WO2013177732A1 - 肌松监测仪手指及前臂固定装置 - Google Patents

肌松监测仪手指及前臂固定装置 Download PDF

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Publication number
WO2013177732A1
WO2013177732A1 PCT/CN2012/001625 CN2012001625W WO2013177732A1 WO 2013177732 A1 WO2013177732 A1 WO 2013177732A1 CN 2012001625 W CN2012001625 W CN 2012001625W WO 2013177732 A1 WO2013177732 A1 WO 2013177732A1
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Prior art keywords
palm
forearm
holder
fixing
finger
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Application number
PCT/CN2012/001625
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English (en)
French (fr)
Inventor
王振猛
张金旻
张成密
俞卫锋
Original Assignee
中国人民解放军第二军医大学
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Application filed by 中国人民解放军第二军医大学 filed Critical 中国人民解放军第二军医大学
Publication of WO2013177732A1 publication Critical patent/WO2013177732A1/zh

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/124Hands or wrists
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/042Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05841Splints for the limbs
    • A61F5/05858Splints for the limbs for the arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05841Splints for the limbs
    • A61F5/05858Splints for the limbs for the arms
    • A61F5/05866Splints for the limbs for the arms for wrists, hands, fingers or thumbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4519Muscles

Definitions

  • the invention relates to the technical field of medical instruments, in particular to a finger and forearm fixing device for fixing a muscle relaxation monitor for fixing the palm and the forearm when the muscle relaxation monitoring is performed by using a muscle relaxation monitor.
  • Clinically used methods for monitoring muscle relaxation include myomechanical tracing, electromyography, myomechanography, and myoelectrical tracing.
  • the muscle relaxation monitor used in the muscle acceleration tracing method has the advantages of being convenient to carry and install, relatively inexpensive, and accurate monitoring results, and has become the most commonly used monitoring method in clinical practice.
  • the ulnar nerve-bend adductor muscle is the most accurate and convenient site for peripheral monitoring of the muscle relaxant monitor. It has become the gold standard for monitoring muscle relaxants. It is evaluated by the degree of electrical stimulation of the nerves causing muscle fibrillation. The degree of the rock.
  • the usual method is to place one side of the patient's arm on the operating table scaffold and fix it with the matching fixture.
  • the handle part of the device is in the form of a sheet, which can be clamped by the index finger and the middle finger.
  • the curved bracket can fix the thumb.
  • the fixing device and the other four fingers other than the thumb are fixed on the palm surface, and the palm is naturally opened after being fixed.
  • the accelerometer is used to stimulate the surface nerve and monitor the amplitude of the muscles in the affected area to reflect the degree of muscle relaxation.
  • the object of the present invention is to provide a muscle and a forearm fixing device which is simple in structure, convenient to use, and capable of effectively fixing a forearm, a palm and a finger.
  • the invention provides a finger and forearm fixing device for a muscle relaxation monitor, which is composed of a forearm fixer and a palm fixer.
  • the forearm holder has a flat rectangular shape, and the upper surface of the rectangular parallelepiped is curved and concave, and the shape of the concave surface matches the back surface of the forearm, so that the forearm rests on the upper side, and the left and right sides of the forearm holder are fixed.
  • the belt is located on both sides of the upper surface, which is a forearm fixing belt for fixing the forearm to the forearm holder, and a hand strap fixing belt on both sides of the lower surface for fixing the forearm holder to the scaffold, the forearm holder
  • the center of the front end face is provided with a connecting groove for connecting with the palm holder;
  • the palm holder has a flat rectangular shape, and the upper surface of the rectangular parallelepiped is concave, which is the palm surface, the shape of the concave surface and the back of the hand Matching, so that the back of the hand is comfortable to rest on, the left and right sides of the palm holder are provided with fixing straps, and on both sides of the upper surface is a palm fixing strap for fixing the palm to the palm holder, located on both sides of the lower surface
  • the fixing ring is fixed on the corresponding
  • connection groove is inserted into the forearm holder and the distance between the forearm holder and the forearm holder is adjusted.
  • the thumb When using, put the index finger and the middle finger into the palm holder, the thumb is fixed on the thumb fixing ring of the thumb fixing rod, and the palm rest is fixed on the palm holder by the palm fixing strap, and the connecting rod of the palm holder is inserted into the forearm holder.
  • the palm holder and forearm holder are fixed to the scaffolding. At this time, the positions of the palm, thumb and forearm are securely fixed, and muscle relaxation monitoring can be performed as usual.
  • the invention has the advantages of simple structure and convenient use, and can effectively fix the palm, the forearm, the index finger, the middle finger and the thumb.
  • the ulnar nerve is electrically stimulated, the forearm, the palm and the finger are no longer shaken, which is beneficial to ensure the muscle relaxation monitor to the muscle relaxant. Accurate monitoring.
  • Figure 1 is a schematic view of the overall structure of the present invention.
  • FIG. 2 is a schematic view showing the structure of the front end surface of the forearm anchor of the present invention.
  • FIG. 3 is a schematic view showing the structure of a palm holder of the present invention.
  • Forearm holder 1, forearm fixing belt 1. 1, arm holder fixing belt 1. 2, connecting groove 1. 3; palm holder 2, connecting rod 2.
  • finger fixing ring 2. 2 thumb fixed 5 ⁇ The palm of the hand strap fixed strap 2. 2.
  • a muscle relaxation monitor finger and forearm fixation device is composed of a forearm holder 1 and a palm holder 2.
  • the forearm holder 1 has a flat rectangular shape, and the upper surface of the rectangular parallelepiped is curved and concave, and the shape of the concave surface matches the back surface of the forearm.
  • the left and right sides of the forearm holder are provided with fixing straps, and the forearms are fixed on both sides of the upper surface.
  • the palm rest holder 2 has a connecting groove in the center of the front end surface of the front arm holder 1.
  • the palm rest holder 2 has a rectangular parallelepiped shape and a rectangular parallelepiped.
  • the upper surface is recessed, which is the palm surface, and the shape of the concave surface is matched with the back of the hand.
  • the left and right sides of the palm holder are provided with a fixing belt, and the palm fixing belts on both sides of the upper surface are 2.4.
  • the palm holder 2 has a finger fixing ring on the palm surface 2. 2, two adjacent finger fixing rings 2. 2 fixed on the palm surface of the index finger and the middle finger corresponding parts , for the index finger and the middle finger of the index finger to fix the index finger and the middle finger, the thumb fixing ring 2.3 is fixed by the fixing rod on the finger fixing ring 2.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

