CN113940830A

CN113940830A - Mobilizable intensive care unit

Info

Publication number: CN113940830A
Application number: CN202111468457.1A
Authority: CN
Inventors: 张绵
Original assignee: Zhengzhou No 7 People's Hospital
Current assignee: Zhengzhou No 7 People's Hospital
Priority date: 2021-12-03
Filing date: 2021-12-03
Publication date: 2022-01-18
Anticipated expiration: 2041-12-03
Also published as: CN113940830B

Abstract

The invention discloses a movable intensive care device in the technical field of monitoring devices, which comprises an adjustable sickbed and an oral-nasal respirator mask, wherein a covering part which is opened and closed by a pull wire part is arranged at the oral part of the oral-nasal respirator mask, a sensor component is arranged in the oral-nasal respirator mask, a back pushing part is arranged on a back rest plate, and a reverse pull wire mechanism which reversely pulls the pull wire part is arranged at the bottom of the back rest plate; a basin frame is arranged below the adjustable sickbed through a turning-out mechanism, an upper torso rest frame and a detachable basin are arranged on the basin frame, and the reverse wire pulling mechanism, the push plate part and the turning-out mechanism are selectively in transmission connection or disconnection with the back board turnover shaft through an adjustable linkage mechanism; according to the novel oronasal breathing mask, the cover part is driven to open by the pull wire part, so that a patient can be automatically supported by the backrest plate and leans forwards against the upper torso rest to vomit at the first time of vomiting of the patient, and vomit cannot block the mask to cause suffocation, reflux and other dangerous situations of secondary injury patients and the like.

Description

Mobilizable intensive care unit

Technical Field

The invention relates to the technical field of monitoring devices, in particular to a movable intensive care device.

Background

Intensive care therapy means that various advanced medical technologies and modern monitoring and rescuing equipment are applied to various critical patients for receiving and treating to intensively treat and nurse the critical patients,

patients in intensive care therapy are generally treated in intensive care units, in order to prevent the situation that the hand infusion tube directly falls off due to convulsion of the patients, the arms of the general patients need to be tied to a bed through a restraint strap, in order to reduce cross infection, particularly during epidemic situations, the faces of the patients generally and directly wear an oronasal respirator mask to supply oxygen during the use of the patients by using the respirator, although the oronasal respirator mask can effectively reduce the cross infection on the premise of supplying the oxygen, when some gastrointestinal emergency treatment, stress gastrospasm or large bleeding or vomiting and the like which are discharged through oral cavities, unconscious patients lie on the bed, vomit can block the mask, and unconscious patients who are restrained by the restraint strap can not rapidly vomit in a correct posture, if doctors and nurses cannot timely find serious secondary injuries such as suffocation the patients, moreover, vomit can pollute the environment and the patient himself, causing serious cross infection problems, and cross infection risks can also exist for medical care personnel.

Based on this, the present invention provides a mobile intensive care unit to solve the above problems.

Disclosure of Invention

The present invention is directed to a mobile intensive care unit that solves the problems set forth above in the background.

In order to achieve the purpose, the invention provides the following technical scheme: comprises an adjustable sickbed and an oral-nasal respirator mask;

the mouth position of the mouth-nose breathing machine mask is provided with a cover part which can be opened and closed, the back part of the mouth-nose breathing machine mask is connected to an adjustable sickbed through a wire pulling part, and a sensor component for detecting the vomit of a patient is arranged in the mouth-nose breathing machine mask;

the adjustable sickbed comprises a backrest plate capable of automatically turning up, a pushing back part used for pushing an affected part forwards is arranged on the backrest plate, and a reverse wire drawing mechanism for reversely drawing a wire to a wire drawing part is arranged at the bottom of the backrest plate;

a basin frame is arranged below the adjustable sickbed through a turning-out mechanism, and an upper torso leaning frame used for blocking the patient from toppling forward and a detachable basin used for receiving vomit are arranged on the basin frame;

the reverse wire pulling mechanism, the push plate part and the turning-out mechanism are selectively in transmission connection or disconnection with the back board turnover shaft through an adjustable linkage mechanism;

sensor module detects the automatic upset of patient's vomiting information drive back board, the automatic in-process that overturns of back board, reverse wire drawing mechanism drive wire drawing part is opened the lid and is closed the portion, reverse wire drawing mechanism triggers to push away the back and pushes away the affected part forward, the drive mechanism of turning over in-process drives the basin frame and overturns adjustable sick bed top and be used for catching the patient's vomitus that sits forward.

As a further scheme of the invention, the adjustable hospital bed comprises a bed frame, the bottom of the bed frame is horizontally supported by a plurality of vertical bed supporting frames, the backrest plate is arranged on the bed frame, a body plate adjacent to the backrest plate is arranged on the bed frame in a sliding manner along the side edge direction of the bed frame, motor shaft brackets are relatively and fixedly arranged on the inner walls of the left side and the right side of the bed frame, a main shaft is rotatably arranged between the two motor shaft brackets, a driving motor for driving the main shaft to rotate is fixedly arranged on the motor shaft brackets, the driving end of the driving motor is electrically connected with the output end of the sensor assembly, a main shaft gear is fixedly arranged in the middle of the main shaft, a corner connecting rod fixedly connected with the main shaft rod wall is fixed on the side wall of the backrest plate close to the body plate edge, and follower brackets are vertically fixed on two sides of the bottom surface of the backrest plate close to the body plate, a follow-up shaft is rotatably arranged between the follow-up frames, a follow-up gear meshed with the main shaft gear is fixedly sleeved on the follow-up shaft, an adjustable linkage mechanism is arranged between the follow-up gear and the reverse wire drawing mechanism, and an adjustable linkage mechanism is arranged between the main shaft gear and the turning-out mechanism.

