CN214231839U

CN214231839U - Prone position head fixing device of ventilating

Info

Publication number: CN214231839U
Application number: CN202022581218.4U
Authority: CN
Inventors: 张蔚青; 顾秋莹; 张世瑜; 李啸扬; 朱唯一; 王濬
Original assignee: Ruinjin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Co Ltd
Current assignee: Ruinjin Hospital Affiliated to Shanghai Jiaotong University School of Medicine Co Ltd
Priority date: 2020-11-10
Filing date: 2020-11-10
Publication date: 2021-09-21
Anticipated expiration: 2030-11-10

Abstract

The utility model discloses a prone position head fixing device of ventilating, including the bed board fixation clamp, fixed mounting has head strutting arrangement on the bed board fixation clamp, head strutting arrangement includes the first gasbag that aerifys, the mouth of placing relative with patient's head is seted up at the first gasbag middle part of aerifing, fixedly connected with shoulder strutting arrangement in the outer fringe of the first gasbag that aerifys. The utility model discloses head strutting arrangement fixed mounting is on the bed board fixation clamp, bed board fixation clamp fixed mounting is on the bed board, the patient lies prostrate when on the bed board, place the head on head strutting arrangement, can be to the effectual support of patient's head, and aim at the face between the shoulder strutting arrangement, and support the forehead on head strutting arrangement, can reduce facial skin pressure nature damage risk, through setting up shoulder strutting arrangement, not only can support patient's shoulder, prevent that patient's head is unsettled, reduce pressure nature damage, can also promote whole fixing device's stability.

Description

Prone position head fixing device of ventilating

Technical Field

The utility model relates to the field of medical equipment, concretely relates to prone position head fixing device of ventilating.

Background

The prone position ventilation means that when mechanical ventilation is performed, a patient is placed in the prone position to expand lungs in a drooping and non-expanding area so as to improve the ventilation and perfusion ratio. Prone position ventilation can increase oxygen partial pressure of patients with acute lung injury/acute respiratory distress syndrome and improve oxygenation, and is an effective treatment means for treating adult Acute Respiratory Distress Syndrome (ARDS) at present. A currently more accepted approach is to ensure at least a prone position of 12h per day, i.e. a single long prone position ventilation, with conditional licensing suggesting continuous prone position ventilation. However, the risk of pressure injury of the patient after prone position is greatly increased, and the longer the prone position, the higher the risk of skin problems, especially in the head and face area, mainly including forehead, eye, cheek, nose and lower jaw, and double auricles, and most of them are prone to pressure sores (more than 2).

At present, when clinical prone position is ventilated, the head of a patient mostly adopts a mode of cushioning soft pillows and soft cloth below facial bone protruding parts (forehead and cheek) to prevent skin pressure injury, although the mode has a certain decompression effect on compressed skin and reduces the skin pressure injury to a certain extent, the method has limitations: (1) most of the materials are cotton, so that the materials are easy to absorb water and are not beneficial to drainage, the skin is wet, and favorable conditions are created for the occurrence of pressure injury; (2) the material is soft and easy to extrude, deform or shift, so that the support is invalid and the part which is not pressed is pressed, and the nursing risks of eye pressing edema, bending, shifting, slippage and the like of the artificial airway catheter occur; (3) the artificial airway has no reserved placing space, is inconvenient for sputum suction, oral and nasal secretion drainage and artificial airway observation, and is easy to suffocate.

SUMMERY OF THE UTILITY MODEL

The utility model mainly aims at providing a prone position head fixing device of ventilating can effectively solve the problem among the background art.

In order to achieve the above purpose, the utility model discloses a following technical scheme realizes:

the utility model provides a prone position head fixing device of ventilating, includes the bed board fixation clamp, fixed mounting has head strutting arrangement on the bed board fixation clamp, head strutting arrangement includes first air bag of aerifing, the mouth of placing relative with patient's head is seted up at first air bag middle part, fixedly connected with shoulder strutting arrangement on first air bag's the outer fringe, shoulder strutting arrangement is relative with patient's shoulder.

Preferably, the first inflatable air bag is provided with a plurality of cavities which are not communicated, the surfaces of the first inflatable air bag, which are opposite to the plurality of cavities, are provided with an air inlet and an air outlet, and the air inlet is communicated with an external inflating device in a sealing manner.

