CN1036319A - Pneumatic turning-over apparatus - Google Patents

Pneumatic turning-over apparatus Download PDF

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Publication number
CN1036319A
CN1036319A CN 88101963 CN88101963A CN1036319A CN 1036319 A CN1036319 A CN 1036319A CN 88101963 CN88101963 CN 88101963 CN 88101963 A CN88101963 A CN 88101963A CN 1036319 A CN1036319 A CN 1036319A
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air
air bag
cushion
patient
air cushion
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CN 88101963
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CN1013826B (en
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张福学
王丽坤
吴进兴
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BEIJING INFORMATION ENGINEERING COLLEGE
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BEIJING INFORMATION ENGINEERING COLLEGE
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Publication of CN1013826B publication Critical patent/CN1013826B/en
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Abstract

A kind of Pneumatic turning-over apparatus comprises: pneumatic supply, valve control chamber, many capsules air cushion, control circuit and cushion.The a plurality of closed airbags row of this air cushion is two row, and four of every row link to each other with inflation and the venting of carrying out air bag with valve in the control chamber by conduit respectively.One group of predetermined air bag inflated and exit to help the patient who lies on this air cushion to change position, alleviate medical personnel's labor intensity with this.Entirely fold behind the air bag deflation and make that fixed cushion can guarantee that bed person is comfortable on it.Adopt the electromagnetic valve gas control system that charges and discharge to realize self nursing of bed patient.

