CN217828188U

CN217828188U - Hand fixing device for limiting ICU patient accidental tube drawing

Info

Publication number: CN217828188U
Application number: CN202220459741.6U
Authority: CN
Inventors: 贺文芳; 王西; 葛燕; 梁素莹; 高甜甜; 薛鹏; 何佳霖; 刘俊江; 茹文娟; 吴狄凌
Original assignee: Second Xiangya Hospital of Central South University
Current assignee: Second Xiangya Hospital of Central South University
Priority date: 2022-03-04
Filing date: 2022-03-04
Publication date: 2022-11-18
Anticipated expiration: 2032-03-04

Abstract

The application discloses hand fixing device of unexpected extubation of restriction ICU patient belongs to medical auxiliary instrument technical field, including L type base plate, the adjustment tank has been seted up to the side of L type base plate, install two sets of spacing subassemblies in the adjustment tank, it covers the bridge to be equipped with the elbow pressure on the L type base plate and covers the bridge with the wrist pressure, the elbow is pressed to cover and is equipped with the elbow in the bridge and the wrist pressure respectively and covers the gasbag with the wrist pressure, one side that the elbow pressure covered the bridge was kept away from to L type base plate up end is equipped with removable folded plate, removable folded plate includes the kink of horizontal extension and extension one end, be connected with one of two sets of spacing thumbs on the kink of removable folded plate, it detains two to be connected with four spacing knot that take of four other than the thumb roots on the extension of removable folded plate. This hand fixing device of unexpected tube drawing of restriction ICU patient is spacing to the finger through detaining the area, hinders the finger application of force, and the cooperation gasbag is spacing to elbow and wrist, realizes that convenient and safe hand is fixed.

Description

Hand fixing device for limiting ICU patient from accidental tube drawing

Technical Field

The application belongs to the technical field of medical auxiliary instruments, and particularly relates to a hand fixing device for limiting ICU patient accidental tube drawing.

Background

The ICU accidental extubation refers to the automatic extubation without the consent of medical staff and without the compliance with the customs characteristics, and at present, the main reasons for the ICU patient to have the accidental extubation are as follows: (1) The ICU patient may develop restlessness, confusion, delirium immediately after waking up, resulting in the patient pulling out the tube by himself. (2) And patients with clear-headed dysphoria lack effective restriction and continuous sedation, and are stimulated and pressed by foreign matters such as tracheal intubation and gastric intubation to generate pain, so that the patients can pull out the tube automatically. (3) The strange environment of the ICU causes the psychological hint and psychological pressure and other stimulation brought to the patient by the fear and the fear of the patient and the alarm sound of the instrument, so that the patient pulls out the tube by himself.

Therefore, how to prevent the patient from extubating without the consent of medical staff is the focus of research in the medical field.

In the process of implementing the application, the inventor finds that at least the following problems exist in the technology: the part is to the fixed bandage structure of wrist, and when using, patient's finger position can not obtain spacingly, consequently can grasp structures such as sheet, guardrail relatively easily and exert force and break away. Meanwhile, the bandage structure is fixed on the wrist by applying force to the hand, and the skin of a patient is easily abraded due to the movement of the arm under the pressing of the bandage.

Therefore, the hand fixing device for limiting the accidental tube drawing of the ICU patient is provided to solve the problems.

SUMMERY OF THE UTILITY MODEL

The invention aims to solve the technical problems and provides a hand fixing device for limiting the accidental extubation of an ICU patient.

