CN110547939B - System for treating nasosinusitis without wound - Google Patents

System for treating nasosinusitis without wound Download PDF

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Publication number
CN110547939B
CN110547939B CN201910959596.0A CN201910959596A CN110547939B CN 110547939 B CN110547939 B CN 110547939B CN 201910959596 A CN201910959596 A CN 201910959596A CN 110547939 B CN110547939 B CN 110547939B
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bed
bed body
fixedly connected
patient
rectangular frame
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CN110547939A (en
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贾成友
贾越
张树霞
赵传亮
殷志强
戴佳奇
韩亚丽
廖义娜
王彦强
范素云
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Shanghai Tenth Peoples Hospital
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Shanghai Tenth Peoples Hospital
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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
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/02Adjustable operating tables; Controls therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Neurosurgery (AREA)
  • Otolaryngology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

The invention relates to the technical field of medical instruments and discloses a system for noninvasive treatment of nasosinusitis. In order to provide a device for treating nasosinusitis without wound, the following technical scheme is provided. The method is characterized in that: the method comprises the following steps: the bed body (4), the vertical rotating mechanism, the horizontal rotating mechanism, the fixing component which relatively fixes the body of the patient (5) and the bed body (4), and the indicating mechanism which displays the rotating state; the up-down rotating mechanism is connected with the bearing base and the left-right rotating mechanism; the bed body (4) is connected with a left-right rotating mechanism. Has the advantages that: for the nasosinusitis with the liquid accumulation, the system can be independently used for the noninvasive and medicine-free treatment; it can also be used in combination with drug therapy and surgery for adjuvant therapy. Can be developed as electric or semi-automatic or manual type.

Description

System for treating nasosinusitis without wound
Technical Field
The invention relates to the technical field of medical instruments, in particular to a system for noninvasive treatment of nasosinusitis.
Background
Inflammation of one or more sinuses is known as sinusitis, and involved sinuses include: maxillary, ethmoid, frontal and sphenoid sinuses; the disease has high morbidity in the population, and the life quality of the patient is influenced; some nasosinusitis also brings great pain to patients.
The nasosinusitis can be divided into 2 types of acute nasosinusitis and chronic nasosinusitis. The good-haired population of sinusitis is all people; among them, the elderly and infirm are more common.
Fluid accumulation (i.e., yellow purulence with odor) often occurs in the sinuses of patients with sinusitis.
The conventional method for treating nasosinusitis in the prior art is firstly the treatment of antibacterial and anti-inflammatory medicines; in case of ineffective medication, CT scan of the paranasal sinuses is performed and then surgical treatment is performed. In CT scanning examination of paranasal sinuses, whether or not there is effusion in paranasal sinuses and how much effusion in paranasal sinuses can be clearly diagnosed.
One of the defects of the prior art is that a few methods are used for treating nasosinusitis, and the types of medical instruments are not rich enough.
Disclosure of Invention
In order to solve the problem that equipment for treating nasosinusitis without wound is lacked in the prior art and provide the society with the equipment for treating nasosinusitis without wound, the invention provides the following technical scheme.
A system for non-invasively treating sinusitis, comprising: a bed body, a fixing component for fixing the body of the patient and the bed body relatively; the method comprises the following steps: the device comprises a bearing base, an up-down rotating mechanism, a left-right rotating mechanism, an indicating mechanism for displaying a rotating state and a positioning component for the head of a patient to rotate left and right independently;
the up-down rotating mechanism is connected with the bearing base and the left-right rotating mechanism; the bed body is connected with a left-right rotating mechanism;
the bearing base is a bed frame; the bed frame comprises: a bed frame body and a pair of chevron-shaped tripods; the triangular supports are arranged symmetrically left and right, and the bottom ends of the triangular supports are fixedly connected with the bed frame main body;
the up-and-down rotating mechanism comprises: the device comprises a rectangular frame body and an up-and-down driving component for driving the rectangular frame body to rotate up and down; the rectangular frame body is rotatably connected with the upper part of the tripod;
the right-left rotating mechanism comprises: a first mounting plate, a second mounting plate, a left and right rotating shaft, and a left and right driving part; the first mounting plate is fixedly connected with one end of the rectangular frame body, and the second mounting plate is fixedly connected with the other end of the rectangular frame body; the left and right rotating shafts are rotatably connected with the first mounting plate and the second mounting plate; the left and right rotating shafts are fixedly connected with the bed body;
the positioning component comprises a positioning indicator and a positioning indication bracket; the positioning indicator is connected with the bed body 4 through a positioning indication bracket; when the patient lies and sleeps, the positioning indicator is positioned above the head of the patient;
the lower side of the positioning indicator is arc-shaped; the positioning indication of the positioning indicator is set to be any one of the following three:
a. arranging an indicating point protruding downwards at the arc-shaped position;
b. an upward sunken indicating point is arranged at the arc-shaped position;
c. and line indicating lines and angle numbers are printed at the circular arc.
The inventive system may be developed in particular as an inventive system of the electric type, or of the semi-automatic type, or of the manual type.
The invention has the beneficial effects that: for the nasosinusitis with the liquid accumulation, the system can be independently used for the noninvasive and medicine-free treatment; the system can also be used for auxiliary treatment in combination with drug treatment or drug treatment and surgical treatment. The system of the invention can be developed either as an electric type or as a semi-automatic type, as well as a manual type.
Drawings
FIG. 1 is a schematic perspective view of a patient lying on a bed, the bed being horizontal in this view;
FIG. 2 is a schematic view of a bed of the present invention, the bed being horizontal; the left and right rotating shafts are fixedly connected with the bed body into a whole through a connecting piece;
FIG. 3 is a right side view of FIG. 2;
FIG. 4 is a top view of FIG. 2;
FIG. 5 is a schematic view showing the bed rotated downward;
FIG. 6 is a right side view of FIG. 5;
FIG. 7 is a schematic view showing the bed rotated to the left;
FIG. 8 is a right side view of FIG. 7;
FIG. 9 is a schematic view of the bed rotated both downward and to the left;
FIG. 10 is a right side view of FIG. 9;
FIG. 11 is a front view of the inventive system in accordance with one embodiment;
FIG. 12 is a left side view of FIG. 11;
FIG. 13 is a schematic perspective view of a portion of the system of the invention in accordance with one embodiment;
FIG. 14 is a schematic view of the bed of FIG. 11 rotated downwardly;
FIG. 15 is a schematic view of the bed of FIG. 11 shown rotated to the left;
FIG. 16 is a top and bottom pusher for the system of the invention, mounted in a different manner, with the top and bottom pushers being shown in phantom at 4;
FIG. 17 is an inventive system provided with a reinforcing beam structure;
FIG. 18 is a diagrammatic, schematic view of the feed screw-nut mechanism, the nut member being shown in a retracted state;
FIG. 19 is a variation of FIG. 18, showing the nut member in an extended condition;
FIG. 20 is a schematic view showing one embodiment of the second embodiment;
FIG. 21 is a second schematic diagram of the second embodiment;
FIG. 22 is a third schematic view of the second embodiment;
FIG. 23 is a fourth schematic view of the second embodiment;
FIG. 24 is a schematic view of a antiskid structure in the third embodiment;
FIG. 25 is a positioning indicator in the fourth embodiment;
FIG. 26 is a schematic view of the bed body in the fourth embodiment, wherein a rail is respectively arranged at the left and the right of the bed body, and the upper part of each rail is provided with a socket;
FIG. 27 is a schematic view of the patient lying on the bed of FIG. 26;
FIG. 28 is a schematic view of FIG. 27 with the alignment indicator inserted;
FIG. 29 is a schematic view of the bed of FIG. 28 rotated to the left by angle A;
FIG. 30 is a schematic view of the patient's head of FIG. 29 autonomously rotated to the left by an angle B;
FIG. 31 is a schematic view of a plurality of B parts mounted on a snap mount plate;
FIG. 32 is a left side view of FIG. 31;
fig. 33 is a schematic view of a bed frame comprising a gantry structure;
FIG. 34 is a schematic illustration of the system of FIGS. 11 and 13 with the rocker arm omitted;
FIG. 35 is a schematic view of the inventive system with a touch angle sensor installed; this figure corresponds to the situation observed from the right-hand direction of fig. 11.
FIG. 36 is a flowchart of a semi-automated operation of the system according to the eleventh embodiment of the present invention;
FIG. 37 is a front view of an inventive system of the manual type in accordance with the twelfth embodiment;
FIG. 38 is a left side view of FIG. 37;
FIG. 39 is a schematic view of the bed of FIG. 37 rotated downwardly;
FIG. 40 is a schematic view of the bed of FIG. 38 rotated to the left;
FIG. 41 is a schematic view of a thirteenth embodiment;
FIG. 42 is a second view of the thirteenth embodiment;
FIG. 43 is a third schematic view of the thirteenth embodiment;
FIG. 44 is a fourth schematic view of the thirteenth embodiment.
Description of the figures
A bed frame (1); a rectangular frame body (2A); an upper and lower pusher (2B); an upper and lower motor (2D); a screw (2E); a nut member (2F); a drive gear (2G); a driven gear (2H); an upper and lower base (2I); a first mounting plate (3A); a second mounting plate (3B); a left and right rotation shaft (3C); left and right motors (3D); a driving external gear (3E 1A); a passive inner gear (3E 1B); a bed body (4); a head block (4-1); a shoulder block (4-2); left and right blocks (4-3); a positioning indicator (4-4); a patient (5); a connecting piece (8) of the bed body and the left and right rotating shafts; a part (9) where the head is located; a reinforcing block (10); a handrail (11); a mounting socket (11-1); a rotation shaft body (12); a rocker arm (13); a snap mounting plate (14); a B part (15); a contact angle sensor (16); a scale disc (17); a pointer (18);
an upper and lower mounting plate (31); an upper and lower driving worm (32); upper and lower passive turbines (33); a left vertical rotation shaft (34); a right vertical rotation shaft (35); left and right driving worms (36); left and right passive turbines (37); left and right bearing block assemblies (38); upper and lower bearing block assemblies (39);
an upper (S); a lower (X); a front (Q); post (H); left (Z); right (Y).
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
Detailed Description
The technical solution of the present invention is generally explained and explained below.
The general technical solution of the invention is described as follows.
A system for non-invasively treating sinusitis, comprising: the bed body 4, the upper and lower rotating mechanism, the left and right rotating mechanism, the fixing component which relatively fixes the body of the patient 5 and the bed body 4, and the indicating mechanism which displays the rotating state;
the up-down rotating mechanism is connected with the bearing base and the left-right rotating mechanism; the bed body 4 is connected with a left-right rotating mechanism.
The general technical scheme of the invention is described above; the following explains the general technical solution.
The paranasal sinuses are paired left and right, and the four pairs are respectively: maxillary, ethmoid, frontal and sphenoid sinuses; each sinus is composed of the sub-sinus bodies which are structurally symmetrical left and right, so that the paranasal sinus can also be called as comprising eight sub-sinus bodies which are: left maxillary sinus and right maxillary sinus, left ethmoid sinus and right ethmoid sinus, left frontal sinus and right frontal sinus, left sphenoid sinus and right sphenoid sinus.
Among the above-mentioned paranasal sinus, there are two sets of paranasal sinuses because of the difficult hydrops of structural relationship, so do not need the drainage, do respectively:
the ethmoid sinuses (the left ethmoid sinus and the right ethmoid sinus) are not easy to accumulate liquid and do not need drainage treatment; the frontal sinuses (left frontal sinus and right frontal sinus) have their ostia facing downwards, and the patient can automatically drain the effusion into the nasal cavity to be discharged when sitting upright or standing upright.
And the other two groups of nasal sinuses comprise maxillary sinuses and sphenoid sinuses, and because the sinus ostia has higher opening and is in a sitting or upright state, inflammatory secretion is not easy to drain out, the sinus ostia can be rotated to the lowest position of the nasal sinuses by the bed body of the system, so that inflammatory liquid in the nasal sinuses can be naturally drained out of the body of the nasal sinuses without wound.
1. For the effusion in the left frontal sinus, the head of the patient is in a declination and right-inclination state, and inflammatory secretion can be drained (or called flowing); in addition, for the effusion in the right frontal sinus, the head of the patient is in a state of declining and left inclining, and inflammatory secretion can be drained.
2. For the effusion in the sphenoid sinus on the left side, the patient lies on the bed body in the prone position, and the head is in an upward-inclined and right-inclined state, so that inflammatory secretion can be drained; for the effusion in the sphenoid sinus on the right side, the patient lies prone on the bed body, and the head is in an upward-inclining and left-inclining state, so that inflammatory secretion can be drained.
The above-mentioned inclination, declination, left inclination, and right inclination have certain specific angle requirements, and are further described and illustrated in the following embodiments.
After lying on the bed body 4 of the system, the patient can achieve the drainage purpose by adjusting the position, and the treatment effect of treating the hydropsy rhinitis is achieved. The foregoing treatment is essentially achieved by draining, clearing inflammatory fluid accumulation in the maxillary and sphenoid sinuses.
The treatment is divided into the following two cases A and B.
A. The simple hydropsy rhinitis patient, no matter acute or chronic patient, only uses the system of the invention to drain hydrops, through several times of treatment, can realize the noninvasive without medicine and achieve the purpose of thorough cure.
B. Complicated hydropsy rhinitis patients, no matter acute or chronic, need to take drug therapy or combined operation as main treatment, as long as the sinus channel can be kept unobstructed, the system of the invention is used as an important auxiliary treatment means to drain hydrops. The drainage can obviously improve the curative effect, shorten the treatment period and relieve the medical cost and the pain of patients.
Secondly, in order to achieve the purpose of drainage treatment, the bed body 4 in the system needs to be slewed onto the bed body by a patient, the body of the patient 5 is relatively fixed with the bed body 4 by using the retention part, the bed body is inclined at a specified angle, and effusion in the paranasal sinuses of the patient can flow out after the bed body is kept for 5-10 minutes. Before the bed is not inclined, the bed body can be in a generally horizontal state, and the horizontal state is horizontal in the front-back direction and horizontal in the left-right direction. When the bed is in a drainage treatment state, the bed body inclines in the front-back direction and the left-right direction; in other words, during the drainage treatment, the bed body is inclined in the front-back direction and the left-right direction at the same time.
