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CN111888159B - A debridement device for diabetic foot in endocrinology - Google Patents

A debridement device for diabetic foot in endocrinology Download PDF

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Publication number
CN111888159B
CN111888159B CN202010860253.1A CN202010860253A CN111888159B CN 111888159 B CN111888159 B CN 111888159B CN 202010860253 A CN202010860253 A CN 202010860253A CN 111888159 B CN111888159 B CN 111888159B
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plate
waste liquid
fixedly connected
cavity
cleaning
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CN111888159A (en
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张亚伟
张广超
叶红丽
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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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
    • A61G12/00Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B9/00Cleaning hollow articles by methods or apparatus specially adapted thereto
    • B08B9/08Cleaning containers, e.g. tanks
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B9/00Cleaning hollow articles by methods or apparatus specially adapted thereto
    • B08B9/08Cleaning containers, e.g. tanks
    • B08B9/087Cleaning containers, e.g. tanks by methods involving the use of tools, e.g. brushes, scrapers

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Nursing (AREA)
  • Neurosurgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
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  • Devices For Medical Bathing And Washing (AREA)

Abstract

The invention belongs to the technical field of medical instruments, and relates to a debridement device, in particular to a debridement device for diabetic feet in endocrinology department, which comprises a waste liquid collecting device and a leg fixing device connected with the waste liquid collecting device; the leg fixing device comprises a supporting cavity fixedly connected with the waste liquid collecting device, and a leg supporting plate is fixedly connected to the supporting cavity; the supporting cavity is further rotatably connected with an L-shaped plate, the L-shaped plate is rotatably connected with an ankle supporting plate corresponding to the leg supporting plate, the L-shaped plate is provided with a second locking structure matched with the ankle supporting plate, the ankle supporting plate is connected with a foot supporting plate, and the leg supporting plate, the ankle supporting plate and the leg supporting plate are all provided with fixing bands; the support cavity is rotatably connected with a crank, the crank is rotatably connected with a draw bar, and the draw bar is rotatably connected with the L-shaped plate; the invention effectively solves the problem that the existing debridement device for diabetic feet is poor in use effect.

Description

Diabetic foot of endocrinology department is with device of creating clearly
Technical Field
The invention belongs to the technical field of medical instruments, relates to a debridement device, and particularly relates to a debridement device for diabetic feet in endocrinology departments.
Background
The foot is a complex target organ for diabetes, a multi-system disease. The diabetic patients can cause the damage and the malformation of foot soft tissues and bone joint systems due to the combination of peripheral neuropathy and peripheral vascular diseases with overhigh mechanical pressure, thereby causing a series of foot problems from mild neurological symptoms to severe ulcer, infection, vascular diseases, Charcot joint diseases and neuropathic fracture. If active treatment fails to adequately address the symptoms and complications of the lower extremities, catastrophic results can result. Therefore, it would be of great significance to develop early prevention and treatment of foot problems in diabetic patients.
If a diabetic foot patient is not treated in a timely manner, the foot gangrene of the patient continues to develop, which may lead to severe foot ulcers on the foot of the patient, and many patients have to amputate accordingly. The wound of the diabetic foot patient is debrided, which is necessary to be thorough, and necrotic tissues and exudates on the sore surface are thoroughly cleared. By debriding the wound, the symptoms of the wound ulcer of the patient can be well controlled, and the ulcer is prevented from further aggravating.
When debridement is performed on a diabetic foot patient, cleaning and disinfecting treatment needs to be performed on the debrided part of the patient; in the debridement process, the generated waste liquid easily pollutes the table top and the ground, and the generated medical waste, dirt, blood clots and foreign matters in the wound are inconvenient to clean, so that great troubles are brought to medical workers.
In addition, when the diabetic foot patient is debrided, the foot of the patient is often fixed by using a corresponding debridement device so as to prevent the foot of the patient from shaking to influence the operation of medical personnel in the debridement process; however, when the existing debridement device is used, only the legs of the patient are fixed so as to operate the feet of the patient, but when the device is specifically operated, medical staff are required to change the body position of the medical staff for carrying out operation or auxiliary staff are required to assist in fixing the feet of the patient so as to thoroughly debride the feet of the patient; however, the auxiliary staff has instability in fixing the feet of the patient and increases the labor intensity of the auxiliary staff, and if the auxiliary staff shakes during the debridement process, the debridement process of the medical staff is also greatly affected, so that the debridement effect is poor.
Disclosure of Invention
Aiming at the situation, in order to overcome the defects of the prior art, the invention provides the debridement device for the diabetic foot in the endocrinology department, and the problem that the existing debridement device for the diabetic foot is poor in use effect is effectively solved.
