CN114788765A - Treatment auxiliary device that paediatrics intensive care unit used - Google Patents

Treatment auxiliary device that paediatrics intensive care unit used Download PDF

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Publication number
CN114788765A
CN114788765A CN202210410744.5A CN202210410744A CN114788765A CN 114788765 A CN114788765 A CN 114788765A CN 202210410744 A CN202210410744 A CN 202210410744A CN 114788765 A CN114788765 A CN 114788765A
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China
Prior art keywords
shaft
blocking
main shaft
bed
turning
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CN202210410744.5A
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Chinese (zh)
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CN114788765B (en
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赵庆坤
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First Peoples Hospital of Shangqiu
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/002Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame
    • A61G7/015Beds specially adapted for nursing; Devices for lifting patients or disabled persons having adjustable mattress frame divided into different adjustable sections, e.g. for Gatch position
    • 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
    • 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
    • A61G7/065Rests specially adapted therefor
    • A61G7/07Rests specially adapted therefor for the head or torso, e.g. special back-rests
    • 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
    • A61G2200/00Information related to the kind of patient or his position
    • A61G2200/10Type of patient
    • A61G2200/14Children
    • 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
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/30Devices for specific treatment or diagnosis for intensive care

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

The invention discloses a treatment auxiliary device for a pediatric intensive care unit, which comprises a bed body, a first rotating shaft and a second rotating shaft, wherein the first rotating shaft and the second rotating shaft comprise two rotating shafts and respectively penetrate through the bed head and the bed tail of the bed body; the treatment auxiliary device for the pediatric intensive care unit is characterized in that when a patient turns over and holds a lateral lying position in a nursing process, the patient can be kept in a right turning-over and right lateral lying position through continuous forward rotation of the driving mechanism, the patient can be kept in a left turning-over and left lateral lying position through continuous reverse rotation of the driving mechanism, the right turning-over blocking component is driven to firstly turn over the patient on the blocking bed when the driving mechanism continuously turns forward, the turning-over bed plate is driven to turn over when the forward rotation is continued, the patient can be driven to turn over through reverse action and synchronous turning-over of the turning-over bed plate when the right turning-over blocking component turns over, and the treatment auxiliary device is different from the traditional turning-over bed, can provide blocking action in the real-time turning-over process of the patient, and ensures that the patient can stably turn over.

Description

Treatment auxiliary device that paediatrics intensive care unit used
Technical Field
The invention relates to the technical field of medical auxiliary instruments, in particular to a treatment auxiliary device for a pediatric intensive care unit.
Background
The children intensive care unit is essentially a child ward, is specially used for collecting and treating critically ill children patients, and mainly treats the following diseases: cardiopulmonary resuscitation, multiple organ failure, shock, major postoperative care, digestive system diseases such as persistent diarrhea and cytomegalovirus hepatitis, respiratory diseases such as severe pneumonia, respiratory paralysis and acute respiratory distress syndrome, cardio-cerebral diseases such as hypertension crisis, severe myocarditis, persistent epilepsy and cerebral hernia, and critical children patients such as acute poisoning.
In the daily monitoring and treating process, the basic or routine nursing needs to be finished orderly, purposefully and programmatically, the basic condition of the body weight of the child is observed and known, and the disease data is monitored or acquired according to the change of the disease condition so as to cooperate with a doctor to finish the treatment of the child.
At present, especially for intensive care of patients with poor autonomous ability and inconvenient activities, the patients are often required to be turned over or kept in a lateral lying position due to the change of the nursing positions of the bodies, and in the actual nursing process, the work is mainly completed independently by medical workers, so that the working strength of the medical workers is increased, and the nursing effect is influenced by the body positions of the patients needing real time by the medical workers.
Although there is the special bed that stands up in the existing market, but still be exclusively used in mostly and possess independent patient of autonomy ability, to the poor or severe confession of leading to the inconvenient recognition of limbs activity, hardly just make it keep in fixed position through simple supplementary, and still need medical personnel supplementary at the upset in-process, because otherwise support through the lathe bed that self can't be stable, make it hardly just accomplish through simple bed body upset is supplementary to stand up, it is poor to stand up the effect, for this reason, we propose a paediatrics intensive care unit and use treatment auxiliary device.
