TR2021006209A2

TR2021006209A2 - ANESTHESIA AND REANIMATION ASSISTANT

Info

Publication number: TR2021006209A2
Application number: TR2021/006209
Authority: TR
Inventors: Ayvat Pinar; Lm Sefa Yangal H; Ozlu Can
Original assignee: Cas Endüstri̇yel Sağlik Ürünleri̇ Ti̇caret Li̇mi̇ted Şi̇rketi̇
Filing date: 2021-04-07
Publication date: 2021-06-21

Abstract

Buluştaki cihaz, anestezik etki altında olan hastaların reanimasyon süreçlerini kolaylaştırmak için (örneğin ameliyat sonrası ayılma odasındaki hasta) ve kısıtlama gerekliliği olan diğer hasta (örneğin yoğun bakımdaki ajite hasta) ve kişilerin (örneğin vücudunda kateter olan Alzheimer hastası) hareket kısıtlamalarını sağlamakla ilgilidir. Söz konusu buluşa konu olan akıllı kısıtlama anestezi ve reanimasyon asistanı cihazı, olup; genel olarak, polietilen malzemeden üretilmiş dış kasa(1), dış kasa (1) üzerine konumlandırılmış bağlantı klemensleri(2), orta gergi mekanizması(3), gergi mekanizmasına bağlı uzunluğu ve hareket kabiliyeti ayarlanabilir bileklik(4), bileklik (4) yüzeyinde yerleştirilmiş RFİD (Radio Frequency Identification) okuyucu sensör(5), sistem için geçerli enerjiyi sağlayacak güç kaynağı(6), güç kaynağından (6) enerji alan kontrol kartı(7), devre mekanizmalarını koruyan kapaklar(8), çalıştırılacak yüzeye yapıştırılması için olan RFID sensör pad etiket/barkodlardan(9), bileklik halatından(10) oluşmaktadır.The device of the invention is concerned with facilitating the reanimation processes of patients under the anesthetic effect (for example, the patient in the recovery room after surgery) and for providing movement restrictions for other patients (for example, agitated patient in intensive care unit) and persons (for example, Alzheimer's patient with a catheter in his body) who need restraint. The smart restraint anesthesia and reanimation assistant device, which is the subject of the invention, is; In general, the outer casing (1) made of polyethylene material, the connection terminals (2) positioned on the outer casing (1), the middle tensioning mechanism (3), the length and mobility adjustable wristband (4) connected to the tensioning mechanism, the wristband (4) on the surface RFID (Radio Frequency Identification) reader sensor (5), power supply (6) that will provide the current energy for the system, control card (7) that receives energy from the power supply (6), covers that protect the circuit mechanisms (8), for sticking to the surface to be operated RFID sensor pad consists of tags/barcodes(9), wristband rope(10).

Description

TARIFNAME ANESTEZI VE REANIMASYON ASISTANI Teknik Alan: Bulustaki cihaz, anestezik etki altinda olan hastalarin reanimasyon süreçlerini kolaylastirmak için (örnegin ameliyat sonrasi ayilma odasindaki hasta) ve kisitlama gerekliligi olan diger hasta (örnegin yogun bakimdaki ajite hasta) ve kisilerin (örnegin vücudunda kateter olan Alzheimer hastasi) hareket kisitlamalarini saglamakla ilgilidir. DESCRIPTION ANESTHESIA AND REANIMATION ASSISTANT Technical Area: The device of the invention is to facilitate the reanimation processes of patients under the anesthetic effect. (for example, the patient in the recovery room after surgery) and any other patient who needs restraint (for example, agitated patient in intensive care) and people (for example, Alzheimer's disease with a catheter in the body) patient) is concerned with ensuring movement restrictions.

Teknigin Bilinen Durumu Klasik Baglama Metodu: Hastanede yatan hastalarin bir kisminda, mental açidan kendine zarar verebilecek özellikte olan hastalarda, bilinci kapali olarak takip ve tedavi edilen hastalarda, beyin fonksiyonlarini tam olarak yapamayan kisilerde, bir kisim çocuk, genç ve yaslilarda ve yogun bakim ünitelerinde vücut ve/veya ekstremitelerinin kisitlanmasi uzuv baglama uygulamasi gerekebilmektedir. State of the Art Classical Binding Method: In some of the hospitalized patients, they are mentally self-sufficient. In patients who may cause harm, those who are followed and treated as unconscious In patients, in people who cannot fully perform their brain functions, some children, young people and Restriction of body and/or extremities in elderly and intensive care units binding may be required.

