CN107822828B - Traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument - Google Patents

Traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument Download PDF

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Publication number
CN107822828B
CN107822828B CN201710994719.5A CN201710994719A CN107822828B CN 107822828 B CN107822828 B CN 107822828B CN 201710994719 A CN201710994719 A CN 201710994719A CN 107822828 B CN107822828 B CN 107822828B
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air
leg
adjusting
cylinder
air bag
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CN201710994719.5A
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CN107822828A (en
Inventor
周以琳
周蒙滔
刘纳新
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Priority to CN201710994719.5A priority Critical patent/CN107822828B/en
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Priority to PCT/CN2018/111489 priority patent/WO2019080843A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1238Driving means with hydraulic or pneumatic drive

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Massaging Devices (AREA)

Abstract

The invention discloses a combined thrombus prevention and treatment instrument with traction and synchronous sequential pressurization, which solves the problem of insufficient blood circulation of a patient in the process of leg movement, and adopts the technical scheme that a leg and foot movement part comprises a support bottom plate, a shell, a transmission shaft, a crank and a pedal device, wherein the shell is fixedly connected to the support bottom plate, the transmission shaft traverses the shell and can rotate relative to the shell, two ends of the transmission shaft are fixedly connected with the crank, the crank is hinged with the pedal device, the support bottom plate is provided with a cylinder box, an air pump, an air pipe, a cylinder and an air bag, the air pump is positioned in the shell, the cylinder is positioned in the cylinder box, the air pipe sequentially connects the air pump, the cylinder and the air bag together, a transverse support part is fixedly connected with the support bottom plate, the transmission shaft; the air bag is used for tying up on the leg, changes through the atmospheric pressure of air pump control cylinder in to the air bag for the air bag is to the shank massage, promotes blood circulation through the massage when shank pulls the motion.

Description

Traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument
Technical Field
The invention relates to the technical field of rehabilitation medical and exercise fitness equipment, in particular to a traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument.
Background
At present, chronic diseases, disabilities after trauma, cerebrovascular accidents, acute disease recovery period prolongation and other factors can cause patients to be in bed for a long time. The most common two adverse effects are brought to patients after lying in bed, namely the occurrence of skeletal muscle atrophy (sarcopenia) after lying in bed; second, venous thrombosis of lower limbs after lying in bed occurs. These situations arise in connection with the failure to perform effective athletic exercises. In order to prevent the muscle function degeneration, the muscular atrophy and the venous thrombosis of the lower limbs, a patient can do active rehabilitation training on a bed under the condition allowed by the body so as to promote the blood circulation of the lower limbs and reduce the thrombosis, and simultaneously prevent the skeletal muscle function degeneration and the muscular atrophy; however, in many cases, the patient is limited by the physical condition and the disease stage, and cannot perform corresponding active rehabilitation training, and the passive rehabilitation training can prevent the fate of the two complications by the shoulder, and usually performs the task by cooperating with a rehabilitation teacher or assisting a rehabilitation device. Through active rehabilitation training, the physical function and the mental emotion of the patient are recovered to the original health state as much as possible, the recovery of the organ function is promoted, the self-care ability of the life of the patient is improved, and the patient can finally return to the society.
Due to the relative scarcity of technicians and the increasing labor cost related to rehabilitation, the medical rehabilitation equipment is in great demand in terms of quantity at present, and meanwhile, the quality requirement of the rehabilitation equipment is gradually increased. The qualitative requirements of the rehabilitation instrument are expressed in two aspects, namely, the individualized requirements are met, and the rehabilitation instrument plays a key role in the rehabilitation training process under the condition that the physical conditions of patients are limited. A few parts of the rehabilitation machines on the market at present are adjustable, the individual difference of each patient is large, and the rehabilitation equipment cannot meet the individual requirements of the patients; and secondly, the requirements of multi-level training and multi-dimensional rehabilitation on functions are met, so that the optimal rehabilitation training effect can be achieved in a short time, the lower limb joint passive traction exercise and the lower limb muscle rehabilitation pressing belong to two different types of rehabilitation projects, and even the best rehabilitee cannot accurately and simultaneously complete the two rehabilitation projects.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument which can simultaneously perform leg traction movement and synchronous air pump sequential pressurization massage.
In order to achieve the purpose, the invention provides the following technical scheme: a combined thrombus prevention and treatment instrument with traction and synchronous sequential pressurization comprises a base, a vertical supporting part, a bed body fixing clamp, a transverse supporting part and a leg and foot moving part, wherein the lower end of the vertical supporting part is connected with the base, the bed body fixing clamp is connected with the vertical supporting part, the vertical supporting part is connected with the transverse supporting part, the leg and foot moving part comprises a supporting bottom plate, a shell, a transmission shaft, a crank and a pedal device, the shell is fixedly connected with the supporting bottom plate, the transmission shaft traverses the shell and can rotate relative to the shell, two ends of the transmission shaft are fixedly connected with the crank, the crank is hinged with the pedal device, the supporting bottom plate is provided with a cylinder box, an air pump, an air pipe, an air cylinder and an air bag, the air pump is positioned in the shell, the air cylinder is positioned in the cylinder box, the air pipe sequentially connects the air pump, when a human foot is placed on the pedal device and drives the transmission shaft, the transmission shaft drives the crank to rotate, the crank drives the pedal device to move, and the pedal device drives the human leg to move; the air bag is used for being tied on the leg, and the air pressure in the air bag is changed by the air pump control cylinder, so that the leg is massaged by the air bag.