Thirdly, the general technical scheme of the system can be manual, electric or even semi-automatic in specific application; these various specific types of applications are further described, illustrated, and introduced below.
Thirdly, the body of the patient 5 lies on the bed body 4, the body of the patient 5 and the bed body 4 are relatively fixed by the fixing component, so that the patient 5 is prevented from sliding, and the normal operation is facilitated; the patient 5 is prevented from falling off, and safety is ensured.
And fourthly, the function and function of the up-down rotating mechanism are to tilt up and down the bed body 4 and to restore the horizontal operation.
The bed 4 is inclined upwards, which means that the head and feet of the patient 5 are high and low. In other words, when the bed 4 is in the horizontal position, we assume that the body and the head of the patient are in the same horizontal state; when the bed 4 is in the tilted-up posture, the patient enters a state of high head and low body.
The bed body 4 is declined, which means that the head of the patient 5 is low and the feet are high; or, when the bed 4 is in a declined posture, the patient enters a state of low head and high body.
And fifthly, the left-right rotating mechanism has the functions of doing left-leaning operation and right-leaning operation on the bed body 4 and restoring to the operation of keeping the left and right flat.
Sixthly, in order to realize relevant functions and functions, the up-down rotating mechanism and the left-right rotating mechanism both contain power parts for rotating, for example, when the invention system adopts a specific manual type, a worm and a turbine assembly driven by manpower are used; for another example, when the system is of a specific type of electric drive, an electric motor and an upper and lower pusher, etc. which are driven by electricity are used; in addition, the device can be developed into a semi-automatic type on the basis of electric power.
Seventhly, in the general technical scheme of the invention, the up-down rotating mechanism is connected with the bearing base and is connected with the left-right rotating mechanism; the bed body 4 is connected with a left-right rotating mechanism.
In the present invention, the bottom of the load-bearing base may be designed to contact the ground or may be designed to be fixedly connected to the ground. When the up-down rotating mechanism rotates upwards or downwards, the left-right rotating mechanism and the bed body 4 connected with the up-down rotating mechanism rotate upwards or downwards; in addition, the left-right rotating mechanism also makes the bed body 4 rotate leftwards or rightwards.
Eighthly, marking or indicating the upward inclination angle of the bed body 4, the downward inclination angle of the bed body 4, the leftward inclination angle of the bed body 4 and the rightward inclination angle of the bed body 4. The foregoing is achieved by the indicating mechanism of the present invention.
The technical solutions of the system of the present invention have been generally described, illustrated and explained. Further embodiments of the invention are described, illustrated and explained below.
Further technical scheme 1.
The technical solutions described, illustrated and explained below are applicable to the inventive system of the electric type; the invention system can be further developed into a semi-automatic type on the basis of an electric type.
The technical solution is described as follows.
The system comprises an electric control subsystem; the bearing base is a bed frame 1;
the up-and-down rotating mechanism comprises: a rectangular frame body 2A, and an upper and lower pusher 2B having terminals; the two sides of the rectangular frame body 2A are rotationally connected with the bed frame 1, or the two sides of the rectangular frame body are rotationally connected with the bed frame 1 through middle parts; one end of the upper pusher 2B and the lower pusher 2B is connected with the bed frame 1, and the other end of the upper pusher and the lower pusher is connected with the rectangular frame body 2A;
the right-left rotating mechanism comprises: a first mounting plate 3A, a second mounting plate 3B, left and right rotating shafts 3C, and left and right motors 3D; the first mounting plate 3A is fixedly connected with one end of the rectangular frame body 2A, and the second mounting plate 3B is fixedly connected with the other end of the rectangular frame body 2A; the left and right rotating shafts 3C are rotatably connected with the first mounting plate 3A and the second mounting plate 3B; the left and right motors 3D are fixedly connected with the first mounting plate 3A; the output ends of the left and right motors 3D are fixedly connected with the end parts of the left and right rotating shafts 3C, or the output ends of the left and right motors 3D are in transmission connection with the end parts of the left and right rotating shafts 3C through a left and right transmission mechanism;
the left and right rotating shafts 3C are fixedly connected with the bed body 4;
the electronic control subsystem comprises: a power circuit and a switch; and the electric control subsystem is electrically connected with the upper pusher 2B and the lower pusher 2B and is electrically connected with the left motor 3D and the right motor 3D.
Description of the technical solution as above, the following is illustrated and explained.
Firstly, the type, shape and structure of the bed frame 1 in the invention are far beyond the type, shape and structure of the common bed frame, and the actual bed frame 1 can be determined according to the specific design requirements and should not be limited by the concept of the common bed frame.
In addition, the bed body of the system of the invention has two distinctive points: firstly, the bed body is different in application, and is used for treating the accumulated fluid nasosinusitis; secondly, the inclination conditions are different, the bed body of the invention needs to be greatly inclined upwards, downwards, leftwards and rightwards, so as to achieve the purpose of treating the hydropathic nasosinusitis.
Second, upper and lower slewing mechanism includes: a rectangular frame body 2A, and an upper and lower pusher 2B. One end of the upper and lower pushers 2B is connected to the bed frame 1, and the other end of the upper and lower pushers 2B is connected to the rectangular frame 2A. After the electronic control subsystem sends a downward command, the other end of the upper pusher 2B and the lower pusher 2B extend out to push the rectangular frame body 2A to rotate downwards, namely to push the bed body 4 to rotate downwards, so that the head part inclines downwards. In addition, when the bed body 4 in a downward inclined state sends a recovery command or sends an upward command, the other end of the upper and lower pushers 2B retracts, and the rectangular frame body 2A is pulled to rotate upwards, namely the bed body 4 is pulled to rotate upwards.
The electric control subsystem can stop the upward command when the bed body 4 returns to the horizontal state, and thus, the bed body is kept in the horizontal state; or the bed body continues to rotate upwards to the target upward inclination angle without stopping the upward command, and the electric control subsystem stops the upward command.
And thirdly, in the left-right rotating mechanism, a left-right rotating shaft 3C is fixedly connected with the bed body 4. After the electric control subsystem sends a left-turning command, the left motor 3D and the right motor 3D rotate in opposite positive directions, so that the left rotating shaft 3C and the right rotating shaft 3C rotate in positive directions and drive the bed body 4 to turn left. When the electronic control subsystem sends a right-hand rotation command, the left and right motors 3D rotate in opposite directions, so that the left and right rotating shafts 3C rotate in opposite directions and drive the bed body 4 to rotate to the right.
From the design point of view, can design as: the output end of the left and right motors 3D directly drives the left and right rotating shafts 3C to rotate; it can also be designed that: the output end of the left and right motors 3D indirectly drives the rotation of the left and right rotating shafts 3C through the left and right transmission mechanisms.
If the rotating speed of the left and right motor 3D output shafts is higher, the left and right transmission mechanisms can be designed or selected as speed reduction transmission mechanisms, so that the left and right rotating speeds are slow, and the experience of a patient is in a comfortable state.
Fourthly, the electronic control subsystem comprises: a power circuit and a switch.
And the power supply circuit is used for supplying power to each electrical appliance.
For the switch, a suitable scheme may be adopted according to design requirements. For example, a plurality of switches may be combined to be designed into a switch box (also referred to as a control box), and a plurality of touch buttons are provided thereon, which is specifically exemplified as follows:
1. the switch box is provided with a downward switch, the downward switch is continuously pressed and is not placed, the other end of the upper pusher 2B and the lower pusher 2B are pushed out, the rectangular frame body 2A is pushed to rotate, the bed body 4 is further driven to rotate downwards, namely, the head of a patient changes downwards, and when the downward inclination angle of a target value is reached, the downward switch is released, and the bed body 4 stops rotating downwards.
2. The switch box is provided with an upward switch, the upward switch is continuously pressed and is not placed, the other end of the upper pusher 2B and the lower pusher 2B retracts and pulls the rectangular frame body 2A to rotate, so that the bed body 4 is driven to rotate upwards, namely the head of a patient moves upwards, and when the horizontal position is reached, the upward switch is released, so that the bed body 4 stops rotating upwards; or when the bed body 4 is inclined to the target angle, the upward switch is released, and the bed body 4 stops rotating upward.
3. The switch box is provided with a leftward rotation switch, the leftward rotation switch is continuously pressed and is not placed, and the output shafts of the left and right motors 3D rotate in opposite positive directions, so that the left and right rotating shafts 3C rotate in the positive directions, and the bed body 4 is driven to rotate leftward; when the target leftward inclination angle is reached, the leftward switch is released, and the bed 4 stops rotating leftward.
4. The switch box is provided with a right-turning switch, the right-turning switch is continuously pressed to turn, and the output shafts of the left and right motors 3D turn in opposite directions, so that the left and right turning shafts 3C turn in opposite directions and drive the bed body 4 to turn rightwards; when the right inclination angle of the target value is reached, the right rotation switch is released, and the bed body 4 stops rotating rightwards.
Fifthly, fig. 1 to 10 primarily introduce and show several conditions of the bed body.
Fig. 1 is a schematic perspective view of a patient lying on a bed, the bed being horizontal in this figure. The arrow labeled three-dimensional coordinates in the figure illustrate: s, upper; x, lower; q, front; H. then; z, left; and Y, right.
FIG. 2 is a schematic view of a bed of the present invention, the bed being horizontal; the left and right rotating shafts are fixedly connected with the bed body into a whole through a connecting piece 8; FIG. 3 is a right side view of FIG. 2; FIG. 4 is a top view of FIG. 2;
FIG. 5 is a schematic view showing the bed rotated downward; FIG. 6 is a right side view of FIG. 5; FIG. 7 is a schematic view showing the bed rotated to the left; FIG. 8 is a right side view of FIG. 7; FIG. 9 is a schematic view of the bed rotated both downward and to the left; fig. 10 is a right side view of fig. 9.
How the rotation shown in the above drawings is implemented will be described in more detail later and in the examples.
Further technical scheme 2.
The technical solution is described as follows.
The up-down rotating mechanism comprises a pair of rocker arms 13; the rectangular frame body 2A is rotatably connected with the upper part of the tripod, namely the upper end of the rocker arm 13 is rotatably connected with the upper part of the tripod, and the lower end of the rocker arm 13 is fixedly connected with the rectangular frame body 2A.
Description of the technical solution as above, the following is illustrated and explained.
See fig. 11, 12, 13; when the up-down pusher 2B pushes and pulls the swing arm 13 to rotate, the rectangular frame 2A is rotated together, and the left-right rotating shaft 3C and the bed 4 are also rotated up or down at the same time.
Apart from the push-pull rocker arm 13, the up-down pusher 2B can push and pull the rectangular frame 2A directly, and the bed 4 can also rotate up and down. In fig. 16, the 4 upper and lower pushers, which are drawn with dotted lines, are installed in different ways, and can also push the bed 4 to be tilted downward, and can pull the tilted bed 4 back to be horizontal, or pull the bed 4 to be tilted upward.
Now, four upper and lower pushers drawn in dashed lines in fig. 16 are described one by one, from left to right.
In FIG. 16, the lower end of the left upper and lower pusher is fixedly connected with the bed frame 1 through a connecting part, and the upper action end thereof is connected with the rectangular frame body 2A; when the action end is extended out, the rectangular frame body 2 rotates downwards, so that the left and right rotating shafts 3C and the bed body 4 are driven to rotate downwards; when the rectangular frame body 2A is retracted, the rectangular frame body 2A rotates upwards, so that the left and right rotating shafts 3C and the bed body 4 are driven to rotate upwards, and the declined rectangular frame body 2A, the left and right rotating shafts 3C and the bed body 4 can rotate upwards.
The left two up and down pushers in fig. 16 function in a similar manner to the left one up and down pushers.
The left three up-down pushers and the left four up-down pushers in fig. 16, which act in the opposite direction to the left one up-down pushers; namely: the left third and the left fourth upper and lower pushers retract to the action end, and the bed body 4 rotates downwards; the bed body 4 which extends out of the action end and is declined rotates upwards.
Further technical scheme 3.
The solutions described, illustrated and explained below are applicable to manual, electric and semi-automatic types.
Technical solution description. The bed frame 1 comprises a long strip-shaped reinforcing beam; the two ends of the stiffening beam are respectively fixedly connected with the top of a herringbone tripod.
Description and explanation. The mechanical structure of the bed frame 1 can be added with a reinforcing beam structure if the material used for designing and manufacturing is thinner, as shown in fig. 17; or, the reinforcing beam structure is used, although the material is seemingly increased, the material of other structural components can be thinner, so that the structural firmness and reliability of the further technical scheme can be obviously improved under the condition that the total material (the total weight) is not increased.
Further technical scheme 4.
The solutions described, illustrated and explained below are applicable to manual, electric and semi-automatic types.
Technical solution description. The bearing base comprises wheels; the wheels are fixedly connected with the bottom of the bearing base.
Description and explanation. After the wheels are arranged at the bottom of the bed frame 1, the whole system is moved and moved to bring great convenience.
Further technical scheme 5.
The solutions described, illustrated and explained below are applicable to both the electric and the semi-automatic types.
In the latter embodiment, the left and right transmission mechanisms are ring gear transmission mechanisms; other types of transmission mechanisms, such as gear transmissions, or chain transmissions, or belt transmissions, etc., may also be used for the purpose of the invention. Which are described, illustrated and explained, respectively, below.
a. Technical solution description. Left and right sides drive mechanism be gear drive mechanism, include: a driving gear and a driven gear; the output end of the left motor 3D and the output end of the right motor 3D are fixedly connected with the driving gear, the driving gear is meshed with the driven gear, and the driven gear is fixedly connected with the end parts of the left rotating shaft and the right rotating shaft.
Description and explanation. When the left and right motors rotate, the output ends of the motors drive the driving gears to rotate, so that the driven gears are driven to rotate, and finally the left and right rotating shafts are driven to rotate, so that the purpose of rotating the bed body left and right is achieved.
b. Technical solution description. The left and right transmission mechanisms are chain transmission mechanisms and comprise: a chain, a drive sprocket, and a driven sprocket; the output end of the left motor 3D and the output end of the right motor 3D are fixedly connected with a driving chain wheel, a driven chain wheel is fixedly connected with the end parts of the left rotating shaft and the right rotating shaft, and a chain is meshed with the driving chain wheel and the driven chain wheel.
