: firstly, the vertical edge of the cantilever seat 43 penetrates out of the through hole of the base 41, the transverse edge of the cantilever seat is installed on the base 41, and then the tail end of the cantilever 42 is screwed into the vertical edge of the cantilever seat 43; the body of the fixed ring 44 is in a fan-shaped ring shape with two short sides provided with magic tapes 441, the two short sides of the fan-shaped ring are pasted by the magic tapes 441 to form an inverted round platform shape, and the fixed ring 44 is fixedly arranged at the top end of the cantilever 42; the cantilever 42 is made of carbon steel, and can be bent for hundreds of times to keep the supporting force, so that the use efficiency is increased; after a certain service time, the maintenance of the whole device can be realized by conveniently replacing the cantilever.
Shoulder pillow 5 sets up at rear end 12, and whole thickness presents the arc change, and the thickness that is close to one side at rear end 12 rear portion is obviously less than the thickness that is close to one side at rear end 12 front portion, the highest point that shoulder pillow 5 is close to rear end 12 side is in same height with the minimum of second layer board 32, shoulder pillow 5 wholly accords with the streamline at human shoulder back, can relieve the head, the neck lifts up the tired sense that brings, increases old patient's comfort.
Application method
Utilize transcranial Doppler to carry out senile dementia's in-process, need to be simultaneously to be located the occipital window at brain rear portion and the temporal window of ear top survey, form images, the check-out time varies at 0.5-2h, and some old people especially have presented the old person of dementia sign and are not willing to cooperate, need change between supine position and prone position in addition in the test process, it is very troublesome to the old person inconvenient, that breathe unsmooth of legs and feet, and the utility model discloses an auxiliary frame then can solve this problem.
As shown in the figure, the medical staff firstly pokes the cantilever 42 to the outer side of the whole apparatus, so that the patient can lie down conveniently; when lying down, the head and the neck of the patient are respectively aligned to the first supporting plate 21 and the second supporting plate 32, and the first supporting plate 21 and the second supporting plate 32 are made of hard plastics, so that soft non-woven fabrics, soft cushions and the like can be padded to improve the comfort of the patient, and the position of the head and the neck can be properly adjusted to fully expose the big pillow hole of the patient; then, taking a probe of the TCD, cleaning, smearing coupling liquid, fixing the probe in the fixing ring 44, and ensuring the probe to be basically fixed through the magic tape 441; the probe is fixed on the occipital window or the temporal window by twisting the cantilever 42 for detection and imaging, so that medical personnel do not need to hold the probe by hands at any time, and a patient does not need to change the body position; moreover, the device can support a Doppler instrument with multiple probes, and simultaneously measure the temporal window and the occipital window, thereby greatly reducing the diagnosis time.

Claims (7)

1. An auxiliary frame in the process of diagnosing senile dementia by TCD is characterized in that: comprises a bottom plate (1), a head support (2), a neck support (3) and at least one probe fixing piece (4); the head support piece (2) comprises a first mounting seat (21) for mounting the head support piece (2) on the front portion of the bottom plate (1) and a first supporting plate (22) for supporting the head, the neck support piece (3) comprises a second mounting seat (31) for mounting the neck support piece (3) on the middle portion of the bottom plate (1) and a second supporting plate (32) for supporting the neck, the distance between the head support piece (2) and the neck support piece (3) is 10-15cm, and the probe fixing piece (4) comprises a base (41), at least one cantilever (42) which can be bent and deformed at will and has a certain supporting force, a cantilever seat (43) and a fixing ring (44) for fixing the probe.
2. The auxiliary frame in the process of diagnosing senile dementia by TCD according to claim 1, wherein: the base (41) is arranged on the bottom plate (1) through an expansion screw and is positioned between the head support (2) and the neck support (3), and the base (41) is provided with two through holes;
the cantilever seat (43) is in an inverted T shape, internal threads are arranged inside the vertical edge of the cantilever seat, and the tail end of the cantilever (42) is provided with matched external threads; mounting holes (431) are formed in two sides of the transverse edge of the cantilever base (43), and the cantilever base (43) is mounted on the base (41) through the mounting holes (431);
the fixing ring (44) body is in a fan-shaped ring shape with two short sides provided with magic tapes (441), the two short sides of the fan-shaped ring form an inverted round table shape after being pasted by the magic tapes (441), and the fixing ring (44) is fixedly installed at the top end of the cantilever (42).
3. The auxiliary frame in the process of diagnosing senile dementia by TCD according to claim 1, wherein: the bottom plate (1) comprises a front end (11) corresponding to the shape of the head and neck of a human body and a rear end (12) corresponding to the shape of the shoulders of the human body, and the head support piece (2) and the neck support piece (3) are respectively arranged at the front part and the rear part of the front end (11).
4. The auxiliary frame in the process of diagnosing the senile dementia by the TCD according to claim 1, wherein the first mounting seat (21) comprises a left part and a right part which are the same, any part of the left part and the right part is in an inverted L shape, the bottom end of the long side of the first mounting seat is mounted on the bottom plate (1) through an expansion screw, the short side of the first mounting seat is provided with a mounting hole a (211), the first supporting plate (22) is in a circular arc shape, the radian of the first supporting plate is attached to the radian of the head of a human body, mounting ends (221) extend outwards from two ends of the first supporting plate (22) respectively and horizontally, the mounting holes b (222) are formed in the mounting ends (221), and the mounting holes a (211) and the mounting holes b (222) are fixed together through bolts so that the first supporting plate (22) is fixed on the first mounting seat (;
the structure and the matching mode of the second mounting seat (31) and the second supporting plate (32) are the same as those of the first mounting seat (21) and the first supporting plate (22), the height of the second mounting seat (31) is 2-3cm lower than that of the first mounting seat (21), and the radian of the second supporting plate (32) is matched with that of the neck of a human body.
5. The auxiliary frame in the process of diagnosing senile dementia by TCD according to claim 3, wherein: the shoulder pillow is characterized by further comprising a shoulder pillow (5), wherein the shoulder pillow (5) is arranged at the rear end (12), the overall thickness of the shoulder pillow is changed in an arc shape, the thickness of one side close to the rear part of the rear end (12) is obviously smaller than that of one side close to the front part of the rear end (12), and the highest point of the shoulder pillow (5) close to the rear end (12) and the lowest point of the second supporting plate (32) are located at the same height.
6. The auxiliary frame in the process of diagnosing senile dementia by TCD according to claim 4, wherein: the first supporting plate (22) and the second supporting plate (32) are provided with a plurality of through holes which penetrate through from top to bottom.
7. The auxiliary frame in the process of diagnosing senile dementia by TCD according to claim 4, wherein: the cantilever (42) is made of carbon steel.
CN201921362611.5U 2019-08-21 2019-08-21 Auxiliary frame in TCD diagnosis senile dementia process Active CN211022745U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921362611.5U CN211022745U (en) 2019-08-21 2019-08-21 Auxiliary frame in TCD diagnosis senile dementia process

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921362611.5U CN211022745U (en) 2019-08-21 2019-08-21 Auxiliary frame in TCD diagnosis senile dementia process

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CN211022745U true CN211022745U (en) 2020-07-17

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