Preferably, bed board fixation clamp fixedly connected with connecting plate, head strutting arrangement still includes the altitude mixture control pole, altitude mixture control pole one end threaded connection is on the connecting plate, the other end and the first gasbag backup pad fixed connection of altitude mixture control pole, first gasbag backup pad sets up in first inflatable air bag bottom and fixed mutually with first inflatable air bag.

Preferably, the connecting plate includes first fishplate bar and second fishplate bar, first fishplate bar activity joint is in the second fishplate bar, the spacing groove has been seted up on the first fishplate bar, fixed mounting has the spring on the terminal surface of spacing groove, the tip fixed mounting of spring has the lug, spacing hole has been seted up on the second fishplate bar, the size of lug and the size phase-match in spacing hole.

Preferably, a secretion collecting bag is fixedly arranged between the shoulder supporting devices.

Preferably, the shoulder supporting devices are provided with two groups, the two groups of shoulder supporting devices are respectively opposite to the left shoulder and the right shoulder of the patient, a first zipper assembly is arranged on each shoulder supporting device, and the first zipper assembly is matched with a second zipper assembly on the first inflatable air bag.

Preferably, the shoulder supporting device comprises a second inflatable airbag, an air inlet and an air outlet are formed in the second inflatable airbag, a second airbag supporting plate is arranged below the shoulder supporting device, a limiting groove is formed in the first airbag supporting plate, and the height of the limiting groove is matched with the height of the second airbag supporting plate.

Preferably, the head support device is further provided with a face fine adjustment air bag, the face fine adjustment air bag is opposite to the position of the placement opening, and the face fine adjustment air bag is provided with an air inlet and an air outlet.

The utility model provides a prone position head fixing device of ventilating possesses following beneficial effect: the head supporting device is fixedly arranged on the bed board fixing clamp, the bed board fixing clamp is fixedly arranged on the bed board, when a patient lies on the bed board, the head is placed on the head supporting device, the face of the patient is aligned with the placing opening, and the head of the patient can be effectively supported and properly fixed; and can reduce the pressure of pressurized face skin, avoid appearing facial skin pressure nature damage risk as far as possible, shoulder strutting arrangement links to each other with head strutting arrangement, not only can support patient's shoulder, prevents that patient's head is unsettled, reduces the pressure nature damage, can also promote whole fixing device's stability.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below.

Fig. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic structural view of the head support apparatus of the present invention;

FIG. 3 is a schematic view of a first inflatable bladder of the present invention;

fig. 4 is a schematic structural view of the shoulder supporting device of the present invention;

fig. 5 is a schematic structural view of the connection plate of the present invention;

in the figure: 1. a bed board fixing clamp; 2. a head support device; 201. a first inflatable air bag; 202. a second zipper assembly; 203. a face fine adjustment air bag; 204. a placement port; 3. a shoulder support means; 4. a connecting plate; 401. a first receiving plate; 402. a second receiving plate; 403. a limiting groove; 404. A spring; 405. a bump; 406. a limiting hole; 5. a height adjustment lever; 6. a first balloon support plate; 601. a limiting groove; 7. a secretion collection bag; 8. a first zipper assembly; 9. a bed board; 10. a second airbag support panel.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention clearer, the drawings of the present invention will be combined to clearly and completely describe the technical solutions in the embodiments of the present invention. In the description of the present invention, it should be noted that the terms "first", "second" and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. Wherein the terms "first position" and "second position" are two different positions.

First embodiment, as shown in fig. 1 to 5, a prone position ventilation head fixing device comprises a bed plate fixing clamp 1, a head supporting device 2 is fixedly mounted on the bed plate fixing clamp 1, the head supporting device 2 comprises a first inflatable air bag 201, a placing opening 204 opposite to the head of a patient is formed in the middle of the first inflatable air bag 201, the patient aims the face of the patient between shoulder supporting devices, a shoulder supporting device 3 is fixedly connected to the first inflatable air bag 201, and the shoulder supporting device 3 is opposite to the shoulder of the patient.

The working principle is as follows: before a patient wants to ventilate in a prone position, firstly removing a headboard of the patient, fixedly installing a head supporting device 2 on a bed board fixing clamp 1, moving the position of the head fixing device on the bed board left and right by moving the bed board fixing clamp 1 left and right, then fixedly installing the bed board fixing clamp 1 on a bed board 9, placing a forehead on the head supporting device 2 when the patient lies prone on the bed board 9, and effectively supporting the head of the patient by the head supporting device 2 and properly fixing the head; the patient aims at the face between the shoulder supporting devices, the pressure of the pressed face skin can be reduced, and the risk of pressure injury of the face skin is avoided as much as possible. Shoulder strutting arrangement 3 links to each other with head strutting arrangement 2, not only can support patient's shoulder, prevents that patient's head is unsettled, reduces the pressure nature damage, can also promote whole fixing device's stability.