As a further improvement of the invention, the cylinder comprises an air inlet pipe, an air outlet hole, a hollow disc, a first one-way valve, a piston, an outer cylinder and an inner cylinder, wherein two ends of the air inlet pipe are respectively connected with the air delivery pipe and the outer cylinder, the hollow disc is positioned in the air inlet pipe, the air outlet hole is distributed along the circumferential direction of the air inlet pipe, the hollow disc is provided with an opening and the opening is communicated with the air inlet pipe and the outer cylinder, the first one-way valve is positioned at the opening of the hollow disc, one end of the outer cylinder connected with the air inlet pipe is provided with a blocking edge for limiting the moving distance of the piston and the hollow disc, the inner cylinder is positioned in the outer cylinder, the piston comprises two cylinders with different contour sizes, the cylinder with the large contour size is attached to the inner wall of the outer cylinder, the cylinder with the small contour size is attached to the inner part of the inner cylinder, the inner cylinder is a blind hole groove, the, when the air pump ventilates the air inlet pipe, the hollow disc is pushed to block the air outlet hole, the first one-way valve is opened, air enters the outer cylinder and pushes the piston to move, the original air in the outer cylinder enters the air bag through the air hole, and the air in the inner cylinder is extruded to increase the pressure; when the air pump stops ventilating, the air in the inner cylinder pushes the piston to reset, the piston pushes the air to enable the first one-way valve and the hollow disc to reset successively, and the air flows to the outside through the air outlet hole.
As a further improvement of the invention, the air bag is provided with a pressure monitoring device and a second one-way valve, the pressure monitoring device is used for detecting the air pressure inside the air bag and controlling the air pump to inflate the air bag when the air pressure inside the air bag is low; when the air pressure in the air bag is high, the second one-way valve is opened, so that the air pressure in the air bag reaches a preset value.
As a further improvement of the invention, an angle adjusting frame is arranged in the middle of the shell and comprises a first connecting rod, two sliding rails, a second connecting rod and a supporting rod, the first connecting rod, the two sliding rails and the second connecting rod are fixedly connected to form a rectangle, the supporting rod is arranged in the rectangle, the supporting rod is vertically fixed in the middle of the second connecting rod, a screw fixing hole is formed in the supporting rod, the first connecting rod is hinged to the shell, the pedal device is hinged to an adjusting support, the adjusting support is movably connected to the sliding rails, an adjusting screw can be further rotatably arranged on the supporting bottom plate and is in threaded connection with the screw fixing hole, and when the adjusting screw is rotated, the angle adjusting frame rotates relative to the shell by taking the first connecting rod as a circle center and pushes the pedal device to incline through the.
As a further improvement of the invention, the adjusting bracket comprises a linear bearing hinged with the adjusting bracket, and the linear bearing is sleeved on the slide rail and can move along the slide rail.
As a further improvement of the invention, the pedal device further comprises a pedal plate and a pedal mounting seat, the pedal mounting seat is hinged with the crank, the pedal plate is connected with the pedal mounting seat in a sliding manner, the adjusting bracket comprises an L-shaped connecting plate, one side surface of the connecting plate is attached to a plate on the pedal mounting seat and is connected with a ankle adjusting knob, the other side of the connecting plate on the adjusting bracket is parallel to the plane of the pedal plate, the adjusting bracket is connected with the pedal plate through a leg adjusting knob, the pedal mounting seat is provided with a ankle adjusting sliding groove, the ankle adjusting knob is matched with the connecting plate, the connecting plate is provided with a leg adjusting sliding groove, the leg adjusting knob is matched with the leg adjusting sliding groove, and the pedal plate and the adjusting bracket are controlled to be fixed and move relative to the pedal mounting seat by screwing or unscrewing the ankle adjusting knob; the fixing and moving of the pedal relative to the adjusting bracket are controlled by screwing or unscrewing the leg adjusting knob.
As a further improvement of the invention, the angle adjusting bracket is further provided with a third connecting rod and two sliding blocks, the third connecting rod is parallel to the sliding rail and is respectively and fixedly connected with the first connecting rod and the second connecting rod, the two sliding blocks are sleeved on the third connecting rod, the sliding blocks are provided with a light source receiver and a butterfly bolt, one end of the adjusting bracket connected with the sliding rail is provided with a light source emitter, the butterfly bolt is screwed to control the sliding blocks to be fixed and slide relative to the third connecting rod, and the light source emitter respectively emits light sources to the light source receivers on the two sliding blocks to control whether the air pump is inflated.
As a further improvement of the invention, the outer cylinder is provided with a third one-way valve, the third one-way valve is positioned on the outer wall of the outer cylinder close to the air bag, the third one-way valve is connected with a supplementary air bag through an air pipe, the supplementary air bag is positioned on the slide rail, when the air pump stops working, the support is adjusted to extrude the supplementary air bag, and the supplementary air bag deforms to press air into the outer cylinder through the third one-way valve.
As a further improvement of the invention, the leg and foot movement part also comprises a leg support frame, the leg support frame is fixedly connected with one end of the transverse support part, the leg support frame is fixedly connected with a cross rod vertical to the leg support frame, a pair of leg support elastic bands are led out through the middle part of the leg support frame and the cross rod, and the leg support elastic bands are connected with the air bag.
As a further improvement of the invention, a plurality of positioning rings are arranged on the cross bar, and the positions of the cross bar of the leg supporting elastic bands are adjusted by changing the arrangement of the leg supporting elastic bands between two different positioning rings.
