Disclosure of Invention
The invention aims to provide an internal medicine treatment bed which has scientific and reasonable structural design, can ensure sterility and sanitation to avoid cross infection and is very convenient and quick to use.
In order to achieve the technical purpose, the invention adopts the following technical scheme:
a medical treatment bed comprises a bed body, wherein a fixed bed plate and a movable bed plate which are arranged in the front and at the back are arranged on the bed body, an angle adjusting mechanism for adjusting the inclination angle of the movable bed plate is arranged at the lower side of the movable bed plate, and the angle adjusting mechanism is powered by a crank device through an input shaft; the method is characterized in that: the fixed bed board and the movable bed board are paved with an isolation pad, the isolation pad is formed by sequentially laminating a plurality of layers of isolation films with the same shape, and the upper and lower adjacent isolation films are tightly attached; the input shaft is supported by the front part of the bed body and is in transmission connection with the angle adjusting mechanism, wherein the front part is tubular, two opposite sides of the front part are provided with guide grooves, and the side wall of the front end part is provided with a notch; the crank device comprises a crank arm, a handle part and a sucker; the crank arm is L-shaped and consists of a long arm and a short arm; the long arm is inserted into the input shaft, guide posts matched with the guide grooves are respectively arranged on two sides of the long arm, when the two guide posts are not positioned at the front ends of the two guide grooves, the long arm and the input shaft can only move axially relative to each other, and only when the two guide posts are positioned at the front ends of the two guide grooves, the long arm can be driven to rotate around the guide posts to the gap so that the long arm is perpendicular to the input shaft; the end part of the short arm is fixed with a sleeve parallel to the long arm; the sleeve is sleeved outside the handle part, the handle part and the sleeve can rotate relatively and slide relatively in the axial direction but cannot be separated, a sucking disc is fixed at one end of the handle part close to the long arm, and a reset mechanism for driving the sucking disc to approach the sleeve is arranged between the handle part and the sleeve; the crank device is positioned at the rear ends of the two guide grooves in an initial state, and the crank device can be used for driving the input shaft to rotate; when the long arm rotates upwards to be perpendicular to the input shaft and the long arm is located in the vertical direction, the sucker is located right above one corner of the front end of the isolation pad, the sucker can adsorb the isolation pad by artificially driving the handle to move downwards, and the handle drives the upward movement process at the reset mechanism, so that one corner of the isolation film on the uppermost layer can be separated from the isolation pad by the sucker.
The working principle and the using method of the internal medicine treatment bed are as follows:
when in clinical use, the crank device in an initial state is used for driving the input shaft to rotate, and the inclination angle of the movable bed plate can be adjusted through the angle adjusting mechanism so as to meet the requirement of treatment operation; after the treatment of a patient is finished, the notch of the input shaft is adjusted to the upper side by using the crank device, the crank device is pulled outwards to enable the two guide posts to reach the front ends of the two guide grooves, then the crank device is rotated upwards by 90 degrees around the guide posts, the sucker is positioned right above one corner of the isolation pad, the sucker is pressed downwards to be pressed on the isolation pad and air in the sucker is exhausted, then the handle is released, the reset mechanism drives the handle and the sucker to move upwards, the sucker separates one corner of the isolation film on the uppermost layer from the isolation pad, the corner of the isolation film separated by the user is lifted off the whole used isolation film, and finally the uppermost layer of the isolation pad is a clean and sanitary all-new isolation film for the next patient to use; after the above operation is completed, the crank device is adjusted to an initial state, which does not cause obstruction to clinical treatment operation.
The invention has the following beneficial effects:
the isolation pad of the internal treatment bed is formed by laminating a plurality of layers of isolation membranes, in clinical application, each patient can use one layer of isolation membrane independently, and the isolation membranes are tightly attached and not easy to shift, so that the sanitation and the asepsis of the isolation membranes can be ensured, and the probability of cross infection caused by the internal treatment bed is reduced to the minimum; one corner of the used isolation membrane can be separated by utilizing the crank device so as to be convenient for taking off the whole isolation membrane, compared with the prior modes of on-site disinfection or replacement of disposable bed sheets and the like, the mode adopted by the medical treatment bed can be operated more conveniently and rapidly, and the medical efficiency cannot be obviously adversely affected; in addition, as the isolating membrane is made of medical plastics and is light and thin, the number of isolating membranes of one isolating pad is extremely large, namely the isolating pad can meet the requirement of long-time clinical work after being installed and does not need to be replaced frequently; the internal treatment bed can be formed by refitting the existing conventional treatment bed, so that the manufacturing cost can be greatly reduced, and the implementation is easier; the crank device has the function of providing power for the input shaft, and simultaneously has the function of separating the isolating membrane from the isolating pad, so that the utilization rate of components is high, the crank device is more compact, and occupies smaller space; to sum up, this internal medicine treatment bed has adopted exquisite structural design and scientific protection mechanism, greatly reduced internal medicine treatment bed cause cross infection's probability, and guaranteed medical efficiency, the cost of manufacture is lower, and it is very convenient to use, has very big clinical spreading value.
