RU2699008C1 - Functional galebsky bed 19 - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: medical bed comprises a base and a main frame mounted on it, on which a bed is mounted, which includes in series installed at least a dorsal, intermediate, hip and foot sections, from which the back and intermediate sections have mechanisms to adjust their inclination angle. Main frame is installed on four racks with possibility of movement in vertical plane and fixation in the specified position. Dorsal, intermediate, hip sections are made in the form of frames, on which support plates are rigidly fixed. Transverse size of the dorsal and intermediate sections corresponds to the transverse dimension of the main frame, and the transverse size of the hip section is not more than the internal transverse dimension of the main frame. Dorsal section on the side of the hip section is hinged to the main frame and mounted on the support on the other side. Intermediate section with dorsal and hip sections is connected by means of spider. On the side of the intermediate section, the hip section is pivotally connected to the main frame. Foot section consists of a transverse beam connected hingedly to the hip section, a cloth consisting of hinged interconnected strips (slats). On the side of the legs, the band of the foot section is fixed on the shaft with a spring mechanism installed between the posts, and on the opposite side with the transverse beam the locking mechanism. In the lower part of the intermediate section a movable frame is installed, on which a mechanism of inclination angle adjustment of the hip and foot sections is installed. Movable frame is equipped with detachable locking assembly. In the upper part of posts there installed is an additional frame made of at least two side and at least two transverse beams. Additional mechanism for patient's support and movement in vertical plane is installed on additional frame above hip and leg sections in longitudinal and transverse directions. Below the cox and foot sections, a foot rest rehabilitation gymnastics training device is installed. Additionally, a control panel is introduced interacting with mechanisms of bed section inclination angle adjustment, mechanism of patient's support and its movement in vertical plane and trainer for foot rehabilitation during walking.

EFFECT: invention refers to a medical bed and aims at enlarging functional capabilities of bed for rehabilitation of bed patients.

3 cl, 3 dwg

Description

The invention relates to the equipment of medical institutions, in particular, to equipment for placing patients in intensive care units, cardiology, traumatology, surgery, therapy, gynecology, urology and neurology with the aim of carrying out diagnostic, therapeutic and preventive measures. The bed can also be used in sanatoriums, nursing homes, rehabilitation centers and home conditions.

The closest in technical essence to the claimed invention is a functional bed (see, for example, RU 2261695, C2, IPC A61G 7/00, 2005.10.10), containing a base and a frame mounted on it, on which a bed is mounted, including connected in series with hinges at least the back, hip, intermediate and foot sections, of which the hip section is connected to the frame, and the back and intermediate sections have mechanisms for adjusting the angle of their inclination, the foot section is equipped with at least one latch, at least , one of its angular position relative to the intermediate section, and the latch is made in the form of a screw mechanism, the nut of which is connected with the intermediate section, one end of the screw is equipped with a handle, and the other with a tapered shank, designed to interact with the inner surface of at least one tapered hole made in the emphasis associated with the foot section.

A disadvantage of the known bed is the low functionality for the rehabilitation of the limbs of lying patients.

The technical result of the invention is to expand the functionality of the bed for the rehabilitation of the limbs of lying patients by introducing additional simulators with the possibility of approaching the patient with rehabilitation procedures in accordance with medical indications, both by the patient and with the help of medical personnel.

