CN111759392B - Compression fixing device and compression fixing method thereof after cardiac pacing operation - Google Patents

Compression fixing device and compression fixing method thereof after cardiac pacing operation Download PDF

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CN111759392B
CN111759392B CN202010815457.3A CN202010815457A CN111759392B CN 111759392 B CN111759392 B CN 111759392B CN 202010815457 A CN202010815457 A CN 202010815457A CN 111759392 B CN111759392 B CN 111759392B
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plate
support
bolt
rotating shaft
electric push
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CN111759392A (en
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王登峰
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Henan Honghui Medical Technology Co ltd
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Nanyang City Center Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • 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
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/057Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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Abstract

The invention relates to a compression fixing device after cardiac pacing and a compression fixing method thereof, wherein a chest limiting adjusting bracket is fixedly arranged between two supporting sliding plates, a compression bolt hole is arranged on the upper surface of one end of the chest limiting adjusting bracket, a compression bolt is movably arranged in the compression bolt hole, the bottom of the compression bolt is connected with a compression plate arranged at the bottom of the chest limiting adjusting bracket, a lateral position limiting plate is arranged at the inner side of a longitudinal limiting groove seat close to the position of the compression plate, the outer end of the lateral position limiting plate is connected with a lateral position adjusting bolt positioned and arranged on the longitudinal limiting groove seat, a rotating shaft is fixedly arranged at the middle position of the bottom of a fine adjustment plate, the two ends of the rotating shaft are movably arranged in a rotating shaft bracket, and the bottom of the rotating shaft bracket is fixedly arranged on a; when the device is used integrally, the pressurizing position is accurately positioned and controlled, a user is limited between the chest limiting adjusting bracket and the supporting sliding plate, and the phenomena of falling, pressure change and the like cannot occur by utilizing a bolt pressurizing structure.

Description

Compression fixing device and compression fixing method thereof after cardiac pacing operation
Technical Field
The invention relates to the field of medicine, in particular to a compression fixing device used after cardiac pacing surgery and a compression fixing method thereof.
Background
The cardiac pacemaker implantation is a treatment method of artificially implanting a cardiac pacemaker, stimulating the heart by pulse current with specific frequency through a lead and an electrode to replace a pacing point of the heart to drive the heart to beat, and is a safe and effective method for treating irreversible cardiac pacing conduction dysfunction, in particular to treating severe chronic arrhythmia. The heart pacemaker is an electronic therapeutic apparatus implanted in a human body, and electric pulses powered by a battery are delivered by a pulse generator, and conducted by a lead electrode to stimulate cardiac muscle contacted by the electrode so as to excite and contract the heart, thereby achieving the aim of treating heart dysfunction caused by certain arrhythmia. The pacemaker is implanted by temporary cardiac pacing and permanent cardiac pacing. The temporary cardiac pacing includes 5 methods, including percutaneous pacing, transesophageal pacing, transthoracic wall puncture pacing, open chest epicardial pacing, and transvenous pacing. The femoral vein, subclavian vein or internal jugular vein are usually selected to be punctured and fed into the temporary pacing electrode lead. Permanent cardiac pacing currently uses endocardial membrane electrode leads for the most part. The technical points comprise vein selection, lead electrode fixation and pacemaker implantation. Pacemakers are typically placed subcutaneously in the chest on the same side of the electrode lead. The electrode lead is connected with a pulse generator, and the redundant lead near the muscle surface and the pacemaker near the skin are placed in a subcutaneous sac. The electrode lead is inserted from a vein under the arm or the clavicle, inserted into a predetermined cardiac chamber pacing site under fluoroscopy, fixed and detected. Then, a pacemaker connected with the electrode lead is placed in the chest, and the skin is sutured, so that the operation can be completed.