Description

Pneumatic turning-over apparatus
The present invention relates to a kind of Pneumatic turning-over apparatus, more particularly, the present invention relates to an a kind of air cushion that utilizes that a pneumatic supply, a plurality of air bag form and a cover by-pass valve control, the bed patient who helps movable difficulty by selectable inflation and venting changes the device of position, thereby utilizes this device can alleviate self nursing that the position that patient is carried out the workload in smelting treatment and the nursing process and can adjust patient is at any time on demand realized the long-term bed patient.
Large quantities of patients that can not carry out the health autonomic activities that cause because of a variety of causes are arranged in clinical practice, the coma patient that causes as a variety of causes, various types of paralytics, the patient of the body surface large tracts of land that causes because of dermatosis, burn or soft tissue injury damage, or the like.All these patients are owing to can not or be difficult for carrying out the independent activity of health, thereby in the process of treatment and nursing, brought great burden for medical personnel and family members, because a lot of patients require the position that is maintained fixed in therapeutic process, as lie on one's side, raise head and upper body, raise lower limb, or require regular change position, as regularly standing up, the regular activity limbs, or the like.And the medical worker regularly carries out various treatments and nursing again, as checking, change dressings, inject, change bedding, or the like.To this class patient often each the simplest treatment and nursery work all need at least two veterans to cooperate meticulously just to finish, its workload is big well imagines.In addition, a lot of clinical patients are because self is stiff, even also can be owing to long-term bed causes multiple complications, as decubital ulcer, muscle under normal nursing condition
Figure 881019631_IMG2
Contract, osteomalacia, or the like.Therefore, how helping this class patient to change position automatically at bed rest period is an important difficult problem that improves treatment and nursing quality all the time.
Can find the multiple equipment for supporting patient with burn that designs in order to solve an above-mentioned difficult problem in the prior art.As UK Patent Application GB2130482A, GB2100122A, Japanese patent application JP182948A and Chinese patent application CN86103885A.Disclose the device that different being used to helps the bed patient to stand up in the above-mentioned patent documentation, be broadly divided into two classes by its operation principle.One class is to have adopted the structure (as disclosed scheme in above-mentioned Britain and the Japanese patent application) that is similar to conveyer belt, when patient need stand up, utilize the lifting structure that patient's health is raised, mobile the bringing that the flexible material that is moved by the action roller that can rotate is made accepted, and by the frictional force between patient body and this moving belt patient body overturn under the drive of moving belt then.The device of this class can need not moving of medical personnel when patient is treated and nurses can be to patient's health that overturns, thereby has alleviated medical personnel's labor intensity.But, at first to patient's health be risen and the disengaging mattress when adopting this class equipment for supporting patient with burn to stand up with lifting structure to patient, could make the patient body upset by laterally moving of moving belt then, standing up also needs after finishing patient's health is descended, be put back on the mattress, the whole operation process is very complicated when therefore standing up with this class device, and the frame for movement of standing up bed is also very complicated.In addition, the bed that stands up that this class moves belt can only overturn to the patient who lies low, can not be used to keep special body position, can not (for example selectively change specific position, lie on the back, lie on one's side, raise upper body, raise lower limb, bend knee or the like), and this class is stood up bed also should not change position by patient oneself operation, therefore is unsuitable for long-term bed patient (as the paralytic) and uses in the family.
Another equipment for supporting patient with burn is to have adopted mechanical overturn structure (as disclosed scheme in the above-mentioned Chinese patent application), adopt this class equipment for supporting patient with burn must cause its frame for movement very complicated, be difficult for operation and maintenance, and, make patient comfortable inadequately in the process of standing up because its each parts are rigid element.It can not change position by patient oneself operation in addition, thereby also is unsuitable for the long-term bed patient and uses in the family.
In a word, various equipment for supporting patient with burn all exist following several problems in the prior art:
1. can't carry out random position adjustment.The equipment for supporting patient with burn of above-mentioned mobile belt can only be put down when crouching patient and be overturn, and can't carry out the position adjustment of other form, thereby range of application is more limited.Though the equipment for supporting patient with burn of above-mentioned mechanical support structure can carry out multi-form position adjustment, but its adjustment mode is all fixing when its structural design, and be to realize by complex mechanical construction, thereby can't in use arbitrarily change its occupation mode, can not successively carry out a small amount of and adjust.
2. can't operate by patient oneself.Equipment for supporting patient with burn in the prior art in use all needs special people to operate could realize standing up of patient, and can't operate by patient oneself, therefore their patients (as various paralytics) of being not suitable for those long-term beds use in the family, are unfavorable for that also position that patient adjusts oneself at any time is to reach comfortable and attitude easily.
3. all even inadequately soft to the active force of patient body in the process of standing up.,6СС∪宀σ∪ㄈ∪し〉∪∪∪。
At the problems referred to above that exist in the prior art, the invention provides the device that a kind of novel help bed patient changes and adjust position.This device comprises: a pneumatic supply is used to the position of adjusting patient that power is provided; A mattress by a plurality of air bags constitute can raise the specific portion position of patient body or reduce by each air bag being inflated selectively and being exitted; By the control chamber that a plurality of valves constitute, wherein each valve all is connected between pneumatic supply and the air bag by breather line, thereby can selectively control the inflation and the aerofluxus of each air bag; A panel, there are a plurality of gauge taps to be connected with control chamber by cable on it with control circuit, with the control of the various combination relation that realizes a plurality of electromagnetic valves are opened and closed, realize inflation and aerofluxus with this, thereby finish adjustment patient's special body position to specific one group of air bag.