Set up external membrane lung pipe fixed band on this device is first aerifyd gasbag 201, fixed external membrane lung pipe that can be more reliable avoids the tractive and pulls, reduces the risk of unplanned tube drawing.

In this embodiment, the first inflatable air bag 201 is provided with a plurality of non-communicating cavities, the surfaces of the first inflatable air bag 201 opposite to the plurality of cavities are provided with an air inlet and an air outlet, and the air inlet is in sealed communication with an external inflating device. The first inflatable airbag 201 is divided into a plurality of inflatable cavities, can be set into three independent airbags, can adjust the inflation amount in the independent airbags according to the face shapes and the head shapes of different patients, further adjusts the shape of the first inflatable airbag 201, and reduces the pressure of skin and the pressure injury when increasing the stress area of the patients.

Second embodiment, this embodiment is as a preferred technical scheme of first embodiment, 1 fixedly connected with connecting plate 4 of bed board fixation clamp, head strutting arrangement 2 still includes altitude mixture control pole 5, altitude mixture control pole 5 is provided with two sets ofly, not only can support head strutting arrangement 2, can also adjust head strutting arrangement 2's height, 5 one end threaded connection of altitude mixture control pole is on connecting plate 4, the other end and the 6 fixed connection of first gasbag backup pad of altitude mixture control pole 5, screw rotation altitude mixture control pole 5 is fixed, can adjust the height of altitude mixture control pole 5 on connecting plate 4, then head strutting arrangement 2 can remove about and also can reciprocate, conveniently carry out the position to the patient and adjust, first gasbag backup pad 6 sets up in first gasbag 201 bottom of aerifing and is fixed mutually with first gasbag 201 of aerifing. The first inflatable air bag 201 is arranged on the first air bag supporting plate 6, is supported by the height adjusting rod 5, and is uncomfortable to patients or the height of the first inflatable air bag 201 is adjusted according to the body heights of different patients. All be provided with the magic on first gasbag backup pad 6 and the first gasbag 201 of aerifing and paste the subassembly, can with the first gasbag 201 of aerifing from the dismouting of first gasbag backup pad 6 get off, conveniently accomodate. The first air bag supporting plate 6 can be made of wood plates, plastic plates or metal plates, and is made of various materials which are convenient to select.

In this embodiment, the connecting plate 4 includes a first connecting plate 401 and a second connecting plate 402, the first connecting plate 401 is movably connected in the second connecting plate 402, the first connecting plate 401 is provided with a limiting groove 403, an end surface of the limiting groove 403 is fixedly provided with a spring 404, an end portion of the spring 404 is fixedly provided with a bump 405, the second connecting plate 402 is provided with a limiting hole 406, and the size of the bump 405 is matched with the size of the limiting hole 406. Lug 405 passes through spring 404 elastic clamping in spacing groove 403, removes the position of first fishplate bar 401 in second fishplate bar 402, adjusts the lug 405 promptly and clamps in the spacing hole 406 of the difference on second fishplate bar 402, can adjust the length of connecting plate 4, and then adjusts the distance of head strutting arrangement 2 apart from bed board 9, and the patient of the different heights of being convenient for can find comfortable prone position.

Third embodiment, this embodiment is a preferable technical solution of the first embodiment, and a secretion collecting bag 7 is fixedly connected around the shoulder supporting device 3. The secretion collecting bag 7 can be arranged at the bottom of the first inflatable air bag 201 and used for collecting oral and nasal cavity secretions, so that the comfort level of a patient is increased, the occurrence of facial moisture and pollution is avoided, and the cleaning is convenient.

In a fourth embodiment, as a preferred technical solution of the first embodiment, two sets of shoulder supporting devices 3 are provided, and are respectively opposite to the left shoulder and the right shoulder of the patient, a first zipper assembly 8 is provided on the shoulder supporting devices 3, and the first zipper assembly 8 is matched with a second zipper assembly 202 on the first inflatable air bag 201. The shoulder supporting device 3 is fixed on the first inflatable air bag 201 through the zipper assembly, the shoulder supporting device 3 can be set to be different in thickness and different in shape, a patient can select the shoulder supporting device 3 suitable for the patient according to the requirement of the patient, and the first zipper assembly 8 and the second zipper assembly 202 are matched and fixed.

