CN213723156U

CN213723156U - A nursing medicative cart that is used for nasal endoscope postoperative to change dressings

Info

Publication number: CN213723156U
Application number: CN202021770285.4U
Authority: CN
Inventors: 刘建群; 杨云; 周汝婷; 阮士珍; 邹凤香; 曹婷
Original assignee: 923th Hospital of the Joint Logistics Support Force of PLA
Current assignee: 923th Hospital of the Joint Logistics Support Force of PLA
Priority date: 2020-08-21
Filing date: 2020-08-21
Publication date: 2021-07-20
Anticipated expiration: 2030-08-21

Abstract

The utility model relates to a dressing change cart for dressing change after nasal endoscope operation, which comprises a cart box and wheels arranged at the bottom of the cart box, wherein four layers of object containing structures are arranged in the cart box, and the four layers of object containing structures sequentially comprise a sputum suction device placing layer, a sterile article storage layer, an endoscope cold light source placing layer and an endoscope converter placing layer from bottom to top; the top of the carriage is provided with a third groove for placing an endoscope display and a clamping piece for clamping the optical fiber head, and the side surface of the carriage is provided with a plurality of clamping hooks at intervals along the opening and closing direction of the drawer. The medical dressing cart has the advantages that the placing space is arranged according to the shape characteristics of medical articles required for dressing change after the rhinoscope operation, the medical articles are placed in a classified mode and are convenient to take and use, instruments required for dressing change after the rhinoscope operation can be transported to a designated place at one time by the aid of the dressing change cart, and working efficiency of medical workers is improved; utilize third recess and U type draw-in groove to fix the medical article of some major possession, avoid dropping at the in-process that the chartered plane removed.

Description

A nursing medicative cart that is used for nasal endoscope postoperative to change dressings

Technical Field

The utility model relates to a dressing change cart particularly, relates to a dressing change cart that is used for changing dressings after the rhinoscope art.

Background

The nasal cavity endoscopic surgery is a nasal sinus surgery carried out by utilizing a Hopkins endoscope with high resolution and changeable visual angle, so that the nasal cavity and the nasal sinuses, especially the deep part surgery can be carried out under direct vision. And the cleaning of focus in some caves and fissures is facilitated, and the ventilation and drainage functions of the paranasal sinuses can be recovered. Intranasal endoscopic surgery is the most important treatment means for treating chronic rhinitis, sinusitis, nasal polyps and the like. After the nasal endoscope operation, various adverse factors existing in the operation cavity need to be reasonably, effectively and timely reviewed and replaced with drugs for treatment, so that the healing process of the paranasal sinus disease is prevented from being influenced and delayed, postoperative complications occur, and serious patients can cause the failure of the operation or the occurrence of serious complications.

When medical personnel change dressings to the patient after the rhinolaryngology operation, often need use the car of changing dressings. However, the currently used dressing change cart does not have a special medical dressing change cart for dressing change after rhinoendoscopy. For example need carry out detailed inspection with the scope in the process of changing dressings, the scope includes scope cold light source system, scope display and scope converter etc. current nursing medicative cart does not have the space and places the scope, when needing to use, medical personnel will arrive nurse station or apotheca transport many times, just can carry scope cold light source, scope display and scope converter etc. to the appointed place, and handling easily drops, medical personnel's work load has both been increased, delay again to patient's processing.

SUMMERY OF THE UTILITY MODEL

The utility model aims to solve the technical problem of providing a dressing change cart for dressing change after a nasal endoscope operation.