An object of the present invention is to provide a kind of Pneumatic turning-over apparatus, the position that this device changes the bed patient by inflation and venting to a plurality of air bags, and what make in the process of postural change that patient body bears is all even soft active force, reduces the misery that patient stands with this when changing position.
Of the present invention have a purpose to provide a kind of easy to operate equipment for supporting patient with burn simple in structure again, this device can be operated by patient oneself, make patient be adjustable to comfortable at any time and easily on the position, can alleviate medical personnel and family members' burden like this, and this device is extensive use of in hospital and family.
Pneumatic turning-over apparatus of the present invention has comprised a plurality of shapes and the air bag that varies in size, the syntagmatic that limits the shape of each air bag and size and change inflation and venting between a plurality of air bags by valve and conduit system by the structure that the time changes the interlayer reinforcement of each air bag inside in design, can make it be applicable to various patient and finish the various different position adjustment that require, thereby make its scope of application very extensive.
Except changing position, device of the present invention also can assist patient to carry out the less bed activities of quantity of motion, as lies on the back, plays seat, knee sprung, stretches one's legs, and with this functional rehabilitation that increases the patients'blood circulation and promote body, thereby quickens patient's rehabilitation course.
Other purpose of the present invention, feature and advantage will embody in below in conjunction with the detailed description of accompanying drawing to preferable embodiment of the present invention.
Fig. 1. the perspective view when using for Pneumatic turning-over apparatus of the present invention;
Fig. 2. be the many capsules air cushion of Pneumatic turning-over apparatus shown in Figure 1 and the floor map of breather line thereof;
Fig. 3 A and Fig. 3 B are the vertical section and the drawings in side sectional elevation of many capsules air cushion of Pneumatic turning-over apparatus shown in Figure 1;
Fig. 4 A and Fig. 4 B illustrate the detailed structure of difform single air bag;
Fig. 5 is the sketch map of gas circuit valve control system.
Referring to Fig. 1, perspective view when being depicted as Pneumatic turning-over apparatus of the present invention and on any conventional sick bed, using.Among Fig. 1, reference number 1 is represented many capsules air cushion of this device, and it can use on the bed of any routine, and this air cushion is by shape and vary in size, independently a plurality of air bag 2-9 constitute mutually, and the internal structure of each air bag can be referring to Fig. 3 A and 3B.Reference number 10 is the valve control chamber of this device, and it is connected each air bag 2-9 by pipeline respectively with the pneumatic supply (not shown), and its concrete connected mode and control mode can be referring to Fig. 2 and Fig. 5.Among Fig. 1, air bag 2-5 is an inflated condition, and air bag 6-9 is a deflated state, at this moment can make patient keep a comparatively comfortable position and can form the lie on one's side good supporting of position to patient by inflatable air bag 2-5 of lying on one's side.In the same way optionally with several airbag aerations and other air bag deflation can make patient change into other position.For example, with air bag 2 and 6 inflations, other air bag deflation can make patient lift upper body and become semireclining position, so that patient has meal, reads or carries out other activity.Compound mode between each air bag and the relation of patient posture can see the relevant explanation of air-path control system and the subordinate list 1 of Fig. 5 for details.
Fig. 2 illustrates the floor map of connected mode between many capsules air cushion of the present invention and breather line and the valve control chamber.Among Fig. 2, air bag 2-5 and air bag 6-9 are respectively two groups of air bags of symmetric arrays, and they correspond respectively to patient's head and neck and shoulder back (air bag 2 and 6), buttocks (air bag 3 and 7), thigh (air bag 4 and 8) and shank (air bag 5 and 9).Upset and local lifting about can going into to carry out to the disease of lying in bed according to the air bag arrangement mode of Fig. 2.Obviously, this air cushion also can increase or reduce the number of air bag and change its shape and size according to principle of uniformity, perhaps adopts a plurality of difform isolation air bags to constitute the monoblock type air cushion structure of an integral body, to adapt among the various bright man chessboard M as seen, air bag 2-9 is furnished with breather line 12-19 respectively, one end of these pipelines is connected with each air bag by the valve on the airbag wall 20, and the other end then is connected on the valve control chamber 10, for the ease of carrying out the Selective Control of gas circuit, pipeline 12,14,15,16,18 and 19 are divided into the two-way pipeline respectively after entering valve control chamber 10, its link is denoted as 2a, 2b, 4a, 4b, 5a, 5b, 6a, 6b, 8a, 8b and 9a, 9b, they correspond respectively to air bag 2,4,5,6,8,9.After entering valve control chamber 10, air bag 3 and 7 breather line 13 and 17 still keep single channel.Each breather line 12-19 enters can be referring to Fig. 5 and explanation thereof with the concrete connected mode of by-pass valve control and pneumatic supply behind the valve control chamber.
Referring to Fig. 3 A, be depicted as along the sketch map in the vertical section that center line is done of air bag among Fig. 12,3,4,5.In order to guarantee that each air bag 2-9 can keep a comparatively fixed shape after inflation, so that well bear patient's body weight and under the effect of patient's body weight, can not produce serious deformation, in addition, the shape of air bag is well restored and for comparatively entirely being folded on the bed surface, each air bag inside is divided into a plurality of air chambers by having certain new elastic interlayer or the reinforcement air bag with each sealing, has through hole to be communicated with between each air chamber.As seen, this air cushion is connected as a single entity by each air bag and constitutes a globality air cushion (shown in Fig. 1 is the isolating separate type air cushion of each air bag) among Fig. 3 A.Air bag 2 inside are divided into a plurality of air chambers 202 by elasticity interlayer 201 with it, are communicated with by passage between each air chamber.Separate by common airbag wall 203 between air bag 2 and the air bag 3, air bag 2 and air bag 3 are sealed mutually.Equally, air bag 3 and 4 also is to be kept apart by common airbag wall closure ground between the air bag 4 and 5.The shape of air bag 3 and air bag 5 is comparatively simple, thereby its inner interlayer is less, and air bag 2 and 4 will be finished patient's seat or the action of bending knee, and its shape is complicated, thereby inner interlayer is more.Behind airbag aeration, each interlayer 201 all is subjected to certain force of strain, thereby makes air bag keep a specific shape.When air bag deflation, the elastic reaction of each interlayer self makes air bag contraction successively because the tension force that each interlayer bore reduces gradually, last smooth folding up, avoid air cushion through repeatedly inflating and exit the back out-of-flatness with this, this all can very cosily lie on the air cushion bed patient under the state that inflation is still exitted.