Yogun bakimlarda her hasta monitörize edilerek takip edilir. Bu takip için hastanin vücuduna çesitli tibbi cihazlar takilmaktadir. Bu tibbi cihazlar takilirken aci hissetmemeleri için hastalarin bilinç düzeylerini etkileyecek ilaçlar verilir. Sonrasindaki takipleri esnasinda ise hastalarin bilinçlerinin açik olmasi istenir. Bu sebeple yogun bakimdaki hastalarin büyük bir kismi bilinci açik olarak takip edilir. Yogun bakim yatislarinda hastalarin pek çogunda farkli türlerde duygu durum bozuklugu (bir örnek olarak deliryum) gelisir. Bu durumdaki hastalar vücutlarina bagli tibbi cihazlari (damar yolu, kateter vb) ve hasta takip sensörlerini çekme, agzindan entübasyon tüpünü (akcigerlere hava göndermek için bir ucu akcigerde olan agizdan takilan tüp), burnundan nazogastrik hortumu (beslemek için bir ucu mideye gönderilen tüp) çikarma, idrar sondasini çekme, intravenöz transdermal vb. verilen tedavi araçlarini çikarma gibi kendine zarar verici eylemlerde bulunabilmektedir. Bazen, hasta bilinç bulanikliginda olmasa bile, refleks olarak bahsi geçen eylemleri yapabilmektedir, bu da ölümcül sonuçlar dogurabilmektedir. Saglik personeli takip için ayni isleme hastaya tekrar yapmak zorundadir. In intensive care units, each patient is monitored and followed up. To the patient's body for this follow-up Various medical devices are being fitted. In order for patients not to feel pain while these medical devices are being inserted, are given drugs to affect their level of consciousness. During the follow-up, the patients They want their consciousness to be open. For this reason, most of the patients in the intensive care unit are conscious. openly followed. Many patients experience different types of emotions during their intensive care stay. state disorder (delirium as an example) develops. Patients in this situation are connected to their bodies. withdrawing medical devices (vascular access, catheter, etc.) and patient tracking sensors, orally intubation tube (a mouth-inserted tube with one end in the lung to send air to the lungs tube), removing the nasogastric tube (tube that is sent to the stomach for feeding) from the nose, urinary catheter withdrawal, intravenous transdermal etc. such as removing the therapeutic tools given may engage in self-destructive acts. Sometimes, if the patient is not conscious even reflexively, he is able to do the aforementioned actions, with deadly consequences. can give birth. Health personnel have to repeat the same procedure to the patient for follow-up.

Bu da hem hastaya ek müdahale ve risk getirmektedir, hem personelin is yükünü artirmakta, hem de kullanilan sarf malzeme ve maliyet miktarini artirmaktadir. Bu durum da kendisine ve çevresine de zarar vermektedir. This brings additional intervention and risk to the patient, and increases the workload of the staff. It also increases the amount of consumables and costs used. This situation also harms its environment.

Tüm bu durumlarin önüne geçmek için yogun bakim ünitelerinde hastalara fiziksel kisitlama yöntemi uygulanir. Bu kisitlama islemi, kisitlanan bireyin kendisine ve çevresine zarar vermesini önlemek ve engellemek için yapilmaktadir. En sik basvurulan yöntem ise hastalarin el ayak bileklerinden, hasta yatagina/karyolaya baglanmasidir. Bu durum hastanin psikolojisini bozmakta ve hastanin deliryum tablosunun belirmesine, artmasina yol açarak, hastayi daha depresif hale getirerek, iyilesme sürecine negatif etki göstermektedir. Ayrica hasta yakinlari da, hastalarinin el hareketlerinin yataga baglanmak suretiyle kisitlandigini gördügünde bu duruma üzülmekte, hastalarin adeta bir tutsak gibi tutuldugunu algilayarak zaman zaman negatif tepkiler vermektedir. Ayrica hastalar iyilestikten sonra, ellerinin baglanmasinin çaresizlik hissini arttirdigini, kendilerini depresyona ittigini belirtmislerdir. In order to prevent all these situations, physical restraints on patients in intensive care units method is applied. This restriction process does not harm the restricted individual himself and his environment. It is done to prevent and prevent it from giving. The most frequently used method is the patients' It is to be tied to the patient bed/cot from the wrists and ankles. This situation affects the psychology of the patient. deteriorating and causing the patient's delirium picture to appear and increase, making the patient more It has a negative effect on the healing process by making you depressed. In addition, relatives of patients Also, when he saw that his patients' hand movements were restricted by being tied to the bed, he did this. He feels sorry for the situation and from time to time perceives that the patients are held like a prisoner. gives negative responses. In addition, after patients recover, it is necessary to tie their hands. they stated that it increased the feeling of helplessness and pushed them into depression.

