RU170676U1 - Chair bed for stroke patients - Google Patents

Abstract

The chair-bed for a stroke patient belongs to the production of medical equipment. The device is intended for the treatment of patients who have had a stroke and acquired the parity of the extremities on one side (heliplegia). The chair-bed for a stroke patient is an equipment for self-care for patients in the process of recovering from a stroke: both at home (outpatient clinic) and in medical institutions. The chair-bed for a stroke patient is made in the form of a chair and a horizontal surface, as in the case of a bed, having a soft skin. The toilet is designed to divert the patient’s waste products through pipelines. There is also a transverse strut on which a small manual mechanical lift is installed, which has a stopper to fix the movement and is controlled by the patient’s healthy hand. The stand has an axis around which it rotates and is fixed in the hole located on the plane. The back of the chair-bed can be lifted with a wide range of movement. A belt is also provided for fixing the patient's body to the back and moving it safely within the bed. All control mechanisms are installed on the healthy side of the patient. In my case, a chair-bed with left parity is presented. If the right side is possible parity, the control equipment is mounted on the other side. The technical result is a significant increase in the convenience of self-care of a patient with a stroke during the treatment of a stroke in sanitary-hygienic procedures, which leads to a decrease in the "rough" work for the person taking care of him. With a positive attitude of a patient who does not feel the burden of society, there is an increase in vitality in increasing his motivation for recovery - thereby reducing the duration of treatment for a stroke patient. With the help of a chair-bed for a stroke patient, two goals are pursued: 1) Significantly reduced, hard and exhausting work with daily patient care. 2) Additional labor is released, which will undoubtedly bring great benefits to society, which is an important factor in order to save the financial component in the maintenance and treatment of stroke.

Description

1.1. Technical field

Chair bed for stroke refers to the production of medical equipment.

The device is intended for the treatment of patients who have had a stroke and acquired limb parity on the one hand (heliplegia). A chair-bed for a stroke patient is a self-care equipment for patients in the process of recovering from a stroke: both at home (outpatient clinic) and in medical institutions.

1.2. State of the art

A stroke bed can serve as an analogue of the claimed utility model of this armchair bed for a stroke patient (utility model patent document RU 89383 U1, 12/10/2009).

Here, in addition to all kinds of complexes for developing the patient’s muscles, the patient’s sanitary hygiene is ensured by means of a bath.

An essential sign of coincidence is the patient’s sanitary and hygienic procedures.

1.3. Disclosure of invention

Distinctive features of the analogue when using a chair-bed for a stroke patient are the provision of a sanitary-hygienic procedure with the help of a toilet, which through the pipelines displays the patient's stool outside the premises. Therefore, at this stage, personnel who bring and refer a ship for a stroke are released. A hose with water, stretching from the sink and fixed near the toilet, allows the patient to wash the lower part of his body himself, which is a positive component in raising the spirit of a stroke and a speedy recovery. Based on this, daily cleaning of the patient by the maintenance personnel is no longer necessary due to the fact that the fact of pollution is absent.

Also, the design of the chair-bed for a stroke involves raising the back of the chair, attaching seat belts. Based on this, a change in the position of the patient is provided, and there are no pressure sores. Hence, additional labor is excluded for all kinds of wiping.

The technical result is expressed in a significant increase in the convenience in self-care of a stroke patient during treatment for a stroke in sanitary-hygienic procedures, which reduces the "rough" work for the person taking care of him. With a positive attitude of the patient, who does not feel like a burden on society, there is an increase in vitality in increasing his motivation for recovery - thereby reducing the duration of treatment for a stroke patient.

The armchair bed for a stroke, with left-sided parity of the extremities, has a frame - in the form of a table made of a metal square, on which a surface is made of a metal sheet, divided into two parts. The first part, attached to the frame with piano loops, has the property of rising relatively horizontally to a vertical position - in the form of a chair back. The second, having a rectangular hole, is covered with a removable liner and is rigidly fixed to the frame. These surfaces are lined with non-woven material and insulated with foam rubber.

