CN213821963U - Upper limb restraint device for preventing unplanned extubation - Google Patents

Abstract

The utility model belongs to the technical field of medical auxiliary instruments and discloses an upper limb restraint device for preventing unplanned extubation, which comprises a hand protection mechanism and a range limiting mechanism which are used in a matching way; the hand protection mechanism comprises a hand protection sleeve and a wrist restraint strap which are fixedly connected into a whole; the range limiting mechanism comprises a connecting belt and a retractor which is arranged on the sickbed and used for winding the connecting belt; wherein, the tip of connecting band is through first thread gluing area and wrist restraint area detachable connection. The utility model discloses convenient to use, practicality are strong, application scope is wide, are restricting patient's upper limbs, when preventing that the unexpected draft condition of patient from taking place, can also guarantee the better comfort level of patient.

Description

Upper limb restraint device for preventing unplanned extubation

Technical Field

The utility model belongs to the technical field of medical auxiliary instrument, concretely relates to upper limbs restraint device of prevention unplanned extubation.

Background

Unplanned extubation refers to various catheters (such as nasogastric tubes) left in the body of a patient for the treatment of the patient, which are automatically pulled out by the patient without the consent of medical staff, or are fallen off due to other reasons (including improper operation of medical staff), and is also called accidental extubation.

At present, clinically, the upper limbs of patients are restrained mostly to prevent unconscious patients or restlessness from matching with the patients to pull out the tube accidentally. Currently, a restraint strap is generally used as an upper limb restraint device to fix the upper limb of a patient so as to ensure the smooth proceeding of treatment. However, in practical use, the following disadvantages are often present:

when the wrist band is used by a patient with unconsciousness, medical staff cannot control the tightness of the restraint band easily because of no feedback of the patient, and the wrist of the patient is easily injured due to over-tight restraint;

when the patient is not matched with restlessness, the patient is easily angry and angry because the upper limbs of the patient are limited for a long time and can not move, so that the behavior of the patient loses intelligence, the restlessness of the patient is aggravated, and the patient is easily subjected to skin injury, subcutaneous hemorrhage, swelling and aggravation of the tail end of the limb and other conditions at the restraint part;

thirdly, after the upper limbs of the patient are restrained and fixed, if the bed needs to be changed for the patient or the patient needs to get out of bed for activity, the patient needs to spend a certain time to relieve the limitation of the restraint strap on the upper limbs of the patient, the operation is extremely inconvenient, the difficulty degree of fixing the upper limbs of the restless patient again is extremely high, and the upper limbs of the restless patient can be completed by matching a plurality of medical care personnel.

Disclosure of Invention

For solving exist among the prior art more than not enough, the utility model aims at providing an upper limbs restraint device of prevention unplanned extubation to when limiting patient's upper limbs, can guarantee the comparatively good comfort level of patient.

In order to achieve the above object, the utility model adopts the following technical scheme: an upper limb restraint device for preventing unplanned extubation comprises a hand protection mechanism and a range limiting mechanism which are used in cooperation; the hand protection mechanism comprises a hand protection sleeve and a wrist restraint strap which are fixedly connected into a whole; the range limiting mechanism comprises a connecting belt and a retractor which is arranged on the sickbed and used for winding the connecting belt; wherein, the tip of connecting band is through first thread gluing area and wrist restraint area detachable connection.

As the limitation of the utility model, the hand protecting sleeve is a mitten with a remaining needle observation opening on the back; and a transparent flip cover is arranged at the position of the remaining needle observation port.

As a further limitation of the utility model, the two ends of the wrist restraint strap are fixedly provided with the second thread gluing strap which can be adhered to each other.

As another limitation of the present invention, the connecting band is made of polyester with elasticity.

As a further limitation of the utility model, the retractor can be detachably fixed on the bottom surface of the bed board of the sickbed through the bolt.

As a further limitation of the utility model, the retractor can be detachably fixed on the barrier of the sickbed through the third thread gluing belt.

Since the technical scheme is adopted, compared with the prior art, the utility model, the beneficial effect who gains is:

(1) the utility model provides a hand protection mechanism and scope limiting mechanism mutually support, can restrict patient's upper limbs in certain home range to prevent that patient's hand can touch keep somewhere at its internal pipe (like nose stomach tube), and then avoid the condition emergence of the unexpected tube drawing of patient. During the in-service use, this device is not fixed patient's upper limbs completely, and the patient still can move about own upper limbs in certain space, can effectively reduce patient's constraint and feel, and restraint band among the prior art relatively, the comparatively good comfort level of patient can be guaranteed to this device, and the patient is difficult for producing restless mood.

