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CN111494194A - Pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine - Google Patents

Pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine Download PDF

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Publication number
CN111494194A
CN111494194A CN202010326775.3A CN202010326775A CN111494194A CN 111494194 A CN111494194 A CN 111494194A CN 202010326775 A CN202010326775 A CN 202010326775A CN 111494194 A CN111494194 A CN 111494194A
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China
Prior art keywords
chest
abdomen
stretcher
compression
control box
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CN202010326775.3A
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Inventor
范觉新
李春洁
郭涛
赵佳
范璐
丁坤
王臻
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Individual
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Individual
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Priority to CN202010326775.3A priority Critical patent/CN111494194A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H31/004Heart stimulation
    • A61H31/006Power driven
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/10Cooling bags, e.g. ice-bags
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • A61N1/39044External heart defibrillators [EHD] in combination with cardiopulmonary resuscitation [CPR] therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0002Head or parts thereof
    • A61F2007/0008Scalp
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage
    • A61H2031/001Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage fixed on the chest by suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1207Driving means with electric or magnetic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1238Driving means with hydraulic or pneumatic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1619Thorax
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/08Trunk
    • A61H2205/083Abdomen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/08Trunk
    • A61H2205/084Chest

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Emergency Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Pulmonology (AREA)
  • Pain & Pain Management (AREA)
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  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Epidemiology (AREA)
  • Pathology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Thermal Sciences (AREA)
  • Vascular Medicine (AREA)
  • Critical Care (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

The utility model provides an interactive automatic press of pneumatic mechanical type chest abdomen linkage, includes the stretcher, two flutings have all been seted up to the both sides of stretcher, and the fluting internal fixation is equipped with spacing post, and the cover is equipped with the sleeve on the spacing post, and telescopic avris threaded connection has kayser and reverse gear structure, and telescopic top is fixed to be equipped with the carbon fiber pull rod, and the top that is located the stretcher is provided with first control box and second control box, the both sides of first control box and the both sides of second control box and the tip one-to-one fixed connection of four carbon fiber pull rods. The device adopts a form of combining the independent chest compression and the abdomen compression, and makes up the defects of the independent chest compression and the abdomen compression; meanwhile, the defect that complications such as rib fracture and the like are easily caused by traditional chest compression is overcome by the aid of a chest compression mode with the convex blocks and the arc-shaped design, the abdomen compression pulling mode is introduced, the chest and the abdomen compression pad adopt the rebounding and negative pressure adsorption devices, the chest can be rebounded rapidly, the abdomen can be pulled rapidly, and resuscitation efficiency is improved.

Description

Pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine
Technical Field
The disclosure relates to the technical field of cardiac resuscitation, in particular to a pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine.
Background
Sudden cardiac arrest is the most dangerous clinical manifestation, as it can be detected early and cured quickly, and many patients can still fully recover their own behavior. The European and American countries of the 50-60 th generation of the 20 th century began to provide cardiopulmonary resuscitation (CPR) which is a rescue treatment measure aiming at sudden cardiac arrest, and after the development of more than half a century, the CPR technology has advanced sufficiently, but the rescue success rate of sudden cardiac arrest is still low, and even survivors often have neurological disabilities of different degrees. In the year 2000, a first cardiopulmonary resuscitation guide was introduced internationally, in the recent years, the cardiopulmonary resuscitation technology is continuously advanced, and the medical community widely advances a cardiopulmonary resuscitation (CPR) technology to treat a plurality of patients with cardiac arrest, most of the currently adopted chest compression technologies are single chest compression technologies (including free-hand and mechanical technologies), but due to technical limitations, the rescue success rate of cardiac arrest is still low, especially for the middle-aged and old people, about 80% of the patients cause rib and sternum fractures, and complications are high; how to improve the success rate of the rescue of sudden cardiac arrest is always an important task in the cardiovascular disease academia, the single local bare-handed compression of the heart or various mechanical external chest compressions cause serious rib fractures and sternum fractures due to technical reasons and the like, and the large arteriovenous and pulmonary complications caused by stabbing of the fractured ends of the heart into the chest are directly limited, so that the rescue time is delayed, and the clinical rescue requirements cannot be met.