For attaching a stroke to the back of a chair-bed, there is a flat safety belt (such as a car seat), one end of which is attached to the back from the left side - at the bottom, and the other end is installed in the tension reciprocating mechanism located at the top left of the chair-bed. The tip freely moves along the belt, with the help of which the body of the stroke is fixed to the chair-bed. The tip has a hole and is inserted into the spring mechanism to the right of the base of the back. The reciprocating mechanism of the belt consists of a shaft, fixed and wound on it a seat belt. At the end of the shaft is a spring made of a metal alloy spring band. At rest, the strip is twisted into a spring, and the belt is wound on a shaft. If the belt is pulled (stroke) by itself, the strip is straightened. If you release the belt, the spring tends to reach its original (twisted) position and the belt is automatically wound on the shaft. A gear wheel is located on the other end of the shaft. In the direction of movement of the wheel, the teeth are gentle, and in the opposite direction, they are perpendicular to the shaft. Above the gear wheel (in one plane) there is a stopper "dog" in the form of the letter "G", rotated 90 degrees in a lying position and the bent side is inserted into the base of the tooth. Above the “dog” - on top - is a metal ball moving along its body in two directions - forward and backward. The ball is bounded above by a flat surface, inside of which there is a groove sealed in front. With a sharp movement, a seat-belt with a safety belt (under the influence of inertia) quickly moves forward, instantly rolling under the sealed end of the groove, and puts pressure on the "dog". The stopper instantly seizes the wheel, the shaft stops, the belt is locked in any direction of movement.

To give the back a stroke of vertical position to the right of the seat of the chair-bed there is a key (analogue of a car), when pushing it up - the back is lowered. The backrest lowering mechanism has a gear wheel and a stopper that works simultaneously with the key. When you press the key, the stopper moves away from the tooth and the back of the chair lowers. As soon as the key is released, the stopper re-enters the base of the other tooth of the wheel and the back stops its lowering. To quickly raise the backrest, the lifting mechanism has a spring (an analogue of returning the car seat belt), which, while holding the seat key in the released state, tends to take its original position by raising the back of the chair-bed.

Under the liner covering a rectangular hole in a horizontal surface, a toilet bowl is installed in the frame in the form of a metal ellipsoid barrel with a seat at the top and foot rests attached to it. The toilet bowl and the pipelines attached to it discharge the waste of the stroke from the premises. At rest, the liner covers a rectangular hole, being installed in its grooves.

A stroke patient himself will be able to lay bedding on a chair-bed and take a sanitary-hygienic procedure using a transverse counter rotating around its axis. The stand is made of a U-shaped pipe on which a small mechanical lifting mechanism is mounted on top. The free end of the strut, also represented by a pipe, has inside the axis of a horizontal surface inserted into the hole for stability of the structure. To raise the axis up there is a spring and a lever. When you press the end of the lever (the other end rises), the spring is wrung out, the axis rises. If the lever is released, the spring is compressed, pressing on the axis, which is inserted into the hole. At rest, the stand is located on the right - along the length of the bed. A mechanical lifting mechanism is used to raise and move the leg of a strokeless patient - at the time of acceptance of sanitary and hygienic procedures by the patient. Inside the hoist there is a shaft on which the pulley is mounted and on it, with the help of a manual lever, a rope is wound. A cable tie is attached to the end of the rope, grasping the patient’s knee. To prevent the reverse movement of the lifting mechanism at the time of raising the leg of the stroke, on the lift - from the end, there is a gear wheel and a stopper. If it is necessary to rotate the shaft in the opposite direction, the stopper is depressed, and the hoist works in both directions.

On the side of the healthy half of the insulin patient’s body, not far from the bed, there is a sink for washing hands and a flexible hose that diverges from it and has a watering can at the end that is attached to the toilet. The author made a prototype for his use, but with the possibility of serial production for the needs of patients. bedridden.

To maintain a healthy spirit of the patient, a TV must be installed on the wall of the room. Separately, there is a video player in which information is changed daily, specially selected and developed by a psychologist for a stroke patient. For a more advanced patient, versed in computers, a vertical stand is used where equipment is attached, with access via the Internet and communication with relatives. However, for a stroke patient who does not understand computers, and in connection with the large period of free time that has appeared, a training program is provided for teaching him how to work on a computer. The patient’s self-esteem will rise, which is an additional incentive for the treatment and rehabilitation of a stroke patient. To warm food prepared in advance by relatives, at arm's length, a microwave oven with a protective screen is located. For fresh air in the room, ventilation is used and air conditioning. All the necessary remotes for control: a TV, video player, air conditioning, are located on a separate rack near the strokeball.

1.4. Brief description of the drawing.

A drawing is attached to the description of the Armchair bed for a stroke patient with left-side parity.

Figure 1.

Image of a chair-bed for a stroke at the time of the adoption of sanitary procedures.

