CN213723090U

CN213723090U - Prone position ventilation pressure reducing head shoulder pillow and pressure reducing pillow cover

Info

Publication number: CN213723090U
Application number: CN202021342744.9U
Authority: CN
Inventors: 陈迪
Original assignee: Chinese PLA General Hospital
Current assignee: Chinese PLA General Hospital
Priority date: 2020-07-09
Filing date: 2020-07-09
Publication date: 2021-07-20
Anticipated expiration: 2030-07-09

Abstract

The utility model discloses a prone position ventilation decompression head shoulder pillow and decompression pillow suit, the head shoulder pillow comprises a soft pillow-shaped shoulder pillow (1), a face through hole (10) in the front and back direction is arranged at the center of the shoulder pillow (1), and a front convex annular face pillow (5) is arranged on the surface of the shoulder pillow (1) beside the front hole of the face through hole (10); the annular face pillow (5) is provided with one or two trachea cannula fixing grooves (3); a breathing machine pipeline fixing band (2) and a nylon hasp (4) are arranged above the surface of the shoulder pillow (1); the shoulder pillow (1) is internally provided with a plurality of transverse vent holes (6) in the left-right direction, the interior of the shoulder pillow is communicated with a face through hole (10), and the exterior of the shoulder pillow is communicated with the atmosphere. The pillow set can uniformly distribute pressure, and can be used for reducing pressure of face, neck and shoulder, arms, abdomen, genitals and knee joints, and fixing the prone position of the pipeline.

Description

Prone position ventilation pressure reducing head shoulder pillow and pressure reducing pillow cover

Technical Field

The utility model relates to the technical field of medical equipment, especially, relate to a prone position pressure reducing head shoulder pillow and pressure reducing pillow suit for adopting low temperature material to assist hemostasis, analgesia.

Background

Acute Respiratory Distress Syndrome (ARDS) is a common medical critical illness with a mortality rate of up to 45%. Currently, mechanical ventilation combined with prone ventilation is a common measure taken to improve hypoxemia in patients with ARDS. The specific method is to change the mechanically ventilated patient from a supine position to a prone position to improve the oxygenation state of the patient.

Ventilation in prone position takes more than 4 hours to achieve the effect, and even extends to more than 20 hours for part of endogenous ARDS. However, because of the turning of the body position, the body part and various kinds of catheters of the patient, which are originally positioned at the upper part, are pressed under the body, so that the clinical practice of prone position ventilation for critically ill patients faces a lot of difficulties: firstly, a patient is in a broken or pressed state for a long time in a tracheal cannula (usually an oral or nasal tracheal cannula), a face part, a neck and a shoulder part, a bony prominence, a genital organ and a knee joint, so that artificial airway obstruction and pressure injury are easily formed; secondly, for medical staff, the turnover operation is labor intensive (patients are fully relaxed and calm, and cannot be matched with each other), the ventilation problem cannot be solved, and meanwhile, the trachea cannula and various cannula placement positions of the patients need to be properly arranged and continuously adjusted to avoid being folded or separated. Therefore, the patient who is ventilated in the prone position needs a portable pressure-reducing pillow which has good pressure dispersion performance and air permeability, can properly place a pipeline.

In the prior art, the traditional pillows, cushions, support beds and other internal fillers are mostly made of sponge, silica gel and other materials, different filling materials are not given according to the face and other parts, and the decompression can not be carried out on different pressed parts of a patient; the position of the pillow, the position of a patient, the position of the tracheal cannula and the positions of various pipelines are required to be adjusted repeatedly, so that the requirement of proper fixation cannot be met; prone position ventilation is mostly implemented in a monitoring room, the space is narrow and various instruments are arranged, and patients are difficult to transfer to a support bed to implement prone position ventilation in a short time. The above 3 aspects of factors increase the treatment cost and risks of pressure injury, catheter drop-out, limited ventilation and the like of critically ill patients, often cause termination of prone position ventilation treatment, increase pain of patients and influence on the living quality of patients.

Disclosure of Invention

The utility model aims at providing a pressure reduction head shoulder pillow and decompression pillowcase dress are ventilated to prone position, but evenly distributed pressure, corresponding for face and neck shoulder, arm, belly, genitals, knee joint decompression, can fix the prone position of pipeline and ventilate pressure reduction pillow suit in order to solve above-mentioned problem.