As a further scheme of the invention, the adjustable linkage mechanism comprises a linkage sliding plate, the linkage sliding plate is erected between the left and right inner side walls of the bed frame, a sliding plate electric cylinder is fixed on the inner side wall of the bed frame, the telescopic end of the sliding plate electric cylinder is fixedly connected with the side wall of the linkage sliding plate through a sliding plate push rod block, a sliding plate shaft frame is vertically fixed on a bottom panel of the linkage sliding plate, a sliding plate shaft is rotatably mounted on the sliding plate shaft frame, a linkage gear is fixedly sleeved on the sliding plate shaft, a plate shaft tooth socket is formed on the outer side end surface of the sliding plate shaft, a sliding plate gear is slidably sleeved on the plate shaft tooth socket, a pulley tooth socket hole which is in fit and sleeve connection with the plate shaft tooth socket is formed in the center of the sliding plate gear, a rotating chute is formed in the outer ring of the pulley tooth socket, a pulley rotating rod is slidably clamped in the rotating chute, and the outer end head of the pulley rotating rod of the adjustable linkage mechanism connected with the reverse wire-pulling mechanism is fixed on the rotating rod frame, the rotating rod frame is fixed on the bottom surface of the backrest plate, the outer end of a belt wheel rotating rod of an adjustable linkage mechanism connected with the turning-out mechanism is fixed on the inner side wall of the bed frame, and the sliding plate gear is in motion transmission connection with the driving reverse wire pulling mechanism or the turning-out mechanism.

As a further proposal of the invention, the turning-out mechanism comprises a basin frame connecting rod fixed on the side wall of the basin frame, the basin stand connecting rod is a bending rod, the top end of the basin stand connecting rod is fixed on the side wall of the basin stand, the inner side wall of the bed frame is fixed with basin shaft brackets along the extending direction of the side edge of the bed frame, basin frame rotating shafts are rotatably arranged between the basin shaft brackets, the bottom of the basin frame connecting rod is bent and fixed, the rod wall of the basin frame rotating shaft is arranged, the end of the basin stand rotating shaft facing one side of the backrest plate is fixed with a reversing bevel gear, two sides of the left and right inner walls of the bed frame are rotatably provided with basin stand input shafts, an input bevel gear is fixed on the rod wall of the input shaft of the basin stand and is meshed and connected with the reversing bevel gear, an input gear is fixed on the side rod wall of the basin stand input shaft, and the input gear is connected with the sliding plate gear through a toothed belt in a transmission way.

As a further scheme of the invention, the reverse wire drawing mechanism comprises a wire drawing frame, wire shaft frames are vertically fixed on two sides of the bottom surface of the backrest plate, a wire drawing shaft is rotatably installed between the two wire shaft frames, the wire drawing frame is fixed on the middle rod wall of the wire drawing shaft, a wire hole through which the wire drawing part slides is formed in the panel of the backrest plate, the wire drawing part downwards penetrates into the bottom of the backrest plate through the wire hole and is fixedly connected with the outer end of the wire drawing frame, a wire shaft gear is fixed on the side shaft wall of the wire drawing shaft, and the wire shaft gear is meshed and connected with the sliding plate gear.

As a further scheme of the invention, the back pushing part comprises a back pushing plate which is internally contracted on the surface of a back board, a back pushing rod is vertically fixed at the bottom of the back pushing plate, a push rod hole is formed in a panel of the back board, the back pushing rod penetrates through the push rod hole in a sliding manner, a rod springboard is horizontally fixed on the rod wall of the back pushing rod, a board spring is fixed between the rod springboard and the bottom surface of the back board, stress board frames are vertically fixed on two sides of the bottom surface of the back board, a stress shaft is rotatably installed on the stress board frames, a pressure receiving plate and an outer top plate are respectively fixed on two sides of the rod wall of the stress shaft, the outer end surface of the outer top plate is connected with the bottom end of the back pushing rod in a sliding manner, a shifting pressing plate is vertically fixed on the position, corresponding to the pressure receiving plate, of the pulling shaft, and the outer end head of the shifting pressing plate is connected with the bottom of the outer end head of the pressure receiving plate in a sliding manner.