Disclosure of Invention
The present invention is directed to a treatment assisting device for a pediatric intensive care unit, which solves the problems of the background art mentioned above.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a treatment auxiliary device that paediatrics intensive care unit used, includes the bed body, still includes:
the bed comprises a bed body, a bed head, a bed tail, two groups of first rotating shafts and two groups of second rotating shafts, wherein the two groups of first rotating shafts and two groups of second rotating shafts are arranged on the bed head and the bed tail of the bed body in a penetrating manner respectively; and
the first turnover bed plate and the second turnover bed plate are respectively arranged between the first rotating shaft and the second rotating shaft, and the first rotating shaft and the second rotating shaft are respectively positioned at one side, close to the first turnover bed plate and the second turnover bed plate; and
the main shaft and the auxiliary shaft are rotatably arranged at the bottom of the bed body by utilizing the bearing seats; and
the driving mechanism is arranged at the bottom of the bed body, is connected with the main shaft and the auxiliary shaft, is provided with a right turning and blocking assembly on the main shaft, and is provided with a left turning and blocking mechanism on the auxiliary shaft so as to simulate the blocking of hands of a patient to assist the patient to turn over before the patient turns over; and
the linkage mechanism is arranged on the bed body and is used for connecting the driving mechanism with the first rotating shaft and the second rotating shaft;
through the characteristic combination, under the driving of the forward action of the driving mechanism, the main shaft is driven to drive the right overturning and blocking assembly to overturn so as to contact with a patient and simulate blocking, in the process, the first rotating shaft and the first overturning bed plate do not act, in the continuous driving process of the driving mechanism, the right overturning and blocking assembly and the overturning bed plate simultaneously drive the patient to rotate and overturn in the opposite direction, and in the reverse action driving process of the driving mechanism, the auxiliary shaft and the left overturning and blocking mechanism are driven to carry out blocking and overturning in the process.
Preferably, the main shaft is coaxial with the auxiliary shaft, a through hole is formed in the main shaft, and the auxiliary shaft penetrates through the main shaft and is in rotary connection with the main shaft;
the driving mechanism comprises a positive ratchet mechanism and a negative ratchet mechanism which are respectively sleeved at the end part of the main shaft and the end part of the auxiliary shaft, and a first driving gear and a second driving gear are respectively arranged on the positive ratchet mechanism and the negative ratchet mechanism;
the bed body is characterized by further comprising a stepping motor arranged on the bed body, wherein an output shaft of the stepping motor is respectively provided with a third driving gear and a fourth driving gear, the first driving gear is meshed with the third driving gear, and the second driving gear is meshed with the fourth driving gear;
through the combination of the characteristics, when the stepping motor is driven in the forward direction, the driving gear I is driven to rotate by the driving gear III, the main shaft is driven to rotate forcibly by the positive ratchet mechanism, and when the stepping motor is driven in the reverse direction, the driving gear II is driven to rotate by the driving gear IV, and the auxiliary shaft is driven to rotate by the reverse ratchet mechanism.
Preferably, a blocking and holding through groove is formed in one opposite side of the first turnover bed plate and the second turnover bed plate, the right turnover blocking and holding assembly comprises a first sleeve which is rotatably installed on a main shaft, a first blocking and holding rod is installed on the first sleeve, a reciprocating type rotating part is arranged between the first sleeve and the main shaft, and in the process that the main shaft continuously rotates, the first sleeve is driven by the reciprocating type rotating part to drive the first blocking and holding rod to rotate in the blocking and holding through groove in a reciprocating mode.
Preferably, the reciprocating type rotating component comprises a first bevel gear arranged on a first sleeve, a first mounting seat is arranged at the bottom of the bed body, a first linkage shaft is arranged on the first mounting seat, a second bevel gear meshed with the first bevel gear is arranged at one end of the first linkage shaft, and a fifth driving gear is arranged at the other end of the first linkage shaft;
the reciprocating overturning type clamping bed is characterized by further comprising a first reciprocating screw rod arranged on the main shaft in a sleeved mode and a first sliding block arranged on the first reciprocating screw rod, a guide rail sliding rod is arranged at the bottom of the bed body and penetrates through the first sliding block in a sliding mode, a first rack is arranged at the side edge position of the first sliding block and meshed with a first driving gear, the first rack drives the first reciprocating screw rod to continuously rotate in a main shaft driving mode, the sliding block moves in a periodic reciprocating mode and drives a second bevel gear to rotate in a reciprocating mode through the first rack, and therefore reciprocating overturning blocking of the first blocking rod is achieved.
Preferably, the left overturning and blocking mechanism comprises a second sleeve sleeved on the auxiliary shaft, a second blocking rod is mounted on the second sleeve, the second blocking rod and the second blocking rod are completely identical in structure but opposite in direction, and a reciprocating rotating component which is identical in structure to the right overturning and blocking component is arranged between the second sleeve and the auxiliary shaft so as to drive the second blocking rod to perform reciprocating overturning and blocking.
Preferably, the first and second holding poles are both of an L-shaped pole body structure, and the bearing section of the first and second holding poles contacting with the patient is of an arc-shaped design, and contact airbags are installed at the positions to provide soft contact.