Description and explanation. When the left and right motors rotate, the output ends of the motors drive the driving chain wheels to rotate, the driven gears are driven to rotate through the chains, and finally the left and right rotating shafts are driven to rotate, so that the purpose of rotating the bed body left and right is achieved.
c. Technical solution description. The left and right transmission mechanisms are belt transmission mechanisms, and comprise: a drive belt, a drive pulley, and a driven pulley; the output end of the left motor 3D and the output end of the right motor 3D are fixedly connected with a driving belt wheel, a driven belt wheel is fixedly connected with the end parts of the left rotating shaft and the right rotating shaft, and a transmission belt is in friction connection with the driving belt wheel and the driven belt wheel.
Description and explanation. When the left and right motors rotate, the output ends of the motors drive the driving belt wheels to rotate, the driven belt wheels are driven to rotate through the driving belts, and finally the left and right rotating shafts rotate, so that the purpose of rotating the bed body left and right is achieved.
Further technical scheme 6.
The solutions described, illustrated and explained below are applicable to both the electric and the semi-automatic types.
In the first embodiment, the output end of the upper and lower pushers can be extended under the control of the electric control subsystem, so as to cause the bed 4 to tilt downwards, as shown in fig. 14; description of the drawings: FIG. 14 is a schematic view of the bed of FIG. 11 rotated downward. For the bed body 4 which has declined, the output ends of the upper and lower pushers can be retracted under the control of the electric control subsystem, so that the bed body 4 returns to the horizontal state, as shown in fig. 11; or the output ends of the upper and lower pushers retract further, so that the bed body 4 enters an upward inclined state.
The specific mechanism of the upper pusher and the lower pusher can be in various forms, such as: a lead screw and nut mechanism, or a hydraulic pump mechanism, or a pneumatic mechanism, etc. Which are described, illustrated and explained, respectively, below.
a. Technical solution description. The upper and lower pushers 2B are screw-nut mechanisms including: a screw rod 2E, a nut piece 2F, an upper motor 2D, a lower motor 2D and an upper base 2I and a lower base 2I; the external thread of the screw rod 2E and the internal thread of the nut piece 2F are in threaded fit, and the body part of the screw rod 2E is screwed into the nut piece 2F; the upper base 2I and the lower base 2I are connected with the bed frame 1, and the upper motor 2D and the lower motor 2I are fixedly connected; the output shafts of the upper and lower motors 2D are fixedly connected with the screw rod 2E, or the output shafts of the upper and lower motors 2D are in transmission connection with the screw rod 2E through a gear transmission part; the nut piece 2F is connected with the rectangular frame body 2A; and the wiring ends of the upper motor 2D and the lower motor 2D are electrically connected with the electric control subsystem through electric wires.
Description and explanation. See drawing 18 and figure 19. When the electronic control subsystem commands the upper motor 2D and the lower motor 2D to rotate forwards, the output shaft of the upper motor 2D and the output shaft of the lower motor 2D are in transmission connection with the screw rod 2E through a gear transmission part (a driving gear and a driven gear); the screw rod 2E is driven to rotate forwards, the nut piece 2F extends outwards and pushes the rectangular frame body to rotate, and therefore the bed body 4 tilts downwards; the nut member is extended outward, i.e., the state of the picture 18 is changed to the state of the picture 19. In addition, for the bed body which is declined, when the electronic control subsystem commands the upper motor and the lower motor to rotate reversely, the motor drives the screw rod to rotate reversely, the nut piece retracts inwards and pulls the rectangular frame body to return, so that the bed body can return to a horizontal state; the nut member is retracted inwardly, i.e. the painting 19 condition changes to the fig. 18 condition. If the nut members are further retracted inwardly, the bed enters an inclined state.
b. Technical solution description. The upper and lower pushers 2B are hydraulic pump mechanisms including: the hydraulic assembly comprises a hydraulic output rod, a hydraulic motor, a hydraulic base and a hydraulic wiring terminal; one end of the hydraulic assembly and one end of the hydraulic output rod are positioned in the hydraulic base; the output end of the hydraulic motor is connected with the hydraulic component, or the output end of the hydraulic motor is in transmission connection with the hydraulic component through a transmission piece; the hydraulic base is rotationally connected with the frame; the other end of the hydraulic output rod is rotatably connected with the rectangular frame body; the hydraulic wiring terminal is electrically connected with the electric control subsystem through an electric wire.
Description and explanation. When the electronic control subsystem commands the hydraulic pump mechanism to act in the forward direction, the other end of the hydraulic output rod is led to extend outwards, and the rectangular frame body is pushed to rotate, so that the bed body moves downwards, and the inclined state of the bed body can be understood by referring to fig. 14. In addition, for the bed body which has declined, when the electronic control subsystem commands the hydraulic pump mechanism to act reversely, the other end of the hydraulic output rod is caused to retract inwards and pull the rectangular frame back, so that the bed body can return to a horizontal state, and the horizontal state of the bed body can be understood by referring to fig. 11. If the other end of the hydraulic output rod retracts further inwards, the bed body enters an upward inclining state.
c. Technical solution description. The upper and lower pushers 2B are pneumatic mechanisms including: the pneumatic rod, the cylinder assembly containing the solenoid valve, the cylinder base, the cylinder wiring terminal and the air compressor; one end of the air cylinder assembly and one end of the air moving rod are positioned in the air cylinder base; the cylinder base is rotationally connected with the frame; the other end of the pneumatic rod is connected with the rectangular frame body; the gas output port of the air compressor is the same as the gas input port of the cylinder base through a gas pipe; the electronic control subsystem is electrically connected with the air compressor through an electric wire and is electrically connected with the cylinder wiring terminal through an electric wire.
Description and explanation. The air compressor supplies compressed air to the cylinder to ensure the compressed air required for the operation of the cylinder. When the electronic control subsystem commands the pneumatic mechanism to act in the forward direction, the other end of the pneumatic rod extends outwards and pushes the rectangular frame to rotate, so that the bed body moves downwards, and the inclined state of the bed body is understood by referring to fig. 14. In addition, for the bed body which has declined, when the electronic control subsystem commands the pneumatic mechanism to act reversely, the other end of the pneumatic rod retracts inwards, and the rectangular frame body is pulled back, so that the bed body can return to a horizontal state, and the horizontal state of the bed body can be understood by referring to fig. 11. If the other end of the pneumatic rod is retracted further inwards, the bed enters an inclined state.
Further technical scheme 7.
The technical content described, illustrated and explained below is applicable to electric, semi-automatic and manual types.
A, describing a technical scheme. The system includes a railing and a railing seating member.
Description and explanation. In order to prevent the patient from sliding out of the sides of the bed 4, two railings are respectively arranged on the two sides of the bed 4. After lying on the bed body 4, the patient treats the railing as a vertical blocking state, and then the railing is positioned in place by the components and keeps the vertical blocking state. If the handrail is turned to be in an upright state from the original sagging state, the positioning part can be a part with a buckle type structure, and the part is clamped, so that the upright state of the handrail can be kept unchanged; when the patient is going to get down from the bed 4, the part is loosened (or pressed, and is unlocked substantially), and the patient can get down by rotating the down railing.
Between railing and the bed body, also can keep the erect state of railing unchangeable through using the bolt part, the bolt is the part of taking one's place. Inserting the bolt, and keeping the handrail in a vertical state; the bolt is pulled, and the handrail can be rotated and put down.
B, technical scheme description. The retention component is any combination of the following four: a. a rope; b. a baffle plate; c. pressing a plate; d. provided is a protective tape.
Description and explanation. The retention means is used to ensure safety in order to prevent the patient from moving or sliding on the bed 4.
In the present invention, the protective belt may also be referred to as a seat belt; the existing safety belts can be purchased, for example, the safety belts or the protective belts are collected and searched from the Taobao network, a plurality of similar commodities for purchasing can be jumped out, and then the suitable safety belts are selected and directly used after being purchased or used after being slightly modified.
Any combination of the four, which means that the retention member is any one of the following 14:
1. a rope; 2. a baffle plate; 3. pressing a plate; 4. protecting the belt; 5. a rope and a baffle; 6. a rope and a pressure plate; 7. a cord and a protective tape; 8. a baffle plate and a pressure plate; 9. a baffle and a protective belt; 10. a pressing plate and a protective belt; 11. ropes, baffles and pressure plates; 12. ropes, baffles and protective belts; 13. the device comprises a baffle, a pressing plate and a protective belt; 14. rope, baffle, clamp plate and boundary belt.
The rope is an ancient and original tool, and the patient and the bed body 4 can be bound together by using the rope. The baffle can block the patient from the left direction, the right direction and the upper direction. The pressing plate can press the patient from top to bottom and can be made of flexible materials. The number of guard bands used may be determined as appropriate; for example, three belts are used to tie the patient and the bed body into a whole from the legs, the waist and the chest.
And C, description of a technical scheme. The indicating mechanism is any one of the following two: a. a mechanical rotary graduator; b. an electronic display unit.
Description and explanation. The upward inclination angle of the bed body 4, the downward inclination angle of the bed body 4, the left inclination angle of the bed body 4 and the right inclination angle of the bed body 4 need to be marked or indicated so that an operator can know the current condition at any time and further can control the inclination angle of the bed body 4 to a target.
Case one. The indicating mechanism is a mechanical rotary graduator and comprises a scale disc and a pointer, wherein one part is arranged at a rotating part and rotates synchronously with a rotary object to be indicated, and the synchronous rotation can be direct synchronous rotation or indirect synchronous rotation; the other is arranged at a standstill. If a mechanical rotary graduator is used, two sets are needed, one set is used for indicating the upward inclination angle of the bed body 4 and the downward inclination angle of the bed body 4; the other set is used for indicating the left inclination angle and the right inclination angle of the bed body 4.
And (5) the second case. The indicating means is an electronic display member. For example, an electronic probe may be used to detect a trace amount of electrical signals, amplify and shape the electrical signals, convert the analog signals into digital signals, and finally form the digital signals, which are then displayed on a display unit. The electronic display component needs two detection circuits, one for detecting the upper and lower inclination angles of the bed body 4, and the other for detecting the left and right inclination angles of the bed body 4. The current angle of the bed body 4 can be displayed by a display screen; if the system of the present invention uses a control box, the display can also be made on the panel of the control box.
Further technical scheme 8.
The solutions described, illustrated and explained below are applicable to manual, electric and semi-automatic types.
Technical solution description. The retention member includes: protective tape, part a, and part B; one part A and one part B form a buckle group;
the both ends of boundary belt are connected with bed body 4, and the concrete connected mode at both ends is: a + b, or a + c, or b + b, or b + c, or c + c;
the a is as follows: the end part of the protective belt is fixedly connected with the bed body 4;
b is as follows: the end part of the protective belt is detachably connected with the bed body 4 through the buckle group; the part A is fixedly connected with the bed body 4, and the part B is fixedly connected with a protective belt; the part A and the part B are in plug connection;
the c is as follows: the end of the protective belt is selectively connected by a special connecting component, and the special connecting component is an A part and a plurality of B parts; a plurality of B parts are arranged on the strip-shaped buckle mounting plate from top to bottom, and the buckle mounting plate is fixedly connected with the bed body 4.
The above is a description of the technical solution, and the following is an explanation and an explanation.
After lying on the bed body, the patient can transversely tie the protective belt to tighten the body and the bed body together, and then the bed body is rotated.
The buckle group related in the further technical scheme is a buckle type component and comprises a socket and a plug. When the plug is inserted into the socket, the plug can not be pulled out and locked; if the plug is required to be pulled out, the lock is released by pressing the relevant part on the socket, and the plug can be pulled out. The conventional automobile safety belt mechanism uses the buckle group. The buckle group can be specially made according to the principle and the condition; the automobile accessory can be directly purchased and used from automobile accessory sellers, or slightly modified after being purchased so as to meet the requirements of actual installation and other situations.
The two ends of the protective belt are connected with the bed body 4 in any one of the following five ways.
In the first case. One end of the protective belt is fixedly connected with the bed body 4. The other end of the protection belt is detachably connected with the bed body 4 through the buckle group, in other words, the other end of the protection belt is detachably connected with the bed body 4 through the part A and the part B. If the specified socket is the part A, the plug is the part B; conversely, if the designated plug is part a, the receptacle is part B.
The connection mode of the protection belt with one end fixedly connected with the bed body 4 introduces 3 modes. In the 1 st mode, one end of a protective belt forms a ring-shaped structure around the position of the edge side of the bed body 4 and the ring-shaped structure is fixed by using a sewing mode; after finishing, the relevant part of the side of the bed body 4 is in the ring-shaped structure. In the 2 nd mode, one end of the protective belt forms a ring-shaped structure around the position of the side of the bed body 4, the ring-shaped structure is fixed by using a fastener, and after the protection belt is finished, the related position of the side of the bed body 4 is in the ring-shaped structure. In the 3 rd mode, one end of the protective belt is fixedly connected with the side of the bed body 4 through a fastener.
The second case. One end of the protective belt is fixedly connected with the bed body 4; the other end of the protective belt is selectively connected with a plurality of B parts through an A part in a plugging mode. If the specified socket is the part A, the plug is the part B; conversely, if the designated plug is part a, the receptacle is part B. A plurality of B parts are arranged on the strip-shaped buckle mounting plate from top to bottom, and the buckle mounting plate is fixedly connected with the bed body 4.
See fig. 31 and 32; FIG. 31 is a schematic view of a plurality of B parts mounted on a snap mount plate; FIG. 32 is a left side view of FIG. 31; in the two figures, the plurality of B parts are a plurality of sockets which are arranged on a strip-shaped buckle mounting plate from top to bottom, and the buckle mounting plate is fixedly connected with the bed body 4; in addition, the sockets are obliquely arranged, so that more sockets can be installed, and the requirements of fine selection and adjustment are met. When the protective belt is used, the plug is inserted into a proper socket according to the fatness and thinness of a patient, so that the protective belt is required to be tensioned, meets the safety requirement, cannot be pulled too tightly, and avoids the patient from suffering too much.
