CN107518973A - Dual-purpose PCI fixed bed board - Google Patents
Dual-purpose PCI fixed bed board Download PDFInfo
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- CN107518973A CN107518973A CN201710973269.1A CN201710973269A CN107518973A CN 107518973 A CN107518973 A CN 107518973A CN 201710973269 A CN201710973269 A CN 201710973269A CN 107518973 A CN107518973 A CN 107518973A
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- 210000000629 knee joint Anatomy 0.000 claims abstract description 26
- 210000001015 abdomen Anatomy 0.000 claims abstract description 12
- 239000000463 material Substances 0.000 claims abstract description 10
- 210000001105 femoral artery Anatomy 0.000 claims abstract description 9
- 210000002414 leg Anatomy 0.000 claims abstract description 4
- 238000002560 therapeutic procedure Methods 0.000 claims abstract 4
- 239000004744 fabric Substances 0.000 claims description 3
- 230000000452 restraining effect Effects 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 12
- 210000003414 extremity Anatomy 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 3
- 210000000707 wrist Anatomy 0.000 abstract description 3
- 210000001624 hip Anatomy 0.000 description 13
- 210000000038 chest Anatomy 0.000 description 8
- 206010038743 Restlessness Diseases 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 210000004394 hip joint Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 230000000474 nursing effect Effects 0.000 description 2
- 206010010071 Coma Diseases 0.000 description 1
- 206010014080 Ecchymosis Diseases 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010024264 Lethargy Diseases 0.000 description 1
- 210000000544 articulatio talocruralis Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000002683 foot Anatomy 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/37—Restraining devices for the body or for body parts; Restraining shirts
- A61F5/3769—Restraining devices for the body or for body parts; Restraining shirts for attaching the body to beds, wheel-chairs or the like
- A61F5/3776—Restraining devices for the body or for body parts; Restraining shirts for attaching the body to beds, wheel-chairs or the like by means of a blanket or belts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G2203/00—General characteristics of devices
- A61G2203/70—General characteristics of devices with special adaptations, e.g. for safety or comfort
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Nursing (AREA)
- Vascular Medicine (AREA)
- Neurosurgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
本发明公开一种两用介入治疗固定床板,涉及医疗器械领域,它包括有塑胶板和海绵垫以及包覆海绵垫和塑胶板的防水材料层的床板体;在床板体的床面上相对应人体躺下时各部位的位置区域划分有头区、颈区、胸腹及髋部区和膝关节区;在头区顶边、胸腹及髋部区两侧、膝关节区两侧及底边设置有固定环;固定约束患者时,采用各部位的约束带与固定环配合平行或交错约束的方式分别对患者胸部或手腕、髋部、两个膝关节、对双腿部进行约束。本发明可以解决为了避免在介入室进行经股动脉穿刺行支架或者植入主动脉球囊反搏装置的病人肢体的活动影响手术的整个过程,以及需要将患者从手术台搬运到病房病床上整个过程既费力费时又不安全的问题。
The invention discloses a dual-purpose fixed bed board for interventional therapy, which relates to the field of medical equipment, and includes a bed board body comprising a plastic board, a sponge pad, and a waterproof material layer covering the sponge pad and the plastic board; corresponding to the bed surface of the bed board body When the human body is lying down, the position area of each part is divided into head area, neck area, chest and abdomen and hip area, and knee joint area; The side is provided with a fixed ring; when the patient is fixed and restrained, the restraint straps of each part and the fixed ring cooperate with parallel or staggered restraint to restrain the patient's chest or wrist, hip, two knee joints, and both legs respectively. The present invention can solve the whole process of the operation in order to avoid the whole process of the operation being affected by the activities of the patient's limbs implanted with the femoral artery puncture stent or the implanted aortic balloon counterpulsation device in the intervention room, as well as the need to carry the patient from the operating table to the ward bed. The process is laborious, time-consuming and unsafe.
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其是一种用于在介入室进行经股动脉穿刺行支架或者植入主动脉球囊反搏装置的病人约束肢体活动以免影响手术的整个过程,以及方便将患者从手术台搬运到病房病床上的约束固定装置。The invention relates to the technical field of medical devices, in particular to a device used in an interventional room to perform puncture through the femoral artery for stenting or to implant an aortic balloon counterpulsation device to constrain the limbs of a patient so as not to affect the entire process of the operation, and to facilitate the operation of the patient. Restraint fixtures transported from operating table to ward bed.
