CN211461087U - Walking assisting vehicle for rehabilitation training of severe patients - Google Patents

Walking assisting vehicle for rehabilitation training of severe patients Download PDF

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Publication number
CN211461087U
CN211461087U CN201820648450.5U CN201820648450U CN211461087U CN 211461087 U CN211461087 U CN 211461087U CN 201820648450 U CN201820648450 U CN 201820648450U CN 211461087 U CN211461087 U CN 211461087U
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main body
rehabilitation training
walking
body frame
frame
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CN201820648450.5U
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宋洁琼
李善群
钟鸣
刘子龙
郝晟瑜
符翠萍
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Zhongshan Hospital Fudan University
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Zhongshan Hospital Fudan University
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Abstract

The utility model discloses a severe patient rehabilitation training auxiliary vehicle that walks, it can dismantle the seat including the main part frame that is four sides fence formula on general, directional wheel and the universal wheel that has the manual brake function, hang the suspension type of locating on the main part frame. The walking assisting vehicle is suitable for severe patients with weak lower limb strength and need to recover walking ability and patients with primary walking ability, and has the advantages of high safety and strong controllability.

Description

Walking assisting vehicle for rehabilitation training of severe patients
Technical Field
The utility model belongs to the field of medical equipment, concretely relates to severe patients rehabilitation training auxiliary vehicle that walks especially relates to a severe patients's auxiliary vehicle that walks that is applicable to that low limbs strength is weak, need resume walking ability.
Background
In recent years, the survival rate of critically ill patients in Intensive Care Units (ICU) has increased dramatically with increasing medical levels. However, the mobility of these patients after survival is significantly reduced compared to that before onset, and how to improve the mobility of critically ill patients after survival is a significant problem. The rehabilitation after illness of critically ill patients is strengthened, the self-care ability of the critically ill patients is improved, the life quality of the patients can be improved, and the family and social burdens can be reduced. The rehabilitation process is difficult and slow, the critical patient of the ICU has a long course, the function of multiple organs is damaged, and in addition, the patient lies in bed for a long time, so that the physical defects of malnutrition, disuse atrophy of muscles (respiratory muscle groups including diaphragm are also affected), incomplete functions of chronic organs and the like are caused. The muscle atrophy caused by long-term bed rest is the first rehabilitation problem for critically ill patients who survive, and the rehabilitation speed greatly influences the living quality of the patients and causes bed rest related complications. Therefore, after the condition is stable, the early walking training is beneficial to the recovery of critical patients and the long-term prognosis. Practice proves that the earlier a patient carries out rehabilitation training, the body recovery speed is obviously improved. Therefore, the critically ill patients need to recover the ability of the limbs to move, to independently rise and lie, to independently walk, and the like as soon as possible.
At present, clinical ICU critically ill patients are subjected to early rehabilitation getting out of bed walking training, due to the lack of suitable auxiliary equipment, the patients are mainly assisted by doctors, nurses, nursing staff and family members, time and labor are wasted, and all clinical rehabilitation requirements cannot be met under the condition that current medical resources are short. Even though some walking aid equipment is available on the market, the walking aid equipment is simple and crude in design, can only provide slight auxiliary support and is only suitable for patients in the later period of rehabilitation. In the early stage of walking training of a patient in the early rehabilitation period, the patient may need to be equipped with an electrocardiograph monitor or even a movable breathing machine and other treatment equipment, the equipment cannot be placed on a common walking auxiliary vehicle, and the walking auxiliary vehicle on the market only has a vehicle frame main body as the support of the patient, does not have other auxiliary support structures, and is easy to cause potential safety hazards.
The patent CN205494327U of the applicant discloses an auxiliary cart for walking training of critically ill patients, which comprises a main body frame and universal wheels, wherein an oxygen bottle support, a drainage bag hook, a monitor support, a movable breathing machine support and a liquid supplementing frame are arranged on the main body frame. However, the walking training aid cart is only suitable for patients who have certain walking ability, but not for serious patients who just can walk in bed and have weak leg strength. Once the patient is hypodynamia and slips, the auxiliary vehicle is out of control, the patient is fallen and injured, and a medical accident is easily caused.
Since the earlier walking training is more beneficial to rehabilitation, the design is required to be further improved, the safety of the rehabilitation training is improved, the group of patients using the walking training auxiliary vehicle is enlarged, and the walking training auxiliary vehicle is particularly suitable for severe patients with weak lower limb strength and needing to recover the primary walking ability.
