JP3142079U - Examination arm stand - Google Patents

Abstract

To provide an arm rest that can be easily fixed without moving an arm when performing an angiographic examination or the like on an examination table.
A hand locking portion 1-E for hooking the hand of a subject K to the tip of a main body portion 1-P of the arm rest of the subject K is provided. Further, an elastic member for supporting the arm A is attached to an intermediate portion of the arm rest 1. The hand locking portion 1 -E is formed by a notch portion at the tip of the main portion 1 -P of the arm rest and in a direction perpendicular to the longitudinal direction of the arm rest 1. Alternatively, it is formed by a rectangular hole or a circular hole formed at the tip of the main part 1-P of the arm rest. The elastic member can also be composed of a plurality of elastic members having different thicknesses.
[Selection] Figure 9

Description

  The present invention relates to an arm rest used when a medical examination is performed using an X-ray fluoroscopic apparatus or the like.

  For example, an angiographic examination using a fluoroscopic imaging apparatus is performed by inserting a catheter into a subject's blood vessel. In this case, the catheter is usually inserted through the blood vessel of the subject's thigh or wrist (see Patent Document 1). For example, an apparatus shown in FIG. 10 is used as the inspection apparatus. That is, as shown in FIG. 10, an X-ray fluoroscopic apparatus XD that can move in three dimensions an X-ray source 4 attached to the lower end of the C-arm 3 and an X-ray detector 5 that detects X-rays attached to the upper end, and examination. A device comprising a combination of tables TD is used.

  As shown in FIG. 10, 6 is a top plate that doubles as an examination table, and 1 is an arm rest. The arm rest 1 shown in FIG. 10 is of a type that is provided with an overhang portion 1-S and is supported between the top board 6 and the subject K (FIG. 11). The top plate 6 which is a medical examination table on which the subject K is placed is as shown in FIG. 11. In order to minimize the interference with the X-ray fluoroscopic apparatus XD (FIG. 10), the top width W is set to the subject K. It is set to a size almost equal to the shoulder width. In FIG. 11, M is a mattress and the subject K is lying on the mattress M.

  When the catheter is inserted from the wrist in the examination, the subject K must maintain the arm away from the body side as shown in FIG. 11, and the arm rest 1 needs to be installed on the top board. For this reason, the arm rest 1 is supported by the top board 6. The arm rest 1 is used by being engaged with the top board 6 so as to be swingable with bolts or clamps. 11 and the arm supporting the arm A with the weight of the subject K with the overhanging portion 1-S sandwiched between the back and the top plate while the subject K is lying on the top plate 6 as described above A stand 1 or the like is used.

FIG. 11 shows an example of use of the arm rest 1 having the overhanging portion 1-S. The subject K places the arm A on the arm rest 1 so that the blood vessel of the wrist is on the upper side, and It is a figure which shows the state which extended the wrist so that it might be easy to put a catheter in the state where the palm is facing upward, and the arm A is fixed to the arm stand 1 with a medical tape MT or the like.
JP 2006-20666 A, JP 08-191868 A

  If the subject K is moved unexpectedly only by fixing with the medical tape MT, the wrist angle changes or the arm A shifts from the arm rest 1 to hinder the examination. Will come. If the arm A is firmly fixed, it is necessary to wrap the medical tape MT or the like several times or to attach a fixing band, and the structure of the arm rest 1 becomes complicated. Moreover, the work of fixing the arm A and the work of removing it are complicated and require skill.

  In order to solve the above-mentioned problems, the arm stand for examination provided by the present invention is a hand-holding mechanism that locks the hand to a part where the hand is located with the palm facing upward on the part of the hand on the arm stand. The part is formed. The hand-holding portion is formed of a member that is provided with a notch in a direction perpendicular to the longitudinal direction at a tip portion of a plate-like member having a predetermined length and protrudes in the vertical direction. In this case, the notch portion functions as a receiving portion for the wrist part, and the vertical member functions as a hand locking portion.

Furthermore, the medical examination arm stand provided by the present invention is configured such that an uneven portion for gripping is formed on the outer periphery of the hand end locking portion, and the hand end locking portion is configured as the grip portion.
Furthermore, the arm stand for examination provided by the present invention has a hole formed at the distal end of the arm stand in the longitudinal direction, and this hole is configured as a wrist receiving portion for gripping on the outer peripheral portion centering on the hole. The outer peripheral part is formed as a grip part.

