JP4414178B2 - Operating table with fluid pressure massager - Google Patents

Description

  In order to prevent venous thrombosis and humiliation wounds that may occur in the lower limbs during the perioperative period for patients on the operating table, the present invention provides a fluid pressure massager such as a pneumatic massager on the leg fixing table of the operating table. The present invention relates to an operating table on which an instrument is previously attached.

  During the perioperative period (including the period before and after surgery), if the patient on the operating table continues for a long time with the lower limbs in a certain posture, the pumping action that promotes blood circulation in the lower limbs decreases and blood stagnation in the veins May cause venous thrombosis or humiliation wound (floor rub) in the lower limbs, especially in the crushed position where the lower limbs are raised on the operating table, such as in a pregnant woman If you receive it, your risk of developing a thrombus increases.

  As a means to prevent these problems, for example, a pad or mouton containing a sponge or gel is attached to the part that contacts the lower limbs of the leg fixing base. However, it is not sufficient to prevent humiliation when pressure is applied to the same part of the human body for a long time, and venous thrombosis cannot be prevented.

In addition, as a means for preventing venous thrombosis and the like, for example, a pneumatic massager disclosed in Patent Documents 1 to 3, etc., a plurality of cells (single air bags) are connected to form an integrated cuff (compression band) ), And this cuff is attached to the lower limbs, and air pressure is supplied to or exhausted from the air pump, and massage is performed by applying a pump action to the muscle while repeatedly compressing and depressurizing the affected area. There is.
JP-A-5-212079 JP 2000-93473 A JP 2003-79688 A

  These pneumatic massagers, when the patient puts the cuff on the leg fixing base of the operating table and the surrounding diameter fluctuates when each cell repeats expansion and contraction, so the leg fixing base It is difficult to keep the lower limbs fixed on the body, the massager body with built-in air pump and control device, power cord, and air piping tubes that connect between the cuff and massager body, etc. May hinder the work of doctors and their staff.

  Therefore, the present invention provides an operating table equipped with a fluid pressure massager that can solve these problems of the prior art, and is a lower limb of a patient who takes an unnatural position for a long time by a cuff attached to a leg fixing table. Can eliminate venous thrombosis and prevent venous thrombosis and humiliation, and the assembly of fluid pressure massager cuff, massager body and piping tubes does not interfere with medical practice The main purpose is to make the state easy.

An operating table equipped with a fluid pressure massager according to the present invention is an operating table provided with a leg fixing table supported by a main body of an operating table via a leg fixing table column, and the fluid pressure massage is performed on the leg fixing table. It is characterized in that the cuff of the instrument is attached, the massager body is integrally attached to the operating table body side, and the cuff and the massager body are connected by piping tubes along the leg fixing column support .

In the operating table equipped with this fluid pressure massager, the cuff is detachably attached to the leg fixing base, and the piping tubes are detachably connected to the cuff via a connector. In addition, the leg fixing base column is displaced so as to be able to perform expansion / contraction adjustment and angle adjustment with respect to the operating table body, and a slack that allows the displacement is provided in at least a part of the piping tube. Can be taken.

  In the operating table equipped with the fluid pressure massager of the present invention, the cuff massage provides a pump action that pushes the venous flow back from the peripheral leg side to the central body side. It can eliminate venous thrombosis, prevent venous thrombosis and humiliation wounds, and stably attach the patient's leg during the perioperative period by attaching the cuff to the leg fixing base. The cuff can be easily attached to and removed from the patient, and by attaching the massager body to the operating table body, it is possible to safely and quickly perform the medical action without interfering with the medical action of the surgeon and the operating staff. It can be performed.

  In particular, if a configuration in which the piping tubes are mounted along the leg fixing base column is adopted, the piping tubes do not interfere with medical practice, and the piping tubes can be shortened to reduce the decrease in fluid pressure. In addition, when the connector is detachably connected to the cuff, the maintenance and sterilization operations are facilitated, and when moving from the operating table to the bed, a similar structure provided on the bed side is provided. It can be connected to the main body of the pneumatic massager and massage can be continued.

  An operating table equipped with the fluid pressure massager of the present invention will be described in detail with reference to the accompanying drawings showing an embodiment in which the present invention is applied and a pneumatic massager is used as a massager. FIG. 1 shows an entire front view of an operating table 1 including an operating table main body that is composed of a base 2, a table column 3, and a table 4.

  Further, a support shaft 20 that is fixed to the lower surface side of the table 4 and that protrudes from both sides is provided on one end side of the table 4 on the patient's leg side. A pair of left and right leg fixing base columns 5 (5A, 5B) is provided through the leg fixing base column 5 and a leg fixing table 6 (6A, 6B) is pivotally attached to the distal end side of the leg fixing base column 5.

  The pneumatic massager connects between the massager body 7 incorporating an air pump and a control device, a cuff (compression band) 8 (8A, 8B) to be attached to a patient's lower limb, and the massager body 7 and the cuff 8. It is preferable that the massage device main body 7 is composed of a piping tube 9 (9A, 9B) and is mounted at a position that does not interfere with the operating table main body side and as close as possible to the cuff 8, as will be described in detail later.