SUMMERY OF THE UTILITY MODEL
In order to overcome the defects of small range of applicable crowd and insufficient safety of walking rehabilitation training equipment in the prior art, the inventor designs a novel walking auxiliary vehicle for rehabilitation training of severe patients, which is beneficial to the rehabilitation training of severe patients who just can walk out of bed, have weak lower limb strength and have to recover the walking ability. Particularly, the utility model comprises the following technical scheme.
A walking assisting vehicle for rehabilitation training of critically ill patients comprises a main body frame, directional wheels and universal wheels which are positioned below the main body frame, and a suspension type detachable seat hung on the main body frame, wherein the main body frame is generally a four-side fence type frame, the front side, the left side and the right side of the main body frame respectively comprise more than two vertical rods, preferably two vertical rods and more than two cross rods, such as two, three or four cross rods, and the back side of the front side, the left side and the right side can be opened for patients to get in and out of the frame; the directional wheel has a hand brake function, and the brake handle is arranged on vertical rods on two sides of the front of the main body frame or on a cross rod above the front of the main body frame; the suspension type detachable seat is hung on the cross bars in the front, the left and the right of the main frame through hanging belts.
In a preferred embodiment, the hand brake function means that the brake is completed when the handle is released and the wheel is rotated when the handle is held. On one hand, the hand brake mode is helpful for restoring the hand strength and the activity function of the patient; another convenience has improved the operational safety of walking auxiliary vehicle, namely, when the patient is tired and loose hand, the auxiliary vehicle will stop moving, avoids out of control and slips.
In one embodiment, the universal wheel is arranged at the lower part of the front surface of the main body frame, and the directional wheel is arranged at the lower part of the rear surface of the main body frame. Such a positional arrangement facilitates patient control of the direction of advancement.
Preferably, the main body frame can be additionally provided with an infusion support, so that the infusion treatment is not delayed while the patient performs the walking training.
Furthermore, the main body frame can be additionally provided with an upper body suspension protective bracket, and the upper body suspension protective bracket comprises a support rod, a Weiya suspension rope and a vest. This equipment helps to protect critically ill patients, especially those with relatively weak constitution, from walking training safely.
In one embodiment, the main body frame may be provided with an upper body hanging protection bracket and an infusion support at the same time, and when the upper body hanging protection bracket is arranged on the vertical rod on one side of the front, the infusion support is arranged on the vertical rod on the other side of the front, so that the upper body hanging protection bracket and the infusion support do not interfere with each other.
In one embodiment, a movable breathing machine bracket, an oxygen bottle bracket, an electrocardiogram monitor bracket, a first-aid medicine box bracket and a drainage bag hook are arranged on the front, the left and/or the right outer side of the main body frame. The specific positions, types and numbers of the brackets and the hooks can be flexibly adjusted according to actual needs.
Above-mentioned seat height can be adjusted to seat can be dismantled to suspension type to be convenient for adjust the height of seat position according to the different heights and sizes of patient and the length of standing, sitting and standing time, for example sit and stand the long adjustable height of time, stand the long then adjustable height of time.
The main body frame is made of a metal material such as stainless steel.
The utility model discloses a walking auxiliary vehicle not only is applicable to the severe patient that low limbs strength is weak, the ability of walking needs to be resumeed, still is suitable for the patient that has preliminary walking ability to use, has the security high moreover, advantage that the controllability is strong, has clinical practical value.
Drawings
Fig. 1 is a schematic structural view of an embodiment of a walking assist vehicle according to the present invention.
FIG. 2 is a schematic diagram showing the hand brake controlling the braking and travel functions of the walking assist vehicle. Wherein the handle is gripped to enable the walking assist vehicle to move; and releasing the handle to complete braking.
Detailed Description
The technical solution of the present invention will be described below with reference to the accompanying drawings. It is to be understood that the described embodiments are merely a few embodiments and not all embodiments of the present application; and the structures shown in the drawings are merely schematic and do not represent actual objects. It should be noted that all other embodiments obtained by those skilled in the art based on the embodiments of the present invention belong to the protection scope of the present application.
In this document, the terms "walking assist vehicle for rehabilitation training of critically ill patients", "walking assist vehicle for rehabilitation training", "rehabilitation training assist vehicle", "rehabilitation walking vehicle", "walking assist vehicle", "walking training vehicle", and "assist vehicle" and the like are used for the same meaning, and are interchangeable.