Bilinen kisitlama uygulamalari, hastanin kisitlama islemi sirasinda kisitlama islemini yapan personel ve kisi için zahmetli olmalari, kisitlama islemi ve çözme isleminde yogun efor ve zaman harcanmasi dezavantajina sahiptir. Bunun sebebi ise her ekstremitenin (uzvun) ayri ayri kisitlama için bir bag araciligi ile baglanmasi gerekliligidir. Bu durum için ayri ayri uzunluklarda genellikle pamuk yada iplik yapisina sahip materyalin, hasta yatagi etrafindaki alanlara, yada sabitleme yapilacak baglanti noktasina ve hasta ve/veya saglikli kisitlama yapilacak kisi ekstremiteleri (el ve ayaklari) etrafina sarilmasindandir. Bunun sonucu olarak pratik bir yöntem olusmamakta, bu islem için daha fazla efor ve zaman harcanmaktadir. Buna mukabil olarak kisitlama islemi sirasinda kisitlanan kisi, kisitlama islemi sirasinda, uygulanabilecek güç karsisinda çarpma zorlamaya maruz kalarak, yere düsebilmektedir. hasar görebilmekte, kisitlama yapan kisiye engel olarak bilinçli yada bilinçsiz zarar verebilmektedir. Known restraint practices, the patient's restraint operation during the restraint process. troublesome for the personnel and the person, intense effort and effort in the restriction and solving process It has the disadvantage of wasting time. The reason for this is that each extremity (limb) is separate. for a separate restriction, it must be connected via a link. For this case separately lengths of the material, usually cotton or yarn structure, around the patient bed. areas, or the attachment point to be fixed, and the patient and/or healthy restraint It is to wrap the person's extremities (hands and feet) around. As a result of this there is no practical method, more effort and time is spent for this process. This correspondingly, the person who is restricted during the restriction process, during the restriction process, It can fall to the ground by being subjected to impact force against the force that can be applied. can be damaged, conscious or unconscious harm can be prevented by preventing the person making the restriction. can give.

Bir diger dezavantajli durum ise hastaya ait en basit ihtiyaç olan kasinma ihtiyacini bile elleri bagli olan kisi tarafindan gerçeklestirilememe durumudur. Solunum cihazina bagli entübe hastalar zaten konusamadiklari için yardim dahi isteyememektedir. Entübe olmayan hastalar ise az personel ile is yürütülmeye çalisilan hastanelerimizde kasinma, bozulan pozisyonunun düzeltilmesi, kayan yastiginin yerlestirilmesi, kendi vücuduna temas etme, dokunma gibi insani ihtiyaçlar için gerekli ilgiyi görememektedir. Bu da hem hastalari hem de bir an önce taburcu etmek isteyen hekimleri zor durumda birakmaktadir. Another disadvantageous situation is that even the simplest need of the patient, the need for itching, is eliminated. It is the state of not being able to be realized by the person who is connected. Intubated on ventilator patients cannot even ask for help because they cannot talk anyway. Non-intubated patients On the other hand, in our hospitals where business is tried to be carried out with less staff, itching, deteriorating position such as correcting the sliding pillow, touching one's own body, touching it. does not receive the necessary attention for needs. This helps both patients and discharged as soon as possible. It puts physicians who want to practice in a difficult situation.

Klasik baglama metodunun handikaplarindan bir digeri de kisitlama yapilacak hastalarin özellikle sik sik laboratuar tetkikleri, röntgen, ultrason, Bilgisayarli Tomografi, Manyetik Rezonans, Pozitron Emisyon Tomografisi gibi çesitli tetkikler için yogun bakimdan ayrilmasi sirasinda klasik baglamalarin tekrar açilip, tekrar baglanmasidir. Bu gibi transport durumlarinda, yapilacak islem süresini de hesaba katarsak kisitlama yapacak uygulayici için ek isgücü ve zaman tüketimi olmaktadir. One of the handicaps of the classical restraint method is that the patients who will be restrained especially frequently laboratory tests, x-ray, ultrasound, Computed Tomography, Magnetic Leaving intensive care for various examinations such as Resonance, Positron Emission Tomography It is the reopening and reconnection of classical baglamas during transport like this cases, if we take into account the duration of the procedure to be done, for the practitioner who will restrict additional labor and time consumption.

Ayni zamanda geleneksel yöntemde kisitlanan kisiye baglanan iplik, kumas formatli unsurlarin hastaya temas eden yerlerinde allerjik cilt reaksiyonlari, kontakt (temas) dermatit ve zorlamaya bagli açik ve kapali sürtünme, siyrik, eroziv cilt yaralari gelisebilmektedir. Bunun ana nedenlerinden birisi de kisitlama isleminde kullanilan iplik, pamuk, farkli kumas gibi materyallerin gerginlik ve stabilizasyon direncinin hasta gücüne göre ayarlanamamasidir. At the same time, the thread tied to the person restricted in the traditional method is fabric formatted. allergic skin reactions, contact dermatitis and open and closed friction, abrasions, erosive skin wounds may develop due to forcing. This One of the main reasons is the use of yarn, cotton, different fabrics used in the restriction process. is that the tension and stabilization resistance of the materials cannot be adjusted according to the patient's strength.

Ayrica geleneksel baglama metodunda tüm hastalara sabit kisitlama verilebilmekte, hiçbir hastaya esnek uzuv(ekstremite) serbestligi verilememektedir. In addition, in the traditional ligation method, all patients can be given a fixed restraint. flexible limb (extremity) freedom cannot be given to the patient.

