CN214388181U

CN214388181U - A neonatal expectoration treatment head, treatment box and treatment bed

Info

Publication number: CN214388181U
Application number: CN202022575438.6U
Authority: CN
Inventors: 黄希; 杨栗茗; 陈琼; 胡艳玲; 张秀娟; 李颖馨; 王�华
Original assignee: West China Second University Hospital of Sichuan University
Current assignee: West China Second University Hospital of Sichuan University
Priority date: 2020-11-10
Filing date: 2020-11-10
Publication date: 2021-10-15
Anticipated expiration: 2030-11-10

Abstract

The utility model provides a neonatal expectoration treatment head, a treatment box and a treatment bed, which relate to the technical field of neonatal medical equipment. A vibration motor is provided, one end of the vibration motor away from the soft rubber layer is fixed on the telescopic cylinder, a damping reel is arranged on the vibration motor, and a traction rope with one end fixed on the soft rubber layer is wound around the vibration motor. The middle and rear sections in the shortening direction of the cylinder are provided with a rack meshing with the damping winding wheel; the casing is connected to the tapping mechanism. The treatment box includes a chain transmission mechanism that drives the treatment head to move across the entire thorax. The treatment bed includes an adjustable set of the treatment box on one side of the bed board, the other side of the bed board is provided with a bed rail, and the box body is installed with the bed rail. Opposite hip guards. It solves the problems that the force and frequency of expectorating sputum for newborns in the existing clinic are not easy to control, and the operator is easily fatigued, resulting in poor expectoration effect.

Description

Neonate's sputum elimination treatment head and treatment case and treatment bed

Technical Field

The utility model relates to the technical field of medical equipment for neonates, in particular to a sputum excretion treatment head for neonates, a treatment box and a treatment bed.

Background

The lung infection of the newborn is one of the most common clinical diseases due to the characteristics of incomplete development of the respiratory system, poor immune function and the like, the lung infection of the newborn is manifested by symptoms of shortness of breath, cyanosis, nasal fan, triscave sign, cough, choking cough during drinking and the like, auscultation can be performed with the symptoms of humble noise and reduction of respiratory sound, diffuse fuzzy shadow of double lungs can be observed in chest X-ray examination, respiratory failure, heart failure, shock, DIC and the like can be caused in severe pneumonia, and even the life of the infant is threatened. When the infant suffering from the cough and the sputum excretion is treated, except for drug treatment, keeping the respiratory tract unobstructed is the most important nursing measure for the infant suffering from the lung infection, and the most key nursing intervention measure in the airway care is to discharge the sputum accumulation in the lung in time, so that the condition that the airway is blocked and the ventilation and ventilation functions are affected due to the fact that the cough and the sputum reflection are weak and the airway secretion is not easy to discharge is avoided.

The clinical sputum excretion mode mainly adopts a hand-buckling back method, a resuscitation bag mask buckling back method or a vibration sputum excretion machine, the three modes are not suitable for newborns, particularly for infants with extremely low/ultra-low birth weight, the sputum excretion effect is often unsatisfactory, and no sputum excretion instrument specially used for newborns, particularly for infants with extremely low/ultra-low birth weight is available on the market.

1. Problems of back-clasping by manipulations

(1) The sputum excretion effect is poor because the newborn is small in weight, the thorax and the back area are small, the palm of the adult is large, the palm and the back area are not proportional to each other seriously, and especially for the small premature infant with the weight less than 1500 g.

(2) The back-clasping manipulation is a manipulation with a hollow palm, which is performed by tapping the back of the infant with the wrist strength, but the clasping frequency is difficult to control, even if the handling degree of the professional medical staff is not good enough, the pain is easily caused by the reasons of uneven stress, uncontrollable force and the like.

2. Problems existing in the resuscitation balloon mask back-buckling method

The masks are divided into full-term masks and premature masks, and although the size of the masks is more suitable for newborns than that of palms, the beating force and frequency are operated according to the experience of medical staff, operators are easy to fatigue after the time exceeds 2 minutes, and the sputum excretion effect is poor.