After the cardiac pacing implantation, postoperative care operation is generally carried out on the wound position, a patient is generally required to be kept in a horizontal position or slightly left lateral position for 1 to 3 days, the limb is not suitable to move excessively after the operation, the electrode is prevented from falling off, and severe weight-bearing movement is prohibited. The traditional method is to apply pressure to the wound site with sandbags for up to six hours and add dressing to the wound site to stop bleeding. The traditional postoperative nursing hemostasis equipment and method are heavy, and the method of pressing by sand bags brings great inconvenience to patients: the positioning of the pressurizing position is not accurate and is easy to change, and the pressurizing sand bag is easy to fall off; the patient adopts a lying and lying position for a long time, bedsore is easy to generate, the patient generally adopts a slightly left lying position and needs to be padded up on the back, and the whole body is not very comfortable; most importantly, the traditional compression method generally adopts the clothes or bandages with wearable structures, but the change of pressure is easily reduced due to the lack of stable supporting compression points when the device is used for a long time, and the aims of hemostasis and compression cannot be achieved.
Therefore, the compression fixing device and the compression fixing method thereof used after the cardiac pacemaker, which have the advantages of simple structure, convenient operation, high working and operating efficiency, stable pressure support, no bedsore, strong controllable pressure regulation, accurate operation, simple method and easy operation, are produced, and have wide market prospect.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides the compression fixing device and the compression fixing method thereof after the cardiac pacemaker operation, which have the advantages of simple structure, convenient operation, high working and operating efficiency, stable pressure support, no bedsore generation, strong controllable pressure regulation, accurate operation, simple method and easy operation, and are used for overcoming the defects in the prior art.
The technical scheme of the invention is realized as follows: a compression fixing device used after cardiac pacing comprises a bottom supporting plate, wherein a fine adjustment plate is arranged above the bottom supporting plate through an electric push rod, longitudinal limiting groove seats are fixedly arranged on two sides of one end of the fine adjustment plate, a lifting support is arranged in each longitudinal limiting groove seat through a positioning bolt, a dovetail groove is formed in the top of each lifting support, a sliding block is movably arranged in each dovetail groove, a supporting sliding plate is fixedly arranged above each sliding block, a supporting plate fixing bolt is arranged on each supporting sliding plate, a chest limiting adjusting support is fixedly arranged between the two supporting sliding plates, a compression bolt hole is formed in the upper surface of one end of the chest limiting adjusting support, a compression bolt is movably arranged in the compression bolt hole, the bottom of the compression bolt is connected with a compression plate arranged at the bottom of the chest limiting adjusting support, a lateral position limiting plate is arranged on the inner side of the longitudinal limiting groove seat close to the position of the compression plate, the outer end of the lateral position limiting plate is connected with a lateral position adjusting bolt which is positioned and installed on the longitudinal limiting groove seat, a rotating shaft is fixedly installed at the middle position of the bottom of the fine adjustment plate, two ends of the rotating shaft are movably installed in a rotating shaft support, and the bottom of the rotating shaft support is fixedly installed on a bottom supporting plate.
The bottom supporting plate is of a rectangular plate-shaped structure, the fine adjustment plate is of a rectangular plate-shaped structure, the length of the bottom supporting plate is not smaller than that of the fine adjustment plate, the width of the bottom supporting plate is not smaller than that of the fine adjustment plate, electric push rod fixing sleeves are fixedly arranged on the inner sides of four corner positions of the upper surface of the bottom supporting plate, the bottoms of the electric push rods are fixedly sleeved in the electric push rod fixing sleeves, electric push rod rotating supports are fixedly arranged on the inner sides of the four corner positions of the bottom of the fine adjustment plate, and the tops of the electric push rods are sleeved in the electric push rod rotating supports through the electric push rod rotating sleeves; the electric push rods are four, the two electric push rods close to one side of the lateral position limiting plate position are two synchronous electric push rods, and the two electric push rods far away from one side of the lateral position limiting plate position are two synchronous electric push rods.
The longitudinal limiting groove seat is a rectangular cavity structure with an opening at the top, the inner side of the longitudinal limiting groove seat is fixedly connected with the outer side surface of the fine adjustment plate, the outer side wall of the longitudinal limiting groove seat is provided with a positioning bolt mounting hole, a first inner thread layer matched with a positioning bolt is arranged in the positioning bolt mounting hole, the positioning bolt is movably mounted in the positioning bolt mounting hole, the lifting support is a cuboid block-shaped structure, the length of the lifting support is matched with that of the opening at the top of the longitudinal limiting groove seat, the width of the lifting support is matched with that of the opening at the top of the longitudinal limiting groove seat, the height of the lifting support is matched with the depth of the opening at the top of the longitudinal limiting groove seat, the dovetail groove extends along the length direction of the top of the lifting support, one side of the dovetail groove extends to the outer side of the lifting support, and the other side of the dovetail groove is arranged at the inner side of the edge position at the top of the lifting support, the cross section of the sliding block arranged in the dovetail groove is matched with that of the dovetail groove.