The utility model aims at realizing through the following technical scheme:

a prone position ventilation pressure reduction head shoulder pillow comprises a soft pillow-shaped shoulder pillow 1, wherein a face through hole 10 in the front-back direction is formed in the center of the shoulder pillow 1, and a front convex annular face pillow 5 is arranged on the surface of the shoulder pillow 1 beside the hole in the front of the face through hole 10;

the annular face pillow 5 is provided with one or two trachea cannula fixing grooves 3;

a breathing machine pipeline fixing belt 2 and a nylon hasp 4 are arranged above the surface of the shoulder pillow 1;

a plurality of transverse vent holes 6 are arranged in the shoulder pillow 1 in the left-right direction, the interior of the shoulder pillow is communicated with a face through hole 10, and the exterior of the shoulder pillow is communicated with the atmosphere.

The outer sheath materials of the shoulder pillow 1 and the annular face pillow 5 are polyurethane PU.

Polyurethane high-resilience foam HRF is filled in the shoulder pillow 1; the annular face pillow 5 is filled with slow-rebound foam material LRF.

The shoulder pillow 1 is 600mm long, 360mm wide and 120mm thick.

The thickness of the front convex ring body of the annular face pillow 5 is 20mm, and the width of the ring body is 40 mm.

The prone position ventilation and decompression pillow set comprises the prone position ventilation and decompression head shoulder pillow and further comprises two ilium pillows 8, wherein the ilium pillows 8 are cuboid soft pillows, and the upper surface of each ilium pillow 8 is provided with a concave groove 11.

The prone position ventilation and decompression pillow set further comprises two knee pillows 9, and the knee pillows 9 are cuboid soft pillows.

The material of the outer sheaths of the ilium pillow 8 and the knee pillow 9 is polyurethane PU.

The ilium pillow 8 and the knee pillow 9 are filled with slow-rebound foam material LRF.

By the foregoing the technical scheme the utility model provides a can see out, the embodiment of the utility model provides a pair of prone position pressure reduction head shoulder pillow and decompression pillowcase dress of ventilating, but evenly distributed pressure, corresponding for face and neck shoulder, arm, belly, genitals, knee joint decompression, can fix the prone position of pipeline pressure reduction head pillow suit of ventilating in order to solve above-mentioned problem.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly described below, and it is obvious that the drawings in the description below are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to these drawings without creative efforts.

Fig. 1 is a schematic structural view of a prone position ventilation and pressure reduction head shoulder pillow according to a first embodiment of the present invention;

fig. 2 is a schematic diagram of a right-view structure of the prone position ventilation and decompression head shoulder pillow provided by the first embodiment of the present invention;

fig. 3 is a schematic structural view of the prone position ventilation and decompression pillow set provided by the second embodiment of the present invention;

fig. 4 is a schematic structural view of the iliac pillow set of the prone position ventilation and decompression pillow set provided by the second embodiment of the present invention;

fig. 5 is a left side view structural schematic diagram of an iliac pillow of the prone position ventilation and decompression pillow set provided by the second embodiment of the utility model;

fig. 6 is a schematic view of the iliac pillow of the prone position ventilation and decompression pillow set provided by the second embodiment of the present invention;

fig. 7 is a schematic structural view of a knee pillow of the prone position ventilation and decompression pillow set provided by the second embodiment of the present invention;

fig. 8 is a left side view structural diagram of a knee pillow of the prone position ventilation and decompression pillow set provided by the second embodiment of the present invention;

fig. 9 is a schematic view of a knee pillow of the prone position ventilation and decompression pillow set according to the second embodiment of the present invention.

Detailed Description

The technical solutions in the embodiments of the present invention are clearly and completely described below with reference to the 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 embodiment of 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.

The directions of up, down, left, right, front and back are not particularly limited, and are described with reference to the drawings only for convenience.

Embodiments of the present invention will be described in further detail below with reference to the accompanying drawings.

Example one

As shown in figures 1 and 2, the prone position ventilation and decompression head shoulder pillow comprises a soft pillow-shaped shoulder pillow 1, wherein the shoulder pillow 1 is 600mm long, 360mm wide and 120mm thick. The center of the shoulder pillow 1 is provided with a face through hole 10 in the front-back direction, and the front hole of the face through hole 10 is provided with a front convex annular face pillow 5 on the surface of the shoulder pillow 1; the annular face pillow 5 is provided with one or two trachea cannula fixing grooves 3; the two gaps of the tracheal cannula fixing groove 3 are formed by two gaps, the thickness of a front convex ring body of the annular face pillow 5 is 20mm, and the width of the ring body is 40 mm. The front convex ring body of the annular face pillow 5 is used for bearing the face pressure when the patient lies on the left and right sides and lies on the stomach, and the two trachea cannula fixing grooves 3 are used for placing trachea cannulas. The shoulder pillow 1 part is used for bearing arms at two sides of the patient in prone position.