The leg rehabilitation device has the advantages that the air bag massages the bound part while the leg of the patient moves through the linkage of the transmission shaft, the crank and the pedal device and the pressure relation of the air pump, the air cylinder and the air bag, so that the blood circulation of the leg of the patient during movement is assisted, the occurrence of thrombus is reduced, the effect of rehabilitation treatment on the leg of the patient is achieved, the leg movement and the blood circulation are synchronous, the muscle movement mode of the lower limb during adjustable movement strength (slow walking or fast walking) is simulated, and the requirements of human bionics are met.
Drawings
Fig. 1 is a perspective view of a hybrid thrombus-prevention device with traction and synchronous sequential pressurization.
Fig. 2 is a perspective partial sectional view of a hybrid thrombus-prevention device with traction and synchronous sequential pressurization.
Fig. 3 is a cylinder sectional view of a hybrid thrombus-prevention device with traction and synchronous sequential pressurization.
FIG. 4 is a partial perspective view showing the connection of a pedal device and an angle adjusting bracket of a hybrid thrombus control instrument for traction and synchronous sequential pressurization.
FIG. 5 is a connection diagram of an angle adjusting frame and a supporting base plate of the hybrid thrombus-prevention and treatment instrument of traction and synchronous sequential pressurization.
Fig. 6 is a schematic view showing the mutual installation of the casing, the supporting base plate and the cylinder box of the hybrid thrombus-prevention and treatment instrument by traction and synchronous sequential pressurization.
FIG. 7 is a bottom view showing an initial state of the pedal device of the hybrid thrombus-prevention device in a pulling and simultaneous sequential pressurizing manner.
FIG. 8 is a bottom view of the pulling and simultaneous sequential pressurizing pedal device of the hybrid thrombus-preventing and treating device after the ankle adjusting knob is loosened and adjusted.
FIG. 9 is a bottom view of a pulling and simultaneous sequential pressurizing pedal device of the hybrid thrombus-prevention device after a leg adjusting knob is loosened and adjusted.
Detailed Description
The invention will be further described in detail with reference to the following examples, which are given in the accompanying drawings.
Referring to fig. 1 to 9, the hybrid thrombus prevention and treatment instrument with traction, synchronous sequential pressurization and according to the present embodiment comprises a base 1, a vertical support portion 2, a bed body fixing clamp 3, a horizontal support portion 4 and a leg and foot movement portion 5, wherein the base 1 is formed by vertically and fixedly connecting a support chassis and a support tube, and the support legs of the support chassis are provided with rollers for pushing the whole instrument to a hospital bed and relatively carrying the instrument with more effort-saving and safety; the lower end of the vertical supporting part 2 is inserted into the base 1, and the height of the whole mechanism can be changed by changing the length of the vertical supporting part 2 inserted into the base 1 so as to adapt to sickbeds with various heights; the bed body fixing clamp 3 is connected with the vertical supporting part 2 and comprises a clamping plate, an adjusting clamping plate and a clamping plate knob, the adjusting clamping plate can move relative to the clamping plate, the clamping plate knob penetrates through the clamping plate and is fixedly connected with the adjusting clamping plate, the clamping plate can be installed on a tailstock column of a sickbed by adjusting the height of the vertical supporting part 2 relative to the base 1, then the price adjusting clamping plate is controlled to move relative to the clamping plate by adjusting the clamping plate knob, so that the adjusting clamping plate and the clamping plate clamp the tailstock column together, and the whole instrument cannot move relative to the sickbed; the vertical supporting part 2 is connected with the transverse supporting part 4, the transverse supporting part 4 can be designed into two tubes which are mutually sleeved together, and the length of the two tubes which are mutually sleeved is controlled by an adjusting knob, so that the position of the leg and foot movement part 5 is changed, and the feet of people with different heights can be placed on the leg and foot movement part 5 when lying at the same position; the leg and foot exercise part 5 comprises a supporting base plate 24, a shell 25, a transmission shaft 26, a crank 27 and a pedal device 28, wherein the shell 25 is fixedly connected on the supporting base plate 24, the transmission shaft 26 penetrates through the shell 25 and can rotate relative to the shell 25, two ends of the transmission shaft 26 are fixedly connected with the crank 27, the crank 27 is hinged with the pedal device 28, when the position of the instrument is adjusted to a proper position, a patient places feet on the pedal device 28, the transmission shaft 26 is driven by a driving motor arranged in the shell 25, the transmission shaft 26 drives the crank 27 to rotate, and the crank 27 drives the pedal device 28 to rotate by taking the transmission shaft 26 as a circle center, so that the legs and the feet of the patient move, and the leg rehabilitation training.
The transverse supporting part 4 is fixedly connected with the supporting bottom plate 24, the supporting bottom plate 24 is provided with an air cylinder box 61, an air pump 62, air pipes 63, air cylinders 64 and air bags 65, the air pump 62 is positioned in the shell 25, the air cylinders 64 are positioned in the air cylinder box 61, a plurality of air cylinders 64 are accommodated in the air cylinder box 61 side by side to ensure the connection stability of the air cylinders 64 and cannot be separated from the air pipes 63 due to touch, the air pipes 63 sequentially connect the air pump 62, the air cylinders 64 and the air bags 65 together, the air pipes 63 extend and are fixed by depending on the outer surfaces of the supporting bottom plate 24 and the shell 25, so that the air pipes 63 cannot interfere with the traction movement of a patient, the air bags 65 are fixed on the legs of the person in a binding or bonding mode, because the front sides of the legs mainly comprise bones, the rear sides of the legs have much flesh and densely distributed blood vessels, namely, the joints of the air, gasbag 65 can be a plurality of, tie up respectively in popliteal fossa department, shank department and ankle department according to recovered demand, air pump 62 drives actuating cylinder 64 through gas-supply pipe 63, and cylinder 64 carries out air pressure control to gasbag 65, changes through the inside atmospheric pressure of gasbag 65 for gasbag 65 massages the position of tying up, promotes the blood circulation of patient's shank in patient's shank by traction movement, reaches the effect to the rehabilitation of patient's shank, accords with the requirement of bionics.