Preferably, the linkage mechanisms are two and respectively arranged between the first rotating shaft and the main shaft at one end of the bed body and between the second rotating shaft and the auxiliary shaft at the other end of the bed body;
the linkage mechanism between the first rotating shaft and the main shaft comprises a third bevel gear installed on any first rotating shaft, a second installation seat is arranged on the bed body and close to the third bevel gear, a second linkage shaft is arranged on the second installation seat, a fourth bevel gear meshed with the third bevel gear is arranged at the end part of the second linkage shaft, and a delay transmission part is arranged between the second linkage shaft and the main shaft, so that the first rotating shaft is not driven to rotate when the main shaft rotates to drive the right turning and blocking assembly to block, and the first rotating shaft is driven to drive the first rotating shaft to drive the first turning bed plate and the blocking and blocking rod to turn synchronously when the right turning and blocking assembly reversely acts;
the linkage mechanism between the second rotating shaft and the auxiliary shaft is completely the same as the structure, and the difference is that the bevel gear III is arranged on the second rotating shaft.
Preferably, the delay transmission part comprises a gear six arranged on a linkage shaft II, a reciprocating screw rod II is further sleeved on the main shaft, a sliding block II is arranged on the reciprocating screw rod II, a guide rail sliding rod penetrates through the sliding block II in a sliding mode, extending shafts are arranged on two side edges of the sliding block, a rack II is arranged on the end portion of each extending shaft, when the main shaft drives the reciprocating screw rod II to rotate, the sliding block II is driven to move, the extending shafts are not in contact with the gear six in the initial moving process, the right turning and blocking assembly is turned to the limit position in the initial moving process, the rack II is meshed with the gear six along with the continuous moving of the sliding block II, the rotating shaft I and the turning bed plate I are driven to turn, and meanwhile, the right turning and blocking assembly is reversely reset.
Preferably, the number of the blocking and embracing through grooves is two, the bed body is respectively positioned at the chest and the lower limbs, and the left turning blocking and embracing mechanism and the right turning blocking and embracing assembly are respectively provided with two corresponding blocking and embracing through grooves.
Preferably, the multifunctional electric iron comprises a plurality of combined rods, wherein the combined rods correspond to the first blocking and embracing rods and the second blocking and embracing rods one to one and can be detachably arranged on the corresponding main shafts and auxiliary shafts;
the combined rod comprises a main rod which is detachably arranged and corresponds to the position of the main shaft and the auxiliary shaft after being detached, a third rotating shaft is arranged on the main rod, a deflection shaft is arranged on the third rotating shaft, and a torsion spring is arranged between the third rotating shaft and the deflection shaft.
Compared with the prior art, the invention has the beneficial effects that:
the invention is different from the prior art, in the process of nursing children with poor self-competence or inconvenient limb movement in an intensive care unit, particularly when turning over and maintaining the lateral lying position are involved in the nursing process, the right turning over and the right lateral lying position are maintained by continuously positively rotating the driving mechanism, and the left turning over and the left lateral lying position are maintained by continuously rotating the driving mechanism;
specifically, when the patient turns forwards continuously, the right turning and blocking assembly is driven to firstly turn over the patient on the blocking bed, the fact that the bed plate does not move in the process needs to be noticed, when the patient continues to turn forwards, the patient turns over when the bed plate turns over, the patient is driven to turn over synchronously when the right turning and blocking assembly moves reversely and when the bed plate turns over, the driving mechanism is arranged to drive reversely in the process of left turning and left lateral lying in the same way, namely, the device is different from the traditional turning bed, the blocking and blocking actions can be provided in the process of real-time turning over of the patient, the patient is guaranteed to turn over stably, and when the lateral lying position is kept, the driving mechanism is only required to be arranged to be self-locked when the patient turns over to the lateral lying, the blocking and blocking can be utilized to achieve stable lateral lying, and meanwhile, the limb part is exposed to achieve efficient nursing.
Drawings
FIG. 1 is a schematic view of the overall structure of embodiment 1 of the present invention;
FIG. 2 is a schematic view of the bed structure of the present invention;
FIG. 3 is a schematic view of another orientation of the present invention shown in FIG. 1;
FIG. 4 is a schematic view of a right flip fence assembly according to the present invention;
FIG. 5 is a schematic view of the driving mechanism of the present invention;
FIG. 6 is a schematic diagram of a reciprocating rotary member of the present invention;
FIG. 7 is a schematic view of an initial state of the holding pole of the present invention;
FIG. 8 is a schematic view of the present invention showing a blocking state of the blocking/embracing pole;
FIG. 9 is a schematic view of the right-hand process of the present invention;
FIG. 10 is a schematic view of the present invention in a lateral position;
FIG. 11 is a schematic view of the right-hand side view of the present invention;
FIG. 12 is a schematic view showing a turning-over completion state of the present invention;
FIG. 13 is a schematic structural view of example 2 of the present invention;
fig. 14 is a schematic structural diagram of embodiment 3 of the present invention.