In order to solve the technical problem, the utility model adopts the following technical scheme:

a medicine changing cart for changing medicine after a nasal endoscope operation comprises a cart box and wheels arranged at the bottom of the cart box, wherein four layers of object containing structures are arranged in the cart box, the four layers of object containing structures sequentially comprise a sputum suction device placing layer, an aseptic article storage layer, an endoscope cold light source placing layer and an endoscope converter placing layer from bottom to top, the sputum suction device placing layer is of a split cabinet body structure, the aseptic article storage layer is provided with a drawer, a plurality of containing grids are arranged in the drawer, the endoscope cold light source placing layer comprises a bottom plate, a top plate arranged above the bottom plate and a plurality of stand columns enclosed between the bottom plate and the top plate, the plurality of stand columns are arranged at intervals, two ends of the stand columns are respectively and fixedly connected with the bottom plate and the top plate, and the endoscope converter placing layer and the endoscope cold light source placing layer are the same in structure; the top of the carriage is provided with a third groove for placing an endoscope display and a clamping piece for clamping the optical fiber head, and the side surface of the carriage is provided with a plurality of clamping hooks at intervals along the opening and closing direction of the drawer.

As a further improvement of the above technical solution:

bottom plate and roof all are the quadrilateral, and the stand is 4 and is located four angles of bottom plate respectively.

Furthermore, a push plate is arranged between the bottom plate and the top plate, a sliding strip is arranged at the bottom of the push plate, a guide rail is arranged on the bottom plate relative to the sliding strip, and the sliding strip is slidably arranged on the guide rail. The push plate can be pulled out of the carriage, so that the operation of an endoscope cold light source is facilitated.

Furthermore, the dressing change cart is also provided with a fence which surrounds the push plate into three sides, and the height of the fence is less than that of the upright post. In the moving process of the dressing change cart, the fence is used for preventing the endoscope cold light source from falling.

The clamping piece comprises a clamping plate and a first rotating shaft, the clamping plate is sleeved on the first rotating shaft and can rotate around the first rotating shaft, and a through U-shaped clamping groove is formed in one side, away from the first rotating shaft, of the clamping plate; the first rotating shaft is fixedly arranged on the edge of the top of the compartment. When the optical fiber head is not clamped by the clamping plate, the clamping plate can be rotated to prevent the clamping plate from protruding out of the carriage, and medical workers are prevented from colliding with the protruding part of the clamping plate in the nursing process.

The infusion rod is arranged on the top of the carriage and comprises a fixed cylinder and a movable rod, the lower end of the movable rod is telescopically sleeved on the upper portion of the fixed cylinder, a threaded hole is formed in the pipe wall of the upper portion of the fixed cylinder, and a bolt is screwed into the threaded hole to relatively fix the fixed cylinder and the movable rod; the top end of the movable rod is provided with a lifting hook. The height of the transfusion rod can be adjusted in a telescopic way, so that the height of the transfusion rod can be conveniently adjusted according to the condition of a patient.

Furthermore, the fixed cylinder is rotatably arranged on the top of the carriage, and a first groove for containing the infusion rod is formed in the top of the carriage. One end of the fixed cylinder is inserted into the first groove, a second rotating shaft is fixed to the inserting end, a second groove is formed in the groove wall of the first groove, the second rotating shaft is rotatably embedded into the second groove, one end of the second rotating shaft extends out of the compartment and is in threaded connection with a nut, and the end face of the nut abuts against the side face of the compartment after the nut is rotated. Can accomodate it under the condition of not using the transfusion rod, occupation space does not do benefit to medical personnel and removes this nursing medicative cart.

And a power socket is arranged on one side of the sterile article storage layer back to the opening direction of the drawer. The endoscope cold light source, the optical fiber and the endoscope display are all coupled with a power socket, and a power line of the power socket is connected with a power supply. Need not look for in addition that the picture peg connects above-mentioned scope cold light source, scope display and scope converter, increase medical personnel's work load.

And the top of the carriage is provided with a handrail. The carriage is convenient to move.

Compared with the prior art, the utility model has the advantages that:

1. the medical dressing cart has the advantages that the placing space is arranged according to the shape characteristics of medical articles required for dressing change after the rhinoscope operation, the medical articles are placed in a classified mode and are convenient to take and use, instruments required for dressing change after the rhinoscope operation can be transported to a designated place at one time by the aid of the dressing change cart, and working efficiency of medical workers is improved; utilize third recess and U type draw-in groove to fix the medical article of some major possession, avoid dropping at the in-process that the chartered plane removed.