As a further scheme of the invention, the mask of the oronasal respirator comprises an oronasal mask main body and a bandage, the covering part comprises a sliding cover, a cover opening is arranged at the mouth position of the oronasal mask main body, cover sliding grooves are arranged at the left side and the right side of the cover opening, the sliding cover is covered on the outer surface of the cover opening in a sealing manner, cover sliding rods for being clamped into the cover sliding grooves in a sliding manner are fixed at the left side and the right side of the inner side wall of the sliding cover, a spring for keeping the cover sliding rods positioned at the top of the cover sliding grooves is arranged in the cover sliding grooves, the wire pulling part comprises a cover pulling wire, a wire cavity for sliding and routing the cover pulling wire is arranged in the bandage, a wire passing hole for communicating the wire cavity and the cover sliding grooves is arranged in the oronasal mask main body, the wire passing hole is arranged at the bottom position of the cover sliding grooves, and the top end of the cover pulling wire is fixedly connected with the cover sliding rods through the wire cavity and the wire passing hole of the bandage, and the bottom end of the cover stay wire is fixedly connected with the outer end of the stay wire frame.

As a further scheme of the invention, an alarm reminding device is arranged on the bed frame, the alarm reminding device is provided with a contact switch, and the contact switch is triggered to be closed when the stay wire part is tensioned straightly.

Compared with the prior art, the invention has the beneficial effects that:

1. the traditional fixed mask of the oronasal respirator worn on the face of a patient is improved into a novel oronasal respirator which can be driven by the pull line part to open the covering part, the patient can be automatically supported up through the back board and lean forward on the upper body leaning frame to vomit at the first time of vomiting of the patient, and vomit cannot block the inside of the mask to cause suffocation, reflux and other dangerous situations of secondary injury to the patient and the like;

2. according to the invention, the back pushing device can push the seated patient forwards against the upper torso leaning frame, so that the problem of vomiting on the back of the patient is effectively prevented, the forward-leaning vomiting mode can ensure the normal vomiting posture of the body, and ensure the vomiting smoothness and the comfort of the patient;

3. the detachable basin provided by the invention can well receive vomit at the first time, so that the tidiness of the adjustable sickbed is ensured, the risk of cross interference is reduced, and the further treatment of a doctor and a nurse to a patient is facilitated;

4. the adjustable linkage mechanism can selectively connect and disconnect the reverse wire drawing mechanism and the turning-out mechanism with the main shaft rotating by the back board, and the normal use of the back board is not influenced;

5. the mask body of the oral nasal mask provided by the invention can not interfere the normal activity of a patient by arranging the mask pull wire with the stretching threshold amount;

6. the alarm reminding device can inform doctors and nurses at the first time when the patient vomits, and the doctors and the nurses can conveniently and rapidly intervene in the next treatment.

Drawings

FIG. 1 is a schematic diagram of the overall structure of the present invention;

FIG. 2 is a schematic view of the left side of the structure of FIG. 1;

FIG. 3 is a schematic structural view of the back rest board being laid flat and the basin stand being stored at the bottom of the bed frame;

FIG. 4 is a schematic structural view of the flip-out mechanism and corresponding adjustable linkage mechanism;

FIG. 5 is an enlarged view of a portion of FIG. 4 at A;

FIG. 6 is a schematic structural view of the basin stand and the turn-out mechanism;

FIG. 7 is a schematic view of the structure of the back plate bottom in the reverse wire pulling mechanism and back pushing action;

FIG. 8 is a schematic view of the structure of the back plate bottom in the initial state of the reverse wire pulling mechanism and the back pushing mechanism;

FIG. 9 is a schematic view of the adjustable linkage mechanism on one side of the back board;

FIG. 10 is a schematic view of the construction of the sled shaft and sled gear;

FIG. 11 is a schematic view of the structure of an oronasal mask body;

fig. 12 is a bottom view of fig. 3.

In the drawings, the components represented by the respective reference numerals are listed below:

comprises a bed frame 1, a bed supporting frame 10, a motor shaft frame 11, a main shaft 12, a main shaft gear 13, a driving motor 14, a body plate 15, a backrest plate 2, a follower gear 20, a follower shaft 21, a follower frame 22, a corner connecting rod 23, a wire hole 24, a push rod hole 25, a linkage sliding plate 3, a sliding plate shaft frame 30, a sliding plate shaft 31, a plate shaft tooth groove 310, a linkage gear 32, a sliding plate gear 33, a belt wheel tooth groove hole 330, a rotating chute 331, a belt wheel rotating rod 34, a rotating rod frame 35, a sliding plate electric cylinder 36, a sliding plate push rod block 37, a wire-pulling frame 4, a wire-pulling shaft 40, a wire shaft frame 41, a toggle pressing plate 42, a force-receiving plate 43, a force-receiving plate 45, an outer top plate 46, a wire shaft gear 47, a push back plate 5, a push back rod 50, a rod elastic plate 51, a plate spring 52, a basin frame 6, a detachable basin 60, an upper body leaning frame 61, a basin frame connecting rod 62, a basin frame rotating shaft 63, a basin frame rotating shaft 64, a reversing cone gear 65, a basin frame, The mask comprises an input bevel gear 66, a basin stand input shaft 67, an input gear 68, an oral nasal mask body 7, a bandage 70, a connecting soft plate 71, a cover pull wire 72, a sliding cover 73, a cover sliding rod 74, a cover opening 75 and a cover sliding groove 76.