Furthermore, if the designated part B is a plug, a plurality of plugs are mounted on the elongated snap mounting plate, and the socket of the part A is connected with a proper plug in a plugging manner.
A third person. The two ends of the protective belt are respectively connected with the bed body 4 in a detachable way through a buckle group.
And a fourth case. One end of the protective belt is detachably connected with the bed body 4 through the buckle group; the other end of the protective belt is selectively connected with a plurality of B parts through an A part in a plugging mode.
And in the fifth case. One end of the protective belt is selectively connected with a plurality of B parts through an A part in a plugging way; the other end of the protective belt is also connected with a plurality of B parts through an A part in a selective plugging mode.
Further technical scheme 9.
The technical content described, illustrated and explained below is applicable to electric, semi-automatic and manual types.
Technical solution description. The bed frame 1 comprises: a bed frame body and a pair of portal frames; the portal frames are arranged in bilateral symmetry, and the bottom ends of the portal frames are fixedly connected with the bed frame main body; the up-and-down rotating mechanism comprises: the rocker arms 13 and the rotating shaft body 12 are arranged in bilateral symmetry; the upper end of the rocker arm 13 is rotatably connected with the upper part of the portal frame through a rotating shaft body 12; the lower end of the swing arm 13 is fixedly connected to the rectangular frame 2A.
Description and explanation. The technical solution is understood with reference to fig. 33.
The pair of herringbone tripods in fig. 11 and 13 is replaced by a pair of portal frames in the further technical scheme.
Further technical means 10.
The technical content described, illustrated and explained below is applicable to electric, semi-automatic and manual types.
Technical solution description. The bed frame 1 comprises: a bed frame body and a pair of chevron-shaped tripods; the triangular supports are arranged symmetrically left and right, and the bottom ends of the triangular supports are fixedly connected with the bed frame main body; the up-down rotating mechanism comprises a rotating shaft body 12; both sides of the rectangular frame body 2A are rotatably connected to the upper part of the tripod through a rotation shaft body 12.
Description and explanation. The technical solution is understood with reference to fig. 34.
The system of fig. 11, 13 uses a rocker arm 13; and the rocker arm is omitted in the further technical scheme.
Example one
The technical contents described, illustrated and explained below in the present embodiment are applicable to both the electric type and the semi-automatic type.
Several aspects of the bed have been described and illustrated with reference to figures 1 to 10.
This embodiment specifically describes and explains the rotation of the bed body. The following description will be made with reference to fig. 11 to 15.
Fig. 11 is a front view of the inventive system. FIG. 12 is a left side view of FIG. 11 with the left and right motors labeled 3D omitted; FIG. 13 is a partial perspective view of the inventive system; FIG. 14 is a schematic view of the bed of FIG. 11 rotated downward. FIG. 15 is a schematic view of the bed of FIG. 11 shown rotated to the left.
The invention system of the embodiment is described first, and includes: the bed comprises a bed frame 1, an up-down rotating mechanism, a left-right rotating mechanism, a bed body 4, a fixing component for fixing the body of a patient 5 and the bed body 4 relatively, an indicating mechanism for displaying the rotating state and an electric control subsystem; the up-and-down rotating mechanism comprises: a rectangular frame body 2A, and an upper and lower pusher 2B having terminals; both sides of the rectangular frame body 2A are rotatably connected with the bed frame 1 through a rotating shaft body 12 and a rocker arm 13. One end of the upper and lower pushers 2B is connected to the bed frame 1, and the other end of the upper and lower pushers 2B is connected to the swing arm 13.
The left-right rotating mechanism comprises: a first mounting plate 3A, a second mounting plate 3B, left and right rotating shafts 3C, and left and right motors 3D; the first mounting plate 3A is fixedly connected with one end of the rectangular frame body 2A, and the second mounting plate 3B is fixedly connected with the other end of the rectangular frame body 2A; the left and right rotating shafts 3C are rotatably connected with the first mounting plate 3A and the second mounting plate 3B; control motor 3D and first mounting panel 3A fixed connection.
The output ends of the left and right motors 3D are in transmission connection with the end parts of the left and right rotating shafts 3C through an internal gear transmission mechanism. Further, the ring gear transmission mechanism includes: the driving external gear 3E1A, and the driven internal gear 3E 1B; the output end of the left and right motors 3D is fixedly connected with the driving external gear, the driving external gear is meshed with the driven internal gear, and the driven internal gear is fixedly connected with the end parts of the left and right rotating shafts.
The left and right rotating shafts 3C are fixedly connected with the bed body 4.
The electric control subsystem comprises: a power circuit and a switch; and the electric control subsystem is electrically connected with the upper pusher 2B and the lower pusher 2B and is electrically connected with the left motor 3D and the right motor 3D.
The inventive system of the present embodiment is described above, illustrated and explained below.
Fig. 11 and 12 show the inventive system with bed 4 in a horizontal position. When the upper and lower push rods 2B receive the extending instruction of the electric control subsystem, the output end is extended to push the rocker arm 13 to rotate gradually, and then the rectangular frame body 2A, the first mounting plate 3A, the second mounting plate 3B, the left and right rotating shafts 3C and the bed body 4 are pushed to rotate together at the same time until the command is stopped. The effect of the aforementioned rotation is shown in fig. 14, wherein the bed 4 rotates downwards, that is: if a patient lies on the bed 4, the head of the patient is tilted downward in fig. 14, that is, the patient is high and the forehead is low. The system of the invention in the down tilt state in fig. 14 can also be restored to the horizontal state, which is the case: when the upper and lower push-pieces 2B receive a retraction instruction from the electronic control subsystem, the retraction output end pulls the rocker arm 13 to gradually rotate, and further pulls the rectangular frame body 2A, the first mounting plate 3A, the second mounting plate 3B, the left and right rotating shafts 3C and the bed body 4 to rotate together until the rectangular frame body returns to the horizontal state, at this time, the instruction stops, and the situation returns to the state shown in fig. 11. If the electronic control subsystem commands: the upper and lower pushers 2B further retract to the output end, and the bed body enters an upward inclining state.
The above description is about the situation that the bed 4 in the invented system is rotated downwards, and the situation that the bed 4 in the declined state is restored to the horizontal state, and the situation that the bed 4 enters the declined state. Next, the case where the bed 4 is rotated to the left and the case where the bed 4 in the state of being tilted to the left is restored to the horizontal state will be described.
See fig. 11 and 12, in which the bed 4 is in a horizontal state. When the left and right motors 3D receive a forward action instruction of the electric control subsystem, the output shafts of the left and right motors 3D rotate forward to drive the driving external gear to rotate and the driven internal gear to rotate, so that the left and right rotating shafts 3C also rotate leftward to drive the bed body 4 to rotate leftward, and the rotated condition is shown in fig. 15. If the bed body 4 is to rotate rightwards, the electric control subsystem sends a reverse action instruction to the left motor 3D and the right motor 3D, the output shafts of the left motor 3D and the right motor 3D rotate reversely so as to drive the driving external gear to rotate reversely and drive the driven internal gear to rotate reversely, then the left rotating shaft 3C and the right rotating shaft 3C rotate rightwards, and meanwhile, the bed body 4 is driven to rotate rightwards. According to the requirements of the conditions, the bed body 4 can be rotated to the horizontal position to stop rotating, and can also be continuously rotated to a certain right inclination angle to stop rotating.
Example two
This embodiment describes the case where the indicating means is a mechanical rotary graduator in the inventive system of the electric type.
The mechanical rotary graduator comprises a scale disc and a pointer, wherein one part is arranged at a related rotating position and rotates synchronously with a rotary object to be indicated, and the synchronous rotation can be direct synchronous rotation or indirect synchronous rotation; the other is arranged at a standstill.
The description will be made with reference to fig. 20 and 21; reference numbers in the figures: 17 is a graduated disk; and 18 is a pointer. In FIG. 20, the bed 4 is in a front-to-back balanced horizontal state; the scale disk is fixedly connected to the rocker arm 13 and rotates together with the rocker arm 13, and the center point (center point) of rotation is on the central axis of the rotation shaft body 12. The pointer is fixedly connected with the top of the herringbone tripod, so that the pointer cannot rotate. Assuming that the bed 4 rotates 20 ° downwards, the scale disc will also rotate 20 ° together with the pointer, and the pointer will not move, and the case of the scale disc and the pointer is shown in fig. 21. Also, if the bed 4 which has been tilted downward and rotated by an angle of 20 ° is rotated by an angle of 20 °, i.e., rotated upward by an angle of 20 ° and is in a horizontal state, the scale disc and the pointer are as shown in fig. 20. And if the bed body 4 is in a front-back balanced horizontal state, then the bed body 4 tilts upwards and rotates for a plurality of angles, the pointer is also fixed, the scale circle and the bed body 4 tilt upwards and rotate for the same angle, and the change between the pointer and the scale circle reflects the angle condition of the tilting and rotating.
The above is the indication condition of the declination and upwelling rotation angles of the bed body. The indication of the left-leaning rotation angle of the bed body is described as follows.
The description will be made with reference to fig. 22 and 23. Fig. 22 corresponds to the case of viewing from the right side of fig. 11. In fig. 22, the bed 4 is in a horizontal state with a balanced left and right; the scale disc is fixedly connected with the second mounting plate 3B, so that the scale disc cannot rotate left and right; the pointer is fixedly connected to the end of the left and right turning shaft 3C, and therefore, the pointer turns together with the left and right turning shaft 3C. Assuming that the bed 4 is tilted leftwards by 20 degrees, the pointer will also rotate 20 degrees together with the scale disk, and the scale disk and the pointer will not move, as shown in fig. 23. Also, if the bed 4 which has been tilted to the left by an angle of 20 ° is turned to the right by an angle of 20 °, i.e., to a horizontal state balanced between left and right, the scale disk and the pointer will be as shown in fig. 22.
The indication condition of the left-leaning and rotating angle of the bed body is introduced above; for the indication condition of the right-inclined rotating angle of the bed body, a reader can easily analyze the right-inclined rotating angle by himself.
EXAMPLE III
The technical contents described, illustrated and explained below in the present embodiment are applicable to manual, electric and semi-automatic types.
The present embodiment describes the installation of the antiskid structure, and is explained with reference to fig. 24.
In fig. 24, the anti-slip structure has one head block 4-1 disposed at a front position of the top of the patient's head when lying down; two shoulder blocks 4-2 are provided and are arranged at the front position of the shoulders of the patient when lying down; two left and right blocks 4-3 are provided, which are arranged at the left and right positions of the body of the patient when lying and sleeping.
The anti-slip structure can achieve good effect if used with the retention component.
The anti-slip structure may be designed to be arranged in a small number selected from any one of the following 6.
1. A head block; 2. two shoulder blocks; 3. two left and right blocks; 4. a head block and two shoulder blocks; 5. a head block and two left and right blocks; 6. two shoulder blocks and two left and right blocks.
Example four
The technical contents described, illustrated and explained below in the present embodiment are applicable to manual, electric, and semi-automatic types.
The present example describes the positioning indicators and their use, rather than the treatment steps; so that the description is simplified and much of the content is omitted, which is to be noted by the reader.
The description will be made with reference to fig. 25 to 30. FIG. 25 is a positioning indicator 4-4 made of a plastic plate; the nature of the plastic prevents injury to the patient if an accident should occur during use. The positioning indicator is provided with three small downward convex indicating points at the circular arc position; FIG. 26 is a schematic view of the bed, wherein a rail is respectively arranged at the left and the right of the bed, and the upper part of the rail is provided with a socket 11-1; FIG. 27 is a schematic view of the patient lying on the bed of FIG. 26; FIG. 28 is the schematic view of FIG. 27 with the alignment indicator 4-4 inserted, wherein the alignment indicator 4-4 is inserted into the socket of the receptacle 11-1 at both ends; FIG. 29 is a schematic view of the bed of FIG. 28 rotated to the left by an angle of 52.1; fig. 30 is a schematic view of the patient's head of fig. 29 autonomously rotated to the left by an angle of 30.
For a description of the sequence of using the positioning indicators. Firstly, a patient lies on a bed body; secondly, inserting a positioning indicator 4-4; thirdly, the bed body rotates leftwards by an angle of 52.1 degrees; fourthly, aligning the nose tip of the patient with the downward convex indicating point in the middle of the locating indicator 4-4, and then automatically rotating the head of the patient to the left by 30 degrees, namely rotating the head to the downward convex indicating point on the left side of the nose tip aligning locating indicator 4-4. Thereafter, the treatment state is entered.
The technical analysis is as follows. If necessary for treatment, it is assumed that the head of the patient needs to be turned to the left by an angle of 82.1. The technical proposal of the embodiment has the advantages that the angle of the bed body rotating to the left can be a little bit smaller; namely: in order to achieve the final target of large-amplitude leftward head rotation, the method is implemented in two steps; firstly, the bed body rotates leftwards by an angle of 52.1 degrees, and secondly, the patient autonomously rotates leftwards by an angle of 30 degrees.
The 82.1 ° angle value (total rotation angle) is 52.5 ° angle value (first step rotation angle) +30 ° angle value (second step rotation angle).
The above situation is illustrated: originally, the operation that the bed body needs to be rotated leftwards greatly is changed into two steps by using the invention technology of the embodiment, the first step is that the bed body rotates leftwards with equal amplitude, and the second step is that the head of the patient rotates leftwards again under the indication and the help of the positioning indicator 4-4, so as to achieve the rotation angle of the full forehead.
If the bed body needs to be rotated rightwards greatly, the operation mode of two walking steps can be also adopted. The bed body can firstly reach a state of left-right balance, then rotate rightwards by a medium-amplitude angle, and then automatically rotate rightwards by the head of the patient to reach a rotation angle of the full forehead. However, the head is rotated to the right convex pointing point of the nose tip alignment positioning indicator 4-4, and then enters the treatment state.
And (5) analyzing the advantages. The bed body rotates leftwards or rightwards, the rotation amplitude of the bed body is reduced from large to small, the bed body is not only beneficial to the comfort of a patient, but also beneficial to the safety, and the manufacturing difficulty of the system can be reduced, and the selection range of the design is facilitated.