Drawings
Fig. 1 is a schematic overall structure diagram of the medical treatment bed.
FIG. 2 is a schematic view of the bed body before being combined with the isolation pad.
Fig. 3 is a schematic structural view of the crank device.
Fig. 4 is a schematic diagram of the adjustment of the relative position of the crank assembly and the input shaft.
Fig. 5 is a schematic view of the suction cup sucking the release liner by moving the handle downward.
FIG. 6 is a schematic view of the suction cup separating the uppermost separator from the separator pad.
Fig. 7 is a schematic diagram of the shaft seat and the input shaft.
Fig. 8 is a schematic diagram of the internal structure of the internal treatment couch.
Fig. 9 is a structural view of an embodiment of a return mechanism in the crank device.
Fig. 10 is a schematic structural view of a tension spring additionally arranged between the input shaft and the crank device.
In the figure, 1, a fixed bed board, 2, an angle adjusting mechanism, 201, a bearing arm, 202, a hinge base, 203, a diagonal brace, 204, a threaded sleeve, 205, a screw rod, 3, a movable bed board, 4, a bulge part, 5, an isolation pad, 6, a hole, 7, an adsorption part, 8, a crank device, 801, a sucker, 802, a sleeve, 803, a reset mechanism, 804, a handle part, 805, a short arm, 806, a long arm, 807, a guide post, 808, a sliding ring, 809, a sliding groove, 810, a thrust spring, 811, a sliding post, 9, an input shaft, 901, a notch, 902, a guide groove, 903, a positioning pit, 10, a bed body, 11, a headrest part, 12, an isolation membrane, 13, a breathing counter bore, 14, a clamping seat, 141, a U-shaped groove, 15, a spring plunger, 16, 17, a transmission part, 18 and a tension spring.
Detailed Description
Referring to fig. 1-6, the medical treatment bed disclosed in the present invention comprises a bed body 10, an isolation pad 5, an angle adjusting mechanism 2 and a crank device 8; the bed body 10 is provided with a fixed bed board 1 and a movable bed board 3 which are arranged in front and back, and the front end of the movable bed board 3 is fixed by a rotating shaft and can rotate; the angle adjusting mechanism 2 is arranged in the bed body 10 and is powered by a crank device 8 through an input shaft 9, so that the inclination angle of the movable bed plate 3 is adjusted to meet the requirement of clinical treatment; the isolation pad 5 is formed by sequentially laminating a plurality of layers of isolation films 12 with the same shape, the isolation films 12 which are adjacent up and down are tightly attached and are paved on the upper sides of the fixed bed board 1 and the movable bed board 3 for a patient to lie; the input shaft 9 is supported by the front part of the bed body 10 to rotate and is in transmission connection with the angle adjusting mechanism 2, the middle front part of the input shaft 9 is tubular, two opposite sides of the middle front part of the input shaft 9 are provided with guide grooves 902, and the side wall of the front end part of the input shaft 9 is provided with a U-shaped notch 901; the crank device 8 comprises a crank arm, a handle part 804 and a sucker 801; the crank arm is L-shaped and is composed of a long arm 806 and a short arm 805 which are integrated and vertical to each other; the long arm 806 is inserted into the lumen of the input shaft 9, the two sides of the end of the long arm 806 are respectively provided with guide posts 807 matched with the two guide slots 902, when the two guide posts 807 are not positioned at the front ends of the two guide slots 902, the long arm 806 and the input shaft 9 can only move relatively in the axial direction, only when the two guide posts 807 are positioned at the front ends of the two guide slots 902, the long arm 806 can be driven to rotate around the guide posts 807 to the notch 901, and when the long arm 806 rotates to the notch 901, the long arm 806 is perpendicular to the input shaft 9; a sleeve 802 parallel to the long arm 806 is fixed at the end of the short arm 805; the sleeve 802 is sleeved outside the handle part 804, the handle part 804 and the sleeve 802 can rotate relatively and slide relatively in the axial direction but cannot be separated, a sucker 801 is fixed at one end of the handle part 804 close to the long arm 806, and a reset mechanism 803 for driving the sucker 801 to close to the sleeve 802 is arranged between the handle part 804 and the sleeve 802; when the position of the crank device 8 is adjusted to make the two guide posts 807 located at the rear ends of the two guide slots 902, the crank device 8 is in an initial state, and at this time, the rocking handle 804 can drive the input shaft 9 to rotate, thereby realizing the function of adjusting the inclination angle of the movable bed plate 3; when the notch 901 of the input shaft 9 is located at the upper side, the crank device 8 is pulled outwards to make the two guide posts 807 reach the front ends of the two guide slots 902, the long arm 806 is rotated upwards to the notch 901, the long arm 806 is perpendicular to the input shaft 9 and the long arm 806 is located in the vertical direction, that is, the crank device 8 as a whole can be rotated upwards by 90 degrees around the guide post 807, at this time, the suction cup 801 is located right above one corner of the front end of the isolation pad 5, and then the handle 804 is manually driven to move downwards to enable the suction cup 801 to absorb the isolation pad 5, and in the process that the handle 804 is driven to move upwards by the reset mechanism 803, the suction cup 801 absorbs one corner of the isolation film 12 at the uppermost layer to move upwards, so that the corner of the isolation film 12 is.