Furthermore, the arm stand for medical examination provided by the present invention has a circular hole formed at the tip thereof, which facilitates insertion up to the wrist.
Further, the examination arm stand provided by the present invention is provided with an arm fixing tool for fixing an arm at an intermediate portion of the arm stand.

Further, the medical examination arm stand provided by the present invention is provided with an elastic member for supporting the arm at an intermediate portion of the arm stand.
Furthermore, the medical examination arm stand provided by the present invention is composed of a plurality of members whose elastic members have different thicknesses.
In addition, the medical examination arm stand provided by the present invention is configured such that a gripping concave / convex portion is formed at a hand locking portion at a position where the hand is located, and the hand locking portion is configured as a gripping portion.

  Therefore, the subject K lying on his / her back stretches his arm on the arm rest 1 and hooks his / her hand on the hand-holding portion 1 -E of the arm rest 1, so that the blood vessel on the wrist always rises. The arm A can be simply fixed to the arm rest 1 in such a direction. Furthermore, it is possible to easily perform the work of fixing with the medical tape MT or the like. Further, even if the fixing with a tape or the like is insufficient, the arm A can be prevented from slipping off from the arm rest 1.

  The present invention has the above-mentioned shape, and since the hand is hooked on the arm rest 1, an elastic member having a cushioning property is laid on the lower part of the wrist or the intermediate region of the arm rest 1, It can be maintained with the blood vessels of the wrist protruding. Furthermore, the angle of the wrist can be adjusted by changing the thickness of the elastic member having cushioning properties. In this case, a plurality of elastic members having different thicknesses are prepared.

  The arm stand provided by the present invention is composed of a plate material having a length sufficient for placing a patient's arm, and is of a type that is swingably locked to the top plate at the upper end thereof, that is, the patient's shoulder side. The present invention relates to any type of arm stand that has an overhang portion in the middle portion and is used with the overhang portion sandwiched between the patient and the top board.

  Then, a notch portion is provided at the longitudinal end portion of the arm rest, that is, a portion where the hand is located, and a member projecting in a direction perpendicular to the longitudinal direction is formed, and the hand is locked by the vertical projecting member. Part. In addition, an elastic member is attached to the main portion of the arm rest, that is, a portion other than the protruding member. Furthermore, the elastic member is detachable and is composed of a plurality of members, and elastic members having different thicknesses are prepared.

Embodiments provided by the present invention are as shown in FIGS. FIG. 9 is a view of the subject K lying on the top 6 as viewed from above.
FIG. 1 is a perspective view showing an external view of a basic arm stand 1 according to the present invention. In this embodiment, a main part 1-P of an arm stand on which a forearm of a subject K (FIG. 9) is placed, An upper arm placing portion 1-T for placing the upper arm and an overhang portion 1-S inserted under the waist are formed. The material is made of, for example, a carbon plate with good X-ray transparency and a foamed acrylic material.

  In order to ensure the rigidity of the arm rest 1, a certain thickness is required, and in order to reduce the weight, a foamed acrylic is sandwiched between carbon plates. There is no distinction between the front and back sides, and it can be used for either the right arm or the left arm of the subject K (FIG. 9). In the present invention, as shown in the figure, a longitudinal tip portion, that is, a portion where the hand is located is provided with a cutout portion 1K in a direction perpendicular to the longitudinal direction, and a member in the vertical direction by the formation of the cutout portion 1K is a subject K. It is the arm stand 1 formed as a hand locking part 1-E that hooks the hand of (FIG. 9).

FIG. 2 is a view showing an arm rest 1 formed in the same manner as FIG. 1, and a main portion 1-P of the arm rest, an upper arm rest 1-T on which the upper arm is placed, and an overhang portion 1 to be inserted below the waist. -S is formed. A hand-holding portion 1-E for hooking the hand of the subject K (FIG. 9) is formed at a position where the hand is located. Further, the hand-holding portion 1-E is gripped by the fingers of the hand on the outer periphery. An example is shown in which an uneven portion 1-G for use is formed and configured as a gripping portion. Furthermore, a curved surface portion 1-N is formed on the arm rest 1 so as not to cause pain on the lower surface of the palm.