背景技术Background technique
目前在介入室进行经股动脉穿刺行支架或者植入主动脉球囊反搏装置的病人,大多数病人的意识是清醒的,也有部分患者是嗜睡或者浅昏迷的,术中采取的是利多卡因局麻,由于疾病的因素或者疼痛刺激,患者或多或少的都会无意识的活动,为了避免患者肢体的活动影响手术的整个过程,对不配合的病人,绝大多数做法都是由一名护士固定患者的术肢,对烦躁的病人甚至需另一名护士固定上半身,术中没有使用专门对患者的约束固定装置,依靠人力约束患者的上半身及下肢费时费力且不好掌握约束力度,另一方面,做完手术后,需要将患者从手术台搬运到担架或护理转动车再搬,整个过程既费力费时又不安全。在病房护理这类病人时,经股动脉穿刺行支架植入术后的病人未拔鞘前及拔鞘后24小时,术肢是制动的(需有医护人员在旁协助完成更换体位,术肢保持直立避免弯曲),植入主动脉球囊反搏装置病人医生医嘱是要求禁止翻身的,常规的方法是护士使用约束带固定术侧踝关节,(常规的约束固定方法患者可以通过另一只脚的作用,将身体向下移动,使约束固定带的约束幅度变松,从而弯曲膝关节,甚至变动体位;其次常规的固定方法使有些烦躁不配合的病人患者可以坐起)达不到固定效果,患者可发生术肢血肿、出血、瘀斑,导管打折、管道滑脱、甚至造成主动脉球囊反搏故障。At present, in the interventional room, most of the patients undergoing femoral artery puncture for stenting or implanting aortic balloon counterpulsation devices are awake, and some patients are lethargic or lightly comatose. Lidoca is used during the operation. Due to local anesthesia, disease factors or pain stimulation, patients will move more or less unconsciously. In order to prevent the movement of the patient's limbs from affecting the entire operation process, for patients who do not cooperate, most of the methods are performed by a doctor. The nurse fixes the patient's operated limb, and another nurse even needs to fix the upper body of the irritable patient. No special restraint and fixation device is used for the patient during the operation. On the one hand, after the operation is completed, the patient needs to be moved from the operating table to a stretcher or a nursing car, and the whole process is laborious, time-consuming and unsafe. When caring for such patients in the ward, after stent implantation via femoral artery puncture, the operated limb is immobilized before and 24 hours after the sheath is pulled out (with the assistance of medical staff to complete the position change, the surgical Limbs should be kept upright to avoid bending), and the doctor’s order of the patient who implanted the aortic balloon counterpulsation device is to prohibit turning over. The conventional method is that the nurse uses a restraint belt to fix the ankle joint on the side of the operation. The role of the sole foot, moving the body downward, loosening the restraint range of the restraint belt, thereby bending the knee joint, and even changing the body position; secondly, the conventional fixation method can make some patients who are restless and uncooperative can sit up) Fixed effect, patients may have hematoma, hemorrhage, ecchymosis, catheter discount, pipeline slippage, and even aortic balloon counterpulsation failure.
发明内容Contents of the invention
本发明所要解决的技术问题是提供一种两用介入治疗固定床板,它可以解决为了避免在介入室进行经股动脉穿刺行支架或者植入主动脉球囊反搏装置的病人肢体的活动影响手术的整个过程,以及需要将患者从手术台搬运到病房病床上整个过程既费力费时又不安全的问题。The technical problem to be solved by the present invention is to provide a dual-purpose interventional treatment fixed bed board, which can solve the problem of affecting the surgery in order to avoid the movement of the patient's limbs through the femoral artery puncture in the intervention room or the implantation of the aortic balloon counterpulsation device. The whole process, and the whole process of moving the patient from the operating table to the ward bed is laborious, time-consuming and unsafe.