The specified technical result is achieved by the fact that in the well-known functional Galebsky bed 19, containing a base and a main frame mounted on it, on which a bed is mounted, including at least the back, intermediate, hip and leg sections, of which the back and intermediate are sequentially installed sections have mechanisms for adjusting the angle of their inclination, according to the invention, the main frame is mounted on four racks with the ability to move in a vertical plane and lock in a predetermined position nii, the back, intermediate, and hip sections are made in the form of a frame on which base plates are rigidly attached, and the transverse size of the back and intermediate sections correspond to the transverse size of the main frame, and the transverse size of the hip section is no more than the internal transverse size of the main frame, the back section is on the side the hip section is pivotally connected to the main frame, and on the other it is mounted on a support, the intermediate section with the dorsal and hip sections is connected using a cross, the hip the main section from the side of the intermediate section is hinged to the main frame, the foot section consists of a transverse beam pivotally connected to the hip section, the web consisting of strips (lamellas) pivotally interconnected, from the legs the foot section tape is fixed to the shaft with a spring mechanism mounted between the uprights, and on the opposite side with a transverse beam with a locking mechanism, a movable frame is installed in the lower part of the intermediate section, on which the angle adjustment mechanism is mounted the hip and foot sections, while the movable frame is equipped with a removable locking assembly, an additional frame is installed in the upper part of the racks, made of at least two side and at least two transverse beams, on an additional frame above the hip and foot in sections, a mechanism for supporting the patient and moving him in a vertical plane is installed with the possibility of moving in longitudinal and transverse directions; a simulator for rehabilitation of the foot in case of feet is installed below the hip and foot sections clothing, and also introduced a control panel that interacts with mechanisms for regulating the angle of their sections of the bed, a mechanism for maintaining the patient and moving him in a vertical plane, and a simulator for rehabilitation of the foot when walking.

The specified technical result is achieved by the fact that in the functional Galebsky bed 19 according to claim 1, according to the invention, an exercise machine for legs and arms is mounted on an additional frame above the intermediate section with the ability to move in the transverse direction from the center line of the bed to its edge and fixation in a predetermined position .

The specified technical result is achieved by the fact that in the bed ... according to p. 1 and 2, according to the invention, above the back section on the additional frame is installed a hand trainer with the ability to move in the axial direction of the bed and fixation in a predetermined position.

The essence of the invention lies in the fact that the main frame is mounted on four racks with the possibility of movement in the vertical plane and fixation in a predetermined position, the back, intermediate, and hip sections are made in the form of a frame on which base plates are rigidly attached, and the transverse dimension of the back and intermediate sections correspond to the transverse size of the main frame, and the transverse size of the hip section is not more than the internal transverse size of the main frame, the back section from the side of the hip section is inena pivotally with the main frame, and on the other it is mounted on a support, the intermediate section with the back and hip sections is connected using a cross, the hip section from the side of the intermediate section is pivotally connected to the main frame, the foot section consists of a transverse beam pivotally connected to the hip section , the web, consisting of strips (lamellas) pivotally interconnected, on the legs side the tape of the foot section is fixed to a shaft with a spring mechanism installed between the uprights, and from the opposite sides — with a transverse beam by a locking mechanism, a movable frame is installed on the bottom of the intermediate section, on which a mechanism for adjusting the angle of inclination of the hip and leg sections is installed, while the movable frame is equipped with a removable locking assembly, an additional frame is installed in the upper part of the racks, made according to at least two lateral, and at least two transverse beams, mounted on an additional frame above the hip and leg sections with the possibility of movement in the longitudinal and transverse a mechanism for supporting the patient and moving him in a vertical plane, below the hip and leg sections, a simulator has been installed for rehabilitation of the foot while walking, and a control panel has also been introduced that interacts with mechanisms for adjusting the angle of the sections of the bed, the mechanism for supporting the patient and moving him in the vertical a plane and a simulator for the rehabilitation of the foot while walking, that above the intermediate section on the additional frame is installed a simulator for legs and arms with the ability to move to in the transverse direction from the axial line of the bed to its edge and fixation in a predetermined position, and above the dorsal section, an shoulder arm simulator is installed on an additional frame with the possibility of axial movement of the bed and fixation in a predetermined position.