As a modified specific embodiment, referring to fig. 3, the cylinder 64 includes an air inlet pipe 641, an air outlet 642, a hollow disc 643, a first check valve 644, a piston 645, an outer cylinder 646 and an inner cylinder 647, wherein two ends of the air inlet pipe 641 are respectively connected with the air inlet pipe 63 and the outer cylinder 646, the hollow disc 643 is located in the air inlet pipe 641 and the hollow disc 643 can move up and down in the air inlet pipe 641, the air outlet 642 is distributed along the circumferential direction of the air inlet pipe 641, the hollow disc 643 has an opening and is communicated with the air inlet pipe 641 and the outer cylinder 646, the first check valve 644 is located at the opening of the hollow disc 643, one end of the outer cylinder 646 connected with the air inlet pipe 641 is provided with a stopper 649 for limiting the moving distance of the piston 645 and the hollow disc 643, the inner cylinder 647 is located in the outer cylinder 646, the piston 645 includes two cylinders with different contour sizes, the cylinder with the large contour size is attached to the inner wall of the outer cylinder 646, the inner cylinder 647 is a blind hole groove, the bottom end of the inner cylinder 647 is connected with an air pipe 63, the air pipe 63 is connected with the air bag 65, the part of the air pipe in the outer cylinder 646 is provided with air holes 648, the inner cylinder 647 is divided into an upper part and a lower part, the bottom end of the inner cylinder 647 is used as a limit, the upper half section is connected with the piston to form a closed space, the lower half section is connected with an opening of the air bag 65, the air bag 65 is sleeved on the lower half section through the self elasticity, the air bag 65 is fixedly connected on the inner cylinder 647 through the viscose or the clamping of the lower end of the outer cylinder 646 facing the air bag 65, the inner cylinder 647 and the air bag 65 are provided with communicated air holes 648, in the production and installation processes, the air bag 65 is connected with the inner cylinder 647, the air bag 65 is inflated through the air holes 648 to have initial pressure and tighten the air inlet pipe of the air bag 65, the piston 645 is connected with the inner cylinder 647, the two outer cylinders are spliced together, the part of the piston 645, the part of the air bag 65 and the, the piston 645 is attached and sealed with the inner wall of the outer cylinder 646, the tightening of the air inlet pipe of the air bag 65 is released, the air bag 65 still expands and has initial pressure, the hollow disc 643 is arranged in the air inlet pipe 641 and is fixedly connected with one end of the outer cylinder 646, and the air outlet 642 is an unsealed space formed after the air inlet pipe 641 is connected with the outer cylinder 646 and is communicated with the space where the hollow disc 643 is located; during operation, the air pump 62 charges the air cylinder 64 through the air pipe 63, air enters the air inlet pipe 641, at this time, the first check valve 644 is not opened, that is, the air pushes the hollow disc 643 to move towards the outer cylinder 646 until the hollow disc 643 collides with the end surface of the outer cylinder 646, the hollow disc 643 blocks the air outlet 642, as the air pressure increases, the first check valve 644 is pushed open, the air enters the outer cylinder 646 through the hollow disc 643 and pushes the piston 645 to move, the air in the closed space formed by the piston 645 and the outer cylinder 646 is pressed into the air bag 65 through the air hole 648, the internal pressure of the air bag 65 increases and deforms, the air in the closed space formed by the inner cylinder 647 and the piston 645 is squeezed, the pressure increases, a reaction force is applied to the piston 645, the speed of increasing the internal air pressure of the air bag 65 is relaxed, the phenomenon that the air bag 65 is easily damaged due to rapid expansion is avoided, and the pressing of a human body, the comfort is improved, and the blood circulation is convenient; when the air pump 62 stops working, the air in the inner cylinder 647 pushes the piston 645, the pressure of the sealed space between the piston 645 and the outer cylinder 646 is reduced, the air in the air bag 65 returns to the outer cylinder 646 through the air hole 648, the air pressure in the air bag 65 is reduced, the volume is reduced, the air between the piston 645 and the hollow disc 643 is pushed by the piston 645, at the moment, the first check valve 644 is closed, the hollow disc 643 is pushed and separated from the end surface of the outer cylinder 646, meanwhile, the air outlet 642 is communicated with the space where the hollow disc 643 is located, and the air is left outside from the air outlet 642; the first one-way valve 644 has the function of preventing air from entering the air pump 62 through the air pipe 63 to affect the operation of the air pump 62, and the structural design of the air cylinder 64 firstly ensures that the air bag 65 has initial pressure, so that the time efficiency is high compared with the prior art that the air bag 65 is completely deflated and then completely inflated, and the massage of the air bag 65 on the human body can be realized only by increasing a small amount of pressure by the air pump 62; and the air pressure increase of the air bag 65 tends to be mild, so that the air bag is beneficial to the comfort of a human body and improves the safety of the air bag 65.