The support slide be width and lift support width matched with rectangle platelike structure, the length of support slide is not more than the length of lift support, the spacing regulation support of chest is the rectangle platelike structure who has the cambered surface, the both ends of the spacing regulation support of chest are as an organic whole structure with the medial surface fixed connection of two support slides respectively, the height that the horizontal plane that the chest spacing regulation support top surface was located is not less than the height of the horizontal plane that the support slide top surface was located.
The pressure plate be arc platelike structure, the top cambered surface of pressure plate cooperatees with the bottom surface of chest spacing adjustment support, is provided with pressure plate anti-rotation groove at the top central point of pressure plate, movable mounting has the pressure plate to offset rotary joint at pressure plate anti-rotation inslot, the top that rotary joint was offset to the pressure plate is connected as an organic whole structure with the bottom of pressurization bolt, the pressure plate offset rotary joint be big end down's cylindrical structure.
The lateral position limiting plate be that the medial surface is cambered surface platelike structure, the cross-section of lateral position limiting plate is crescent structure, puts the spacing anti-rotation groove of lateral position at the central point of the lateral surface of lateral position limiting plate, movable mounting has the spacing rotary joint that offsets of lateral position in the spacing anti-rotation groove of lateral position, the spacing top and the lateral position adjusting bolt connection structure as an organic whole that offsets rotary joint of lateral position, the spacing rotary joint that offsets of lateral position be big end down's cylindrical structure, seted up lateral position adjusting bolt mounting hole on the lateral wall of the vertical spacing groove seat of installation lateral position adjusting bolt, be provided with in this lateral position adjusting bolt mounting hole with lateral position adjusting bolt matched with second interior screw thread layer, lateral position adjusting bolt movable mounting is in this lateral position adjusting bolt mounting hole.
The middle part of rotation axis pass through the bottom intermediate position fixed connection of rotation axis fixed block and fine-tuning, be non-contact structure between the both ends top surface of rotation axis and the fine-tuning bottom surface, the tip at the rotation axis is adorned to the rotation axis support cover, offers the rotation axis mounting hole that is used for installing the rotation axis on the rotation axis support, the rotation axis is installed in this rotation axis mounting hole, top one side of support slide seted up support slide fixing bolt mounting hole, this support slide fixing bolt mounting hole is located the side of dovetail top direction, be provided with in this support slide fixing bolt mounting hole with the interior screw thread layer of backup pad fixing bolt matched with of backup pad, backup pad fixing bolt installs in this support slide fixing bolt mounting hole.
The compression fixing method of the compression fixing device after the cardiac pacing operation comprises the following steps: the head of a user lies down towards the chest limiting and adjusting bracket, the chest limiting and adjusting bracket and the supporting sliding plate are taken down from the dovetail groove before lying down, the user is installed and returned after lying down to ensure that the upper limb part on the left side of the user is in fit contact with the inner side surface of the lateral position limiting plate, then the horizontal transverse moving distance of the lateral position adjusting bolt and the horizontal longitudinal sliding distance of the chest limiting and adjusting bracket and the supporting sliding plate are adjusted, the chest wound position of the user corresponds to the central position of the pressure plate by using a criss-cross adjusting mode, after the central position of the pressure plate corresponds to the chest wound position of the user, the supporting plate fixing bolt is screwed down, the pressure plate is moved down to the wound position by adjusting the pressure bolt, the pressure treatment operation is carried out on the wound position, after the user takes three to five hours of the lying down position, the electric push rod is opened, and the electric push rod positioned below the lateral position limiting plate is contracted, the electric push rod on the other side extends out, the fine adjustment plate drives the rotating shaft to rotate at the moment, the rotating shaft rotates in the rotating shaft support, when the rotating angle of the fine adjustment plate reaches ten degrees to twenty degrees, the electric push rod stops working, at the moment, the left upper limb of a user is limited through the lateral position limiting plate, the prone position of the user is changed into the lateral position, when the lateral position continues for half an hour, the fine adjustment plate reversely restores to the horizontal setting position according to the operation, in the implementation stage of the horizontal prone position and the lateral position, the pressurizing plate continuously provides pressurizing work under the action of the pressurizing bolt, and meanwhile, the chest limiting adjustment support and the supporting sliding plate provide a stable pressurizing supporting surface outside the user.