In order to achieve the purpose, the invention adopts the following technical scheme: a debridement device for diabetic feet in endocrinology department comprises a waste liquid collecting device and a leg fixing device connected with the waste liquid collecting device; the leg fixing device comprises a supporting cavity fixedly connected with the waste liquid collecting device, and a leg supporting plate is fixedly connected to the supporting cavity; the supporting cavity is further rotatably connected with an L-shaped plate, the L-shaped plate is rotatably connected with an ankle supporting plate corresponding to the leg supporting plate, the L-shaped plate is provided with a second locking structure matched with the ankle supporting plate, the ankle supporting plate is connected with a foot supporting plate, and the leg supporting plate, the ankle supporting plate and the leg supporting plate are all provided with fixing bands; the support cavity is rotatably connected with a crank, the crank is rotatably connected with a draw bar, and the draw bar is rotatably connected with the L-shaped plate; the supporting cavity is provided with a rotating structure matched with the crank, and the supporting cavity is also provided with a first locking structure matched with the rotating structure.
Compared with the prior art, the invention has the following beneficial effects:
1. when the medical ankle support device is used, the ankle of a patient is driven to rotate up and down through the ankle support plate by using the rotating structure, the crank, the traction rod and the L-shaped plate, so that the angle of the ankle of the patient is changed, the debridement parts of toes, soles and heels correspond to medical staff, the rotating structure is fixed by using the first locking structure, and the medical staff can operate conveniently; in addition, after the ankle is adjusted in an up-and-down rotating mode, the ankle fixing plate can be used for driving the ankle of the patient to rotate left and right, if long-time debridement needs to be performed on one of the ankle fixing plate, medical workers can use the second locking structure to fix the ankle fixing plate, so that the medical workers can operate conveniently, and the debridement effect of the medical workers is improved.
2. When the cleaning machine is used for cleaning, the motor drives the reciprocating screw rod to rotate through the transmission structure, and the reciprocating screw rod drives the scraper to move up and down in a reciprocating manner to be matched with cleaning liquid to clean the inner wall of the waste liquid tank; meanwhile, the main shaft drives the propeller to rotate, and the propeller drives the cleaning liquid in the waste liquid tank to enter the guide cylinder through the water inlet; the cleaning liquid flows into the diversion channel from the outlet under the action of the propeller, enters the diversion tray through the diversion channel, and is contacted with the scraper through the through hole, so that the cleaning liquid always exists in the process of cleaning the inner wall of the waste liquid tank by the scraper, the cleaning liquid is convenient to clean after the cleaning device is used, and the labor intensity of cleaning personnel is reduced.
Drawings
FIG. 1 is a first isometric view of the present invention;
FIG. 2 is a second isometric view of the present invention;
FIG. 3 is a first isometric view of a leg fixation device of the present invention;
FIG. 4 is a second isometric view of a leg attachment device of the present invention;
FIG. 5 is a schematic view showing the internal structure of the leg fixing device according to the present invention;
FIG. 6 is an isometric view of a second locking structure of the present invention;
FIG. 7 is a first isometric view of the engagement of the first locking structure and the rotating structure of the present invention;
FIG. 8 is a second axial view of the engagement of the first locking structure and the rotating structure of the present invention;
FIG. 9 is a first isometric view of a rotating structure of the present invention;
FIG. 10 is a second perspective view of the rotating structure of the present invention;
FIG. 11 is an isometric view of a waste collection device of the present invention;
FIG. 12 is a first isometric view of the internal structure of the waste collection device of the present invention;
FIG. 13 is a second isometric view of the internal structure of the waste collection device of the present invention;
FIG. 14 is a schematic structural view of a transmission structure according to the present invention;
FIG. 15 is a schematic structural view of a speed reduction assembly according to the present invention;
FIG. 16 is a first isometric view of the filter plate and cleaning plate of the present invention in a mated condition;
FIG. 17 is a second isometric view of the filter plate and cleaning plate of the present invention in engagement;
FIG. 18 is a schematic view showing the engagement of the cleaning plate and the rotating lever in the present invention;
in the figure: 1. universal wheels, 2, supporting legs, 3, a transmission case, 4, a waste liquid case, 5, a filter plate, 6, a leg fixing device, 7, a drain pipe, 8, a garbage can, 9, a cleaning plate, 10, a handle, 11, a liquid level line, 12, a rotating rod, 13, a flow distribution disc, 14, a scraping plate, 15, a motor, 16, a cleaning driven wheel, 17, a cleaning driving wheel, 18, a reciprocating screw rod, 19, a flow guide cylinder, 20, a flow distribution groove, 21, a propeller, 22, a sun wheel, 23, a planet pinion, 24, a gear ring, 25, a planet carrier, 26, a rotating shaft, 27, a main shaft, 28 and a flow guide plate; 601. a connection tube, 602, a first locking structure, 603, a rotation structure, 604, a plug, 605, a support cavity, 606, a leg support plate, 607, a fixing band, 608, an ankle support plate, 609, a foot support plate, 610, a second locking structure, 611, an L-shaped plate, 612, a traction bar, 613, a crank, 614, a second outer ratchet, 615, a second inner ratchet, 616, a second rotation plate, 617, a second pawl, 618, a handle, 619, a fixing cavity, 620, a first outer ratchet, 621, a first rotation plate, 622, a transmission wheel, 623, a reduction gear wheel, 624, a connection plate, 625, an internal gear, 626, and a driving wheel.