Bulusun Amaci Mevcut bulus, yukarida bahsedilen gereksinimleri karsilayan, hastanin, kisitlama yapilan kisilerin karsilasabilecegi zararlari azaltan, kisitlama ile ilgili tüm dezavantajlari ortadan kaldiran, klasik el bagi yönteminden hastayi kurtaran ve ilave avantaj getiren akilli kisitlama cihazi ile ilgilidir. Mevcut bulus hastanin bilinç durumunda bozulma oldugunda ya da bir anlik refleks ile vücudundaki tibbi malzemelere elini yaklastirdiginda tutup çekmesini engelleyecek bir cihazla ilgilidir. Bulusumuz hastalarin istenmeyen bölgeye ellerini yaklastirmalarini engellemek için gelistirilmistir. Purpose of the Invention The present invention is based on the above-mentioned requirements of the patient, It eliminates all the disadvantages associated with the restriction, which reduces the harm that people may face. Intelligent restraint that removes, saves the patient from the classical hand tie method and brings additional advantages relates to the device. The present invention is used when the patient's state of consciousness is impaired or for a moment. with reflex, he will prevent him from holding and pulling the medical materials in his body when he approaches relates to a device. Our invention enables patients to bring their hands closer to the unwanted area. developed to prevent

Bu cihazimiz ile uzuvlarin, anatomik nbtral pozisyonlari baz aldiginda, birden çok eksen üzerinde (transfers, vertikal, horizontal eksen) hareket edilebilmesi mümkün olacaktir. With this device, based on the anatomical neutral positions of the limbs, multiple axis It will be possible to move on (transfer, vertical, horizontal axis).

Bu bulusumuz ile hastalarin vücutlarina bagli tibbi cihazlari, aparatlari, tedavi cihazlarini, damar yolunu, kateterini, entübasyon borusunu, idrar sondasi ve girisimsel diger tibbi araç ve gereçleri istemsizce koparmalarina çekmelerine zorlamalarina bozmalarina, hastaya kisitlanan kisiye zarar vermeden engel olacaktir. Bu bulusumuz ile pratik bir yöntem halinde, daha az efor ve zaman harcanarak hastanin kisitlama islemi yapilabilmektedir. Bulusumuz ile kisitlama isleminde, uygulayicilar için zaman tasarrufu saglanacaktir. Buna mukabil hastalarin düsmesi, çarpmasi, kendine ve çevresine verebilecek zarar ve yaratacagi hasar en alt düzeye indirilmektedir. With this invention, the medical devices, apparatus, treatment devices connected to the bodies of the patients, vascular access, catheter, intubation tube, urinary catheter and other interventional medical device and involuntarily pulling the equipment, pulling, forcing, breaking, giving the patient It will prevent without harming the restricted person. With this invention, as a practical method, By spending less effort and time, the patient can be restrained. with our invention In the restriction process, time savings will be provided for the implementers. On the other hand, patients fall, hit, damage to himself and the environment and the damage to be caused by is being downloaded.

Bulusa konulu kisitlama cihazinin amaci, konforlu hasta kisitlanmasini saglamaktir. Bu sayede hastanin sabit geleneksel kisitlamaya nazaran agresyonu engellenerek yogun bakim sürecine, aldigi tedaviye uyumu kolaylastirilacaktir. Bununla birlikte bir diger amaci, kisitlama islemini hizli sekilde, hasta güvenligini ve sagligini koruyarak yapmasidir. Kisitlama alanindaki cilt yaralanmasini engelleyecek yumusak malzemeden yapilarak insan bedenindeki yaralanmayi en aza indirecektir. The purpose of the restraint device according to the invention is to provide comfortable patient restraint. In this way to the intensive care process by preventing the patient's aggression compared to the fixed traditional restraint, Compliance with the treatment received will be facilitated. However, another purpose is to limit the restriction process. quickly, while maintaining patient safety and health. The skin in the restriction area It is made of soft material that will prevent injury to the human body. will minimize.

Bulusun baska bir amaci, portabl olarak hasta yatak kenarliklarina yada bir baska sabitleme alanina hizli entegre edilebilip kolayca sökülüp takilabilmesidir. Bu sayede hastane pratiginde hastanin farkli odalara veya ev ortami gibi alanlara tasinmasinda hizli pratik bir etkinlik kazan ilmistir. Another object of the invention is to use it as a portable fixation on patient bed borders or some other fixation. It can be quickly integrated into the field and easily disassembled and mounted. In this way, in hospital practice quick practical efficiency in moving the patient to different rooms or areas such as the home environment boiler is science.

Bulusun bir diger amaci, yatagindan ayrilmak durumunda siklikla karsi karsiya kalinacak hastalarda, her ayrilis için ayri ayri ekstremitelerin baglanmasi sorununu ortadan kaldirmasidir. Elektrik enerjisinden bagimsiz alanlarda bulusumuzun kullanimi için planladigimiz ürünümüzde enerji kaynagi olarak harici sökülüp takilabilir batarya da kullanilabilecektir. Bu sebeple hastanin bagli oldugu yatak ya da bagli oldugu alan portabl hale gelebilecektir. Bu sayede kisa süreli girisimsel islemler vb. gibi hastanin kisitlamasinin kaldirilacagi durumlarda transport hekimine kolaylik saglanacaktir. Another object of the invention is to be faced frequently in case of leaving your bed. In patients, it eliminates the problem of tying the extremities separately for each separation. is the removal. For the use of our invention in areas independent of electrical energy In our planned product, external detachable battery is also used as an energy source. can be used. For this reason, the bed or the area to which the patient is attached becomes portable. will come. In this way, short-term interventional procedures, etc. such as the patient's restriction In cases where it will be removed, the transport physician will be facilitated.

