CN214806434U - Knee chest position anus exposes with tailstock butt joint car - Google Patents

Knee chest position anus exposes with tailstock butt joint car Download PDF

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Publication number
CN214806434U
CN214806434U CN202121074150.9U CN202121074150U CN214806434U CN 214806434 U CN214806434 U CN 214806434U CN 202121074150 U CN202121074150 U CN 202121074150U CN 214806434 U CN214806434 U CN 214806434U
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arc
shaped
knee
patient
anus
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CN202121074150.9U
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潘燕
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Jiangyin Peoples Hospital
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Jiangyin Peoples Hospital
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Abstract

The utility model discloses a knee chest position anus exposes with tailstock butt joint car, including the base, set up in plummer on the base with set up in gyro wheel under the base, the top of plummer is provided with and is used for breaking off the subassembly with breaking off with fingers and thumb of patient's buttock. Above-mentioned knee chest position anus exposes with tailstock to dock the car rational in infrastructure, alleviates medical personnel's working strength, improves art field and exposes the effect to operation efficiency has been promoted.

Description

Knee chest position anus exposes with tailstock butt joint car
Technical Field
The utility model belongs to the technical field of medical instrument and specifically relates to a knee chest position anus exposes with tailstock butt joint car is related to.
Background
With the improvement of living standard, people pay more and more attention to the treatment of benign anal diseases such as hemorrhoids, anal cuke, anal fissure, perianal abscess and the like, so that more and more anal operations are needed.
The knee and chest position is also called as the elbow and knee position, which is a commonly used body position for anal operation. The two knee joints of the patient bend into right angles to kneel on the examination bed, the head, the neck and the chest are padded with pillows, the two forearms bend in front of the chest, the elbow joints are pasted on the bed, the hip is lifted, the two knees are separated and have the same width with the shoulders, and the thighs are vertical to the bed surface.
In the anus operation, because the operation range is narrow, the skin of the buttocks of a patient needs to be pulled towards two sides by an assistant to improve the exposure; even so, still can not reach the good art field and expose the effect; an assistant specially assisting in exposing the surgical field needs to be added, so that the labor is wasted; if the operation time is long, physical energy of an assistant is consumed, and the hip of a patient cannot be broken as far as possible for a long time.
Therefore, it is necessary to design a tail docking cart for exposing the anus at the knee-chest position.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to overcome the defect that exists among the prior art, provide a knee chest position anus exposes with tailstock butt joint car, alleviate medical personnel's working strength, improve the art and expose the effect in the open air to operation efficiency has been promoted.
In order to realize the technical effects, the utility model adopts the technical scheme that: a bed tail butt-joint trolley for exposing an anus at the knee chest position comprises a base, a bearing platform arranged on the base and rollers arranged below the base, wherein a breaking-off assembly for breaking off the hip of a patient is arranged above the bearing platform; the breaking assembly comprises a connecting support and arc-shaped breaking plates matched with hip muscles of a patient, the connecting support is connected with the bearing table, the arc-shaped breaking plates are connected with the connecting support in a sliding mode, the sliding direction of the arc-shaped breaking plates is perpendicular to the side edge of the sickbed, and the sliding directions of the arc-shaped breaking plates are opposite to each other. The breaking-off assembly can replace medical staff to manually break off the hip muscles of the patient, so that the staff in an operating room is reduced, and the labor intensity of the medical staff is reduced.
According to the preferable technical scheme, a driving assembly for driving the arc-shaped snapping plates to slide is arranged between the arc-shaped snapping plates and the connecting support. Through such design, the waste of manpower is avoided to the mode of mechanical drive.