一种肌松监测仪手指及前臂固定装置,是由前臂固定器(1)和手掌固定器(2)组成,前臂固定器(1)呈扁长方体形,左右两侧设有前臂固定带(1.1)和臂部手架固定带(1.2),前端端面中央设有连接槽(1.3);手掌固定器(2)呈扁长方体形,左右两侧设有手掌固定带(2.4)和掌部手架固定带(2.5),手掌固定器(2)的手掌面上设有手指固定环(2.2)和拇指固定环(2.3),手掌固定器(2)后端端面中央设有连接杆(2.1)。该固定装置结构简单,使用方便,能有效固定手掌、前臂、食指、中指和拇指,有利于确保肌松监测仪对肌松的准确监测。

Description

肌松监测仪手指及前臂固定装置 技术领域
本发明涉及医疗器械技术领域, 具体涉及一种使用肌松监测仪进行肌松监 测时用于固定手掌和前臂的肌松监测仪手指及前臂固定装置。 背景技术
在临床医疗活动中, 外科手术的病人常需要接受全身麻醉, 全身麻醉过程 中使用肌松药后的病人肌肉松弛, 无法活动、 呼吸, 需要用呼吸机等辅助装置 维持生命。 若在肌松药作用未完全消除时患者脱离呼吸机等辅助装置, 即会出 现不能正常呼吸而危及生命, 因此往往需要进行肌松药作用监测, 以指导肌松 药的临床应用, 决定肌松药逆转的时机和拮抗药的用量以及减少术后肌松药残 余引起的呼吸抑制。
临床常用的肌松监测方法包括肌机械描记法、 肌电描记法、 肌音描记法和 肌加速度描记法。 其中肌加速度描记法所使用的肌松监测仪具有便于携带安装、 价格相对低廉、 监测结果较精确等优点, 已成为临床上最为常用的监测方法。 尺神经 -拇内收肌是目前公认最准确、 最方便的使用的肌松监测仪进行外周监测 的部位, 已成为监测肌松的金标准, 通过电刺激该处神经引起肌肉颤动的程度 来评价矶松程度。
临床上用肌加速度描记法监测肌松时, 需要将拟监测手掌进行固定以减少 监测过程的手掌移动造成的测量误差, 固定越好, 测量精确性就越高。 通常方 法是将病人的一侧手臂放置在手术床搭手架上, 使用配套固定装置固定, 此装 置手柄部为片状, 可被食指与中指夹住, 其上有一弧形支架可使拇指固定其上, 通过固定带将固定装置与拇指以外的其他四指固定在掌面上, 固定后手掌呈自 然张开状态。 连接好线路后通过加速度仪剌激体表神经并监测效应部位肌肉的 运动幅度来反映肌肉松驰的程度。 但这样的加速度仪配套固定装置仅仅是将拇 指及手掌固定起来, 对尺神经进行电刺激时都会不同程度的导致前臂、 手掌及 手指的晃动, 从而影响肌松监测效果。 为解决此问题, 通常需要额外使用固定 带将手掌、 手臂与搭手架固定在一起, 但这样做增加了准备工作的复杂性, 缺 少经验的使用者需摸索才能掌握最佳的固定方法。 发明内容 本发明的目的是提供一种结构简单、 使用方便、 能有效固定前臂、 手掌和手 指的肌松监测仪手指及前臂固定装置。
本发明提供了一种肌松监测仪手指及前臂固定装置, 由前臂固定器、 手掌固 定器两部分组成。 所说的前臂固定器呈扁长方体形, 扁长方体的上表面呈弧形 凹陷, 凹陷面的形状与前臂的背面匹配, 以使前臂搁置在上感觉舒适, 前臂固 定器的左右两侧设有固定带, 位于上表面两侧的为前臂固定带, 用于将前臂固 定于前臂固定器, 位于下表面两侧的为手架固定带, 用于将前臂固定器固定于 搭手架, 前臂固定器的前端端面中央设有一个连接槽, 该连接槽用于与手掌固 定器连接; 所说的手掌固定器呈扁长方体形, 扁长方体的上表面凹陷, 其为手 掌面, 凹陷面的形状与手背匹配, 以使手背搁置在上感觉舒适, 手掌固定器的 左右两侧设有固定带, 位于上表面两侧的为手掌固定带, 用于将手掌固定于手 