With regard to the positioning indicator 4-4, the present embodiment has been described above with reference to two points: one is to use three downwardly convex index points. Secondly, the nose tip turns to an indicating point aligned to the left side from an indicating point aligned to the middle, which is equivalent to that the head turns to the left by an angle of 30 degrees; alternatively, the nose tip turns from an index point aligned at the middle to an index point aligned at the right, corresponding to the head turning to the right by an angle of 30 °.
In the above case, we can also change the basic principle, and the explanation will be made later. Firstly, the indication point can also be concave upwards; even if the positioning indicator is not concave-convex, the line is drawn on the arc part of the positioning indicator 4-4 and the angle value is written. Secondly, the angle of the patient self-rotating can be different from 30 degrees, such as 35 degrees or 25 degrees, and the like; as long as the sum of the first-step rotation angle and the second-step rotation angle is equal to the total target angle. Thirdly, the shape of the paranasal sinuses of each person is not exactly the same; if some patients are examined by CT scanning of the paranasal sinuses, the doctor thinks that it is more appropriate to turn left or right to a certain angle, the total turning angle can be targeted according to the appropriate angle, namely: the sum of the first step rotation angle and the second step rotation angle is equal to the appropriate angle of the target.
In the present invention, the positioning means includes a positioning indicator 4-4 and a positioning indication bracket; the positioning indicator 4-4 is connected with the bed body 4 through a positioning indication bracket. The above description of the present embodiment is a specific case, and the balustrade and the mounting socket 11-1 are used as the positioning indication bracket, which has the advantage that the balustrade has two purposes. Of course, it is also possible to use two long insertion plates, one long insertion plate being inserted on each side of the bed body and then the positioning indicator being inserted above the long insertion plates, instead of using the balustrade and the mounting socket 11-1 as the positioning indicator support.
EXAMPLE five
The technical contents described, illustrated and explained below in the present embodiment are applicable to the type of electric motor; it can also be applied to semi-automatic types after modification.
This example describes the use of the system of the present invention to treat fluid accumulation in the maxillary sinus.
1. The bed body 4 of the system is in a horizontal state, and a patient lies on the bed body 4 and faces upwards.
2. Four guard bands are used; one protective belt is transversely arranged on the chest of the patient, one protective belt is transversely arranged on the waist of the patient, one protective belt is transversely arranged on the thigh of the patient, and the other protective belt is transversely arranged on the lower leg of the patient; the two ends of the protective belt are connected with the bed body 4. After the protective belt is used, the safety of the patient is guaranteed, and the situations of rolling, sliding, falling and the like of the patient can be avoided.
3. The guardrail is then activated and the positioning indicator 4-4 is snapped onto the guardrail.
4. The upper and lower pushers are opened to make the bed body declined to an angle of 22.5 degrees, namely the head of the patient declined to an angle of minus 22.5 degrees.
5. And starting the left and right motors for 3D to rotate the bed body leftwards by an angle of 52.1 degrees.
6. The head of the patient autonomously rotates to the left by an angle of 30 degrees by the indication of the positioning indicator 4-4; thus, the head of the patient is actually in a state of declination at an angle of 22.5 degrees and left declination at an angle of 82.1 degrees.
The formula: 52.1 ° +30 ° -82.1 ° -degree
7. The state of declination at an angle of 22.5 degrees and left declination at an angle of 82.1 degrees is kept for 5 to 10 minutes. In this state, the accumulated fluid in the right maxillary sinus will flow out.
The treatment steps of the effusion in the right maxillary sinus are as above; if the treatment of the effusion in the left maxillary sinus can refer to the above steps, but the bed body needs to be rightwards rotated to be horizontal, then the bed body is further rightwards rotated by an angle of 52.1 degrees, and then the head of the patient autonomously turns rightwards by an angle of 30 degrees. The state of declination at an angle of 22.5 degrees and right declination at an angle of 82.1 degrees is kept for 5 to 10 minutes, and effusion in the left maxillary sinus flows out in the state.
The above description is understood with reference to fig. 21, 23, and 25-30.
EXAMPLE six
The technical contents described, illustrated and explained below in the present embodiment are applicable to the type of electric motor; it can also be applied to semi-automatic types after modification.
This example describes the use of the inventive system to treat fluid accumulation in the sphenoid sinus.
A bed used in this embodiment will be described. The head area of the bed body is provided with air holes and a hole cover matched with the bed body. The hole cover can be taken out or put in from the air holes. A buckle structure can be arranged between the hole cover and the air hole; the buckle structure has the advantages that: the gap between the hole cover and the air hole is loose, but the hole cover is clamped by the clamping structure and cannot fall out when being placed in the air hole; secondly, when in need, the hole cover is easy to take out, and the situation that the hole cover cannot be taken out can not occur. When the hole cover is placed in the ventilation hole of the bed body, the hole cover is in a flat state with the peripheral bed body without unevenness, so that a patient can lie and sleep comfortably and feel good.
The bed described above was used in the following operations described in this example.
The treatment of fluid accumulation in sphenoidal sinuses is as follows.
1. Initially, the bed 4 of the system of the invention is in a horizontal state, and the hole cover is taken out from the air holes of the bed.
2. The patient lies on the bed body 4 and turns over to form a prone posture with the back facing upwards and the chest facing downwards; one part of the face is positioned at the air holes, and the nose breathes through the air holes, so that breathing obstruction can be avoided.
3. A plurality of guard bands are used. After the protective belt is used, the safety of the patient is guaranteed, and the situations of rolling, sliding, falling and the like of the patient can be avoided.
4. The upper and lower pushers are started, and under the action of the upper and lower pushers, the bed body is inclined upwards to an angle of 35.5 degrees, namely the head of the patient is inclined upwards to an angle of 35.5 degrees, and the head is high and the feet are low.
5. And starting the left and right motors for 3D to rotate the bed body to the left by an angle of 15.3 degrees.
7. The head of the patient is kept for 5-10 minutes in a state of being inclined upwards at an angle of 35.5 degrees and inclined leftwards at an angle of 15.3 degrees. Under the state, the effusion in the sphenoid sinus on the right side can flow out.
The treatment steps of the effusion in the sphenoid sinus on the right side are as above; in the case of fluid accumulation in the left sphenoid sinus, this will be understood with reference to the above description, but with the bed at a right-dip angle of 15.3. The head of the patient keeps in the state of inclining for 5-10 minutes at an angle of 35.5 degrees and inclining for 15.3 degrees, and the effusion in the sphenoid sinus on the right side flows out.
In the fifth embodiment, when treating maxillary sinus, the head of the patient needs to keep the state of declination at an angle of 22.5 degrees, left declination and right declination at an angle of 82.1 degrees; in the sixth embodiment, when treating the sphenoid sinus, the head of the patient needs to keep the state of the upward inclination angle of 35.5 degrees, the left inclination angle and the right inclination angle of 15.3 degrees. For these, the following three points are further explained.
First, the inventor uses the parameters of the head inclination angle in the fifth embodiment and the sixth embodiment to treat part of patients, and has obtained good curative effect.
Secondly, the parameters of the inclination angle of the head have certain tolerance in the treatment, that is, the treatment still has effect within a certain angle error range.
And thirdly, the system can be used for treating the patient suffering from the hydropsy nasosinusitis after the CT scanning examination of the paranasal sinuses. For the patients with special sinus shape and structure size, the doctor does not need to be limited by the parameters of the inclination angles in the fifth embodiment and the sixth embodiment, and can change the parameters of the relevant inclination angles according to the result of the CT scanning examination so as to obtain better medical effect.
EXAMPLE seven
The technical contents described, illustrated and explained below in the present embodiment are applicable to the electric type.
This embodiment introduces a control box in an electronic control subsystem; the action of the inventive system is operated by the control box.
The control box is provided with a touch key. The key includes: a "down" key, an "up" key, a "left" key, and a "right" key; there are also an "on" button and an "off" button.
In addition, the panel of the control box is also provided with two digital displays, and the first digital display shows the condition of the vertical rotation angle of the bed body; when the bed body is in a front and back horizontal state, the bed body is displayed as 0; when the bed body is in a declination state, a negative value is displayed, which corresponds to that the patient lies on the bed and has a high leg and a low head; when the bed body is in the upward inclined state, the positive value is displayed, which corresponds to that the patient lies on the bed and is in a head-high sole state. The second digit shows the condition of the left-right rotation angle of the bed body; when the bed body is in a horizontal state with balanced left and right, the number is 0; the bed body is positive when leaning to the left and negative when leaning to the right.
After a patient is in place on the horizontal bed body and various preparation works are well done, firstly pressing an 'on' button on the control box, and turning on a power indicator light to indicate that the power is switched on; the first digit is displayed as '0', which indicates that the front and back balance of the bed body is in a horizontal state; the second place is also indicated as "0", indicating that the bed is in a horizontal state with respect to the left and right equilibrium.
Firstly, pressing a 'down' key without putting down, the bed body continuously rotates downwards, the number displayed at the first position is negative (indicating that the bed body is in a declining state) and continuously increases; when the 'down' button is released, the bed body stops rotating downwards, the number displayed at the first position also stops changing, and the number displays the declination angle of the current bed body. The bed body continuously rotates upwards when the 'upwards' key is pressed, and the number displayed at the first position also continuously changes; when the 'up' button is released, the bed body stops rotating upwards, and the number displayed at the first position also stops changing. When the bed body is in an upward inclined state, the number displayed at the first position is a positive value.
Pressing the left key to keep the bed body rotating to the left, wherein the number displayed at the second position is positive and the number is continuously increased; when the 'left' button is released, the bed body stops rotating leftwards, the number displayed at the second position also stops changing, and the numerical value shows the angle of the current bed body rotating leftwards and rightwards. The right key is pressed and not put, the bed body is continuously rotated rightwards, and the number displayed at the second position is continuously reduced; when the right key is released, the bed body stops rotating rightwards, and the number displayed at the second position is not changed any more. When the bed body is in a horizontal state with left and right balance, the number displayed at the second position is 0; if the right key is pressed again and the bed body is not put, the bed body is continuously rotated rightwards, and the number displayed at the second position is a negative value and is continuously increased; when the right key is released, the bed body stops rotating rightwards, and the displayed numbers also stop changing.
After the treatment is finished, the front and the back of the bed body are restored to the horizontal state and the left and the right of the bed body are restored to the horizontal state through the operation of the control box, namely, the numbers displayed at the first position and the second position are both displayed as '0' or are close to '0', and at the moment, the power supply is cut off by pressing the 'off' key; the harness is then released, etc., and the patient is taken out of the bed.
In addition, the control box can be placed in two ways. One is that the control box is fixedly connected with the bed frame 1 through a bracket; the control box is electrically connected with the electric control subsystem body through a fixed flat cable. The other is that the control box is arranged in a handheld mode and is electrically connected with the electric control subsystem main body through a flexible wire, and the control box is more convenient to use.
Example eight
The technical contents described, illustrated and explained below in the present embodiment are applicable to the electric type.
In this embodiment, the control box of the seventh embodiment is used to control the operation of the system of the present invention to complete the operation of treating hydropsy sinusitis.
The patient is required to drain fluid from the sinuses, and the relevant conditions and requirements in this example are as listed in a, b, c below.
a. The effusion in the sphenoid sinuses on the left and right sides needs to be drained, and the patient lies prostrate on the bed body during drainage; lying on the stomach means that the face and chest are downward, and the back and buttocks are upward, so that the user lies and sleeps. Under the condition that the patient lies prostrate on the bed body, the rotating angle of the bed body during drainage is as follows: the degree of upward inclination J angle and the degree of left and right inclination +/-K angle.
b. The effusion in the maxillary sinus on the left side and the right side needs to be drained, and the patient lies on the bed body firstly during drainage; lying on the back means that the face is facing up and the back is facing down, so that the user lies down. The inclination angle of the head during drainage is as follows: declination X angle degree, left and right declination +/-Y angle degree. Because the number of the angles of the head inclining left and right is larger +/-Y, the left-inclining rotation and the right-inclining rotation are carried out in two steps, the bed rotates by Y1 firstly in the first step, the patient rotates by Y2 secondly in the second step, and Y1+ Y2 is Y.
c. In this embodiment, the head area of the bed body is provided with air holes, and hole covers are arranged in the air holes.
The control box in this embodiment is provided with: the "down" key, the "up" key, the "left" key, the "right" key, the "on" key, and the "off" key. The panel of the control box is also provided with two digital displays, and the first digital display shows the condition of the vertical rotation angle of the bed body. The second digit shows the condition of the left and right rotation angles of the bed body.
The treatment operation is described below.
Firstly, before the treatment operation is started, the bed body is in a front-back horizontal state and a left-right horizontal state. The patient lies down on the bed body and ties the safety belt, etc.
Secondly, the guardrail is arranged and fixed, and the positioning indicator 4-4 is inserted, which is understood by referring to fig. 28.
Thirdly, operating the control box, pressing an 'on' button, lighting a power indicator lamp and switching on a power supply; on the panel of the control box, the numbers at two positions are displayed as '0' or the numerical value near '0'.
Continuously pressing a downward key on the control box, continuously rotating the bed body downwards, and loosening the key when the number displayed at the first position of the control box panel is a negative value X; if turned over, the adjustment can be made by pressing the "up" button intermittently.
Fifthly, when the number displayed at the first position is a negative X number, continuously pressing a left key on the control box, keeping the left key, enabling the bed body to continuously rotate to the left, and when the number displayed at the second position on the control box panel is a positive y1 number, loosening the key; if the rotation is over-head, the adjustment can be realized by intermittently pressing a 'right' key.
Sixthly, depending on the indication of the positioning indicator 4-4, the head of the patient automatically rotates to the left by an angle of y2 degrees; thus, the patient's head is actually tilted downward by X degrees and left by Y degrees.
The formula: y1+ Y2 ═ Y
Seventhly, keeping the state of declination X angle degrees and left declination Y angle degrees for 5-10 minutes. In this state, the accumulated fluid in the right maxillary sinus will flow out.