Detailed Description
A debridement device for diabetic foot in endocrinology department, as shown in figures 1-18, comprises a waste liquid collecting device and a leg fixing device 6 connected with the waste liquid collecting device; the leg fixing device 6 comprises a supporting cavity 605 fixedly connected with the waste liquid collecting device, and a leg supporting plate 606 is fixedly connected to the supporting cavity 605; the supporting cavity 605 is further rotatably connected with an L-shaped plate 611, the L-shaped plate 611 is rotatably connected with an ankle supporting plate 608 corresponding to the leg supporting plate 606, the L-shaped plate 611 is provided with a second locking structure 610 matched with the ankle supporting plate 608, the ankle supporting plate 608 is connected with a foot supporting plate 609, and the leg supporting plate 606, the ankle supporting plate 608 and the leg supporting plate 606 are all provided with fixing belts 607; the leg supporting plate 606, the ankle supporting plate 608 and the leg supporting plate 606 are all arc-shaped plates, the fixing belts 607 all comprise a thorn hair fixing belt and a round hair fixing belt matched with the thorn hair fixing belt, the thorn hair fixing belt is provided with a thorn hair magic tape, and the round hair fixing belt is provided with a round hair magic tape matched with the thorn hair magic tape; a crank 613 is rotatably connected to the support cavity 605, a draw bar 612 is rotatably connected to the crank and the draw bar 612 is rotatably connected to the L-shaped plate 611; the supporting cavity 605 is provided with a rotating structure 603 matched with the crank 613, and the supporting cavity 605 is further provided with a first locking structure 602 matched with the rotating structure 603.
When the invention is used, if a patient needs to debride toes, the legs are placed on the leg supporting plate 606 in the forward direction, the ankles are placed on the ankle supporting plate 608, and the corresponding thorn hair fixing belts and round hair fixing belts are used for fixing the legs and the ankles of the patient; the crank 613 is driven to rotate by the rotating structure 603, the crank 613 drives the L-shaped plate 611 to rotate along the supporting cavity 605 through the traction rod 612, and the L-shaped plate 611 drives the ankle of the patient to rotate up and down through the ankle supporting plate 608, so that the angle of the ankle of the patient is changed, and the debridement part corresponds to the medical staff; loosen second locking structure 610, make medical personnel can drive patient ankle rotation about through the ankle fixed plate according to the circumstances, if need carry out long-time debridement to one of them department, medical personnel can use second locking structure 610 to fix the ankle fixed plate to make things convenient for medical personnel to operate, improve medical personnel's debridement effect.
If the patient needs to debride the arch and the heel of the foot, the legs are reversely placed on the leg supporting plate 606, the feet are placed on the foot supporting plate 609, the ankles are placed on the ankle supporting plate 608, and the legs, the ankles and the feet of the patient are fixed by using the corresponding burl fixing belts and the round hair fixing belts; the patient ankle is driven to rotate up and down through the ankle supporting plate 608 by using the rotating structure 603, the crank 613, the traction rod 612 and the L-shaped plate 611, so that the ankle angle of the patient is changed, and the debridement part of the arch and the heel corresponds to the medical staff; loosen second locking structure 610, make medical personnel can drive patient ankle rotation about through the ankle fixed plate according to the circumstances, if need carry out long-time debridement to one of them department, medical personnel can use second locking structure 610 to fix the ankle fixed plate to make things convenient for medical personnel to operate, improve medical personnel's debridement effect.
That is, when the medical ankle support device is used, the ankle of a patient is driven to rotate up and down through the rotating structure 603, the crank 613, the traction rod 612 and the L-shaped plate 611 through the ankle support plate 608, so that the angle of the ankle of the patient is changed, the debridement parts of toes, soles and heels correspond to medical staff, and the rotating structure 603 is fixed through the first locking structure 602, so that the medical staff can operate the medical ankle support device conveniently; in addition, after the ankle is adjusted in an up-and-down rotating mode, the ankle fixing plate can be used for driving the ankle of the patient to rotate left and right, if one of the ankle fixing plate needs to be debrided for a long time, medical workers can use the second locking structure 610 to fix the ankle fixing plate, so that the medical workers can operate conveniently, and the debridement effect of the medical workers is improved.
Further, as shown in fig. 11, the waste liquid collecting device includes a waste liquid tank 4, the supporting cavity 605 is fixedly connected to the waste liquid tank 4, a filtering plate 5 is disposed on the waste liquid tank 4, and filtering holes are disposed on the filtering plate 5; a drain pipe 7 is also arranged on the waste water tank, and a valve is arranged on the drain pipe 7; the waste liquid tank 4 is connected with a garbage tank 8 corresponding to the filter plate 5 in a sliding manner, the filter plate 5 is provided with a guide plate 28 matched with the garbage tank 8, and the garbage tank 8 is provided with a handle 10; a guide plate 28 is arranged to prevent waste liquid from flowing between the garbage can 8 and the waste liquid box 4; the waste liquid tank 4 is provided with the supporting legs 2, the supporting legs 2 are provided with the universal wheels 1, the waste liquid tank 4 is also connected with the Contraband-shaped plate, the Contraband-shaped plate is convenient for medical personnel to operate, and waste liquid can be prevented from being scattered; and a liquid level line 11 is also arranged on the waste liquid tank 4.
