CN218652383U - Device for preventing acquired pressure injury in lithotomy position operation patient operation - Google Patents

Device for preventing acquired pressure injury in lithotomy position operation patient operation Download PDF

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CN218652383U
CN218652383U CN202222565286.0U CN202222565286U CN218652383U CN 218652383 U CN218652383 U CN 218652383U CN 202222565286 U CN202222565286 U CN 202222565286U CN 218652383 U CN218652383 U CN 218652383U
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protection unit
lithotomy
bedding body
pressure injury
acquired pressure
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张倩
孙鸿翔
许孟楠
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Jiangsu Province Hospital
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Jiangsu Province Hospital
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Abstract

The utility model discloses an acquirement pressure nature damage device in prevention lithotomy position operation patient art, including the bedding body, the bedding body is spread on the operation table, is equipped with sacrococcygeal portion protection unit and waist protection unit on the bedding body, and sacrococcygeal portion protection unit and waist protection unit are each other not communicated, and the both sides of the bedding body are connected and are injectd the subassembly, and it includes connecting plate and fixation clamp subassembly to inject the subassembly. The advantage lies in the utility model discloses the structure of device adoption simple, easy operation prevents that the acquirement pressure nature damage from taking place in the art, alleviates the waist and does not fit.

Description

预防截石位手术患者术中获得性压力性损伤装置Device for preventing intraoperative acquired pressure injury in patients undergoing lithotomy

技术领域technical field

本实用新型涉及一种预防截石位手术患者术中获得性压力性损伤装置。The utility model relates to a device for preventing intraoperative acquired pressure injury of a lithotomy position operation patient.

背景技术Background technique

在医疗领域,截石位是一种常见的手术体位,适用于妇科、泌尿外科或者结直肠外科。截石位手术体位摆放方法:患者取仰卧位,在近髋关节平面放置截石位腿架;手臂包裹于身体两侧,如果手臂需外展,同仰卧位;双下肢外展<90°,大腿前屈的角度应根据手术需要而改变,用约束带固定下肢,放下手术床腿板;必要时,臀部下方垫体位垫,以减轻局部压迫,同时臀部也得到相应抬高,便于手术操作。当需要头低脚高位时,可加用肩托,以防止患者向头端滑动。In the medical field, the lithotomy position is a common surgical position, suitable for gynecology, urology or colorectal surgery. Positioning method for lithotomy position surgery: the patient is placed in the supine position, and the lithotomy position leg rest is placed on the plane near the hip joint; the arms are wrapped around the sides of the body, if the arms need to be abducted, the same supine position; the abduction of both lower limbs < 90° , The angle of thigh flexion should be changed according to the needs of the operation, fix the lower limbs with restraint belts, and put down the leg board of the operating table; if necessary, place a body position pad under the buttocks to reduce local compression, and the buttocks are also raised accordingly to facilitate the operation . When the head is down and the feet are high, a shoulder support can be added to prevent the patient from sliding toward the head.

常见截石位手术有经阴道手术、腹腔镜类手术、宫腔镜手术等,患者在手术过程中需要保持强迫体位。骶尾部是截石位手术主要受压部位,也是剪切力重点着力部位,且局部缺乏脂肪和肌肉的保护,加之术中低血压、低氧血症、手术时间长、举宫器应用不当等因素,易造成压力性损伤。Common lithotomy position operations include transvaginal surgery, laparoscopic surgery, hysteroscopic surgery, etc. The patient needs to maintain a forced position during the operation. The sacral coccygeal region is the main pressure part of lithotomy position operation, and it is also the key point of shear force, and the local lack of fat and muscle protection, coupled with intraoperative hypotension, hypoxemia, long operation time, improper use of uterine lifters, etc. Factors that can easily cause pressure injuries.