In this context, the terms "body frame", "carriage" and "frame" etc. are used synonymously and interchangeably.
Herein, for the convenience of the description in the text, the side of the patient facing the walking direction, i.e., the face, when using the auxiliary vehicle is referred to as "front", but it does not mean that the patient must face a certain fixed direction when actually operating or traveling, and it is understood by those skilled in the art that the relationship between the positions or connections of the respective components is merely shown. Similarly, the terms "rear," "upper," "lower," "left," "right," and the like do not constitute absolute spatial relationship limitations, but rather are relative concepts.
Referring to fig. 1, the walking assisting vehicle 10 for rehabilitation training of critical patients of the present invention mainly comprises: the detachable seat comprises a main body frame 1, a directional wheel 2 and a universal wheel 3 which are positioned below the main body frame 1, and a suspension type detachable seat 4 hung on the main body frame 1. These parts are described separately below.
Main body frame 1
As shown in fig. 1, the main body frame 1 is a four-sided enclosure frame, and includes two or more, preferably two (as shown in fig. 1) vertical bars 11 and two or more, such as two, three, or four cross bars 12 on the front, left, and right sides thereof, respectively, and is openable on the back, i.e., the back side, for the patient to enter and exit the frame.
The main body frame 1 is preferably made of a metal material such as stainless steel so that the walking assist vehicle 10 has sufficient strength to sufficiently withstand the weight of the patient and the medical equipment.
Preferably, the main body frame 1 can be additionally provided with an infusion support 5, so that the patient can perform intravenous infusion without delaying infusion treatment while performing walking training.
Further, an upper body suspension protection bracket 6 may be additionally provided on the main body frame 1, and the upper body suspension protection bracket 6 includes, for example, a support bar 61, a wiya suspension rope 62, and a vest 63. The equipment 6 helps to protect critically ill patients, especially relatively infirm patients, from walking training safely. In one embodiment, the support rods 61 are located at the front left corner and above the frame 1 (as shown in fig. 1), and are connected to the wire rope 62 by a snap lock; the two ends of the Weiya suspension rope 62 are respectively connected with the support rod 61 and the vest 62, the length can be adjusted steplessly according to the height of the patient, and the Weiya suspension rope is used for protecting the patient to maintain a certain height so as to prevent the patient from falling down; the vest 62 can be filled with sponge, the chest is sealed by a transverse magic tape, the size of the vest can be adjusted according to the body size of a patient, and the vest back locking device is connected with the suspension rope 62.
In one embodiment, the main body frame 1 can be provided with the upper body hanging protection bracket 6 and the infusion support 5 at the same time, and when the upper body hanging protection bracket 6 is arranged on the vertical rod 11 on the front side, the infusion support 5 is arranged on the vertical rod 11 on the other front side, so that the upper body hanging protection bracket and the infusion support do not interfere with each other.
In addition, a plurality of supports or components for placing medical instruments or equipment, including but not limited to a mobile ventilator support 71, an oxygen bottle support 72, an electrocardiograph monitor support 73, a first-aid kit support 74 and a drainage bag hook 8, are arranged on the front, left and/or right outer side of the main body frame 1. In some cases, it is necessary to provide a medical instrument or equipment to a critically ill patient who needs to be treated and also needs to be gradually rehabilitated. A first-aid kit 9 can be arranged on the first-aid kit bracket 74 and is used for placing first-aid medicines, normal saline and an injector for rescuing patients in case of accidents in the rehabilitation training process; a movable respirator is arranged on the movable respirator support 71, and an oxygen bottle is arranged on the oxygen bottle support 72, so that a patient can conveniently inhale oxygen; the ECG monitor is arranged on the ECG monitor bracket 73, so that the vital signs of the patient in the training process can be monitored in real time; the drainage bag hooks 8 can be positioned on the cross bars 12 at the two sides of the main body frame 1 and are used for hanging various drainage bags (wound drainage, thoracic/abdominal cavity drainage, urine collection bags, gastrointestinal decompression and the like) of a patient. Those skilled in the art will readily understand that the specific location, type and number of these brackets and components can be flexibly adjusted according to actual needs.
Directive wheel 2 and universal wheel 3
As shown in figures 1 and 2, the universal wheels 3 are arranged at the lower parts of the two sides of the front of the main body frame 1, so that the patient can control the walking direction at will.