The invention has the following positive effects: firstly, the product has simple structure and convenient operation, provides a stable support body for pressurization after cardiac pacing, has accurate positioning control of the pressurization position when being used integrally, is limited between the chest limiting adjusting bracket and the supporting sliding plate by a user, and does not have the phenomena of falling, pressure change and the like by utilizing a bolt pressurization structure; in addition, the product realizes the alternate replacement of the horizontal decubitus posture and the lateral decubitus posture, does not generate bedsore, and the integral lateral decubitus is inclined towards the left side, thus meeting the requirements of the decubitus posture after cardiac pacing; most importantly, the traditional wearable pressurizing and fixing method is changed, the pressure change and loosening phenomena caused by the lack of stable supporting and pressurizing points when the traditional wearable pressurizing device is used for a long time are avoided, and the aims of stopping bleeding and pressurizing cannot be efficiently implemented.
Drawings
Fig. 1 is a schematic perspective view of the present invention.
Fig. 2 is a schematic side view of the present invention.
Fig. 3 is a schematic structural view of the lateral position of the present invention in use.
FIG. 4 is a schematic view of the back structure of the trimming plate of the present invention.
Detailed Description
As shown in fig. 1, 2, 3 and 4, a compression fixing device after cardiac pacing comprises a bottom support plate 1, a fine adjustment plate 2 is arranged above the bottom support plate 1 through an electric push rod 4, longitudinal limiting groove seats 7 are fixedly arranged on both sides of one end of the fine adjustment plate 2, a lifting support 8 is arranged in each longitudinal limiting groove seat 7 through a positioning bolt 17, a dovetail groove 9 is arranged on the top of each lifting support 8, a slide block is movably arranged in each dovetail groove 9, a support slide plate 10 is fixedly arranged above each slide block, a support plate fixing bolt 11 is arranged on each support slide plate 10, a chest limiting adjustment bracket 12 is fixedly arranged between the two support slide plates 10, a compression bolt hole is arranged on the upper surface of one end of the chest limiting adjustment bracket 12, a compression bolt 13 is movably arranged in the compression bolt hole, the bottom of the compression bolt 13 is connected with a compression plate 14 arranged at the bottom of the chest limiting adjustment bracket 12, a lateral position limiting plate 15 is arranged on the inner side of the longitudinal limiting groove seat 7 close to the pressurizing plate 14, the outer end of the lateral position limiting plate 15 is connected with a lateral position adjusting bolt 16 which is positioned and installed on the longitudinal limiting groove seat 7, a rotating shaft 6 is fixedly installed at the middle position of the bottom of the fine adjustment plate 2, two ends of the rotating shaft 6 are movably installed in a rotating shaft bracket 5, and the bottom of the rotating shaft bracket 5 is fixedly installed on the bottom supporting plate 1.