3. Problems of the vibrating sputum excretion machine

(1) Many of the mechanical sputum ejectors available on the market are designed for adults and minor children, with front-end treatment heads generally larger for newborns and larger for very low/ultra-low weight infants.

(2) The handle at the joint of the treatment head is too long, which is inconvenient for the operation in the warm box.

(3) The floor cart type is mostly adopted, the floor area is too large, and the operation beside the bed is not facilitated.

(4) The operation needs to be plugged in, and the portable electric torch is not portable.

Disclosure of Invention

To the above-mentioned problem among the prior art, the utility model provides a neonate's sputum discharging treatment head and treatment case and treatment bed has solved among the current clinic not easily controllable and the operator tired problem that leads to the sputum discharging effect not good easily for the power way and the frequency of neonate's sputum discharging.

In order to achieve the purpose of the invention, the technical scheme adopted by the utility model is as follows:

the utility model provides a neonate sputum excretion therapeutic head, which comprises a shell, wherein one end of the shell is sealed by a convex soft rubber layer, a vibration motor is arranged in the shell and close to the soft rubber layer, one end of the vibration motor, which is far away from the soft rubber layer, is fixed on a telescopic cylinder, a damping reel is arranged on the vibration motor, a traction rope with one end fixed on the soft rubber layer is wound on the damping reel, and a rack meshed with the damping reel is arranged at the middle and rear section of the telescopic cylinder in the shortening direction; the shell is connected to the rapping mechanism.

The utility model provides a neonate's sputum elimination treatment case, its chain drive mechanism who removes at whole thorax including the foretell neonate's of drive sputum elimination treatment head, chain drive mechanism is provided with in the box, demountable installation has the baffle on the box, runs through on the baffle to be provided with and supplies the shell to be provided with the path hole that flexible glue layer one end stretches out, chain drive mechanism's second motor, vibrating motor, first motor and telescopic cylinder connect on the controller and through four action order of controller control and action time.

A neonate sputum excretion treatment bed comprises the neonate sputum excretion treatment box, a box body is adjustably arranged on one side of a bed board, a bed fence is arranged on the other side of the bed board, and a hip protection plate opposite to the bed fence is arranged on the box body.

The utility model has the advantages that:

1. the neonate's treatment head of eliminating phlegm in this scheme is pasted on the thorax at neonate's back, produces the vibration through the vibrating motor and becomes flexible and liquefaction with mucus and metabolite on infant's lung and respiratory mucosa surface to can inhale the sputum through the intubate and suck away and keep the unblocked of respiratory track.

2. The sputum excretion therapeutic head in the scheme can be in two modes of vibration and percussion, and in the vibration mode, the soft rubber layer is externally convex, and the vibration motor is closely adjacent to the soft rubber layer; when the mode is knocked, close vibrating motor, start telescopic cylinder and contract and remove the shell rear end with vibrating motor, avoid vibrating motor to disturb going on of knocking, can stimulate the haulage rope and pull out the indent state with soft adhesive tape from the evagination state at vibrating motor removal in-process for can form a curved air chamber between soft adhesive tape and the infant health, thereby the shell is knocked the action of knocking with accomplishing gently under the drive of knocking the mechanism at infant back.

3. In order to ensure the pulling force of the traction rope on the soft rubber layer, the reel cannot be pulled by the traction rope, so a damping mechanism is arranged on the reel, when the soft rubber layer is pulled to be in a concave state, the reel is meshed with the rack, under the continuous retraction action of the telescopic cylinder, the rack pushes the reel to overcome the damping and rotate to lengthen the traction rope, so that the traction rope loses tension, and the softness of the soft rubber layer is ensured and the traction rope cannot be continuously pulled any more; when need the vibration once more, telescopic cylinder extension promotes vibrating motor and moves towards the flexible glue layer, thereby the reel counter-rotation winds the haulage rope tight under rack pushing action, promotes the soft glue layer simultaneously and becomes the evagination state from the indent state. Through the setting of damping wire winding wheel and rack for this sputum discharging treatment head can easily change between vibration and percussion two kinds of modes with the tip of infant contact, design benefit, simple structure, reliable.

