TWI758917B - cardiopulmonary resuscitation aids - Google Patents
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Abstract
一種心肺復甦術施作輔助器,由一底座、一止動件、一彈性件及一按壓盤組成,該底座由撓性材料製成;該止動件為一柱狀體,固接於該底座之頂面中心處;該彈性件為可因受壓而呈高度壓縮,並因受壓消失而即復原者,該彈性件一端固接於該底座的頂面上;該按壓盤由撓性材料製成,該按壓盤與該底座對應,該按壓盤之底面供該彈性件的頂端固接;施作心肺復甦術時,按壓該按壓盤向下壓縮該彈性件,連動推動該底座下降,進而連動推動肋骨向下壓縮,停止按壓時該肋骨、該底座、該彈性件及該按壓盤即皆向上復原。A cardiopulmonary resuscitation assisting device is composed of a base, a stopper, an elastic piece and a pressing plate, the base is made of flexible material; the stopper is a cylindrical body, which is fixedly connected to the At the center of the top surface of the base; the elastic piece can be highly compressed due to pressure, and is restored when the pressure disappears. One end of the elastic piece is fixed on the top surface of the base; the pressing plate is made of flexible It is made of material, the pressing plate corresponds to the base, and the bottom surface of the pressing plate is used for fixing the top of the elastic member; when performing cardiopulmonary resuscitation, press the pressing plate to compress the elastic member downwards, and push the base to descend. Then, the ribs are pushed to compress downwards in conjunction with each other, and the ribs, the base, the elastic member and the pressing plate are all restored upwards when the pressing is stopped.
Description
本發明係關於一種心肺復甦術施作輔助器,尤指一種可以限制按壓力道及深度,以使心肺復甦術之施作保持穩定,從而避免施力過劇壓斷肋骨之情形發生,以降低病患受到其他傷害之心肺復甦術施作輔助器。 The present invention relates to a cardiopulmonary resuscitation assistant, especially a device that can limit the pressure channel and depth, so as to keep the cardiopulmonary resuscitation stable, so as to avoid the occurrence of excessive force and break the ribs, so as to reduce the A CPR-administered aid for patients suffering other injuries.
按,心肺復甦術(CardiopulmonaryResuscitation,CPR)係一種救助心搏驟停病患的急救措施,通過人工保持腦功能直到自然呼吸和血液循環恢復。心搏驟停一旦發生,如果患者得不到及時的搶救復甦,4~6分鐘後就會造成人體腦部和其他重要器官組織不可逆的損害,因此心搏驟停後的心肺復甦必須在現場立即進行,直至挽回心搏驟停病患的生命,即所謂的「黃金四分鐘。心肺復甦術關鍵在於"壓"、"提"、"吹"三個動作,"壓"就是胸部按壓,主要是採胸外按壓以形成暫時的人工循環,使得各個組織器官得到血液灌注;"提"就是提起下巴以保持呼吸道暢通;"吹"則是人工呼吸以代替自主呼吸,施救時係每"壓"30次就接上"吹"2次,如此循環,以確保血液循環及氧氣交換進行。舉凡溺水、心臟病、高血壓、車禍、觸電、藥物中毒、氣體中毒、異物堵塞呼吸道等導致心臟呼吸驟停者,均可利用心肺復甦術維護腦細胞及器官組織不致壞死。 Press, Cardiopulmonary Resuscitation (Cardiopulmonary Resuscitation, CPR) is a kind of emergency measures to rescue patients with cardiac arrest, artificially maintain brain function until natural breathing and blood circulation are restored. Once cardiac arrest occurs, if the patient is not rescued and resuscitated in time, it will cause irreversible damage to the human brain and other important organs and tissues in 4 to 6 minutes. Therefore, CPR after cardiac arrest must be performed immediately at the scene. The key to CPR lies in the three movements of "pressing", "lifting" and "blowing", "pressing" is chest compression, mainly Use chest compression to form a temporary artificial circulation, so that various tissues and organs can be perfused with blood; "lift" is to lift the chin to keep the airway open; "blow" is artificial respiration instead of spontaneous breathing. 30 times and then "blow" 2 times, this cycle to ensure blood circulation and oxygen exchange. For example, drowning, heart disease, high blood pressure, car accident, electric shock, drug poisoning, gas poisoning, foreign body blocking the airway, etc. Those who stop, can use cardiopulmonary resuscitation to protect brain cells and organs from necrosis.