The bottom supporting plate 1 is of a rectangular plate-shaped structure, the fine adjustment plate 2 is of a rectangular plate-shaped structure, the length of the bottom supporting plate 1 is not less than that of the fine adjustment plate 2, the width of the bottom supporting plate 1 is not less than that of the fine adjustment plate 2, electric push rod fixing sleeves 3 are fixedly arranged on the inner sides of four corner positions of the upper surface of the bottom supporting plate 1, the bottom of each electric push rod 4 is fixedly sleeved in each electric push rod fixing sleeve 3, electric push rod rotating supports 22 are fixedly arranged on the inner sides of the four corner positions of the bottom of the fine adjustment plate 2, and the top of each electric push rod 4 is sleeved in each electric push rod rotating support 22 through an electric push rod rotating shaft 23; the electric push rods 4 are four, the two electric push rods 4 close to one side of the position of the lateral position limiting plate 15 are two synchronous electric push rods, and the two electric push rods 4 far away from one side of the position of the lateral position limiting plate 15 are two synchronous electric push rods. The longitudinal limiting groove seat 7 is a rectangular cavity structure with an opening at the top, the inner side of the longitudinal limiting groove seat 7 is fixedly connected with the outer side surface of the fine adjustment plate 2, the outer side wall of the longitudinal limiting groove seat 7 is provided with a positioning bolt mounting hole, a first inner thread layer matched with a positioning bolt 17 is arranged in the positioning bolt mounting hole, the positioning bolt 17 is movably mounted in the positioning bolt mounting hole, the lifting support 8 is a cuboid block-shaped structure, the length of the lifting support 8 is matched with the length of the opening at the top of the longitudinal limiting groove seat 7, the width of the lifting support 8 is matched with the width of the opening at the top of the longitudinal limiting groove seat 7, the height of the lifting support 8 is matched with the depth close to the opening at the top of the longitudinal limiting groove seat 7, the dovetail groove 9 extends along the length direction of the top of the lifting support 8, one side of the dovetail groove 9, the other side of the dovetail groove 9 is arranged at the inner side of the edge position of the top of the lifting support 8, and the cross section shape of a sliding block arranged in the dovetail groove 9 is matched with that of the dovetail groove 9.
The chest limiting adjusting bracket 12 is a rectangular plate-shaped structure with the width matched with that of the lifting support 8, the length of the supporting sliding plate 10 is not more than that of the lifting support 8, the chest limiting adjusting bracket 12 is a rectangular plate-shaped structure with a cambered surface, two ends of the chest limiting adjusting bracket 12 are fixedly connected with the inner side surfaces of the two supporting sliding plates 10 into a whole, and the height of the horizontal plane where the top surface of the chest limiting adjusting bracket 12 is located is not lower than that of the horizontal plane where the top surface of the supporting sliding plate 10 is located. The pressure plate 14 be arc platelike structure, the top cambered surface of pressure plate 14 cooperatees with the bottom surface of chest spacing regulation support 12, is provided with pressure plate anti-rotation groove 18 at the top central point of pressure plate 14, and movable mounting has pressure plate to offset rotary joint 19 in pressure plate anti-rotation groove 18, and the top that the rotary joint 19 was offset to the pressure plate is connected as an organic whole structure with the bottom of forcing bolt 13, pressure plate offset rotary joint 19 be big end down's cylindrical structure.
The lateral position limiting plate 15 is of a cambered surface plate-shaped structure, the cross section of the lateral position limiting plate 15 is of a crescent structure, a lateral position limiting anti-rotation groove 20 is arranged at the central position of the outer side surface of the lateral position limiting plate 15, a lateral position limiting counteracting rotary joint 21 is movably arranged in the lateral position limiting anti-rotation groove 20, the top of the lateral position limiting counteracting rotary joint 21 is connected with a lateral position adjusting bolt 16 to form an integral structure, the lateral position limiting counteracting rotary joint 21 is a cylindrical structure with a small upper part and a big lower part, a lateral position adjusting bolt mounting hole is arranged on the outer side wall of the longitudinal limiting groove seat 7 for mounting the lateral position adjusting bolt 16, a second internal thread layer matched with the lateral position adjusting bolt 16 is arranged in the lateral position adjusting bolt mounting hole, and the lateral position adjusting bolt 16 is movably mounted in the lateral position adjusting bolt mounting hole. The middle part of rotation axis 6 pass through rotation axis fixed block 24 and fine-tuning 2's bottom intermediate position fixed connection, be non-contact structure between the both ends top surface of rotation axis 6 and fine-tuning 2 bottom surfaces, rotation axis support 5 suit is at the tip of rotation axis 6, offers the rotation axis mounting hole that is used for installing rotation axis 6 on rotation axis support 5, rotation axis 6 installs in this rotation axis mounting hole, top one side of support slide 10 seted up and supported slide fixing bolt mounting hole, this support slide fixing bolt mounting hole is located the side of dovetail 9 top directions, be provided with in this support slide fixing bolt mounting hole with support plate fixing bolt 11 matched with backup pad fixing bolt internal thread layer, support plate fixing bolt 11 installs in this support slide fixing bolt mounting hole.