Eighthly, continuously pressing a right key on the control box, continuously rotating the bed body rightwards, and loosening the key when the number of y1 with negative values is displayed at the second position of the control box panel; if turned over, the adjustment can be made by pressing the "left" button.
Ninthly, depending on the indication of the positioning indicator 4-4, the head of the patient automatically rotates rightwards by an angle of y2 degrees; thus, the patient's head is actually tilted downward by X degrees and tilted rightward by Y degrees.
The formula: -Y1-Y2 ═ Y
"-Y", negative numbers indicate right tilt.
Tenthly, keeping the state of declination at the angle X and the angle Y for 5-10 minutes. In this state, the accumulated fluid in the left maxillary sinus will flow out.
Eleventh, through the control of the control box, the bed body is restored to the front-back horizontal state and the left-right horizontal state, and then the 'off' button is pressed to cut off the power supply.
The positioning indicator 4-4 is removed, the safety belt etc. is released and the cover of the hole at the bed head position is removed.
And twelfth, enabling the patient to lie on the bed body in the prone position, enabling one part of the face to be located at the air holes, and enabling the nose to breathe through the air holes.
Thirteen, retiring the safety belt, etc.
Fourteen, operating the control box, pressing the 'on' button, the power indicator light is on, and the power is switched on.
Fifteen, continuously pressing an 'upward' key on the control box, keeping the bed body rotating upwards, and loosening the key when the number displayed at the first position of the control box is a positive J number.
Sixthly, continuously pressing a left key on the control box, keeping the left key, continuously rotating the bed body to the left, and loosening the key when the number displayed at the second position is a positive K number.
Seventhly, under the condition that the patient lies on the stomach, the bed body keeps the state of upward inclination J angle degree and leftward inclination K angle degree for 5-10 minutes. Under the state, the effusion in the sphenoid sinus on the right side can flow out.
Eighteen, continuously pressing the right key on the control box, continuously rotating the bed body rightwards, and loosening the key when the number displayed at the second position is the K number of the negative value.
Nineteen, under the condition that the patient lies on the stomach, the bed body keeps the state of the upward inclination J angle degree and the right inclination K angle degree for 5-10 minutes. Under the state, the effusion in the sphenoid sinus on the left side can flow out.
Twenty, the bed body is restored to the front-back horizontal state and the left-right horizontal state through the operation of the control box, and then the power supply is cut off by pressing the 'off' key.
Twenty one, the safety belt is released, and the patient walks down the bed, and the treatment operation is finished.
Example nine
The technical contents described, illustrated and explained below in the present embodiment are applicable to both the electric and the semi-automatic types.
The rotation of the bed body of the system of the invention has two types. The first type is a top-bottom rotation, which is the rotation of the bed in fig. 11 downwards to the state of the bed in fig. 14, or the rotation of the bed in fig. 14 upwards to the state of the bed in fig. 11. The second type is a left-right nature of rotation, such as a left rotation of the bed in fig. 22 to the state of the bed in fig. 23, or a right rotation of the bed in fig. 23 to the state of the bed in fig. 11.
The bed body rotates by a certain angle, and information can be obtained from the indicating mechanism. The rotary graduations of the mechanical indicating mechanism have been described in example two. In this embodiment, the indication means is an electronic display.
In the seventh embodiment, two digital displays are arranged on the panel of the control box, and the first digital display shows the condition that the bed body rotates up and down by an angle; the second digit shows the condition of the left and right rotation angles of the bed body. In the seventh embodiment, the technical contents of the control box and the two-position digital display on the panel thereof are introduced. In the following description of this embodiment, the technique of displaying two numbers on the panel of the control box in the seventh embodiment is used.
In the following, how the information of the rotation angle is obtained is described.
There are many ways to obtain the information of the rotation angle, and two methods are specifically described below, the first is a contact method, and the second is a non-contact method.
First, a contact angle sensor.
Contact angle sensors are commercially available in ready-made products.
Described with reference to fig. 35; fig. 35 corresponds to the case of viewing from the right side of fig. 11. The contact angle sensor 16 includes: a housing, wiring, and a signal acquisition shaft; and the contact angle sensor 16 is fixedly connected with the second mounting plate 3B through a support, a signal acquisition shaft of the contact angle sensor is coaxially and fixedly connected with the end parts of the left rotating shaft 3C and the right rotating shaft 3C through a coupler, and a wiring of the contact angle sensor is electrically connected with the electronic control subsystem through an electric wire.
In fig. 35, reference numeral 16 denotes the contact angle sensor 16, and a circle drawn by a dotted line indicates: here, one end of the signal acquisition shaft is coaxially and fixedly connected to the end portions of the left and right rotating shafts 3C through a coupling. The rotating angle of the left and right rotating shafts 3C is the angle of the left and right rotation of the bed body; the left and right rotating shafts 3C and the signal acquisition shaft have a synchronous rotation property, and the other end of the signal acquisition shaft is located inside the contact angle sensor 16 to express information of the rotation angle and is converted into an electric signal inside the sensor. If the electric signal is processed into standard electric information in the sensor, the standard electric information is transmitted to the electric control subsystem through an electric wire; and then the processed data is sent to the second position of the control box panel to be displayed in an Arabic numeral form after being processed by the electric control subsystem. Note: the second digit shows the condition of the left and right rotation angles of the bed body. If the electric signal is not processed into standard electric information in the sensor, the electric control subsystem processes the electric signal into the standard electric information. The processing into standard electrical information means: and performing signal amplification, shaping, analog-to-digital conversion and the like on the weak electric signals.
A plurality of wiring wires of the contact angle sensor 16 are electrically connected with the electric control subsystem through electric wires; some of these wires are power lines for the electronic control subsystem to supply power to the contact angle sensor 16, and some are signal lines for the contact angle sensor 16 to supply information to the electronic control subsystem.
Second, a non-contact angle detecting unit.
A non-contact angle detecting member which may be a non-contact angle sensor; a non-contact angle probe is also possible.
The angle detection part uses two detection parts, namely an A detection part and a B detection part. The detection part A is fixedly connected with the bed frame 1 through the No. 1 support strip, and the position of the detection part A is invariable all the time. The B detection part is fixedly connected with the rectangular frame body 2A through the No. 2 support strip, and the A detection part and the B detection part are arranged in a face-to-face non-contact mode. The rectangular frame body 2A rotates, and then the B detection part also rotates along with the rectangular frame body; A. b, detecting the relative movement change between the parts, and generating weak electric signals.
If the non-contact angle detection component is a non-contact angle sensor, an electric signal measured on the detection part is sent to the sensor main body, and the sensor main body processes the electric signal into standard electric information and then sends the standard electric information to the electronic control subsystem for use; if the non-contact angle detection component is a non-contact angle probe, weak electric signals need to be processed into standard electric information for the electronic control subsystem to use.
The electric signal sent to the electric control subsystem is often a displacement signal; if the arrangement is proper and ideal, the magnitude of the displacement signal and the rotation angle of the bed frame 1 can be in a linear relation. If the setting is not ideal, the magnitude of the displacement signal and the magnitude of the rotation angle of the bed frame 1 are always in a nonlinear relation, so the electric control subsystem also needs to carry out linearization processing and further processing into electric information which can be displayed in an Arabic numeral form, and finally, the electric information is displayed at the first position on the panel of the control box. Note: the first place shows the condition of the bed body rotating angle up and down.
There are two solutions to the problem of linearization processing. The first approach is to purchase a set of non-contact angle detector modules that have already been linearized, thus eliminating the need for linearization. In the second approach, the implementer of the inventive system performs the linearization process itself. The method for linearization treatment comprises the following steps: the rectangular frame body 2A rotates the rectangular frame body 2A point by point at the same tiny angle interval from the zero angle, and records the size of the electric signal point by point, so that a corresponding table of angle values and electric signal values can be manufactured finally; in the corresponding table, each angle of the rectangular frame 2A (i.e. the bed) rotating up and down has a corresponding electrical signal value. The contents of this correspondence table are then stored in the integrated circuit smart component. When the system is in use, the intelligent component in the electric control subsystem can output a corresponding angle value after being searched by inputting an electric signal value to the intelligent component, and finally the electric control subsystem commands the first position on the control box panel to display the angle value.
Example ten
The present embodiment describes an inventive system of a semi-automatic type. For convenience and a thorough understanding of the techniques described in this embodiment, it is necessary to read and understand all the technical contents of this embodiment before ten times.
The electronic control subsystem in the system of the embodiment of the invention uses an intelligent component formed by an integrated circuit; the intelligent component called in this patent document, it includes: a CPU, a memory, and an input/output; the input and the output are input and output interfaces or input and output devices. The specific intelligent component form can adopt a programmable controller, or can adopt a singlechip, or can adopt a mini computer, an industrial computer and the like.
In the foregoing description of the present embodiment, the control box of the system of the invention of the electro-dynamic type has been described in several places, and these techniques can be used for reference and reference. In order to distinguish from the electric type control box described above, in the semi-automatic type invention system of the present embodiment, we call it an operation box.
On the touch panel of operation box, be equipped with touch key, its touch key that specifically sets up has: the key of "start", the key of "close", the key of "resume", the key of "sphenoid sinus", the key of "maxillary sinus". After the start key is pressed, the subsequent operation is cancelled immediately for some reason, and the state before the start key is not pressed can be returned by pressing the close key. Pressing the 'reset' key, the system immediately stops the current operation and forces the bed body to return to the front-back horizontal state and the left-right horizontal state.
The panel of the operation box is provided with three digital displays, and the first digital display shows the real-time condition of the vertical rotation angle of the bed body; when the bed body is in a front and back horizontal state, the bed body is displayed as 0; when the bed body is in a declination state, a negative value is displayed, which corresponds to that the patient lies on the bed and has a high leg and a low head; when the bed body is in the upward inclined state, the positive value is displayed, which corresponds to that the patient lies on the bed and is in a head-high sole state. The second digit shows the real-time situation of the left and right rotation angles of the bed body; when the bed body is in a horizontal state with balanced left and right, the number is 0; the bed body is positive when leaning to the left and negative when leaning to the right. The third digit shows error display and timing display; the timing display can be a positive timing with increasing numerical value or a negative timing with decreasing numerical value.
In the system of the invention of this embodiment, a plurality of state detection components are also provided; the state detection parts are electrically connected with the electronic control subsystem through electric wires. Some of the electric wires are used for the electric control subsystem to transmit electric energy to the detection parts; some of them are used for detecting component and electric control subsystem to transfer information and signal. The items detected are: whether the safety belt is fastened, whether the guardrail is set and fixed, whether the positioning indicator 4-4 is inserted, and the like. The specific state detection parts can be selected from sensors, limit switches, probes and the like.
In this embodiment, the electric up-down rotating mechanism and the electric left-right rotating mechanism are both operated under the command of the intelligent components in the electric control subsystem, in other words, the up-down rotation and the left-right rotation of the bed body are both operated under the command of the intelligent components.
In the ninth embodiment, in order to obtain the vertical rotation angle and the horizontal rotation angle of the bed, a contact angle sensor and a non-contact angle detecting component are introduced. This embodiment can continue to use these techniques, say that, in this embodiment, the automatically controlled subsystem including intelligent subassembly is connected through electric wire and contact's angle sensor electricity, perhaps is connected with non-contact's angle detection part electricity to can learn the condition of slewing mechanism about with in real time, also know the condition of the bed body in real time, and then send the order by automatically controlled subsystem, command slewing mechanism about with slewing mechanism's action, reach the pivoted purpose of control bed body.
When the effusion in the maxillary sinus is drained, the bed body needs to be greatly inclined leftwards and rightwards. If the left and right inclination of the bed body is to be reduced, the head of the patient can be matched with the left and right rotation. In order to monitor whether the head of the patient rotates left and right as required, the image technology of face recognition can be used, and the key points are as follows: 1. determining a center position of a left eye and a center position of a right eye in a captured image; 2. the midpoint of the two central connecting lines is a monitoring point; 3. and judging whether the midpoint is within an allowable range. Note: when the effusion in the maxillary sinus is drained, the head needs to be declined and leaned to the left, and the head needs to be declined and leaned to the right; the angles of the left and right inclinations allow a certain error range.
The system provided by the invention is provided with the loudspeaker, and the loudspeaker is electrically connected with the electric control subsystem through an electric wire.
The use of the cassette for semi-automated treatment of sinusitis is described below. The first section describes the semi-automated treatment of effusion in the maxillary sinus; the second section describes the semi-automated treatment of fluid accumulation in the sphenoid sinus.
A first portion.
The hydrops in the maxillary sinus is treated semi-automatically, namely the hydrops in the maxillary sinus on the left side of the semi-automatic drainage and the hydrops in the maxillary sinus on the right side of the semi-automatic drainage.
The inclination angle of the head during drainage is as follows: declination X angle degree, left and right declination +/-Y angle degree.
The treatment operation is as follows.
1. When the treatment operation is started, the bed body is in the front-back horizontal state and the left-right horizontal state. The patient lies on the bed in the supine position, and the safety belt is tied, etc.
2. The fence is positioned, secured and the positioning indicator 4-4 is inserted, as will be appreciated with reference to fig. 28.
3. Operating the operation box, pressing a start key, lighting a power indicator lamp and switching on a power supply; on the panel of the operation box, the first numerical display and the second numerical display are displayed as "0" or a numerical value near "0".
4. The operation box is operated, and the maxillary sinus key is pressed.
5. If the safety belt is not fastened, the system does not rotate the bed body, and the third digital display position is full of jumping 8 characters.
6. If the position indicator 4-4 is not inserted, the system does not perform bed turning and the third digital display is full of jumping "7".
7. If both the safety belt is fastened and the positioning indicator 4-4 is inserted, the system automatically proceeds to the next step: the bed body starts to rotate downwards and leftwards.
8. The bed was declined to an angle of X and left at an angle of y1 and then held constant.
9. The loudspeaker continuously sounds, please turn left the head, when the head of the patient turns left y2, the loudspeaker stops sounding and starts to time.
Description of the drawings: the head of the patient rotates left by y2 degrees by self according to the indication of the positioning indicator 4-4; thus, the patient's head is actually tilted downward by X degrees and left by Y degrees.