The preferable technical scheme is that the driving assembly comprises a first servo motor, a lead screw and a slide rod, the first servo motor is fixedly connected with the connecting support, the lead screw is rotatably connected with the connecting support, the lead screw is driven by the first servo motor to rotate, the slide rod is fixedly connected with the connecting support, and the axial direction of the slide rod is parallel to the axial direction of the lead screw; the screw comprises two thread sections with opposite threads, the screw is uniformly divided by the two thread sections, the two arc-shaped wrestling plates are respectively in threaded connection with the two thread sections, and the two arc-shaped wrestling plates are in sliding fit with the slide rod. Through such design, servo motor has higher precision, and the distance between the board is broken off with the fingers and thumb to two arcs of being convenient for is adjusted, avoids driving methods such as cylinder to lead to patient's buttock to break off with the fingers and thumb too big, causes tearing damage to the patient.
According to the preferable technical scheme, the breaking-off assembly further comprises a height adjusting assembly for adjusting the height of the arc-shaped breaking-off plate. Through the design, the distance between the arc-shaped separating plate and the hip of the patient can be adjusted according to the tilting degree of the hip of different patients, so that the optimal separating effect is achieved; the height adjusting assembly comprises an outer rod, an inner rod and a locking bolt, the inner rod is arranged in the outer rod in a penetrating mode, a plurality of threaded holes are formed in the inner rod along the axial direction of the inner rod, the outer rod is provided with through holes, the locking bolt is arranged in the through holes in a penetrating mode and is in threaded connection with the threaded holes, the outer rod is in threaded connection with the lead screw, and the inner rod is fixedly connected with the arc-shaped snapping plate; the length of the inner rod in the outer rod is adjusted, so that the purpose of adjusting the height of the arc-shaped panel-severing plate is achieved.
The preferred technical scheme is that the connecting bracket is rotationally connected with the bearing table, and the rotational axial direction of the connecting bracket is parallel to the sliding direction of the arc-shaped wrestling plate; an angle adjusting component for driving the connecting support to rotate is arranged between the connecting support and the bearing table. Through the design, the angle between the arc-shaped plate and the hip of the patient can be adjusted according to the tilting degree of the hip of different patients, so that the arc-shaped plate is fully contacted with the hip of the patient; the angle adjusting assembly comprises a second servo motor fixedly connected with the bearing table, the two connecting supports are rotatably connected with the bearing table through rotating shafts, the rotating shafts penetrate through the bearing table, and the rotating shafts are driven to rotate by the second servo motor; the second servo motor drives the rotating shaft to rotate, and then the angle adjustment of the connecting support is realized.
The preferred technical scheme is that the bearing platform is in vertical sliding fit with the base, and a lifting assembly used for driving the bearing platform to lift is arranged between the bearing platform and the base. Through the design, the bearing table can be matched with sickbeds with different heights, the applicability is wider, and a patient can find the most comfortable height to ensure that the chest cavity and the head are attached to the sickbeds; the lifting assembly comprises an air cylinder, a guide rod and a sliding block in sliding fit with the guide rod, the cylinder body of the air cylinder is fixedly connected with the top surface of the base, the piston rod of the air cylinder is fixedly connected with the bottom surface of the bearing table, the sliding block is fixedly connected with the side wall of the bearing table, the guide rod is fixedly connected with the base, and the axial direction of the guide rod is parallel to the lifting direction of the piston rod; the height of the bearing table can be adjusted by adjusting the distance of the piston rod in the cylinder body of the air cylinder.
The preferred technical scheme does, the plummer is L shape setting, the plummer is provided with two sets of leg way, and is two sets of be provided with between the leg way and be used for making the detached isolation arch of patient's both knees. Through the design, the position requirement of the knee chest position can be met, and the two knees are separated and have the same width with the shoulders.