Fig. 3 B illustrates the sketch map of the cross section that this Fig. 3 A center line A-A done.Wherein air bag 2 is in inflated condition, and air bag 6 is in deflated state.Can see that in inflatable air bag 2 interlayer 201 is divided into a plurality of air chambers with it, passage 204 is arranged on the interlayer 201, when air bag was inflated by valve, each air chamber can be full successively by passage, and the shape that air bag is maintained fixed like this.
A cushion 205 of being made by flexible material (as foam plastics, Cotton Gossypii etc.) all is shown among Fig. 3 A and the 3B.Its effect is can be comfortable when making the bed patient lie on the air cushion.Because air cushion is to be made by the multilamellar gastight material, formed the folding of airbag wall after the venting.In order to guarantee the comfortable of bed patient and prevent patient that complication such as decubital ulcer take place that it is very important having certain thickness and comparatively softish cushion 205.Because the bed patient will constantly change position, so will have certain fixed installation to put 206 between cushion 205 and the air cushion, fixture 206 has the elastic telescopic ability, cushion 205 can be stretched with the gas that charges and discharge of air bag, it can be a nylon zipper, padlock or other similar device.
Fig. 4 A and Fig. 4 B illustrate the structure of many capsules of separate type air cushion different bladder of the present invention.Fig. 4 A illustrates air bag 2(or the air bag 6 among Fig. 1) structure, air bag 2 forms higher and the incline structure that an end is lower of an end behind top off, its inclined plane just in time can be used for supporting patient's back, forms blow back and makes patient be in semireclining position.The outer wall of air bag can adopt anyly has the flexible airtight material of sufficient intensity to make, as adopting coating rubber, fibre reinforced plastics cloth, or the like.The valve 20 that is used for the breather line connection is housed in the side of airbag wall.The earrings 21 that is used for fixing in addition on the edge of air bag bottom surface can be fixed on air bag on the bed board or the air bag that each is adjacent is connected to each other as a whole by this earrings 21 in use.Fig. 4 B illustrates the structure of air bag 4 among Fig. 1.Among the figure connotation of each label with the effect all with Fig. 4 A in corresponding label identical.Should be pointed out that each air bag is separate utricule when adopting the separate type air bag shown in Fig. 4 A and the 4B to constitute many capsules air cushion of the present invention.Therefore the air bag that can select shape in use as required for use and vary in size is combined into a complete air cushion, each air bag all can be fixed on the bed board or is connected with each other by fixed lug, also can adopt other structure (as nylon zipper) to fix.Compare with many capsules of globality shown in 3B air cushion with Fig. 3 A, this air cushion that is combined by a plurality of isolating air bags in use relatively flexibly, can adjust according to different patients' actual needs, and single transposing when a certain air bag is damaged and leaks gas also can be according to the air bag of clinical needs processing special shape.The internal structure of each independent air bags does not repeat them here with identical shown in Fig. 3 A and the 3B.
Referring to Fig. 5, be depicted as the pneumatic supply of Pneumatic turning-over apparatus of the present invention and the sketch map of valve control system.Wherein, reference number 40 is a micro-air compressor, and it can adopt the air compression plant of any routine, as commercially available miniature noiseless air compressor machine.Pressure accumulation bottle of reference number 41 expression generally can adopt the tens pressure accumulation bottles that are raised to liter capacities up to a hundred, and it is connected with pneumatic supply 40 and the compressed air that is provided by pneumatic supply 40 is provided, so that provide the compressed air of enough pressure to air cushion.If when a plurality of similar Pneumatic turning-over apparatus used simultaneously in the ward of hospital, they can be total to prosperous same pneumatic supply.Reference number 42 is an air gauge, is used for indicating the air pressure of gas circuit.Reference number 36 sends for Huan king crab lush  cattle stops to be sprouted Wei in the fine well-behaved spring of the pure mountain  of prunus mume (sieb.) sieb.et zucc.  idol of the latitude 9 refined male Canis familiaris L. В torrs of being greedy for food and throws Sha and move  a form of address for old woman  Gan  harm and step on and unload be greedy for food Canis familiaris L. 6 and air gauge 42 of rare  rose and can adjust the atmospheric pressure value that is transported in the air cushion effectively, guarantee that with this bed patient can comfortablely mildly change position, and can this control the filling degree of each air bag in gas replenishment process.Reference number 31-35 represents five by-pass valve controls, can adopt three conventional multiple-way valves.The effect of these valves is to make one group of different air bags can be in inflation (inflation position), venting (zero-bit) respectively, or under sealing (sealing position) state.As shown in the figure, valve 31,32 and 33 is a 3-position 4-way, and valve 34 and 35 is three clematis stem.The air bag that each valve connected and can be referring to following table 1 to the patient posture of using.
Table 1
Valve The air bag that is connected Position Explanation
31 2、6 Seat Upper body becomes to lean against the formula seat
32 4、8 Bend knee Knee joint bending
33 5、9 Lift lower limb Raise lower limb
34 2、3、4、5 Turn on the right side Change the right side into crouches from lying on the back
35 6、7、8、9 Turn on a left side Change into from lying on the back and to lie on the left side
According to above explanation as can be seen, if all valve 31-36 all adopt electromagnetic valve, Pneumatic turning-over apparatus of the present invention can utilize panel shown in Fig. 1 10 to control by patient.Like this, Pneumatic turning-over apparatus of the present invention just can manually be controlled valve and finish various actions.Certainly, when adopting electromagnetic valve, also can be shown in Figure 5 logical more than three, but utilize each air bag three-position electromagnetic valve of control separately, at this moment only need can finish the various actions of drawing in the table 1 by suitable arrangement control circuit.Adopt gas can be controlled the position adjustment easily by bed patient oneself the process that charges and discharge of each air bag of solenoid control, realize self nursing of bed patient with this, this long-term bed patient for inconvenient activity (as various types of paralytics) is just convenient and practical.