In order to achieve the purpose, the following technical scheme is adopted in the application:

the utility model provides a hand fixing device of unexpected tube drawing of restriction ICU patient, includes L type base plate, the adjustment tank has been seted up to the side of L type base plate, install two sets of spacing subassemblies that are used for connecting the bed rail realization to L type base plate is fixed in the adjustment tank, it covers the bridge with the wrist pressure to be equipped with the elbow pressure on the L type base plate, the elbow is pressed to cover the bridge and is equipped with the elbow pressure in the bridge with the wrist pressure respectively and covers gasbag and wrist pressure, one side that the elbow pressure was covered the bridge was kept away from to L type base plate up end is equipped with removable folded plate, removable folded plate includes the kink of horizontal extension and extension one end, be connected with two sets of spacing thumb on the kink of removable folded plate and detain area one, be connected with four groups spacing four on the extension of removable folded plate except that the thumb root detain two, the below of removable folded plate is equipped with the spacing extension area of drawable pull, detain the banded structure that area one is end connection removable folded plate with two, detain the other end that detains area and pass the folded plate and extend the area and be connected.

As a further preferred scheme, the limiting component comprises a U-shaped sleeve clamp for buckling the fence and a shaft rod arranged on one side of the U-shaped sleeve clamp, and the shaft rod penetrates through the adjusting groove.

As a further preferable scheme, a group of fastening bolts is screwed on the opening side of the U-shaped collets.

As a further preferred scheme, a first abutting disk arranged on one side of the adjusting groove is installed on the shaft rod, and a second abutting disk arranged on the other side of the adjusting groove is installed on the end portion of the shaft rod.

As a further preferred solution, the end of the shaft is configured with an external thread for the threaded mounting of the contact disk.

As a further preferred scheme, the elbow pressing air bag and the wrist pressing air bag are communicated through a communicating pipe, and the communicating pipe is arranged on one side close to the adjusting tank.

As a further preferable scheme, one end of the extension belt extends out of the L-shaped substrate, a plurality of groups of limiting teeth are configured on the extension belt, an insertion frame is configured above a position of the L-shaped substrate, where the extension belt extends out of the L-shaped substrate, and a wedge-shaped limiting fixture block with a bottom end embedded between adjacent limiting teeth is fixedly inserted on the insertion frame.

To sum up, the technical effect and the advantage of this application: this hand fixing device of unexpected extubation of restriction ICU patient is spacing to the thumb of easy application of force through detaining a spacing tooth to it is spacing to the root of detaining two pairs of surplus four fingers through detaining the area, need not to tie up and can make the finger unable application of force, realizes spacing to the palm. Through pressing to elbow portion and covering gasbag and wrist and pressing and covering pump gas in the gasbag, can realize covering patient's elbow position and wrist position, its area of contact with the arm is great during gasbag pump gas, can avoid similar bandage to tie up the indentation that leads to when pressing and covering as far as possible.

Drawings

FIG. 1 is a schematic structural diagram of the present application;

FIG. 2 is a schematic structural view of a stop assembly of the present application;

fig. 3 is an enlarged schematic view of the structure at a in fig. 1 of the present application.

In the figure: 1. an L-shaped substrate; 101. an adjustment groove; 102. pressing the bridge on the elbow; 10201. pressing the air bag on the elbow; 103. covering the bridge on the wrist; 10301. covering the air bag on the wrist; 104. a communicating pipe; 2. a limiting component; 201. u-shaped jacket clamps; 20101. fastening a bolt; 202. a shaft lever; 20201. an external thread; 203. a first contact plate; 204. a second contact plate; 3. the folded plate can be disassembled; 301. a first buckle belt; 302. a second buckle belt; 303. an extension band; 30301. limiting teeth; 4. a plug-in frame; 401. a wedge-shaped limiting clamping block.

Detailed Description

The technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only a part of the embodiments of the present application, and not all of the embodiments.

Referring to fig. 1, a hand fixing device for limiting the accidental extubation of an ICU patient comprises an L-shaped substrate 1, wherein an elbow pressing bridge 102 and a wrist pressing bridge 103 are arranged on the L-shaped substrate 1, and an elbow pressing air bag 10201 and a wrist pressing air bag 10301 are respectively arranged in the elbow pressing bridge 102 and the wrist pressing bridge 103. The elbow pressing air bag 10201 and the wrist pressing air bag 10301 are communicated through a communication pipe 104, and the communication pipe 104 is arranged on the side close to the adjustment tank 101. Through pressing to the elbow portion and covering gasbag 10201 and the wrist and pressing in gasbag 10301 pump gas, can realize pressing to patient's elbow position and wrist position, its area of contact with the arm is great during gasbag pump gas, can avoid as far as possible to tie up the indentation that leads to like bandage when pressing.