Ek olarak cihaz içindeki kart ve sistemler ile uzaktan remote kontrol edilerek açma-kapatma seklinde çalistirilabilecektir. Bluetooth yada bulut tabanli aç kapa fonksiyonu ile is gücü azaltimi saglanacaktir. Bulus üzerinden elde edilen pad kaynakli ölçülen hasta direnç verileri, kablolu yada kablosuz iletisim arayüzü yoluyla depolama ve görüntüleme için baska bir uzak cihaza iletilebilecektir. Hastanin cihaza karsi uyguladigi direnç trent halinde kaydedilecektir. In addition, switching on and off by remote control with the card and systems inside the device. can be operated as Workforce with Bluetooth or cloud-based on-off function reduction will be achieved. Patient resistance data measured from the pad obtained through the invention, another remote for storage and display via wired or wireless communication interface can be transmitted to the device. The patient's resistance to the device will be recorded in trend.

Bu sayede hastanin motor gücündeki artis yada azalma trend analizi olarak görülebilecektir. In this way, the increase or decrease in the motor power of the patient can be seen as a trend analysis.

Hastanin genel durumunun takibinde için kullanilan pek çok skalada (örnegin Glaskow Koma Sakalasi gibi) motor fonksiyonlar önemli bir göstergedir. Bu sayede hastanin kanita dayali takibi yapilabilecektir. In many scales used to monitor the general condition of the patient (for example Glasgow Coma Like his beard), motor functions are an important indicator. In this way, the patient's evidence-based can be tracked.

Bulusun baska bir amaci, mesafesi ayarlanabilir hasta kisitlamasi saglamasidir. Bu sayede eklem hareket açikliklari korunarak rehabilitasyon süreci hizlandirilip kas kaybi engellenerek, rehabilitasyon süreçlerini gelistirmeye hastanede yatis sürelerini kisaltarak tedaviyi hizlandirilabilme özelligi kazanacaktir. Another object of the invention is to provide adjustable distance patient restraint. In this way joint range of motion is preserved, the rehabilitation process is accelerated and muscle loss is prevented, to improve rehabilitation processes, shorten the hospital stay will gain the ability to be accelerated.

Bulusumuz, el, el bilegi, ayak, ayak bilegi eklemleri arasi mesafeyi koruyarak hastanin kisitli oldugu durumlarda eklem hareket açikligini koruyarak kaslarin atrofiye gitmesini önlemekte, kisitlama kaynakli kas kaybini azaltir özellikte olmasidir. Hasta sadece yasakli bölgeye uzvunu yaklastiramamakta, diger tüm hareketlerini kisitlama olmaksizin yapabilmektedir. Our invention allows the patient to have limited space by maintaining the distance between the joints of the hand, wrist, foot, and ankle. It prevents the muscles from going to atrophy by preserving the range of motion of the joint, It has the feature of reducing muscle loss caused by restriction. The patient is only allowed to the restricted area. He is unable to bring his limb closer, and can do all his other movements without restriction.

Amaçlardan birisi de; hastanin diger zamanlarda istedigi gibi hareket edebilerek, yatis pozisyonunu degistirebilmesidir. Hasta en önemlisi bu sayede psikolojik olarak mahkumiyet hissinden kurtulacak, hatta kasinan bir uzvunu kasiyabilecektir. Bu sayede hastalarin yasam kalitesinde iyilesme saglanacak, hastalar psikolojik olarak kendilerini daha özgüvenli hissedecek, çaresizlik hissinden kurtulacaklardir. Bu durum da hastalarin deliryum ve diger psikolojik agir travmalara girme ihtimallerini düsürecektir. One of the purposes is; the patient can move as he/she wants at other times, to change its position. Most importantly, the patient is thus psychologically condemned. he will get rid of the feeling, he will even be able to itch a itchy limb. In this way, patients' lives quality will be improved, patients will feel more self-confident psychologically. they will feel free from the feeling of helplessness. In this situation, patients with delirium and other it will reduce the possibility of suffering psychological traumas.

Hasta ve hasta yakinlari geleneksel klasik baglama metodundan memnun degildir. Bulusun amaçlarindan digeri, hastanin el bagindan kurtulmasi ile hastayi, hasta yakinlarini ve saglik uygulayicilarini da psikolojik bir yükteri kurtarmasidir. Hasta yakinlari da hastalarin ellerinin baglanmasina gerek kalmadan tedavi görmelerinden memnun olacaklar, bu da hekimler ile hasta yakinlarinin bu konuda bir tartismaya girme ihtimalini ortadan kaldiracaktir. Bilinci açik olan hastaya hem insani ihtiyaçlarini karsilayabilmesi hem de deliryumun gelisiminin Önlenmesi için daha insanca ve daha özgür kilacak bir yöntem özelligi ile yasam kalitesini artiracaktir. Geleneksel baglama metodunda hiçbir hastaya tam olarak verilemeyen esnek serbestlik, mevcut bulusumuzla hastalara verilebilecektir. Saglik uygulayicilari da daha insani sartlarda hizmet verdikleri için vicdanlari daha rahat bir sekilde daha kaliteli hizmet verebileceklerdir. The patients and their relatives are not satisfied with the traditional classical tying method. find it Another aim is to get rid of the patient's hand tie and to protect the patient, his relatives and health. it is also a psychological burden for its practitioners. The relatives of the patients also They will be pleased that they are treated without the need to be connected, which means that they will cooperate with the physicians. It will eliminate the possibility of patient relatives having a discussion on this issue. Conscious Open the patient's ability to meet their human needs and to ensure that the development of delirium Quality of life with the feature of a more humane and freer method for its prevention. will increase. It is flexible, which cannot be given to any patient in the traditional ligation method. freedom can be given to patients with our present invention. Health practitioners are also more humane better quality service with a more comfortable conscience as they provide service in such conditions they will be able to give.