When the waste liquid collecting device is used, in the debridement process, generated waste liquid flows into the waste liquid box 4 through the filter holes, generated medical waste, dirt, blood clots, foreign matters and the like in wounds are placed on the filter plate 5 to be filtered, and the waste liquid flows into the waste liquid box 4 or is directly thrown into the garbage box 8, so that the waste liquid or the waste is prevented from polluting the ground, and the neatness of the invention is improved.
Further, as shown in fig. 12-15, a cleaning device is further disposed on the waste liquid tank 4, the cleaning device includes a transmission case 3 fixedly connected to the waste liquid tank 4, and a motor 15 is fixedly connected to the transmission case 3; the output end of the motor 15 is fixedly connected with a main shaft 27, and the main shaft 27 is connected with a transmission structure; the transmission structure comprises a speed reduction assembly connected with a main shaft 27, the speed reduction assembly is connected with a cleaning driving wheel 17, and a plurality of cleaning driven wheels 16 are meshed on the cleaning driving wheel 17; a plurality of cleaning driven wheels 16 are coaxially and fixedly connected with reciprocating screw rods 18 which are rotatably connected with the waste liquid tank 4, the reciprocating screw rods 18 are in threaded connection with scraping plates 14 which are matched with the inner wall of the waste liquid tank 4, and the scraping plates 14 are in sliding connection with the inner wall of the waste liquid tank 4; the speed reducing assembly comprises a sun gear 22 fixedly connected with a main shaft 27, a plurality of planet pinions 23 are meshed on the sun gear 22, and a gear ring 24 meshed with the planet pinions 23 is fixedly connected on the transmission case 3; the waste water tank is rotatably connected with a rotating shaft 26 fixedly connected with the cleaning driving wheel 17, and the rotating shaft 26 is sleeved on a main shaft 27; the rotating shaft 26 is fixedly connected with a planet carrier 25, and the planet pinion 23 is rotationally connected with the planet carrier 25.
When the cleaning device is used, cleaning personnel put cleaning liquid into the waste liquid tank 4, the motor 15 drives the main shaft 27 to rotate, the main shaft 27 drives the sun gear 22 to rotate, and the sun gear 22 drives the plurality of planet pinions 23 to rotate along the planet carrier 25; meanwhile, under the action of the ring gear 24 and the sun gear 22, the planet pinion 23 drives the planet carrier 25 to rotate, and the planet carrier 25 drives the rotating shaft 26 to rotate along the waste liquid tank 4; the cleaning driving wheel 17 is driven to rotate by rotation, the cleaning driving wheel 17 drives the cleaning driven wheel 16 to rotate, the cleaning driven wheel 16 drives the scraper 14 to move up and down through the reciprocating screw rod 18 to be matched with the cleaning liquid to clean the inner wall of the waste liquid tank 4, so that the cleaning device is convenient to clean after being used, and the labor intensity of cleaning personnel is reduced.
Further, as shown in fig. 12, a propeller 21 is fixedly connected to the main shaft 27, and a guide cylinder 19 is sleeved outside the propeller 21; a water inlet is formed in the end part, close to the motor 15, of the guide cylinder 19, and a water outlet is formed in the other end part of the guide cylinder 19; a flow distribution plate corresponding to the water outlet is fixedly connected to the guide cylinder 19, a flow distribution disc 13 is connected to one end, far away from the water outlet, of the flow distribution plate, the flow distribution disc 13 is fixedly connected to the inner wall of the waste liquid box 4, a flow distribution groove 20 is formed in the flow distribution plate, the flow distribution disc 13 is communicated with the water outlet through the flow distribution groove 20, and a through hole matched with the scraper 14 is formed in the flow distribution disc 13; as shown in fig. 16-18, a rotating rod 12 is fixedly connected to an end of the main shaft 27 away from the motor 15, a cleaning plate 9 is slidably connected to the filter plate 5, a sliding groove matched with the rotating rod 12 is formed in the cleaning plate 9, and a pin shaft slidably and rotatably connected to the sliding groove is formed in the rotating rod 12.
When the scraper 14 cleans the inner wall of the waste liquid tank 4, the main shaft 27 drives the propeller 21 to rotate, and the propeller 21 drives the cleaning liquid in the waste liquid tank 4 to enter the guide cylinder 19 through the water inlet; the cleaning liquid flows into the diversion channel 20 from the outlet under the action of the propeller 21, enters the diversion disc 13 through the diversion channel 20, and contacts with the scraper 14 through the through hole, so that the cleaning liquid always exists in the process of cleaning the inner wall of the waste liquid tank 4 by the scraper 14, and the cleaning effect of the scraper 14 is improved. Meanwhile, the main shaft 27 drives the cleaning plate 9 to reciprocate along the filter plate 5 through the rotating rod 12, so that the medical waste on the filter plate 5 is pushed into the garbage can.