A breathing machine pipeline fixing belt 2 and a nylon hasp 4 are arranged above the surface of the shoulder pillow 1; the respirator pipeline fixing belt 2 is a strip-shaped structure with elasticity and two symmetrical sides. The breathing machine pipeline fixing bands 2 are sewn at two ends of the shoulder pillow 1 and used for fixing breathing machine pipelines. The breathing machine pipeline fixing band 2 is 80mm long and 30mm wide, has a certain elastic fixing device, and is provided with a nylon hasp 4 which is sewn on the nylon hasp and is sewn on the corresponding part of the shoulder pillow 1 to be matched with and fix the breathing machine pipeline.

A plurality of transverse vent holes 6 are arranged in the shoulder pillow 1 in the left-right direction, the interior of the shoulder pillow is communicated with a face through hole 10, and the exterior of the shoulder pillow is communicated with the atmosphere. The diameter of the vent hole 6 is 15mm, which is beneficial to the ventilation of the skin of the face and the shoulder when the patient is in the prone position.

The outer sheath materials of the shoulder pillow 1 and the annular face pillow 5 are polyurethane PU. The polyurethane PU has the advantages of good air permeability and easy cleaning, and is externally attached with a pure cotton breathable closely-woven pillowcase which can resist high-pressure steam sterilization. The positions of the respirator pipeline fixing belt 2 and the nylon fastener tape 4 are reserved in the head-shoulder pillow case. The pillowcase is fixed by a zipper and needs to be fitted with the shape of the mould, so that excessive wrinkles are not generated as much as possible.

Polyurethane PU is known under the full name of polyurethane. A polymer compound. Polyurethanes fall into the two main categories of polyester and polyether. They can be made into polyurethane plastics (mainly foamed plastics), polyurethane fiber (Chinese called spandex), polyurethane rubber and elastomer. The soft Polyurethane (PU) mainly has a thermoplastic linear structure, has better stability, chemical resistance, rebound resilience and mechanical property than PVC foaming materials, and has smaller compression deformability. Good heat insulation, sound insulation, shock resistance and gas defense performance. Therefore, the product is used as a packaging, sound insulation and filtering material.

The slow rebound foam (LRF) material has the characteristics of good dispersibility and good static comfort, and is widely applied to the production of various cushion materials such as headrests, mattresses and the like.

The polyurethane High Resilience Foam (HRF) has the characteristics of high resilience, high load ratio, good bearing capacity and good dynamic comfort, and is widely applied to the production of automobile cushions and the like.

Example two

As shown in fig. 3, a prone position ventilation and decompression pillow set is characterized in that: the prone position ventilation pressure reduction head shoulder pillow further comprises two iliac pillows 8. As shown in fig. 4 to 6, the ilium pillow 8 is in the shape of a rectangular soft pillow, and the upper surface is provided with a concave groove 11. The ilium pillow 8 is two bilateral symmetry parts, is the soft pillow that length is 300mm, and the width is 200mm, and thickness is both ends 150mm, and the centre is 152 mm.

Of course, two knee pillows 9 are also included intact. As shown in fig. 7 to 9, the knee pillow 9 is a rectangular parallelepiped soft pillow shape.

The knee pillow 9 is two bilaterally symmetrical parts, and is a soft pillow with the length of 150mm, the width of 100mm and the thickness of 100 mm.

The working principle is as follows: fully calming and relaxing the muscle according to the condition of the patient before the prone position, removing the electrode plates, and tidying the tracheal cannula and each pipeline. 3-5 medical staff stand on both sides and head of the patient respectively, lift the patient to one side of the bed with the assistance of the single staff, and place the shoulder pillow, the ilium pillow 8 and the knee pillow 9 from top to bottom according to the pressed position of the patient in the prone position. Turning over the patient, placing the face part at the position of the annular face pillow 5 of the headrest, enabling the head to be deviated to one side, placing the tracheal cannula in the tracheal cannula fixing groove 3, fixing the breathing machine pipeline on a breathing machine pipeline fixing device (a breathing machine pipeline fixing band 2 and a nylon hasp 4) at the side, and ensuring that the tracheal cannula cannot be folded and the breathing machine pipeline cannot be pressed on the face part of the patient; the double iliac joints are respectively arranged at the position of the double iliac pillow 8, so that the abdomen is ensured to be suspended and not to be pressed; the double knee joints are arranged at the double knee pillows 9. The positions of the pressure reducing pillows are properly adjusted to enable the four limbs of the patient to be in the functional position. After the patient is turned over, the electrode plate is pasted on the back of the patient and connected with the electrocardiographic monitoring device, and the vital signs of the patient are closely observed.