  FIG. 3 is a view showing a specific use example of the arm rest 1 on which the hand engaging portion 1-E for hooking the hand is formed. In particular, the arm rest with the belt 2 for fixing the arm A to the arm rest 1. 1 is shown. The belt 2 is called a magic tape (R), for example, and is fixed by a combination of a lower belt 21 and an upper belt 22. The belt 2 may be a belt of another system, that is, a system in which a stop pin is inserted into the perforated belt. 1F is a belt attaching part. In this case, the position of the arm rest 1 is adjusted so that the arm A of the subject K (not shown) can be easily inserted into the catheter.

  FIG. 4 shows a specific usage example in which an elastic member (for example, a cushioning material) 7 is attached to the main portion 1-P of the arm rest for the arm rest 1 on which the hand locking portion 1-E is formed. . The posture of the arm A can be formed so that the catheter can be easily inserted from the wrist on which the arm A is placed. The elastic member 7 can be detachable. Moreover, it can also be set as the structure which combines the structure of FIG. 3 and FIG.

  In the embodiment shown in FIG. 5, an overhang portion 1 -S to be inserted under the waist is formed on the arm rest 1 on which the hand locking portion 1 -E is formed, and the arm rest 1 is elastic at the center. In the example in which the member 7-1 is embedded, it is not the thick elastic member (cushion material) 7 as shown in FIG. 4, but an elastic member 7-1 that can reduce elbow pain is embedded.

  FIG. 6 shows an example in which an elastic member 7-2 is attached to the arm stand 1 of a type that is swingably engaged with the top plate 6 (see FIG. 9). The arm rest 1 is provided with an engagement hole 1-H, and swings on the top plate 6 (see FIG. 9) with a bolt (not shown) or the like through the engagement hole 1-H. Freely engaged. In addition, in the example of FIG. 6, the outer periphery of the hand locking portion 1 -E is aligned in an arc shape, and the device is devised so as not to cause pain in the fingertip. This contrivance can also be applied to each arm stand 1 shown in FIGS. 1 to 5 and FIG. 7 described later.

  FIG. 7 shows an embodiment in which a hole 1H is formed in the distal end portion of the arm rest 1 that has been described with respect to the above-described device. In particular, FIG. It is configured as a part. The hole 1H has a substantially rectangular shape and is set to a size that allows insertion up to the wrist. The peripheral portion 1-R of the hole 1H functions as a hand tip locking portion. On the other hand, FIG. 7B shows a gripping portion in which a concavo-convex portion 1 -G corresponding to a finger is formed on the outer periphery of the peripheral portion 1 -R of the distal end portion of the arm rest 1 to facilitate gripping.

  FIG. 8 shows an embodiment in which a hole 1M is formed at the tip of the arm rest 1 in the same manner as the embodiment shown in FIG. 7, and FIG. 8A particularly shows the hole 1M and the peripheral portion 1-R of the hole 1M. It is comprised as a latching | locking part. The hole 1M has a substantially circular shape and is set to a size that allows the wrist to be inserted. The peripheral portion 1-R of the hole 1M functions as a hand-end locking portion. On the other hand, FIG. 8 (B) shows a gripping portion in which a concavo-convex portion 1-G corresponding to each finger is formed on the outer periphery of the peripheral portion 1-R of the distal end portion of the arm rest 1 to facilitate gripping.

  FIG. 9 shows a state in which the subject K is lying on the mattress M laid on the top board 6, but the arm rest 1 is a nurse (not shown) before the examination is started. And the like, insert and support the overhanging portion 1-S of the armrest 1 between the mattress M around the waist of the subject K and the top plate 6. As shown in the figure, the arm A is placed on the main part 1 -P of the arm rest, and the hand is locked by a hand locking part 1 -E formed on the arm rest 1.

  The material for the arm rest 1 is required to transmit X-rays, but in addition to the carbon described above, a wooden product or the like can also be used. Furthermore, the rigid thing shape | molded by resin materials, such as a plastic material and a vinyl chloride material, can also be used. On the other hand, as for the examination table TD for examination, the top plate 6 functions as an examination table in the illustrated example. However, the examination table TD is not limited to the large examination table TD such as the X-ray fluoroscopic apparatus XD, and the patient is simply mounted. An examination table in which a single plate-like pedestal is attached in a cantilever manner may be used, and the examination table TD is not limited to the illustrated example and can be applied to examination tables having various shapes.

