CN112386435B - Multifunctional examination and treatment bed used after anorectal department operation - Google Patents

Abstract

A multifunctional examination and treatment bed used after anorectal surgery, which is used for conveniently treating and examining patients in anorectal surgery. The bed body is hinged with the ground, and a driving mechanism for driving the bed body to rotate in a vertical plane with a maximum rotation angle of 90 degrees is arranged between the ground and the bed body; the front of the first end of the bed body is fixed with a pedal, the front of the middle part of the bed body is fixed with a seat, the middle part of the seat is hollow, and the front of the second end of the bed body is provided with a lifting box. According to the multifunctional examination and treatment bed used after anorectal surgery, a patient can sit upright, and the wound surface of the patient can be cleaned and disinfected conveniently; after the bed body is laid down, the patient can kneel down and lie, and the wound surface of the patient is exposed completely, so that the patient can be examined and treated by gauze replacement, dressing and the like conveniently.

Description

Multifunctional examination and treatment bed after anorectal surgery

technical field

The invention relates to the technical field of anorectal department, in particular to a multifunctional examination and treatment bed for postoperative anorectal department.

Background technique

Patients in the anorectal department need to change the dressing every day after surgery. During the dressing change process, the patients are more painful and often feel fear. The dressing change process is directly related to the wound healing of the patient. In the prior art, an ordinary examination bed (or hospital bed) is used to change the dressing of the patient. The patient lies on the examination bed, but the wound surface is not well exposed, and the dressing change is inconvenient. Sometimes it is necessary to clean and disinfect the wound surface of the patient. Ordinary examination beds and hospital beds are inconvenient for wound cleaning and disinfection operations. Disinfectants are easy to drip on the examination bed or hospital bed, which undoubtedly increases the later work of treatment or nursing. .

SUMMARY OF THE INVENTION

The purpose of the present invention is to provide a multifunctional examination and treatment bed for anorectal surgery, which is used to facilitate the treatment and examination of anorectal patients.

The technical solution adopted by the present invention to solve the technical problem is as follows: A multifunctional examination and treatment bed for anorectal surgery, including a bed body, characterized in that the bed body and the ground are hingedly connected, and a bed is arranged between the ground and the bed body. There is a driving mechanism that drives the bed body to rotate at a maximum angle of 90 degrees in the vertical plane; a pedal is fixed on the front of the first end of the bed body, a seat is fixed on the front of the middle part of the bed body, and the middle part of the seat is hollow, A lift box for contacting the chest and abdomen of the patient is arranged on the front of the second end of the bed body.

Further, the driving mechanism is a cylinder, the cylinder of the cylinder is hingedly connected to the ground, and the piston rod of the cylinder is hingedly connected to the back of the second end of the bed.

Further, a cylinder groove is provided on the back of the bed body, a support is provided at the first end of the cylinder groove, the support is hingedly connected with the bed body, and a lug plate is provided at the second end of the cylinder groove, and the lug plate is connected to the cylinder piston. The rod is hinged; the cylinder is placed in the cylinder groove after the bed is laid flat.

Further, the seat is of a "U"-shaped structure, and a middle portion of the seat is provided with a mounting portion for fixedly connecting with the front of the bed.

Further, a kneeling pad is provided on the front of the bed body between the seat and the lift box.

Further, both ends of the seat are hollow to form an installation cavity, and an extraction roll and a recovery roll are arranged in the installation cavity, wherein the recovery roll is fixed at the output end of the recovery motor, and a cushion is wound on the extraction roll, and the cushion is torn off from the extraction roll. After passing through the upper side wall of the seat and then laying flat on the upper surface of the seat, it enters the installation cavity through the upper side wall of the seat and is fixed on the outer wall of the recovery roll.

Further, a spring cavity is provided at both ends of the lead-out coil, a short shaft is slidably installed in the spring cavity, a reel is fixed on the end face of the short shaft, an ejection spring is arranged between the short shaft and the inner wall of the spring cavity, and an ejection spring is arranged between the short shaft and the inner wall of the spring cavity. The inner wall is provided with a shaft hole which is inserted and matched with the reel, and the reel extends out of the spring cavity under the action of the ejection spring.

Further, a lift box placement hole is provided in the front of the second end of the bed body, the lift box is slidably arranged in the lift box placement hole, and a drive lift box is provided between the lift box and the bed body to get in and out of the bed. body translation mechanism.