Detailed Description

Referring to fig. 1-12, the present invention provides a technical solution: comprises an adjustable sickbed and an oral-nasal respirator mask;

the adjustable sickbed comprises a backrest plate 2 capable of automatically turning up, a pushing back part used for pushing an affected part forwards is arranged on the backrest plate 2, and a reverse wire pulling mechanism for pulling a wire pulling part reversely is arranged at the bottom of the backrest plate 2;

a basin frame 6 is arranged below the adjustable sickbed through a turning-out mechanism, and an upper body leaning frame 61 for blocking the patient from falling forward and a detachable basin 60 for receiving vomit are arranged on the basin frame 6;

the reverse wire pulling mechanism, the push plate part and the turning-out mechanism are selectively in transmission connection or disconnection with the turning shaft of the backboard 2 through an adjustable linkage mechanism;

sensor module detects the automatic upset of patient's vomiting information drive back board 2, the automatic in-process that overturns of back board 2, reverse wire drawing mechanism drive wire drawing part is opened the lid and is closed the portion, reverse wire drawing mechanism triggers to push away the back and pushes away the affected part forward, 2 upset in-process drive roll-out mechanism drives basin frame 6 and overturns adjustable sick bed top and be used for catching the patient's vomitus of sitting forward.

When the patient vomits or coughs, the sensor component triggers the backrest plate 2 to automatically overturn to support the patient, the pull wire part is pulled by the reverse pull wire part, the cover part is opened by the pull wire part, the mask of the mouth-nose respirator is opened, vomit of the patient cannot be blocked in the mask of the mouth-nose respirator to cause secondary injury to the patient, the back pushing part is triggered by the reverse pull wire part when the pull wire part is pulled by the reverse pull wire part to push the sitting patient forwards, before the situation, the overturning mechanism drives the basin frame 6 to turn over to the bed position from the bed bottom, the upper body leaning frame 61 blocks the anteverted patient to prevent the patient from directly falling on the bed surface, and the head of the patient vomits in a forward tilting mode with the face facing downwards above the detachable basin 60 under the surrounding block of the upper body leaning frame 61, vomit is directly received by the detachable basin 60, in addition, when a patient sits up by using the backrest plate 2 normally, the reverse wire pulling mechanism, the back pushing mechanism and the turning-out mechanism are directly disconnected with the turning shaft of the backrest plate 2 through the adjustable linkage mechanism, so that the backrest plate 2 does not have power supply input in the process of driving the patient to sit up by normally turning over, the wire pulling part does not drive the covering part to open, the wire pulling part is reserved with enough length to allow the patient to freely move on the premise of not triggering the covering part to open, when the patient is in a coma or is not accompanied beside the patient, the reverse wire pulling mechanism, the back pushing mechanism and the turning-out mechanism are in transmission connection with the turning shaft of the backrest plate 2 through the adjustable linkage mechanism, the operation of automatically turning over the backrest plate 2 and supporting the patient to vomit in case of sudden hematemesis of the patient can be realized, therefore, the traditional mask of the mouth-nose breathing machine which is fixedly worn on the face of a patient is improved into a novel mouth-nose breathing mask which can be driven by a pull line part to open a covering part, the patient can be automatically supported by the backrest plate 2 and leans forward to lean against the upper body rest frame 61 to vomit at the first time when the patient vomits, vomit cannot block dangerous situations such as suffocation or backflow and other secondary injuries of the patient in the mask, the patient can be prevented from vomiting on the back, the normal vomit posture of the body can be guaranteed by the forward-tilting type vomit mode, the vomit smoothness and the patient comfort are guaranteed, the arranged detachable basin 60 can well receive the vomit at the first time, the cleanness of an adjustable sickbed is guaranteed, the risk of cross interference is reduced, and further treatment of the doctor and nurse on the patient is facilitated.

As a further aspect of the invention, the adjustable hospital bed comprises a bed frame 1, the bottom of the bed frame 1 is horizontally supported by a plurality of vertical bed supporting frames 10, the backrest plate 2 is arranged on the bed frame 1, a body plate 15 adjacent to the backrest plate 2 is arranged on the bed frame 1 in a sliding manner along the side edge direction of the bed frame 1, motor shaft brackets 11 are relatively and fixedly arranged on the inner walls of the left side and the right side of the bed frame 1, a main shaft 12 is rotatably arranged between the two motor shaft brackets 11, a driving motor 14 for driving the main shaft 12 to rotate is fixedly arranged on the motor shaft brackets 11, the driving end of the driving motor 14 is electrically connected with the output end of the sensor assembly, a main shaft gear 13 is fixedly arranged in the middle of the main shaft 12, a corner connecting rod 23 fixedly connected with the rod wall of the main shaft 12 is fixed on the side wall of the backrest plate 2 close to the side edge of the body plate 15, and follower frames 22 are vertically fixed on the two sides of the backrest plate 2 close to the bottom surface of the body plate 15, a follow-up shaft 21 is rotatably arranged between the follow-up frames 22, a follow-up gear 20 meshed with the main shaft gear 13 is fixedly sleeved on the follow-up shaft 21, an adjustable linkage mechanism is arranged between the follow-up gear 20 and the reverse wire drawing mechanism, and an adjustable linkage mechanism is arranged between the main shaft gear 13 and the turning-out mechanism;

when the device works, when the sensor component triggers the driving motor 14 to act, the driving motor 14 drives the main shaft 12 to rotate, the main shaft 12 drives the backboard 2 to turn through the corner connecting rod 23, and a patient is lifted, wherein when the main shaft 12 rotates, one side of the main shaft gear 13 can drive the follower gear 20 to rotate, the follower gear 20 is selectively disconnected or connected with the reverse wire drawing mechanism through the adjustable linkage mechanism, the other side of the main shaft gear 13 is selectively disconnected or connected with the turnover mechanism through the adjustable linkage mechanism, so that the reverse wire drawing mechanism and the turnover mechanism are driven to act synchronously, the follower gear 20 is added, the whole backboard 2 can turn mainly, in order to ensure that the output of the main shaft gear 13 can be in transmission connection with the reverse wire drawing mechanism, the follower gear 20 can transmit the rotating force of the main shaft gear 13 to the adjustable linkage mechanism in a revolution and rotation mode, thereby driving the reverse wire drawing mechanism to act.