2. The endoscope cold light source placing layer is formed by surrounding a plurality of stand columns between a bottom plate and a top plate, and a gap exists between every two adjacent stand columns. The endoscope cold light source does not need to be taken out from the carriage for use, and the light source can penetrate through the gap for irradiation, so that the working efficiency of medical staff is improved.

Drawings

Fig. 1 is a schematic structural view of a dressing change cart.

FIG. 2 is a view showing the state where the cart is storing the transfusion rod.

FIG. 3 is a schematic diagram of the structure of an infusion rod.

Fig. 4 is a schematic structural view of the thrust plate.

Description of reference numerals:

1. a wheel; 2. a carriage; 3. a fastener; 4. a transfusion rod; 5. a hook; 6. pushing the plate; 7. a power socket; 8. a drawer; 9. a shelf; 21. a sputum aspirator placing layer; 22. a sterile article storage layer; 23. an endoscope cold light source placing layer; 24. a third groove; 25. a first groove; 26. a top plate; 27. a column; 28. a base plate; 29. an endoscopic transducer placement layer; 31. clamping a plate; 32. a first rotating shaft; 33. a U-shaped clamping groove; 34. a handrail; 41. a fixed cylinder; 42. a movable rod; 43. a bolt; 44. a hook; 45. a second rotating shaft; 46. a nut; 61. a fence; 62. a slide bar; 91. a fixing ring; 92. a support ring; 93. a support rod.

Detailed Description

In order to make the aforementioned objects, features and advantages of the present invention more clearly understood, the following detailed description of the present invention, taken in conjunction with the accompanying drawings and the detailed description, is given in a non-limiting manner.

As shown in fig. 1 to 4, the dressing change cart for dressing change after rhinolaryngology of the embodiment comprises a cart box 2 and wheels 1 arranged at the bottom of the cart box 2, wherein four-layer object containing structure is arranged in the cart box 2, the four-layer object containing structure sequentially comprises a sputum suction device placing layer 21 and a sterile object storage layer 22 from bottom to top, an endoscope cold light source placing layer 23 and an endoscope converter placing layer 29, the sputum suction device placing layer 21 is of a split cabinet structure, the sterile article storage layer 22 is provided with a drawer 8, a plurality of containing grids are arranged in the drawer 8, the endoscope cold light source placing layer 23 comprises a bottom plate 28, a top plate 26 arranged above the bottom plate 28 and a plurality of stand columns 27 enclosed between the bottom plate 28 and the top plate 26, the stand columns 27 are arranged at intervals, two ends of each stand column 27 are fixedly connected with the bottom plate 28 and the top plate 26 respectively, and the endoscope converter placing layer 29 and the endoscope cold light source placing layer 23 are identical in structure; the top of the carriage 2 is provided with a third groove 24 for placing an endoscope display and a clamping piece 3 for clamping an optical fiber head, and the side surface of the carriage 2 is provided with a plurality of clamping hooks 5 at intervals along the opening and closing direction of the drawer 8. The bottom plate 28 and the top plate 26 are each in a quadrilateral shape, and the number of the pillars 27 is 4 and the pillars are respectively located at four corners of the bottom plate 28. The push plate 6 is arranged between the bottom plate 28 and the top plate 26, the slide bar 62 is arranged at the bottom of the push plate 6, the bottom plate 28 is provided with a guide rail relative to the slide bar 62, and the slide bar 62 is slidably arranged on the guide rail. The push plate 6 can be pushed and pulled along the opening and closing direction of the drawer 8, and the length and the width of the push plate 6 are both smaller than the distance between two adjacent upright posts 27. The dressing change cart is also provided with a fence 61 which surrounds the push plate 6 into three sides, and the height of the fence 61 is less than that of the upright post 27. The sterile article storage layer 22 is provided with a power socket 7 at one side back to the opening direction of the drawer 8. The top of the compartment 2 is provided with an armrest 34. Because the optical fiber head need stretch into the endoscope converter and place in the layer 29 and be connected with the endoscope converter and just can use, so there is the clearance between two adjacent stands 27, and the power cord of the optical fiber head of being convenient for wears out, need not pull out push pedal 6 and just can operate the endoscope converter outside railway carriage 2.