In the figure: 1. a bed body; 11. a first rotating shaft; 12. a second rotating shaft; 13. turning over the bed plate I; 14. turning over the bed plate II; 15. a main shaft; 151. a through hole; 16. a counter shaft; 17. a bearing seat; 18. a blocking and holding through groove; 2. a drive mechanism; 21. a positive ratchet mechanism; 22. a reverse ratchet mechanism; 23. driving a gear I; 24. driving a gear II; 25. a stepping motor; 26. driving a gear III; 27. driving a gear IV; 3. a right-turning holding assembly; 31. a first sleeve; 32. a first blocking pole; 33. a reciprocating rotary member; 331. a first bevel gear; 332. a first mounting seat; 333. a first linkage shaft; 334. a second bevel gear; 335. driving a gear V; 336. a first reciprocating screw rod; 337. a first sliding block; 338. a guide rail slide bar; 339. a first rack; 4. a left-turning blocking mechanism; 41. a second sleeve; 42. a blocking pole II; 5. a linkage mechanism; 51. a third bevel gear; 52. a second mounting seat; 53. a second linkage shaft; 54. a fourth bevel gear; 55. a delay transmission member; 551. a sixth gear; 552. a second reciprocating screw rod; 553. a second sliding block; 554. an extension shaft; 555. a second rack; 6. contacting the air bag; 7. a combination rod; 71. a main rod; 72. a rotating shaft III; 73. a yaw axis; 74. a torsion spring.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
Referring to fig. 1-12, the present invention provides a technical solution: the utility model provides a treatment auxiliary device that paediatrics intensive care unit used, includes bed body 1, still includes:
two groups of first rotating shafts 11 and two groups of second rotating shafts 12, wherein each group of first rotating shafts 11 and second rotating shafts 12 comprises two and are respectively arranged at the head and tail of the bed body 1 in a penetrating manner; and
the first turnover bed plate 13 and the second turnover bed plate 14 are respectively arranged between the first rotating shaft 11 and the second rotating shaft 12, and the first rotating shaft 11 and the second rotating shaft 12 are respectively positioned at one side of the first turnover bed plate 13, which is close to the second turnover bed plate 14; and
the device comprises a main shaft 15 and an auxiliary shaft 16, wherein a bearing seat 17 is arranged at the bottom of the bed body 1, and the main shaft 15 and the auxiliary shaft 16 are rotatably arranged at the bottom of the bed body 1 by utilizing the bearing seat 17; and
the driving mechanism 2 is arranged at the bottom of the bed body 1, is connected with the main shaft 15 and the auxiliary shaft 16, is provided with a right overturning and blocking component 3 on the main shaft 15, and is provided with a left overturning and blocking mechanism 4 on the auxiliary shaft 16 so as to simulate the blocking of hands of a patient to assist the patient to turn over before the patient turns over; and
the linkage mechanism 5 is arranged on the bed body 1 and is used for connecting the driving mechanism 2 with the first rotating shaft 11 and the second rotating shaft 12;
through the combination of the characteristics, under the driving of the forward action of the driving mechanism 2, the main shaft 15 is driven to drive the right overturning and blocking assembly 3 to overturn so as to contact with a patient and simulate blocking, in the process, the first rotating shaft 11 and the first overturning bed plate 13 do not act, in the process that the driving mechanism 2 continues to drive, the right overturning and blocking assembly 3 and the overturning bed plate simultaneously drive the patient to rotate and overturn in opposite directions, and in the process that the driving mechanism 2 drives in reverse action, the auxiliary shaft 16 and the left overturning and blocking mechanism 4 are driven to carry out blocking and overturning in the process.
As a technical means, the main shaft 15 is coaxial with the auxiliary shaft 16, a through hole 151 is formed in the main shaft 15 in a penetrating mode, the auxiliary shaft 16 penetrates through the main shaft 15 and is in rotary connection with the main shaft 15, so that the main shaft 15 and the auxiliary shaft 16 are integrally butted, when the driving mechanism 2 is driven, only the main shaft 15 and the auxiliary shaft 16 need to be driven at the end parts respectively, a separate linkage mode is not needed to be arranged for driving the main shaft 15 and the auxiliary shaft 16 respectively, the driving of the main shaft 15 and the auxiliary shaft 16 is simplified, the integral structure is more compact, and unnecessary transmission cost is saved;
the driving mechanism 2 comprises a positive ratchet mechanism 21 and a negative ratchet mechanism 22 which are respectively sleeved at the end part of the main shaft 15 and the end part of the auxiliary shaft 16, and a driving gear I23 and a driving gear II 24 are respectively arranged on the positive ratchet mechanism 21 and the negative ratchet mechanism 22;
the bed body is characterized by further comprising a stepping motor 25 arranged on the bed body 1, wherein an output shaft of the stepping motor 25 is respectively provided with a third driving gear 26 and a fourth driving gear 27, the first driving gear 23 is meshed with the third driving gear 26, and the second driving gear 24 is meshed with the fourth driving gear 27;
through the combination of the above features, because the right or left turning embracing component 3 or 4 is in contact with the limb of the patient during embracing, i.e. there is relative resistance, when the stepping motor 25 is driven in the forward direction, the driving gear three 26 is used to drive the driving gear one 23 to rotate, and the positive ratchet mechanism 21 is used to drive the main shaft 15 to rotate forcibly, and at this time, the left turning embracing component 4 is influenced by the above resistance and the arrangement of the reverse ratchet mechanism 22, at this time, the auxiliary shaft 16 is not rotated but is driven forcibly, and a separate right turning drive is provided, similarly, when the stepping motor 25 is driven in the reverse direction, the driving gear four 27 is used to drive the driving gear two 24 to rotate, and at the same time, the reverse ratchet mechanism 22 is used to drive the auxiliary shaft 16 to rotate.