As a further scheme of the present invention, the adjustable linkage mechanism includes a linkage sliding plate 3, the linkage sliding plate 3 is erected between left and right inner side walls of the bed frame 1, a sliding plate electric cylinder 36 is fixed on the inner side wall of the bed frame 1, a telescopic end of the sliding plate electric cylinder 36 is fixedly connected with the side wall of the linkage sliding plate 3 through a sliding plate push rod block 37, a sliding plate shaft frame 30 is vertically fixed on a bottom panel of the linkage sliding plate 3, a sliding plate shaft 31 is rotatably mounted on the sliding plate shaft frame 30, a linkage gear 32 is fixedly sleeved on the sliding plate shaft 31, a plate shaft tooth socket 310 is disposed on an outer end face of the sliding plate shaft 31, a sliding plate gear 33 is slidably sleeved on the plate shaft tooth socket 310, a pulley tooth socket hole 330 cooperatively sleeved with the plate shaft tooth socket 310 is disposed in the center of the sliding plate gear 33, a rotation chute 331 is disposed on an outer ring of the belt gear tooth socket 330, a pulley rotation rod 34 is slidably disposed in the rotation chute 331, the outer end of a belt wheel rotating rod 34 of an adjustable linkage mechanism connected with a reverse wire drawing mechanism is fixed on a rotating rod frame 35, the rotating rod frame 35 is fixed on the bottom surface of the backrest plate 2, the outer end of the belt wheel rotating rod 34 of the adjustable linkage mechanism connected with a turning-out mechanism is fixed on the inner side wall of the bed frame 1, and the sliding plate gear 33 is in motion transmission connection with the driving reverse wire drawing mechanism or the turning-out mechanism;

in operation, when a patient is not attended, the electric sliding plate cylinder 36 is driven to act, the electric sliding plate cylinder 36 pulls the linkage sliding plate 3 to integrally translate through the sliding plate push rod block 37, the linkage sliding plate 3 translates on the adjustable linkage mechanism on one side of the backboard 2 until the linkage gear 32 is meshed with the follower gear 20 on the backboard 2, the linkage sliding plate 3 translates on the adjustable linkage mechanism on one side of the turning-out mechanism until the linkage sliding plate 3 is meshed with the main shaft gear 13, wherein the electric sliding plate cylinders 36 on two sides are synchronously driven, so that the turning-out mechanism or the reverse wire drawing mechanism can be synchronously connected or disconnected, in order to prevent the linkage gear 32 from colliding with teeth, the electric sliding plate cylinder 36 can be driven only when the characteristic angle is needed, for example, when the backboard 2 is horizontally arranged, and when the reverse wire drawing mechanism and the turning-out mechanism are controlled by an external controller, which is not described again, on one side of the backboard 2, when the linkage gear 32 is meshed with the follow-up gear 20, the linkage gear 32 rotates to drive the sliding plate gear 33 to rotate, the sliding plate gear 33 drives 38 to rotate through the belt, and the reverse wire pulling mechanism acts, so that the adjustable linkage mechanism can realize the disconnection or connection of the reverse wire pulling mechanism and the main shaft 12, ensure the normal use of the backboard 2 and the use under the state that no one watches a patient, realize the reverse wire pulling action of automatic linkage while the backboard 2 is turned, and further quickly open the covering part, and has quick response and strong linkage.

As a further scheme of the invention, the turning-out mechanism comprises a basin frame connecting rod 62 fixed on the side wall of the basin frame 6, the basin frame connecting rod 62 is a bent rod, the top end of the basin frame connecting rod 62 is fixed on the side wall of the basin frame 6, a basin shaft frame 64 is fixed on the inner side wall of the bed frame 1 along the side extension direction of the bed frame 1, a basin frame rotating shaft 63 is rotatably installed between the basin shaft frames 64, the bottom bent end of the basin frame connecting rod 62 is fixed, the rod wall of the basin frame rotating shaft 63 is fixed, a reversing bevel gear 65 is fixed at the end of the basin frame rotating shaft 63 facing one side of the backrest plate 2, basin frame input shafts 67 are rotatably installed on the two sides of the left and right inner walls of the bed frame 1, an input bevel gear 66 is fixed on the rod wall of the basin frame input shaft 67, the input bevel gear 66 is meshed with the reversing bevel gear 65, an input gear 68 is fixed on the side rod wall of the basin frame input shaft 67, the input gear 68 is in transmission connection with the sliding plate gear 33 through a toothed belt;

when the adjustable linkage mechanism is in work, when the sliding plate gear 33 of the adjustable linkage mechanism rotates, the sliding plate gear 33 drives the basin frame input shaft 67 to rotate through the gear 38, the basin frame input shaft 67 drives the input bevel gear 66 to rotate, the input bevel gear 66 drives the basin frame rotating shaft 63 to rotate through the reversing bevel gear 65, the basin frame rotating shaft 63 drives the basin frame connecting rod 62 to rotate, and the bent basin frame connecting rod 62 turns the basin frame 6 outwards from the bottom of the body plate 15.