4. On chain drive was installed with foretell sputum excretion treatment head to neonate's sputum excretion treatment case in this scheme, can vibrate and kowtow under chain drive's drive on whole thorax and hit, whole process passes through the controller and realizes automated operation, can alleviate medical personnel's working strength, also can guarantee sputum excretion dynamics and frequency simultaneously, improves sputum excretion effect.

5. The neonate's sputum elimination treatment bed in this scheme can let the neonate lie on the bed board, and support and positioning action through bedrail and buttock backplate let the neonate that can not control the position fix into the state of lying on one's side to expose the convenient treatment of back, also can fix the mutual position between neonate's sputum elimination treatment case and the neonate simultaneously, guarantee treatment.

Drawings

Fig. 1 is a schematic structural diagram of a newborn sputum excretion therapeutic head in a vibration mode.

Fig. 2 is a schematic structural view of the neonate sputum excretion therapeutic head in a tapping mode.

Fig. 3 is a schematic view of a structure of the damping reel matching with the rack.

Fig. 4 is a schematic structural view of a sputum excretion treatment bed for a newborn.

Fig. 5 is a schematic distribution diagram of the chain transmission mechanism.

Wherein, 1, a shell; 2. a soft adhesive layer; 21. the groove is easy to break; 3. a vibration motor; 4. a telescopic cylinder; 5. A damping reel; 51. a central shaft; 52. a sleeve; 53. a gear; 54. arc-shaped convex strips; 55. an arc-shaped groove; 6. a hauling rope; 7. a tapping mechanism; 71. a slide bar; 72. a limiting block; 73. a first link; 74. a second link; 75. a base; 76. a strip-shaped chute; 77. moving the column; 78. a third link; 79. a first motor; 8. a rack; 9. a chain transmission mechanism; 91. a second motor; 92. a drive sprocket; 93. a reversing sprocket; 94. a drive chain; 10. a box body; 101. a baffle plate; 102. a path hole; 11. a bed board; 12. a bed fence; 13. a hip guard board; 14. a treatment area marking line; 15. a headrest.

Detailed Description

The following description of the embodiments of the present invention is provided to facilitate the understanding of the present invention by those skilled in the art, but it should be understood that the present invention is not limited to the scope of the embodiments, and various changes will be apparent to those skilled in the art as long as they are within the spirit and scope of the present invention as defined and defined by the appended claims, and all inventions contemplated by the present invention are protected.

As shown in fig. 1 and 2, the sputum excretion therapeutic head for the neonate comprises a shell 1, one end of the shell 1 is sealed by a convex soft rubber layer 2, the convex soft rubber layer 2 is spherical, and the soft rubber layer 2 is soft, has certain elasticity and high safety, such as soft silica gel. The diameter of the soft adhesive layer 2 is 3 cm-5 cm to match the body shape of the newborn, so that the sputum vibrating effect is better.

Neighbouring soft glue film 2 department is provided with vibrating motor 3 in the shell 1, and vibrating motor 3 is the evagination sphere towards the one end of soft glue film 2 for there is not the hollowing soft glue film 2 can laminate with vibrating motor 3, so that vibrating motor 3's vibration homoenergetic can act on the infant, improves the controllability of vibration effect. A three-gear frequency modulator is arranged on the vibrating motor 3, namely a first gear 10HZ, a second gear 15HZ and a third gear 20HZ respectively, the first gear is defaulted after the motor is started, a first gear adjusting key is pressed to obtain the second gear, and a second gear adjusting key is pressed to obtain the third gear; the first grade is suitable for the ultra-low birth weight infants (the weight is less than 1000g), the second grade is suitable for the ultra-low birth weight infants (the weight is more than or equal to 1000g and less than 1500g), and the third grade is suitable for the premature infants and full-term newborns with the weight more than or equal to 1500 g.