Claims (8)

1, a kind of Pneumatic turning-over apparatus comprises:
A pneumatic supply;
A pressure accumulation bottle, it is connected with above-mentioned pneumatic supply and saves and export compressed air;
It is characterized in that:
A valve control chamber comprises a plurality of air valves, and they link to each other with above-mentioned pressure accumulation bottle by pipeline;
Capsule air cushion more than one, this air cushion is made of the air bag of a plurality of mutual sealings of the two every row of row at least, described a plurality of air bag links to each other with air valve in the above-mentioned valve control chamber by breather line respectively, by controlling each valve in the above-mentioned control chamber optionally with some or several airbag aerations of the compressed air in the above-mentioned pressure accumulation bottle to many capsules air cushion, or make air bag deflation, help the bed person who lies on this many capsules air cushion to change position with this.
2, the Pneumatic turning-over apparatus of claim 1, it further is characterized as:
Described many capsules air cushion is an overall structure, each adjacent capsule separate by a common cyst wall and each capsule between keep sealing mutually.
3, the Pneumatic turning-over apparatus of claim 1, it further is characterized as:
Described many capsules air cushion is made up of a plurality of separate air bags, has removable fixed structure on each air bag, a plurality of air bags is fixed together constitutes this air cushion, and also removable this fixed structure wherein arbitrary air bag takes off or changes.
4, any one Pneumatic turning-over apparatus in the claim 1 to 3, it further is characterized as:
The interlayer that each air bag inside of described many capsules air cushion all has at least one to be made of the elastomeric material with suitable intensity, make this air bag be divided into a plurality of air chambers, there is passage to communicate between each air chamber, can entirely folds after exitting so that can keep certain shape behind the airbag aeration.
5, any one Pneumatic turning-over apparatus in the claim 1 to 3, it further is characterized as:
All there is the reinforcement that is made of elastomeric material each air bag inside of described many capsules air cushion, can entirely fold after exitting so that can keep certain shape behind the airbag aeration.
6, any one Pneumatic turning-over apparatus in the claim 1 to 3, it further is characterized as:
A plurality of valves in the described valve control chamber are electromagnetic valve;
This device also comprises a control circuit, and this circuit is connected and controls the switch and the aerofluxus of each valve with above-mentioned electromagnetic valve by cable.
7, any one Pneumatic turning-over apparatus in the claim 1 to 3, it further is characterized as:
A cushion of making by flexible material, it be fixed on the surface of described many capsules air cushion by removable structure and can fill with air cushion, venting and elastic telescopic.
8, the Pneumatic turning-over apparatus of claim 1, it further is characterized as:
Described many capsules air cushion is made of two circulation of qi promoting capsules, every row comprises four air bags, wherein its upper surface can form head and neck and the shoulder back that a supporting oblique surface is used to support bed person behind first airbag aeration, its plane of upper surface formation is used to support bed person's waist and buttocks behind second airbag aeration, the cambered surface that its upper surface forms a projection behind the 3rd airbag aeration is to support bed person's knee, and its upper surface forms a plane to support bed person's lower limb behind the 4th airbag aeration.
CN 88101963 1988-04-08 1988-04-08 Pneumatic turning-over apparatus Expired CN1013826B (en)

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Application Number Priority Date Filing Date Title
CN 88101963 CN1013826B (en) 1988-04-08 1988-04-08 Pneumatic turning-over apparatus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 88101963 CN1013826B (en) 1988-04-08 1988-04-08 Pneumatic turning-over apparatus

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CN1036319A true CN1036319A (en) 1989-10-18
CN1013826B CN1013826B (en) 1991-09-11

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