The preferred technical scheme is that the bearing table is provided with a binding assembly for binding the two legs of the patient on the bearing table. Through the design, the problems that the instinctive movement of the legs of a patient affects the operation process during the operation can be avoided; the binding assembly comprises a thigh limiting plate, the thigh limiting plate is rotatably connected with the bearing table, and a buckle and a clamping groove for fixing the thigh limiting plate are arranged between the bearing table and the thigh limiting plate; the thigh limiting plate is provided with a groove for accommodating the thigh of the patient, and an air bag is arranged in the groove; the binding assembly further comprises a shank limiting plate, the shank limiting plate is rotatably connected with the bearing table, and a magic tape for fixing the position of the shank limiting plate is arranged between the bearing table and the shank limiting plate; the design of gasbag can be fully be fixed in between thigh limiting plate and the plummer with patient's thigh is spacing, and the comfort level of patient also can be promoted to flexible gasbag.
The preferred technical scheme is that the base is provided with a connecting assembly which is fixedly connected with the bed legs of the sickbed. Through the design, the docking trolley and the sickbed are integrated during operation, so that the docking trolley is prevented from moving to influence the operation process; the connecting assembly comprises a clamp body, the clamp body is fixedly connected with the base, and the clamping end of the clamp body is clamped and matched with the bed legs of the sickbed.
The utility model has the advantages and the beneficial effects that: the bed-tail docking trolley for knee chest position anus exposure has reasonable structure, and two groups of buttock muscles of a patient are separated from each other by arranging the breaking-off component on the docking trolley, so that the anus of the patient is exposed, and the surgical field range is improved; compared with the prior art, the number of the assistants in the operating room is reduced, the labor intensity of the assistants is greatly reduced, and the problem that the operation process is influenced because the buttocks of a patient are not broken thoroughly due to the physical decline of the assistants when a long-time operation is carried out is avoided.
Drawings
Fig. 1 is a schematic structural view of a tailstock docking cart for exposing an anus at a knee chest position of the present invention, in an embodiment 1;
FIG. 2 is a side view of the end of the bed butt-joint vehicle for exposing the knee-chest anus of the present invention, in accordance with embodiment 1;
FIG. 3 is a schematic view of a table for knee/chest anus exposure according to embodiment 1 of the present invention, wherein thighs and buttocks of a patient are matched with a bearing table;
FIG. 4 is a top view of the clamp of the end of the bed butt-joint vehicle for exposing the knee-chest anus of the present invention in embodiment 1;
fig. 5 is a schematic view of the height adjusting assembly of the tailstock docking cart for anus exposure at the knee position of the present invention, which is shown in embodiment 2;
fig. 6 is a schematic structural view of a tailstock docking cart for exposing the knee-chest anus according to the embodiment 3 of the present invention;
fig. 7 is a top view of the binding assembly of the end of the bed docking cart for exposing the anus at the knee position of the present invention, according to embodiment 4;
fig. 8 is a side view of the binding assembly of the tailstock docking cart for anus exposure at the knee position of the present invention, embodiment 4;
fig. 9 is a top view of the binding assembly of the tail docking cart for exposing the anus at the knee position of the present invention in an open state (with the air bag not inflated);
in the figure: 1. a base; 11. a roller; 2. a bearing table; 21. a leg way; 22. isolating the bumps; 31. connecting a bracket; 32. an arc-shaped plate is broken off; 33. a rotating shaft; 41. a first servo motor; 42. a lead screw; 43. a slide bar; 51. an outer rod; 52. an inner rod; 53. locking the bolt; 54. a threaded hole; 6. a second servo motor; 71. a cylinder; 72. a guide bar; 73. a slider; 81. a thigh limiting plate; 82. buckling; 83. a card slot; 84. a groove; 85. an air bag; 86. a shank limiting plate; 87. magic tape; 9. a clip body; a. the patient's thigh; b. the buttocks of the patient.
Detailed Description
The following description will further describe embodiments of the present invention with reference to the accompanying drawings and examples. The following examples are only for illustrating the technical solutions of the present invention more clearly, and the protection scope of the present invention is not limited thereby.