The formula: y1+ Y2 ═ Y
10. In the timed time, the effusion in the right maxillary sinus is drained.
11. After the timing is finished for 8 minutes, the bed body rotates rightwards to-y 1 degrees under the condition that the declination X angle number is unchanged.
11. The horn makes a sound continuously, "please turn the head right", when the head of the patient turns right-y 2, the horn stops making a sound, and starts to time.
Description of the drawings: the head of the patient rotates leftwards by an angle of-y 2 by self according to the indication of the positioning indicator 4-4; thus, the patient's head is actually tilted downward by X degrees and tilted right by-Y degrees.
The formula: -Y1-Y2 ═ Y
12. In the timing time, the effusion in the left maxillary sinus is drained.
13. After timing for 8 minutes, the bed body rotates upwards and leftwards to an initial state of approximate level, and the loudspeaker makes a sound: and finishing the maxillary sinus treatment. And then, the electronic control subsystem automatically turns off the display of the touch panel of the operation box and cuts off the driving power supply in the up-and-down rotating mechanism and the driving power supply in the left-and-right rotating mechanism.
After the touch panel of the operation box is extinguished and displayed, except that a start key is pressed to be effective, other keys are not pressed to be effective; after the driving power supply in the rotating mechanism is cut off, the bed body keeps the current state and does not rotate any more. The technical measures are all used for ensuring the safety of patients.
14. Remove the position indicator 4-4, release the harness, etc. If the effusion drainage in the sphenoidal sinus is not carried out, the patient is out of the bed, and the treatment is finished; this is followed if drainage of fluid accumulation within the sphenoid sinus is performed.
A second portion.
The hydrops in the sphenoid sinus is treated semi-automatically, namely the hydrops in the left sphenoid sinus is drained semi-automatically and the hydrops in the right sphenoid sinus is drained semi-automatically.
During drainage, a patient lies prone on the bed body, and then the inclination angle of the head is as follows: the degree of upward inclination J angle and the degree of left and right inclination +/-K angle. The head of the bed body is provided with air holes.
The treatment operation is as follows.
1. When the treatment operation is started, the bed body is in the front-back horizontal state and the left-right horizontal state. The patient lies prostrate on the bed body, and a part of the face is located at the vent hole, and the nose breathes through the vent hole.
2. Fastening a safety belt, etc.
3. Operating the operation box, pressing a start key, lighting a power indicator lamp and switching on a power supply; on the panel of the operation box, the first numerical display and the second numerical display are displayed as "0" or a numerical value near "0".
4. The operation box is operated, and a 'sphenoidal sinus' key is pressed.
5. If the safety belt is not fastened, the system does not rotate the bed body, and the third digital display position can make all the bed body jump to the 8-shaped position.
6. If the seat belt is fastened, the system proceeds to the next step: the bed body rotates to the upward inclination J angle degree and the leftward inclination K angle degree, then the bed body is kept unchanged, and the timing is started.
7. In the timing time, the effusion in the sphenoid sinus on the right side is drained.
8. After the timing is finished for 8 minutes, the bed body is rightwards rotated to the angle of minus K under the condition that the angle of the upward inclination J is not changed.
9. The bed body is kept unchanged in the states of the upward inclination J angle degree and the rightward inclination-K angle degree, and timing is started.
10. In the timing time, the effusion in the left sphenoid sinus is drained.
11. After timing for 8 minutes, the bed body rotates downwards and leftwards to an initial state of approximate level, and the loudspeaker makes a sound: and finishing the sphenoid sinus treatment. And then, the electronic control subsystem automatically turns off the touch panel of the operation box for displaying, and cuts off the driving power supply in the up-and-down rotating mechanism and the driving power supply in the left-and-right rotating mechanism.
12. Unfastening the seat belt, etc. If the drainage of the hydrops of the maxillary sinus is not carried out or the drainage of the hydrops of the maxillary sinus is carried out, the patient is out of the bed, and the treatment is finished.
EXAMPLE eleven
FIG. 36 is a flow chart of the semi-automated operation performed by the system of the present invention under the coordination and direction of the electronic control subsystem and its intelligent components; the implementer of the invention can program the relevant software according to the principle of the flow chart; the intelligent component controls the system by means of hardware and software so as to achieve the purpose of treating nasosinusitis by semi-automatically draining.
For the tenth embodiment, fig. 36 can be used as a reference for understanding.
The hardware provided in the tenth embodiment is used by the eleventh embodiment.
The present embodiment will now be described, depicted, illustrated and explained with reference to fig. 36.
After the start key is pressed, the operation box touch panel is lighted and displayed, and meanwhile, the driving power supply of the up-and-down rotating mechanism and the driving power supply of the left-and-right rotating mechanism are also connected. Of course, whether these two mechanisms are operated or not is governed by the electronic control subsystem.
After pressing the start key, next step, the maxillary sinus can be treated selectively, and the sphenoid sinus can be treated selectively. Therefore, the intelligent components of the electronic control subsystem are continuously and circularly inquired: is the "maxillary sinus" key touched? Is the "sphenoid sinus" key touched? Once known, the system proceeds to the relevant subsequent job.
The following description, illustration and explanation of the subsequent operation of the "maxillary sinus" key being activated will be presented.
1. If the safety belt and the positioning indicator are not installed in place, the electronic control subsystem stops.
2. When the electronic control subsystem is informed through the state detection parts: and if the safety belt and the positioning indicator are all installed, the next operation is carried out.
3. The electric control subsystem commands the up-down rotating mechanism to act and commands the left-right rotating mechanism to act, so that the bed body tilts downwards by X degrees and tilts left by y1 degrees. The patient turns his head left by Y2 degrees, where Y1+ Y2 is Y. The left turn of the patient's head is monitored using image techniques for face recognition.
4. And when the declination X angle degree, the left declination y1 angle degree and the head left turning y2 angle degree of the bed body all meet the target requirements, timing is started.
5. The patient's head remains as: declination X angle degrees and left declination Y angle degrees; this state is maintained, and after the expiration of the timer, the next job is started.
6. The electric control subsystem commands the left-right rotating mechanism to act so as to rotate the bed body to a right-leaning angle of-y 1 degrees. The patient turns his head right by-y 2 degrees.
7. Timing is started only when the declination X angle degree, the right declination-y 1 angle degree and the head right turning-y 2 angle degree of the bed body all meet the target requirements. Namely: the actual right inclination angle of the patient's head is: -Y1-Y2 ═ Y.
8. After the timing is over, the electric control subsystem commands the up-down rotating mechanism and the left-right rotating mechanism to act, so that the bed body rotates to a front-back horizontal state and a left-right horizontal state.
9. After the bed body is restored to the front-back horizontal state and the left-right horizontal state, the panel display of the operation box is extinguished by the electric control subsystem, and meanwhile, the driving power supply in the up-down rotating mechanism and the driving power supply in the left-right rotating mechanism are cut off. At this point, the drainage treatment of the maxillary sinus is ended, the positioning indicator 4-4 may be removed, the safety belt may be unfastened, and so on.
The patient lies on the back on the bed body, and the semi-automatic drainage is performed on the treatment condition of the effusion in the maxillary sinus. The treatment condition of hydrops in the sphenoid sinus is semi-automatically drained when the patient lies prostrate on the bed body.
After the start key is pressed, the operation box touch panel is lighted and displayed, and meanwhile, the driving power supply of the up-and-down rotating mechanism and the driving power supply of the left-and-right rotating mechanism are also connected. Of course, whether these two mechanisms are operated or not is governed by the electronic control subsystem. Pressing the "sphenoidal sinus" button, the system proceeds to the flow shown on the right side of fig. 36 for further operations, which are introduced, described, illustrated and explained below.
1. If the safety belt is not installed in place, the electronic control subsystem stops.
2. When the electronic control subsystem is informed through the state detection parts: and if the safety belt is installed, the next operation is carried out.
3. The electric control subsystem commands the up-down rotating mechanism to act and commands the left-right rotating mechanism to act so as to enable the bed body to tilt up by J angle degrees and tilt left by K angle degrees.
4. When the bed body inclines upwards by J angle degrees and inclines leftwards by K angle degrees, the method is as follows: the head of the patient in the prone position keeps inclining upwards at the angle of J and inclining leftwards at the angle of K, and timing is started.
5. After the time count expires, the next operation is started.
6. The electric control subsystem commands the left-right rotating mechanism to act so as to rotate the bed body to a right inclination angle of-K.
7. When the bed body inclines upwards by J angle degrees and inclines by-K angle degrees, namely: the head of the patient in the prone position keeps inclining upwards at the angle of J and inclining rightwards at the angle of-K, and timing is started.
8. After the timing is over, the electric control subsystem commands the up-down rotating mechanism and the left-right rotating mechanism to act, so that the bed body rotates to a front-back horizontal state and a left-right horizontal state.
9. After the bed body is restored to the front-back horizontal state and the left-right horizontal state, the panel display of the operation box is extinguished by the electric control subsystem, and meanwhile, the driving power supply in the up-down rotating mechanism and the driving power supply in the left-right rotating mechanism are cut off. By this time, drainage treatment of the sphenoid sinus is completed, the safety belt can be loosened, and the like.
Example twelve
The reader should first peruse the technical content before this embodiment.
The present embodiment is a manual type inventive system.
This embodiment will be described with reference to fig. 37 to 40. FIG. 37 is a front view of the system of the invention of the manual type in the twelfth embodiment; FIG. 38 is a left side view of FIG. 37; FIG. 39 is a schematic view of the bed of FIG. 37 rotated downwardly; FIG. 40 is a schematic view of the bed of FIG. 38 shown rotated to the left.
The inventive system of the present embodiment is described as follows.
The bearing base is a bed frame 1; the upper part of the left side of the bed frame 1 is provided with an upper mounting plate 31 and a lower mounting plate 31; the up-and-down rotating mechanism comprises: a rectangular frame body 2A, an upper and lower driving worm 32, an upper and lower driven worm wheel 33, a left upper and lower rotating shaft 34, a right upper and lower rotating shaft 35 and an upper and lower rocking handle; an upper and lower driving worm 32 rotatably connected to the upper and lower mounting plates 31, engaged with the upper and lower driven worm wheels 33, and having an end connected to the upper and lower rocking handles; a left vertical rotating shaft 34, the first end of which is fixedly connected with the vertical driven turbine 33, and the body part of which is rotatably connected with the upper part of the bed frame 1; the first end of the right upper and lower rotating shaft 35 is rotatably connected with the upper part of the bed frame 1; the second end of the left vertical rotating shaft 34 and the second end of the right vertical rotating shaft 35 are both fixedly connected to the rectangular frame body 2A, or are both fixedly connected to the rectangular frame body 2A through a connecting member;
the right-left rotating mechanism comprises: a first mounting plate 3A, a second mounting plate 3B, a left and right rotating shaft 3C, a left and right driving worm 36, a left and right driven worm wheel 37, and a left and right rocking handle; the first mounting plate 3A is fixedly connected with one end of the rectangular frame body 2A, and the second mounting plate 3B is fixedly connected with the other end of the rectangular frame body 2A; the left and right rotating shafts 3C are rotatably connected with the first mounting plate 3A, rotatably connected with the second mounting plate 3B, fixedly connected with the bed body 4 and fixedly connected with the left and right driven turbines 37; the left and right driving worms 36 are rotatably connected with the first mounting plate 3A, are engaged with the left and right driven worm wheels 37, and are connected with the left and right rocking handles at the ends thereof.
In the present embodiment, the bed frame 1 includes: a bed frame body and a pair of chevron-shaped tripods; the triangular supports are arranged symmetrically left and right, and the bottom ends of the triangular supports are fixedly connected with the bed frame main body; the connecting part is a left rocker arm and a right rocker arm; the upper end of the left rocker arm is fixedly connected with the left upper and lower rotating shafts 34, and the lower end of the left rocker arm is fixedly connected with the rectangular frame body 2A; the upper end of the right rocker arm is fixedly connected with the right upper and lower rotating shafts 35, and the lower end of the right rocker arm is fixedly connected with the rectangular frame body 2A.
The inventive apparatus of this embodiment has been described above, illustrated and explained below.
Fig. 37 and 38 show the inventive system with the bed 4 in a front-back horizontal and side-to-side horizontal state.
The upper and lower rocking handles can be used for driving the upper and lower driving worms 32 to rotate, so as to drive the upper and lower driven turbines 33 and the left upper and lower rotating shafts 34 to rotate together, and the rectangular frame body 2A and the bed body 4 also rotate up and down; if the bed 4 is rotated downwards, the effect is to change the state from the state of fig. 37 to the state of fig. 39. If a patient lies on the bed 4 of fig. 37, the head of the patient is in a declined state in fig. 39, in other words, the patient is in a high state and a low state. By using the upper and lower rocking handles, the upper and lower driving worms 32 can be driven to rotate, so that the bed body 4 is rotated to an upward tilting state, namely: the head of the patient is tilted up, and the patient is in a posture with the head high and the feet low.
The left and right rocking handles can drive the left and right driving worms 36 to rotate, thereby driving the left and right rotating shafts 3C and the bed body 4 to rotate. If the bed 4 is rotated to the left, the effect is to change from the condition of figure 38 to the condition of figure 40. If a patient lies on the bed 4 of fig. 38, the head of the patient is tilted to the left in fig. 40. The left and right rocking handles can also drive the left and right driving worms 36 to rotate, so that the bed body 4 and the head of the patient enter a right-leaning state.
EXAMPLE thirteen
This embodiment describes the case where, in the inventive system of the manual type, the indicating means is a mechanical rotary graduator.
The mechanical rotary graduator comprises a scale disc and a pointer, wherein one part is arranged at a related rotating position and rotates synchronously with a rotary object to be indicated, and the synchronous rotation can be direct synchronous rotation or indirect synchronous rotation; the other is arranged at a standstill.
