CN109646193A - A kind of moving bed for femoral artery puncture operation - Google Patents

A kind of moving bed for femoral artery puncture operation Download PDF

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Publication number
CN109646193A
CN109646193A CN201811602436.2A CN201811602436A CN109646193A CN 109646193 A CN109646193 A CN 109646193A CN 201811602436 A CN201811602436 A CN 201811602436A CN 109646193 A CN109646193 A CN 109646193A
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China
Prior art keywords
pressing
arc
press
plate
lying board
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Granted
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CN201811602436.2A
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Chinese (zh)
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CN109646193B (en
Inventor
杨俊娜
孙千趁
张明慧
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First Affiliated Hospital of Henan University of Science and Technology
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First Affiliated Hospital of Henan University of Science and Technology
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Priority to CN202010162366.4A priority Critical patent/CN111249073B/en
Priority to CN201811602436.2A priority patent/CN109646193B/en
Publication of CN109646193A publication Critical patent/CN109646193A/en
Application granted granted Critical
Publication of CN109646193B publication Critical patent/CN109646193B/en
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    • 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
    • A61G1/00Stretchers
    • A61G1/02Stretchers with wheels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • 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
    • A61G1/00Stretchers
    • A61G1/04Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Reproductive Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of moving bed for femoral artery puncture operation, lying board is faced upward by what torsion shaft was rotatablely connected including moveable bed board and with its middle part, and it faces upward lying board and controls its overturning for being 5-15 ° around torsion shaft progress gradient respectively by two hydraulic cylinders positioned at rear end after its leading portion, fixed plate is provided with by fixed column on facing upward lying board, fixed plate lower section is provided with puncture press device by raise-lower hydraulic oil cylinder.The present invention faces upward lying board inclination by the hydraulic cylinder drive of control front and back, patient is set to be in the high heeling condition of low foot, to reduce the flowing of blood, hemostasis when convenient for pressing, and the press head for puncturing press device has hemispherical press surface, can be good at the physiological structure for being bonded thigh root, and synchronize pressing to point of puncture and its peripheral extent, pressing effect is improved, while can also prevent the movement of body from leading to the offset of pressing position.

Description

A kind of moving bed for femoral artery puncture operation
Technical field
The present invention relates to the femoral artery puncture surgical instruments in medical instruments field, specifically a kind of dynamic for stock The moving bed of arteries and veins puncturing operation.
Background technique
Femoral artery puncture is a kind of surgical operation, mainly there is following purpose: 1, acquiring arterial blood sample or certain spies It is different to check;2, pressurized blood transfusion infusion when first aid;3, it is used for regional chemotherapy;In addition to this, when treating cardiovascular disease, than Such as interventional cardiac procedures also may require that femoral artery puncture.
After femoral artery puncture, need to press point of puncture the hemostasis and healing in order to puncture orifice.It is existing Pressing mode be generally divided into the artificial pressing of healthcare givers and by mechanical simple and mechanical pressing, although artificial pressing reaches Certain effect, but consume more manpower, occupy medical care resource, and pressing dynamics also compare and depend on The experience of medical staff cannot keep same posture and pressing dynamics for a long time;
Exist to solve the problems, such as manually to press, so some simple machinery have been invented to press puncture orifice:
Such as, application No. is 2018200567044 utility model patent disclose after a kind of cardiovascular intervention site of puncture by Pressure device, the core of the device be actually be utilized the flexible drive arc-shaped limit plate of electric telescopic rod to puncture orifice by Although pressure, this press device solve the problems, such as to replace manually pressing with mechanical force, but due to the arc-shaped limit plate of use Puncture orifice is pressed, and in femoral artery puncture, point of puncture is located at thigh root, since the special structure in human thigh root is led Causing this pressing mode, the effect is unsatisfactory;
For another example, application No. is 2016201567555 utility model patents to also disclose puncture portion after a kind of cardiovascular intervention Position press device, the device are driven a sliding block to adjust height, claw are arranged on sliding block, is pressed from both sides using claw also with telescopic rod Cotton balls is held to press site of puncture;The patent has problems in that, since claw clamping cotton balls carries out site of puncture The site area of pressing is smaller, lacks effectively to the fixation of patient body, once unusual fluctuation occurs in patient, will lead to pressing position Deviation, pressing effect it is unsatisfactory in practical applications;
In addition, application No. is 992046076 utility model patents to disclose a kind of Cardioangiography pressing apparatus, the core of the patent The heart is to drive pressure plate to press site of puncture using sliver-pressurizing bar;The patent still remains that press effect undesirable Problem.
Summary of the invention
The object of the present invention is to provide a kind of moving beds for femoral artery puncture operation, after femoral artery puncture operation Pressing, and press effect also superior to existing mechanical compression device.