授权公告号CN216676283U是中国实用新型专利,公开了截石位手术腰骶支撑架,包括主板,主板上固接有皮垫,主板上开设有两组对称的开孔,两组开孔内分别螺接有腰垫和臀垫,主板上开设有扩张口,扩张口内设置有横向弹性伸缩杆和纵向弹性伸缩杆,该实用新型通过腰垫和臀垫的旋紧开关对腰部和骶尾部进行避免压疮和腰部不适,在使用过程中患者躺在支撑架上后,医务人员调整腰垫和臀垫等操作不便。Authorized notification number CN216676283U is a Chinese utility model patent, which discloses a lumbosacral support frame for lithotomy surgery, including a main board, on which a leather pad is fixed, and two groups of symmetrical openings are opened on the main board, and the two groups of openings are respectively screwed. The lumbar pad and hip pad are connected, and an expansion port is opened on the main board, and a horizontal elastic expansion rod and a longitudinal elastic expansion rod are arranged in the expansion port. Sores and waist discomfort, after the patient lies on the support frame during use, it is inconvenient for the medical staff to adjust the lumbar pad and hip pad.

实用新型内容Utility model content

本实用新型所要解决的是,骶尾部长时间受压发生压力性损伤。针对上述技术问题,提出一种预防截石位手术患者术中获得性压力性损伤装置,通过以下技术方案实现的:一种预防截石位手术患者术中获得性压力性损伤装置,包括铺垫体,铺垫体铺在手术床上,铺垫体上设有骶尾部保护单元和腰部保护单元,骶尾部保护单元和腰部保护单元互不连通,铺垫体的两侧连接限定组件。What the utility model aims to solve is that pressure injury occurs when the sacrum is compressed for a long time. In view of the above technical problems, a device for preventing intraoperative acquired pressure injury in patients undergoing lithotomy position is proposed, which is realized through the following technical solutions: A device for preventing intraoperative acquired pressure injury in patients undergoing lithotomy position, including a bedding body The bedding body is laid on the operating bed, the bedding body is provided with a sacrococcygeal protection unit and a lumbar protection unit, the sacral coccygeal protection unit and the lumbar protection unit are not connected to each other, and both sides of the bedding body are connected to limit components.

本实用新型的预防截石位手术患者术中获得性压力性损伤装置,采用的是在手术床上铺设铺垫体,在铺垫体上增加骶尾部保护单元和腰部保护单元,铺垫体的绑带连接铺垫体及其两侧限定组件,使铺垫体和气囊保持平整,并且采用的是简单、易操作的结构,防止压力性损伤发生,缓解腰部不适。The device for preventing intraoperative acquired pressure injury of lithotomy position operation patients of the present utility model adopts laying a bedding body on the operating bed, adding a sacrum protection unit and a waist protection unit on the bedding body, and the straps of the bedding body are connected to the bedding The body and its two sides define components to keep the bedding body and airbags flat, and adopt a simple and easy-to-operate structure to prevent pressure injuries and relieve waist discomfort.

本实用新型的技术方案,铺垫体上设有四个绑带,四个绑带连接限定组件;骶尾部保护单元包括第一气囊,第一气囊上设有数个第一凸起,第一气囊上开设缺口;腰部保护单元包括第二气囊,第二气囊上设有数个第二凸起。According to the technical solution of the present utility model, four straps are arranged on the bedding body, and the four straps are connected to limit components; A gap is opened; the waist protection unit includes a second airbag, and several second protrusions are arranged on the second airbag.

本实用新型的技术方案,限定组件包括连接板和固定夹组件,连接板的上设有两个半环,半环与绑带连接,固定夹组件包括第一夹板和第二夹板。According to the technical solution of the utility model, the limited assembly includes a connecting plate and a fixing clip assembly, two half rings are arranged on the connecting plate, and the half rings are connected with straps, and the fixing clip assembly includes a first splint and a second splint.

本实用新型的技术方案,第二夹板的一边上设有档条。In the technical proposal of the utility model, a rail is provided on one side of the second splint.

本实用新型的技术方案,铺垫体分为三层,上层、下层和中层,中层为加热层,铺垫体上连接有感温片。In the technical scheme of the utility model, the bedding body is divided into three layers, an upper layer, a lower layer and a middle layer, the middle layer is a heating layer, and a temperature-sensitive sheet is connected to the bedding body.