As a modified specific embodiment, referring to fig. 3, a pressure monitoring device 76 and a second check valve 77 are disposed on the air bag 65, the pressure monitoring device 76 is used for detecting the air pressure inside the air bag 65, if the air pressure inside the air bag 65 is small before the air bag 65 is not used, the controller feeds back information to the controller through the pressure monitoring device 76, the controller controls the air pump 62 to operate, the piston 645 is located at a position in the outer cylinder 646, when the foot pedal movement is performed, the air pump 62 is in an alternate operation due to the leg movement block, that is, the piston 645 only moves to the position adjusted before the operation, the air in the air bag 65 is heated and expanded due to the human body movement squeezing the air bag 65, and as the movement time increases, the human body temperature rises, when the internal pressure inside the air bag 65 is higher, the second check valve 77 is opened to remove the air pressure inside the air bag 65, the air pressure in the air bag 65 is properly reduced to enable the air pressure to return to the preset value, the design of the pressure monitoring device 76 can visually know how large the air pressure in the air bag 65 is, the air pressure in the air bag 65 can be adjusted in time, the inconvenience of movement of a human body due to the fact that the air pressure in the air bag 65 is too large is avoided due to the design of the second one-way valve 77, the discomfort caused by the fact that the air bag 65 presses the legs of the human body due to the fact that the air pressure is too large is also avoided, and meanwhile the safety of the air bag 65 is improved.
As a modified embodiment, referring to fig. 1, 2, 4 and 5, an angle adjusting frame 29 is disposed in the middle of the housing 25, the angle adjusting frame 29 includes a first connecting rod 39, a sliding rail 40, a second connecting rod 41 and a supporting rod 42, the first connecting rod 39, the two sliding rails 40 and the second connecting rod 41 are fixedly connected to form a rectangle, the supporting rod 42 is disposed in the rectangle, the supporting rod 42 is vertically fixed in the middle of the second connecting rod 41, a screw fixing hole is disposed on the supporting rod 42, the first connecting rod 39 is hinged to the housing 25, the pedal device 28 is hinged to an adjusting bracket 33, the adjusting bracket 33 is movably connected to the sliding rail 40, the adjusting screw 30 is rotatably disposed on the supporting base plate 24, the adjusting screw 30 can rotate relative to the supporting base plate 24 and cannot move relative to the supporting base plate 24, the adjusting screw 30 is in threaded connection with the screw fixing hole, when the adjusting screw 30 is rotated, the supporting rod 42 moves relative to the adjusting screw 30 along, the second connecting rod 41 drives the sliding rail 40 to rotate around the first connecting rod 39, that is, the angle adjusting bracket 29 rotates around the first connecting rod 39 with respect to the housing 25, the angle adjusting bracket 29 tilts, and meanwhile, since the adjusting bracket 33 is connected with the sliding rail 40, the sliding rail 40 pushes the adjusting bracket 33 to rotate the pedal device 28 with respect to the crank 27 during the moving process, thereby changing the initial state of the sole of the foot on the pedal device 28 and adapting to the comfortable angle of the sole of the foot of different patients.
As an improved specific embodiment, referring to fig. 1, 2, 4 and 5, the adjusting bracket 33 includes a linear bearing 38 hinged thereto, the linear bearing 38 is sleeved on a slide rail 40 and can move along the slide rail 40, the pedal motion drives the transmission shaft 26 through a motor, the transmission shaft 26 moves to drive the crank 27, the crank 27 drives the pedal device 28 to move, the pedal device 28 drives the adjusting bracket 33 to move due to the fact that the pedal device 28 is hinged to the adjusting bracket 33, the linear bearing 38 moves along the slide rail 40, the motion state of the whole pedal device 28 is that the motion of the heel and the linear bearing 38 are both linear motion, the toe of the foot moves circularly with the pedal device 28 taking the transmission shaft 26 as the center of the circle, and the pedal device 28 rotates relative to the adjusting bracket 33, so that the wrist is continuously bent, which is helpful for the movement of the wrist joint and promotes the rehabilitation of the human body, here, the crank 27, the pedal device 28, the linear bearing 38, and the slide rail 40 of the angle adjustment frame 29 constitute a slider-crank movement mechanism to realize pedal movement, and the linear bearing 38 is designed to make the adjustment frame 33 slide with the slide rail 40 with small resistance.
As a modified embodiment, referring to fig. 4, 7, 8 and 9, the pedal device 28 further includes a pedal plate 31 and a pedal mounting seat 32, the pedal mounting seat 32 is hinged to the crank 27, the pedal plate 31 is slidably connected to the pedal mounting seat 32, the adjusting bracket 33 includes an L-shaped connecting plate, one side of the connecting plate is attached to the plate on the pedal mounting seat 32 and is connected to the wrist adjusting knob 34, the wrist adjusting knob 34 simultaneously passes through the connecting plate and the pedal mounting seat 32 and is connected to a nut, the fixing and releasing between the adjusting bracket 33 and the pedal mounting seat 32 are controlled by the cooperation of the nut and the wrist adjusting knob 34, the other side of the connecting plate on the adjusting bracket 33 is parallel to the plane of the pedal plate 31, the leg adjusting knob 35 passes through the connecting plate and is connected to a threaded hole on the pedal plate 31, the adjusting bracket 33 is clamped and fixed and released by the distance between the bottom surface of the pedal plate 31 and the leg adjusting knob 35, the pedal mounting seat 32 is provided with an ankle adjusting sliding groove 36, the ankle adjusting knob 34 is matched with the ankle adjusting sliding groove, the connecting plate is provided with a leg adjusting sliding groove 37, the leg adjusting knob 35 is matched with the leg adjusting sliding groove, the ankle adjusting knob 34 and the leg adjusting knob 35 are butterfly bolts, and force application operation is convenient for a user; as shown in fig. 7 and 9, when the ankle adjusting knob 34 is locked and the leg adjusting knob 35 is unlocked, the pedal 31 slides relative to the adjusting bracket 33, and the leg adjusting knob 35 slides along the leg adjusting sliding groove 37, so as to change the bending range of the ankle during movement, and the leg adjusting knob 35 can be screwed after the bending range of the ankle required by the movement of the patient is adjusted; when the leg adjustment knob 35 and the ankle adjustment knob 34 are simultaneously released, the patient can simultaneously adjust the leg movement bending amplitude and the ankle movement bending amplitude.