Further, the translation mechanism includes a bracket fixed in the placement hole of the lift box, a translation motor fixed on the bracket, a driving gear fixed on the output end of the translation motor, a driving gear rotatably mounted on the bracket, and a driving gear and a driving gear. A number of transition gears between, a rack is fixed on the lower side wall of the lift box, and the rack is meshed with the driving gear.

Further, a long hole is provided on the lower side wall of the lifting box, the rack is placed in the long hole, and the inner wall of the long hole is provided with locking holes arranged up and down, in both ends of the rack. A pin hole is provided, a locking pin is slidably installed in the pin hole, a circular hole is provided in the middle of the rack, and a chute is provided between the circular hole and the pin hole, and the chute is close to the circular hole There is a spring seat on one side of the chute, and a sliding block is fixedly connected with the locking pin on the side away from the round hole in the chute, a locking spring is arranged between the sliding block and the spring seat, and the locking spring Under the action of the locking pin, the locking pin extends out of the rack and then extends into the locking hole to realize the locking and fixing of the lifting box and the rack; a wire wheel is rotatably installed in the circular hole, and there is a coil between the wire wheel and the rack. A handle is fixed on the wire pulley, and a pull wire is arranged between the pulley and the slider. When the handle is rotated, the pulley is driven to rotate so that the pull wire is wound around the pulley, and then the locking pin is pulled to move out of the lock hole;

When the locking pin extends into the upper locking hole, the rack engages with the driving gear; when the locking pin extends into the lower locking hole, the rack is separated from the driving gear.

The beneficial effects of the present invention are as follows: the multifunctional examination and treatment bed provided by the present invention allows the patient to sit and stand, which is convenient for cleaning and sterilizing the wound surface of the patient; When the patient's wound is fully exposed, it is convenient for the patient to be checked, replaced with gauze, and treated with medicine.

Description of drawings

Fig. 1 is the side view of the present invention;

Fig. 2 is the internal structure schematic diagram of the present invention;

Fig. 3 is a partial view at A place in Fig. 2;

Figure 4 is a partial cross-sectional view of the chair;

Figure 5 is a schematic diagram of the extraction and recovery of the seat cushion;

Figure 6 is a front view of the seat cushion roll;

7 is a cross-sectional view of the seat cushion roll;

Fig. 8 is the axial schematic diagram of the recovery roll;

Figure 9 is a front view of the recycling volume;

Figure 10 is a sectional view of the lift box;

Figure 11 is a schematic diagram of a translation mechanism;

Figure 12 is a front view of the present invention;

Figure 13 is a front view of the lift box;

Figure 14 is a schematic diagram of the positional relationship between the placement hole of the lift box and the introduction groove;

Fig. 15 is the schematic diagram of using the present invention to clean and sterilize the wound surface of a patient;

16 is a schematic diagram of the process of adjusting a patient from a sitting state to a kneeling state using the present invention;

Fig. 17 is a schematic diagram of examining or treating a patient when the patient is kneeling down;

18 is a schematic diagram of the present invention in a non-use state;

In the picture: 1 bed, 11 cylinder slots, 12 supports, 13 lugs, 14 foot placement slots, 15 pedals, 16 lift box placement holes, 17 introduction slots, 18 knee pads, 19 weight reduction holes, 2 cylinders, 21 Cylinder lugs, 3 seats, 31 mounting parts, 32 bottom cover, 33 mounting cavity, 34 first top cover, 35 second top cover, 36 lead-out roll, 361 spring cavity, 362 reel, 363 stud, 364 top Out spring, 365 seat cushion, 366 short shaft, 37 recovery roll, 371 fixed block, 38 recovery motor, 4 lift box, 41 long hole, 42 rack, 421 pin hole, 422 chute, 43 locking hole, 44 lock Stop pin, 441 slider, 45 spring seat, 46 locking spring, 47 round hole, 48 wire wheel, 481 handle, 49 handle, 491 extension spring, 492 handle placement hole, 5 bracket, 51 drive gear, 52 translation motor , 53 transition gears, 54 driving gears, 6 patients.

Detailed ways

As shown in FIGS. 1 to 18 , the present invention mainly includes a bed body 1 , a driving mechanism, a seat 3 , a lifting box 4 and a translation mechanism. The present invention will be described in detail below with reference to the accompanying drawings.