Installing the main frame on four racks with the ability to move in a vertical plane and fixation in a predetermined position allows you to install additional elements in the upper part of the bed, which expand its functionality and adjust the height of the bed with the patient to ensure access for the patient to additional elements. The rack can be made, for example, from a segment of a simple (square, circle) metal rolling (https://sprb.by/material/87-chto-takoe-metalloprokat.html. Date of access. January 13, 2019). The installation of the main frame on the racks can be carried out, for example, as follows: a piece of rolled metal is rigidly fixed (for example, by welding) to the corners of the frame, the cross-sectional shape of which corresponds to the cross-sectional shape of the strut. The internal dimensions of the section of the segment are equal to the external dimensions of the section of the rack. On a piece of metal, rigidly fixed to the frame, and on the racks, coaxially, for example, holes are made. Moreover, the openings on the racks are performed, starting with the minimum installation height of the main frame after a predetermined distance. Lock pins are inserted into the holes (see, for example, the URL https://m.wikipedia.org/wiki/%D0%A8%D1%82%D0%B8%D1%84%D1%82. Date reversed 3.02. 2019) and install the frame at a given height. The height adjustment of the frame is carried out by moving the locking pin in height.

The implementation of the dorsal, intermediate, hip section in the form of a frame allows you to get a swinging intermediate section by connecting it to the dorsal and hip sections using a cross. The transverse size of the hip section is smaller than the internal transverse size of the main frame, which allows you to set this section in a vertical position down.

The implementation of the foot section, consisting of a transverse beam, articulated by the hip section, the web, consisting of articulated strips (lamellas), on the legs side the tape of the foot section is mounted on a shaft with a spring mechanism installed between the uprights, and on the opposite side, with transverse beam locking mechanism, provides undocking of the leg section from the hip section and winding the canvas on a shaft with a spring mechanism. The installation of the hip section in a vertical position down and winding the cloth of the foot section on the shaft free up space for the rehabilitation of the patient's legs in an upright position. The hinged connection of the foot and hip sections provides the patient with knees raised to the abdomen and lowered by means of a mechanism for adjusting the angle of the hip section if the patient cannot independently perform such actions. All this ensures the achievement of the technical result indicated in the invention.

The adjustment of the angle of inclination of the hip and foot sections is achieved with a control mechanism mounted on a movable frame equipped with a removable locking assembly. When lifting the hip and foot sections, the movable frame in an upright position rests on the locking assembly and provides lifting sections. When removing the locking unit, the movable fork is able to move to a horizontal position, dragging along the hip section, disconnected from the foot. This frees up space for the rehabilitation of the patient's legs

An additional frame made of at least two lateral and at least two transverse beams, and installed in the upper part of the racks, allows you to equip the bed with additional elements, in particular, according to paragraph 1, a mechanism for supporting the patient and moving him in the vertical planes with the ability to move in the longitudinal and transverse directions, according to paragraph 2, the simulator for legs and hands with the ability to move in the transverse direction from the center line of the bed to its edge and fixation in a predetermined position, according to paragraph 3 Azhar shoulder joint arms movable in the axial direction of the bed and fixed in a predetermined position also extends the functionality of the bed due to rehabilitation of individual parts of the patient's body.

The mechanism for supporting the patient and moving him in the vertical plane can be performed, for example, in the form of a manual single-beam single-span bridge crane, the rail supports of which equipped with wheels are supported by the longitudinal beams of the additional frame, and the carriage is equipped with electric hoist (URL https://encyclopaedia.bid. Date reversed January 23, 2019), additionally equipped with, for example, the back-shoulder girths, the chest strap and the leg girths connected in the waist lock of the parachute suspension system (see, for example, patent RU 2175299, C1. IPC B64D 17/30 (2000.01), published on October 27, 2001. Bull. No. 30).

The simulator for rehabilitation of the foot while walking is intended for the rehabilitation of the ankle and knee joints of the patient in case of trauma to the lower extremities (legs) due to the forceful movement of the patient's foot, similar to the movement when walking with healthy limbs. Existing simulators of this direction (the so-called "treadmills") are aimed at training a healthy person who, while standing on a track, can raise and lower his legs. In this case, the joints of the foot are bent and unbent in accordance with the raising and lowering of the leg. A patient with injured lower limbs cannot perform such movements. The principle should be such that "not the patient goes to the simulator, the simulator is brought to the patient and the exercises begin." It can be put on the simulator and fix the feet on the simulator. The simulator must make such movements in which the patient’s foot movements are made similar to the movement when he walks. Such a simulator can be performed, for example, in the form that is schematically shown in Fig. 1, where it is shown: 1 - the base, 2 - the platform for the legs, equipped with ties to secure the patient's foot to the platform (shown in Fig. 1), 3 - a pulley, 4 - an elastic element, 5 - a drum, 6 - a rotation mechanism, 7 - a flexible element, 8 - a sensor that interacts with the platform for the legs and the mechanism of rotation of the drum, 9 - groove, 10 - the mechanism for adjusting the angle of inclination of the base. The purpose of the circuit elements is clear from their name.