The working principle and the using method of the internal medicine treatment bed are as follows:
as shown in fig. 4-6, in clinical use, the crank device 8 in the initial state can drive the input shaft 9 to rotate, and the inclination angle of the movable bed plate 3 can be adjusted through the angle adjusting mechanism 2 to meet the requirement of treatment operation; after the treatment of the patient is completed, the notch 901 of the input shaft 9 is adjusted to the upper side by using the crank device 8, the crank device 8 is pulled forward to enable the two guide posts 807 to reach the front ends of the two guide grooves 902, then the crank device 8 is rotated upwards by 90 degrees around the guide posts 807, at the moment, the sucker 801 is positioned right above one corner of the isolation pad 5, the sucker 801 is pressed downwards to be pressed on the isolation pad 5 by manually pressing the handle 804, and air in the sucker 801 is discharged, then the handle 804 is released, the handle 804 and the sucker 801 are driven upwards by the reset mechanism 803, the sucker 801 adsorbs one corner of the isolation film 12 at the uppermost layer to move upwards, so that the corner of the isolation film 12 is separated from the isolation pad 5, the corner of the manually separated isolation film 12 uncovers the whole used isolation film 12, and the uppermost layer of the isolation pad 5 is changed into a clean and sanitary brand new isolation film 12 for the next patient to use; after the above operation is completed, the crank device 8 is adjusted to an initial state, which does not hinder the clinical treatment operation; the used and removed separator 12 is disposed of as medical waste.
In this internal medicine treatment bed, because the isolation pad 5 comprises the range upon range of multilayer barrier film 12, in clinical application, every patient can use one deck barrier film 12 alone, because barrier film 12 closely laminates and is difficult to the aversion, can guarantee that barrier film 12 health is aseptic, reduces internal medicine treatment bed initiation cross infection's probability to minimum.
Referring to fig. 2, in the medical treatment bed, the isolation pad 5 is generally prepared by a professional manufacturer, the isolation pad 5 is formed by stacking a plurality of isolation films 12, and the isolation pad can be prefabricated by adopting the prior art, specifically, a film made of medical plastics is selected as a blank of the isolation films 12, and the blanks are sequentially stacked and arranged to reduce air trapped between adjacent layers to the maximum extent; compacting by using a die, on one hand, discharging the air which is clamped so as to enable the blanks to be attached more tightly, and on the other hand, shaping the stacked blanks so as to enable the blanks to be flat; in the compacting process, the corner of the isolation pad 5 to be adsorbed by the sucker 801 is not suitable to be squeezed by excessive pressure, so that the sucker 801 can smoothly lift the isolation film 12 from the corner; finally, the edge contour is cut by a cutting tool, and the prefabrication of the isolation pad 5 is completed. Because the isolating membranes 12 are very light and thin, the isolating membranes 12 contained in one isolating pad 5 are huge in number, so that the isolating pad 5 can meet the requirement of long-time clinical work after being installed, and does not need to be replaced frequently.