The research is that a tree is built to carry out a lifting type chest-abdomen linkage interactive compression full-automatic cardiopulmonary resuscitation system on the basis of local free-hand and mechanical chest compression and flat plate compression, the recovery of the rapid cardiac hemodynamics and respiratory function after cardiac arrest is established in the technical level is greatly improved, the implementation of the technology can improve 30-40% of the success rate of the rescue of cardiac arrest, and the technology is a new technology which is worthy of wide popularization.
The automatic rebound chest and abdomen pressing plate for cardio-pulmonary resuscitation is an emergency product capable of quickly and accurately implementing cardio-pulmonary resuscitation, and has the advantages of small volume, light weight, simplicity, convenience, portability, strong emergency, simplicity in operation, safety, reliability and the like.
The pure abdominal compression technology is a rescue technology which only adopts abdominal compression to complete the whole cardio-pulmonary resuscitation process under the condition of sudden cardiac arrest. As early as more than 2000 years ago, the Chinese medical science Sheng Zhang Zhongjing in the golden Kui Yao suggested that if it is stiff, it will gradually bend and press the abdomen, so one cooks one hectare, the air comes out from the mouth, the breathing eyes open, and you just press the mou, also do not feel overstrain, showing the reliable curative effect of treating the patient with life crisis by pressing the abdomen alone. Therefore, simple active abdominal compression is sufficient to exhibit technical skills and superior rescue efficacy during cardiac arrest.
In addition, the implementation of standard chest compression technology is severely limited under various chest disease conditions, and for cardiac arrest (SCA) patients who are clinically with chest trauma, chest rib fracture, hemopneumothorax, thoracic malformation, aortic aneurysm, chest compression contraindications after cardiothoracic surgery and the like, STD-CPR cardiopulmonary resuscitation cannot be realized by implementing chest compression, and at the moment, the alternative passive abdominal compression plays a crucial role, and is also the only cardiopulmonary resuscitation treatment mode.
The only mode of treatment, alternative passive abdominal compression, will play a crucial role in this time, and this technique can improve the hemodynamic mechanism and increase arterial perfusion pressure by changing abdominal and thoracic pressures through compression of the abdomen.
When the abdomen is pressed, on one hand, the abdominal pressure is suddenly increased to accelerate the venous return blood flow rate and flow, the heart preload pressure and volume are improved, and simultaneously, the diaphragm is pushed to move towards the chest cavity to increase the chest pressure and directly press the heart to increase the heart blood discharge, so that the functions of an abdominal pump, a chest pump and a heart pump are exerted, the bionic physiological artificial circulation function is generated, furthermore, the abdomen pressing can indirectly improve the ascending aorta pressure by the function of the abdominal aorta pressure lifting reverse channel, the coronary artery and cerebral artery pressure lifting is achieved, the blood supply of the heart and the brain is obviously increased, the highest report can improve 60 percent perfusion volume, the cardio-pulmonary-cerebral resuscitation efficiency is obviously improved (the invention can also be used for a new coronary pneumonia patient, the abdominal wall is pulled to improve the abdominal respiration degree, the respiration ventilation is improved, the lung function is improved), on the other hand, the abdomen pressing the diaphragm to move towards the chest cavity increases the intrathoracic pressure, on the other hand, an 'air pump' mechanism is promoted, and the carbon dioxide discharged by alveoli is increased, which is beneficial to gas exchange; the significant negative pressure effect is generated when the abdomen is pulled, peripheral venous blood is siphoned to flow back to the atrium, the venous return amount is increased, the return blood amount when the heart is in sudden stop is increased, on the other hand, the abdomen is quickly pulled after the end point is pressed, the intra-abdominal pressure can quickly form the negative pressure effect, the peripheral venous blood is siphoned to flow back to the atrium, the lower limb venous return flow is facilitated, the diaphragm is also pulled to move to the abdominal cavity, the thoracic cavity is quickly