本实用新型与现有技术相比具有的有益效果是:Compared with the prior art, the utility model has the beneficial effects that:

本实用新型的技术方案,采用的是在手术床上铺设铺垫体,在铺垫体上增加骶尾部保护单元和腰部保护单元,铺垫体的绑带连接铺垫体及其两侧限定组件,使铺垫体和气囊保持平整。The technical scheme of the utility model adopts laying a bedding body on the operating bed, adding a sacrococcygeal protection unit and a waist protection unit on the bedding body, and the straps of the bedding body are connected to the bedding body and the components on both sides thereof, so that the bedding body and the The bladder stays flat.

本实用新型的技术方案,采用简单、易操作的结构,防止压力性损伤发生,缓解腰部不适。The technical scheme of the utility model adopts a simple and easy-to-operate structure to prevent pressure injuries and relieve waist discomfort.

附图说明Description of drawings

图1为装置的示意图。Figure 1 is a schematic diagram of the device.

图2为铺垫体和限定组件的局部视图。Figure 2 is a partial view of the underlayment body and restraint assembly.

图3为骶尾部保护单元和腰部保护单元的示意图。Fig. 3 is a schematic diagram of the sacrococcygeal protection unit and the lumbar protection unit.

图4为固定夹组件的局部剖视图。Figure 4 is a partial cross-sectional view of the clip assembly.

图5为铺垫体的示意图。Fig. 5 is a schematic diagram of a bedding body.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图1-5,对本实用新型实施例中的技术方案进行详细的描述。The technical solutions in the embodiments of the present invention will be described in detail below in conjunction with the accompanying drawings 1-5 in the embodiments of the present invention.

实施例1Example 1

如图1所示,预防截石位手术患者术中获得性压力性损伤装置,包括铺垫体1和设在铺垫体两侧的限定组件。As shown in FIG. 1 , the device for preventing intraoperative acquired pressure injury of patients undergoing lithotomy position includes a bedding body 1 and limiting components arranged on both sides of the bedding body.

如图1所示,铺垫体1铺在手术床上,铺垫体1的上表面设有骶尾部保护单元2和腰部保护单元3,骶尾部保护单元2和腰部保护单元3互不连通,铺垫体1连接限定组件。As shown in Figure 1, the bedding body 1 is spread on the operating bed, and the upper surface of the bedding body 1 is provided with a sacrum protection unit 2 and a lumbar protection unit 3, and the sacrum protection unit 2 and the lumbar protection unit 3 are not connected to each other, and the bedding body 1 Connections define components.

如图1所示,限定组件包括连接板5和固定夹组件6,连接板5与固定夹组件6热熔连接。As shown in FIG. 1 , the limiting assembly includes a connecting plate 5 and a fixing clip assembly 6 , and the connecting plate 5 and the fixing clip assembly 6 are hot-melt connected.

如图1所示,铺垫体1为椭圆形,铺垫体1的圆周上设有对称的四个绑带4,四个绑带4连接限定组件,四个绑带4与铺垫体1缝制而成,四个绑带4另一端采用魔术贴粘贴的方式,绑带4一端与自身相对后,魔术贴进行粘贴。As shown in Figure 1, the bedding body 1 is elliptical, and the circumference of the bedding body 1 is provided with four symmetrical straps 4, the four straps 4 are connected to limit components, and the four straps 4 are sewn with the bedding body 1 The other ends of the four straps 4 are pasted with Velcro, and after one end of the straps 4 is opposite to itself, the Velcro is pasted.

如图1所示,第一气囊21与铺垫体1上表面热熔连接,第一气囊21为椭圆形,第一气囊21采用PVC材质或者亲肤的材质,第一气囊21通过气管连接第一充气柄,第一充气柄采用现有的充气柄结构,此为本领域的已知技术,第一气囊21的上表面有第一凸起22;第一气囊21和第一凸起22一体成型。As shown in Figure 1, the first airbag 21 is thermally melted connected with the upper surface of the bedding body 1, the first airbag 21 is oval, the first airbag 21 is made of PVC material or skin-friendly material, and the first airbag 21 is connected to the first airbag through the trachea. Inflatable handle, the first inflatable handle adopts the existing inflatable handle structure, which is a known technology in the art, the upper surface of the first air bag 21 has a first protrusion 22; the first air bag 21 and the first protrusion 22 are integrally formed .