掌固定器, 位于下表面两侧的为手架固定带, 用于将手掌固定器固定于搭手架, 手掌固定器的手掌面上设有手指固定环, 两个相邻的手指固定环固定于手掌面 上食指和中指的相应部位, 用于套在食指和中指的指跟处将食指和中指固定, 另一拇指固定环通过固定杆设于上述两环斜上方拇指功能位的相应位置, 以使 拇指以功能位固定在手掌固定器上, 手掌固定器的后端端面中央设有一个连接 杆, 连接杆的形状大小与前臂固定器前端端面中央所设的连接槽匹配, 用于插 入该连接槽与前臂固定器连接并调整与前臂固定器的之间的距离。
使用时将食指与中指套入手掌固定器内, 拇指固定在拇指固定杆上的拇指 固定环, 用手掌固定带将手掌固定在手掌固定器上, 将手掌固定器的连接杆插 入前臂固定器的连接槽并根据手掌和前臂的长度调整手掌固定器和前臂固定器 之间的间距, 用前臂固定带将前臂固定于前臂固定器, 分别用掌部手架固定带 和臂部手架固定带将手掌固定器和前臂固定器固定于搭手架。 此时, 手掌、 拇 指及前臂的位置都被稳妥固定, 即可按常规进行肌松监测。
本发明结构简单, 使用方便, 能有效固定手掌、 前臂、 食指、 中指和拇指, 在对尺神经进行电刺激时不再出现前臂、 手掌及手指的晃动, 有利于确保肌松 监测仪对肌松的准确监测。 附图说明
图 1为本发明的整体结构示意图。
图 2为本发明的前臂固定器的前端端面结构示意图。
图 3为本发明的手掌固定器的结构示意图。 其中: 前臂固定器 1、 前臂固定带 1. 1、 臂部手架固定带 1. 2、 连接槽 1. 3; 手掌固定器 2、 连接杆 2. 1、 手指固定环 2. 2、 拇指固定环 2. 3、 手掌固定带 2. 4、 掌部手架固定带 2. 5。 具体实施方式
下面结合附图和实施例, 进一步阐述本发明。 应理解这些实施例仅用于说 明本发明, 而不用于限制本发明的应用范围。
实施例 1:
一种肌松监测仪手指及前臂固定装置, 由前臂固定器 1和手掌固定器 2组成。 前臂固定器 1呈扁长方体形, 扁长方体的上表面呈弧形凹陷, 凹陷面的形状与前 臂的背面匹配, 前臂固定器的左右两侧设有固定带, 位于上表面两侧的为前臂 固定带 1. 1, 位于下表面两侧的为臂部手架固定带 1. 2, 前臂固定器 1的前端端面 中央设有一个连接槽 1. 3; 手掌固定器 2呈扁长方体形, 扁长方体的上表面凹陷, 其为手掌面, 凹陷面的形状与手背匹配, 手掌固定器的左右两侧设有固定带, 位于上表面两侧的为手掌固定带 2. 4, 位于下表面两侧的为掌部手架固定带 2. 5, 手掌固定器 2的手掌面上设有手指固定环 2. 2, 两个相邻的手指固定环 2. 2固定于 手掌面上食指和中指的相应部位, 用于套在食指和中指的指跟处将食指和中指 固定, 拇指固定环 2. 3通过固定杆设于手指固定环 2. 2斜上方拇指功能位的相应 位置, 以使拇指以功能位固定在手掌固定器 2上, 手掌固定器 2的后端端面中央 设有一个连接杆 2. 1, 连接杆 2. 1的形状大小与前臂固定器 1前端端面中央所设的 连接槽 1. 3匹配, 用于插入连接槽 1. 3与前臂固定器 1连接并调整与前臂固定器 1 之间的距离。
本发明可根据需要做成不同的规格型。 以上显示和描述了本发明的基本原理、 主要特征和本发明的优点。 本行业 的技术人员应该了解, 本发明不受上述实施例的限制, 上述实施例和说明书中 描述的只是说明本发明的原理, 在不脱离本发明精神和范围的前提下本发明还 会有各种变化和改进, 这些变化和改进都落入要求保护的本发明范围内。 本发 明要求保护范围由所附的权利要求书及其等同物界定。