The clamping piece 3 comprises a clamping plate 31 and a first rotating shaft 32, the clamping plate 31 is sleeved on the first rotating shaft 32 and can rotate around the first rotating shaft 32, and a through U-shaped clamping groove 33 is formed in one side, far away from the first rotating shaft 32, of the clamping plate 31; the first rotating shaft 32 is fixedly installed at the top edge of the compartment 2. The top of the carriage 2 is also provided with a transfusion rod 4, the transfusion rod 4 comprises a fixed cylinder 41 and a movable rod 42, the lower end of the movable rod is telescopically sleeved on the upper part of the fixed cylinder 41, the upper pipe wall of the fixed cylinder 41 is provided with a threaded hole, and the fixed cylinder 41 and the movable rod 42 are relatively fixed by screwing a bolt 43 into the threaded hole; the top end of the movable rod 42 is provided with a hook 44. The fixed cylinder 41 is rotatably mounted on the top of the carriage 2, and a first groove 25 for accommodating the infusion rod 4 is formed in the top of the carriage 2. One end of the fixed cylinder 41 is inserted into the first groove 25, a second rotating shaft 45 is fixed to the inserted end, a second groove is formed in the groove wall of the first groove 25, the second rotating shaft 45 is rotatably embedded into the second groove, one end of the second rotating shaft 45 extends out of the compartment 2 and is in threaded connection with a nut 46, and the nut 46 is rotated to enable the end face of the nut 46 to abut against the side face of the compartment 2. The railway carriage 2 top is equipped with the shelf 9 that is used for placing the brine bottle, and shelf 9 includes bracing piece 93, solid fixed ring 91 and support ring 92, gu fixed ring 91 and support ring 92 all with bracing piece 93 fixed connection, support ring 92 locates solid fixed ring 91 below. The fixing ring 91 is sleeved on the brine bottle, and the support ring 92 is blocked under the brine bottle.

For the use of this example, reference is made to the following steps:

when using above-mentioned dressing change vehicle-hour, at first, place the scope display in third recess 24, in the U type draw-in groove 33 of fastener 3 is gone into to the optic fibre head card, the scope cold light source is placed on the push pedal 6 that layer 23 was placed to the scope cold light source, and the scope converter is placed on the push pedal 6 that layer 29 was placed to the scope converter, and in the drawer 8 was placed into to medical aseptic article classification's holding check, it put into and inhale phlegm device and place layer 21 in inhaling phlegm device. Arranging a placing space according to the shape characteristics of medical articles used for dressing change after the rhinoscope operation, and placing the medical articles in a classified manner so as to be convenient for taking and using; the third groove 24, the rail 61 and the U-shaped clamping groove 33 are used for fixing some large medical articles, and the medical articles are prevented from falling off in the moving process of the dressing change trolley. Next, the cart is pushed to the patient, and the medication is removed from the drawer 8 and sprayed into the patient's nasal cavity. Thirdly, connecting power lines of the endoscope cold light source, the endoscope converter and the endoscope display with a power socket 7, and connecting the power line of the power socket 7 with a power supply; the push plate 6 is pulled open, the endoscope cold light source is started, and the nasal endoscope is used for carrying out detailed examination on the nasal cavity of the patient. Then, the sputum aspirator is used to remove blood clots, secretions, dry scabs, etc. in the nasal and sinus cavities of the patient. Finally, the saline bottle passes through the fixing ring 91 and the support ring 92 is supported at the bottom of the saline bottle, the negative pressure connecting pipe of the sputum suction device is inserted into the saline bottle, and the saline in the saline bottle is used for flushing the sputum suction pipeline after the sputum suction operation is finished.