Further, as shown in fig. 7, the first locking structure 602 includes a fixed cavity 619 fixedly connected with the support cavity 605, a first outer ratchet 620 is disposed on the fixed cavity 619, and a first inner ratchet fixedly connected with the fixed cavity 619 is disposed on the first outer ratchet 620 in a penetrating manner; a first rotating plate 621 is rotatably connected to the fixed cavity 619, two ends of the first rotating plate 621 are rotatably connected with first pawls respectively engaged with the first outer ratchet 620 and the first inner ratchet, and the first pawls are coaxially and fixedly connected with a first shifting block; when the first locking structure 602 is in use, the first shifting block drives the first pawl to be engaged with the first outer ratchet wheel 620 and the first inner ratchet wheel, so as to prevent the first rotating plate 621 from driving the driving shaft to rotate; as shown in fig. 6, the second locking structure 610 includes a second outer ratchet 614 fixedly connected to the L-shaped plate 611, and a second inner ratchet 615 fixedly connected to the second outer ratchet 614; the ankle supporting plate 608 is coaxially and fixedly connected with a second rotating plate 616, two ends of the second rotating plate 616 are rotatably connected with a second pawl 617 respectively engaged with the second outer ratchet 614 and the second inner ratchet 615, and the second pawl 617 is coaxially and fixedly connected with a second shifting block; when the second locking structure 610 is in use, the second pawl 617 is driven by the second dial block to engage with the second outer ratchet 614 and the second inner ratchet 615, so as to prevent the second rotating plate 616 from driving the ankle support plate 608 to rotate.
Further, as shown in fig. 7-10, the rotating structure 603 includes a handle 618 fixedly connected to the first rotating plate 621, and the handle 618 is fixedly connected to a driving shaft rotatably connected to the fixed cavity 619; a driving wheel 626 is fixedly connected to the driving shaft, a large reduction gear 623 is meshed to the driving wheel 626, a driving wheel 622 is coaxially and fixedly connected to the large reduction gear 623, and an internal gear 625 rotatably connected with the fixed cavity 619 is meshed to the driving wheel 622; a connecting plate 624 is fixedly connected to the inner gear 625, and the connecting plate 624 is coaxially and fixedly connected to the crank 613.
When the rotation structure 603 is used, the handle 618 drives the driving shaft to rotate, the driving shaft drives the driving wheel 626 to rotate, the driving wheel 626 drives the driving wheel 622 to rotate through the big reduction gear 623, the driving wheel 622 drives the internal gear 625 to rotate along the fixed cavity 619, the internal gear 625 drives the crank 613 to rotate through the connecting plate 624, and then the ankle support plate 608 can rotate up and down.
Further, as shown in fig. 2-4, a cleaning opening is formed in the supporting cavity 605, and a plug 604 is screwed on the cleaning opening; the supporting cavity 605 is also communicated with a connecting pipe 601, and the connecting pipe 601 is communicated with the waste liquid tank 4; the inside of the supporting cavity 605 is cleaned through the cleaning port, and the cleaned waste liquid flows into the waste liquid tank 4 through the connecting pipe 601, so that the neatness of the cleaning device is improved.
The working process of the invention is as follows:
the debridement process comprises the following steps: when the invention is used, if a patient needs to debride toes, the legs are placed on the leg supporting plate 606 in the forward direction, the ankles are placed on the ankle supporting plate 608, and the corresponding thorn hair fixing belts and round hair fixing belts are used for fixing the legs and the ankles of the patient; the first shifting block is rotated to drive the first pawl to be separated from the first outer ratchet wheel 620 and the first inner ratchet wheel, the driving shaft is driven to rotate through the handle 618, the driving shaft drives the driving wheel 626 to rotate, the driving wheel 626 drives the driving wheel 622 to rotate through the large reduction gear 623, the driving wheel 622 drives the inner gear 625 to rotate along the fixed cavity 619, and the inner gear 625 drives the crank 613 to rotate through the connecting plate 624; the crank 613 drives the L-shaped plate 611 to rotate along the supporting cavity 605 through the traction rod 612, and the L-shaped plate 611 drives the ankle of the patient to rotate up and down through the ankle supporting plate 608, so as to change the angle of the ankle of the patient, so that the debridement part corresponds to the medical staff.
Rotate the separation of second pawl 617 and the outer ratchet 614 of second and the inner ratchet 615 of second, make medical personnel can be according to the condition, drive patient's ankle rotation about through the ankle fixed plate, if need carry out long-time debridement to one of them department, medical personnel can rotate the meshing of second pawl 617 and the outer ratchet 614 of second and the inner ratchet 615 of second shifting block drive, fix the ankle fixed plate, so that medical personnel operate, improve medical personnel's debridement effect.