Claims

1、一种肌松监测仪手指及前臂固定装置,其特征在于该装置是由前臂固定器(1) 和手掌固定器 (2) 组成, 前臂固定器 (1) 呈扁长方体形, 扁长方体的上表面 呈弧形凹陷, 凹陷面的形状与前臂的背面匹配, 前臂固定器的左右两侧设有固 定带, 位于上表面两侧的为前臂固定带 (1.1), 位于下表面两侧的为臂部手架 固定带 (1.2), 前臂固定器 (1) 的前端端面中央设有一个连接槽 (1.3); 手掌 固定器 (2) 呈扁长方体形, 扁长方体的上表面凹陷, 其为手掌面, 凹陷面的形 状与手背匹配, 手掌固定器的左右两侧设有固定带, 位于上表面两侧的为手掌 固定带 (2.4), 位于下表面两侧的为掌部手架固定带 (2.5), 手掌固定器 (2) 的手掌面上设有手指固定环, 两个相邻的手指固定环 (2.2) 固定于手掌面上食 指和中指的相应部位, 拇指固定环 (2.3) 通过固定杆设于手指固定环 (2.2) 斜上方拇指功能位的相应位置, 手掌固定器 (2) 的后端端面中央设有一个连接 杆 (2.1), 连接杆 (2.1) 的形状大小与前臂固定器前端端面中央所设的连接槽 (1.3) 匹配, 用于插入连接槽 (L3) 与前臂固定器 (1) 连接并调整与前臂固 定器之间的距离。
PCT/CN2012/001625 2012-05-28 2012-12-04 肌松监测仪手指及前臂固定装置 WO2013177732A1 (zh)

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CN104622657A (zh) * 2015-03-16 2015-05-20 山东省立医院 一种桡动脉穿刺术后固定器
CN110432901B (zh) * 2019-08-13 2021-12-14 宿州学院 一种多通道无线表面肌电信号发射装置
CN112022480B (zh) * 2020-09-28 2022-05-31 上海交通大学 一种牵引式个性化骨伤医疗夹板及使用方法
CN116058806B (zh) * 2023-04-07 2023-07-04 四川康源医创科技有限公司 一种基于肌音音频信号分析的肌松监测方法及装置

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CN2261815Y (zh) * 1996-03-21 1997-09-10 孔宁 前负荷控制装置
JPH1057320A (ja) * 1996-08-19 1998-03-03 Nippon Zeon Co Ltd 筋弛緩用モニター装置および記憶媒体
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