Used technological means is the present invention to realize the above-mentioned technical purpose: a kind of shifting for femoral artery puncture operation Bed, including moveable bed board are moved, is provided with the lying board of facing upward faced upward and lain in thereon for patient on the upper surface of the bed board, and face upward and lie The middle part of plate is rotatablely connected by one through the torsion shaft of its width direction and the medium position of bed board upper surface, in bed board bottom Front and rear be respectively arranged with preceding hydraulic cylinder and rear hydraulic cylinder, and the piston rod of preceding hydraulic cylinder and rear hydraulic cylinder Be each passed through after bed board it is hinged with the bottom surface of facing upward lying board front and rear, by adjusting preceding hydraulic cylinder and rear hydraulic cylinder piston The extension elongation of bar, to make to face upward the overturning that lying board carries out 5-15 ° of gradient around torsion shaft;
The lying board upper surface side of facing upward is provided with fixed column, is provided with to be located in fixed top end and faces upward consolidating for one upper side of lying board Fixed board is provided with an elevation base plate by a raise-lower hydraulic oil cylinder in the lower section of fixed plate, passes through raise-lower hydraulic cylinder piston rod Telescopic adjustment elevation base plate with face upward the spacing of lying board upper surface;Puncture orifice press device is provided in elevation base plate, this is worn Piercing press device includes a mounting plate connecting with elevation base plate, the lower surface of mounting plate is provided with a blind hole, in the blind hole Interior that compressed spring is provided with connecting pin, the end of connecting pin is stretched out blind hole and is connected with a press head with hemisphere press surface It connects, drives elevation base plate and mounting plate to decline by the stretching of raise-lower hydraulic cylinder piston rod, and then drive by compressed spring Connecting pin and press head synchronize pressing to puncture orifice and its periphery 1-2cm range.
A kind of preferred embodiment of the invention is, the mounting plate is connect by an adjusting screw with elevation base plate, and The bottom end of adjusting screw is rotatablely connected by the upper surface of rolling bearing and mounting plate, and top is matched with the through hole in elevation base plate It closes connection and forms screw slider structure, the adjusting block for rotating adjusting screw is provided on adjusting screw, adjusted by rotation Locking nub finely tunes the position of mounting plate, and press head thereon is made to compress puncture orifice and its periphery 1-2cm range.
Another preferred embodiment of the invention is that the press head has the hemispherical pressing of a pressing puncture orifice Face is provided with the bulge that upward diameter gradually expands on the hemispherical press surface top, and bulge bottom minimum diameter with The diameter of hemispherical press surface is equal;Hemostasis cotton yarn is coated on the hemispherical press surface of press head.
In the present invention a kind of preferred embodiment advanced optimize for, the outer cover of the press head is equipped with the set that extends, Extension set is the hollow funnel-form that bottom diameter is less than top end diameter, and its bottom end is set in bulge and hemispherical press surface Junction, and bulge is included in inside it, so that hemostasis cotton yarn is fixed on hemispherical press surface, the set that extends Side wall and hemispherical press surface form 100-120 ° of angle.
Another preferred embodiment of the invention is, before the front and back of blind hole is respectively arranged on the mounting plate Assist pressing structure and rear auxiliary pressing structure, and preceding auxiliary pressing structure and to assist pressing structure afterwards include lying perpendicular to facing upward Plate length direction distribution strip groove, it is preceding auxiliary pressing structure strip groove in by several compressed springs be provided with blood vessel by Pressing plate I is provided with the arc convex portion of pressing thigh root in the center bottom that blood vessel pressing plate I protrudes from strip groove;It is described It assists that several compressed springs are provided with blood vessel pressing plate II in the strip groove of pressing structure afterwards, it is prominent in blood vessel pressing plate II The center bottom of strip groove is provided with the arc-shaped recess portion of pressing thigh blood vessel, the blood vessel pressing plate II and blood vessel pressing plate I bottom edge is downwardly convex arc smooth transition.
A kind of preferred embodiment advanced optimizes as the mounting plate is gone forward before assisting pressing structure in the present invention Position, which installs, is equipped with cold compress auxiliary body, and when on mounting plate press head oppress in puncture orifice and periphery 1-2cm range, should Cold compress auxiliary body is covered on puncture position on the skin of heart side 8-10cm;The cold compress auxiliary body includes that edge is faced upward Arc cover plate made of symmetrically arranged two silica gel materials of lying board length direction, and two arc cover plates are spliced to form semicircle Shape is provided with made of the silica gel material of protrusion in the two sides inward flange position of each piece of arc cover plate length direction and seals shelves Several cold compress metal tapes are distributed in item between both sides sealing shelves item, these cold compress metal tapes are hollow structure, and one end is prolonged It extends to the bottom of arc cover plate and there is opening, the other end, which is extend into, is arranged position between two arc cover plates on a mounting board In closed air chamber, the closed air chamber is connected to by tracheae with a storage chamber, and storage chamber is connected to the air outlet of air blower, with The gas for blowing out air blower enters in storage chamber by after wherein stored ice block cooling, then transtracheal and closed air chamber into Enter into cold compress metal tape and cooling down is carried out to cold compress metal tape, and the cold compress metal tape is adjacent to puncture position close to heart one The skin surface of side 8-10cm carries out cold compress to body part, reduces blood flowing speed, and then shorten compressing time.
A kind of preferred embodiment is further optimized in the present invention, and the bottom of the mounting plate is provided with and two Arc cover plate surrounds semicircle arc-shaped recess in the same direction, and the upper end of described two arc cover plates is arranged by connecting substrate respectively In arc-shaped recess, so as to there is gap, after being oppressed between the outer wall of arc cover plate and the side wall of arc-shaped recess Arc cover plate extends out;The closed air chamber is fixed in the arc-shaped recess between two pieces of connecting substrates.