(2) The wrist restraint strap in the hand protection mechanism of the utility model is detachably connected with the connecting strap through the first thread gluing strap, so that the upper limbs of the patient can be conveniently separated from the range limiting mechanism during actual use, and further the limitation on the upper limbs of the patient is removed, so that the patient can get out of bed with the accompanying of family members or medical care personnel, or the bed of the patient is changed; on the other hand, the wrist restraint strap can ensure a larger contact area with the skin of the patient, and can effectively avoid hurting the restraint part of the patient. This device compares the about band among the prior art, and is simple to use convenient, and can guarantee that patient's restraint position is not harmd, has good practicality.

(3) The utility model discloses the coiler in well scope restriction mechanism can carry out fixed length or rolling operation to the connecting band. When the medical retractor is not used, the connecting belt can be hidden in the retractor, so that the influence of the connecting belt on the work of medical personnel is avoided; when the medical upper limb limiting device is used, the use length of the connecting band can be selected to be limited, so that medical staff can effectively limit the range of motion of the upper limbs of patients according to different conditions of different patients.

(4) The back of the hand protecting sleeve of the utility model is provided with the remaining needle observation port, which is convenient for medical staff to observe the situation around the remaining needle on the back of the hand of the patient, and the patient can be transfused through the remaining needle without taking off the hand protecting sleeve, the operation is simple and convenient; and keep somewhere transparent flip that needle observation mouth department set up, then can protect keeping somewhere the needle on the back of the hand of patient, avoid bed clothes or clothes to cause the oppression to keeping somewhere the needle, can also prevent that the patient from scratching and keeping somewhere needle puncture department.

To sum up, the utility model discloses convenient to use, practicality are strong, application scope is wide, are restricting patient's upper limbs, when preventing that the unexpected tube drawing condition of patient from taking place, can also guarantee the better comfort level of patient.

Drawings

The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.

Fig. 1 is a schematic structural view of a hand protection mechanism according to an embodiment of the present invention;

FIG. 2 is a cross-sectional view showing the structure of a range limiting mechanism according to an embodiment of the present invention;

fig. 3 is a schematic structural diagram of an operating state of the embodiment of the present invention;

in the figure: 1. a hand protection sleeve; 2. a wrist restraint band; 3. an observation port of the remaining needle; 4. a first hook and loop fastener; 5. a connecting belt; 6. and (4) a retractor.

Detailed Description

The preferred embodiments of the present invention will be described below with reference to the accompanying drawings. It is to be understood that the preferred embodiments described herein are for purposes of illustration and understanding only and are not intended to limit the invention.

Embodiment an upper limb restraint device for preventing unplanned extubation

This embodiment can restrict patient's upper limbs and move about at a certain within range, reduces patient's constraint sense, when guaranteeing the good comfort level of patient, can avoid the unconscious patient or the restless emergence of not cooperating the unexpected circumstances of extubating of patient.

As shown in fig. 1 to 3, the present embodiment includes a hand protecting mechanism and a range limiting mechanism used in cooperation.

First, hand protection mechanism

The hand protection mechanism is used for fixing and protecting the hands of the patient, and can avoid damage to the hands of the patient when limiting the range of motion of the upper limbs of the patient. As shown in fig. 1, the hand protection mechanism comprises a hand protection sleeve 1 and a wrist restraint band 2 which are fixedly connected into a whole, wherein the hand protection sleeve 1 is a mitten glove, so that the hand of a patient can be kept warm during use, and the condition that the hand of the patient is stiff and cold when the upper limb of the patient is restrained is avoided.

In order to avoid the influence of the hand protection sleeve 1 on the medical care personnel to observe the condition around the indwelling needle on the back of the hand of the patient, in the embodiment, the indwelling needle observation port 3 is opened on the back of the hand protection sleeve 1. And in order to prevent the quilt or clothes from pressing the remaining needle on the back of the hand of the patient, a transparent flip cover made of plastic material is arranged at the position of the observation hole 3 of the remaining needle. More specifically, one side of the transparent turnover cover is rotatably connected with the hand fixing sleeve, and the other side of the transparent turnover cover is detachably connected with the hand fixing sleeve through a thread gluing or a snap fastener.

In this embodiment, the both ends of wrist about band 2 are set firmly the second thread gluing area that can bond each other, and through the second thread gluing area, the both ends of wrist about band 2 can be in the same place by bonding, makes wrist about band 2 form loop configuration and wraps up patient's wrist, can protect patient's wrist on the one hand, and on the other hand can guarantee that hand protective sheath 1 is fine fixes at patient's hand, avoids droing or the condition of shifting to take place.