如图3所示,第一气囊21上开设缺口23,缺口位于骶骨部,第一气囊21将骶骨部抬高,使骶骨部悬空,避免骶骨部受压,防止压力性损伤发生,同时保持骶骨部干燥。As shown in Figure 3, a notch 23 is provided on the first airbag 21, and the notch is located at the sacrum. The first airbag 21 raises the sacrum, suspends the sacrum, avoids pressure on the sacrum, prevents pressure injuries from occurring, and maintains the sacrum at the same time. part dry.

第一气囊21充气后,将骶尾部抬高,同时数个第一凸起22鼓起,与皮肤接触,数个第一凸起与皮肤有间隙,有利于空气与皮肤接触,便于透气排汗。After the first airbag 21 is inflated, the sacral coccyx is raised, and at the same time, several first protrusions 22 bulge and contact the skin. There are gaps between the first protrusions and the skin, which is conducive to air contact with the skin, and is convenient for ventilation and perspiration .

第二气囊31与铺垫体1的上表面热熔连接,第二气囊31为椭圆形,第二气囊31采用PVC材质或者亲肤的材质,第二气囊31通过气管连接有第二充气柄,第二充气柄采用现有的充气柄结构,此为本领域的已知技术,第二气囊31的上表面有数个第二凸起32,第二气囊31和数个第二凸起32一体成型。The second airbag 31 is thermally connected with the upper surface of the bedding body 1. The second airbag 31 is oval. The second airbag 31 is made of PVC material or skin-friendly material. The second airbag 31 is connected with a second inflation handle through a trachea. The second inflation handle adopts the existing inflation handle structure, which is a known technology in the art. There are several second protrusions 32 on the upper surface of the second air bag 31, and the second air bag 31 and the plurality of second protrusions 32 are integrally formed.

第二气囊31支撑腰部,避免腰部悬空不适,同时第二凸起32鼓起,第二凸起32与皮肤接触,数个第二凸起32与皮肤有间隙,有利于空气与皮肤接触,便于透气排汗。The second air bag 31 supports the waist, avoiding the discomfort of the waist in the air. At the same time, the second protrusions 32 are bulged, and the second protrusions 32 are in contact with the skin. Breathable and sweat-wicking.

使用时,根据患者的需求进行选择,可以单独使用骶尾部保护单元或腰部保护单元,也可以两个同时或交替使用。When in use, it is selected according to the needs of the patient, and the sacrococcygeal protection unit or the lumbar protection unit can be used alone, or both can be used simultaneously or alternately.

如图2所示,连接板5为腰形状,连接板5和半环51均采用医用硬质塑料,连接板5与两个半环51热熔连接,使用时,绑带4穿入半环51后,绑带4的一端与自身魔术贴粘贴,绑带4与半环51连接后,起到对铺垫体1的位置约束,使铺垫体1保持平整状态。As shown in Figure 2, the connecting plate 5 is in the shape of a waist, and the connecting plate 5 and the half ring 51 are made of medical hard plastic, and the connecting plate 5 and the two half rings 51 are hot-melt connected. When in use, the strap 4 penetrates the half ring After 51, one end of the strap 4 is pasted with its own Velcro, and after the strap 4 is connected with the half ring 51, it acts as a constraint on the position of the bedding body 1, so that the bedding body 1 remains flat.

如图4所示,第一夹板61和第二夹板62采用医用硬质塑料,两个连接管63采用金属材质,连接管63一端与第一夹板61热熔连接,连接管63另一端套入第二夹板62的孔内,弹簧64套在连接管63内,弹簧64与第一夹板61和第二夹板62热熔连接,连接板5与第一夹板61热熔连接。As shown in Figure 4, the first splint 61 and the second splint 62 are made of medical hard plastic, the two connecting pipes 63 are made of metal, one end of the connecting pipe 63 is hot-melt connected with the first splint 61, and the other end of the connecting pipe 63 is inserted into In the hole of the second clamping plate 62 , the spring 64 is sleeved in the connecting pipe 63 , the spring 64 is thermally melted connected with the first clamping plate 61 and the second clamping plate 62 , and the connecting plate 5 is thermally melted connected with the first clamping plate 61 .