Another preferred embodiment of the invention is that the rear of puncture orifice press device passes through one in the elevation base plate Adjusting screw is provided with a big leg restraint gear vertically downward, and affiliated big leg restraint gear includes a fixed substrate, in fixation The arc folder that several compressed springs of the underrun of substrate are provided with a compressing thigh and raise upward, the bottom of the adjusting screw End is rotatablely connected by the upper surface of rolling bearing and fixed substrate, and top is cooperatively connected to be formed with the through hole in elevation base plate Screw slider structure is provided with the adjusting block for rotating adjusting screw on adjusting screw, solid by rotation adjusting block fine tuning The position for determining substrate makes arc clip hold-down puncture orifice thigh below thereon, so that thigh be gripped.
Another preferred embodiment of the invention is that described face upward is provided with for gripping to patient's waist on lying board Waist fixed mechanism, the waist fixed mechanism include be arranged in face upward on lying board and run through its width direction track groove, at this A geared worm is provided in track groove, the both ends of geared worm are symmetrically arranged with fixed fixture block, the two are fixed fixture block and pass through The threaded hole of its bottom is threadedly engaged with geared worm, so that in geared worm rotation process, two fixed fixture blocks are opposite or phase It is contrary to movement, and then the waist of patient is gripped or is detached from clamp position;On two opposite surfaces of fixed fixture block It is symmetrically arranged with the clamping watt of arc-shaped recess shape;The both ends of the geared worm are fixed in track groove by rolling bearing, Position on geared worm between side rolling bearing and fixed fixture block is provided with transmission gear, the transmission gear and micromotor Gear on the speed reducer output shaft of drive is meshed, and drives geared worm with different rotations by the positive and negative rotation of micromotor Direction rotation, and then realize the opposite of two fixed fixture blocks or run counter to movement.
Another preferred embodiment again of the invention is, described to face upward on lying board by the upper surface of nearby hydraulic cylinder one end The neckpillow portion for being provided with the headrest portion for being used to support head and being used to support neck.
Compared with prior art, the invention has the following beneficial effects:
1) in the present invention, by facing upward lying board, and the hydraulic cylinder before and after both ends utilize using torsion shaft rotation setting on bed board Drive that face upward lying board to do gradient be 5-15 ° of overturning, effect is, after completing to puncture, passes through control front and back hydraulic cylinder Lying board inclination is faced upward in drive, and patient is made to be in the high heeling condition of low foot, so that the flowing of blood is reduced, stopping when convenient for pressing Blood;Meanwhile by the elevation base plate that side setting is driven by raise-lower hydraulic oil cylinder on facing upward lying board, and pacify in elevation base plate Dress presses puncture orifice and its periphery 1-2cm range synchronization by the press head that compressed spring and connecting pin drive, due to press head Upper have a hemispherical press surface, which can be good at the physiological structure for being bonded thigh root, and to wearing Thorn point and its peripheral extent synchronize pressing, improve pressing effect, but also can prevent the movement of body from causing to press The offset of position;
2) mounting plate of present invention connection press head is connect by adjusting screw with elevation base plate, thus by stirring adjusting screw To realize the fine tuning of pressing grease head highness, and then the adjustment of realization compressing dynamics;
3) press head of the invention has hemispherical press surface, the expansion that there is diameter gradually to expand on hemispherical press surface top Portion is covered by being arranged hollow funnelform extension in position of the bulge in conjunction with press surface, so that the cotton yarn that will stop blooding is very light Be fixed on hemispherical press surface, and replace hemostasis cotton yarn it is also more convenient;Importantly, depositing due to press pressure And the height of hemispherical press surface be only 1.5cm, the outer wall for the set that extends in this way can also connect the skin around point of puncture Touching, increases pressing area, point of puncture is made to not readily disengage from pressing range;
4) auxiliary pressing structure and rear auxiliary pressing structure before the present invention is respectively set by the front and back in press head, and And the arc-shaped recess portion in convex arc convex portion and fovea superior is respectively provided with down on preceding auxiliary pressing structure and rear auxiliary pressing structure, This two parts mutually agrees with physiological structure respectively, to carry out auxiliary pressing to point of puncture front side and posterior region, not only acts as The fixed effect for preventing puncture orifice mobile, more important is, blood vessel can be oppressed, reduce blood flow velocity, so as to shorten Compressing time;
5) present invention has silica gel material branch in the cold compress auxiliary body by the way that cold compress auxiliary body is arranged in the front of press head The arc cover plate of support, can be adjacent to skin surface under pressure, and cold compress metal tape is provided in arc cover plate, utilizes gas The cold air that body generates after storage chamber cools down to cold compress metal tape, simultaneously as the opening of cold compress metal tape is also at In arc cover plate, therefore its cold air generated is also in arc cover plate, to make the skin shrouded by it in the stimulation of cold air Upper velocity of blood flow reduces, and then shortens compressing time;
6) present invention is by being respectively set waist fixed mechanism and the fixed machine of thigh in the front and back of puncture orifice press device Structure is fixed come the waist to patient with thigh is punctured, it is therefore prevented that press head caused by the movement of patient deviates puncture orifice, separately Outside, it can also prevent that patient is caused to generate displacement due to the overturning for facing upward lying board.