As a further scheme of the present invention, the reverse wire drawing mechanism comprises a wire drawing frame 4, wire shaft frames 41 are vertically fixed on two sides of the bottom surface of the backboard 2, a wire drawing shaft 40 is rotatably installed between the two wire shaft frames 41, the wire drawing frame 4 is fixed on the middle rod wall of the wire drawing shaft 40, a wire hole 24 through which a wire drawing part slides is formed on the panel of the backboard 2, the wire drawing part penetrates downwards into the bottom of the backboard 2 through the wire hole 24 and is fixedly connected with the outer end of the wire drawing frame 4, a wire shaft gear 47 is fixed on the side shaft wall of the wire drawing shaft 40, and the wire shaft gear 47 is meshed and connected with the skateboard gear 33;

when the back plate 2 is driven to rotate forwards by the main shaft gear 13, the pull wire shaft 40 drives the pull wire frame 4 to rotate reversely, so that the pull wire part is lengthened reversely, and the condition that the pull wire part triggers the covering part to act is realized.

As a further aspect of the present invention, the back pushing part includes a back pushing plate 5 recessed on the surface of the back board 2, a back pushing rod 50 is vertically fixed at the bottom of the back pushing plate 5, a pushing rod hole 25 is arranged on the panel of the back board 2, the back pushing rod 50 penetrates through the pushing rod hole 25 in a sliding mode, a rod spring plate 51 is horizontally fixed on the rod wall of the back pushing rod 50, a plate spring 52 is fixed between the rod spring plate 51 and the bottom surface of the backrest plate 2, a stress plate frame 43 is vertically fixed on two sides of the bottom surface of the backrest plate 2, a stress shaft 44 is rotatably arranged on the stress plate frame 43, a stress plate 45 and an outer top plate 46 are respectively fixed on two sides of the rod wall of the stress shaft 44, the outer end surface of the outer top plate 46 is connected with the bottom end of the back-pushing rod 50 in a sliding way, a toggle pressing plate 42 is vertically fixed on the position, corresponding to the pressed plate 45, of the pull-wire shaft 40, the outer end head of the toggle pressure plate 42 is connected with the bottom of the outer end head of the pressure plate 45 in a sliding manner;

when the back pushing device works, when the wire pulling shaft 40 drives the wire pulling frame 4 to rotate to pull wires, the pressing plate 42 is shifted to press the pressed plate 45 downwards, the pressed plate 45 drives the pressed shaft 44 to rotate, so that the outer top plate 46 pushes the back rod 50 upwards, the back pushing rod 50 moves upwards and pushes the back pushing plate 5 to extend out of the surface of the back board 2, so that the back pushing action is completed, a patient lying on the back is pushed up and leans forwards, the head of the patient leaves the surface of the back board 2, the action of the patient cannot be influenced by pressing the wire pulling part, the rod elastic plate 51 and the plate spring 52 which are arranged are mainly used for automatically resetting the back pushing plate 5 and ensuring the parallel and level of the back pushing plate 5 and the surface of the back board 2, therefore, the arranged back pushing part well solves the problem that the turning angle of the back board 2 is limited, even if the back board 2 turns over to support the patient to sit up, the patient still easily lies on the back and vomits, the back pushing part can push the patient forwards to the upper torso leaning frame 61, vomits in a half-forward inclined posture, and ensures the correct auxiliary operation of the vomit posture of the patient.

As a further scheme of the present invention, the mask of the oronasal respirator comprises an oronasal mask main body 7 and a bandage 70, the covering part comprises a sliding cover cap 73, the oral position of the oronasal mask main body 7 is provided with a cap opening 75, the left and right sides of the cap opening 75 are provided with cap sliding chutes 76, the sliding cover cap 73 is covered on the outer surface of the cap opening 75 in a sealing manner, the left and right sides of the inner side wall of the sliding cover cap 73 are fixed with cap sliding rods 74 which are slidably inserted into the cap sliding chutes 76, a spring for keeping the cap sliding rods 74 positioned at the top of the cap sliding chutes 76 is arranged in the cap sliding chutes 76, the wire pulling part comprises a cap pulling wire 72, a wire cavity for slidably routing the cap pulling wire 72 is arranged in the bandage 70, a wire routing hole for communicating the wire cavity with the cap sliding chutes 76 is arranged in the oronasal mask main body 7, and the wire routing hole is arranged at the bottom position of the cap sliding chutes 76, the top end of the cover cap pulling wire 72 is fixedly connected with the cap sliding rod 74 through a wire cavity and a wiring hole of the bandage 70, and the bottom end of the cover cap pulling wire 72 is fixedly connected with the outer end of the wire-pulling frame 4;