The compression fixing method of the compression fixing device after the cardiac pacing operation comprises the following steps: the head of a user lies down towards the chest limiting and adjusting bracket 12, before lying down, the chest limiting and adjusting bracket 12 and the supporting sliding plate 10 are taken down from the dovetail groove 9, the user is installed and returned after lying down, the upper limb part on the left side of the user is ensured to be in fit contact with the inner side surface of the lateral lying position limiting plate 15, then the horizontal transverse moving distance of the lateral lying position adjusting bolt 16 and the horizontal longitudinal sliding distance of the chest limiting and adjusting bracket 12 and the supporting sliding plate 10 are adjusted, the chest wound position of the user corresponds to the central position of the pressure plate 14 by using a criss-cross adjusting mode, after the central position of the pressure plate 14 corresponds to the chest wound position of the user, the supporting plate fixing bolt 11 is screwed down, then the pressure plate 14 is moved down to the wound position by adjusting the pressure bolt 13, the pressure treatment operation is carried out on the wound position, after the user adopts the lying down position for three to five hours, the electric push rod 4 is started, the electric push rod 4 below the lateral position limiting plate 15 contracts, the electric push rod 4 on the other side extends out, the fine adjustment plate 2 drives the rotating shaft 6 to rotate at the moment, the rotating shaft 6 rotates in the rotating shaft support 5, when the rotating angle of the fine adjustment plate 2 reaches ten degrees to twenty degrees, the electric push rod 4 stops operating, at the moment, the left upper limb of a user is limited through the lateral position limiting plate 15, the prone position of the user is changed into the lateral position, after the lateral position posture lasts for half an hour, the fine adjustment plate 2 reversely restores to the horizontal setting position according to the operation, in the implementation stage of the horizontal position and the lateral position, the pressurizing plate 14 continuously provides pressurizing operation under the action of the pressurizing bolt 13, and meanwhile, the chest limiting adjustment support 12 and the support sliding plate 10 provide a stable pressurizing support surface outside the user.
When in specific use: the head of a user lies towards the chest limiting and adjusting bracket 12, before lying, the chest limiting and adjusting bracket 12 and the supporting sliding plate 10 are taken down from the dovetail groove 9, one side of the dovetail groove 9 extends to the outer side of the lifting support 8, the other side of the dovetail groove 9 is arranged at the inner side of the edge position of the top of the lifting support 8, after lying, the user is returned to ensure that the upper limb part at the left side of the user is in inosculation contact with the inner side of the lateral position limiting plate 15, in order to enhance the using effect of the product, the same lateral position limiting plates 15 are arranged on the longitudinal limiting groove seat at the other side, the two lateral position limiting plates 15 are symmetrically arranged with each other, then the horizontal transverse moving distance of the lateral position adjusting bolt 16 and the horizontal longitudinal sliding distance of the chest limiting and adjusting bracket 12 and the supporting sliding plate 10 are adjusted, and the chest wound position of the user corresponds to the central position of the pressurizing plate 14 by using a crisscross adjusting mode, when the central position of the pressurizing plate 14 corresponds to the position of the chest wound of a user, the supporting plate fixing bolt 11 is screwed down, then the pressurizing plate 14 is moved downwards to the position of the wound by adjusting the pressurizing bolt 13, pressurizing treatment operation is carried out on the position of the wound, after the user adopts a lying and lying posture for three to five hours, the electric push rods 4 are started, the number of the electric push rods 4 is four, the two electric push rods 4 close to one side of the position of the lateral position limiting plate 15 are two synchronous electric push rods, and the two electric push rods 4 far away from one side of the position of the lateral position limiting plate 15 are two synchronous electric push rods. The electric putter 4 that is located the lateral position limiting plate 15 below contracts, and the electric putter 4 of one side stretches out in addition, and fine tuning board 2 drives rotation axis 6 this moment rotatory, and rotation axis 6 is at 5 internal rotations of rotation axis support, and when fine tuning board 2 rotation angle reached ten to twenty degrees, electric putter 4 stop work, and it is spacing that user left side upper limbs passes through the lateral position limiting plate 15 that the left side set up this moment, and it is spacing that user's whole upper limbs are by two lateral position limiting plates 15 centre grippings simultaneously. The user prone position changes the lateral position into, and in order to guarantee the stability when using, sets up spacing fixed band at patient's left side low limbs position, implements spacing operation to patient's low limbs. When the lateral position posture lasts for half an hour, the fine adjustment plate 2 reversely returns to the horizontal setting position according to the above operation, and in the implementation stage of the horizontal position and the lateral position, the pressurizing plate 14 continuously provides pressurizing operation under the action of the pressurizing bolt 13, and simultaneously the chest limit adjusting bracket 12 and the supporting sliding plate 10 provide a stable pressurizing supporting surface at the outer side of the user.