圖1係習知人體肋骨構造示意圖,其中,胸骨8位處人體胸前內部,肋骨9為多數組,採左右側往前延伸圍繞並與該胸骨8連接形成一胸廓。圖2表示人體仰躺施作心肺復甦術前、後該肋骨9之受壓變化示意圖,其中,(a)小圖表示在未施作心肺復甦術前該肋骨9所圍之範圍,(b)小圖則表示在施作心肺復甦術
時,該胸骨8被向下大力按壓,連動左右之肋骨9也受壓而通通往下擠壓的狀態。施作心肺復甦術時,前述"壓"的動作實際上就是「胸外心臟按壓法」,其動作是施作者(搶救者)跪於受救病患人體側面(最好是左側面)接近胸口處,藉由手掌疊置的掌根部位徒手自病患胸外對準該胸骨8中下1/3交界處的正中線處(一般即該胸骨8與該肋骨9交匯處)按壓下去,按壓的速率是每分鐘100~120次,按壓深度是成人約5~6公分(圖2中下壓約1/3),兒童及嬰兒則約4-5公分,主要是要壓到心臟使得血液能夠輸出即可,所以按壓深度必須有所節制,同時施作者也要注意避免把身體過度倚靠在受救病患胸部上,讓該肋骨9所形成之胸廓(及心臟)於二次按壓的間隙能完全回彈,使得心臟藉由人工縮收及舒張,讓血液能夠維持輸送。
1 is a schematic diagram of a conventional human rib structure, wherein, the
目前習知在施作心肺復甦術中"壓"的動作時,因為是跟死神拔河在搶救一條生命,所以搶救者往往內心焦慮且動作很急、很快,巴不得趕緊將人命從死神手中搶救回來,足証搶救人命是一件神聖的工作。但往往就是很緊急加上是徒手施作以及搶救者內心的焦慮感,導致按壓力度及深度容易過多,因此在緊急搶救之情況下,該肋骨9被壓斷造成多種傷害是經常發生的事情,此為緊急搶救時徒手施作所致之嚴重缺失。
At present, it is known that when performing the "pressing" action in CPR, because it is a tug-of-war with the god of death to save a life, the rescuers are often anxious and act in a hurry and quickly, eager to save the life from the god of death. It proves that saving lives is a sacred work. However, it is often very urgent, coupled with the use of bare hands and the anxiety of the rescuer, which leads to too much pressure and depth. Therefore, in the case of emergency rescue, the
有鑑於此,本發明人遂深入進行研發改良,期提供一種可限制按壓力道、深度之心肺復甦術施作輔助器,經多方努力,遂有本發明產生。 In view of this, the inventor of the present invention has made further research and improvement, hoping to provide a cardiopulmonary resuscitation assistant device that can limit the pressure channel and depth. After many efforts, the present invention was born.
緣是,本發明之主要目的即在提供一種可以限制按壓力道及深度,以使心肺復甦術之施作保持穩定,從而避免施力過劇壓斷肋骨之情形發生,以降低病患受到其他傷害之心肺復甦術施作輔助器。 The main purpose of the present invention is to provide a method that can limit the pressure channel and depth, so as to keep the operation of cardiopulmonary resuscitation stable, so as to avoid the occurrence of excessive force and fracture of the ribs, so as to reduce the patient's suffering from other diseases. Injury CPR application aid.
為達成上述目的,本發明特經研發而提供一種心肺復甦術施作輔助器,由一底座、一止動件、一彈性件及一按壓盤組成,其中,該底座由撓性材料製成;該止動件為一柱狀體,固接於該底座之頂面中心處;該彈性件為可因受壓而呈高度壓縮,並因受壓消失而即復原者,該彈性件一端固接於該底座的頂面上;該按壓盤由撓性材料製成,該按壓盤與該底座對應,該按壓盤之底面供該彈性件的頂端固接,其創新在於:該按壓盤頂面中央處開設有一向下通出之通孔,該通孔的位置與該止動件對應,該通孔的內徑大於該止動件的外徑。 In order to achieve the above object, the present invention has been developed to provide a cardiopulmonary resuscitation assistant, which is composed of a base, a stopper, an elastic piece and a pressing plate, wherein the base is made of flexible material; The stopper is a cylindrical body, which is fixed at the center of the top surface of the base; the elastic piece can be highly compressed due to pressure, and can be restored when the pressure disappears, and one end of the elastic piece is fixed On the top surface of the base; the pressing plate is made of flexible material, the pressing plate corresponds to the base, and the bottom surface of the pressing plate is used for the top of the elastic member to be fixed. The innovation lies in: the center of the top surface of the pressing plate There is a through hole extending downward, the position of the through hole corresponds to the stopper, and the inner diameter of the through hole is larger than the outer diameter of the stopper.
上述之心肺復甦術施作輔助器中,該止動件之頂面略呈弧突狀,且於該弧突狀頂面上更浮突有多數之突粒。 In the above-mentioned cardiopulmonary resuscitation aid, the top surface of the stopper is slightly arc-shaped, and a plurality of protrusions protrude on the arc-shaped top surface.