The directional wheels 2 are arranged at the lower parts of the two sides of the rear of the main body frame 1. The directional wheel 2 has a hand brake function, and the brake handle 21 can be arranged on the vertical rods 11 on the two sides of the front surface of the main body frame 1, so that a patient can conveniently hold the directional wheel. Of course, alternatively, the brake handle 21 may be disposed on the upper cross bar 12 (not shown) in front of the main frame 1, as long as the patient can accept the change or adjustment of the holding habit. The hand brake function means that the brake or braking is completed when the handle 21 is released and the wheel 2 is rotated when the handle 21 is gripped. On one hand, the hand brake mode is helpful for restoring the hand strength and the activity function of the patient; another convenience improves the operational safety of the walking assist vehicle 10, i.e., when the patient is weak and loose their hands, the walking assist vehicle 10 will stop moving, avoiding uncontrolled slipping. The patient can be in the walking in-process emergency brake at any time and not fall down, fully ensure safety. The principle is similar to that of an airport luggage van, the airport luggage van can walk by holding a brake handle, and the brake can be quickly decelerated to the brake to avoid accidental falling.
Suspension type detachable seat 4
The suspended detachable seat 4 is also called a suspended seat 4, and is hung on the front, left, and right crossbars 12 of the main body frame 1 by the hanging straps 41.
The shape of the seat in the suspension type detachable seat 4 is similar to that of a bicycle cushion, and the front end and the rear end are respectively provided with a hanging strip 41 which is connected with a detachable bayonet and hung at the front end and the left side and the right side of the main body frame 1. For the early rehabilitation or the patient with obvious weak lower limb muscle strength, the chair can be placed under the crotch, and the two lower limbs slide on the ground; the chair can stand up to walk upright after the muscle strength is slightly recovered, and the chair can still play a role in preventing accidental falling or be used for sitting for rest when in half-break. When the muscle force of the lower limbs of the patient is further recovered, the patient can be completely disassembled after walking without obvious difficulty.
The height of the suspension type detachable seat 4 can be adjusted, so that the height of the seat position can be adjusted conveniently according to different heights and body types of patients and the length of standing and sitting time, for example, the height can be adjusted when the sitting time is long, and the height can be adjusted when the standing time is long.
Use examples
As an example of the use of the walking assistance cart 10, the critically ill patient can sit on the suspended detachable seat 4 at an early stage during rehabilitation exercise, and perform a small exercise of the lower limbs only by a sliding step; the walking assisting vehicle 10 has the capability of standing, holding the cross bars 12 on the two sides of the walking assisting vehicle 10 with both hands, and holding the directional wheel hand brake 21 so as to brake and stop walking at any time, and can sit down to rest at any time after fatigue; after the muscle strength is further recovered, the suspension type detachable seat 4 can be detached, so that the walking is more smooth and unobstructed. For example, the patient is a ventilator assisted ventilation patient (such as a noninvasive mask ventilation or tracheotomy ventilator assisted ventilation state), the small-sized ventilator can be placed on the movable ventilator support 71 in front of the frame, and the oxygen bottle is placed on the oxygen bottle support 72 on the right side of the frame; various drainage bags or urine collecting bags on the body of the patient can be hung on the drainage bag hooks 8 on the two sides of the frame; a patient needing continuous ECG monitoring can place the monitor on the monitor bracket 73 on the right side of the outer ring of the frame 1; the patient needing continuous fluid infusion can hang the fluid infusion on the infusion support 5 at the right front part of the frame; emergency medicines (adrenaline and the like) and an injector are arranged in the emergency medicine box 9 on the left side of the frame to prevent the need from happening.
The technical personnel in the field understand easily, the utility model discloses help severe patients, especially the first severe patients that low limbs strength is weak, need to resume walking ability to carry out the walking training safely in the early stage of recovered, help the patient to get off the bed early and carry out the rehabilitation exercise, can show to improve patient's prognosis and long-term life quality to alleviate family and social burden. Even if the muscle strength of four limbs of the patient is weak in the early stage of rehabilitation, the patient can still sit on the rehabilitation training auxiliary vehicle 10, do slight adaptive exercise by sliding, and walk upright after the muscle strength is further recovered. The directional wheel 2 manual brake function, the upper part of the body suspend the protective cradle 6 in midair can play the effect that the protection patient prevented accidental injury of tumbleing. All kinds of monitors, breathing machines, treatment medicine etc. that main part frame 1 carried on can be effective real time monitoring patient's vital sign, can deal with fast when emergency appears in the patient, guarantee patient life safety can save a large amount of manpower services moreover. The reasonable design of the walking assisting device can meet the actual use requirement of early rehabilitation of critically ill patients, and has clinical practical value and social benefit.
It is to be noted that the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
The above embodiments are only used to illustrate the technical solutions of the present invention, and not to limit the same. It will be understood by those skilled in the art that the foregoing may be modified and equivalents may be substituted for elements thereof; and such modifications or substitutions do not depart from the spirit and scope of the present invention in its essence.