Referring to fig. 5 and 6, because the corners of the prefabricated isolation pad 5 are relatively regular, and the adjacent isolation films 12 are tightly attached, a worker cannot easily separate one corner of the isolation film 12 at the uppermost layer from the isolation pad 5, but when the isolation pad 5 is adsorbed by the suction cup 801 and pulled upwards, the traction force is only applied to the isolation film 12 at the uppermost layer of the isolation pad 5, and the attaching force between the isolation films 12 at the corners is relatively weak, so that the corners of the isolation films 12 can be separated from the isolation pad 5 in the upward moving process of the suction cup 801; then, the corner of the separated isolating membrane 12 is manually held, so that the isolating membrane 12 can be easily and quickly torn off; compared with the prior modes of sterilizing on site or replacing a disposable bed sheet and the like, the mode adopted by the internal medicine treatment bed can be operated more conveniently and rapidly, and the medical efficiency cannot be obviously adversely affected.
As shown in fig. 3 and 6, in the internal medicine treatment bed, the crank device 8 has two functions, namely, the crank device can be used for adjusting the inclination angle of the movable bed plate 3 to meet the treatment requirement, and can be used for separating the isolating membrane 12 from the isolating pad 5 after simple position adjustment, so that two purposes are achieved, and the utilization rate of the crank device 8 is greatly improved; in the initial state, most of the long arm 806 is accommodated in the lumen of the input shaft 9, and the crank device 8 is very small and does not significantly increase the volume of the medical treatment couch.
As shown in fig. 1 and 2, it is very important to keep the patient in a relaxed and comfortable state during the clinical treatment; the isolation cushion 5 has soft characteristic, so that a certain comfortable feeling can be brought to the lying of a patient; in order to further improve the comfort of the medical treatment bed, the movable bed plate 3 is provided with a headrest part 11 protruding upwards, the fixed bed plate 1 is provided with an oval breathing counter bore 13, and the isolation pad 5 is pre-provided with a bulge part 4 matched with the headrest part 11 and a hole 6 matched with the hole 6; the head rest portion 11 provides support for the head of the patient when the patient is lying on his back, and the face of the patient is placed in the breathing counter bore 13 when the patient is lying on his stomach.
As shown in fig. 3 and 5, in the medical treatment bed, a clamping seat 14 is provided at the front end of the bed body 10, and a U-shaped groove 141 is provided on the clamping seat 14; when the long arm 806 is rotated upwards to the notch 901, the long arm 806 is perpendicular to the input shaft 9, and the long arm 806 is located in the vertical direction, the long arm 806 is just clamped in the U-shaped groove 141 of the clamping seat 14; in the process of manually driving the handle 804 to move down to enable the suction cup 801 to suck the isolation pad 5, the clamping seat 14 can prevent the crank arm from swinging around the input shaft 9, so as to ensure that the suction cup 801 can firmly suck the isolation pad 5.
As shown in fig. 7, in the medical treatment bed, the input shaft 9 is supported by a shaft seat 16 fixed on the bed body 10, a spring plunger 15 is installed in the shaft seat 16, and a positioning pit 903 matched with a ball head of the spring plunger 15 is formed on a side wall of the input shaft 9; when the input shaft 9 rotates until the ball head of the spring plunger 15 falls into the positioning pit 903, the notch 901 of the input shaft 9 is just positioned at the upper side; therefore, when the crank device 8 is needed to separate the isolation diaphragm 12, the input shaft 9 can be quickly rotated to the position where the notch 901 is located at the upper side, and then the pressing handle device is pulled forwards and rotated upwards by 90 degrees, so that the suction cup 801 can be located at the expected position of one corner of the front end of the isolation pad 5.
Referring to fig. 1, in the medical treatment bed, the angle adjusting mechanism 2 is arranged inside a bed body 10, and is powered by a crank device 8 through an input shaft 9 for adjusting the inclination angle of the movable bed plate 3; most of the medical beds in the prior art have the function of adjusting the inclination angle, so the angle adjusting mechanism 2 can be implemented by relying on the prior art, but preferably adopts the following structure:
as shown in fig. 1 and 8, a bearing arm 201 extending left and right and capable of sliding back and forth is defined in the bed body 10, the bearing arm 201 is hinged with two inclined supporting rods 203 distributed left and right, and the other ends of the two inclined supporting rods 203 are respectively connected with two hinged supports 202 fixed on the lower side of the bed plate; a screw rod mechanism which is composed of a screw rod 205 and a screw sleeve 204 and can feed back and forth is arranged in the bed body 10, one of the screw rod 205 and the screw sleeve 204 is fixedly connected with the middle part of the bearing arm 201, and the other is connected with the input shaft 9 through a transmission piece 17; based on the above structure, the movable bed plate 3, the diagonal braces 203, the screw mechanism and other components actually form a multi-link mechanism, when the input shaft 9 rotates, the screw mechanism drives the bearing arm 201 to move horizontally, and the two diagonal braces 203 drive the movable bed plate 3 to rotate correspondingly, i.e. the purpose of adjusting the inclination angle is achieved.