As a technical means, a blocking and embracing through groove 18 is formed in one side, opposite to a turnover bed plate I13 and a turnover bed plate II 14, of a turnover bed plate I, a right turnover blocking and embracing component 3 comprises a sleeve I31 rotatably installed on a main shaft 15, a blocking and embracing rod I32 is installed on the sleeve I31, a reciprocating type rotating component 33 is arranged between the sleeve I31 and the main shaft 15, and in the process of continuously rotating the main shaft 15, the sleeve I31 is driven by the reciprocating type rotating component 33 to drive the blocking and embracing rod I32 to rotate in the blocking and embracing through groove 18 in a reciprocating mode, so that the blocking and embracing actions of turnover blocking and embracing are provided.
Further, the reciprocating rotating component 33 comprises a first bevel gear 331 installed on the first sleeve 31, a first mounting seat 332 is arranged at the bottom of the bed body 1, a first coupling shaft 333 is arranged on the first mounting seat 332, a second bevel gear 334 meshed with the first bevel gear 331 is arranged at the end of the first coupling shaft 333, and a fifth driving gear 335 is installed at the other end of the first coupling shaft 333;
also comprises a first reciprocating screw rod 336 sleeved on the main shaft 15 and a first sliding block 337 arranged on the first reciprocating screw rod 336, and a guide rail sliding rod 338 is arranged at the bottom of the bed body 1, the guide rail sliding rod 338 penetrates through the first sliding block 337 in a sliding manner, to provide a rotational limit for the first slider 337, such that upon rotation of the first reciprocating lead screw 336, the first slider 337 is driven to move transversely, a first rack 339 is arranged at the side edge position of the first sliding block 337, the first rack 339 is meshed with the fifth driving gear 335, under the combination of the above features, when the main shaft 15 drives the reciprocating lead screw 336 to rotate continuously, when the first slide 337 moves to the limit position and the first shuttle 336 continues to rotate, the first slide 337 moves in the opposite direction, the first blocking rod 32 is driven to reciprocate periodically, and the first rack 339 drives the fifth driving gear 335 to drive the second bevel gear 334 to rotate in a reciprocating manner, so that reciprocating overturning blocking of the first blocking rod 32 is realized.
As a technical means, the left-turning arresting mechanism 4 comprises a second sleeve 41 sleeved on the auxiliary shaft 16, a second arresting rod 42 is mounted on the second sleeve 41, the second arresting rod 42 and the first arresting rod 32 have the same structure but opposite directions, and a reciprocating rotating component 33 having the same structure as the right-turning arresting component 3 is also arranged between the second sleeve 41 and the auxiliary shaft 16 to drive the second arresting rod 42 to perform reciprocating turning arresting;
it should be noted that the main structure of the left-turning embracing component 4 and the main structure of the right-turning embracing component 3 are completely the same, and only the difference between the left-turning and the right-turning is provided.
Furthermore, the first blocking and embracing pole 32 and the second blocking and embracing pole 42 are both of L-shaped pole body structures, and the bearing section of the first blocking and embracing pole in contact with a patient is in an arc-shaped design, so that the comfort in blocking and embracing is ensured, the curvature of the arm in embracing is simulated as much as possible, the stability in blocking and embracing is effectively improved, and the contact air bags 6 are arranged at the positions so as to provide soft contact, further improve the comfort in blocking and embracing, and simultaneously further stably limit the patient in the blocking and embracing pole through the depression of the contact air bags 6 so as to stably block and embrace.
As a technical means, the linkage mechanisms 5 are provided with two and respectively arranged between a rotating shaft one 11 and a main shaft 15 at one end of the bed body 1 and between a rotating shaft two 12 and an auxiliary shaft 16 at the other end of the bed body 1 so as to respectively drive the main shaft 15 and the auxiliary shaft 16 when the driving mechanism 2 is driven to rotate forwards and backwards in cooperation with the driving mechanism 2;
the linkage mechanism 5 between the first rotating shaft 11 and the main shaft 15 comprises a third bevel gear 51 installed on any first rotating shaft 11, a second installation seat 52 is arranged on the bed body 1 and close to the third bevel gear 51, a second linkage shaft 53 is arranged on the second installation seat 52, a fourth bevel gear 54 meshed with the third bevel gear 51 is arranged at the end part of the second linkage shaft 53, and a delay transmission component 55 is arranged between the second linkage shaft 53 and the main shaft 15, so that the first rotating shaft 11 is not driven to rotate when the main shaft 15 rotates to drive the right turning and blocking assembly 3 to block, and the first rotating shaft 11 is driven to drive the first turning bed plate 13 and the first blocking rod 32 to turn synchronously when the right turning and blocking assembly 3 reversely acts;
the interlocking mechanism 5 between the second rotating shaft 12 and the auxiliary shaft 16 is identical to the above-described structure, except that the third bevel gear 51 is attached to the second rotating shaft 12.