As shown in Figures 1 and 2, the bed body 1 is the main structure of the present invention. The bed body can be welded and fixed by profiles. The bed body can also be a plastic part obtained by injection molding. At this time, it is only necessary to ensure the structural strength of the bed body. Can. A cylinder groove 11 is provided in the rear side wall of the bed body, and a support 12 is provided at the first end of the cylinder groove. The upper part of the support is placed in the cylinder groove and is hinged with the first end of the bed body. An ear plate 13 is provided at the second end of the cylinder groove, a foot placement groove 14 is provided on the front of the first end of the bed body, and a pedal 15 extends from the first end of the bed body to the front side of the bed body. The part is placed on the pedal. The support is fixed on the ground, and in order to drive the rotation of the bed body, a cylinder support lug 21 is also fixed on the ground, a cylinder 2 is hingedly installed on the cylinder support lug, and the cylinder piston rod is hinged with the lug plate. As shown in Figure 16, when the cylinder piston rod is retracted, the bed can be driven to rotate counterclockwise. At this time, the patient is gradually lying in front of the body from the sitting state; as shown in Figure 17, when the cylinder piston rod is fully retracted into the cylinder When inside the cylinder, the bed is in a lying state, the patient's knees are in contact with the kneeling pad 18 on the front of the bed, the front of the lift box is in contact with the patient's chest and abdomen, and the cylinder is completely placed in the cylinder groove. The patient is in a kneeling position, and the patient can be examined and treated at this time. A weight-reducing hole 19 is provided in the bed body so as to reduce the weight of the bed body. The cylinder is a driving mechanism that drives the bed body to rotate at a maximum angle of 90 degrees in the vertical plane.

A seat 3 is fixed on the front near the first end of the bed body. As shown in FIG. 3 , the seat 3 has a "U" shape structure, and a mounting portion 31 is fixed in the middle of the seat. The seat is connected to the bed body through the mounting portion. Fixed connection. The two ends of the seat are hollow, and after the patient sits on the seat, the patient can be checked and treated through the hollow space. Bottom covers 32 are provided at the bottoms of both ends of the seat, and two ends of the seat are hollow to form installation cavities 33 . After the bottom covers are opened, the installation cavities communicate with the outside. Both ends of the seat are provided with a first top cover 34 and a second top cover 35. After the first and second top covers are opened, the installation cavity communicates with the outside. The upper surfaces of the two ends of the seat are provided with rectangular holes for accommodating the first and second top covers. After the first and second top covers are closed, between the first top cover and the rectangular hole, and between the second top cover and the rectangular hole There is a gap between them, and the gap is arranged so that the seat cushion can enter and exit the installation cavity.

A lead-out roll 36 and a recovery roll 37 are arranged in the installation cavity. As shown in Figures 6 and 7, the lead-out roll has a cylindrical structure, and a cushion 365 is wound outside the lead-out roll, and the cushion can be a plastic film. Spring chambers 361 are provided at both ends of the lead-out coil, a short shaft 366 is movably arranged in the spring chamber, and a reel 362 is fixed on the short shaft. The cross section of the reel is a regular hexagon or a square. An ejection spring 364 is arranged in the spring cavity, the first end of the ejection spring is fixedly connected with the inner wall of the spring cavity, and the second end of the ejection spring is fixed with a stud 363, which is threadedly connected to the threaded hole on the short shaft. Under the action of the ejection spring, the reel extends out of the spring cavity. When the spool is pressed, the spool can be retracted into the spring cavity. There is a shaft hole corresponding to the reel on the inner wall of the installation cavity. When in use, first press the reel into the spring cavity, and then move the lead-out reel to the shaft hole, so that the reel extends into the shaft hole, and the end face of the lead-out reel is connected to the installation cavity. The inner wall is in contact or there is a small gap (1-3mm). The setting of the cushion can avoid cross infection after multiple people use it.

As shown in FIGS. 8 and 9 , the recycling roll 37 is a cylindrical plastic part, and both ends of the recycling roll are hollow, so that a fixing block 371 is formed in the middle of the recycling roll, and a recycling motor 38 is fixed on the inner wall of the installation cavity, and the output shaft of the recycling motor is It is a square or regular hexagon, and the fixing block is provided with a blind hole for the output shaft of the recycling motor. When the recycling roll is full of cushions, the bottom cover can be opened to remove the recycling roll from the output shaft of the recycling motor. The axial dimension of the recycling roll should be smaller than the width of both ends of the seat to facilitate installation and use.

As shown in Figure 4 and Figure 5, when in use, tear off the seat cushion head on the lead-out roll, then pass through the rectangular hole corresponding to the first top cover and place it above both ends of the seat, and then pass through the rectangular hole corresponding to the second top cover. The hole is pulled into the mounting cavity and the cushion head is glued to the outer wall of the recovery roll. After that, after each examination and treatment of the patient, the recovery motor can be started to make the recovery roll rotate, and then the cushion on the lead-out roll can be pulled off a section, and the used cushion can be wound on the recovery roll, while the unused new one can be pulled off. The seat cushion is moved over the ends of the seat.