弹簧64具有受力后变形,去除压力后,恢复原形的特性,使用时,拉动第一夹板61和第二夹板62,卡合在手术床边后,去除夹板上的外力。The spring 64 has the characteristics of deforming after being stressed, and returning to its original shape after removing the pressure. When in use, the first splint 61 and the second splint 62 are pulled, and after they are engaged with the operating bed, the external force on the splints is removed.

本实施例的运动过程:将铺垫体1铺于手术床上,将固定夹组件6卡合在手术床边,绑带4穿过半环51,使铺垫体保持平整,对骶尾部保护单元气囊2进行充气,使骶尾部抬高,起到预防压力性损伤的作用,对腰部保护单元3进行充气,支撑腰部,缓解腰部不适。The movement process of this embodiment: spread the bedding body 1 on the operating bed, engage the fixing clip assembly 6 on the side of the operating bed, pass the strap 4 through the half ring 51, keep the bedding body flat, and carry out the airbag 2 of the sacrococcygeal protection unit. Inflate the sacral coccygeus to prevent pressure injury, inflate the lumbar protection unit 3 to support the lumbar and relieve lumbar discomfort.

实施例2Example 2

基于实施例1的基础上,如图4所示,第二夹板62的一边上设有档条62a,档条62a采用医用硬质塑料,档条62a与第二夹板62热熔连接。On the basis of Embodiment 1, as shown in FIG. 4 , a side bar 62 a is provided on one side of the second splint 62 .

使用时,拉动第一夹板61和第二夹板62,使固定夹位于手术床边,使档条62a位于手术床边的下边里侧,档条62a起到对水平方向位置的限位,第一夹板61和第二夹板62起到垂直方向的限位。During use, the first splint 61 and the second splint 62 are pulled, so that the fixing clip is positioned at the operating bedside, and the rack bar 62a is positioned at the lower side of the operating bedside, and the rack bar 62a serves as a limit to the position in the horizontal direction. The splint 61 and the second splint 62 serve as a limit in the vertical direction.

实施例3Example 3

基于实施例1和2的基础上,如图5所示,铺垫体1分为上层和下层,上下层均采用医用棉质材料,棉质材料与中层接触面有防渗漏材质,中层加热层12采用加热丝,上下层将中层包裹缝制而成,加热丝采用同现有的加热垫相同的加热材质,加热丝采用防导电的加热材质。Based on the basis of Examples 1 and 2, as shown in Figure 5, the bedding body 1 is divided into an upper layer and a lower layer. 12. Heating wire is adopted, and the upper and lower layers wrap and sew the middle layer. The heating wire adopts the same heating material as the existing heating pad, and the heating wire adopts an anti-conductive heating material.

铺垫体上的感温片与加热层12的线路粘贴连接,感温片包括硅胶吸盘和温度传感器。The temperature-sensing sheet on the bedding body is pasted and connected with the circuit of the heating layer 12, and the temperature-sensing sheet includes a silica gel suction cup and a temperature sensor.

加热层12、感温片与控制部连接配合使用,控制部包括显示屏、温控器、开关、报警器、温度调节按钮和接口。The heating layer 12 and the temperature sensing sheet are connected and used in cooperation with the control part, which includes a display screen, a temperature controller, a switch, an alarm, a temperature adjustment button and an interface.

加热层12与显示屏、温控器、开关和温度调节按钮电性连接,显示屏显示加热层12的温度,按下温度调节按钮对温控器进行温度设定,开关控制通电、断电。The heating layer 12 is electrically connected with the display screen, thermostat, switch and temperature adjustment button. The display screen displays the temperature of the heating layer 12. Press the temperature adjustment button to set the temperature of the thermostat, and the switch controls power on and off.