  The features of the examination arm stand provided by the present invention are as described above and as shown in the drawings. However, the present invention is not limited to the shapes and structures shown in the above and illustrated examples, and has the features of the present invention. Various modifications are included. 1, 2, and 4 to 9, the parts denoted by the same reference numerals are the same as those described in the respective drawings and have the same functions, and detailed description thereof is omitted. .

It is a figure which shows the structure of the arm stand for a screening provided by this invention. It is a longitudinal cross-sectional view which shows the structure of the arm stand for a screening provided by this invention. It is a figure which shows the structure of the conventional arm stand for a medical examination. It is a figure which shows the structure of the arm stand for a screening provided by this invention. It is a longitudinal cross-sectional view which shows the structure of the arm stand for a screening provided by this invention. It is a figure which shows the structure of the arm stand for a screening provided by this invention. It is a figure which shows the structure of the arm stand for a screening provided by this invention. It is a figure which shows the structure of the arm stand for a screening provided by this invention. It is a figure which shows the relationship between the arm stand for a screening provided by this invention, and a patient. It is a figure which shows the relationship between a X-ray fluoroscopic inspection apparatus and the arm stand for a screening perspectively. It is a figure which shows the relationship between the conventional arm stand for a medical examination, and a patient.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Arm stand 1-H Engagement hole 1H Hole 1M Hole 1K Notch 1-G Uneven part 1F Belt attachment part 1-P Arm holder main part 1-E Hand lock part 1-N Curved surface part 1-S Overhang portion 1-T Upper arm placement portion 1-R Peripheral portion 2 Belt 21 Lower belt 22 Upper belt 3 C arm 4 X-ray source 5 X-ray detector 6 Top plate 7 Elastic member 7-1 Elastic member 7-2 Elasticity Member XD X-ray fluoroscopy device TD Examination table A Arm K Subject M Mattress MT Medical tape W Top width

Claims (15)

  An arm stand that supports the patient's arm supported by the examination table that is placed on the examination table and laid down on the examination table, with the palm above the part of the arm table where the hand is located An arm rest for medical examination, characterized in that a hand-holding portion that can lock the hand in a state of being directed toward the hand is formed.   A notch portion in a direction perpendicular to the longitudinal direction is formed at a longitudinal end portion of the arm rest, and the notched portion is used as a wrist receiving portion, and the notched vertical member is configured as a hand locking portion. The arm stand for medical examination according to claim 1.   A hole that can be inserted to the wrist at the distal end in the longitudinal direction of the arm rest is formed, and the outer periphery of the arm rest that is centered on the hole is used as a wrist locking portion. The arm stand for medical examination according to claim 1.   4. The medical examination arm stand according to claim 3, wherein an uneven portion for gripping is formed on the vertical member, and the vertical member is configured as a gripping portion.   4. The medical examination arm stand according to claim 3, wherein an uneven portion for gripping is formed on an outer peripheral portion of the arm stand centering on the hole, and the outer peripheral portion is configured as a gripping portion.   6. The medical examination arm stand according to claim 3, wherein the hole has a rectangular shape.   6. The medical examination arm stand according to claim 3, wherein the hole is circular.   The arm rest for examination according to claim 1, wherein an arm fixing tool for fixing an arm is attached to an intermediate portion of the arm rest.   2. The arm stand for examination according to claim 1, wherein an elastic member for supporting an arm is attached to an intermediate portion of the arm stand.   The examination support arm stand according to claim 4, wherein the elastic member is composed of a plurality of members having different thicknesses.   2. The medical examination arm stand according to claim 1, wherein each of the hand-holding portions is formed with respective recesses capable of individually locking each fingertip.   An arm rest that supports the subject's arm supported by an examination table that is placed on the examination table and lies on the examination table, and places the palm of the hand on the arm table. A medical examination arm stand, wherein a hand-holding portion capable of locking a hand in a state directed upward is configured as a gripping portion.   The medical examination arm stand according to claim 6, wherein the gripping part is constituted by a member projecting perpendicularly to the long axis direction at a distal end portion of the arm stand.   7. The examination arm stand according to claim 6, wherein the gripping part is a member projecting perpendicularly to the long axis direction at the tip of the arm stand and a recess capable of engaging each finger is formed. .   The medical examination arm stand according to claim 6, wherein the gripping part is formed in a peripheral part of a hole drilled in a distal end portion of the arm stand.

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