when the mouth and nose mask is in work, when the reverse wire pulling mechanism is in transmission connection with the main shaft gear 13 rotating on the back board 2 through the adjustable linkage mechanism, the reverse wire pulling mechanism acts when the back board 2 is turned, the wire pulling frame 4 and the back board 2 rotate in opposite directions, the wire pulling frame 4 quickly pulls the loose cover pulling wire 72 to be straight, the cover pulling wire 72 pulls the cover sliding rod 74, the cover sliding rod 74 is stressed to slide in the cover sliding groove 76, the sliding cover 73 integrally slides downwards and opens the cover opening 75, vomit of a patient is discharged from the cover opening 75 and cannot be blocked in the mouth and nose mask main body 7, wherein the cover pulling wire 72 and the wire pulling frame 4 are detachable, and when cleaning and disinfection are needed, the bottom of the cover pulling wire 72 is separated from the wire pulling frame 4 to clean the mouth and nose mask main body 7 independently, therefore, the mouth and nose mask provided by the invention can be opened automatically by matching with the turning action of the back board 2, can effectively avoid the dangerous situation that the vomit blocks the interior of the mouth-nose mask main body 7 to cause secondary injury to the patient under the condition of a large amount of hemoptysis or other vomits.

As a further scheme of the invention, an alarm reminding device is arranged on the bed frame 1, the alarm reminding device is provided with a contact switch, the contact switch is triggered to be closed when the pull wire part is tensioned straightly, a pressing sheet can be fixed at the bottom end position of the cover pull wire 72, the contact switch is arranged at the bottom opening position of the wire hole 24, when the cover pull wire 72 is tensioned and straightly, the pressing sheet moves to the bottom opening position 26 and presses the contact switch, the alarm reminding device acts to remind a doctor and a nurse of the next treatment action, and meanwhile, the alarm reminding device can also be used as a reminder of the longest movement amount of the cover pull wire 72 to prevent a patient from wearing the oronasal mask main body 7 to act when getting out of bed.

Claims

1. The utility model provides a mobilizable intensive care therapy device, includes adjustable sick bed and oronasal breathing machine face guard, its characterized in that:

the adjustable sickbed comprises a backrest plate (2) capable of being automatically turned up, a back pushing part used for pushing an affected part forwards is arranged on the backrest plate (2), and a reverse wire pulling mechanism for reversely pulling a wire pulling part is arranged at the bottom of the backrest plate (2);

a basin frame (6) is arranged below the adjustable sickbed through a turning-out mechanism, and an upper body leaning frame (61) used for blocking the patient from falling forward and a detachable basin (60) used for receiving vomit are arranged on the basin frame (6);

the reverse wire pulling mechanism, the push plate part and the turning-out mechanism are selectively in transmission connection or disconnection with the turning shaft of the backboard (2) through an adjustable linkage mechanism.

2. Mobile intensive care unit according to claim 1, characterized in that: adjustable hospital bed includes bed frame (1), bed frame (1) bottom is through a plurality of vertical bed support frame (10) horizontal braces, back board (2) set up on bed frame (1), bed frame (1) is gone up and is equipped with body board (15) adjacent with back board (2) along bed frame (1) side direction slip, the relative fixed mounting in left and right sides inner wall of bed frame (1) has motor shaft frame (11), two main shaft (12) are installed in the rotation between motor shaft frame (11), fixed mounting has drive main shaft (12) pivoted driving motor (14) on motor shaft frame (11), the drive end of driving motor (14) with sensor assembly's output is electric continuous, main shaft (12) middle part fixed mounting has main shaft gear (13), back board (2) are close to the lateral wall on body board (15) limit is fixed with corner connecting rod (23) with main shaft (12) pole wall fixed connection The back board (2) is close to the two sides of the bottom surface of the body board (15) and is vertically fixed with follow-up frames (22), a follow-up shaft (21) is rotatably installed between the follow-up frames (22), a follow-up gear (20) meshed with the main shaft gear (13) is fixedly sleeved on the follow-up shaft (21), an adjustable linkage mechanism is arranged between the follow-up gear (20) and the reverse wire drawing mechanism, and an adjustable linkage mechanism is arranged between the main shaft gear (13) and the turning-out mechanism.

3. Mobile intensive care unit according to claim 2, characterized in that: the adjustable linkage mechanism comprises a linkage sliding plate (3), the linkage sliding plate (3) is erected between the left inner side wall and the right inner side wall of a bed frame (1), an electric sliding plate cylinder (36) is fixed on the inner side wall of the bed frame (1), the telescopic end of the electric sliding plate cylinder (36) is connected with the side wall of the linkage sliding plate (3) through a sliding plate push rod block (37), a sliding plate shaft frame (30) is vertically fixed on a bottom panel of the linkage sliding plate (3), a sliding plate shaft (31) is rotatably mounted on the sliding plate shaft frame (30), a linkage gear (32) is fixedly sleeved on the sliding plate shaft (31), a plate shaft tooth groove (310) is formed in the outer end face of the sliding plate shaft (31), a sliding plate gear (33) is sleeved on the plate shaft tooth groove (310), a gear tooth groove (330) matched and sleeved with the plate shaft tooth groove (310) is formed in the center of the sliding plate gear (33), the outer ring of the belt wheel tooth slotted hole (330) is provided with a rotating chute (331), a belt wheel rotating rod (34) is arranged in the rotating chute (331) in a sliding and clamping manner, the outer end head of the belt wheel rotating rod (34) of an adjustable linkage mechanism connected with the reverse wire drawing mechanism is fixed on a rotating rod frame (35), the rotating rod frame (35) is fixed on the bottom surface of the backrest plate (2), the outer end head of the belt wheel rotating rod (34) of the adjustable linkage mechanism connected with the turning-out mechanism is fixed on the inner side wall of the bed frame (1), and the sliding plate gear (33) is connected with the reverse wire drawing mechanism or the turning-out mechanism in a motion transmission manner.

