CN212369245U

CN212369245U - Automatic bracket frame for PCI (peripheral component interconnect) operation upper limb

Info

Publication number: CN212369245U
Application number: CN202021387310.0U
Authority: CN
Inventors: 侯艳平; 张姝; 司晓云; 张曼丽; 吴志涛; 李俊; 赵米; 蒋凤; 刘玉敏
Original assignee: Panzhou People's Hospital
Current assignee: Panzhou People's Hospital
Priority date: 2020-07-15
Filing date: 2020-07-15
Publication date: 2021-01-19
Anticipated expiration: 2030-07-15

Abstract

The utility model relates to the technical field of medical equipment, a PCI operation upper limbs automatic bracket frame is disclosed, including base and layer board support, the layer board support includes that the top surface is the last cantilever crane and the forearm frame of indent curved surface, goes up cantilever crane fixed mounting on the base, and the flexible assembly of forearm frame has still arranged the supporting wheel on the forearm frame on last cantilever crane, has still arranged the drive assembly that the length direction of drive supporting wheel edge forearm frame moved on the forearm frame. When carrying out the PCI operation, medical personnel can adjust the layer board support to suitable position according to patient's size, place patient's left upper limbs or right upper limbs on the upper arm frame and the preceding cantilever crane of layer board support, the increase of indent curved surface and patient's upper limbs area of contact, avoid patient's arm discomfort, the length that the layer board support can be adjusted to preceding cantilever crane when flexible on the upper arm frame, utilize drive assembly can adjust the position of supporting wheel, the gesture of adjustment layer board support, be suitable for the personnel of different arm length and wrist thickness, the operation of being convenient for.

Description

Automatic bracket frame for PCI (peripheral component interconnect) operation upper limb

Technical Field

The utility model relates to the technical field of medical equipment, especially, relate to an automatic pallet frame of PCI operation upper limbs.

Background

Pci (percutaneous coronary intervention), is a treatment method for improving myocardial perfusion by opening narrow or even occluded coronary artery lumen through cardiac catheter technique. The coronary heart disease PCI operation needs to puncture from the distal end of the radial artery of the upper limb of a patient to establish an interventional channel, so that the left upper limb or the right upper limb of the patient needs to be separated from the outside of an operating table in the whole operation process, and a supporting plate is needed to support the upper limb.

The conventional method for supporting the upper limb is to adopt a board with a wide arm diameter, cushion the board under the back of a patient, press and fix one end of the board by the weight of the patient, separate the other end of the board from an operating bed, and then put the arm of the patient needing to establish an intervention passage on the board for supporting.

However, in the prior art, the wood board is padded on the back of the patient, the left side and the right side of the back of the patient are not on the same plane under the influence of the thickness of the wood board, and muscle shearing force damage can be formed after long-time operation, so that discomfort is caused to the patient; meanwhile, the wood plate cannot be moved and adjusted after being placed, cannot be adapted to different people, cannot be adjusted in posture, and influences on operation limiting.

SUMMERY OF THE UTILITY MODEL

The utility model aims at: the utility model provides an automatic plate-supporting frame of PCI operation upper limbs to solve the adoption plank among the prior art and fill up in patient's back, cause the discomfort to the patient, restrict the problem of operation.

In order to realize the above-mentioned purpose, the utility model provides a PCI operation upper limbs are from dynamic pallet frame, be in including base and activity assembly layer board support on the base, layer board support includes that the top surface is the last cantilever crane and the preceding cantilever crane of indent curved surface, it is in to go up cantilever crane fixed mounting on the base, the flexible assembly of preceding cantilever crane is in go up on the cantilever crane, still arranged the supporting wheel that is used for supporting the wrist on the preceding cantilever crane, still arranged the drive on the preceding cantilever crane the supporting wheel is followed the drive assembly of the length direction activity of preceding cantilever crane.

Preferably, the driving assembly comprises a driving motor, a driving frame and a return spring, the driving frame is of a U-shaped structure, the driving frame is rotatably assembled on the front arm support, the top end of the driving frame is rotatably connected with the two axial ends of the supporting wheel, a traction rope is connected between the bottom end of the driving frame and the driving motor, the return spring is arranged on one side of the driving frame, which is far away from the driving motor, and the return spring is connected between the front arm support and the bottom end of the driving frame.