expanded, an air pump mechanism is quickly started, the abdominal quick lifting can quickly move the diaphragm to the abdominal cavity, a thoracic cavity negative pressure gas exchange path is formed, air pump power in an air passage and an air alveolus is activated, the expansion rate of the double pulmonary alveolus is increased, the area and the volume of gas exchange in the alveolus are increased, the suction of oxygen and the discharge of carbon dioxide are increased, abdominal respiration and gas exchange are formed by the exhaust action during pressing, and the blood oxygen, and can be used for long-term replacement artificial respiration, rapidly correcting severe respiratory acidosis caused by cardiac and respiratory arrest, increasing blood pH value, facilitating autonomous pacing of cardiac sinus node, more facilitating aerobic circulation and perfusion of patient's heart and brain, significantly improving resuscitation success rate of heart and lung, generating significant negative pressure effect when pulling abdomen, simultaneously increasing venous reflux amount, increasing cardiorespiratory blood amount when cardiac arrest, rapidly lifting abdominal wall by pulling abdomen to press, rapidly forming negative pressure in abdominal cavity, facilitating venous reflux of extremities, simultaneously lifting diaphragm to abdominal cavity, rapidly expanding thoracic cavity, rapidly starting air pump mechanism, and activating thoracic cavity negative pressure air exchange path to activate air pump power in air passage and alveoli, rapidly lifting abdomen to enable diaphragm to rapidly move to abdominal cavity to increase expansion rate of both pulmonary alveoli, and simultaneously increasing gas exchange area and volume in alveoli, the carbon dioxide discharge and gas exchange are increased, the blood oxygen partial pressure of pulmonary veins and aorta of a patient is obviously improved, the serious respiratory acidosis caused by cardiac and respiratory arrest is quickly corrected, the automatic pacing of the sinus node of the heart is facilitated, the aerobic circulation and perfusion of the heart and the brain of the patient are facilitated, and the resuscitation success rate of the heart, the lung and the brain is obviously improved.
Disclosure of Invention
The invention relates to a full-automatic cardio-pulmonary-cerebral resuscitation system which is built on the basis of the above freehand and mechanical chest compression and pure abdomen compression and is used for carrying out lifting type chest-abdomen linkage interactive compression, and a full-chest rebound type compression mode taking the heart as a focus is provided, and the full-chest rebound type compression mode is matched with abdomen lifting type compression to greatly improve the recovery degree of cardiac hemodynamics and respiratory function during sudden cardiac arrest, so that the blood and oxygen supply of heart and cerebral tonification is remarkably improved, and meanwhile, an ice cap is arranged on a stretcher, so that brain protection is implemented at the very early stage of cardio-pulmonary resuscitation, the rapid cardio-pulmonary-cerebral resuscitation and the overall recovery of patients are facilitated, and the very high rescue success rate is obtained.
The technical innovation research is based on the research of standardized manual or mechanical chest compression (STD-CPR) and the research of the whole chest compression of Zole (ZO LL) company, a novel mode which takes the heart as the focus compression and also takes the whole chest compression into consideration is established, the standardized chest compression (STD-CPR) is mainly manual cardiopulmonary resuscitation, the theory of a heart pump which presses the local part of the heart to press the heart to promote the heart to pump blood to the aorta is taken as a mechanism for simulating the cardio-pulmonary resuscitation mechanism of blood regulation mechanics, and the whole chest compression developed by ZO LL company takes the theory of the chest pump as a main mechanism to exert the squeezing function of the chest pump, the closed intrathoracic pressure consisting of diaphragm muscle and thorax is increased, the pressure is evenly transmitted to the internal great vessels of the chest, the blood flows forwards, the local heart compression can press the ventricle to discharge blood to the ascending aorta, the simulating blood regulation mechanics efficiency is achieved, the blood supply of the most basic organs (heart and brain) of life is completed, the general compression effect can be achieved, and the current cardiopulmonary resuscitation mode is influenced by two clinical resuscitation modes.