感温片与显示屏、报警器电性连接,感温片贴于患者的皮肤上,用于测试患者的体温,当患者温度超过37℃或者低于36℃时,报警器发出报警提醒,以防止患者术中发生烫伤或者体温低。The temperature-sensing sheet is electrically connected with the display screen and the alarm. The temperature-sensing sheet is attached to the patient's skin to test the patient's body temperature. When the patient's temperature exceeds 37°C or is lower than 36°C, the alarm will send out an alarm reminder to Prevent the patient from being scalded or hypothermic during the operation.

控制部上的接口用于连接移动电源,控制部的温控器,采用设定温度为37度的温控器,温控器为本领域的已知技术,控制部连接的移动电源,采用移动充电宝,采用电压为5V的充电宝,提高安全性。The interface on the control part is used to connect the mobile power supply. The temperature controller of the control part adopts a thermostat with a set temperature of 37 degrees. The temperature controller is a known technology in the art. The mobile power supply connected to the control part adopts a The power bank uses a power bank with a voltage of 5V to improve safety.

铺垫体通电时,加热丝进行加热,通过加热,有效避免术中低体温的发生。When the bedding body is energized, the heating wire is heated, and the occurrence of intraoperative hypothermia can be effectively avoided through heating.

感温片通电时,对患者体温进行监控,避免患者术中烫伤或者体温过低。When the temperature sensing sheet is powered on, the patient's body temperature is monitored to avoid scalding or hypothermia during the operation.

以上实施例仅为说明本实用新型的技术思想,不能以此限定本实用新型的保护范围,凡是按照本实用新型提出的技术思想,在计数方案基础上所做的任何改动,均落入本实用新型保护范围之内。The above embodiments are only to illustrate the technical ideas of the present utility model, and cannot limit the protection scope of the present utility model with this. Any changes made on the basis of the counting scheme according to the technical ideas proposed by the utility model all fall into the scope of this utility model. within the scope of the new protection.

Claims (5)

1. The utility model provides a prevent acquirement pressure nature damage device in lithotomy position operation patient art, is including the foreshadowing body (1), and the foreshadowing body (1) is spread on the operation table, its characterized in that: the mattress body (1) is provided with a sacrum tail protection unit (2) and a waist protection unit (3), the sacrum tail protection unit (2) and the waist protection unit (3) are not communicated with each other, and two sides of the mattress body (1) are connected with a limiting component.
2. The device for preventing intraoperative acquired pressure injury in a lithotomy surgical patient according to claim 1, wherein: the mattress body (1) is provided with four binding bands (4), and the four binding bands (4) are connected with a limiting component; the sacrococcygeal protection unit (2) comprises a first air bag (21), wherein a plurality of first bulges (22) and gaps (23) are arranged on the first air bag (21); the waist protection unit (3) comprises a second air bag (31), and a plurality of second bulges (32) are arranged on the second air bag (31).
3. The device for preventing intraoperative acquired pressure injury in a lithotomy surgical patient according to claim 1, wherein: the limiting assembly comprises a connecting plate (5) and a fixing clamp assembly (6), two half rings (51) are arranged on the connecting plate (5), the half rings (51) are connected with the binding band (4), and the fixing clamp assembly (6) comprises a first clamping plate (61) and a second clamping plate (62).
4. The device for preventing intraoperative acquired pressure injury in a lithotomy surgical patient according to claim 3, wherein: the second clamping plate (62) is provided with a stop bar (62 a).
5. The device for preventing intraoperative acquired pressure injury in a lithotomy surgical patient according to claim 1, wherein: the mattress body (1) is divided into three layers, namely an upper layer, a lower layer and a middle layer, wherein the middle layer is a heating layer (12), and the mattress body (1) is connected with a temperature sensing sheet.
CN202222565286.0U 2022-09-27 2022-09-27 Device for preventing acquired pressure injury in lithotomy position operation patient operation Active CN218652383U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202222565286.0U CN218652383U (en) 2022-09-27 2022-09-27 Device for preventing acquired pressure injury in lithotomy position operation patient operation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202222565286.0U CN218652383U (en) 2022-09-27 2022-09-27 Device for preventing acquired pressure injury in lithotomy position operation patient operation

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CN218652383U true CN218652383U (en) 2023-03-21

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