The terms "lift," "top surface," and "bottom surface" are used with reference to the normal use of the vehicle, and are used only for convenience in describing the present invention and to simplify the description, but do not indicate or imply that the device or element so referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the invention.
Example 1
As shown in fig. 1 to 4, the bedside butt-joint vehicle for exposing the anus at the knee-chest position of embodiment 1 includes a base 1, a bearing platform 2 disposed on the base 1, and rollers 11 disposed under the base 1, wherein an unfolding component for unfolding the buttocks of a patient is disposed above the bearing platform 2.
The breaking-off assembly comprises a connecting support 31 and arc-shaped breaking-off plates 32 matched with hip muscles of a patient, the connecting support 31 is connected with the bearing platform 2, the arc-shaped breaking-off plates 32 are connected with the connecting support 31 in a sliding mode, the sliding direction of the arc-shaped breaking-off plates 32 is perpendicular to the side edge of a sickbed, and the sliding directions of the two arc-shaped breaking-off plates 32 are opposite.
A driving assembly for driving the arc-shaped severing plate 32 to slide is provided between the arc-shaped severing plate 32 and the connecting bracket 31.
The driving assembly comprises a first servo motor 41, a lead screw 42 and a sliding rod 43, the first servo motor 41 is fixedly connected with the connecting support 31, the lead screw 42 is rotatably connected with the connecting support 31, the lead screw 42 is driven by the first servo motor 41 to rotate, the sliding rod 43 is fixedly connected with the connecting support 31, and the axial direction of the sliding rod 43 is parallel to the axial direction of the lead screw 42; the screw rod 42 comprises two thread sections with opposite threads, the screw rod 42 is uniformly divided by the two thread sections, the two arc-shaped wrestling plates 32 are respectively in threaded connection with the two thread sections, and the two arc-shaped wrestling plates 32 are in sliding fit with the sliding rod 43.
Bearing platform 2 and base 1 upper and lower sliding fit are provided with the lifting unit who is used for driving bearing platform 2 to go up and down between bearing platform 2 and the base 1.
The lifting assembly comprises an air cylinder 71, a guide rod 72 and a sliding block 73 in sliding fit with the guide rod 72, wherein the cylinder body of the air cylinder 71 is fixedly connected with the top surface of the base 1, the piston rod of the air cylinder 71 is fixedly connected with the bottom surface of the bearing table 2, the sliding block 73 is fixedly connected with the side wall of the bearing table 2, the guide rod 72 is fixedly connected with the base 1, and the axial direction of the guide rod 72 is parallel to the telescopic direction of the piston rod of the air cylinder 71.
The plummer 2 is L shape setting, and plummer 2 is provided with two sets of leg way 21, is provided with between two sets of leg way 21 to be used for making the detached isolation arch 22 of patient's both knees.
The base 1 is provided with a connecting component which is used for being fixedly connected with the bed legs of the sickbed.
The connecting assembly comprises a clamp body 9, the clamp body 9 is fixedly connected with the base 1, and a clamping end of the clamp body 9 is clamped and matched with the bed legs of the sickbed.
Method of use of example 1: the medical staff pushes the docking trolley to the tail of the sickbed and is fixedly connected with the bed legs of the sickbed through the clamp body 9;
the height of the bearing platform 2 is adjusted according to the height of the sickbed: starting the air cylinder 71, driving the bearing table 2 to lift by a piston rod of the air cylinder 71, and stopping driving of the air cylinder 71 after the bearing table 2 is adjusted to a proper position;
the two knee joints of the patient are bent to form a right angle to kneel on the bearing table 2, at the moment, the lower legs of the patient are positioned in the leg passages 21, the buttocks are lifted until the buttocks are attached to the arc-shaped wrestling plates 32, the first servo motor 41 is started to enable the two arc-shaped wrestling plates 32 to move back and forth, at the moment, the arc-shaped wrestling plates 32 enable the two buttocks muscles of the patient to be separated, the surgical field is exposed, then the driving of the first servo motor 41 is stopped, and the surgeon can start to perform the surgical operation;
after the operation of the patient is completed, the first servo motor 41 is turned on in the reverse direction to make the two arc-shaped panel-breaking plates 32 move in the opposite direction, at this time, the two hip muscles of the patient are jointed, and the hip of the patient is pulled out from the arc-shaped panel-breaking plates 32 and transferred to the sickbed.