  That is, if the massage device body 7 is at the foot, or if the piping tube 9 is too long, it may interfere with medical work by the surgeon or surgical staff, or the air pressure may decrease. Then, the massaging device body 7 is attached to the lower surface of the table 4 adjacent to the base of the leg fixing base column 5, and the piping tube 9 along the leg fixing column column 5 is fixed by the binding member 10, so that the piping tube 9 is fixed. I try not to get tangled.

  The cuff 8 is detachably mounted on the leg fixing base 6. As shown in FIG. 2, for example, as shown in FIG. 2, either the male or male fastener 11A is attached to the leg fixing base 6 side, and the male or female is attached to the cuff 8 side. On the other hand, there is a form using a planar fastener 11 for attaching the other fastener 11B, and a form using a belt 12 having a stopper 12A attached to the leg fixing base 6 side and a band 12B attached to the cuff 8 side as shown in FIG.

  In addition, as shown in FIG. 4, there is a form in which one element 13A is attached to the leg fixing base 6 side, the other element 13B is attached to the cuff 8 side, and a slide fastener 13 in which a slider 13C is installed between the elements is used. When the cuff 8 is detachably attached by the attaching / detaching means, maintenance, sterilization work and the like are facilitated.

  Next, it is also possible to provide an angle adjusting unit that changes the horizontal angle of the leg fixing base 6 attached to the tip of the leg fixing base column 5, and the angle adjusting part is, for example, as shown in FIGS. The bracket 14 provided with the through hole 14a is fixed to the back side of the fixed base 6, and the notch 5b provided with the screw hole a is formed on the distal end side of the leg fixing base column 5, and the through hole 14a and the screw hole a are formed. The bracket 14 is superposed on the cutout portion 5b in a matching manner, and is connected by an angle adjusting knob 15 provided with a screw portion 15a inserted through the through hole 14a and screwed into the screw hole a.

  The angle adjusting unit can change the horizontal angle of the leg fixing base 6 within a certain angle range θ in a state where the angle adjusting knob 15 is loosened. By tightening the angle adjusting knob 15, the angle adjusting knob 15 can be set to a desired set angle position. Since the patient can be fixed, the patient can freely move the angle of the toe placed on the leg fixing base 6 within a range that does not interfere with the operation.

  Next, on the base end side of the leg fixing base column 5, it is possible to provide a column adjusting unit that swings and rotates the leg fixing column column 5 in the horizontal direction and the vertical direction. 7, the first clamp member 16 provided with the shaft insertion hole 16 a and the second clamp member 17 provided with the shaft insertion hole 17 a are arranged on the column adjustment knob 18 provided with the female screw portion 18 a and the rear end side. The shaft insertion hole 19a is connected by a bundling member bundling member 19 provided with a screw shaft 19b on the tip side.

  In the column adjusting portion, the base end side of the leg fixing base column 5 is inserted into the shaft insertion hole 17a aligned with the shaft insertion hole 19a, and is fixed to the bottom side of the table 4 so as to protrude horizontally from both sides. When the support shaft 20 is inserted into the shaft insertion hole 16a in the expanded diameter state, and the column adjusting knob 18 is turned and screwed into the connecting screw shaft 19, the notch portion provided on the base end side of the leg fixing column column 5 In the state where the screw shaft 19b of the connecting screw shaft 19 is inserted into the through hole 5d of 5c, the base end side of the leg fixing base column 5 is connected with the substantial diameter reduction of the shaft insertion hole 17a due to misalignment, and the support shaft 20 are connected by the reduced diameter of the shaft insertion hole 16a.

  When the column adjustment knob 18 and the connecting screw shaft 19 are loosened, the column adjustment unit extends and contracts the length of the leg fixing column column 5 back and forth as shown in the plan view of FIG. Since it can be adjusted and the angle of the left and right direction can be adjusted by swinging and rotating the leg fixing base column 5 on a horizontal plane, the patient can take a desired position by raising the lower leg on the operating table, It is possible to take a body shape with the leg extended horizontally before and after surgery.

  Further, as shown in the side view of FIG. 8B, the angle of the leg fixing column 5 can be adjusted in the undulation direction by swinging and rotating on the vertical surface with respect to the support shaft 20, and these adjustments can be made. The position is fixed by turning the column adjusting knob 18 and tightening the screw with the connecting screw shaft 19.

  Next, as a means for drawing the piping tube 9 out of the way, for example, as shown in FIG. 9A (described with reference to FIG. 1), the piping tube 9 along the leg fixing base column 5 is bundled. 9, a configuration in which the piping tube 9 is embedded in the leg fixing base column 5 as shown in FIG. 9B, and a spiral piping tube 9 in the leg fixing column column 5 as in FIG. A form such as a wrapping form can be adopted.

  In addition, if the connector 21 is attached to the distal end side of the piping tube 9, it can be detachably connected to the cuff 8 side, so that it is compatible with the configuration in which the cuff 8 is detachably attached to the leg fixing base 6. Maintenance and sterilization work becomes easier, and when moving from the operating table 1 to the bed, it can be connected to another pneumatic massager body with the same structure provided on the bed side to continue massage. it can.