为了解决上述问题,本发明的技术方案是:这种两用介入治疗固定床板包括有床板体,所述床板体包括有塑胶板和叠压在所述塑胶板上的海绵垫以及包覆所述海绵垫和所述塑胶板的防水材料层;在所述床板体的床面上相对应人体躺下时各部位的位置区域分别划分为头区、颈区、胸腹及髋部区和膝关节区;在所述头区顶边、所述胸腹及髋部区两侧、所述膝关节区两侧及底边设置有固定环;固定约束患者时,采用胸部约束带与所述胸腹及髋部区两侧接近所述颈区的所述固定环配合对患者胸部进行约束,采用髋部约束带与所述胸腹及髋部区两侧接近所述膝关节区的所述固定环配合对患者髋部进行约束或手腕部进行约束,采用两条膝关节约束带分别与所述膝关节区两侧位于股动脉术口下方的所述固定环配合对患者膝关节或腿部进行约束。In order to solve the above-mentioned problems, the technical solution of the present invention is: this dual-purpose interventional treatment fixed bed board includes a bed board body, and the bed board body includes a plastic board and a sponge pad laminated on the plastic board and covers the Sponge pad and the waterproof material layer of the plastic board; on the bed surface of the bed body, corresponding to the position area of each part when the human body lies down, it is divided into head area, neck area, chest and abdomen, hip area and knee joint area; fixed rings are arranged on the top edge of the head area, both sides of the chest, abdomen and hip area, both sides and the bottom edge of the knee joint area; and the fixed rings on both sides of the hip area close to the neck area cooperate to constrain the patient's chest, and the hip restraint belt is used to cooperate with the fixed rings on both sides of the chest, abdomen and hip area close to the knee joint area Cooperate to restrain the patient's hip or wrist, use two knee joint restraint straps to cooperate with the fixed rings on both sides of the knee joint area below the femoral artery operation port to restrain the patient's knee joint or leg .
上述技术方案中,更为具体的方案还可以是:所述固定环与所述塑胶板固定连接;所述防水材料层采用透气tPU防水布料。Among the above technical solutions, a more specific solution may be: the fixed ring is fixedly connected to the plastic plate; the waterproof material layer is made of breathable tPU waterproof fabric.
进一步:所述床板体宽60厘米,长180厘米。Further: the bed board is 60 centimeters wide and 180 centimeters long.
由于采用上述技术方案,本发明具有如下有益效果:Owing to adopting above-mentioned technical scheme, the present invention has following beneficial effect:
1、本发明床板体宽60厘米,长180厘米,承接患者使用面先由防水的塑胶板上面衬垫一层海绵垫,然后整个床的表面再采用防水材料完全包裹,可以达到减压、防水、可擦拭消毒的目的。1. The bed board of the present invention is 60 centimeters wide and 180 centimeters long. The surface used by the patient is first lined with a layer of sponge pad on the waterproof plastic board, and then the entire bed surface is completely wrapped with waterproof material, which can achieve decompression and waterproof , Can wipe the purpose of disinfection.
2、本发明根据人体受力部位对应设置有8个固定环,分别位于床头、床尾各1个,床两侧分别设有3个,可用于搬动转移患者时四周均匀用力提起床板,达到安全、方便、省力转运患者的目的;另一方面用机动的各部位约束带,配合在左右侧的胸、髋、膝关节部位的固定环,可达到固定胸、髋、膝关节的目的,可以左右平行固定约束带,也可以根据患者的情况,除了膝关节外交替固定约束带;在对烦躁不配合的病人使用过程中作用尤为凸显。2. According to the force-bearing parts of the human body, the present invention is equipped with 8 fixing rings, one at the head of the bed and one at the end of the bed, and three on both sides of the bed, which can be used to evenly lift the bed board around when moving and transferring patients to achieve The purpose of safe, convenient, and labor-saving transfer of patients; on the other hand, the purpose of fixing the chest, hip, and knee joints can be achieved by using the motorized restraint belts of various parts and the fixing rings on the left and right sides of the chest, hip, and knee joints. The left and right parallel fixed restraint belts can also be fixed alternately except for the knee joint according to the patient's condition; the effect is particularly prominent in the process of use for patients who are restless and uncooperative.
附图说明Description of drawings
图1是本发明的床板面示意图;Fig. 1 is a schematic view of the bed surface of the present invention;
图2是图1中沿A-A剖线的剖面示意图;Fig. 2 is a schematic sectional view along A-A section line in Fig. 1;
图3是本发明使用时的示意图。Fig. 3 is a schematic diagram of the present invention in use.