Example 2
As shown in fig. 5, embodiment 2 is based on embodiment 1 except that the breaking assembly further includes a height adjusting assembly for adjusting the height of the arc-shaped breaking plates 32.
The height adjusting assembly comprises an outer rod 51, an inner rod 52 and a locking bolt 53, wherein the inner rod 52 is arranged in the outer rod 51 in a penetrating mode, the inner rod 52 is provided with a plurality of threaded holes 54 along the axial direction of the inner rod, the outer rod 51 is provided with a through hole, and the locking bolt 53 is arranged in the through hole in a penetrating mode and in threaded connection with the threaded holes 54; the outer rod 51 is connected with the screw rod 42 in a threaded manner, and the inner rod 52 is fixedly connected with the arc-shaped wrestling plate 32.
The differences between example 2 and example 1 are:
the height adjusting mode of the arc-shaped severing plate 32: the medical staff unscrews the locking bolt 53, moves the position of the inner rod 52 in the outer rod 51, and after the arc-shaped board 32 is adjusted in place, the locking bolt 53 passes through the through hole to be in threaded connection with the corresponding threaded hole 54, so that the fixation of the inner rod 52 and the outer rod 51 is realized, and the height adjustment of the arc-shaped board 32 is also completed.
Example 3
As shown in fig. 6, embodiment 3 is based on embodiment 2, except that the connecting bracket 31 is rotatably connected with the bearing table 2, and the rotating axial direction of the connecting bracket 31 is arranged parallel to the sliding direction of the arc-shaped arm-breaking plate 32; an angle adjusting component for driving the connecting bracket 31 to rotate is arranged between the connecting bracket 31 and the bearing platform 2.
The angle adjusting assembly comprises a second servo motor 6 fixedly connected with the bearing platform 2, the two connecting supports 31 are rotatably connected with the bearing platform 2 through a rotating shaft 33, the rotating shaft 33 penetrates through the bearing platform 2, and the rotating shaft 33 is driven to rotate by the second servo motor 6. The rotating shaft 33 is rotatably connected with the bearing table 2, and the connecting bracket 31 is fixedly connected with the rotating shaft 33.
The differences between example 3 and example 2 are:
the angle adjusting mode of the arc-shaped panel 32: the medical staff starts the second servo motor 6, and the second servo motor 6 drives the rotating shaft 33 to rotate, so that the connecting bracket 31 rotates, the arc-shaped board-severing plate 32 connected with the connecting bracket 31 rotates, and the angle adjustment of the arc-shaped board-severing plate 32 is realized.
Example 4
As shown in fig. 7 to 9, embodiment 4 is based on embodiment 3 except that a binding assembly for binding both legs of the patient to the support table 2 is provided on the support table 2.
The binding component comprises a thigh limiting plate 81, the thigh limiting plate 81 is rotatably connected with the bearing table 2, and a buckle 82 and a clamping groove 83 for fixing the thigh limiting plate 81 are arranged between the bearing table 2 and the thigh limiting plate 81.
The thigh receiving plate 81 is provided with a recess 84 for receiving the thigh of the patient, and an air bag 85 is provided in the recess 84.
The binding assembly further comprises a shank limiting plate 86, the shank limiting plate 86 is rotatably connected with the bearing platform 2, and a magic tape 87 used for fixing the position of the shank limiting plate 86 is arranged between the bearing platform 2 and the shank limiting plate 86.
The differences between example 4 and example 3 are:
after the patient kneels on the bearing table 2, the lower leg limiting plate 86 is turned over to cover the lower leg of the patient and is fixedly connected with the bearing table 2 through the magic tape 87;
the thigh limiting plate 81 is turned over until the buckle 82 on the bearing table 2 is clamped into the clamping groove 83, the air bag 85 in the groove 84 is inflated, and the thigh of the patient is limited and fixed in the air bag 85;
after the patient operation was accomplished, gasbag 85 gassing, open buckle 82, upset thigh limiting plate 81 pulls open magic subsides 87, opens shank limiting plate 86, and patient's shank can the free activity, and the patient can follow this moment and transfer to the sick bed on from plummer 2.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of improvements and decorations can be made without departing from the technical principle of the present invention, and these improvements and decorations should also be regarded as the protection scope of the present invention.