  Furthermore, if the piping tube 9 protrudes to the inner surface side of the leg fixing base 6, the patient's lower limb is compressed through the cuff 8, and in order to prevent this, for example, FIG. 10A or FIG. ), A configuration in which a holding metal fitting 22 for housing the piping tube 9 is provided on the bottom surface side of the leg fixing base 6 can be employed.

  Next, a mode in which the massage device body 7 is attached to the operating table 1 will be described with reference to FIGS. 11 to 13. FIG. 11A is the lower surface of the table 4, and FIG. 11 (c) is attached to the upper surface of the base 2 in an externally attached state via a bracket or the like, FIG. 12 (a) is attached to the side of the table 4, and FIG. 12C is mounted on the side surface side of the base 2 in a built-in state.

  In FIG. 13A, the massage device body 7 is mounted on the base 2 and a remote control unit 23 for remotely operating the massage device body 7 is provided on the side surface of the table 4. Wiring and piping for connecting the massage device are built in the main body of the operating table, and in FIG. 13B, the operation panel 24 is separated from the massage device body 7, and the massage device body 7 is mounted on the base 2 and the operation panel 24 is installed. Is provided on the side surface side of the table 4, and wiring and piping for connecting the massage device body 7 and the remote control unit 23 are built in the operating table body.

  The operating table equipped with the pneumatic massager having the above configuration is used in a state as shown in FIG. 14, but when used, the leg fixing table 6 is lowered by making the leg fixing table column 5 horizontal or inclined downward. After the patient 25 attaches the cuff 8 to the position, the leg fixing base column 5 is inclined upward as shown in the figure, the leg fixing base 6 is raised to a high position, and the massager body 7 is operated as desired. While performing massage on the lower limbs, a medical practice by the operator 26 is performed.

  This cuff 8 massage provides a pumping action that pushes the venous flow back from the peripheral leg side to the center of the body. Insults can be prevented, and the manner in which the pneumatic massager is attached to the operating table 1 does not hinder the medical practice by the operator 26 and the surgical staff, so the medical practice can be performed safely and quickly.

  In the illustrated embodiment, a pneumatic massager is used as the fluid pressure massager. However, a hydraulic massager that functions in the same manner can be used, and other configurations are also within the scope of the gist. Various modifications can be made.

1 is an overall front view of an operating table 1 including a pneumatic massager to which the present invention is applied. The embodiment figure which attaches a cuff to a leg fixing stand with a surface fastener so that attachment or detachment is possible. The embodiment figure which attaches a cuff to a leg fixing stand with a belt so that attachment or detachment is possible. The embodiment figure which attaches a cuff to a leg fixing stand with a slide fastener so that attachment or detachment is possible. Structure explanatory drawing of the angle adjustment part which changes the horizontal angle of a leg fixing stand. Operation | movement explanatory drawing of the angle adjustment part which varies the horizontal angle of a leg fixing stand. Structure explanatory drawing of the support | pillar adjustment part which rocks and rotates a leg fixing stand support | pillar to a horizontal and vertical direction. Operation | movement explanatory drawing of the support | pillar adjustment part which rock | fluctuates and rotates a leg fixing stand support | pillar to a horizontal and vertical direction. The structure explanatory drawing of the means to route a piping tube so that it may not become obstructive. Structure explanatory drawing for accommodating a piping tube in a leg fixing stand. The embodiment figure which equips the operating table with the massage device main body in an externally attached state. The embodiment figure which equips the operating table with the massage device main body in a built-in state. The embodiment figure which mounts | wears the operating table with a massage device main body in isolation | separation. The use condition figure of the operating table equipped with the pneumatic massage device to which the present invention is applied.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Operating table 2 Base 3 Table support | pillar 4 Table 5, 5A, 5B Leg fixing stand support 6, 6A, 6B Leg fixing stand 7 Massager body 8, 8A, 8B Cuff (compression belt)
9, 9A, 9B Piping tube 10 Bundling member 11 Planar fastener 12 Belt 13 Slide fastener 14 Bracket 15 Angle adjustment knob 16 First clamp member 17 Second clamp member 18 Strut adjustment knob 19 Connection screw shaft 20 Support shaft 21 Connector 22 Holding bracket 23 Remote control unit 24 Operation panel 25 Patient 26 Surgeon

Claims (3)

A surgical table having a leg fixing base which is supported by the operating table body via a foot fixed table column, with attaching the cuff of fluid pressure massager to the foot fixing base, operating table massage body attached integrally to the main body, an operating table equipped with hydraulic massager, characterized in that connected by piping tubing which was along the cuff and the massager main body to the leg fixing table column. The fluid pressure massager according to claim 1, wherein the cuff is detachably attached to the leg fixing base, and the piping tubes are detachably connected to the cuff via a connector. An operating table equipped with an instrument. The leg fixing base column is displaced so as to enable expansion and contraction adjustment and angle adjustment with respect to the operating table main body, and a slack allowing the displacement is provided in at least a part of the piping tube, An operating table equipped with the fluid pressure massager according to claim 1 .

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