If the patient needs to debride the arch and the heel of the foot, the legs are reversely placed on the leg supporting plate 606, the feet are placed on the foot supporting plate 609, the ankles are placed on the ankle supporting plate 608, and the legs, the ankles and the feet of the patient are fixed by using the corresponding burl fixing belts and the round hair fixing belts; the patient ankle is driven to rotate up and down through the ankle supporting plate 608 by using the rotating structure 603, the crank 613, the traction rod 612 and the L-shaped plate 611, so that the ankle angle of the patient is changed, and the debridement part of the arch and the heel corresponds to the medical staff; loosen second locking structure 610, make medical personnel can drive patient ankle rotation about through the ankle fixed plate according to the circumstances, if need carry out long-time debridement to one of them department, medical personnel can use second locking structure 610 to fix the ankle fixed plate to make things convenient for medical personnel to operate, improve medical personnel's debridement effect.
In the debridement process, the generated waste liquid flows into the waste liquid tank 4 through the filter holes, and the generated medical waste, dirt, blood clots, foreign matters and the like in the wound are placed on the filter plate 5 for filtering, so that the waste liquid flows into the waste liquid tank 4 or is directly put into the garbage tank 8, the waste liquid or waste is prevented from polluting the ground, and the tidiness of the invention is improved.
And (3) cleaning: the motor 15 action, motor 15 drive main shaft 27 rotates, and main shaft 27 passes through dwang 12 and drives clearance board 9 along filter 5 reciprocating motion, promotes the medical waste on the filter 5 to the garbage bin in. Cleaning personnel put cleaning fluid into the waste fluid tank 4, the motor 15 drives the main shaft 27 to rotate, the main shaft 27 drives the sun gear 22 to rotate, and the sun gear 22 drives the plurality of planet pinions 23 to rotate along the planet carrier 25; meanwhile, under the action of the ring gear 24 and the sun gear 22, the planet pinion 23 drives the planet carrier 25 to rotate, and the planet carrier 25 drives the rotating shaft 26 to rotate along the waste liquid tank 4; the cleaning driving wheel 17 is driven to rotate by rotation, the cleaning driving wheel 17 drives the cleaning driven wheel 16 to rotate, and the cleaning driven wheel 16 drives the scraper 14 to move up and down through the reciprocating of the reciprocating screw rod 18 to be matched with the cleaning liquid to clean the inner wall of the waste liquid tank 4.
Meanwhile, the main shaft 27 drives the propeller 21 to rotate, and the propeller 21 drives the cleaning solution in the waste liquid tank 4 to enter the guide cylinder 19 through the water inlet; the cleaning liquid flows into the diversion channel 20 from the outlet under the action of the propeller 21, enters the diversion disc 13 through the diversion channel 20, and contacts with the scraper 14 through the through hole, so that the cleaning liquid always exists in the process of cleaning the inner wall of the waste liquid tank 4 by the scraper 14, and the cleaning effect of the scraper 14 is improved. Meanwhile, the inside of the supporting cavity 605 is cleaned by a cleaning person through the cleaning port, and the waste liquid after cleaning flows into the waste liquid tank 4 through the connecting pipe 601.

Claims (6)

1.一种内分泌科糖尿病足用清创装置,其特征在于:包括废液收集装置和与废液收集装置相连接的腿部固定装置(6);所述腿部固定装置(6)包括与废液收集装置固接的支撑腔(605),支撑腔(605)上固接有腿部支撑板(606);所述支撑腔(605)上还转动连接有L型板(611),L型板(611)上转动连接有与腿部支撑板(606)相对应的脚踝支撑板(608),L型板(611)上设有与脚踝支撑板(608)相配合的第二锁止结构(610),脚踝支撑板(608)上连接有脚部支撑板(609),腿部支撑板(606)、脚踝支撑板(608)、腿部支撑板(606)上均设有固定带(607);所述支撑腔(605)上转动连接有曲柄(613),曲斌上转动连接有牵引杆(612),牵引杆(612)与L型板(611)转动连接;所述支撑腔(605)上设有与曲柄(613)相配合的转动结构(603),支撑腔(605)上还设有与转动结构(603)相配合的第一锁止结构(602);所述废液收集装置包括废液箱(4),支撑腔(605)与废液箱(4)固接,废液箱(4)上设有过滤板(5);所述废液箱(4)上还设有排水管(7),排水管(7)上设有阀门;所述废液箱(4)上滑动连接有与过滤板(5)相对应的垃圾箱(8),过滤板(5)上设有与垃圾箱(8)相配合的导流板(28),垃圾箱(8)上设有拉手(10);所述废液箱(4)上设有支腿(2),支腿(2)上设有万向轮(1);所述废液箱(4)上还设有清洗装置,清洗装置包括与废液箱(4)固接的传动箱(3),传动箱(3)上固接有电机(15);所述电机(15)的输出端固接有主轴(27),主轴(27)上连接有传动结构;所述传动结构包括与主轴(27)相连接的减速组件,减速组件上连接有清洗主动轮(17),清洗主动轮(17)上啮合有多个清洗从动轮(16);多个所述清洗从动轮(16)均同轴固接有与废液箱(4)转动连接的往复丝杆(18),往复丝杆(18)上螺接有与废液箱(4)内壁相配合的刮板(14),刮板(14)与废液箱(4)内壁滑动连接。