In recent years, the mode of partial chest compression cardiopulmonary resuscitation of bare hands or mechanical hearts also has some disadvantages, if high-quality chest compression is achieved, fractures of sternum and ribs often occur, fractured ends can puncture thoracic arteries, veins, lungs or pleura, and particularly, 80% of the fractured ends can be reached by elderly people, successful cardiopulmonary resuscitation is difficult to obtain, and finally CPR fails.
The automated cardiopulmonary resuscitation system of Zole (ZO LL) company, based on full chest compression, increases the intrathoracic pressure when pressing the chest to push the heart, the blood flow of the aorta and the gas exchange of the lungs to complete cardiopulmonary resuscitation, and the technology has the advantages of being capable of well avoiding the complications of sternum and rib fracture, but at present many cardiologists challenge the COR technology, and think that pressing the chest without pressing the heart can not push the hemodynamics, and single chest pressing can not achieve better cardiopulmonary resuscitation effect, in order to solve the defects existing in the prior art, the present disclosure provides an automatic pneumatic-mechanical chest-abdomen linkage pressing machine, and in order to solve the technical problems, the present invention provides the following technical scheme:
the invention relates to a pneumatic mechanical type thoracoabdominal linkage interaction automatic pressing machine which comprises a stretcher, wherein two grooves are formed in two sides of the stretcher, a limiting column is fixedly arranged in each groove, a sleeve is sleeved on each limiting column, a reverse gear locking device is in threaded connection with the side of each sleeve, a steel belt or carbon fiber pull rod is fixedly arranged at the top of each sleeve, a first operation box and a second operation box are arranged at the top of the stretcher, two sides of the first operation box and two sides of the second operation box are fixedly connected with the end parts of the four steel belt or carbon fiber pull rods in a one-to-one correspondence manner, sealing plates are fixedly arranged at the bottom of the first operation box and the bottom of the second operation box respectively, a micro air pump is fixedly arranged at the top of each sealing plate, an air bag is fixedly arranged at the bottom of each sealing plate, and an air outlet of each micro air pump is, the bottom mounting of gasbag is equipped with the silica gel board, a plurality of evenly distributed's microgroove is seted up to the bottom of silica gel board, is located first control box bottom the middle part of its bottom of silica gel board is fixed to be equipped with and presses half ellipsoid protruding, the avris of first control box and the avris of second control box have all been seted up and have been adsorbed the shirt rim, the inside of stretcher is equipped with the battery, the avris on stretcher top inlays and is equipped with control switch group.
As a preferable technical scheme of the invention, the silica gel plate positioned at the bottom of the first operation box is arranged into an arc shape.
In a preferred aspect of the present invention, the first console box is elongated in plan view, the second console box is triangular in plan view, and the triangular second console box and the elongated first console box are symmetrically disposed around a center line of the stretcher.
As a preferred technical scheme of the invention, the carbon fiber pull rod is sleeved with a rubber sleeve.
As a preferable technical scheme of the invention, two soft pads are embedded at the top end of the stretcher.
In a preferred embodiment of the present invention, a soft ice bag is disposed inside the soft pad.
As a preferable technical scheme of the invention, a soft ice cap is arranged at the position of the headrest at the top end for cooling the head of the patient.
In a preferred embodiment of the present invention, the two cushions are respectively located at the bottom of the first operation box and the second operation box.