The foregoing is directed to preferred embodiments of the present invention, other and further embodiments of the invention may be devised without departing from the basic scope thereof, and the scope thereof is determined by the claims that follow. However, any simple modification, equivalent change and modification of the above embodiments according to the technical essence of the present invention are within the protection scope of the technical solution of the present invention.

Claims (1)

1. A cardiac pacemaker post-operation compression fixation device, comprising a bottom support plate (1), characterized in that: the top of bottom sprag board (1) install fine-tuning board (2) through electric putter (4), the equal fixed mounting in both sides of fine-tuning board (2) one end has vertical spacing groove seat (7), all install lift support (8) through positioning bolt (17) in every vertical spacing groove seat (7), dovetail (9) have all been seted up at the top of every lift support (8), equal movable mounting has the slider in every dovetail (9), the equal fixed mounting in top of every slider has supporting slide (10), all install backup pad fixing bolt (11) on every supporting slide (10), fixed mounting has chest spacing regulation support (12) between two supporting slide (10), be provided with the pressure bolt hole at the one end upper surface of chest spacing regulation support (12), this pressure bolt downthehole movable mounting has pressure bolt (13), the bottom of pressure bolt (13) and install pressure plate (14) in chest spacing regulation support (12) bottom ) The inner side of a longitudinal limiting groove seat (7) close to the pressurizing plate (14) is provided with a lateral position limiting plate (15), the outer end of the lateral position limiting plate (15) is connected with a lateral position adjusting bolt (16) which is positioned and installed on the longitudinal limiting groove seat (7), the middle position of the bottom of the fine adjustment plate (2) is fixedly provided with a rotating shaft (6), two ends of the rotating shaft (6) are movably installed in a rotating shaft bracket (5), and the bottom of the rotating shaft bracket (5) is fixedly installed on a bottom supporting plate (1); the bottom supporting plate (1) is of a rectangular plate-shaped structure, the fine adjustment plate (2) is of a rectangular plate-shaped structure, the length of the bottom supporting plate (1) is not smaller than that of the fine adjustment plate (2), the width of the bottom supporting plate (1) is not smaller than that of the fine adjustment plate (2), electric push rod fixing sleeves (3) are fixedly installed on the inner sides of four corner positions of the upper surface of the bottom supporting plate (1), the bottom of an electric push rod (4) is fixedly sleeved in the electric push rod fixing sleeves (3), electric push rod rotating supports (22) are fixedly installed on the inner sides of the four corner positions of the bottom of the fine adjustment plate (2), and the top of the electric push rod (4) is sleeved in the electric push rod rotating supports (22) through an electric push rod rotating shaft (23); the number of the electric push rods (4) is four, two electric push rods (4) close to one side of the lateral position limiting plate (15) are two synchronous electric push rods, and two electric push rods (4) far away from one side of the lateral position limiting plate (15) are two synchronous electric push rods; the longitudinal limiting groove seat (7) is a rectangular cavity structure with an opening at the top, the inner side of the longitudinal limiting groove seat (7) is fixedly connected with the outer side surface of the fine adjustment plate (2), the outer side wall of the longitudinal limiting groove seat (7) is provided with a positioning bolt mounting hole, a first inner thread layer matched with a positioning bolt (17) is arranged in the positioning bolt mounting hole, the positioning bolt (17) is movably mounted in the positioning bolt mounting hole, the lifting support seat (8) is of a cuboid block structure, the length of the lifting support seat (8) is matched with the length of the opening at the top of the longitudinal limiting groove seat (7), the width of the lifting support seat (8) is matched with the width of the opening at the top of the longitudinal limiting groove seat (7), the height of the lifting support seat (8) is matched with the depth close to the opening at the top of the longitudinal limiting groove seat (7), and the dovetail groove (9) extends along the length direction of the top of the lifting, one side of the dovetail groove (9) extends to the outer side of the lifting support (8), the