Yukarida belirtilen ve detayli anlatimdan çikabilecek tüm amaçlari yerine getirebilmek üzere Bulusun Anlasilmasina Yardimci Olacak Sekiller Mevcut bulusun, en iyi sekilde anlasilmasi için sekiller ile birlikte degerlendirilmesi gereklidir. In order to fulfill all the above-mentioned and detailed explanations, Figures to Help Understand the Invention The present invention needs to be evaluated together with the figures for the best understanding.

Sekil-1: Bulusa göre olan kisitlama cihazinin montajli haldeki bir sematik perspektif dis görüntüsünü ve bileklik pozisyonlarini göstermektedir. Figure-1: An assembled schematic perspective exterior of the restraining device according to the invention displays the image and wristband positions.

Sekil-2: Bulusa göre olan kisitlama cihazinin montajli haldeki bir sematik perspektif iç görüntüsünü göstermektedir. Figure-2: An assembled schematic perspective interior of the restraining device according to the invention displays the image.

Sekil-3: Sekil 1 e göre olan, kisitlama cihazinin bilekliklerinin yandan perspektif görüntüsü Sekil-4: Sekil 1 e göre olan, kisitlama cihazinin kontrol karti ve gergi mekanizmasini göstermektedir. Figure-3: Side perspective view of the wristbands of the restraining device, as in Figure 1. Figure-4: According to Figure 1, control card and tension mechanism of the restraint device. shows.

Sekil-5: RFID sensör padlerinin görünümüdür Parça Referanslari Dis Kasa Baglanti Klemensleri Gergi Mekanizmasi RFID Okuyucu Sensör Güç Kaynagi 99:59,94?` Kontrol Karti Kapaklar RFID Sensör Padler . Bileklik halati Bulusun Detayli Açiklamasi Bu yöntemde hastanin distal uç ekstremitelerine (uzuvlarina) birer bileklik (4) takilacaktir. Bu bileklikler (4) , önceden kisitlayici tarafindan saptanmis ve hastanin temasi halinde zararli ve kötü sonuçlara neden olacak alanlara erisimini engellemek için kullanilacaktir. Hastanin temas etmesinin istenmedigi, hastayi limitli kisitlayan bir sistem halinde; dis kasa(1), baglanti klemensleri(2), gergi mekanizmasi(3), bileklik(4), RFID (Radio Frequency ldentification) okuyucu sensör (5), güç kaynagi(6), kontrol karti(7), kapaklari(8), RFID sensör padleri(9), bileklik halati(10) olusmaktadir. Figure-5: View of RFID sensor pads Part References Cash Out Connection Terminals Tensioner Mechanism RFID Reader Sensor Power source 99:59.94?` Control card caps RFID Sensor Pads . bracelet rope Detailed Description of the Invention In this method, a wristband (4) will be attached to the distal end extremities (limbs) of the patient. This wristbands (4), which have been previously fixed by the restrictor and are harmful and harmful in case of contact with the patient. It will be used to prevent access to areas that will cause bad results. patient contact in a system that restricts the patient to a limited extent; outer casing(1), connection terminals(2), tension mechanism(3), wristband(4), RFID (Radio Frequency ldentification) reader sensor (5), power supply (6), control board (7), covers(8), RFID sensor pads(9), wrist strap (10).

Bulusumuzda hasta üzerindeki yada çevresindeki, hastanin temas etmemesi istenen yasak bölgeye, yapistirilacak RFID sensör padlerinin(9) cihaz içinde bulunan kontrol karti(7) araciligi ile RFID okuyucu sensör(5) tarafindan algilanarak, güç kaynagi(6) tarafindan saglanan enerjinin gergi mekanizmasini(3) sinirlamasi ile uzuvlari kisitlanan hastaya izin verilen mesafeye kadar, baglanti klemensleri(2) ve bilekliklerin(4) güvenli hareket izni vermesine dayanmaktadir. In our invention, the prohibition on or around the patient, which the patient is asked not to contact the RFID sensor pads(9) to be attached to the area through the control card(7) inside the device. The RFID reader is detected by the sensor (5), and the power supply is provided by the power supply (6). the patient whose limbs are restricted by the limitation of the energy's tension mechanism(3). distance, connection terminals (2) and wristbands (4) allow safe movement. is based on.