The invention has the beneficial effects that:
1. novel breast and abdomen compression pad designs; the chest compression pad can realize full chest wall compression by taking heart compression as a focus,
2. the carbon fiber rebound pull rod with strong rebound resilience is designed to promote the rapid rebound of the thoracic cavity and the rapid lifting of the abdominal cavity so as to achieve the purpose that the passive property of the thoracic cavity and the abdominal cavity rapidly reaches a negative pressure state, thereby being beneficial to the hemodynamic recovery of the cardiac arrest;
3. the press pad can adsorb the skirt edges of the chest wall and the abdominal wall to generate a negative pressure adsorption effect, and also has the effects of rapid rebound of the chest and rapid lifting of the abdominal cavity to enhance the pathophysiological effect of pressing.
4. The soft ice cap with low temperature is preset, and the effect of low temperature brain protection can be achieved at the first time.
5. Wireless electrocardiographic monitoring and portable AED.
6. According to the pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine, the form of combination of independent chest and abdomen pressing is adopted, and the defects of independent chest and abdomen pressing are overcome; meanwhile, the chest compression mode of the compression semi-ellipsoid convex part and the arc design is adopted, so that the defect that the traditional chest compression is easy to cause complications such as rib fracture and the like is overcome; the chest and abdomen compression rebound and negative pressure adsorption device is also adopted, and the chest and abdomen compression cushion adopts the rebound and negative pressure adsorption device, so that the chest can be quickly rebounded and the abdomen can be quickly pulled, and meanwhile, an abdomen compression pulling mode is introduced, and the cardiac hemodynamics and the resuscitation of the respiratory function are promoted; the positions of chest compression and abdomen compression can be finely adjusted through the arranged sleeve so as to adapt to different patients, and the practicability is enhanced; the practicability is further enhanced by arranging the soft ice cap.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic structural view of a pneumatic-mechanical chest-abdomen linkage interactive automatic pressing machine according to the present invention;
FIG. 2 is a schematic top view of the pneumatic-mechanical chest-abdomen linkage interactive automatic pressing machine of the present invention;
FIG. 3 is a schematic cross-sectional structural view of a second operation box of the pneumatic mechanical chest-abdomen linkage interactive automatic pressing machine of the invention;
FIG. 4 is a schematic side view of a first operation box of the pneumatic-mechanical chest-abdomen linkage interactive automatic pressing machine of the present invention;
FIG. 5 is a schematic view of a cross-sectional structure of a silica gel plate of the pneumatic mechanical type thoracico-abdominal linkage interactive automatic pressing machine of the present invention;
FIG. 6 is a schematic view of a cross-sectional structure of a cushion of the pneumatic-mechanical chest-abdomen linkage interactive automatic pressing machine of the present invention;
fig. 7 is a schematic view of a sleeve structure of the pneumatic mechanical type thoracico-abdominal linkage interaction automatic pressing machine.
In the figure: 1. a stretcher; 2. a steel belt; 3. a first operation box; 4. a second operation box; 5. a soft cushion; 6. a control switch group; 7. a sealing plate; 8. a micro air pump; 9. air holes; 10. an air bag; 11. a silica gel plate; 12. a bump; 13. a micro-groove; 14. a limiting column; 15. reverse locking; 16. a sleeve; 17. grooving; 18. an ice bag device.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are described herein for the purpose of illustration and explanation and not limitation.