Referring to fig. 1 and 2, an adjusting groove 101 is formed in a side surface of the L-shaped base plate 1, and two groups of limiting assemblies 2 used for connecting a bed fence to fix the L-shaped base plate 1 are installed in the adjusting groove 101. The limiting component 2 comprises a U-shaped sleeve clamp 201 for buckling the fence and a shaft rod 202 arranged on one side of the U-shaped sleeve clamp 201, and the shaft rod 202 penetrates through the adjusting groove 101. A set of fastening bolts 20101 is in threaded connection with the opening side of the U-shaped collet 201. The size of the opening of the U-shaped sleeve clamp 201 can be changed by screwing the fastening bolt 20101, so that the limit of a rod-shaped structure on the hospital bed fence is realized.

The first abutting disk 203 arranged on one side of the adjusting groove 101 is installed on the shaft rod 202, and the second abutting disk 204 arranged on the other side of the adjusting groove 101 is installed at the end part of the shaft rod 202. Wherein, the end of the shaft lever 202 is configured with an external thread 20201 for screwing and installing the second abutting disk 204.

Referring to fig. 3, a detachable flap 3 is disposed on a side of the upper end surface of the l-shaped base plate 1 away from the elbow pressing bridge 102, and the detachable flap 3 includes a transverse extending portion and a bent portion at one end of the extending portion. The bending part of the detachable folding plate 3 is connected with two groups of first fastening belts 301 for limiting the thumb, and the extending part of the detachable folding plate 3 is connected with four groups of second fastening belts 302 for limiting the root parts of the four fingers except the thumb. An extension belt 303 capable of being drawn and limited is arranged below the detachable folding plate 3, the first buckle belt 301 and the second buckle belt 302 are both in a belt-shaped structure with the end parts connected with the detachable folding plate 3, and the other ends of the first buckle belt 301 and the second buckle belt 302 penetrate through the detachable folding plate 3 to be connected with the extension belt 303. The L-shaped substrate 1 is provided with a slot for mounting the extension tape 303, and one end of the extension tape 303 extends out of the L-shaped substrate 1.

A plurality of groups of limiting teeth 30301 are constructed on the extension belt 303, an inserting frame 4 is constructed above the position of the L-shaped substrate 1, which is positioned outside the L-shaped substrate 1, of the extension belt 303, and a wedge-shaped limiting fixture block 401, the bottom end of which is embedded between the adjacent limiting teeth 30301, is fixedly inserted into the inserting frame 4. When the first buckle band 301 and the second buckle band 302 are tightened to limit fingers, the bottom end of the wedge-shaped limiting fixture block 401 is embedded between the adjacent limiting teeth 30301 by pressing the wedge-shaped limiting fixture block 401 downwards, so that the extension band 303 is positioned. The thumb which is easy to apply force is limited through the first buckle belt 301, the roots of the rest four fingers are limited through the second buckle belt 302, force cannot be applied to the fingers without binding, and the palm is limited.

The working principle is as follows: before installation, the positions of the two groups of limiting components 2 on the adjusting groove 101 are adjusted firstly, the U-shaped jacket clamp 201 is made to align the fence connecting rod to be connected by sliding along the adjusting groove 101, the fastening bolt 20101 is screwed off to enable the fence connecting rod to be sleeved into the U-shaped jacket clamp 201, and the fastening bolt 20101 is screwed in, so that the opening of the U-shaped jacket clamp 201 is contracted, and connection with the fence connecting rod is achieved.

At this time, only the arm of the patient needs to pass through the elbow pressing bridge 102 and the wrist pressing bridge 103, because the thumb is flexible and is used as the main action part for applying force, the thumb needs to be inserted into the two groups of the first fastening tapes 301, the remaining four fingers need to be inserted into the second fastening tape 302, the second fastening tape 302 is sleeved at the root parts of the remaining four fingers, the first fastening tape 301 and the second fastening tape 302 can be tightened by pulling the extension tape 303, and the palm cannot be bent for applying force because the root parts of the four fingers are limited.