Bulustaki yuvarlak disk seklindeki orta gergi mekanizmasi(3) firçasiz gergi motoru ile döndürülerek etrafindaki dis yüzeyine, bileklige(4) bagli bileklik halatini (10) sararak halat boyunu kisaltip, gevseterek de halat boyunu uzatmaktadir. Round disc-shaped middle tensioner (3) in the invention with brushless tensioner motor the rope by wrapping the wrist rope (10) attached to the wrist (4) on the outer surface around it. it shortens the length and extends the length of the rope by loosening it.

Hasta, yasakli noktaya uzuvlarini yaklastirdikça bilekliklerine(4) bagli cihazimiz uzuv hareketine devam edecek, cihaza yaklasmaya devam etmesi ve RFID Okuyucu Sensör (5) ile RFID sensor padlerin(9) etkilesimi ile birbirini tanimasi sonrasinda, uzuv hareketi bulusumuz araciligi ile gergi mekanizmasinin(3) kontrol karti(7) uyarisi ile durdurulmasi sonrasinda uzuv hareket kisitli kalacaktir. Uzuv, RFID sensör padden(9)uzaklastiriIdiginda, RFID sensör pad(9) ve RFID okuyucu sensör(5) etkilesimi sonlanacak ve gergi mekanizmasi(3) devre disi kalacagi için uzuv hareket rahatlamasina güvenle kavusacaktir. As the patient approaches the forbidden point with their limbs, our device attached to their wrists (4) It will continue to move, continue to approach the device and with the RFID Reader Sensor (5) After the RFID sensor pads (9) get to know each other through interaction, our limb movement invention After stopping the tension mechanism (3) with the warning of the control card (7), the limb movement will be limited. When the limb is moved away from the RFID sensor pad(9), the RFID sensor pad(9) and RFID reader sensor(5) interaction will be terminated and tension mechanism(3) will be disabled. The limb will safely achieve motion relief for

Hasta; kisitlama cihazina bagli olan uzuvlarini, RFID sensör padlerden(9) uzaklastirdiginda, sistemdeki gerim tansiyonu devre disi kalacak ve hasta cihaza bagli uzuvlarini, cihazin verdigi limit ölçüsünde güvenle kullanmaya baslayabilecektir. Patient; When he moves the parts connected to the restraint device away from the RFID sensor pads(9), the tension tension in the system will be disabled and the patient will keep their limbs connected to the device, will be able to start using it safely to the limit.

Temas edilmesi istenmeyen bölge (dokunulmamasi gereken tibbi noktaya) hekim yada kisitlama yapan kisi tarafindan tanimlandiktan sonra tanimlamak için, RFID sensör pad(9) etiket/barkod dokunulmamasi istenen yere yerlestirilecek yada yapistirilacaktir. RFID sensör pad(9) ve RFID okuyucu sensör(5) etkilesimi 10 cm-1 m araliginda çalisabilmeleri nedeniyle 13,56 MHZ bandindaki RFID kullanimi, tasarlanacak sistem için uygundur. Bunu tanimasi için bileklik (4) içine de RFID okuyucu sensör(5) yerlestirilecektir. Bileklik(4) içindeki sensör, yasak bölgedeki padlere kisitlayici tarafindan belirtilen mesafede yaklastirilmasi sonrasi bulusumuzun ana dis kasasina(1) bagli gergi mekanizmasi(3) aktif olacak ve dönmeyi engelleyerek hareketi kisitlayacak, hasta ne kadar çok kisitlamaya direnç gösterirse, uzuva karsi cihazin gösterecegi gergi mekanizmasi(3) kaynakli direnç, kontrol kartinda(7) belirlenen ölçüde güvenle artirilip azaltilabilecektir. Böylece güçsüz, yasli, düskün oldugu düsünülen hasta grubunun cihazimiza bagli iken uygulayabilecegi tansiyon gerimi ile daha güçlü, canli, kasli hastalarin uygulayabilecekleri güç arasindaki denge, kontrol karti(7) üzerinden düzenlenecektir. The area that is undesirable to be touched (the medical point that should not be touched) is the physician or To identify after it has been defined by the restrictor, use the RFID sensor pad(9) The label/barcode will be placed or pasted where it is desired not to be touched. RFID sensor The interaction of pad(9) and RFID reader sensor(5) is due to the fact that they can work in the range of 10 cm-1 m. The use of RFID in the 13.56 MHZ band is suitable for the system to be designed. for you to recognize it RFID reader sensor (5) will be placed inside the wristband (4). Sensor inside wristband(4), forbidden after the pads in the area are approached at the distance specified by the restrictor. The tension mechanism (3) connected to the main outer case (1) of our invention will be active and it will stop turning. will limit the movement by preventing it, the more the patient resists the restriction, the more The resistance due to the tension mechanism(3) that the counter device will show is determined on the control card(7). can be safely increased or decreased. Thus, those who are thought to be weak, old, destitute With the tension tension that the patient group can apply while connected to our device, stronger, lively, The balance between the power that can be applied by muscular patients is determined via the control card(7). will be arranged.