The end of the vibration motor 3 far away from the soft rubber layer 2 is fixed on the telescopic cylinder 4, and the upper end and the lower end of the vibration motor 3 are respectively provided with a damping reel 5. Each damping reel 5 includes a central shaft 51 and a sleeve 52 fitted over the central shaft 51 with a clearance, the central shaft 51 being fixedly connected to the vibration motor 3, gears 53 capable of meshing with the rack 8 being fixed to both ends of the sleeve 52, and the sleeve 52 between the two gears 53 being used to wind the traction rope 6. To prevent the tension of the pull-cord 6 from pulling the sleeve 52 to rotate, the damper reel 5 is provided with a damping mechanism, as shown in fig. 3, so that the force of the pull-cord 6 cannot overcome the damping to rotate the sleeve 52. The damping mechanism comprises an arc-shaped convex strip 54 integrally formed on the outer cylindrical surface of a central shaft 51, the arc-shaped convex strip 54 protrudes outwards along the radial direction and extends along the axial direction to form a boss with an arc-shaped section, an arc-shaped groove 55 for embedding the arc-shaped convex strip 54 is processed on the inner cylindrical surface of a sleeve 52, the arc-shaped convex strip 54 is in smooth transition with the outer cylindrical surface of the central shaft 51, so that the sleeve 52 can be pushed to rotate only when the rotating force of the sleeve 52 is large enough, the vibration motor 3 is pulled or pushed to move by a telescopic cylinder 4, a damping reel 5 is fixed with the vibration motor 3 into a whole, after a gear 53 is meshed with a rack 8, the pulling force or the pushing force of the telescopic cylinder 4 is large enough to push the arc-shaped convex strip 54 to be separated from the limit of the arc-shaped groove 55, and the sleeve 52 is rotated to lengthen or shorten the traction rope 6.

Two haulage ropes 6 on two damping reels 5 of upper end and lower extreme are fixed in the upper portion and the lower part of soft glue film 2 respectively, under vibration mode, soft glue film 2 evagination, haulage rope 6 is in and is about to produce the tension state, when needs change the mode of percussion, control telescopic cylinder 4 shrink drive vibrating motor 3 backshifts, under damper's effect, damping reel 5 is unable to rotate, the backshift of 6 anterior segment distances of haulage rope makes 6 pulling soft glue film 2 indents of haulage rope, the adjacent 1 tip department of shell in soft glue film 2 is provided with easy folding recess 21, it is easier to make into the indent state with soft glue film 2 evagination states, and the turning department is just easy folding recess 21. After the flexible glue layer 2 is recessed, the gear 53 is just meshed with the rack 8, the pulling force of the telescopic cylinder 4 overcomes the limiting effect of the damping mechanism through enough rigidity between the meshed teeth to enable the gear 53 to rotate, so that the traction rope 6 is lengthened, and the vibration motor 3 can continuously move backwards to a position where no interference exists in the knocking process. The telescopic cylinder 4 is mounted on the rear plate of the housing 1.

When the vibrating motor 3 moves to the position where the knocking process is not influenced, the knocking mechanism 7 is started to drive the shell 1 to move left and right to knock the thoracic part of the back of the infant patient. The tapping mechanism 7 comprises a slide rod 71 fixed with the housing 1 and sliding left and right, the slide rod 71 is inserted into a limit block 72, a through hole for the slide rod 71 to pass through is transversely formed in the limit block 72, the middle of the slide rod 71 is pivotally connected to one end of a first connecting rod 73, the other end of the first connecting rod 73 is pivotally connected to one end of a second connecting rod 74, the other end of the second connecting rod 74 is pivotally connected to a base 75, the base 75 is fixed, a bar-shaped sliding groove 76 penetrating through the middle of the second connecting rod 74 along the thickness direction is formed in the middle of the second connecting rod 74, the left and right movement distance of the slide rod 71 is determined by the length of the bar-shaped sliding groove 76, a moving column 77 is slidably connected to the bar-shaped sliding groove 76, the moving column 77 is fixed at one end of a third connecting rod 78, and the other end of the third connecting rod 78 is connected to a first motor 79. The first motor 79 rotates to drive the third connecting rod 78 to rotate around the connecting end with the first motor 79, the second connecting rod 74 is pushed to swing through the moving column 77, the second connecting rod 74 drives the sliding rod 71 to slide left and right through the first connecting rod 73, the infant patient is knocked by sliding left, and the infant patient is far away by sliding right.