Detailed description of the invention
Fig. 1 is overall structure diagram of the invention;
Fig. 2 is the structural schematic diagram of puncture orifice press device;
Fig. 3 is the structural schematic diagram of press head;
Fig. 4 is the structural schematic diagram covered that extends;
Fig. 5 is the structural schematic diagram of blood vessel pressing plate I;
Fig. 6 is the structural schematic diagram of blood vessel pressing plate II;
Fig. 7 is the structural schematic diagram of cold compress auxiliary body;
Fig. 8 is the structural schematic diagram of big leg restraint gear;
Fig. 9 is the structural schematic diagram of waist fixed mechanism;
Figure 10 is the schematic top plan view of waist fixed mechanism;
Appended drawing reference: 1, bed board, 101, face upward lying board, 102, torsion shaft, 103, preceding hydraulic cylinder, 104, rear hydraulic cylinder, 105, Neckpillow portion, 106, headrest portion, 2, waist fixed mechanism, 201, fixed fixture block, 202, track groove, 203, geared worm, 204, biography Moving gear, 205, speed reducer, 206, clamping watt, 3, puncture orifice press device, 301, mounting plate, 302, strip groove, 303, blood vessel Pressing plate II, 3031, arc-shaped recess portion, 304, press head, 3041, bulge, 305, connecting pin, 306, blind hole, 307, blood vessel Pressing plate I, 3071, arc convex portion, 308, hemostasis cotton yarn, 309, extension set, 3010, arc-shaped recess, 4, fixed plate, 401, liter Descending liquid compressing cylinder, 402, fixed column, 403, elevation base plate, 404, adjusting screw, 405, adjusting block, 5, big leg restraint gear, 501, fixed substrate, 502, compressed spring, 503, arc folder, 6, cold compress auxiliary body, 601, arc cover plate, 602, sealing shelves Item, 603, cold compress metal tape, 604, closed air chamber, 605, connecting substrate, 606, tracheae, 607, storage chamber, 608, air blower.
Specific embodiment
Technical solution of the present invention is further elaborated combined with specific embodiments below.Front rear in the present invention Definition is to be lain in based on patient defined when facing upward on lying board 1, and front is the side towards patients head, and rear is i.e. towards patient One side of foot.
Embodiment 1
As shown in Figure 1,2 and 3, a kind of moving bed for femoral artery puncture operation, including moveable bed board 1, this is removable 1 bottom of bed board there is supporting leg, the bottom of supporting leg has universal wheel and locks the lock of universal wheel, and universal wheel and lock are existing Have technology, herein without repeating, be provided on the upper surface of the bed board 1 faced upward for patient lie in thereon face upward lying board 101, and The middle part for facing upward lying board 101 connects by one through the torsion shaft 102 of its width direction and the medium position rotation of 1 upper surface of bed board It connects, the front and rear in 1 bottom of bed board is respectively arranged with preceding hydraulic cylinder 103 and rear hydraulic cylinder 104, and preceding hydraulic cylinder 103 and the piston rod of rear hydraulic cylinder 104 be each passed through after bed board 1 hinged with the bottom surface of facing upward 101 front and rear of lying board, pass through Adjust the extension elongation of preceding hydraulic cylinder 103 and 104 piston rod of rear hydraulic cylinder, thus make to face upward lying board 101 around torsion shaft 102 into The overturning that line tilt degree is 5-15 °;
The setting position of the preceding hydraulic cylinder 103 and rear hydraulic cylinder 104 is generally preferably arranged below bed board 1, Ke Yi Cell is set below, then preceding hydraulic cylinder 103 and rear hydraulic cylinder 104 are arranged in cell;
The 101 upper surface side of lying board of facing upward is provided with fixed column 402, and the quantity of fixed column 402 is preferably two, in fixed column 402 tops are provided with the fixed plate 4 for being located at and facing upward 101 1 upper side of lying board, what fixed column 402 of fixed plate 4, which is all disposed within, faces upward lying board 101 middle parts rearward position are provided with an elevation base plate 403 by a raise-lower hydraulic oil cylinder 401 in the lower section of fixed plate 4, rise The cylinder pedestal of descending liquid compressing cylinder 401 is fixed on the bottom surface of fixed plate 4, and piston rod in facing upward lying board 101, passes through downward vertically The telescopic adjustment elevation base plate 403 of 401 piston rod of raise-lower hydraulic oil cylinder and the spacing for facing upward 101 upper surface of lying board;In elevation base plate Puncture orifice press device 3 is provided on 403, which includes a mounting plate 301 connecting with elevation base plate 403, The lower surface of mounting plate 301 is provided with a blind hole 306, connecting pin 305 is provided with by compressed spring in the blind hole 306, The end of connecting pin 305 is stretched out blind hole 306 and is connect with a press head 304 with hemisphere press surface, and raise-lower hydraulic oil is passed through The stretching of 401 piston rod of cylinder drives elevation base plate 403 and mounting plate 301 to decline, and then drives connecting pin 305 by compressed spring Pressing is synchronized to puncture orifice and its periphery 1-2cm range with press head 304.
When the present embodiment is in use, patient faces upward to lie in and face upward on lying board 101, and the postoperative needs of femoral artery puncture to be done are to puncture When mouth is pressed, start preceding hydraulic cylinder 103 and rear hydraulic cylinder 104 first, makes to face upward lying board 101 around the progress of torsion shaft 102 Overturning, the angle of overturning are 5-15 °, and after overturning, patient is in the high lying posture of low foot;Later, adjustment thigh wears it Thorn mouth is located at the lower section of puncture orifice press device 3, and restarting raise-lower hydraulic oil cylinder 401 stretches out its piston rod, and then drives and rise Drop substrate 403 and puncture orifice press device 3 thereon move downward, and move downward the press head 304 of puncture press device 3 simultaneously It is pressed on puncture orifice and its 1-2cm range, the package hemostasis cotton yarn 308 outside press head 304;Since press head 304 is to rely on Compressed spring is arranged in blind hole 306, and therefore, which plays the role of storing power buffering, to enable medical staff It is enough preferably to observe and judge the length of 305 retraction blind hole 306 of connecting pin to judge pressure testing dynamics.