Referring to fig. 3, 5 and 6, in the medical treatment bed, a reset mechanism 803 is arranged between a handle 804 and a sleeve 802, and the function of the reset mechanism 803 can be summarized into two points, one of which is that when the crank device 8 is kept in an initial state, the reset mechanism 803 can ensure that one end of a sucker 801 of the handle 804 is always close to the sleeve 802, and at the moment, the handle 804 and a crank arm are in a zigzag shape, and the handle 804 and the sleeve 802 can rotate relatively so as to facilitate the handle 804 to be held by hand for shaking; secondly, after the suction cup 801 sucks the upper side of the isolation pad 5, the reset mechanism 803 can apply a stable acting force to the handle part 804 to drive the suction cup 801 to suck the isolation film 12 to move upwards, so that manual operation is reduced, and the stability of upward movement of the suction cup 801 is ensured; due to the above-mentioned function of the reset mechanism 803, it has various embodiments using the prior art. Meanwhile, the invention provides a more preferable implementation mode, and the specific structure is as follows:
as shown in fig. 9, the handle 804 is hollow, a sliding groove 809 is formed in a side wall of the handle 804, a sliding ring 808 is sleeved outside the handle 804, the sliding ring 808 and the suction cup 801 are respectively located at two sides of the sleeve 802, a sliding column 811 slidably fitted with the sliding groove 809 is fixed on the sliding ring 808, the sliding column 811 extends into an inner cavity of the handle 804, and a thrust spring 810 for pushing the sliding column 811 to push the sliding ring 808 against the sleeve 802 is placed in the inner cavity of the handle 804; after the reset mechanism 803 adopts the above structure, when the crank device 8 is kept in the initial state, the reset mechanism 803 can ensure that one end of the suction cup 801 of the handle 804 is always close to the sleeve 802, and the handle 804 and the sleeve 802 can rotate relatively, so that the handle 804 can be held by hand to shake; when the handle device 8 is needed to separate the isolation diaphragm 12, when the handle 804 is manually driven to move to separate the suction cup 801 from the sleeve 802, the sliding ring 808 abuts against the sleeve 802 and cannot move, the thrust spring 810 is compressed along with the movement of the handle 804, and when the handle 804 is not subjected to an external force, the thrust provided by the thrust spring 810 can drive one end of the suction cup 801 of the handle 804 to approach the sleeve 802, that is, the suction cup 801 moves upwards.
As shown in figure 1, in the medical treatment bed, the corner part of the isolation diaphragm 12 which is adsorbed by the sucker 801 is provided with an adsorption part 7 which is thickened and hardened, and when the adsorption part 7 is adsorbed by the sucker 801, excessive deformation is not generated, so that the sucker 801 can generate stable and sufficient adsorption force on the isolation diaphragm 12; in addition, by properly improving the sucker 801 or selecting the porous vacuum sucker 801 in the prior art, the isolation film 12 and the sucker 801 can be ensured to be stably and tightly contacted, so that the adsorption effect of the sucker 801 on the isolation film 12 is improved.
Referring to fig. 10, in the medical treatment bed, a tension spring 18 is arranged between the input shaft 9 and the crank device 8, one end of the tension spring 18 is fixed on the outer side of the input shaft 9, and the other end of the tension spring 18 is fixed on the outer side of the crank arm; when the long arm 806 is in the same direction as the input shaft 9, the tension spring 18 can drive the long arm 806 to move towards the input shaft 9 until the guide post 807 reaches the rear end of the guide groove 902; when the long arm 806 is perpendicular to the input shaft 9, the long arm 806, the input shaft 9 and the tension spring 18 are distributed in a triangle, and the tension spring 18 is in a tension state. Based on the above structure, when the crank device 8 is used to separate the isolation film 12, after the crank device 8 is pulled forward and rotated upward to a certain angle, the tension spring 18 can automatically drive the long arm 806 to rotate to be perpendicular to the input shaft 9, and the tension spring 18 can make the long arm 806 and the input shaft 9 more stably maintain the perpendicular state, so as to facilitate the operation; when the crank device 8 is adjusted to the initial state, the long arm 806 is rotated to the same direction as the input shaft 9, the tension spring 18 can drive the long arm 806 to automatically move towards the input shaft 9, so that the crank device 8 is reset to the initial state, and when the crank device 8 is used for adjusting the inclination angle of the movable bed plate 3, the tension spring 18 can prevent the long arm 806 and the input shaft 9 from axially moving, so that the operation is more convenient and faster.