4. A mobile intensive care unit according to claim 3, characterized in that: the mechanism of turning over is including fixing basin frame connecting rod (62) at basin frame (6) lateral wall, basin frame connecting rod (62) are the pole of buckling, the top completion end of basin frame connecting rod (62) is fixed on the lateral wall of basin frame (6), the inside wall of bed frame (1) is fixed with basin pedestal (64) along bed frame (1) side extending direction, rotate between basin pedestal (64) and install basin frame pivot (63), have the bottom of basin frame connecting rod (62) is buckled and is held admittedly, on the pole wall of basin frame pivot (63), basin frame pivot (63) are fixed with switching-over conical gear (65) towards the end of back board (2) one side, inner wall both sides rotate about bed frame (1) and install basin frame input shaft (67), be fixed with input conical gear (66) on the pole wall of basin frame input shaft (67), input conical gear (66) with switching-over conical gear (65) mesh and meet, an input gear (68) is fixed on the side rod wall of the basin stand input shaft (67), and the input gear (68) is connected with the sliding plate gear (33) through a toothed belt in a transmission manner.

5. A mobile intensive care unit according to claim 3, characterized in that: reverse wire drawing mechanism is including drawing line frame (4), the bottom surface both sides vertical fixation of back board (2) has wire shaft frame (41), two rotate between wire shaft frame (41) and install wire drawing axle (40), wire drawing frame (4) are fixed on the middle part pole wall of wire drawing axle (40), set up wire hole (24) that the wire drawing portion slided and passed on the panel of back board (2), the wire drawing portion penetrate the bottom of back board (2) downwards by wire hole (24) and with the outer end fixed connection of wire drawing frame (4), be fixed with wire shaft gear (47) on the avris axial wall of wire drawing axle (40), wire shaft gear (47) meshing with ski gear (33) meshing links to each other.

6. Mobile intensive care unit according to claim 5, characterized in that: push away back including the internal back that pushes away backplate (5) that contracts on backboard (2) surface, push away the vertical back pole (50) that is fixed with in backplate (5) bottom, push rod hole (25) have been seted up on backboard (2) panel, push away back pole (50) slide and wear to establish push rod hole (25), the pole wall of pushing away back pole (50) is improved level and is fixed with pole diving board (51), pole diving board (51) with be fixed with between the bottom surface of backboard (2) leaf spring (52), the bottom surface both sides vertical fixation of backboard (2) has atress grillage (43), it installs atress axle (44) to rotate on atress grillage (43), the pole wall both sides of atress axle (44) are fixed with respectively that clamp plate (45) and outer roof (46) are pressed, the outer terminal surface of outer roof (46) with the bottom of pushing away back pole (50) slides and meets, correspond on pull wire axle (40) the position of pressed plate (45) is fixed with perpendicularly and is shifted clamp plate (42) The outer end of the toggle pressure plate (42) is connected with the bottom of the outer end of the pressure plate (45) in a sliding mode.

7. Mobile intensive care unit according to claim 5, characterized in that: the mask of the oronasal respirator comprises an oronasal mask body (7) and a bandage (70), the covering part comprises a sliding cover cap (73), a cover opening (75) is arranged at the oral position of the oronasal mask body (7), cover sliding grooves (76) are arranged on the left side and the right side of the cover opening (75), the sliding cover cap (73) is covered on the outer surface of the cover opening (75) in a sealing way, cover sliding rods (74) used for sliding and clamping the cover sliding grooves (76) are fixed on the left side and the right side of the inner side wall of the sliding cover cap (73), springs used for keeping the cover sliding rods (74) positioned at the top of the cover sliding grooves (76) are arranged in the cover sliding grooves (76), the wire pulling part comprises a cover wire pulling wire (72), a wire cavity used for sliding and routing the cover wire pulling wire (72) is arranged in the bandage (70), a wire routing hole used for communicating the wire cavity with the cover sliding grooves (76) is arranged in the oronasal mask body (7), the routing hole is formed in the bottom of the cover cap sliding groove (76), the top end of the cover cap pull wire (72) is fixedly connected with the cover sliding rod (74) through the wire cavity and the routing hole of the bandage (70), and the bottom end of the cover cap pull wire (72) is fixedly connected with the outer end of the wire pulling frame (4).

8. Mobile intensive care unit according to any one of claims 1-7, characterized in that: the bed frame (1) is provided with an alarm reminding device which is provided with a contact switch, and the pull wire part triggers the contact switch to be closed when the pull wire part is tensioned straightly.