Preferably, the top of the front arm support is further provided with a containing groove extending along the width direction of the front arm support, and the supporting wheel is arranged in the containing groove.

Preferably, the front arm support is inserted into the upper arm support, a telescopic motor is arranged in the upper arm support, and the telescopic motor is in transmission connection with the upper arm support through a screw and nut mechanism.

Preferably, the base includes the support frame that is used for supporting on ground and is used for fixing the mount on the operation table, the activity is equipped with the connecting rod along fore-and-aft direction on the support frame, the layer board support is fixed on the connecting rod.

Preferably, the support frame comprises a support plate with an inner cavity, a sliding groove is formed in the side portion of the support plate, a sliding seat is assembled in the sliding groove, and the connecting rod is fixed on the sliding seat.

Preferably, the sliding base comprises a sliding block which is guided and assembled in the sliding groove and a movable plate which is movably assembled on the sliding block along the width direction, and the connecting rod is fixed on the movable plate.

Preferably, the sliding block is of a hollow structure, a motor is arranged in the sliding block, the output end of the motor is connected with a gear, and the movable plate is provided with meshing teeth connected with the gear.

Preferably, still arranged sliding motor in the backup pad, be connected with transmission belt on the sliding motor, still arranged the directive wheel in the backup pad, transmission belt is around establishing on the directive wheel, transmission belt's both ends are connected respectively both ends around the slider.

Preferably, the fixing frame comprises an L-shaped fixing plate and an adjusting plate movably assembled on the fixing plate along the up-down direction, and the adjusting plate is provided with a fixing screw in a threaded manner.

The embodiment of the utility model provides an automatic pallet frame of PCI operation upper limbs compares with prior art, and its beneficial effect lies in: because the layer board support movable assembly is on the base, when carrying out the PCI operation, medical personnel can adjust the layer board support to suitable position according to patient's size, place patient's left upper limbs or right upper limbs on the upper arm frame and the preceding cantilever crane of layer board support, the upper limbs area of contact increase of indent curved surface and patient, avoid patient's arm discomfort, the length of layer board support can be adjusted when preceding cantilever crane is flexible on the upper arm frame, the position of supporting wheel can be adjusted to the utilization drive assembly, the gesture of adjustment layer board support, be suitable for the personnel of different arm length and wrist thickness, the operation of being convenient for.

Drawings

Fig. 1 is a schematic structural view of the PCI surgical upper limb automatic pallet frame of the present invention after being assembled on an operating bed;

FIG. 2 is a schematic structural view of a pallet support of the PCI surgical Upper extremity robotic pallet of FIG. 1;

fig. 3 is a schematic structural view of the base of the PCI surgical upper limb automatic pallet frame of fig. 1.

In the figure, 1, a base; 2. a pallet support; 21. an upper arm support; 22. a front arm support; 23. a concave curved surface; 24. a support wheel; 25. a driving frame; 26. a drive motor; 27. a hauling rope; 28. a return spring; 3. a support frame; 31. a support plate; 311. a chute; 32. a slide base; 321. a slider; 322. a movable plate; 323. a motor; 324. a gear; 325. meshing teeth; 33. a slide motor; 34. a transfer belt; 35. a steering wheel; 4. a fixed mount; 41. a fixing sheet; 42. a regulating sheet; 43. fixing screws; 5. a connecting rod.

Detailed Description

The following detailed description of the embodiments of the present invention is provided with reference to the accompanying drawings and examples. The following examples are intended to illustrate the invention, but are not intended to limit the scope of the invention.

The utility model discloses an automatic bracket frame's of PCI operation upper limbs preferred embodiment, as shown in fig. 1 to 3, this automatic bracket frame of PCI operation upper limbs includes base 1 and layer board support 2, and base 1 is the support basis of this automatic bracket frame of PCI operation upper limbs, and layer board support 2 is used for supporting patient's left upper limbs or right upper limbs, and layer board support 2 activity is arranged on base 1.