The delay transmission part 55 comprises a six-gear 551 arranged on a second linkage shaft 53, a second reciprocating lead screw 552 is further sleeved on the main shaft 15, a second slider 553 is arranged on the second reciprocating lead screw 552, the guide rail sliding rod 338 penetrates through the second slider 553 in a sliding manner, an extension shaft 554 is arranged at the side edge of the second slider 553, a second rack 555 is arranged at the end of the extension shaft 554, when the main shaft 15 drives the second reciprocating lead screw 552 to rotate, the second slider 553 is driven to move, in addition, the extension shaft 554 is not in contact with the six-gear 551 in the initial moving process, in the process, the right turning and blocking assembly 3 is turned to the limit position, along with the continuous movement of the second slider 553, the second rack 555 is meshed with the six-gear 551, the first rotating shaft 11 and the first turning bed plate 13 are driven to be turned, and meanwhile, the right turning and blocking assembly 3 is reversely reset;
for the above features, taking right turning as an example, as shown in fig. 8-13, the driving mechanism 2 rotates forward to first drive the first blocking and holding rod 32 to turn over to the limit position to block the patient, at this time, the driving mechanism 2 continues to rotate forward, at this time, the first reciprocating screw 336 drives the first blocking and holding rod 32 to turn over, at the same time, the delay transmission member 55 is in working butt joint to drive the first turning bed plate 13 to turn right, when the first turning bed plate 13 and the first blocking and holding rod 32 are in the vertical position, the driving mechanism 2 is locked to be in the lateral position if necessary to keep the lateral position stable, if the patient wants to turn over, the driving mechanism 2 continues to rotate forward, at this time, the first blocking and holding rod 32 continues to rotate, so that the patient slowly clinging to the first blocking and holding rod 32 is placed on the bed body 1, at the same time, the second reciprocating screw 552 on the delay transmission member 55 drives the second sliding block 553 to move in reverse direction, and the first turning bed plate 13 is reversed to reset, when the patient is placed on the surface of the bed body 1 by the blocking and holding rod I32 and is separated from the patient, the turnover bed plate I13 is in an initial state when being reset, and is continuously used, and similarly, the driving mechanism 2 is directly arranged for reversing when being turned left;
it should be noted that when a patient lies on the bed board 1, the patient does not lie on the turnover bed board one 13 or the turnover bed board two 14 stably, and therefore, when the blocking and embracing pole one 32 or the blocking and embracing pole two 42 turns and blocks and embraces, the patient lying on the surface of the bed board 1 is pushed to move transversely to push the patient onto the bed board which is turned over correspondingly.
Example 2
On the basis of embodiment 1, embodiment 2 proposes a further optimized implementation manner for embodiment 1, and referring to fig. 14, two blocking and holding through grooves 18 are provided, and are respectively located at the position of the chest and the lower limbs on the bed body 1, and two left-turning blocking mechanisms 4 and two right-turning blocking assemblies 3 are provided corresponding to the blocking and holding through grooves 18, so as to ensure the high efficiency and stability of blocking and holding and turning through the synchronous blocking and turning of the upper and lower limbs, and the specific arrangement of the left-turning blocking mechanisms 4 and the right-turning blocking assemblies 3 can adopt the same characteristic design as that of embodiment 1, and the transmission of the two right-turning blocking assemblies 3 is reasonably provided (simple sprocket-chain transmission, which can be easily implemented by the skilled person according to the common knowledge in the art, and will not be described herein in much detail).
Example 3
On the basis of the above embodiment, the present embodiment provides a further optimized implementation manner, and for the driving mechanism 2, the driving mechanism further includes a plurality of combination rods 7, and the combination rods 7 correspond to the first holding rods 32 and the second holding rods 42 one by one, and are detachably mounted on the corresponding main shafts 15 and the auxiliary shafts 16;
the combined rod 7 comprises a main rod 71 which is detachably arranged and corresponds to the position of the main shaft 15 and the auxiliary shaft 16 after being detached, a rotating shaft III 72 is arranged on the main rod 71, a deflection shaft 73 is arranged on the rotating shaft III 72, and a torsion spring 74 is arranged between the rotating shaft III 72 and the deflection shaft 73.