When using, the patient takes off his pants and sits on the seat, the patient's feet are placed on the pedals, the patient's knees are placed in the gap between the bed and the seat, and the patient stretches both legs outward. The wound at the anus is exposed at the hollow position between the two ends of the seat. When the patient is in a sitting state, as shown in Figure 15, the wound surface of the patient 6 can be cleaned or disinfected from below. The disinfectant falls under its own weight and will not flow to the patient's legs or other parts. A recycling bucket is placed under the seat to collect the disinfectant after use.

A lift box placement hole 16 is provided in the front of the second end of the bed body, and a lift box 4 is placed in the lift box placement hole. As shown in FIG. 10 , the lift box is a rectangular hollow structure and faces the support box. One end of the lifting box on one side of the lifting box placement hole is open, and the lower side wall of the lifting box extends into the lifting box placing hole for a section, and a long hole 41 is arranged in the lower side wall of the lifting box, and inside the long hole A rack 42 is placed, and a locking mechanism is provided on the rack to lock and fix the rack and the bottom of the lift box relative to each other.

Locking holes 43 arranged up and down are arranged on the inner walls of both ends of the long hole, pin holes 421 are arranged in both ends of the rack, locking pins 44 are arranged in the pin holes, and a circular hole 47 is arranged in the middle of the rack , a chute 422 is provided between the circular hole and the pin hole, a spring seat 45 is fixed in the chute close to the circular hole, and a slider 441 fixedly connected with the locking pin is provided at one end of the chute away from the circular hole, A locking spring 46 is arranged between the spring seat and the slider, and under the action of the locking spring, the locking pin extends into the locking hole to realize the locking and fixing of the rack and the lifting box. A wire wheel 48 is arranged in the round hole, the wire wheel and the rack are rotatably connected, and a coil spring is arranged between the wire wheel and the rack, and a handle 481 is fixed on the wire wheel. Rotating the handle can drive the wire wheel to rotate. There is a pull wire between the sliders. When the pulley rotates, the pull wire can be wound around the pulley, and then the locking pin can be pulled out of the locking hole by the pull wire. At this time, the rack can be moved out of the long hole. A translation mechanism is arranged in the placement hole of the lift box, and the lift box is driven into and out of the placement hole of the lift box under the action of the translation mechanism. As shown in FIG. 11, the translation mechanism includes a bracket 5, a drive gear 51 rotatably mounted on the bracket, a translation motor 51 fixed on the bracket, a driving gear 54 arranged at the output end of the translation motor, and arranged between the driving gear and the driving gear a number of transition gears 53. When in use, the front side of the lift box is in contact with the chest and abdomen of the patient to support the patient, and the outside of the lift box is wrapped with a soft pad. When the locking pin extends into the locking hole below, the entire rack is completely placed in the long hole, and the rack is separated from the drive gear. At this time, the lifting box can be easily removed from the lifting box placement hole. When the locking pin is placed in the upper locking hole, the driving gear meshes with the rack, and at this time, the lifting box can be driven to move back and forth under the action of the translation mechanism.

As shown in Figures 12 and 13, handle placement holes 492 are provided in the left and right side walls of the lift box, a hollow handle 49 is slidably installed in the handle placement hole, and between the inner wall of the handle and the inner wall of the handle placement hole is provided Under the action of the overhanging spring 491, most of the handle extends out of the handle placement hole, and the patient can grasp the handle at this time. As shown in FIG. 14 , a pair of left and right guide grooves 17 are provided on the front of the upper part of the bed body. The guide grooves are inclined grooves and communicate with the lifting box placement holes. During the process of pushing the lift box back into the lift box placement hole, the handle is in contact with the bottom of the guide groove, and the guide groove squeezes the handle to overcome the elastic force of the outstretching spring, so that the handle retracts into the handle placement hole.

The multi-functional examination and treatment bed for anorectal surgery provided by the invention allows the patient to sit and stand, which is convenient for cleaning and disinfecting the wound surface of the patient. Check the patient and replace gauze, dressing and other treatments.