The pallet support 2 comprises an upper arm support 21 and a forearm support 22, the upper arm support 21 is used for supporting the upper arm of the upper limb of the patient, and the forearm support 22 is used for supporting the forearm of the upper limb of the patient. The upper arm support 21 and the front arm support 22 are both hollow cuboid structures, the adopted material is a 3mm steel plate, the size specification of the front arm support 22 is 4.4x19.6x60cm, the top surfaces of the upper arm support 21 and the front arm support 22 are concave curved surfaces 23, the axial direction of the concave curved surfaces 23 extends along the length direction of the supporting plate support 2, and the length direction of the supporting plate support 2 is the length direction of the operating table. The concave curved surface 23 is an arc surface, the arc length is 24.35cm, the concave curved surface 23 is attached to the physiological shape of a patient, the contact area of the upper limb and the supporting plate support 2 is increased, the supporting plate support 2 uniformly bears the force on the upper limb, and the discomfort of the patient is reduced.

The front arm support 22 is inserted into the upper arm support 21, and the front arm support 22 can extend and retract in the upper arm support 21. A telescopic motor is fixed in the hollow upper arm frame 21, a screw rod is fixed on an output shaft of the telescopic motor, a nut assembled with the screw rod in a threaded mode is fixed on the front arm frame 22, the telescopic motor drives the screw rod to rotate when rotating, the nut moves in the axial direction of the screw rod under the action of the screw thread, and then the front arm frame 22 is driven to stretch in the upper arm frame 21.

The front arm support 22 is further provided with a supporting wheel 24 for supporting a wrist and a driving assembly connected with the supporting wheel 24, the supporting wheel 24 is 5cm in diameter and 20cm in length, the supporting wheel 24 is of a hollow structure, a central shaft penetrates through the supporting wheel 24, and the driving assembly is used for driving the supporting wheel 24 to move on the front arm support 22 along the length direction of the front arm support 22. The accommodating groove extending along the width direction of the front arm support 22 is formed in the front arm support 22 and is an arc groove, and the supporting wheels 24 are placed in the accommodating groove, so that the height of the supporting wheels 24 protruding out of the top surface of the front arm support 22 can be reduced, and the upper arm of a patient can be kept horizontal conveniently.

The driving assembly comprises a driving motor 26, a driving frame 25 and a return spring 28, the driving frame 25 is of a U-shaped structure, the opening of the driving frame 25 is arranged upwards, and the top end of the driving frame 25 is rotatably assembled at two ends of the central shaft of the supporting wheel 24. The middle part of the driving frame 25 is rotatably assembled on the front arm support 22, that is, the connecting point of the driving frame 25 and the front arm support 22 forms a fulcrum, and when the driving frame 25 rotates, the supporting wheel 24 is driven to swing on the front arm support 22 by taking the fulcrum as a circle center.

The driving motor 26 is arranged at the end of the front arm support 22 in the length direction, a traction rope 27 is connected between the output end of the driving motor 26 and the bottom end of the driving frame 25, in this embodiment, the traction rope 27 is a steel wire, a hanging ring is further arranged at the bottom of the front arm support 22, and the traction rope 27 is arranged by passing through the hanging ring. A return spring 28 is arranged on the side of the drive frame 25 facing away from the drive motor 26, and two ends of the return spring 28 are respectively connected to the bottom end of the drive frame 25 and the front arm frame 22. During operation, the driving motor 26 rotates forwards, the traction rope 27 overcomes the elastic force of the return spring 28 to pull the driving frame 25, the driving frame 25 drives the supporting wheel 24 to swing, the height and the position of the supporting wheel 24 are adjusted, and the wrist height and the arm length of patients are adapted to different heights; after the operation is finished, the driving motor 26 rotates reversely, the traction rope 27 is loosened, the return spring 28 drives the driving frame 25 to swing reversely under the action of the elastic force, and the supporting wheel 24 returns to the initial position.

The base 1 comprises a support frame 3, a fixing frame 4 and a connecting rod 5, wherein the support frame 3 is supported and arranged on the ground, and the fixing frame 4 is used for being fixed on a bed seat of the operating table. The fixed mount 4 is fixedly arranged on the support frame 3. The support frame 3 comprises a support plate 31 and a slide carriage 32, the connecting rod 5 is fixedly assembled on the slide carriage 32, and the supporting plate bracket 2 is fixed on the connecting rod 5. Support plate 31 is hollow structure, the inside of support plate 31 forms the inner chamber, the dimension specification of support plate 31 is 3x30x50cm, two lateral walls of support plate 31 are respectively provided with a slide way 311 extending along the length direction of support plate 31, slide way 311 is a rectangular groove, slide seat 32 is slidably assembled in slide way 311, slide seat 32 drives connecting rod 5 and pallet support 2 to move on base 1 when sliding in slide way 311.