上述之心肺復甦術施作輔助器中,該按壓盤頂面向內向下微凹形成一凹弧面。 In the above-mentioned CPR application aid, the top surface of the pressing plate is slightly concave inward and downward to form a concave arc surface.
上述之心肺復甦術施作輔助器中,該彈性件可係渦形彈簧之彈性件、直條彈簧之彈性件、蛇腹狀壁體之彈性件中之至少一種。 In the above-mentioned cardiopulmonary resuscitation aid, the elastic member may be at least one of a spiral spring elastic member, a straight spring elastic member, and an accordion-shaped wall elastic member.
根據上述構造組成,本發明在使用上具有如下優異功效: According to the above-mentioned structural composition, the present invention has the following excellent effects in use:
(1).施作者施力按壓之過程中,因手掌根部會受到該止動件之止動而停止,因此可以避免施力過劇而壓斷肋骨的情形發生,以降低病患受到其他傷害。 (1) During the process of pressing force, the base of the palm will be stopped by the stopper and stop, so it can avoid the occurrence of breaking the ribs due to excessive force, so as to reduce other injuries to the patient. .
(2).施作者施力按壓之過程中,因手掌根部會受到該止動件之止動而停止,因此可以限制按壓力道及深度,使得心肺復甦術之施作保持穩定。 (2) During the process of pressing force by the operator, the base of the palm will be stopped by the stopper and stop, so the pressure channel and depth can be limited, so that the application of CPR can be kept stable.
10:施作輔助器 10: Casting aids
1:底座 1: base
2:止動件 2: Stopper
21:突粒 21: Protuberance
3:彈性件 3: elastic parts
3':彈性件 3': Elastic
4:按壓盤 4: Press the disc
44:凹弧面 44: Concave arc surface
45:通孔 45: Through hole
8:胸骨 8: Sternum
9:肋骨 9: Ribs
圖1所示係習知人體肋骨構造示意圖。 FIG. 1 is a schematic diagram of a conventional human rib structure.
圖2所示係習知心肺復甦術施作時肋骨受壓變化示意圖。 Figure 2 shows a schematic diagram of the changes in rib compression during conventional cardiopulmonary resuscitation.
圖3所示係本發明實施例之立體圖。 FIG. 3 is a perspective view of an embodiment of the present invention.
圖4所示係本發明實施例之構造剖視圖。 FIG. 4 is a sectional view of the structure of the embodiment of the present invention.
圖5所示係本發明實施例之作用示意圖。 FIG. 5 is a schematic diagram of the action of the embodiment of the present invention.
圖6所示係本發明實施例之施作使用示意圖。 FIG. 6 is a schematic diagram of the operation and use of an embodiment of the present invention.
本發明為達成上述目的,所採用之技術手段及可達致之功效,茲舉以下較佳可行實施例配合附圖進行詳細解說說明,俾能完全瞭解。 In order to achieve the above objects, the technical means adopted by the present invention and the attainable effects are described in detail with reference to the following preferred feasible embodiments in conjunction with the accompanying drawings, so as to be fully understood.
本發明係訴求一種可限制按壓力道、深度之心肺復甦術施作輔助器,藉以降低心肺復甦術施作時所可能衍生造成的其他傷害。請參閱圖3~圖6所示,本發明實施例係一施作輔助器10,即一種施作心肺復甦術時使用之輔助器,該施作輔助器10主要由一底座1、一止動件2、一彈性件3及一按壓盤4所組成,其中,該底座1係由撓性材料(例如:含矽膠、橡膠、塑膠…等複合材料)製成,形成橢圓形且頂底面皆為平滑面為宜;該止動件2為一柱狀體,頂面略呈弧突狀且於該弧突狀頂面上更浮突有多數之突粒21,該止動件2固接於該底座1之頂面中心處;該彈性件3為可因受壓而呈高度壓縮,並因受壓消失而即復原者,例如:渦形彈簧之彈性件、直條彈簧之彈性件或蛇腹狀壁體之彈性件等皆可,該彈性件3一端固接於該底座1的頂面上;該按壓盤4係由撓性材料(例如:含矽膠、橡膠、塑膠…等複合材料)製成,形成與該底座1對應的橢圓形,該按壓盤4之底面為平滑面,供該彈性件3的頂端固接,頂面則外緣呈平滑,然後向內向下微凹形成一凹弧面44,該凹弧面44的中央處則開設有一向下通出之通孔45,該通孔45的位置與該止動件2對應,且該通孔45的內徑略為大於該止動件2的柱狀體外徑,另,該彈性件3的頂端內緣較該通孔45的內徑為略大。