During prone position ventilation, medical personnel should observe each compression site of the patient every 2 hours. The body positions, such as the turning direction of the face, the placing positions of the legs and the knees and the timely replacement of the pressed positions, can be properly adjusted.

The utility model discloses the beneficial effect who reaches is: the slow rebound foam (LRF) material filled in the shoulder pillow 1, the double-ilium pillow 8 and the double-knee pillow 9 is widely applied to the production of various cushion materials such as a headrest, a mattress and the like, has the characteristics of good dispersibility and good static comfort, can reduce the risk of skin damage to the face of a patient caused by long-time prone position when the material is used as the filler of the face pressure reduction pillow for prone position ventilation, and can increase the comfort of the patient to the maximum extent. The polyurethane High Resilience Foam (HRF) filled in the shoulder pillow has the characteristics of high resilience, good bearing capacity and good dynamic comfort, the annular face pillow 5 is provided with concave areas with symmetrical two sides for placing a tracheal cannula or a breathing machine pipeline of a patient, and the shoulder pillow part is used for placing the shoulders and arms at two sides of the patient and accords with the physiological characteristics of a human body; trachea cannula fixed slot has solved the problem of placing through mouthful, intranasal trachea cannula, and the fixed problem of breathing machine pipeline has been solved to the breathing machine pipeline fixed band that the headrest set up. The whole set of pressure reducing pillow is designed into a shape that the ilium part is slightly higher than the head and the shoulder part, and the sputum of a patient is more favorably drained from the lower back part to the main airway under the action of gravity, so that the sputum is further promoted to be discharged. The iliac pillows on both sides and the knee pillows on both sides are uniformly arranged, and the positions can be adjusted according to the body shapes and body positions of different patients.

The above description is only for the preferred embodiment of the present invention, but the protection scope of the present invention is not limited thereto, and any changes or substitutions that can be easily conceived by those skilled in the art within the technical scope of the present invention are all covered by the protection scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims

1. The utility model provides a prone position pressure reduction head shoulder pillow of ventilating which characterized in that: comprises a soft pillow-shaped shoulder pillow (1), wherein the center of the shoulder pillow (1) is provided with a face through hole (10) in the front-back direction, and the front hole edge of the face through hole (10) is provided with a front convex annular face pillow (5) on the surface of the shoulder pillow (1);

the annular face pillow (5) is provided with one or two trachea cannula fixing grooves (3);

a breathing machine pipeline fixing band (2) and a nylon hasp (4) are arranged above the surface of the shoulder pillow (1);

the shoulder pillow (1) is internally provided with a plurality of transverse vent holes (6) in the left-right direction, the interior of the shoulder pillow is communicated with a face through hole (10), and the exterior of the shoulder pillow is communicated with the atmosphere.

2. The prone position ventilation and decompression head shoulder pillow according to claim 1, characterized in that the outer skin materials of the shoulder pillow (1) and the annular face pillow (5) are polyurethane PU.

3. The prone position ventilation and pressure reduction head shoulder pillow according to claim 1 or 2, characterized in that the shoulder pillow (1) is filled with polyurethane high resilience foam HRF; the annular face pillow (5) is filled with a slow rebound foam material LRF.

4. The prone position ventilation and decompression head shoulder pillow according to claim 3, characterized in that the shoulder pillow (1) is 600mm long, 360mm wide and 120mm thick.

5. The prone position ventilation and decompression head shoulder pillow according to claim 3, characterized in that the thickness of the front convex ring body of the annular face pillow (5) is 20mm, and the width of the ring body is 40 mm.

6. The utility model provides a prone position decompression pillow suit of ventilating which characterized in that: the prone position ventilation and decompression head shoulder pillow comprises the prone position ventilation and decompression head shoulder pillow as claimed in any one of claims 1 to 4, and further comprises two iliac pillows (8), wherein the iliac pillows (8) are in a cuboid soft pillow shape, and the upper surface of each iliac pillow is provided with a concave groove (11).

7. The prone position ventilation and decompression pillow set according to claim 6, further comprising two knee pillows (9), wherein the knee pillows (9) are cuboid soft pillows.

8. The prone position ventilation and decompression pillow set according to claim 7, wherein the material of the outer sheaths of the ilium pillow (8) and the knee pillow (9) is polyurethane PU.

9. The prone position ventilation and decompression pillow set according to claim 6 or 7, wherein the iliac (8) and knee (9) pillows are filled with slow rebound foam LRF.