The above are basic embodiments of the invention, further can be improved, optimized and limited on the basis of above, from And obtain following embodiment:
Embodiment 2
The present embodiment is a kind of improvement project done on the basis of embodiment 1, as shown in Figure 1, the mounting plate 301 passes through One adjusting screw 404 is connect with elevation base plate 403, and the bottom end of adjusting screw 404 passes through the upper of rolling bearing and mounting plate 301 Surface pivots connection, top is cooperatively connected to form screw slider structure with the through hole in elevation base plate 403, in adjusting screw It is provided with the adjusting block 405 for rotating adjusting screw 404 on 404, the position of mounting plate 301 is finely tuned by rotation adjusting block 405 It sets, press head 304 thereon is made to compress puncture orifice and its periphery 1-2cm range.
When the present embodiment is in use, puncture press device 3 is first dropped to close to such as the mode of embodiment 1 height of puncture orifice Degree rotates adjusting screw 404 by rotating adjusting block 405 later, and then drives mounting plate 301 and the decline of press head 304 simultaneously It is pressed on puncture orifice and its 1-2cm range, in the process, is observed when rotating adjusting block 405, to determine suitable pressure Power.
Embodiment 3
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Figures 2 and 3, the press head The 304 hemispherical press surfaces with a pressing puncture orifice, are provided with upward diameter on the hemispherical press surface top and gradually expand Bulge 3041, and 3041 bottom minimum diameter of bulge is equal with the diameter of hemispherical press surface;The half of press head 304 Hemostasis cotton yarn 308 is coated on ball-shaped press face.
When the present embodiment is in use, same as Example 1.
Embodiment 4
The present embodiment is the further improvement scheme done on the basis of embodiment 3, as shown in Fig. 2,3 and 4, the press head 304 outer cover is equipped with the set 309 that extends, and extension set 309 is less than the hollow funnel-form of top end diameter, and its bottom for bottom diameter End cap is located at the junction of bulge 3041 Yu hemispherical press surface, and bulge 3041 is included in inside it, thus will hemostasis Cotton yarn 308 is fixed on hemispherical press surface, and the side wall and hemispherical press surface of the set 309 that extends form 100-120 ° of folder Angle.The angle is actually to extend to cover 309 folders formed with the tangent line of hemispherical press surface contact position and 309 side walls of set that extend Angle, the height of the hemispherical press surface on press head 304 are 1.5cm, that is, its height for being higher by 309 lowest parts of set that extend is 1.5cm, due to the presence of pressure, can be such that the outer wall of extension set 309 also presses skin in this way in actually pressing, Not only prevent the movement of patient, and increase pressing area, make puncture orifice more not readily disengage from press head 304 by Pressure.
When the present embodiment is in use, same as Example 1.
Embodiment 5
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Fig. 2,5 and 6, the mounting plate Auxiliary pressing structure and rear auxiliary pressing structure before the front and back of blind hole 306 is respectively arranged on 301, and preceding auxiliary presses Structure and rear auxiliary pressing structure include pressing perpendicular to the strip groove 302 for facing upward the distribution of 101 length direction of lying board in preceding auxiliary Several compressed springs are provided with blood vessel pressing plate I 307 in the strip groove of structure, protrude from bar shaped in blood vessel pressing plate I 307 The center bottom of slot 302 is provided with the arc convex portion 3071 of pressing thigh root;The strip groove of auxiliary pressing structure after described It is interior that several compressed springs are provided with blood vessel pressing plate II 303, the bottom of strip groove 302 is protruded from blood vessel pressing plate II 303 End middle part is provided with the arc-shaped recess portion 3031 of pressing thigh blood vessel, the blood vessel pressing plate II 303 and blood vessel pressing plate I 307 Bottom edge be downwardly convex arc smooth transition.The spacing of preceding auxiliary pressing structure and press head 304 is 2-3cm, rear auxiliary Helping the spacing of pressing structure and press head 304 is 3-5cm.
When the present embodiment is in use, same as Example 1.
