RU2252738C2 - Device for taking anti-schock measures - Google Patents

Abstract

FIELD: medical equipment.

SUBSTANCE: device can be used in anesthesiology, reanimatology, surgery, neurosurgery, traumatology and for taking assistance to patients suffered from shock traumas. Device is made of polymeric materials and has handles for carrying patient, support, X-ray-transparent cover, arms fixing aids mounted for rotation, lockers and flat plate having slits to get access to patient. Plate is mounted onto supports. Supports are placed along perimeter; they have cylindrical shape and are made for mounting onto operation table or wheel-chair. Lockers have rotation unit made in form of plain bearing and elastic member to drive locker into motion.

EFFECT: improved efficiency.

2 cl, 1 ex, 2 dwg

Description

The present invention relates to the field of anesthesiology-resuscitation, surgery, neurosurgery, traumatology, in particular, to the provision of emergency care to victims of a shock injury.

Many different modifications of operating tables are known, in particular, the general surgical table OM-03M, which consists of a base, in which there are table control mechanisms, a six-section panel, a remote control and a rack with removable devices (Tomsk Instrument Plant. Passport Ts6312.00.000PS).

The disadvantages of this table when providing assistance to victims with a shock injury are the lack of reliable immobilization of the patient, the X-ray opacity of the product, the inability to do without repeated patient movements during treatment and diagnostic measures, which dramatically increases the risk of additional damage to the skeleton, internal organs, neurovascular bundles, and increases chocogenicity of an existing injury.

The prototype to the claimed one is a device consisting of a distraction stretcher, consisting of a frame, telescopic tubes, stiffeners, arms, clamps, foot supports, a swing mechanism, a hinged pelvic support, hinged forearm lodges, an X-ray transparent plastic coating, axillary belts and Glisson loop (pat . RF No. 1776397, A1, 11/23/1992).

The disadvantages of the device selected as a prototype is that it is intended for transporting patients, and not for therapeutic and diagnostic measures.

Another drawback of these stretchers is the difficulty of conducting an X-ray examination due to the abundance of assistive devices for immobilization (forearm lodgements, hinged pelvic support, axillary belts, etc.).

For the same reasons, problems arise during anesthesiology in the shoulder girdle and neck.

Another disadvantage of the prototype is the difficulty of access to the thoracoabdominal area for surgical interventions.

The task of the invention is to optimize the conditions for therapeutic and diagnostic measures in patients with a shock injury.

According to the invention, the problem is solved in that the device for carrying out anti-shock measures, containing transfer handles, supports, an X-ray transparent coating and hand-held elements mounted with the possibility of rotation and having clamps, is made of polymeric materials and further comprises a flat plate with side cutouts for access to the patient, while the plate is installed on perimeter-mounted supports having a cylindrical shape and made for installation on an operating table or one hundred l-gurney, and the clamps consist of a rotation unit in the form of a sliding bearing, stopper and an elastic element to set the stopper in motion.

Another feature of this invention is that the side cutouts for accessing the patient are rectangular in shape, and the stopper is made in the form of a cylindrical finger.

The implementation of the device from polymeric materials allows to ensure low weight of the product (10-12 kg) and high x-ray transparency, as well as stability when processing with disinfectants, hypoallergenicity, lack of absorption of biological fluids.

The implementation of the cylindrical supports and their installation around the perimeter provide the necessary longitudinal and transverse strength of the device and convenient access for performing x-rays.

Elements for holding hands allow you to securely hold the upper limbs in a predetermined position with the help of clamps in the form of a sliding bearing and locking finger.

Cutouts in the sides of the device provide convenient access to the patient's body during manipulations in the chest and abdomen.

According to the scientific, technical and patent literature, the use of the above structural elements for the treatment of victims of shock injury is unknown.

The device is illustrated by the drawings (Fig. 1 and Fig. 2) and is used as follows: when entering the anti-shock compartment, the victim from the stretcher of the ambulance crew is transferred to the plate 1 with an X-ray transparent coating 2. The device is transferred by personnel by means of handles 3 and installed using supports 4 on operating table or wheelchair table (carriage). The upper limbs of the victim are fixed on the elements for fastening the arms 5 with the help of special cuffs with Velcro. With the same cuffs, the lower limbs can be fixed to the lower arms. Elements for holding hands, if necessary, are rotated by the desired value using a sliding bearing 7 around the axis of the element for holding hands 8 and are fixed in this position by means of a stopper in the form of a cylindrical pin 9, driven by an elastic element 10. During surgery The chest and / or abdominal cavity uses cutouts 6 along the lateral surfaces of the device to provide optimal access to the area of operation.

Example. Patient Smirnova V.V., 18 years old, was admitted to the antishock department of the Research Institute of Emergency Medicine with a diagnosis of Car accident. Open head injury. A severe brain contusion. Bruised cervical spine. Closed chest injury. Right-sided pneumothorax. Closed fracture of the right pubic and ischial bones. Torn and bruised wound of the left thigh. An open fracture of both bones of the left leg. Traumatic shock of 2-3 degrees. The predictive duration of the shock is 11 hours 12 minutes. The location of the victim on the device for anti-shock measures allowed for the initial immobilization of bone injuries, and quickly performed diagnostic measures. Fixation of the upper limbs in a predetermined position made it possible to create the necessary styling for an X-ray examination of the cervical spine, facilitated catheterization of the central vein. The optimal position of the patient and cuts on the lateral surfaces of the device allowed for simultaneous drainage of the right pleural cavity and surgical treatment of the wound of the left thigh. Adequate anesthesia, infusion-transfusion and respiratory therapy led to stabilization of the vital functions of the victim after 5 hours 35 minutes from the time of admission, which allowed for osteosynthesis of the bones of the left leg. In stable condition, the patient was transferred to the surgical intensive care unit.

The proposed device has the following advantages:

- ensures good quality of radiographs - an extremely important factor for faultless diagnosis of the nature of injuries in critically injured patients;

- allows you to ensure optimal patient placement during treatment (catheterization of the central veins, puncture, blockade, etc.), x-ray examination (cervical spine, etc.);

- facilitates the work of surgeons, providing convenient access to the patient’s body during thoracic and abdominal operations;

- provides the conditions for performing radiography of any anatomical region of the patient;

- allows the use of modern highly effective disinfectants for processing the device;

- the coating prevents the formation of abrasions of the skin, pressure sores with prolonged forced position of the body and at the same time has great wear resistance;

- allows you to minimize physical activity on medical personnel.

Thus, the shockogenicity of the injury is significantly reduced, the condition of the victim is facilitated, and significantly more convenient working conditions for the medical staff are ensured, which ultimately has a positive effect on the outcome.

Claims (2)

1. A device for conducting anti-shock measures, containing transfer handles, supports, an X-ray transparent coating and hand-fastening elements, mounted for rotation and having clips, characterized in that it is made of polymeric materials and further comprises a flat plate with side cutouts for access to the patient, while the plate is mounted on perimeter-mounted supports having a cylindrical shape and made for installation on an operating table or a wheelchair table, and the latches consist of nodes rotation in a slide bearing, and the stopper elastic member for driving the stopper. 2. The device according to claim 1, characterized in that the side cutouts for access to the patient are rectangular in shape, and the stopper is made in the form of a cylindrical finger.

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