Claims (9)

1. The utility model provides a severe patient rehabilitation training auxiliary vehicle that walks, it includes the main part frame, is located directional wheel and the universal wheel of main part frame below, hangs the suspension type of locating on the main part frame and can dismantle the seat, wherein
The main body frame is a four-side fence type frame, the front, the left and the right respectively comprise more than two vertical rods and more than two cross rods, and the rear part can be opened for a patient to get in and out of the frame;
the directional wheel has a hand brake function, the brake handle is arranged on the vertical rods on the two sides of the front of the main body frame, the hand brake function means that when the handle is loosened, braking is completed, the wheel can rotate when the handle is gripped, and when a patient is lack of strength and looses hands, the auxiliary vehicle stops moving;
the suspension type detachable seat is hung on the cross bars in the front, the left and the right of the main frame through hanging belts.
2. The walking assist vehicle for rehabilitation training of critical patients according to claim 1, wherein the universal wheels are disposed at a lower portion of a front surface of the main body frame, and the directional wheels are disposed at a lower portion of a rear surface of the main body frame.
3. The walking assisting vehicle for rehabilitation training of critical patients according to claim 1, wherein an infusion support is further provided on the main body frame.
4. The walking assist vehicle for rehabilitation training of critical patients according to claim 1, wherein an upper body suspension protection bracket is further provided on the main body frame.
5. The walking assisting vehicle for rehabilitation training of critical patients according to claim 1, wherein an upper body suspension protecting support and an infusion support are additionally arranged on the main body frame, and when the upper body suspension protecting support is arranged on a vertical rod on one side of the front, the infusion support is arranged on a vertical rod on the other side of the front.
6. The walking assist cart for rehabilitation training of critical patients according to claim 4 or 5, wherein the upper body suspension protection frame comprises a support bar, a Weiya suspension rope and a vest.
7. The walking assisting vehicle for rehabilitation training of critically ill patients according to claim 1, wherein a movable breathing machine support, an oxygen cylinder support, an electrocardiograph monitor support, a first-aid kit support and a drainage bag hook are arranged on the front, left and/or right outer side of the main body frame.
8. The walking assist vehicle for rehabilitation training of critical patients according to claim 1, wherein the height of the seat can be adjusted by the suspension type detachable seat.
9. The walking assist cart for rehabilitation training of critical patients according to claim 1, wherein said main body frame is made of stainless steel material.
CN201820648450.5U 2018-05-03 2018-05-03 Walking assisting vehicle for rehabilitation training of severe patients Active CN211461087U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201820648450.5U CN211461087U (en) 2018-05-03 2018-05-03 Walking assisting vehicle for rehabilitation training of severe patients

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Application Number Priority Date Filing Date Title
CN201820648450.5U CN211461087U (en) 2018-05-03 2018-05-03 Walking assisting vehicle for rehabilitation training of severe patients

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CN211461087U true CN211461087U (en) 2020-09-11

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114555027A (en) * 2021-09-29 2022-05-27 全能照护科技股份有限公司 Host module and auxiliary tool comprising same

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114555027A (en) * 2021-09-29 2022-05-27 全能照护科技股份有限公司 Host module and auxiliary tool comprising same
CN114555027B (en) * 2021-09-29 2024-05-10 全能照护科技股份有限公司 Caretaking device and suspension device comprising the same

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