Hastaya hareketleri ve hareket kisitlama islemi sirasinda zarar gelmemesi için baglanti klemensleri(2) ve bileklik halatlari(10) üzerindeki tansiyon kademeli olarak artip azalma özelliginde olacaktir. Bu sayede hem hastanin ani hareketini yapip tibbi nesneyi, cihazi çekmesi engellenecek, hem de hasta kendisine ve çevresine zarar vermemis olacaktir. Sistem disaridan güç beslemesi yapilacak sekilde tasarlanmistir. Devre sisteminin çalismasi için gerekli olan kesintisiz güç kaynagi (6) sebeke geriliminden yada direk elektrik baglantisi olmayan durumlarda harici batarya kullanimi ile saglanacaktir. Bu sayede hastanin, hasta yatagi yada baglanti noktasindan bagimsiz olarak portabl sekilde, bulusumuzu kullanimi saglanabilecektir. Her iki uzuva (ekstremite) baglanacak olan bileklikler (4), sensör ile bileklik (4) üzerindeki okuyucunun algilamasi (20 cm'ye kadar) saglandiginda etkinlesecek olup yavasça hareketi kisitlayarak 10 cm ye kadar geri çekme saglayacaktir. Bu sayede hastanin yasaklanan bölgeye erisimi engellenmis olacaktir. Bunu saglamak için, kendi içindeki RFID etiketi, ilgili bilekligi RFID sensörüne tanitilmayacak olup karsi etiket RFID sensörüne tanitilacaktir. Connection to prevent injury to the patient during movement and restriction of movement. The tension on the terminals (2) and wrist straps (10) gradually increases and decreases. will feature. In this way, both the sudden movement of the patient and the medical object, the device will be prevented, and the patient will not harm himself and his environment. System It is designed to be powered from outside. For the circuit system to work the required uninterruptible power supply (6) is from the mains voltage or directly from the electrical connection. In cases where it is not available, it will be provided by the use of external batteries. In this way, the patient use our invention in a portable way, regardless of the bed or the connection point. can be provided. Wristbands (4) to be attached to both limbs (extremities), wristband with sensor (4) will be activated when the detection of the reader on it (up to 20 cm) is provided. it will provide retraction up to 10 cm by restricting the movement slowly. In this way, the patient access to the prohibited area will be blocked. To ensure this, the RFID in itself tag will not be recognized to the corresponding wristband RFID sensor, but to the counter tag RFID sensor. will be introduced.

Son olarak; bulusumuzda kullanilacak olan motor, hemen devreye girmesi veya hemen devreden çikmasi gereken hassas bir uygulamada kullanilacagindan firçasiz motor olarak belirlenmistir. Finally; The motor to be used in our invention is to start immediately or immediately. As a brushless motor as it will be used in a sensitive application that needs to be switched off. has not been determined.

Claims

REQUESTS

1. It is a movement restriction device that provides movement restrictions in order to facilitate the reanimation processes of patients under anesthetic effect (for example, the patient in the recovery room after surgery) and other patients who need restriction (for example, agitated patient in the intensive care unit) and people (for example, Alzheimer's patient with a catheter in his body), feature; Outer case (1) made of polyethylene material, connection terminals (2) positioned on the outer case (1), medium tension mechanism (3), user-friendly wristband (4) with adjustable length, width and mobility connected to the tension mechanism (3), wristband RFID (radio frequency identification) reader sensor(5) placed on the surface of the (4), power supply (6) to provide the current energy for the system, control card (7) that receives energy from the power supply (6), covers that protect the circuit mechanisms from external environments(8) It consists of RFID sensor pads(9), which are to be attached to the surface to be operated. wristband (4), main outer casing (1) and wristband rope (10), which connects the middle tension mechanism (3) to each other.

2. It is a movement restriction device in accordance with claim 1, and its feature is; the said outer casing (1) is of PVC structure and can be easily washed and disinfected, the mentioned connection terminals (2) are of PVC structure and can be easily washed, easily disinfected, can be easily implanted on the surface to which it will be connected, the mentioned wristband (4) is non-allergenic, disposable being usable, easy to wash, easy to disinfect, the mentioned power supply (6) is Ii-ion, the mentioned RFID sensor pads (9) are non-allergenic, the mentioned covers (8) are easy to disassemble and install with screws or interlocking nails in the form of, - the mentioned wrist strap (10), being resistant to the pulling force applied to the wrist and the middle tensioning mechanism to which it is connected, at the same time being easily washable and disinfectable, - the mentioned tension mechanism (3) is in the form of a round disc, around which it is attached to the wrist (4) It has the feature of shortening the length of the rope by wrapping the tied wrist rope (10) and extending the length of the rope by loosening it, - The device in the mentioned invention is symmetrical in the form of a mirror view, and it has the feature of being used in a single configuration for the right and left side connection areas. It is a movement restriction device in accordance with claim 1, and its feature is; The connection terminals (2) positioned on the said outer casing (1) are also capable of being fixed by screwing to the surface where they are located. The characteristics of the outer casing (1) and the covers(8) that protect the circuit mechanisms from external environments, which are made of said polyethylene material, are that they have shock absorbing properties. It is a movement restriction device in accordance with the request, and its feature is; RFID sensor pads(9) for sticking to the said surface to be operated are made of non-allergic material and are disposable.