Claims (9)

1. The bedside butt-joint trolley for exposing the knee-chest anus is characterized by comprising a base (1), a bearing platform (2) arranged on the base (1) and rollers (11) arranged below the base (1), wherein a breaking assembly for breaking off the hip of a patient is arranged above the bearing platform (2), the breaking assembly comprises connecting supports (31) and arc-shaped breaking plates (32) matched with the hip muscles of the patient, and the two connecting supports (31) are respectively connected with two sides of the bearing platform (2); the arc-shaped wrestling plates (32) are connected with the connecting support (31) in a sliding mode, the sliding direction of the arc-shaped wrestling plates (32) is perpendicular to the side edge of the sickbed, and the sliding directions of the two arc-shaped wrestling plates (32) are opposite.
2. The bedside butt-joint vehicle for anus exposure at knee position according to claim 1, wherein a driving component for driving the arc-shaped severing plate (32) to slide is arranged between the arc-shaped severing plate (32) and the connecting bracket (31).
3. The bedside knee-chest position anal exposure bed tail butt-joint trolley is characterized in that the driving assembly comprises a first servo motor (41), a lead screw (42) and a slide rod (43), the first servo motor (41) is fixedly connected with the connecting bracket (31), the lead screw (42) is rotatably connected with the connecting bracket (31), the lead screw (42) is driven by the first servo motor (41) to rotate, the slide rod (43) is fixedly connected with the connecting bracket (31), and the axial direction of the slide rod (43) is parallel to the axial direction of the lead screw (42); the screw rod (42) comprises two thread sections with opposite threads, the screw rod (42) is uniformly divided by the two thread sections, the two arc-shaped wrestling plates (32) are respectively in threaded connection with the two thread sections, and the two arc-shaped wrestling plates (32) are in sliding fit with the sliding rod (43).
4. The bedside end-of-bed butt-joint vehicle for anal exposure at knee position according to claim 1, wherein the severing assembly further comprises a height adjusting assembly for adjusting the height of the arc severing plate (32).
5. The bedside butt-joint vehicle for anus exposure at knee position according to claim 1, wherein the connecting bracket (31) is rotatably connected with the bearing platform (2), and the rotating axial direction of the connecting bracket (31) is parallel to the sliding direction of the arc-shaped wrestling plate (32); an angle adjusting component for driving the connecting support (31) to rotate is arranged between the connecting support (31) and the bearing table (2).
6. The bedside butt-joint vehicle for anus exposure at knee position according to claim 1, wherein the bearing table (2) is in up-and-down sliding fit with the base (1), and a lifting assembly for driving the bearing table (2) to lift is arranged between the bearing table (2) and the base (1).
7. The knee-chest position anus exposure bed-tail butt-joint vehicle as claimed in claim 1, wherein the bearing platform (2) is arranged in an L shape, the bearing platform (2) is provided with two sets of leg passages (21), and an isolation bulge (22) for separating the knees of a patient is arranged between the two sets of leg passages (21).
8. The bedside butt-joint vehicle for anus exposure at the knee position according to claim 1, wherein a binding assembly for binding both legs of the patient on the bearing table (2) is provided on the bearing table (2).
9. The knee chest position anus exposure bed tail docking cart according to claim 1, characterized in that the base (1) is provided with a connection assembly for fixed connection with a bed leg of a hospital bed.
CN202121074150.9U 2021-05-19 2021-05-19 Knee chest position anus exposes with tailstock butt joint car Active CN214806434U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202121074150.9U CN214806434U (en) 2021-05-19 2021-05-19 Knee chest position anus exposes with tailstock butt joint car

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202121074150.9U CN214806434U (en) 2021-05-19 2021-05-19 Knee chest position anus exposes with tailstock butt joint car

Publications (1)

Publication Number Publication Date
CN214806434U true CN214806434U (en) 2021-11-23

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN202121074150.9U Active CN214806434U (en) 2021-05-19 2021-05-19 Knee chest position anus exposes with tailstock butt joint car

Country Status (1)

Country Link
CN (1) CN214806434U (en)

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