Embodiment 6
The present embodiment is the further improvement scheme done on the basis of embodiment 5, as shown in figs. 2 and 7, the mounting plate 301, which go forward, assists the forward position of pressing structure to be provided with cold compress auxiliary body 6, and when the press head 304 on mounting plate 301 is pressed Compel in puncture orifice and periphery 1-2cm range, which is covered on puncture position close to heart side 8-10cm's On skin, it means that cold compress auxiliary body 6 is covered on apart from puncture position 8-10cm and towards the skin of heart side On skin;The cold compress auxiliary body 6 includes that arc made of symmetrically arranged two silica gel materials of 101 length direction of lying board is faced upward on edge Cover plate 601, and two arc cover plates 601 are spliced to form semicircle, in the two sides inner edge of each piece of 601 length direction of arc cover plate Edge position, which is provided with, seals shelves item 602 made of the silica gel material of protrusion, be distributed with several between both sides sealing shelves item 602 Cold compress metal tape 603, these cold compress metal tapes 603 are hollow structure, and one end extends to the bottom of arc cover plate 601 and has Opening, the other end, which is extend into, to be arranged on mounting plate 301 between two arc cover plates 601 in the closed air chamber 604 of position, described Closed air chamber 604 is connected to by tracheae 606 with a storage chamber 607, and storage chamber 607 is connected to the air outlet of air blower 608, with After the gas for blowing out air blower 608 enters the interior ice block cooling by stored by wherein of storage chamber 607, then 606 He of transtracheal Closed air chamber 604 enters in cold compress metal tape 603 and carries out cooling down, and the cold compress metal tape 603 to cold compress metal tape 603 The skin surface that puncture position is adjacent to close to heart side 8-10cm carries out cold compress to body part, reduces blood flowing speed, And then shorten compressing time.The storage chamber 607 is openable, in order to which medical staff is placed in ice cube thereto;607 He of storage chamber Air blower 608 is arranged on mounting plate 301, or in openable chamber thereon;The cold compress metal tape 603 is using tool There is the metal of fine elasticity to be made, for example, using with a thickness of two pieces of metal steel straps no more than 1mm as raw material, and metal steel strap Side edge there is small fin, thus make two pieces of metal steel straps when one is made using hot-working or cold working mode in Portion has hollow.
When the present embodiment is in use, substantially the same manner as Example 1, difference is: needing first to open storage chamber 607 thereto Be placed in ice cube, later press head 403 press puncture orifice and around when, cold compress auxiliary body 6 be close to skin, at this time open drum Blower 608, the wind for blowing out it enters in cold compress metal tape 603 after storage chamber 607 is cooling through closed air chamber 604, cold Metallized strip 603 is close to skin and carries out cold compress cooling to subcutaneous tissue, reduces velocity of blood flow.
Embodiment 7
The present embodiment is the further improvement project done on the basis of embodiment 6, as shown in fig. 7, the mounting plate 301 Bottom be provided with and surround semicircle arc-shaped recess 3010 in the same direction, so-called to refer in the same direction, the two with two arc cover plates 601 Axial direction it is identical, and the radius of curvature of arc-shaped recess 3010 be greater than two surrounded semicircles of arc cover plate 601 curvature Radius, the upper end of described two arc cover plates 601 passes through connecting substrate 605 respectively and is arranged in arc-shaped recess 3010, so that arc There is gap, in order to by compressing rear arc cover plate 3010 between the outer wall of shape cover plate 601 and the side wall of arc-shaped recess 3010 Extend out;The closed air chamber 604 is fixed in the arc-shaped recess 3010 between two pieces of connecting substrates 605.In order to make two The distance between a arc cover plate 601 is adjustable, by with the axially vertical direction of arc-shaped recess 3010 be arranged two it is arranged side by side Screw rod, the both ends of this two screw rods are fixed on the bottom of mounting plate 301 by bearing rotation, and institute is run through at the middle part of this two screw rods Closed air chamber 604 is stated, and it does not have helix through the part of closed air chamber 604, thus running through 604 side wall of closed air chamber Place is sealed using wear-resistant seal circle;The connecting substrate 605 of two arc cover plates 601 is connected by threaded hole and this two screw rod cooperations Connect, and be respectively at 604 two sides of closed air chamber, by rotating two screw rods, thus make two arc cover plates 601 synchronize it is opposite or Movement is runed counter to, one adjusts the spacing of the two.
Embodiment 8
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in figs. 1 and 8, the elevation base plate The rear of puncture orifice press device 3 is provided with a big leg restraint gear 5 vertically downward, institute by an adjusting screw 404 on 403 Shu great leg restraint gear 5 includes a fixed substrate 501, is provided in several compressed springs 502 of the underrun of fixed substrate 501 One compressing thigh and the arc to raise upward press from both sides 503, and the bottom end of the adjusting screw 404 passes through rolling bearing and fixed substrate 501 upper surface rotation connection, top is cooperatively connected to form screw slider structure, adjust with the through hole in elevation base plate 403 It is provided with the adjusting block 405 for rotating adjusting screw 404 on section lead screw 404, fixed substrate is finely tuned by rotation adjusting block 405 501 position makes arc thereon press from both sides 503 compression puncture orifice thighs below, so that thigh be gripped.Thigh fixes machine The distance between structure 5 and puncture orifice press device 3 are generally 15-20cm.
When the present embodiment is in use, substantially the same manner as Example 1, difference is: so that press head 304 is compressed puncture orifice, Adjusting arc folder 503 using adjusting screw 404 later makes it clamp thigh.