In the specific operation, when a patient needs pedaling motion with matched thighs, calves and ankles, the leg adjusting knob 35 can be loosened, the pedal plate 31 slides on the adjusting bracket 33 to the comfortable amplitude position of the patient, and the leg adjusting knob 35 is screwed; when the thigh of the patient is inconvenient to move and only the leg and the ankle are matched for pedaling motion, the ankle adjusting knob 34 can be loosened, the pedal plate 31 and the adjusting bracket 33 simultaneously slide on the pedal mounting seat 32 to the comfortable amplitude position of the patient, and the ankle adjusting knob 34 is screwed, wherein the leg and the ankle are mainly matched for motion. The bending amplitude of the legs and the bending amplitude of the wrists of the patient during movement can be flexibly adjusted according to the actual conditions and the needs of the patient at any time, all the leg and foot adjusting variables are adjusted to the optimum state of the patient and then can be comfortably pulled to move, the flexibility of the structure is improved through the design of each knob and each sliding groove, the application range is correspondingly adjusted and expanded, and the use of different patients is facilitated.
As an improved specific embodiment, referring to fig. 4 to 5, the angle adjusting frame 29 is further provided with a third connecting rod 71 and two sliding blocks 72, the third connecting rod 71 is parallel to the sliding rail 40 and is respectively and fixedly connected with the first connecting rod 39 and the second connecting rod 41, the two sliding blocks 72 are both sleeved on the third connecting rod 71, the sliding blocks 72 are provided with a light source receiver 73 and a butterfly bolt 74, the two sliding blocks 72 are respectively located at two ends of the third connecting rod 71, the end of the adjusting bracket 33 connected with the sliding rail 40 is provided with a light source emitter 75, when the patient performs a foot-operated movement, the adjusting bracket 33 moves back and forth along the sliding rail 40 through the linear bearing 38, the two sliding blocks 72 are respectively a start sliding block and a close sliding block, the light source emitter 75 is aligned with the start sliding block and the light source receiver 73 on the start sliding block receives a light source, the air pump 62 operates, the legs of the patient are straightened along with the movement of the pedal device 28 for leg pressing, so that the blood circulation is promoted; the light source emitter 75 is aligned with the closing slide block, and the light source receiver 73 on the closing slide block receives the light source, the air pump 62 stops working, the air bag 65 performs deflation and pressure reduction, the subsequent movement is that the leg of the patient bends along with the movement of the pedal device 28, the blood vessel of the human body is extruded to accelerate the blood flow speed, and meanwhile, the air bag 65 is extruded to deform, so that the phenomenon that the blood flow of the human body is not smooth due to the fact that the air pressure in the air bag 65 is larger due to the pressure reduction is avoided, and the problem that the internal air pressure is larger due to the fact that; the butterfly bolt 74 is controlled to be in contact with the outer wall of the third connecting rod 71 or not by rotating the butterfly bolt 74, the movable sliding block 72 which is in contact with the butterfly bolt is released to move along the third connecting rod 71, the distance between the sliding blocks 72 is changed, so that the time for aligning the light source emitter 75 and the light source receiver 73 is controlled, the time for operating the air pump 62 and the time length can be changed, namely the time for changing the air pressure in the air bag 65 is changed, the blood circulation speed required by each motion of the leg of the patient is different, the cooperation between the light source emitter 75 and the light source receiver 73 is humanized, the corresponding pressure reduction and pressurization in the process of one circle of leg motion are realized, the blood circulation is promoted, the motion of the leg of the human body is assisted, the bionic requirements are met, the sliding blocks 72 can be moved and positioned, the massage change of the leg of the, the comfort of the human body is improved, and the application range is expanded.
As a modified specific embodiment, referring to FIG. 3, a third check valve 78 is disposed on the outer cylinder 646, the third check valve 78 is disposed on the outer wall of the outer cylinder 646 near the air bag 65, the third check valve 78 is connected to an air supplement bag 79 through an air pipe 63, the air supplement bag 79 is disposed on the slide rail 40, two check air ports are disposed on the air supplement bag 79, one check air port is connected to the air pipe 63, the subsequent one of the air pipe 63 is divided into three parts and is respectively connected to three air cylinders 64 in the air cylinder box 61, when the adjusting bracket 33 moves to the closing slide block, the air pump 62 stops working, the adjusting bracket 33 simultaneously presses the air supplement bag 79, the check air port connected to the air pipe 63 opens to allow the air in the air supplement bag 79 to pass through, the third check valve 78 of the air cylinder 64 with lower pressure in the three air cylinders 64 opens to allow the air to enter the closed space formed by the outer cylinder 646 and the piston 645, the amount of gas in the compensation bladder 65 left to the outside through the second check valve 77 to keep the gas pressure in the cylinder 64 balanced; when the adjusting bracket 33 leaves the air supplementing bag 79, the air supplementing bag 79 recovers deformation, the one-way air port which is not connected with the air conveying pipe 63 absorbs air from the outside, under the condition that the adjusting bracket is not used at ordinary times, if the air pressure in the air bag 65 is detected to be reduced, the air supplementing bag 79 can be squeezed by hands to supplement air in the air cylinder 64, the design of the air supplementing bag 79 avoids the condition that the air in the air bag 65 only goes out and does not enter, and the service life is prolonged.