1. An endocrinology diabetic foot debridement device is characterized in that: comprising a waste liquid collecting device and a leg fixing device (6) connected with the waste liquid collecting device; A support cavity (605) to which the waste liquid collection device is fixed, and a leg support plate (606) is fixedly connected to the support cavity (605); an L-shaped plate (611) is also rotatably connected to the support cavity (605). An ankle support plate (608) corresponding to the leg support plate (606) is rotatably connected to the template plate (611), and a second locking plate (608) matched with the ankle support plate (608) is provided on the L-shaped plate (611). Structure (610), the ankle support plate (608) is connected with a foot support plate (609), and the leg support plate (606), the ankle support plate (608) and the leg support plate (606) are all provided with fixing straps (607); a crank (613) is rotatably connected to the support cavity (605), a drawbar (612) is rotatably connected to the crank, and the drawbar (612) is rotatably connected to the L-shaped plate (611); the support The cavity (605) is provided with a rotating structure (603) matched with the crank (613), and the support cavity (605) is also provided with a first locking structure (602) matched with the rotating structure (603); the The waste liquid collection device comprises a waste liquid tank (4), a support cavity (605) is fixedly connected with the waste liquid tank (4), and a filter plate (5) is arranged on the waste liquid tank (4); the waste liquid tank (4) There is also a drain pipe (7) on the drain pipe (7), and a valve is arranged on the drain pipe (7); the waste liquid tank (4) is slidably connected with a garbage box (8) corresponding to the filter plate (5), and the filter plate ( 5) There is a deflector (28) matched with the waste container (8), a handle (10) is arranged on the waste container (8); the waste container (4) is provided with legs (2) , a universal wheel (1) is provided on the outrigger (2); a cleaning device is also provided on the waste liquid tank (4), and the cleaning device comprises a transmission box (3) fixedly connected with the waste liquid tank (4), A motor (15) is fixedly connected to the transmission box (3); an output end of the motor (15) is fixedly connected with a main shaft (27), and a transmission structure is connected to the main shaft (27); the transmission structure comprises a connection with the main shaft (27). ) connected to the deceleration assembly, the deceleration assembly is connected with a cleaning driving wheel (17), and the cleaning driving wheel (17) is meshed with a plurality of cleaning driven wheels (16); a plurality of the cleaning driven wheels (16) are all coaxial A reciprocating screw rod (18) rotatably connected with the waste liquid tank (4) is fixedly connected, and a scraper (14) matched with the inner wall of the waste liquid tank (4) is screwed on the reciprocating screw rod (18). 14) Slidingly connected with the inner wall of the waste liquid tank (4). 2.如权利要求1所述的内分泌科糖尿病足用清创装置,其特征在于:所述减速组件包括与主轴(27)固接的太阳轮(22),太阳轮(22)上啮合有多个行星小齿轮(23),传动箱(3)上固接有与行星小齿轮(23)相啮合的齿圈(24);所述废液箱(4)上转动连接有与清洗主动轮(17)固接的转轴(26),转轴(26)套设于主轴(27)上;所述转轴(26)上固接有行星架(25),行星小齿轮(23)与行星架(25)转动连接。2. The debridement device for diabetic foot in endocrinology as claimed in claim 1, characterized in that: the deceleration assembly comprises a sun gear (22) fixedly connected with the main shaft (27), and the sun gear (22) is meshed with multiple planetary pinions (23), a ring gear (24) meshing with the planetary pinions (23) is fixedly connected to the transmission case (3); the waste tank (4) is rotatably connected with a cleaning driving wheel ( 17) A fixed rotating shaft (26), the rotating shaft (26) is sleeved on the main shaft (27); the rotating shaft (26) is fixed with a planet carrier (25), a planetary pinion (23) and a planet carrier (25) ) to turn the connection. 3.如权利要求2所述的内分泌科糖尿病足用清创装置,其特征在于:所述主轴(27)上固接有螺旋桨(21),螺旋桨(21)外套设有导流筒(19);所述导流筒(19)靠近电机(15)的端部设有进水口,导流筒(19)另一端部设有出水口;所述导流筒(19)上固接有与出水口相对应的分流板,分流板远离出水口的一端连接有分流盘(13),分流盘(13)与废液箱(4)内壁固接,分流板上设有分流槽(20),分流盘(13)与出水口之间通过分流槽(20)相连通,分流盘(13)上设有与刮板(14)相配合的穿孔;所述主轴(27)远离电机(15)的一端固接有转动杆(12),过滤板(5)上滑动连接有清理板(9),清理板(9)上设有与转动杆(12)相配合的滑动槽,转动杆(12)上设有与滑动槽滑动转动连接的销轴。