The present invention seeks a cardiopulmonary resuscitation assistance device that can limit the pressure channel and depth, so as to reduce other injuries that may be caused during cardiopulmonary resuscitation. Please refer to FIGS. 3 to 6 , an embodiment of the present invention is an
施作心肺復甦術時,施作者(搶救者)將該施作輔助器10置放於施作處,一般即對準病患的胸骨8與肋骨9交匯處,並必須使該施作輔助器10的底座1貼合於病患胸口皮膚(亦即衣服等束縛物已解除),然後將手掌疊置的掌根部位置於該按壓盤4之凹弧面44內(圖6中(a)小圖所示),並即開始向下按壓以進行心肺復甦術(圖6中(b)小圖所示),按壓的速率是每分鐘100~120次,過程中手掌根部向下壓動的力量即推動該按壓盤4向下壓縮該彈性件3,並令該底座1也受到該彈性件3所推動,進而推動到病患肋骨9向下(向內)壓縮(圖5所示),必須一提的是,當施作者手掌根部用力推動該按壓盤4下壓時,雖然該底座1也因受到該彈性件3的推動而下降,但因施作者手掌根部的用力是主動方,而該底座1的受推下降是被動方,因此在主動方力量大於被動方之情形下,該按壓盤4的下降速度會高於該底座1的下降速度,因此在一按壓之瞬間,施作者手掌根部會從該通孔45內觸及該止動件2之弧突狀頂面上的突粒21(圖5所示),此時可能因手掌根部受到微刺或因下壓動作受到該止動件2之止動,所以施作者知曉不可再用力按壓下去,然後在放掉(釋放)力量之瞬間,該肋骨9、該底座1、該彈性件3及該按壓盤4即皆向上恢復原位置及原形狀。
When performing cardiopulmonary resuscitation, the operator (rescuer) places the
接著施作者即又施力按壓該按壓盤4連動該彈性件3壓縮及該底座1下壓肋骨,並於瞬間手掌根部又受到該止動件2止動而停止施力,使得該肋骨9、該底座1、該彈性件3及該按壓盤4復即皆向上復原,如此經由手掌根部的快速下壓、放掉下壓、快速下壓、放掉下壓、----之連續性快速動作,透過該施作輔助器10去壓觸病患胸口部位,同樣可以達成施作心肺復甦術中"壓"的動作。然而與習知徒手施作,本發明具有如下優異功效:
Then, the operator presses the
(1).施作者施力按壓之過程中,因手掌根部會受到該止動件2之止動而停止,因此可以避免施力過劇而壓斷肋骨的情形發生,以降低病患受到其他傷害。
(1) During the process of pressing force by the operator, the base of the palm will be stopped by the
(2).施作者施力按壓之過程中,因手掌根部會受到該止動件2之止動而停止,因此可以限制按壓力道及深度,使得心肺復甦術之施作保持穩定。
(2) During the process of pressing force by the operator, the base of the palm will be stopped by the
綜上所述,本發明確可達到預期之功能及目的,並且詳細說明能使熟於此技藝者得據以實施,然以上所舉之實施例僅用以說明本發明,舉凡所有等效結構之改變仍不脫離本發明之專利範疇。 To sum up, the present invention can clearly achieve the expected functions and purposes, and the detailed description can enable those skilled in the art to implement accordingly. However, the above-mentioned embodiments are only used to illustrate the present invention, and all equivalent structures are included. The changes still do not depart from the patent scope of the present invention.
10:施作輔助器 10: Casting aids
1:底座 1: base
2:止動件 2: Stopper
21:突粒 21: Protuberance
3:彈性件 3: elastic parts
4:按壓盤 4: Press the disc
44:凹弧面 44: Concave arc surface
45:通孔 45: Through hole
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TW450804B (en) * | 1995-12-15 | 2001-08-21 | Deca Medics Inc | Chest compression apparatus for cardiac arrest |
TW509566B (en) * | 1999-11-01 | 2002-11-11 | Shuenn-Lin Chiou | Extracorporeal auxiliary device for massaging heart |
TW200638922A (en) * | 2005-03-22 | 2006-11-16 | Laerdal Medical As | Device for placing on the chest of a patient, to cooperate with the hands of a person who performs chest compressions |
CN110545780A (en) * | 2017-02-28 | 2019-12-06 | Zoll医疗公司 | Force sensing implementation in cardiopulmonary resuscitation |
CN211675303U (en) * | 2019-07-11 | 2020-10-16 | 翟登合 | First aid is with chest compression device with adjustable |
TWM608977U (en) * | 2020-10-26 | 2021-03-11 | 林忠信 | Cardiopulmonary resuscitation application aid |
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TW202216106A (en) | 2022-05-01 |
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