As an improved specific embodiment, referring to fig. 1 to 2, the leg and foot exercise part 5 further includes a leg support 20, the leg support 20 is fixedly connected to one end of the transverse support part 4, the leg support 20 is fixedly connected to a cross bar 21 perpendicular thereto, a pair of leg support elastic bands 22 are led out through the cross bar 21 and pass through the middle of the leg support 20, the leg support elastic bands 22 are connected to an air bag 65, when a patient is ready for rehabilitation training, the air bag 65 is tied to a corresponding position of the lower leg and supports the lower leg through the leg support elastic bands 22, the two feet are placed in the foot pedal 31, the height of the air bag 65 can be adjusted through the leg support elastic bands 22, the leg support elastic bands 22 are designed to play a role of auxiliary support for the patient's legs, so that the patient is more labor-saving in operation, and simultaneously, according to the flexibility of the, the leg exercise buffer has the function of buffering leg exercise, and the comfort is improved.
as an improved embodiment, referring to fig. 1 to 2, a plurality of positioning rings 45 are provided on the cross bar 21, and the distance between the legs is adjusted by placing the leg support elastic 22 between any adjacent positioning rings 45 on the cross bar 21 for use by different patients.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (9)

1. A combined thrombus prevention and treatment instrument with traction and synchronous sequential pressurization comprises a base (1), a vertical supporting part (2), a bed body fixing clamp (3), a transverse supporting part (4) and a leg and foot moving part (5), wherein the lower end of the vertical supporting part (2) is connected with the base (1), the bed body fixing clamp (3) is connected with the vertical supporting part (2), the vertical supporting part (2) is connected with the transverse supporting part (4), the leg and foot moving part (5) comprises a supporting bottom plate (24), a shell (25), a transmission shaft (26), a crank (27) and a pedal device (28), the shell (25) is fixedly connected on the supporting bottom plate (24), the transmission shaft (26) penetrates through the shell (25) and can rotate relative to the shell (25), two ends of the transmission shaft (26) are fixedly connected with the crank (27), and the crank (27) is hinged with the pedal device (28), the method is characterized in that: the supporting base plate (24) is provided with an air cylinder box (61), an air pump (62), an air conveying pipe (63), an air cylinder (64) and an air bag (65), the air pump (62) is positioned in the shell (25), the air cylinder (64) is positioned in the air cylinder box (61), the air conveying pipe (63) sequentially connects the air pump (62), the air cylinder (64) and the air bag (65) together, the transverse supporting part (4) is fixedly connected with the supporting base plate (24), when a human foot is placed on the pedal device (28) and drives the transmission shaft (26), the transmission shaft (26) drives the crank (27) to rotate, the crank (27) drives the pedal device (28) to move, and the pedal device (28) drives the human leg to move; the air bag (65) is tied on the leg, and the air pump (62) controls the air cylinder (64) to change the air pressure in the air bag (65), so that the air bag (65) massages the leg;
The air cylinder (64) comprises an air inlet pipe (641), an air outlet hole (642), a hollow disc (643), a first check valve (644), a piston (645), an outer cylinder (646) and an inner cylinder (647), wherein two ends of the air inlet pipe (641) are respectively connected with an air conveying pipe (63) and the outer cylinder (646), the hollow disc (643) is positioned in the air inlet pipe (641), the air outlet hole (642) is circumferentially distributed along the air inlet pipe (641), the hollow disc (643) is provided with an opening and the opening is communicated with the air inlet pipe (641) and the outer cylinder (646), the first check valve (644) is positioned at the opening of the hollow disc (643), one end, connected with the air inlet pipe (641), of the outer cylinder (646) is provided with a blocking edge (649) used for limiting the moving distance of the piston (645) and the hollow disc (643), the inner cylinder (647) is positioned in the outer cylinder (646), and the piston (645) comprises two cylinders with different outline sizes, the cylinder with large outline size is attached to the inner wall of the outer cylinder (646), the cylinder with small outline size is attached to the inner portion of the inner cylinder (647), the inner cylinder (647) is a blind hole groove, the bottom end of the inner cylinder (647) is connected with the air conveying pipe (63), the air conveying pipe (63) is connected to the air bag (65), the air hole (648) is formed in the portion, located in the outer cylinder (646), of the air conveying pipe, when the air pump (62) conducts air to the air inlet pipe (641), the hollow disc (643) is pushed to block the air outlet hole (642), the first check valve (644) is opened, air enters the outer cylinder (646) and pushes the piston (646) to move, original air of the outer cylinder (645) enters the air bag (65) through the air hole (648), and air in the inner cylinder (647) is squeezed to increase pressure; when the air pump (62) stops ventilating, the air in the inner cylinder (647) pushes the piston (645) to reset, the piston (645) pushes the air to enable the first one-way valve (644) and the hollow disc (643) to reset in sequence, and the air flows to the outside through the air outlet hole (642).
2. The pull-and-synchronize sequential compression hybrid thrombus-prevention device according to claim 1, wherein: the air bag (65) is provided with a pressure monitoring device (76) and a second one-way valve (77), the pressure monitoring device (76) is used for detecting the air pressure inside the air bag (65) and controlling the air pump (62) to inflate the air bag (65) when the air pressure inside the air bag (65) is low; when the air pressure inside the air bag (65) is atmospheric, the second check valve (77) opens so that the air pressure inside the air bag (65) reaches a predetermined value.