Embodiment 9
The present embodiment is another improvement project done on the basis of embodiment 1, and as shown in Fig. 1,9 and 10, described face upward is lain The waist fixed mechanism 2 for gripping to patient's waist is provided on plate 101, which includes that setting exists The track groove 202 for facing upward on lying board 101 and running through its width direction, is provided with a geared worm 203 in the track groove 202, passes The both ends of dynamic worm screw 203 are symmetrically arranged with fixed fixture block 201, the two fix the threaded hole and biography that fixture block 201 passes through its bottom Dynamic worm screw 203 is threadedly engaged, so that two fixed fixture blocks 201 are opposite or run counter to movement in 203 rotation process of geared worm, into And clamp position is gripped or is detached to the waist of patient;It is symmetrically set on two opposite surfaces of fixed fixture block 201 It is equipped with the clamping watt 206 of arc-shaped recess shape, the two clampings watt 206 and the shape of patient's waist fit, in order to better Clamping;The both ends of the geared worm 203 are fixed in track groove 202 by rolling bearing, and side turns on geared worm 203 Position between dynamic bearing and fixed fixture block 201 is provided with transmission gear 204, the transmission gear 204 and minitype motor driving Gear on 205 output shaft of speed reducer is meshed, and drives geared worm 203 with different rotations by the positive and negative rotation of micromotor Direction rotation, and then realize the opposite of two fixed fixture blocks 201 or run counter to movement.
When the present embodiment is in use, substantially the same manner as Example 1, difference is: so that press head 304 is compressed puncture orifice, Start micromotor later, makes it that speed reducer 205 be driven to rotate, and then impart power to geared worm 203, geared worm Two fixed fixture blocks 201 are driven to move toward one another in 203 rotation processes, and then by the waist clamping fixed of patient.
Embodiment 10
The present embodiment is another improvement project done on the basis of embodiment 1, as shown in Figure 1, described face upward on lying board 101 By the neck that the upper surface of nearby 103 one end of hydraulic cylinder is provided with the headrest portion 106 for being used to support head and is used to support neck Occipitalia 105.

Claims (10)

1. a kind of moving bed for femoral artery puncture operation, including moveable bed board (1), it is characterised in that: the bed board (1) be provided on upper surface faced upward for patient lie in thereon face upward lying board (101), and face upward the middle part of lying board (101) pass through it is consistent The medium position of the torsion shaft (102) and bed board (1) upper surface of wearing its width direction is rotatablely connected, before bed board (1) bottom Portion and rear portion are respectively arranged with preceding hydraulic cylinder (103) and rear hydraulic cylinder (104), and preceding hydraulic cylinder (103) and rear hydraulic It is hinged with the bottom surface of facing upward lying board (101) front and rear afterwards that the piston rod of oil cylinder (104) is each passed through bed board (1), by adjusting The extension elongation of preceding hydraulic cylinder (103) and rear hydraulic cylinder (104) piston rod, to make to face upward lying board (101) around torsion shaft (102) overturning that gradient is 5-15 ° is carried out;
Described lying board (101) upper surface side of facing upward is provided with fixed column (402), is provided with to be located on fixed column (402) top and face upward The fixed plate (4) of (101) one upper side of lying board is provided with one by a raise-lower hydraulic oil cylinder (401) in the lower section of fixed plate (4) Elevation base plate (403) by the telescopic adjustment elevation base plate (403) of raise-lower hydraulic oil cylinder (401) piston rod and faces upward lying board (101) The spacing of upper surface;Puncture orifice press device (3) are provided on elevation base plate (403), which includes one The mounting plate (301) connecting with elevation base plate (403) is provided with a blind hole (306) in the lower surface of mounting plate (301), at this It is provided with connecting pin (305) by compressed spring in blind hole (306), end stretching blind hole (306) of connecting pin (305) and with one Press head (304) connection with hemisphere press surface drives elevation base plate by the stretching of raise-lower hydraulic oil cylinder (401) piston rod (403) decline with mounting plate (301), so by compressed spring drive connecting pin (305) and press head (304) to puncture orifice and Its periphery 1-2cm range synchronizes pressing.
2. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: the mounting plate (301) it is connect by an adjusting screw (404) with elevation base plate (403), and the bottom end of adjusting screw (404) passes through rolling bearing It is rotatablely connected with the upper surface of mounting plate (301), the through hole on top and elevation base plate (403) is cooperatively connected to form lead screw cunning Block structure is provided with the adjusting block (405) for rotating adjusting screw (404) on adjusting screw (404), is adjusted by rotation Block (405) finely tunes the position of mounting plate (301), and press head (304) thereon is made to compress puncture orifice and its periphery 1-2cm range.
3. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: the press head (304) the hemispherical press surface with a pressing puncture orifice, it is gradually swollen to be provided with upward diameter on the hemispherical press surface top Big bulge (3041), and bulge (3041) bottom minimum diameter is equal with the diameter of hemispherical press surface;In press head (304) hemostasis cotton yarn (308) is coated on hemispherical press surface.
4. a kind of moving bed for femoral artery puncture operation according to claim 3, it is characterised in that: the press head (304) outer cover is equipped with the set (309) that extends, which is the hollow funnel-form that bottom diameter is less than top end diameter, And its bottom end is set in the junction of bulge (3041) and hemispherical press surface, and bulge (3041) is included in inside it, To stop blooding, cotton yarn (308) is fixed on hemispherical press surface, the side wall of the set (309) that extends and hemispherical press surface shape At 100-120 ° of angle.
5. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: the mounting plate (301) auxiliary pressing structure and rear auxiliary pressing structure before the front and back of blind hole (306) is respectively arranged on, and preceding auxiliary Pressing structure and rear auxiliary pressing structure include perpendicular to the strip groove (302) for facing upward the distribution of lying board (101) length direction, preceding It assists that several compressed springs are provided with blood vessel pressing plate I (307) in the strip groove of pressing structure, in blood vessel pressing plate I (307) center bottom for protruding from strip groove (302) is provided with the arc convex portion (3071) of pressing thigh root;It is auxiliary after described It helps in the strip groove of pressing structure and several compressed springs is provided with blood vessel pressing plate II (303), in blood vessel pressing plate II (303) center bottom for protruding from strip groove (302) is provided with the arc-shaped recess portion (3031) of pressing thigh blood vessel, the blood vessel The bottom edge of pressing plate II (303) and blood vessel pressing plate I (307) is downwardly convex arc smooth transition.