1. The insert is removable.

2. Cross stance.

3. Mechanical lifting gear.

4. Knee grip belt.

5. Foot rests.

6. The toilet.

7. Mount for shower.

8. Shower with a watering can.

9. The sink.

10. The rope.

11. The hole for mounting the rack.

12. The lever for lifting the back.

13. The back of the chair.

14. A rectangular hole.

15. Seat belt.

16. Belt tensioner.

17. The metal frame.

18. Manual scrolling lever of a mechanical lift.

19. Waste water outlet pipe.

20. The lever of rack lifting.

21. The stopper of the lifting mechanism.

1.5. The implementation of the invention.

The technical result is expressed in a significant increase in the convenience in self-care of a stroke patient during treatment for a stroke in sanitary-hygienic procedures, which reduces the "rough" work for the person taking care of him.

With the help of a chair-bed for a stroke, two goals are pursued:

1) With a positive attitude of the patient, who does not feel like a burden on society, his motivation for recovery increases, thereby reducing the duration of treatment for a stroke patient.

2) Significantly reduced hard, exhausting work with daily patient care. Additional labor is being released, which will undoubtedly bring great benefits to society, which is an important factor in order to save the financial component in the maintenance and treatment of stroke.

Performing sanitary-hygienic procedures for a stroke patient with the left pathetic side (self-care with the help of the right arm and leg).

The strokeball lifts the back (see Fig. 1, pos. 13) of the chair-bed with the help of a lever (see Fig. 1, pos. 12). Then with a healthy hand he reaches the transverse strut (see Fig. 1, pos. 2), which was located along the right side of the bed, presses the lever from above (see Fig. 1, pos. 20), the axis of the strut rises. Holding the lever, rotates the rack to the left to the hole located on the horizontal surface of the chair-bed, releases the lever, and the axis of the rack is fixed in the hole (see Fig. 1, item 11). Then, the stroke patient bends a healthy leg in the knee and, resting it on the bed surface, with its right hand takes out a removable liner (see Fig. 1, pos. 1) that closes the rectangular hole (see Fig. 1, pos. 14) in horizontal surface as long as there is room for the location of the lower part of its back. Then, a belt is fastened to the left sore leg in the knee region (see Fig. 1, item 4), which is attached to the rope (see. Fig. 1, item 10), and using a mechanical lifting mechanism (see. Fig. 1, pos. 3), rotating the manual scroll lever (see Fig. 1, pos. 18), raises the leg. It fixes the stopper (see Fig. 1, pos. 21) in the mechanism to prevent reverse motion. With a healthy hand and foot, he directs the suspended leg to the left leg support (see Fig. 1, pos. 5) and, turning the elevator down, slowly lowers the diseased leg from the left side of the toilet bowl (see Fig. 1, pos. 6).

The rack turns to the right until it is located along the right side of the bed. Again, resting on the back of the chair and with his right foot on the bed, he rises in order to completely remove the liner from under him. The seat belt (see. Fig. 1, pos. 15) is fastened. Then he lowers his healthy leg and places it on a stand on the right side of the toilet. Leaning his right foot on the stand (see Fig. 1, pos. 5) and with his healthy hand on the transverse stance, he slowly lowers himself onto the toilet. After performing the necessary vital procedures with a healthy hand from the sink (see Fig. 1, pos. 9), he pulls out a shower hose with a watering can (see Fig. 1, pos. 8) and fixes them on the toilet holder (see Fig. 1 , item 7). After washing the lower body, the patient in the reverse order performs the above movements to the initial state.

Claims (3)

1. Chair-bed for stroke, containing a metal frame, including a backrest with a safety belt, characterized in that it is equipped with a lever for lifting, a horizontal plane, above which there is a transverse strut, made with the possibility of rotation around its axis and the possibility of fixing the free end with other axis in the hole of the plane, while on the stand on top of the mounted mechanical lifting mechanism for pulling the rope with a clamp attached to it, for the possibility of fastening on a stroke for raising and lowering an immovable leg on a toilet stand, the installation of which is provided under a rectangular hole of a horizontal surface in the chair-bed frame, and onto which the patient is lowered to perform vital, as well as sanitary and hygienic procedures with a shower head, followed by drainage water through pipelines outside the premises. 2. The chair bed according to claim 1, characterized in that it is made of plastic or composite material. 3. The chair bed according to claim 1, characterized in that it is made of leather.

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