The sliding base 32 includes a sliding block 321 and a movable plate 322, the sliding block 321 is a hollow structure, the movable plate 322 is inserted into the sliding block 321, the movable plate 322 is capable of extending and contracting in the sliding block 321 along the width direction of the supporting frame 3, the movable plate 322 is a steel plate with a size specification of 0.5x5x40cm, and the connecting rod 5 is fixed at one end of the movable plate 322 exposed outside the sliding block 321. A motor 323 is arranged in the sliding block 321, a gear 324 is fixedly connected to an output end of the motor 323, meshing teeth 325 meshed with the gear 324 are processed on a side wall of the movable plate 322, the arrangement length of the meshing teeth 325 occupies 1/3 of the total length of the movable plate 322, the motor 323 drives the gear 324 to rotate when rotating, the movable plate 322 extends and retracts along the width direction of the support frame 3 under the meshing action of the meshing teeth 325, so that the connecting rod 5 is driven to move in the width direction of the operating table, and the distance between the supporting plate support 2 and the operating table is adjusted.

The sliding block 321 is a steel plate with the size specification of 5x15x30cm, and the sliding block 321 is guided and assembled in the sliding groove 311. A sliding motor 33 is fixed in the support plate 31, a belt wheel is fixed at the output end of the sliding motor 33, a transmission belt 34 is wound on the belt wheel and is a synchronous wheel, and the transmission belt 34 is a synchronous belt so as to ensure synchronous motion between the belt wheel and the transmission belt 34. The inside of backup pad 31 is still arranged at interval along its length direction has a plurality of directive wheel 35, and transmission belt 34 walks around directive wheel 35 and band pulley connection on slider 321, and the both ends of transmission belt 34 are connected respectively in the front and back both ends of slider 321, and transmission belt 34 connects the middle part position at slider 321 to guarantee to draw the effort balance of slider 321. When the sliding motor 33 rotates forward or backward, the belt pulley drives the transmission belt 34 to pull the sliding block 321, and the sliding block 321 slides in the sliding slot 311, so as to drive the movable plate 322, the connecting rod 5 and the supporting plate bracket 2 to move along the front-back direction of the operating table, and adjust the position of the supporting plate bracket 2.

The number of the fixing frames 4 is two, the two fixing frames 4 are arranged at intervals along the length direction of the supporting plate 31, the fixing frames 4 are used for being fixed on a bed seat of an operating bed, and the two fixing frames 4 are identical in structure. The fixing frame 4 comprises a fixing plate 41 and an adjusting plate 42, the fixing plate 41 is in an L-shaped structure, the bottom end of the vertical edge of the fixing plate 41 is fixed on the supporting plate 31, and the horizontal edge of the fixing plate 41 is fixed at the top of the vertical edge. The vertical edge of the fixing piece 41 is also provided with an adjusting groove extending along the vertical direction, and the adjusting piece 42 is movably assembled in the adjusting groove through a bolt and a nut. The adjusting sheet 42 is provided with a threaded hole extending in the vertical direction, the threaded hole is internally provided with a fixing screw 43, and the fixing screw 43 is used for being pressed on a bed seat of the operating bed. When in use, the medical staff can change the position of the adjusting sheet 42 according to the thickness of the bed, so that the fixing screw 43 is pressed against the bottom of the bed, and the fixing frame 4 is fixedly assembled with the operating bed.

The utility model discloses a working process does: when PCI operation is performed, the medical staff moves the adjusting sheet 42 to the lowest position of the fixing sheet 41, then moves the fixing sheet 41 to the bed of the operation bed, moves the adjusting sheet 42 upwards, and pushes the fixing screw 43 against the bottom of the bed of the operation bed; according to the condition of the upper limb of the patient, the medical staff starts the motor 323 and the sliding motor 33 to adjust the distance between the supporting plate bracket 2 and the operating bed and the position of the supporting plate bracket 2 in the length direction of the operating bed, so that the position of the supporting plate bracket 2 is suitable for the position of the upper limb of the patient; starting a telescopic motor, wherein the telescopic motor drives a front arm support 22 to be telescopic in an upper arm support 21, and the length of the supporting plate support 2 is suitable for the length of the upper limb of a patient; the driving motor 26 is started, the driving motor 26 drives the frame 25 and the supporting wheel 24 to swing through the traction rope 27, and the height and the position of the supporting wheel 24 are matched with the wrist height and the wrist position of the patient.