3. The debridement device for diabetic foot of endocrinology as claimed in claim 2, characterized in that: a propeller (21) is fixed on the main shaft (27), and the propeller (21) outer jacket is provided with a guide tube (19) The end of the guide cylinder (19) close to the motor (15) is provided with a water inlet, and the other end of the guide cylinder (19) is provided with a water outlet; The diverter plate corresponding to the water outlet is connected with a diverter plate (13) at one end of the diverter plate away from the water outlet. The diverter plate (13) is fixedly connected to the inner wall of the waste liquid tank (4). The disc (13) is communicated with the water outlet through the distribution groove (20), and the distribution disc (13) is provided with a perforation matched with the scraper (14); the end of the main shaft (27) away from the motor (15) A rotating rod (12) is fixedly connected, a cleaning plate (9) is slidably connected to the filter plate (5), and the cleaning plate (9) is provided with a sliding groove matched with the rotating rod (12). There is a pin shaft which is slidably and rotatably connected with the sliding groove. 4.如权利要求1所述的内分泌科糖尿病足用清创装置,其特征在于:所述第一锁止结构(602)包括与支撑腔(605)固接的固定腔(619),固定腔(619)上设有第一外棘轮(620),第一外棘轮(620)上穿设有与固定腔(619)固接的第一内棘轮;所述固定腔(619)上转动连接有第一转动板(621),第一转动板(621)两端均转动连接有分别与第一外棘轮(620)和第一内棘轮相啮合的第一棘爪,第一棘爪同轴固接有第一拨块;所述第二锁止结构(610)包括与L型板(611)固接的第二外棘轮(614),第二外棘轮(614)上固接有第二内棘轮(615);所述脚踝支撑板(608)同轴固接有第二转动板(616),第二转动板(616)两端均转动连接有分别与第二外棘轮(614)和第二内棘轮(615)相啮合的第二棘爪(617),第二棘爪(617)同轴固接有第二拨块。4. The debridement device for diabetic foot in the department of endocrinology according to claim 1, wherein the first locking structure (602) comprises a fixing cavity (619) fixedly connected with the support cavity (605), and the fixing cavity (619) is provided with a first outer ratchet (620), and the first outer ratchet (620) is provided with a first inner ratchet fixed to the fixing cavity (619); the fixing cavity (619) is rotatably connected with a A first rotating plate (621), both ends of the first rotating plate (621) are rotatably connected with first pawls respectively engaged with the first outer ratchet (620) and the first inner ratchet, and the first pawls are fixed coaxially. A first dial is connected; the second locking structure (610) includes a second outer ratchet (614) fixedly connected with the L-shaped plate (611), and a second inner ratchet (614) is fixed on the second outer ratchet (614). The ratchet wheel (615); the ankle support plate (608) is coaxially fixed with a second rotating plate (616), and both ends of the second rotating plate (616) are rotatably connected with the second outer ratchet (614) and the second rotating plate (616) respectively. The second pawl (617) is engaged with the two inner ratchet wheels (615), and the second pawl (617) is coaxially fixed with a second dial. 5.如权利要求4所述的内分泌科糖尿病足用清创装置,其特征在于:所述转动结构(603)包括与第一转动板(621)固接的手柄(618),手柄(618)固接有与固定腔(619)转动连接的主动轴;所述主动轴上固接有主动轮(626),主动轮(626)上啮合有减速大齿轮(623),减速大齿轮(623)同轴固接有传动轮(622),传动轮(622)上啮合有与固定腔(619)转动连接的内齿轮(625);所述内齿轮(625)上固接有连接板(624),连接板(624)与曲柄(613)同轴固接。5. The debridement device for diabetic foot in endocrinology according to claim 4, wherein the rotating structure (603) comprises a handle (618) fixedly connected with the first rotating plate (621), and the handle (618) A driving shaft that is rotatably connected with the fixed cavity (619) is fixedly connected; a driving wheel (626) is fixedly connected to the driving shaft, and a large reduction gear (623) and a large reduction gear (623) are meshed with the driving wheel (626). A transmission wheel (622) is fixed coaxially, and the transmission wheel (622) is meshed with an internal gear (625) rotatably connected with the fixed cavity (619); a connecting plate (624) is fixed on the internal gear (625) , the connecting plate (624) is fixed coaxially with the crank (613). 6.如权利要求1所述的内分泌科糖尿病足用清创装置,其特征在于:所述支撑腔(605)上设有清洗口,清洗口上螺接有堵头(604);所述支撑腔(605)上还连通有连接管(601),连接管(601)与废液箱(4)相连通。6. The debridement device for diabetic foot in endocrinology according to claim 1, characterized in that: the support cavity (605) is provided with a cleaning port, and a plug (604) is screwed on the cleaning port; A connecting pipe (601) is also communicated with the (605), and the connecting pipe (601) is communicated with the waste liquid tank (4).
CN202010860253.1A 2020-08-25 2020-08-25 A debridement device for diabetic foot in endocrinology Expired - Fee Related CN111888159B (en)

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