6. a kind of moving bed for femoral artery puncture operation according to claim 5, it is characterised in that: the mounting plate (301) it goes forward that the forward position of pressing structure is assisted to be provided with cold compress auxiliary body (6), and when the pressing on mounting plate (301) In puncture orifice and periphery 1-2cm range, which is covered on puncture position close to heart for head (304) compressing On the skin of side 8-10cm;The cold compress auxiliary body (6) includes that symmetrically arranged two of lying board (101) length direction is faced upward on edge Arc cover plate (601) made of silica gel material, and two arc cover plates (601) are spliced to form semicircle, in each piece of arc-shaped cover The two sides inward flange position of plate (601) length direction is provided with made of the silica gel material of protrusion and seals shelves item (602), in two sides Several cold compress metal tapes (603) are distributed between sealing shelves item (602), these cold compress metal tapes (603) are hollow structure, One end extends to the bottom of arc cover plate (601) and has opening, and the other end, which is extend into, to be arranged in upper two arcs of mounting plate (301) Between shape cover plate (601) in the closed air chamber (604) of position, the closed air chamber (604) passes through tracheae (606) and a storage chamber (607) be connected to, and storage chamber (607) is connected to the air outlet of air blower (608) so that the gas that blows out of air blower (608) into Enter to after the interior ice block cooling by stored by wherein of storage chamber (607), then transtracheal (606) and closed air chamber (604) enter Cooling down is carried out to cold compress metal tape (603) in cold compress metal tape (603), and the cold compress metal tape (603) is adjacent to and punctures position The skin surface for resting against nearly heart side 8-10cm carries out cold compress to body part, reduces blood flowing speed, and then shorten and press Press the time.
7. a kind of moving bed for femoral artery puncture operation according to claim 6, it is characterised in that: the mounting plate (301) bottom, which is provided with, surrounds semicircle arc-shaped recess (3010) in the same direction with two arc cover plates (601), described two The upper end of arc cover plate (601) passes through connecting substrate (605) setting in arc-shaped recess (3010) respectively, so that arc cover plate (601) there is gap, in order to by compressing rear arc cover plate (3010) between the side wall of outer wall and arc-shaped recess (3010) Extend out;The closed air chamber (604) is fixed at the arc-shaped recess (3010) between two pieces of connecting substrates (605) Nei.
8. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: the lifting base The rear of puncture orifice press device (3) is provided with a thigh vertically downward by an adjusting screw (404) and fixes on plate (403) Mechanism (5), the big leg restraint gear (5) includes a fixed substrate (501), several in the underrun of fixed substrate (501) The arc folder (503) that compressed spring (502) is provided with a compressing thigh and raises upward, the bottom end of the adjusting screw (404) It is rotatablely connected by the upper surface of rolling bearing and fixed substrate (501), the through hole on top and elevation base plate (403) cooperates Connection forms screw slider structure, and the adjusting block for rotating adjusting screw (404) is provided on adjusting screw (404) (405), by the position of rotation adjusting block (405) fine tuning fixed substrate (501), arc thereon is made to press from both sides the puncture of (503) compression Mouth thigh below, so that thigh be gripped.
9. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: described to face upward lying board (101) the waist fixed mechanism (2) for gripping to patient's waist is provided on, which includes setting The track groove (202) for setting on facing upward lying board (101) and running through its width direction, is provided with a transmission in the track groove (202) Worm screw (203), the both ends of geared worm (203) are symmetrically arranged with fixed fixture block (201), the two are fixed fixture block (201) and pass through The threaded hole of its bottom is threadedly engaged with geared worm (203), so that in geared worm (203) rotation process, two fixing cards Block (201) is opposite or runs counter to movement, and then the waist of patient is gripped or is detached from clamp position;In two fixing cards The clamping watt (206) of arc-shaped recess shape is symmetrically arranged on the opposite surface of block (201);The both ends of the geared worm (203) It is fixed in track groove (202) by rolling bearing, side rolling bearing and fixed fixture block (201) on geared worm (203) Between position be provided with transmission gear (204), the speed reducer (205) of the transmission gear (204) and minitype motor driving exports Gear on axis is meshed, and drives geared worm (203) to rotate with different direction of rotation by the positive and negative rotation of micromotor, into And it realizes the opposite of two fixed fixture blocks (201) or runs counter to movement.
10. a kind of moving bed for femoral artery puncture operation according to claim 1, it is characterised in that: described face upward is lain Upper surface on plate (101) by nearby hydraulic cylinder (103) one end is provided with the headrest portion (106) for being used to support head and is used for Support the neckpillow portion (105) of neck.
CN201811602436.2A 2018-12-26 2018-12-26 Moving bed for femoral artery puncture operation Expired - Fee Related CN109646193B (en)

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CN111568563A (en) * 2020-05-20 2020-08-25 河北医科大学第一医院 Fixing and supporting device for cardiac intervention operation
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