The simulator consists of a base 1, made, for example, in the form of a rectangular plate, bent with a given oval. Two grooves are made parallel to the side on the plate, each of which has a foot platform 2, with the possibility of movement in the forward and reverse directions along the groove 9. In the forward direction of movement of the foot platform 2 (for the forward direction, we take, for example, the direction of movement of the sock forward, and the reverse is the direction of movement of the toe back), a pulley 3 is installed at the end of each groove 9, and a sensor 8 is installed in the opposite direction, interacting with the foot platform 4 and the drum rotation mechanism 6. The foot platform 2 is connected via pulleys 3 interconnected by a flexible element 7 by means of elastic elements 4, which provide elastic-translational movement of the platform 2 without hesitation. On the opposite side of the platform for legs 2 are also connected by means of an elastic element 4 with a flexible element 7, the second ends of which are fixed to the drum 5 so that when the drum 5 is rotated, the flexible element 7 connected to one platform 2 is wound onto the drum and the other is unwound. From the side of the sock, the base 1 is mounted on a mechanism for adjusting the angle of inclination of the base 2, which can be made, for example, in the form of telescopically connected external and internal elements, the height of which is extended by the locking pin (see, for example, URL https: //ru.wikipedia.org/wiki/%D0%A8%D1%82%D0%B8%D1%84%D1%82, accessed February 3, 2019), i.e. similar to adjusting the height of the main bed frame.

As a rotation mechanism 6, an asynchronous reversible motor with a gearbox and an adjustable speed can be used (see, for example, URL https: //electroprivod.m/pdf/dkxn/Wormgeared_speed_control-15w.pdf. Date of access. February 3, 1919) .

As the elastic element 4 can be used, for example, a spring (URL https://yandex.ru/search/?text=%D0%BF%D1%80%D1%83%D0%B6%D0%B8%D0% BD% D0% B0% 20% D1% 87% D1% 82% D0% BE% 20% D1% 8D% D1% 82% D0% BE% 20% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5 & lr = 193 & clid = 2186620. Date accessed 02/03/1919), and as a sensor 8 limit switch (URL https://amperof.ru/elektropribory/osobennosti-primeneniya-i-ustrojstva-kontsevyh-vyklyuchatelej .html. Date of access February 3, 1919).

The simulator for rehabilitation of the foot while walking works as follows. The patient is placed on the foot platform 2, if he is not able to stand on his own, then he is supported in an upright position using the patient support mechanism. The patient's feet are fixed to the platform 2. The rotation mechanism 6 of the drum 5 is turned on. When the drum 5 is rotated, the flexible element 7 connected to the foot platform 2, for example, on the left, is wound on the drum. This platform 2 makes in this movement in the opposite direction and pulls the right platform 2, which naturally makes a direct movement. The flexible member 7 associated with this platform is unwound. The right platform 2, moving in the forward direction, rises up, therefore, the foot receives the movement that a healthy person makes when walking, throwing his leg forward. The knee joint also makes a movement. When the left foot platform 2 interacts with the sensor 8, it works and switches the rotation mechanism in the opposite direction. In this case, the foot platforms 2 begin to move in opposite directions: the left platform in the forward direction, and the right one in the opposite direction until it interacts with the sensor 8. After that, everything is repeated again.