The length of the first connecting rod 73 is greater than that of the third connecting rod 78 and smaller than that of the second connecting rod 74, and the length of the second connecting rod 74 is 3-5 times that of the third connecting rod 78.

As shown in fig. 4 and 5, a sputum excretion therapeutic box for a newborn comprises a chain transmission mechanism 9 for driving the sputum excretion therapeutic head of the newborn to move on the whole thorax, wherein the chain transmission mechanism 9 is arranged in a box body 10. The chain transmission mechanism 9 comprises a driving sprocket 92, a second motor 91 for driving the driving sprocket 92 to rotate, a plurality of reversing sprockets 93 distributed corresponding to the thorax area of the newborn, and a transmission chain 94 wound on the driving sprocket 92 and the plurality of reversing sprockets 93, wherein the distribution of the reversing sprockets 93 can be as shown in the figure, and the transmission chain 94 can cover the thorax as densely as possible without influencing the transmission according to the actual conditions. The neonate's sputum excretion therapy head is externally sleeved with an integral housing to be mounted on a transmission chain 94.

Demountable installation has baffle 101 on the box 10, runs through processing on the baffle 101 to have and supplies shell 1 to be provided with the path hole 102 that 2 one end of hose are stretched out to in the neonate sputum elimination treatment head can act on one's body, baffle 101 can block dangerous mechanical structure such as the drive mechanism of inside, prevent that the neonate from waving and being injured the security.

The second motor 91, the vibration motor 3, the first motor 79 and the telescopic cylinder 4 of the chain transmission mechanism 9 are connected to the controller, and the action sequence and the action time of the three are controlled by the controller. The controller is preferably a single chip microcomputer with the model of stm32f103c8t6, and the controller controls the action time and the action time of the second motor 91, the vibration motor 3, the telescopic cylinder 4 and the first motor 79 to realize the following functions: when the treatment head moves for a certain distance, the second motor 91 stops, and then vibrates or taps the current position of the thorax of the child patient as required, so as to correspondingly control the actions of the vibration motor 3, the telescopic cylinder 4 and the first motor 79. Because the action of controlling the motor, the motor and the cylinder through the single chip microcomputer is the prior art, other electrical components and parts of specific circuit connection and requirements are not repeated herein.

As shown in fig. 4 and 5, a neonate sputum excretion treatment bed comprises the neonate sputum excretion treatment box, a box body 10 is adjustably arranged on one side of a bed plate 11 through a slide rail, and the slide rail is arranged to adjust the distance between a treatment head and an infant patient so as to adapt to infant patients of different body types. A bed fence 12 is fixed on the other side of the bed board 11, a hip guard plate 13 opposite to the bed fence 12 is installed on the box body 10, and the hip guard plate 13 is matched with the bed fence 12 to fix the body position of the lateral infant patient, so that the treatment effect is improved. Treatment area marking lines 14 are arranged on the bed board 11 in a sticking or drawing manner, so that medical staff can adjust the position with reference when putting the infant patient on the bed board 11, and the position of the thorax of the infant patient is located in the area. One end of the bed plate 11 is provided with a headrest 15, so that the comfort of the children patients is improved. The sputum excretion treatment bed for the newborn can also be provided with a music player and other devices for appeasing the emotion of the sick child.