图中标号表示为:1、床板体,1-1、防水材料层,1-2、海绵垫,1-3、塑胶板,2、头区,3、颈区, 4、胸腹及髋部区,5、固定环,6、膝关节区,7、胸部约束带, 8、髋部约束带,9、膝关节约束带,10、股动脉术口。The symbols in the figure are represented as: 1, bed board body, 1-1, waterproof material layer, 1-2, sponge pad, 1-3, plastic plate, 2, head area, 3, neck area, 4, chest, abdomen and hip 5, fixed ring, 6, knee joint area, 7, chest restraint belt, 8, hip restraint belt, 9, knee joint restraint belt, 10, femoral artery operation port.
具体实施方式detailed description
下面结合附图和实施例对本发明进一步说明:Below in conjunction with accompanying drawing and embodiment the present invention is further described:
图1、图2和图3的两用介入治疗固定床板,包括具有塑胶板1-3和叠压在塑胶板1-3上的海绵垫1-2以及包覆海绵垫1-2和塑胶板1-3的防水材料层1-1的床板体1;床板体1宽60厘米,长180厘米;防水材料层1-1采用透气tPU防水布料材料;在床板体1的床面上相对应人体躺下时各部位的位置区域分别划分为头区2、颈区3、胸腹及髋部区4和膝关节区6;在头区2顶边、胸腹及髋部区4两侧、膝关节区6两侧及底边设置有固定环5;固定环5与塑胶板1-3固定连接;固定约束患者时,采用机动的胸部约束带7与胸腹及髋部区4两侧接近颈区3的固定环5配合对患者胸部进行约束,采用髋部约束带8与胸腹及髋部区4两侧接近膝关节区6的固定环5配合对患者髋部进行约束,必要时一同将手腕进行约束;采用两条膝关节约束带9分别与膝关节区6两侧位于股动脉术口10下方的固定环5配合对患者膝关节或腿部进行约束。各种约束带和固定环的配合使用,可以左右平行固定约束带,也可以根据病人的情况,除了膝关节外交替固定约束带或某些部位不需要固定,完全可以灵活运用。患者在床板体1的床面上做完手术后可通过提携床板体周围的固定环将整个床板连同患者一起转移到病房的护理病床上,非常方便、安全和省力。The dual-purpose interventional treatment fixed bed board shown in Fig. 1, Fig. 2 and Fig. 3 includes a plastic board 1-3, a sponge pad 1-2 laminated on the plastic board 1-3, and a coated sponge pad 1-2 and a plastic board The bed board body 1 of the waterproof material layer 1-1 of 1-3; the bed board body 1 is 60 cm wide and 180 cm long; the waterproof material layer 1-1 adopts breathable tPU waterproof cloth material; the bed surface of the bed board body 1 corresponds to the human body When lying down, the position areas of each part are divided into head area 2, neck area 3, chest abdomen and hip area 4, and knee joint area 6; The two sides and the bottom edge of the joint area 6 are provided with a fixed ring 5; the fixed ring 5 is fixedly connected with the plastic plate 1-3; when the patient is fixed and restrained, the motorized chest restraint belt 7 is used to be close to the neck on both sides of the chest, abdomen and hip area 4. The fixed ring 5 in zone 3 cooperates to constrain the patient's chest, and the hip restraint belt 8 is used to cooperate with the fixed ring 5 close to the knee joint zone 6 on both sides of the chest, abdomen and hip zone 4 to constrain the patient's hip. The wrist is restrained; the patient's knee joint or leg is restrained by using two knee joint restraint belts 9 to cooperate with the fixing rings 5 located below the femoral artery operation port 10 on both sides of the knee joint area 6 respectively. Various restraint belts and fixation rings are used together to fix the restraint belts parallel to the left and right, and according to the patient's condition, the restraint belts can be alternately fixed except the knee joint or some parts do not need to be fixed, which can be used flexibly. After the patient finishes the operation on the bed surface of the bed board body 1, the entire bed board can be transferred to the nursing bed of the ward together with the patient by carrying the fixing ring around the bed board body, which is very convenient, safe and labor-saving.
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CN109350386A (en) * | 2018-11-29 | 2019-02-19 | 郑州大学第五附属医院 | Special nursing bed for patients with femoral artery puncture |
CN113350111A (en) * | 2021-07-14 | 2021-09-07 | 徐伟华 | Special fixed decompression mattress of intervention formula operation |
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CN109350386B (en) * | 2018-11-29 | 2024-04-19 | 郑州大学第五附属医院 | Special nursing bed for femoral artery puncture patient |
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Application publication date: 20171229 |