Claims

1. The utility model provides a dressing change car for changing dressings behind rhinolaryngology, includes railway carriage (2) and wheel (1) of setting in railway carriage (2) bottom, its characterized in that: four-layer object containing structures are arranged in a carriage (2), the four-layer object containing structures sequentially comprise a phlegm sucking device placing layer (21), an aseptic object storing layer (22), an endoscope cold light source placing layer (23) and an endoscope converter placing layer (29) from bottom to top, the phlegm sucking device placing layer (21) is of a split cabinet body structure, the aseptic object storing layer (22) is provided with a drawer (8), a plurality of containing grids are arranged in the drawer (8), the endoscope cold light source placing layer (23) comprises a bottom plate (28), a top plate (26) arranged above the bottom plate (28) and a plurality of stand columns (27) enclosed between the bottom plate (28) and the top plate (26), the plurality of stand columns (27) are arranged at intervals, two ends of the stand columns (27) are fixedly connected with the bottom plate (28) and the top plate (26) respectively, and the endoscope converter placing layer (29) is the same as the endoscope cold light source placing layer (23) in structure; the top of the carriage (2) is provided with a third groove (24) for placing an endoscope display and a clamping piece (3) for clamping an optical fiber head, and the side surface of the carriage (2) is provided with a plurality of clamping hooks (5) at intervals along the opening and closing direction of the drawer (8).

2. The chartered plane of claim 1, wherein: bottom plate (28) and roof (26) all are the quadrilateral, and stand (27) are 4 and are located four angles of bottom plate (28) respectively.

3. The chartered plane of claim 2, wherein: be equipped with push pedal (6) between bottom plate (28) and roof (26), push pedal (6) bottom is equipped with draw runner (62), is equipped with the guide rail on bottom plate (28) for draw runner (62) position, and draw runner (62) slidable installs on the guide rail.

4. The chartered plane of claim 3, wherein: and a fence (61) which surrounds the push plate (6) into three surfaces is also arranged, and the height of the fence (61) is less than that of the upright post (27).

5. The chartered plane of claim 1, wherein: the clamping piece (3) comprises a clamping plate (31) and a first rotating shaft (32), the clamping plate (31) is sleeved on the first rotating shaft (32) and can rotate around the first rotating shaft (32), and one side, far away from the first rotating shaft (32), of the clamping plate (31) is provided with a through U-shaped clamping groove (33); the first rotating shaft (32) is fixedly arranged on the top edge of the compartment (2).

6. The chartered plane of claim 1, wherein: the infusion rod (4) is further arranged at the top of the carriage (2), the infusion rod (4) comprises a fixed cylinder (41) and a movable rod (42) with the lower end telescopically sleeved on the upper portion of the fixed cylinder (41), a threaded hole is formed in the upper pipe wall of the fixed cylinder (41), and a bolt (43) is screwed into the threaded hole to relatively fix the fixed cylinder (41) and the movable rod (42); the top end of the movable rod (42) is provided with a lifting hook (44).

7. The chartered plane of claim 6, wherein: the fixed cylinder (41) is rotatably installed at the top of the carriage (2), and a first groove (25) for containing the infusion rod (4) is formed in the top of the carriage (2).

8. The chartered plane of claim 7, wherein: fixed cylinder (41) one end is inserted in first recess (25), and this insert end is fixed with second pivot (45), and the cell wall of first recess (25) is equipped with the second recess, and second pivot (45) rotationally inlays in the second recess, and second pivot (45) one end stretches out outside railway carriage (2) and threaded connection has nut (46), and swivel nut (46) back nut (46) terminal surface withstands railway carriage (2) side.

9. The chartered plane of claim 1, wherein: and a power socket (7) is arranged on one side of the sterile article storage layer (22) back to the opening direction of the drawer (8).

10. The chartered plane of claim 1, wherein: the top of the compartment (2) is provided with a handrail (34).