Claims

1. A neonatal expectoration treatment head, characterized in that, comprises a casing (1), one end of the casing (1) is closed by an outwardly convex soft glue layer (2), and the casing (1) is adjacent to the outer casing (1). The soft rubber layer (2) is provided with a vibration motor (3), and one end of the vibration motor (3) away from the soft rubber layer (2) is fixed on the telescopic cylinder (4), and the vibration motor (3) A damping reel (5) is arranged on the damping reel (5), and a traction rope (6) whose one end is fixed on the soft rubber layer (2) is wound around the damping reel (5). ) The middle and rear sections in the shortening direction are provided with a rack (8) meshing with the damping reel (5); the casing (1) is connected to the tapping mechanism (7).

2 . The neonatal expectoration treatment head according to claim 1 , wherein the soft glue layer ( 2 ) is provided with an easy-break groove ( 21 ) adjacent to the end of the outer shell ( 1 ). 3 .

3 . The neonatal expectoration treatment head according to claim 1 , wherein the damping reel ( 5 ) comprises a central shaft ( 51 ) and a sleeve sleeved on the central shaft ( 51 ). 4 . (52), the central shaft (51) is fixedly connected to the vibration motor (3), and both ends of the sleeve (52) are fixed with gears (53) capable of engaging with the rack (8) The outer cylindrical surface of the central shaft (51) is provided with an arc-shaped convex strip (54), and the inner cylindrical surface of the sleeve (52) is provided with an arc-shaped convex strip (54) embedded in the arc-shaped convex strip (54). shaped groove (55), the arc-shaped convex strip (54) and the outer cylindrical surface of the central shaft (51) have a smooth transition.

4 . The neonatal expectoration treatment head according to claim 1 , wherein the knocking mechanism ( 7 ) comprises a sliding rod ( 71 ) that is fixed with the housing ( 1 ) and slides left and right, and the sliding The rod (71) is inserted into the limiting block (72), the middle part of the sliding rod (71) is pivotally connected to one end of the first link (73), and the other end of the first link (73) The pivot is connected to one end of the second link (74), the other end of the second link (74) is pivotally connected to the base (75), and the middle of the second link (74) is provided with a bar A moving column (77) is slidably connected to the bar-shaped sliding groove (76), and the moving column (77) is fixed to one end of the third connecting rod (78), and the third connecting rod (78) is The other end of the rod (78) is connected to the first motor (79).

5. The neonatal expectoration treatment head according to claim 4, wherein the length of the first link (73) is greater than the length of the third link (78) and less than the second link ( 74), the length of the second connecting rod (74) is 3 to 5 times that of the third connecting rod (78).

6 . The neonatal expectoration treatment head according to claim 1 , wherein the end of the vibration motor ( 3 ) facing the soft glue layer ( 2 ) is a convex spherical surface. 7 .

7 . The neonatal expectoration treatment head according to claim 1 , wherein the vibration motor ( 3 ) is provided with a frequency regulator with three gears, which are respectively 10HZ for the first gear, 15HZ for the second gear and 20HZ for the third gear. 8 .

8. A neonatal expectoration treatment box, characterized in that it comprises a chain transmission mechanism (9) that drives the neonatal expectoration treatment head described in claim 1 to move over the entire thorax, and the chain transmission mechanism (9) Where a box body (10) is provided, a baffle plate (101) is detachably mounted on the box body (10), and a soft rubber layer is provided through the baffle plate (101) for the outer shell (1) to be provided with (2) A path hole (102) protruding from one end, the second motor (91), vibration motor (3), first motor (79) and telescopic cylinder (4) of the chain transmission mechanism (9) are connected to the control On the device and through the controller to control the action sequence and action time of the four.

9. A neonatal expectoration treatment bed, characterized in that it comprises the neonatal expectoration treatment box according to claim 8, wherein the box body (10) is adjustable and arranged on one side of the bed board (11), so that the A bed rail (12) is arranged on the other side of the bed board (11), and a hip guard (13) opposite to the bed rail (12) is mounted on the box body (10).

10. The neonatal expectoration treatment bed according to claim 9, wherein a treatment area marking line (14) is provided on the bed board (11), and a headrest (14) is provided on one end of the bed board (11). 15).