The leg and arm simulator is designed to rehabilitate the patient's legs and arms through the use of at least one healthy limb, or by external intervention. To develop, optionally, either active or passive legs and hands of the patient due to the work of at least one active limb. It may contain, for example, a frame with two pedal mechanisms for arms and legs connected by flexible connections, and with an additional load device (see, for example, patent RU 2306129 C2, IPC A61H 1/00 (2006.01), publ. September 20, 2007 . Bull. No. 26), installed in the grooves of the transverse beams of the additional frame with the possibility of moving in the transverse direction relative to the longitudinal axis of the bed, from one side beam to another beam with the possibility of fixing in a given longitudinal position. The pedal mechanisms have a kinematic and power connection, and one of them can be equipped with a rotation mechanism, which can be used to intervene from outside the rehabilitation process.

One of the possible options for building a power simulator is shown schematically in FIG. 2, where it is indicated: 3 - a pulley, 7 - a flexible element, 11 - a bar neck, 12 - a rod pancake, 13 - a shaft, 14 - a guide, 15 - a rod holder, 16 - a load, 17 - a longitudinal beam of an additional frame, 18 - a cross beam of an additional frame, 19 - a bed rack. The purpose of the strength trainer elements is clear from the name.

The power simulator consists of a bar with a bar 11 and pancakes 12 installed on the bar 11, a shaft 13 installed in grooves made on the longitudinal beams 17 of the additional frame with the possibility of moving along the longitudinal axis of the bed and securing in a predetermined position. On the shaft 13 there are two guides 14, made in the form of a closed elongated frame, on which are mounted the holders of the rod 15, made in the form of a hook with the bent end down. The angles of inclination of the guide rods 14 can be adjusted by rotating the shaft 13 around the longitudinal axis and securing it in a predetermined position. The implementation of the guide 14 in the form of a closed elongated frame ensures the safety of the patient from injuries in the event of an accidental fall of the bar. On the bar 11 of the rod, hooks are rigidly mounted in the region of the supports, which are connected by a triangle using a flexible element 7. From the third vertex of the triangle, the flexible element passes through pulleys 3 mounted on the shaft and on the transverse beam of the additional frame. At the other end of the flexible member, a load 16 with an adjustable weight is suspended.

Power simulator works as follows. The patient lying down takes the bar by the bar 11 pushes him along the guide 14 up. The bar of the rod 11 comes out of the holders 15. A flexible element 7 with a load of 16 and the force of the patient ensure the movement of the bar along the guide 14 up. The patient can put the bar on the next holder 15, or raise it even higher, and then pulling it down to repeat the exercise several times. The power load, depending on the readings, is regulated by changing pancakes 12 of the rod and the weight of the load 16.

If the patient does not hold the bar, then it will again be on the holders 15 or in the lower part of the holders 14 without causing injury to the patient.

The control panel provides control of the mechanisms for adjusting the angle of the sections and the rotation mechanism. It can be performed using electric toggle switches in three positions (see, URL http://wikiredia.ru/Tumbler. Date reversed February 3, 2019).

In FIG. 3 shows a side view of the bed, where it is indicated: 10 - a mechanism for adjusting the height of the bow of the simulator base for rehabilitation of the foot, 19 - a rack, 20 - the main frame, 21 - an additional frame, 22 - a mechanism for supporting the patient and moving him in a vertical plane, 23 - a simulator for legs and arms, 24 - a power simulator, 25 - a simulator for rehabilitation of the foot when walking, 26 - foot section, 27 - lock connection, 28 - transverse beam, 29 - hip section, 30 - hinge connection, 31 - intermediate section, 32 - back section, 33 - metal section, 34 - a locking pin, 35 - a movable fork, 36 - a locking assembly, 37-1 and 37-2 - a mechanism for adjusting the angle of the hip and leg sections and the back section, respectively, 38 - a trainer for rehabilitation of the foot when walking. Explanations for the elements included in the bed were given above.

A functional rehabilitation bed can be used both independently by the patient under the supervision of medical personnel, and with the help of medical personnel for the rehabilitation of various joints and muscle groups.