other side of the dovetail groove (9) is arranged on the inner side of the edge position of the top of the lifting support (8), and the cross section shape of a sliding block arranged in the dovetail groove (9) is matched with that of the dovetail groove (9); the support sliding plate (10) is a rectangular plate-shaped structure with the width matched with that of the lifting support (8), the length of the support sliding plate (10) is not more than that of the lifting support (8), the chest limit adjusting support (12) is a rectangular plate-shaped structure with a cambered surface, two ends of the chest limit adjusting support (12) are fixedly connected with the inner side surfaces of the two support sliding plates (10) into an integral structure respectively, and the height of the horizontal plane where the top surface of the chest limit adjusting support (12) is located is not lower than that of the horizontal plane where the top surface of the support sliding plate (10) is located; the pressure plate (14) is of an arc-shaped plate-shaped structure, the top arc surface of the pressure plate (14) is matched with the bottom surface of the chest limiting adjusting bracket (12), a pressure plate anti-rotation groove (18) is formed in the center of the top of the pressure plate (14), a pressure plate offsetting rotary joint (19) is movably mounted in the pressure plate anti-rotation groove (18), the top of the pressure plate offsetting rotary joint (19) is connected with the bottom of the pressure bolt (13) into an integral structure, and the pressure plate offsetting rotary joint (19) is of a cylindrical structure with a small top and a large bottom; the lateral decubitus position limiting plate (15) is of a cambered surface plate-shaped structure, the cross section of the lateral decubitus position limiting plate (15) is of a crescent structure, a lateral decubitus position limiting anti-rotation groove (20) is formed in the center of the outer side of the lateral decubitus position limiting plate (15), a lateral decubitus position limiting offsetting rotary joint (21) is movably installed in the lateral decubitus position limiting anti-rotation groove (20), the top of the lateral decubitus position limiting offsetting rotary joint (21) is connected with a lateral decubitus position adjusting bolt (16) into an integral structure, the lateral decubitus position limiting offsetting rotary joint (21) is of a cylindrical structure with a small upper part and a large lower part, a lateral decubitus position adjusting bolt installation hole is formed in the outer side wall of a longitudinal limiting groove seat (7) for installing the lateral decubitus position adjusting bolt (16), and a second internal thread layer matched with the lateral decubitus position adjusting bolt (16) is arranged in the lateral decubitus position adjusting bolt installation hole, the lateral position adjusting bolt (16) is movably arranged in the lateral position adjusting bolt mounting hole; the middle part of the rotating shaft (6) is fixedly connected with the middle position of the bottom of the fine adjustment plate (2) through a rotating shaft fixing block (24), the top surfaces of two ends of the rotating shaft (6) and the bottom surface of the fine adjustment plate (2) are of a non-contact structure, a rotating shaft bracket (5) is sleeved at the end part of the rotating shaft (6), a rotating shaft mounting hole for mounting a rotating shaft (6) is arranged on the rotating shaft bracket (5), the rotating shaft (6) is mounted in the rotating shaft mounting hole, one side of the top of the supporting sliding plate (10) is provided with a supporting sliding plate fixing bolt mounting hole, the mounting holes of the supporting slide plate fixing bolts are positioned on the side surface of the top of the dovetail groove (9), the support sliding plate fixing bolt mounting hole is internally provided with a support plate fixing bolt internal thread layer matched with the support plate fixing bolt (11), and the support plate fixing bolt (11) is mounted in the support sliding plate fixing bolt mounting hole.
CN202010815457.3A 2020-08-14 2020-08-14 Compression fixing device and compression fixing method thereof after cardiac pacing operation Active CN111759392B (en)

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CN114246744B (en) * 2021-12-20 2023-05-09 曾庆淦 Medical department of neurology patient treatment nursing bed
CN114376815A (en) * 2022-01-24 2022-04-22 阜外华中心血管病医院 Fixed pressure device of heart postoperative
CN115778468B (en) * 2023-02-09 2023-04-28 阜外华中心血管病医院 Cardiac pacing postoperative pressurization fixing device

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