The description will be made with reference to fig. 41 and 42. Fig. 41 is a view seen from the back side (rear side) of fig. 37; reference numbers in the figures: 17 is a graduated disk; and 18 is a pointer. In FIG. 41, the bed 4 is in a front-to-back balanced horizontal state; the scale disc is fixedly connected with the rocker arm 13 and rotates together with the rocker arm 13, and the center point (central point) of the rotation is on the central axis of the upper and lower rotating shafts 35 on the right side. The pointer is fixedly connected with the top of the herringbone tripod, so that the pointer cannot rotate. Assuming that the bed 4 rotates 20 ° downwards, the scale disc will rotate 20 ° together with the pointer, and the pointer will not move, the situation of the scale disc and the pointer is shown in fig. 42. Also, if the bed 4 which has been tilted downward and rotated by an angle of 20 ° is rotated by an angle of 20 °, i.e., rotated upward by an angle of 20 ° and is in a horizontal state, the scale disc and the pointer are as shown in fig. 41. And if the bed body 4 is in a front-back balanced horizontal state, then the bed body 4 tilts upwards and rotates for a plurality of angles, the pointer does not move, the scale circle and the bed body 4 tilt upwards and rotate for the same angle, and the change between the pointer and the scale circle reflects the angle condition of tilt-up rotation.
The above is the indication condition of the bed body inclining and declining rotation angle. The indication of the left-leaning rotation angle of the bed body is described as follows.
The description will be made with reference to fig. 43 and 44. Fig. 43 corresponds to the case of viewing from the right side of fig. 37. In fig. 43, the bed 4 is in a horizontal state with a balanced left and right; the scale disc is fixedly connected with the second mounting plate 3B, so that the scale disc cannot rotate left and right; the pointer is fixedly connected to the end of the left and right turning shaft 3C, and therefore, the pointer turns together with the left and right turning shaft 3C. Assuming that the bed 4 is tilted leftwards by 20 degrees, the pointer will also rotate 20 degrees together with the scale disk, and the scale disk and the pointer will not move, as shown in fig. 44. Also, if the bed 4 which has been tilted to the left by an angle of 20 ° is turned to the right by an angle of 20 °, i.e., to a horizontal state balanced between left and right, the scale disk and the pointer will be as shown in fig. 43.
The indication condition of the left-leaning and rotating angle of the bed body is introduced above; for the indication condition of the right-inclined rotating angle of the bed body, a reader can easily analyze the right-inclined rotating angle by himself.

Claims (15)

1. A system for non-invasively treating sinusitis, comprising: the bed body (4), make the fixed part relatively, characterized by with patient (5) health and bed body (4): the method comprises the following steps: the device comprises a bearing base, an up-down rotating mechanism, a left-right rotating mechanism, an indicating mechanism for displaying a rotating state and a positioning component for the head of a patient to rotate left and right independently;
the up-down rotating mechanism is connected with the bearing base and the left-right rotating mechanism; the bed body (4) is connected with a left-right rotating mechanism;
the bearing base is a bed frame (1); the bed frame (1) comprises: a bed frame body and a pair of chevron-shaped tripods; the triangular supports are arranged symmetrically left and right, and the bottom ends of the triangular supports are fixedly connected with the bed frame main body;
the up-and-down rotating mechanism comprises: a rectangular frame body (2A) and an up-and-down driving component for driving the rectangular frame body (2A) to rotate up and down; the rectangular frame body (2A) is rotatably connected with the upper part of the tripod;
the right-left rotating mechanism comprises: a first mounting plate (3A), a second mounting plate (3B), a left-right rotation shaft (3C), and a left-right driving member; the first mounting plate (3A) is fixedly connected with one end of the rectangular frame body (2A), and the second mounting plate (3B) is fixedly connected with the other end of the rectangular frame body (2A); the left and right rotating shafts (3C) are rotatably connected with the first mounting plate (3A) and the second mounting plate (3B); the left and right rotating shafts (3C) are fixedly connected with the bed body (4);
the positioning component comprises a positioning indicator (4-4) and a positioning indication bracket; the positioning indicator (4-4) is connected with the bed body 4 through a positioning indication bracket; when the patient lies and sleeps, the positioning indicator (4-4) is positioned above the head of the patient;
the lower side of the positioning indicator (4-4) is arc-shaped; the positioning indication of the positioning indicator (4-4) is set to any one of the following three:
a. arranging an indicating point protruding downwards at the arc-shaped position;
b. an upward sunken indicating point is arranged at the arc-shaped position;
c. and line indicating lines and angle numbers are printed at the circular arc.
2. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis: the system comprises an anti-skid structure;
the anti-skid structure is arranged on the upward surface of the bed body and protrudes upwards; the antiskid structure is the arbitrary combination of following three:
a. the anti-skid structure is a head block (4-1) which is arranged at the front position of the top of the head of the patient when lying and sleeping;
b. the anti-skid structure is a shoulder block (4-2) which is arranged at the front position of the shoulder of the patient when lying asleep;
c. the anti-slip structure is a left and a right blocks (4-3) which are arranged at the left and the right positions of the body of the patient when lying and sleeping.
3. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis: the retention member includes: protective tape, part a, and part B; one part A and one part B form a buckle group;
the both ends of boundary belt are connected with bed body 4, and the concrete connected mode at both ends is: a + b, or a + c, or b + b, or b + c, or c + c;
the a is as follows: the end part of the protective belt is fixedly connected with the bed body 4;
b is as follows: the end part of the protective belt is detachably connected with the bed body 4 through the buckle group; the part A is fixedly connected with the bed body 4, and the part B is fixedly connected with a protective belt; the part A and the part B are in plug connection;
the c is as follows: the end of the protective belt realizes selective plug connection through a special connecting part; the special connecting part is an A part and a plurality of B parts; the plurality of B parts are arranged on a strip-shaped buckle mounting plate from top to bottom, and the buckle mounting plate is fixedly connected with the bed body 4; the A part selects a B part for plug connection.
4. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis: the bed body (4) comprises: the head area is provided with air holes and a hole cover connected in a pick-and-place manner; when the hole cover is positioned in the air holes, the hole cover and the surrounding bed body (4) are in a flat state.
5. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the bearing base comprises wheels; the wheels are fixedly connected with the bottom of the bearing base.
6. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the up-down rotating mechanism comprises a pair of rocker arms (13); the rectangular frame body (2A) is rotatably connected with the upper part of the tripod, namely the upper end of the rocker arm (13) is rotatably connected with the upper part of the tripod, and the lower end of the rocker arm (13) is fixedly connected with the rectangular frame body (2A).
7. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the system comprises an electric control subsystem;
the up-and-down rotating mechanism comprises: an upper and lower pusher (2B) having a terminal; the two sides of the rectangular frame body (2A) are rotationally connected with the bed frame (1), or the two sides of the rectangular frame body are rotationally connected with the bed frame (1) through middle parts; one end of the upper and lower pusher (2B) is connected with the bed frame (1), and the other end of the upper and lower pusher is connected with the rectangular frame body (2A);
the left-right rotating mechanism comprises a left motor and a right motor (3D); the left motor (3D) and the right motor (3D) are fixedly connected with the first mounting plate (3A); the output ends of the left and right motors (3D) are fixedly connected with the end parts of the left and right rotating shafts (3C), or the output ends of the left and right motors (3D) are in transmission connection with the end parts of the left and right rotating shafts (3C) through a left and right transmission mechanism;
the electronic control subsystem comprises: a power circuit and a switch; and the electric control subsystem is electrically connected with the upper pusher and the lower pusher (2B) and is electrically connected with the left motor and the right motor (3D).
8. The system of claim 7, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the left and right transmission mechanism is any one of the following three:
a. left and right sides drive mechanism be gear drive mechanism, include: a driving gear and a driven gear; the output end of the left and right motors (3D) is fixedly connected with a driving gear, the driving gear is meshed with a driven gear, and the driven gear is fixedly connected with the end part of a left rotating shaft (3C) and a right rotating shaft (3C);
b. the left and right transmission mechanisms are chain transmission mechanisms and comprise: a chain, a drive sprocket, and a driven sprocket; the output end of the left motor (3D) and the output end of the right motor (3D) are fixedly connected with a driving chain wheel, a driven chain wheel is fixedly connected with the end part of a left rotating shaft (3C) and a right rotating shaft (3C), and a chain is meshed with the driving chain wheel and the driven chain wheel;
c. the left and right transmission mechanisms are belt transmission mechanisms, and comprise: a drive belt, a drive pulley, and a driven pulley; the output end of the left motor (3D) and the output end of the right motor (3D) are fixedly connected with the driving belt wheel, the driven belt wheel is fixedly connected with the end part of the left rotating shaft (3C) and the end part of the right rotating shaft (3C), and the transmission belt is in friction connection with the driving belt wheel and the driven belt wheel.
9. The system of claim 7, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
left and right transmission mechanism be internal gear transmission mechanism, include: a driving external gear (3E1A), and a driven internal gear (3E 1B);
the output end of the left and right motors (3D) is fixedly connected with the driving external gear, the driving external gear is meshed with the driven internal gear, and the driven internal gear is fixedly connected with the end part of the left and right rotating shafts (3C).
10. The system of claim 7, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the upper and lower pushers (2B) are any one of the following three pushers:
a. the upper and lower pushers (2B) are screw and nut mechanisms, and comprise: a screw rod (2E), a nut piece (2F), an upper motor (2D), a lower motor (2D) and an upper base (2I) and a lower base (2I); the external thread of the screw rod (2E) and the internal thread of the nut piece (2F) are in threaded fit, and the body part of the screw rod (2E) is screwed into the nut piece (2F); the upper base and the lower base (2I) are connected with the bed frame (1), and the upper motor and the lower motor (2D) are fixedly connected with the upper base and the lower base (2I); the output shaft of the upper and lower motors (2D) is fixedly connected with the screw rod (2E), or the output shaft of the upper and lower motors (2D) is in transmission connection with the screw rod (2E) through a gear transmission part; the nut piece (2F) is connected with the rectangular frame body (2A); the wiring ends of the upper motor (2D) and the lower motor (2D) are electrically connected with the electric control subsystem through electric wires;
b. the upper and lower pushers (2B) are a hydraulic pump mechanism including: the hydraulic assembly comprises a hydraulic output rod, a hydraulic motor, a hydraulic base and a hydraulic wiring terminal; one end of the hydraulic assembly and one end of the hydraulic output rod are positioned in the hydraulic base; the output end of the hydraulic motor is connected with the hydraulic component, or the output end of the hydraulic motor is in transmission connection with the hydraulic component through a transmission piece; the hydraulic base is connected with the bed frame (1); the other end of the hydraulic output rod is connected with the rectangular frame body (2A); the hydraulic wiring end is electrically connected with the electric control subsystem through an electric wire;
c. the upper and lower pushers (2B) are pneumatic mechanisms including: the pneumatic rod, the air cylinder assembly, the air cylinder base, the air cylinder wiring terminal and the air compressor; one end of the air cylinder assembly and one end of the air moving rod are positioned in the air cylinder base; the cylinder base is connected with the bed frame (1); the other end of the pneumatic rod is connected with the rectangular frame body (2A); the gas output port of the air compressor is the same as the gas input port of the cylinder base through a gas pipe; the electronic control subsystem is electrically connected with the air compressor through an electric wire and is electrically connected with the cylinder wiring terminal through an electric wire.
11. The system of claim 7, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the system comprises a railing and a railing locating component; the retention component is any combination of the following four: a. a rope; b. a baffle plate; c. pressing a plate; d. protecting the belt;
the indicating mechanism is any one of the following two: a. a mechanical rotary graduator; b. an electronic display unit.
12. The system of claim 7, wherein the system is further configured to perform the non-invasive treatment of sinusitis: the electric control subsystem comprises an electric control subsystem main body and a control box;
the control box is provided with a touch key; the key includes: a "down" key, an "up" key, a "left" key, and a "right" key;
the control box is set to be any one of the following two:
a. the control box is fixedly connected with the bed frame (1) through a bracket; the control box is electrically connected with the electric control subsystem main body through a fixed flat cable;
b. the control box is handheld, and the control box passes through the patchcord and is connected with automatically controlled subsystem main part electricity.
13. The system of claim 1, wherein the system is further configured to perform the non-invasive treatment of sinusitis:
the upper part of the left side of the bed frame (1) is provided with an upper mounting plate and a lower mounting plate (31);
the up-and-down rotating mechanism comprises: an upper and lower driving worm (32), an upper and lower driven worm wheel (33), a left upper and lower rotating shaft (34), a right upper and lower rotating shaft (35) and an upper and lower rocking handle; an upper and lower driving worm (32) which is rotatably connected with the upper and lower mounting plates (31), is engaged with the upper and lower driven turbines (33), and has the end part connected with the upper and lower rocking handles; a left upper and lower rotating shaft (34), the first end of which is fixedly connected with the upper and lower driven turbines (33), and the body part of which is rotatably connected with the upper part of the bed frame (1); the first end of the right upper and lower rotating shaft (35) is rotatably connected with the upper part of the bed frame (1); the second end of the left upper and lower rotating shaft (34) and the second end of the right upper and lower rotating shaft (35) are fixedly connected with the rectangular frame body (2A) or fixedly connected with the rectangular frame body (2A) through connecting parts;
the right-left rotating mechanism comprises: left and right driving worms (36), left and right driven turbines (37), and left and right rocking handles; the left and right rotating shafts (3C) are fixedly connected with left and right driven turbines (37); the left and right driving worms (36) are rotatably connected with the first mounting plate (3A), meshed with the left and right driven turbines (37), and the end parts of the left and right driving worms are connected with the left and right rocking handles.
14. The system of claim 13, wherein the system is further configured to non-invasively treat sinusitis:
the connecting part is a left rocker arm and a right rocker arm; the upper end of the left rocker arm is fixedly connected with the left upper and lower rotating shafts (34), and the lower end of the left rocker arm is fixedly connected with the rectangular frame body (2A); the upper end of the right rocker arm is fixedly connected with the right upper and lower rotating shafts (35), and the lower end of the right rocker arm is fixedly connected with the rectangular frame body (2A).
15. The system of claim 13, wherein the system is further configured to non-invasively treat sinusitis:
the system comprises a railing and a railing locating component; the retention component is any combination of the following four: a. a rope; b. a baffle plate; c. pressing a plate; d. protecting the belt;
the indicating mechanism is a mechanical rotary graduator.
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CN112603721B (en) * 2020-12-18 2023-10-13 温州市中心医院 Cardiovascular intervention operation treatment bed

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