Example (b): as shown in fig. 1-7, the invention relates to an air-powered mechanical type thoracoabdominal linkage interaction automatic pressing machine, which comprises a stretcher 1, wherein two slots 17 are respectively arranged on two sides of the stretcher 1, a limiting column 14 is fixedly arranged in each slot 17, a sleeve 16 is sleeved on each limiting column 14, reverse latches 15 are connected to the lateral side of each sleeve 16 through threads, a carbon fiber pull rod 2 is fixedly arranged at the top of each sleeve 16, a first operation box 3 and a second operation box 4 are arranged at the top of the stretcher 1, two sides of each first operation box 3 and two sides of each second operation box 4 are fixedly connected with the end parts of the four carbon fiber pull rods 2 in a one-to-one correspondence manner, sealing plates 7 are fixedly arranged at the bottom of each first operation box 3 and the bottom of each second operation box 4, a micro air pump 8 is fixedly arranged at the top of each sealing plate 7, an air bag 10 is fixedly arranged at the bottom of each sealing plate 7, the bottom end of the air bag 10 is fixedly provided with a silica gel plate 11, the bottom end of the silica gel plate 11 is provided with a plurality of negative pressure adsorption skirt rims 13 which are uniformly distributed, the middle part of the bottom end of the silica gel plate 11 positioned at the bottom of the first operation box 3 is fixedly provided with a pressing semi-ellipsoid convex part 12, the side of the first operation box 3 and the side of the second operation box 4 are both provided with a plurality of air holes 9, the interior of the stretcher 1 is provided with a storage battery, the side of the top end of the stretcher 1 is embedded with a control switch group 6, the control switch group 6 is also integrated with a circuit board, the miniature air pump 8 is connected with the storage battery through the circuit board, when the miniature air pump 8 is electrified to work through the control switch group 6, the arranged circuit board is used for controlling the miniature air pump 8 to work repeatedly with a certain period (the circuit board for controlling the periodic work of the, that is, when one works and is inflated, the other does not work, because of the arranged steel belt or carbon fiber pull rod 2, the first operation box 3 or the second operation box 4 can rapidly rebound and reset when the micro air pump 8 stops working, and the micro groove 13 is matched to be adsorbed on the skin of a patient, so that the effect of rapidly lifting the chest or the abdomen of the patient to reset is realized, the chest and the abdominal cavity rapidly form negative pressure to attract venous blood to rapidly flow back to the heart, and the lung gas exchange capacity is improved, thereby improving the effect of cardiac resuscitation.
Wherein, the silica gel plate 11 that is located 3 bottoms of first control box sets to the arc, when patient's tie is lain on stretcher 1, its chest position also appears the arc form, consequently the silica gel plate 11 that will be located 3 bottoms of first control box sets to the arc, make silica gel plate 11 laminate patient's chest more, simultaneously because the chest intermediate position presses the region for the key, consequently set up and press half ellipsoid protruding piece 12, through above setting when gasbag 10 periodic inflation and deflation, more effective realization is pressed the effect, the defect of complication such as rib fracture that easily causes that traditional chest is pressed has been solved simultaneously.
The first operation box 3 is long in overlook, the second operation box 4 is triangular in overlook, the triangular second operation box 4 and the long first operation box 3 are symmetrically arranged around the center line of the stretcher 1, and the long first operation box 3 can stretch across the chest of the whole patient; the second operation box 4 in the triangular shape is positioned on the abdomen, so that the sternum and rib pressing of a patient can be effectively avoided during abdomen, the physiological characteristics of abdominal cavity anatomy are simulated by the triangular shape, and the abdomen pressing is facilitated.
Wherein, the cover is equipped with the rubber sleeve on steel band or the carbon fiber pull rod 2, plays certain protecting effect, avoids steel band 2 fish tail or knocks down the personnel.
Wherein, the top of the stretcher 1 is embedded with two cushions 5, which enhances the comfort of the stretcher 1.
Wherein, two cushions 5 are respectively arranged at the bottom of the first operating box 3 and the second operating box 4 to ease the stimulation generated in the pressing process.
Wherein, the soft cushion 5 is internally provided with a soft ice bag 18, the soft ice bag 18 is connected with the storage battery through a control switch group 6 to control a temperature adjusting switch of the soft ice bag, the switch of the soft ice bag 18 is specifically a temperature control knob, and the soft ice bag 18 can work through the control switch group 6 to realize the early low temperature effect on the patient.