3. The pulling and simultaneous sequential compression hybrid thrombus control instrument according to claim 1 or 2, wherein: the angle adjusting device is characterized in that an angle adjusting frame (29) is arranged in the middle of the shell (25), the angle adjusting frame (29) comprises a first connecting rod (39), sliding rails (40), a second connecting rod (41) and a supporting rod (42), the first connecting rod (39), the two sliding rails (40) and the second connecting rod (41) are fixedly connected to form a rectangle, the supporting rod (42) is arranged in the rectangle, the supporting rod (42) is vertically fixed to the middle of the second connecting rod (41), a screw fixing hole is formed in the supporting rod (42), the first connecting rod (39) is hinged to the shell (25), the pedal device (28) is hinged to an adjusting support (33), the adjusting support (33) is movably connected to the sliding rails (40), an adjusting screw rod (30) can be rotatably arranged on the supporting base plate (24), the adjusting screw rod (30) is in threaded connection with the screw fixing hole, and when the adjusting screw rod (30) is rotated, the angle adjusting frame (29) rotates relative to the shell (25) The bracket (33) pushes the pedal device (28) to incline.
4. The pull-and-synchronize sequential compression hybrid thrombus-prevention device according to claim 3, wherein: the adjusting bracket (33) comprises a linear bearing (38) hinged with the adjusting bracket, and the linear bearing (38) is sleeved on the sliding rail (40) and can move along the sliding rail (40).
5. The pull-and-synchronize sequential compression hybrid thrombus-prevention device according to claim 4, wherein: the pedal device (28) further comprises a pedal plate (31) and a pedal mounting seat (32), the pedal mounting seat (32) is hinged to the crank (27), the pedal plate (31) is connected with the pedal mounting seat (32) in a sliding mode, an L-shaped connecting plate is arranged on the adjusting support (33), one side face of the connecting plate is attached to a plate on the pedal mounting seat (32) and is connected with a ankle adjusting knob (34), the other side of the connecting plate on the adjusting support (33) is parallel to the plane of the pedal plate (31), the adjusting support (33) is connected with the pedal plate (31) through a leg adjusting knob (35), a ankle adjusting sliding groove (36) is formed in the pedal mounting seat (32), the ankle adjusting knob (34) is matched with the ankle adjusting sliding groove, a leg adjusting sliding groove (37) is formed in the connecting plate, the leg adjusting knob (35) is matched with the leg adjusting sliding groove, and the pedal plate (31) and the adjusting support (33) are controlled to be screwed or unscrewed relative to the pedal mounting seat through the wrist adjusting knob (34 (32) Fixing and moving; the fixing and moving of the pedal (31) relative to the adjusting bracket (33) are controlled by screwing or unscrewing the leg adjusting knob (35).
6. The pulling and simultaneous sequential compression hybrid thrombus control instrument according to claim 4 or 5, wherein: the angle adjusting frame (29) is further provided with a third connecting rod (71) and two sliding blocks (72), the third connecting rod (71) is parallel to the sliding rail (40) and is fixedly connected with the first connecting rod (39) and the second connecting rod (41) respectively, the two sliding blocks (72) are sleeved on the third connecting rod (71), the sliding blocks (72) are provided with light source receivers (73) and butterfly bolts (74), one end, connected with the sliding rail (40), of the adjusting support (33) is provided with a light source emitter (75), the sliding blocks (72) are controlled to be fixed and slide relative to the third connecting rod (71) through screwing the butterfly bolts (74), light sources are emitted to the light source receivers (73) on the two sliding blocks (72) through the light source emitters (75), and whether the air pump (62) is inflated is controlled.
7. The pulling and simultaneous sequential compression hybrid thrombus control instrument according to claim 4 or 5, wherein: be provided with third check valve (78) on outer jar (646), third check valve (78) are located outer jar (646) and are close to on the outer wall of gasbag (65), and third check valve (78) are connected with benefit gasbag (79) through gas-supply pipe (63), benefit gasbag (79) are located slide rail (40), and when air pump (62) stop work, adjust support (33) extrusion and mend gasbag (79), it presses gas into outer jar (646) through third check valve (78) to supply gasbag (79) deformation.
8. The pulling and simultaneous sequential compression hybrid thrombosis prevention device according to claim 1, 2, 4 or 5, wherein: the leg and foot movement part (5) further comprises a leg support frame (20), the leg support frame (20) is fixedly connected to one end of the transverse support part (4), a cross rod (21) which is perpendicular to the leg support frame (20) is fixedly connected to the leg support frame (20), a pair of leg support elastic bands (22) are led out through the cross rod (21) after passing through the middle of the leg support frame (20), and the leg support elastic bands (22) are connected with the air bag (65).
9. The pull-and-synchronize sequential compression hybrid thrombus-prevention device of claim 8, wherein: the leg supporting elastic band is characterized in that a plurality of positioning rings (45) are arranged on the cross rod (21), and the positions of the leg supporting elastic bands (22) on the cross rod (21) are adjusted by changing the positions of the leg supporting elastic bands (22) between two different positioning rings (45).
CN201710994719.5A 2017-10-23 2017-10-23 Traction and synchronous sequential pressurization mixed type thrombus prevention and treatment instrument Active CN107822828B (en)

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PCT/CN2018/111489 WO2019080843A1 (en) 2017-10-23 2018-10-23 Integrated thrombus prevention device capable of synchronous pulling and sequential-compression

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