It should be noted that, in this document, relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (10)

1. The utility model provides a treatment auxiliary device that paediatrics intensive care unit used, includes bed body (1), its characterized in that: further comprising:
two groups of first rotating shafts (11) and two groups of second rotating shafts (12), wherein each group of first rotating shafts (11) and each group of second rotating shafts (12) comprise two rotating shafts which respectively penetrate through the bed head and the bed tail of the bed body (1); and
the turnover bed plate I (13) and the turnover bed plate II (14) are respectively arranged between the two rotating shafts I (11) and the two rotating shafts II (12), and the rotating shafts I (11) and the rotating shafts II (12) are respectively positioned at one sides, close to the turnover bed plate I (13) and the turnover bed plate II (14); and
the device comprises a main shaft (15) and an auxiliary shaft (16), wherein a bearing seat (17) is arranged at the bottom of a bed body (1), and the main shaft (15) and the auxiliary shaft (16) are rotatably arranged at the bottom of the bed body (1) by utilizing the bearing seat (17); and
the driving mechanism (2) is arranged at the bottom of the bed body (1), is connected with the main shaft (15) and the auxiliary shaft (16), is provided with a right turning and blocking assembly (3) on the main shaft (15), and is provided with a left turning and blocking mechanism (4) on the auxiliary shaft (16) so as to simulate the blocking of hands of a patient to assist the patient to turn over before the patient turns over; and
the linkage mechanism (5) is arranged on the bed body (1) and is used for connecting the driving mechanism (2) with the first rotating shaft (11) and the second rotating shaft (12);
through the characteristic combination, under the driving of the forward action of the driving mechanism (2), the main shaft (15) is driven to drive the right overturning and blocking assembly (3) to overturn to contact with a patient, blocking is simulated, in the process, the rotating shaft I (11) and the overturning bed plate I (13) do not act, in the continuous driving process of the driving mechanism (2), the right overturning and blocking assembly (3) and the overturning bed plate simultaneously drive the patient to overturn in the opposite directions, and in the reverse action driving of the driving mechanism (2), the auxiliary shaft (16) and the left overturning and blocking mechanism (4) are driven to carry out blocking, blocking and overturning in the process.
2. A treatment aid for pediatric intensive care units according to claim 1, characterized in that: the main shaft (15) is coaxial with the auxiliary shaft (16), a through hole (151) is formed in the main shaft (15) in a penetrating mode, and the auxiliary shaft (16) penetrates through the main shaft (15) and is connected with the main shaft in a rotating mode;
the driving mechanism (2) comprises a positive ratchet mechanism (21) and a negative ratchet mechanism (22) which are respectively sleeved at the end part of the main shaft (15) and the end part of the auxiliary shaft (16), and a driving gear I (23) and a driving gear II (24) are respectively arranged on the positive ratchet mechanism (21) and the negative ratchet mechanism (22);
the bed is characterized by further comprising a stepping motor (25) arranged on the bed body (1), wherein an output shaft of the stepping motor (25) is respectively provided with a third driving gear (26) and a fourth driving gear (27), the first driving gear (23) is meshed with the third driving gear (26), and the second driving gear (24) is meshed with the fourth driving gear (27);
through the combination of the characteristics, when the stepping motor (25) is driven in the forward direction, the driving gear I (23) is driven to rotate by the driving gear III (26), the main shaft (15) is driven to rotate forcibly by the forward ratchet mechanism (21), and when the stepping motor (25) is driven in the reverse direction, the driving gear II (24) is driven to rotate by the driving gear IV (27), and the auxiliary shaft (16) is driven to rotate by the reverse ratchet mechanism (22).
3. A treatment aid for a pediatric intensive care unit according to claim 2, wherein: the relative one side of turnover bed board one (13) and turnover bed board two (14) has all been seted up and has been blocked logical groove (18), right side is turned over and is blocked armful subassembly (3) including rotating sleeve pipe one (31) of installing on main shaft (15) install on sleeve pipe one (31) and block and embrace pole one (32), just be provided with reciprocating type rotary part (33) between sleeve pipe one (31) and main shaft (15) last rotatory in-process, order to order about sleeve pipe one (31) through reciprocating type rotary part (33) and drive and block and embrace pole one (32) and block and embrace the reciprocal rotation in logical groove (18).
4. A treatment aid for a pediatric intensive care unit according to claim 3, wherein: the reciprocating type rotating component (33) comprises a first bevel gear (331) arranged on a first sleeve (31), the bottom of the bed body (1) is provided with a first mounting seat (332), the first mounting seat (332) is provided with a first linkage shaft (333), the end part of the first linkage shaft (333) is provided with a second bevel gear (334) meshed with the first bevel gear (331), and the other end of the first linkage shaft (333) is provided with a fifth driving gear (335);
the bed is characterized by further comprising a first reciprocating lead screw (336) sleeved on the main shaft (15) and a first sliding block (337) installed on the first reciprocating lead screw (336), a guide rail sliding rod (338) is arranged at the bottom of the bed body (1), the guide rail sliding rod (338) penetrates through the first sliding block (337) in a sliding mode, a first rack (339) is arranged at the side edge position of the first sliding block (337), the first rack (339) is meshed with a fifth driving gear (335), and in the process that the main shaft (15) drives the reciprocating lead screw to rotate continuously, the first sliding block (337) moves in a periodic reciprocating mode, the fifth driving gear (335) is driven by the first rack (339) to drive a second bevel gear (334) to rotate in a reciprocating mode, and therefore reciprocating overturning and blocking of the first blocking pole (32) are achieved.