Wherein, the position of the top head of the stretcher 1 is provided with a soft ice cap (not shown), the soft ice cap is placed on the head of the patient and is connected with the storage battery through the control switch group to control the temperature adjusting switch of the soft ice cap, the switch for working the soft ice cap is a temperature control knob, the soft ice cap can work through the control switch group, and the early low-temperature brain protection effect on the patient is realized.
When the stretcher works, a patient is firstly carried to the stretcher 1, the skin of the patient is exposed, then the position and the locking of the carbon fiber pull rod are adjusted according to the positions of the chest and the abdomen of the patient, so that the first operation box 3 is positioned at the chest and the second operation box 4 is positioned at the abdomen, and then the sleeve 16 is limited and fixed by locking and fixing 15 of the abdomen carbon fiber pull rod; at the moment, the micro air pumps 8 work by controlling the switch group 6, because the working cycles of the two micro air pumps 8 are opposite, namely one micro air pump works to inflate and press the other micro air pump does not work, when the micro air pump 8 works, the air bag 10 is inflated, and then the silica gel plate 11 realizes the effect of pressing the chest or the abdomen, and in the process, the silica gel plate 11 can be adsorbed on the skin of a patient due to the arranged micro grooves 13; when the air bag 10 is inflated, the steel belt or carbon fiber pull rod 2 deforms, when the micro air pump 8 stops working, the first operation box 3 or the second operation box 4 can be quickly reset and is adsorbed on the skin of a patient in cooperation with the micro groove 13, the effects of quickly rebounding the chest and quickly lifting and resetting the abdominal cavity are achieved, and the effect of cardiac resuscitation is improved;
because the duty cycle of two miniature air pumps 8 is opposite, and then will carry and pull the belly when pressing the chest, will carry and pull the chest when pressing the belly, through this kind of cardiac resuscitation mode, traditional chest single point resuscitation mode relatively can show and promote cardiopulmonary brain resuscitation success rate.
In summary, the conventional focal chest compression has many defects, mainly because about 30% -80% of patients have sternum and rib fractures in the conventional focal compression process, the pleura, the lung and the heart are directly scratched due to continuous compression after fracture, the fatal outcome of massive hemorrhage is generated, the resuscitation success rate is seriously influenced, in addition, because the conventional chest compression has many contraindications, chest diseases such as postoperative chest disease, chicken chest, sternum deformity, chest trauma and ascending aortic aneurysm and the like, the device can select single chest compression or abdominal compression, so as to avoid the embarrassing situation that the chest or abdominal diseases cannot be compressed at the critical moment.
The pressing machine can automatically perform chest-abdomen linkage interactive pressing, the maximum pressing efficiency of the chest or the abdomen is greatly improved, the resuscitation success rate of the heart, the lung and the brain is obviously improved, the design 12 of the heart focus pressing ellipsoid can realize that the heart is locally pressed mainly, meanwhile, the arc-shaped silica gel plate 11 achieves a high-efficiency pressing mode which realizes the integral chest pressing by taking the heart pressing as the focus, the occurrence probability of rib fracture is reduced, the sternum is well protected, and dangerous complications such as rib fracture and the like during pressing are avoided.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art will understand that various changes, modifications and substitutions can be made without departing from the spirit and scope of the invention as defined by the appended claims. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (7)

1. The utility model provides an interactive automatic press of air-operated mechanical type chest abdomen linkage, includes stretcher (1), its characterized in that, two fluting (17) have all been seted up to the both sides of stretcher (1), fluting (17) internal fixation is equipped with spacing post (14), the cover is equipped with sleeve (16) on spacing post (14), the avris threaded connection of sleeve (16) has reverse gear kayser device (15), the top of sleeve (16) is fixed and is equipped with steel band or carbon fiber pull rod (2), is located the top of stretcher (1) is provided with first control box (3) and second control box (4), the both sides of first control box (3) and the both sides of second control box (4) and the tip one-to-one correspondence fixed connection of four steel bands (2), the bottom of first control box (3) and the bottom of second control box (4) all are fixed and are equipped with closing plate (7), the fixed miniature air pump (8) that is equipped with in top of closing plate (7), the fixed gasbag (10) that is equipped with in bottom of closing plate (7), the air outlet of miniature air pump (8) passes through the connector intercommunication of connecting pipe and gasbag (10), the bottom mounting of gasbag (10) is equipped with silica gel plate (11), a plurality of evenly distributed's negative pressure is seted up to the bottom of silica gel plate (11) and is adsorbed shirt rim (13), is located first control box (3) bottom the middle part of silica gel plate (11) its bottom is fixed to be equipped with and presses half ellipsoid protruding (12), a plurality of gas pocket (9) have all been seted up to the avris of first control box (3) and the avris of second control box (4), the inside of stretcher (1) is equipped with the battery, the avris on stretcher (1) top inlays and is equipped with control switch group (6).