Second, the range limiting mechanism

As shown in fig. 2, the range-limiting mechanism includes a webbing 5, and a retractor 6 for winding up the webbing 5. When the wrist protection device is used, the connecting belt 5 in the range limiting mechanism is connected with the wrist restraint belt 2 in the hand protection mechanism through the first thread gluing belt 4, and the upper limbs of a patient can be limited within a certain moving range. More specifically, a first fastening tape 4 with a certain length is fixedly arranged at the end of the connecting belt 5, a first fastening tape 4 with a corresponding length is also fixedly arranged on the outer side surface of the wrist restraint belt 2, and the first fastening tape 4 at the end of the connecting belt 5 and the first fastening tape 4 on the outer side surface of the wrist restraint belt 2 can be fixed together in an adhesion manner, so that the connecting belt 5 and the wrist restraint belt 2 can be connected. In order to reduce the constraint feeling of the patient, the connecting band 5 in this embodiment is made of elastic polyester.

The retractor 6 that this embodiment adopted is the same with the safety belt retractor structure among the prior art, mainly includes the casing, locates the inside connecting band 5 axle of casing, backrush spring and locking mechanism. Wherein, locking mechanism includes locking hook and locking tooth, and medical personnel can control the leading-in locking tooth of locking hook during the use, prescribes a limit to the rotation of connecting band 5 axle, and then realizes the adjustment to connecting band 5 service length.

The fixing structure of the retractor 6 on the sickbed has two types: a. the retractor 6 shell is detachably fixed on the bottom surface of the bed plate of the sickbed through bolts; b. the lateral wall of the shell of the coiler 6 is provided with a third sticky buckle belt, and the coiler 6 is detachably fixed on a bed stop of a sickbed through the third sticky buckle belt. During the use, medical personnel can select the fixed mode of coiler 6 according to actual conditions: if the long-term use is needed, a bolt fixing mode is selected; and if the adhesive tape is used for a short time, selecting a third fastening tape fixing mode.

The use process of this embodiment is as follows:

as shown in fig. 3, the present embodiment is generally used in combination with two groups, i.e. the left upper limb and the right upper limb of the patient are constrained simultaneously. Taking the constraint of the upper limb of a patient with a nasogastric tube as an example, firstly, a retractor 6 is fixed on the bottom surface of a bed plate of a hospital bed through a bolt; then the hand protective sleeve 1 is sleeved on the hand of the patient, and the remaining needle on the back of the hand of the patient is ensured to be positioned at the remaining needle observation port 3; then, the two ends of the wrist restraint strap 2 are connected, the wrist of the patient is wrapped and fixed, and the tightness of the wrist is properly adjusted, so that the hand protection sleeve 1 can be well fixed on the hand of the patient; finally, the connecting belt 5 is drawn out from the retractor 6, the end part of the connecting belt 5 is fixed with the wrist restraint belt 2 through the first thread gluing belt 4, and the length of the connecting belt 5 is adjusted, so that the palm of the hand can not reach the nasogastric tube when the upper limb of the patient moves. The device can prevent the occurrence of the accidental tube drawing condition of the patient and can also enable the upper limb of the patient to move within a certain range.

It should be noted that the above-mentioned embodiments are only preferred embodiments of the present invention, and the present invention is not limited thereto, and although the present invention has been described in detail with reference to the above-mentioned embodiments, it will be apparent to those skilled in the art that modifications can be made to the technical solutions described in the above-mentioned embodiments, or some technical features can be replaced with equivalents. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (6)

1. An upper limb restraint device for preventing unplanned extubation, comprising: comprises a hand protection mechanism and a range limiting mechanism which are matched for use; the hand protection mechanism comprises a hand protection sleeve and a wrist restraint strap which are fixedly connected into a whole; the range limiting mechanism comprises a connecting belt and a retractor which is arranged on the sickbed and used for winding the connecting belt; wherein, the tip of connecting band is through first thread gluing area and wrist restraint area detachable connection.

2. The upper limb restraint device for preventing unplanned extubation according to claim 1, wherein: the hand protecting sleeve is a mitten with an indwelling needle observation port at the back; and a transparent flip cover is arranged at the position of the remaining needle observation port.

3. The upper limb restraint device for preventing unplanned extubation according to claim 2, wherein: two ends of the wrist restraint strap are fixedly provided with second magic tapes which can be adhered with each other.

4. An upper limb restraint device for preventing unplanned extubation according to any one of claims 1-3, wherein: the connecting belt is made of elastic terylene.

5. The upper limb restraint device for preventing unplanned extubation according to claim 4, wherein: the retractor is detachably fixed on the bottom surface of the bed plate of the sickbed through bolts.

6. The upper limb restraint device for preventing unplanned extubation according to claim 4, wherein: the retractor is detachably fixed on a barrier of a sickbed through a third fastening belt.

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