To sum up, the embodiment of the utility model provides a PCI operation upper limbs automatic bracket frame, it is because the movable assembly of layer board support is on the base, when carrying out the PCI operation, medical personnel can adjust the layer board support to suitable position according to patient's size, when placing patient's left upper limbs or right upper limbs on the upper arm frame and the forearm frame of layer board support, indent curved surface and patient's upper limbs area of contact increase, avoid patient's arm discomfort, the length of layer board support can be adjusted when the forearm frame is flexible on the upper arm frame, utilize the position that drive assembly can adjust the supporting wheel, the gesture of adjustment layer board support, be suitable for the personnel of different arm length and wrist thickness, be convenient for the operation.

The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications and replacements can be made without departing from the technical principle of the present invention, and these modifications and replacements should also be regarded as the protection scope of the present invention.

Claims

1. The utility model provides a PCI automatic bracket frame of operation upper limbs which characterized in that, is in including base and movable assembly layer board support on the base, layer board support includes that the top surface is last cantilever crane and the forearm frame of indent curved surface, it is in to go up cantilever crane fixed mounting on the base, the flexible assembly of forearm frame is in go up on the cantilever crane, still arranged the supporting wheel that is used for supporting the wrist on the forearm frame, still arranged the drive on the forearm frame the supporting wheel is followed the drive assembly of the length direction activity of forearm frame.

2. The PCI automatic upper limb supporting frame for operation as claimed in claim 1, wherein the driving assembly comprises a driving motor, a driving frame and a return spring, the driving frame is of a U-shaped structure, the driving frame is rotatably assembled on the front arm support, the top end of the driving frame is rotatably connected with the two axial ends of the supporting wheel, a traction rope is connected between the bottom end of the driving frame and the driving motor, the return spring is arranged on one side of the driving frame, which is far away from the driving motor, and the return spring is connected between the front arm support and the bottom end of the driving frame.

3. The PCI surgical upper limb automatic pallet frame of claim 1, wherein a receiving slot extending in a width direction of the front arm support is further disposed at the top of the front arm support, and the support wheel is disposed in the receiving slot.

4. The PCI surgical upper limb automatic support plate frame as claimed in any one of claims 1 to 3, wherein the front arm frame is inserted into the upper arm frame, a telescopic motor is arranged in the upper arm frame, and the telescopic motor is in transmission connection with the upper arm frame through a screw and nut mechanism.

5. The PCI surgical upper limb automatic bracket rack according to any one of claims 1 to 3, wherein the base comprises a support frame for supporting on the ground and a fixing frame for fixing on an operating bed, the support frame is movably assembled with a connecting rod along the front-back direction, and the bracket rack is fixed on the connecting rod.

6. The PCI surgical upper limb automatic bracket frame as claimed in claim 5, wherein the support frame comprises a support plate with an inner cavity, the side part of the support plate is provided with a sliding groove, a sliding seat is assembled in the sliding groove, and the connecting rod is fixed on the sliding seat.

7. The PCI surgical upper limb automatic bracket rack according to claim 6, wherein the sliding seat comprises a sliding block which is guided and assembled in the sliding groove and a movable plate which is movably assembled on the sliding block along the width direction, and the connecting rod is fixed on the movable plate.

8. The PCI surgical upper limb automatic bracket frame as claimed in claim 7, wherein the sliding block is of a hollow structure, a motor is arranged in the sliding block, the output end of the motor is connected with a gear, and the movable plate is provided with meshing teeth connected with the gear.

9. The PCI automatic upper limb supporting frame for operation as claimed in claim 7, wherein a sliding motor is further arranged on the supporting plate, a transmission belt is connected to the sliding motor, a steering wheel is further arranged on the supporting plate, the transmission belt is wound on the steering wheel, and two ends of the transmission belt are respectively connected to the front end and the rear end of the sliding block.

10. The PCI surgical upper limb automatic bracket frame as claimed in claim 5, wherein the fixing frame comprises an L-shaped fixing plate and an adjusting plate movably assembled on the fixing plate along the up-down direction, and the adjusting plate is screwed with a fixing screw.