For example, rehabilitation of a patient’s knee joint, depending on its condition, can be carried out in two of its positions: lying on the bed and standing upright on the simulator for the foot 15. In the supine position, the leg 26 and hip 28 sections are connected by a locking mechanism 27. Install on the remote control control the toggle switch of the mechanism for adjusting the angle of inclination of the foot and hip sections 37-1 to the “Up” position (this can be done by the patient alone, if in a state, or by medical personnel). In this case, the mechanism 37-1 extends, the movable frame 35 goes back and abuts against the locking assembly 36. With further extension, the mechanism 37-1 rests on the hip section with the other end and lifts it. The articulated side of the foot section also rises, as the web is pulled out of the shaft. In this case, the patient's knees are pulled to the stomach. When the desired level is reached, the toggle switch is set to neutral and the lift stops. To lower the tumbler set to the "Down" position and the control mechanism 37-1 lowers the hip 28 and foot 28 sections down. In this case, the knee and ankle joints of the patient are bent and unbent, i.e. joint rehabilitation occurs. So repeat as many times as required for medical reasons or for the well-being of the patient.

Rehabilitation of the ankle and knee joints in an upright position is carried out on the simulator for rehabilitation of the foot while walking 38. For this, the locking mechanism 27 of the leg section 26 is disconnected from the hip section 28. In this case, the tape of the leg section 26 is wound on a shaft with a spring mechanism (in Fig. 3 not shown). The locking assembly 36 is removed. In this case, the movable fork 35 is released from the locking assembly 36 and lowered down. Due to the fact that the movable fork 35 is pivotally connected to the hip section 28, the latter also lowers down. Thus, free space above the simulator for rehabilitation of the foot when walking 38. The patient is placed on the platform for legs 2 (Fig. 1), hold him in an upright position using the mechanism to support the patient and move him in a vertical plane 22 (Fig. 3) and carry out rehabilitation of the foot and knee joint.

The use of additional rehabilitation mechanisms installed on the bed provides rehabilitation of various muscle groups of the patient. Depending on the clinical condition of the patient (as prescribed by the attending physician), Galebsky 19 rehabilitation bed can be used both in the hospital and for treatment at home.

Claims (3)

1. Glebsky’s functional rehabilitation bed 19, containing a base and a main frame mounted on it, on which a bed is mounted, including at least the back, intermediate, hip and leg sections successively installed, of which the back and intermediate sections have mechanisms for adjusting their angle tilt, characterized in that the main frame is mounted on four racks with the ability to move in a vertical plane and fixation in a given position, the back, intermediate, hip section they are made in the form of frames on which base plates are rigidly attached, and the transverse dimension of the back and intermediate sections corresponds to the transverse size of the main frame, and the transverse size of the hip section is not more than the inner transverse size of the main frame, the back section from the side of the hip section is hinged to the main frame and on the other it is mounted on a support, the intermediate section with the dorsal and hip sections is connected using a cross, the hip section from the side of the intermediate section is connected pivotally with the main frame, the foot section consists of a transverse beam pivotally connected to the hip section, a web consisting of strips (lamellas) pivotally connected to each other, on the legs side the foot section tape is mounted on a shaft with a spring mechanism installed between the uprights, and on the opposite side with a transverse beam by a locking mechanism, a movable frame is installed in the lower part of the intermediate section, on which a mechanism for adjusting the angle of inclination of the hip and leg sections is installed, while the frame is equipped with a removable locking assembly, an additional frame is installed in the upper part of the racks, made of at least two lateral and at least two transverse beams, a patient support mechanism is installed with the possibility of moving in the longitudinal and transverse directions above the hip and foot sections and its movement in a vertical plane, below the hip and leg sections, a simulator is installed for the rehabilitation of the foot when walking, and an additional control panel is also introduced, inter acting with mechanisms for adjusting the angle of inclination of the sections of the bed, a mechanism for maintaining the patient and moving him in a vertical plane and a simulator for rehabilitation of the foot when walking. 2. A bed according to claim 1, characterized in that a simulator for legs and arms is mounted on an additional frame above the intermediate section, with the possibility of moving in the transverse direction from the center line of the bed to its edge and fixing it in a predetermined position. 3. A bed according to 1 and 2, characterized in that above the back section on an additional frame mounted power trainer for the hands with the ability to move in the axial direction of the bed and fixation in a predetermined position.

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