2. The pneumatic mechanical type thoracoabdominal linkage interaction automatic pressing machine according to claim 1, characterized in that a silicon rubber plate (11) positioned at the bottom of the first operation box (3) is arranged in an arc shape.
3. The pneumatic mechanical thoracoabdominal linkage interaction automatic pressing machine according to claim 1, characterized in that the first operation box (3) is long in plan view, the second operation box (4) is triangular in plan view, and the second operation box (4) in the triangular shape and the first operation box (3) in the long shape are symmetrically arranged around the center line of the stretcher (1).
4. The pneumatic mechanical type thoracoabdominal linkage interaction automatic pressing machine as claimed in claim 1, wherein a rubber sleeve is sleeved on the steel belt (2).
5. The pneumatic mechanical thoracoabdominal linkage interaction automatic pressing machine according to claim 1, characterized in that two cushions (5) are embedded at the top end of the stretcher (1) or an ice cap is arranged at the position of a top end headrest for cooling the head of a patient.
6. The pneumatic mechanical thoracoabdominal linkage interaction automatic pressing machine according to claim 5, characterized in that a soft ice bag device (18) is arranged inside the soft cushion (5).
7. Pneumatic mechanical thoracoabdominal linkage interactive automatic press according to claim 6, characterized in that two said cushions (5) are respectively located at the bottom of the first operating box (3) and the second operating box (4).
CN202010326775.3A 2020-04-23 2020-04-23 Pneumatic mechanical type chest and abdomen linkage interaction automatic pressing machine Pending CN111494194A (en)

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CN112603620A (en) * 2020-12-30 2021-04-06 吉林大学第一医院 Heart surgical nursing device
CN113197766A (en) * 2021-06-03 2021-08-03 新疆维吾尔自治区人民医院 Cardiopulmonary resuscitation device with adjustable emergency clinic is clinical
CN113274279A (en) * 2021-06-09 2021-08-20 山东大学 Chest-abdomen combined cardio-pulmonary resuscitation device
CN113576877A (en) * 2021-07-29 2021-11-02 深圳市安保科技有限公司 Multifunctional resuscitator and control method thereof
CN116035850A (en) * 2023-01-12 2023-05-02 中国人民解放军西部战区总医院 Special postpartum rehabilitation pressing device and application method thereof

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Publication number Priority date Publication date Assignee Title
CN112603620A (en) * 2020-12-30 2021-04-06 吉林大学第一医院 Heart surgical nursing device
CN113197766A (en) * 2021-06-03 2021-08-03 新疆维吾尔自治区人民医院 Cardiopulmonary resuscitation device with adjustable emergency clinic is clinical
CN113197766B (en) * 2021-06-03 2023-03-14 新疆维吾尔自治区人民医院 Cardiopulmonary resuscitation device with adjustable emergency clinic is clinical
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CN116035850A (en) * 2023-01-12 2023-05-02 中国人民解放军西部战区总医院 Special postpartum rehabilitation pressing device and application method thereof

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Application publication date: 20200807