5. A treatment aid for pediatric intensive care units according to claim 4, characterized in that: the left overturning and blocking mechanism (4) comprises a second sleeve (41) which is sleeved on the auxiliary shaft (16), a second blocking rod (42) is installed on the second sleeve (41), the second blocking rod (42) and the first blocking rod (32) are identical in structure and opposite in direction, and a reciprocating rotating component (33) which is identical in structure with the right overturning and blocking component (3) is also arranged between the second sleeve (41) and the auxiliary shaft (16) so as to drive the second blocking rod (42) to overturn in a reciprocating mode and block in a blocking mode.
6. A treatment aid for pediatric intensive care units according to claim 5, characterized in that: the first holding pole (32) and the second holding pole (42) are both L-shaped pole body structures, the bearing sections of the first holding pole and the second holding pole, which are in contact with a patient, are in arc-shaped design, and contact air bags (6) are installed at the positions to provide soft contact.
7. A treatment aid for a pediatric intensive care unit according to claim 6, wherein: the two linkage mechanisms (5) are respectively arranged between a first rotating shaft (11) at one end of the bed body (1) and the main shaft (15) and between a second rotating shaft (12) at the other end of the bed body (1) and the auxiliary shaft (16);
the linkage mechanism (5) positioned between the first rotating shaft (11) and the main shaft (15) comprises a bevel gear III (51) arranged on any rotating shaft (11), a second mounting seat (52) is arranged on the bed body (1) near the third bevel gear (51), a second linkage shaft (53) is arranged on the second mounting seat (52), a fourth bevel gear (54) meshed with the third bevel gear (51) is arranged at the end part of the second linkage shaft (53), a delay transmission component (55) is arranged between the second linkage shaft (53) and the main shaft (15), so as not to drive the first rotating shaft (11) to rotate when the main shaft (15) rotates to drive the right turning blocking component (3) to block, when the right turning and blocking assembly (3) reversely acts, the first rotating shaft (11) is driven to drive the first turning bed plate (13) and the first blocking and blocking rod (32) to synchronously turn;
the linkage mechanism (5) between the second rotating shaft (12) and the auxiliary shaft (16) is completely the same as the structure, and the difference is that the bevel gear III (51) is arranged on the second rotating shaft (12).
8. A treatment aid for a pediatric intensive care unit according to claim 7, wherein: the delay transmission part (55) comprises a gear six (551) arranged on a linkage shaft two (53), a reciprocating screw rod two (552) is further sleeved on the main shaft (15), a slide block two (553) is arranged on the reciprocating screw rod two (552), the guide rail slide rod (338) simultaneously slides to penetrate through the slide block two (553), an extension shaft (554) is arranged at the side edge of the slide block two (553), a rack two (555) is arranged at the end part of the extension shaft (554), when the reciprocating screw rod two (552) is driven by the main shaft (15) to rotate, the slide block two (553) is driven to move, in the initial moving process, the extension shaft (554) is not in contact with the gear six (551), in the process, the right overturning and blocking component (3) is overturned to the limit position, and along with the continuous movement of the slide block two (553), the rack two (555) is meshed with the gear six (551), and drives the first rotating shaft (11) and the first turnover bed plate (13) to turn over, and meanwhile, the right turnover arresting component (3) is reversely reset.
9. A therapeutic aid for pediatric intensive care units according to claim 8, characterized in that: the number of the blocking and embracing through grooves (18) is two, the bed body (1) is respectively positioned at the chest and the lower limbs, and the left turning blocking and embracing mechanism (4) and the right turning blocking and embracing component (3) are respectively provided with two corresponding blocking and embracing through grooves (18).
10. A treatment aid for a pediatric intensive care unit according to claim 8, wherein:
the combined type multifunctional guardrail further comprises a plurality of combined rods (7), wherein the combined rods (7) correspond to the first blocking and embracing rods (32) and the second blocking and embracing rods (42) one by one and can be detachably arranged on the corresponding main shaft (15) and auxiliary shaft (16);
the combined rod (7) comprises a main rod (71) which is detachably arranged and corresponds to the position of the detached main shaft (15) and the detached auxiliary shaft (16), a rotating shaft III (72) is arranged on the main rod (71), a deflection shaft (73) is arranged on the rotating shaft III (72), and a torsion spring (74) is arranged between the rotating shaft III (72) and the deflection shaft (73).
CN202210410744.5A 2022-04-19 2022-04-19 Treatment auxiliary device for pediatric intensive care unit Active CN114788765B (en)

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CN208989447U (en) * 2018-02-08 2019-06-18 中国医科大学附属盛京医院 Auxiliary turning-over device is used in a kind of nursing of novel clinical
CN208741354U (en) * 2018-04-17 2019-04-16 杨俊滨 A kind of simple auxiliary body turning device of internal medicine nursing
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