The shoulder supporting device 3 comprises a second inflatable air bag, an air inlet and an air outlet are formed in the second inflatable air bag, a second air bag supporting plate 10 is arranged below the shoulder supporting device 3, a limiting groove 601 is formed in the first air bag supporting plate 6, the height of the limiting groove 601 is matched with the height of the second air bag supporting plate 10, the end portion of the second air bag supporting plate 10 is clamped in the limiting groove 601, and the shoulder supporting device 3 and the head supporting device 2 can be fixed together. The shoulder supporting device 3 is inflatable, so that the position of the shoulder of the patient can be adjusted automatically, and the patient is prevented from being uncomfortable after being kept in the same posture for too long time. Shoulder strutting arrangement 3 bottoms are provided with first gasbag backup pad 6, also are provided with the magic between first gasbag backup pad 6 and the shoulder strutting arrangement 3 and paste the subassembly, and the tip fixing clip dress of second gasbag backup pad 10 can fix different shoulder strutting arrangement 3 on first gasbag backup pad 6, prevents that shoulder strutting arrangement 3 from collapsing on the bed body.

The head support device 2 is further provided with a face fine adjustment air bag 203, the face fine adjustment air bag 203 is opposite to the position of the placing opening 204, and the face fine adjustment air bag 203 is provided with an air inlet and an air outlet. Through setting up fine setting gasbag 203 of face, can the bearing position of pertinence regulation face part, prevent that the sore from appearing pressing on the face.

The above embodiments are only used to illustrate the technical solution of the present invention, and not to limit it; the pattern filling in the drawings of the utility model does not represent the material of the structure, and only distinguishes the structure; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention in its corresponding aspects.

Claims

1. The utility model provides a prone position head fixing device that ventilates which characterized in that: including the bed board fixation clamp, fixed mounting has head strutting arrangement on the bed board fixation clamp, head strutting arrangement includes the first gasbag of aerifing, the mouth of placing relative with patient's head is seted up at the first gasbag middle part of aerifing, fixedly connected with shoulder strutting arrangement on the outer fringe of the first gasbag of aerifing, shoulder strutting arrangement is relative with patient's shoulder.

2. A prone position ventilation head restraint according to claim 1 wherein: the first inflatable air bag is provided with a plurality of non-communicated cavities, the surfaces of the first inflatable air bag and the cavities, which are opposite to each other, are provided with air inlets and air outlets, and the air inlets are communicated with an external inflating device in a sealing mode.

3. A prone position ventilation head restraint according to claim 1 wherein: the bed board fixation clamp fixedly connected with connecting plate, head strutting arrangement still includes the altitude mixture control pole, altitude mixture control pole one end threaded connection is on the connecting plate, the other end and the first gasbag backup pad fixed connection of altitude mixture control pole, first gasbag backup pad sets up in first inflatable air bag bottom and fixed mutually with first inflatable air bag.

4. A prone position ventilation head restraint according to claim 3 wherein: the connecting plate includes first fishplate bar and second fishplate bar, first fishplate bar activity joint is in the second fishplate bar, the spacing groove has been seted up on the first fishplate bar, fixed mounting has the spring on the terminal surface of spacing groove, the tip fixed mounting of spring has the lug, spacing hole has been seted up on the second fishplate bar, the size of lug and the size phase-match in spacing hole.

5. A prone position ventilation head restraint according to claim 1 wherein: and a secretion collecting bag is fixedly arranged between the shoulder supporting devices.

6. A prone position ventilation head restraint according to claim 1 wherein: the shoulder supporting devices are provided with two groups and are respectively opposite to the left shoulder and the right shoulder of a patient, a first zipper assembly is arranged on each shoulder supporting device, and the first zipper assembly is matched with a second zipper assembly on the first inflatable air bag.

7. A prone position ventilation head restraint according to claim 1 wherein: the shoulder supporting device comprises a second inflatable air bag, an air inlet and an air outlet are formed in the second inflatable air bag, a second air bag supporting plate is arranged below the shoulder supporting device, the height of the second air bag supporting plate is matched with the height of a limiting groove, and the limiting groove is formed in the first air bag supporting plate.

8. A prone position ventilation head restraint according to claim 1 wherein: the head supporting device is further provided with a face fine adjustment air bag, the face fine adjustment air bag is opposite to the position of the placement opening, and an air inlet and an air outlet are formed in the face fine adjustment air bag.