And after the arm of the patient is adjusted to be straightened, pumping air into the elbow pressing air bag 10201 and the wrist pressing air bag 10301, and respectively limiting the elbow position and the wrist position by the elbow pressing air bag 10201 and the wrist pressing air bag 10301 in the expanded state to realize further limiting.

The above description is only for the preferred embodiments of the present application, but the scope of the present application is not limited thereto, and any person skilled in the art should be considered to be within the scope of the present application, and all equivalent substitutions and changes according to the technical solutions and the inventive concepts of the present application should be covered by the scope of the present application.

Claims

1. A hand fixing device for limiting the accidental tube drawing of an ICU patient comprises an L-shaped base plate (1), it is characterized in that the side surface of the L-shaped base plate (1) is provided with an adjusting groove (101), two groups of limiting assemblies (2) used for connecting a bed fence to fix the L-shaped base plate (1) are arranged in the adjusting groove (101), an elbow pressing bridge (102) and a wrist pressing bridge (103) are arranged on the L-shaped substrate (1), an elbow pressing air bag (10201) and a wrist pressing air bag (10301) are respectively arranged in the elbow pressing bridge (102) and the wrist pressing bridge (103), one side of the upper end surface of the L-shaped substrate (1) far away from the elbow pressing bridge (102) is provided with a detachable folded plate (3), the detachable folded plate (3) comprises a transverse extending part and a bent part at one end of the extending part, the bending part of the detachable folding plate (3) is connected with two groups of first buckle belts (301) for limiting the thumb, the extension part of the detachable folded plate (3) is connected with four groups of buckling belts (302) for limiting the root parts of four fingers except the thumb, an extension belt (303) which can be drawn and limited is arranged below the detachable folded plate (3), the first buckle belt (301) and the second buckle belt (302) are both strip-shaped structures with ends connected with the detachable folded plate (3), the other ends of the first buckle belt (301) and the second buckle belt (302) penetrate through the detachable folded plate (3) to be connected with the extension belt (303).

2. The hand fixing device for limiting the accidental extubation of an ICU patient according to claim 1, characterized in that the limiting component (2) comprises a U-shaped collet (201) of the buckling fence and a shaft rod (202) arranged at one side of the U-shaped collet (201), wherein the shaft rod (202) passes through the adjusting groove (101).

3. A hand fixation device to limit accidental extubation in ICU patients according to claim 2, wherein the open side of the U-shaped collet (201) is threaded with a set of fastening bolts (20101).

4. The hand fixing device for limiting the accidental extubation of the ICU patient according to claim 2, wherein the shaft rod (202) is provided with a first interference disc (203) disposed on one side of the adjusting groove (101), and the end of the shaft rod (202) is provided with a second interference disc (204) disposed on the other side of the adjusting groove (101).

5. The hand fixation device of claim 4, wherein the end of the shaft (202) is configured with an external thread (20201) for the threaded attachment of the second abutment plate (204).

6. A hand fixation device for limiting the accidental extubation of ICU patients according to claim 1, wherein the elbow pressing balloon (10201) and the wrist pressing balloon (10301) are connected by a connection tube (104), and the connection tube (104) is disposed at a side close to the adjustment tank (101).

7. The hand fixing device for limiting the accidental extubation of an ICU patient as claimed in claim 1, wherein one end of the extension belt (303) extends out of the L-shaped substrate (1), a plurality of sets of limiting teeth (30301) are configured on the extension belt (303), an inserting frame (4) is configured above the position of the L-shaped substrate (1) where the extension belt (303) extends out of the L-shaped substrate (1), and a wedge-shaped limiting fixture block (401) with the bottom end embedded between adjacent limiting teeth (30301) is fixedly inserted on the inserting frame (4).