Claims (7)

1. Multifunctional examination and treatment bed after anorectal surgery, comprising a bed body, characterized in that the bed body and the ground are hingedly connected, and a drive bed body is provided between the ground and the bed body to make the maximum in the vertical plane. The rotation angle is a driving mechanism with a 90-degree rotational motion; the driving mechanism is a cylinder, the cylinder barrel of the cylinder is hingedly connected to the ground, and the piston rod of the cylinder is hingedly connected to the back of the second end of the bed; the front of the first end of the bed is hinged A pedal is fixed, and a seat is fixed on the front of the middle part of the bed. The seat is a "U"-shaped structure. The middle part of the seat is provided with a mounting part for fixed connection with the front of the bed. The middle part of the seat is hollow. The front of the second end of the bed is provided with a lifting box for contacting the chest and abdomen of the patient, and a kneeling pad is arranged on the front of the bed between the seat and the lifting box; The patient has two postures during use: First, the patient takes off his pants and sits on the seat, the patient's feet are placed on the pedals, the patient's knees are placed in the gap between the bed and the seat, and the patient supports both legs outward open, and the wound at the patient's anus is exposed at the hollow position between the two ends of the seat; Second, when the cylinder piston rod is retracted, the bed body is driven to rotate counterclockwise, so that the patient gradually leans toward the front side of the body from the sitting state, until the cylinder piston rod is completely retracted into the cylinder barrel, the bed The body is in a lying state, the knees of the patient are in contact with the kneeling pad, the front of the lifting box is in contact with the chest and abdomen of the patient, and the patient is in a kneeling posture. 2. The multifunctional examination and treatment bed for anorectal surgery according to claim 1, characterized in that a cylinder groove is provided on the back of the bed body, a support is provided at the first end of the cylinder groove, and the support is connected to the bed body. Hinged connection, the second end of the cylinder groove is provided with a lug plate, and the lug plate is hinged with the cylinder piston rod; the cylinder is placed in the cylinder groove after the bed is laid flat. 3. The multifunctional examination and treatment bed for anorectal surgery according to claim 1, wherein the two ends of the seat are hollow to form an installation cavity, and a lead-out roll and a recovery roll are arranged in the installation cavity, wherein the recovery roll is fixed on the The output end of the motor is recovered, and a seat cushion is wound on the lead-out roll. The seat cushion is pulled from the lead-out roll and passes through the upper side wall of the seat. And fixed on the outer wall of the recycling roll. 4. The multifunctional examination and treatment bed for anorectal surgery according to claim 3, characterized in that a spring cavity is provided at both ends of the lead-out volume, a short shaft is slidably installed in the spring cavity, and an end face of the short shaft is fixed with a spring cavity. For the reel, an ejector spring is arranged between the short shaft and the inner wall of the spring cavity, and the inner wall of the installation cavity is provided with a shaft hole which is inserted and matched with the reel, and the reel extends out of the spring cavity under the action of the ejection spring. 5. The multifunctional examination and treatment bed for anorectal surgery according to claim 1, wherein a lift box placement hole is provided in the front of the second end of the bed body, and the lift box is slidably arranged in the lift box placement hole And between the lifting box and the bed body is provided with a translation mechanism that drives the lifting box to enter and exit the bed body. 6. The multifunctional examination and treatment bed for anorectal surgery according to claim 5, wherein the translation mechanism comprises a bracket fixed in the placement hole of the lifting box, a translation motor fixed on the bracket, and a translation motor fixed on the output of the translation motor. A driving gear at the end, a driving gear rotatably mounted on the bracket, a number of transition gears arranged between the driving gear and the driving gear, a rack is fixed on the lower side wall of the lift box, and the rack meshes with the driving gear. 7. The multifunctional examination and treatment bed for anorectal surgery according to claim 6, wherein a long hole is provided on the lower side wall of the lifting box, and the rack is placed in the long hole, and the long hole is placed in the long hole. The inner wall of the hole is provided with locking holes arranged up and down, pin holes are arranged in both ends of the rack, and locking pins are slidably installed in the pin holes, and a circular hole is arranged in the middle of the rack. A chute is provided between the circular hole and the pin hole, the side of the chute close to the circular hole has a spring seat, and the side of the chute away from the circular hole has a slider fixedly connected with the locking pin, so A locking spring is arranged between the sliding block and the spring seat, and under the action of the locking spring, the locking pin extends out of the rack and then extends into the locking hole to realize the locking and fixing of the lifting box and the rack; A wire wheel is rotatably installed in the circular hole, a coil spring is arranged between the wire wheel and the rack, a handle is fixed on the wire wheel, and a pulling wire is arranged between the wire wheel and the slider, and the wire is driven when the handle is rotated. When the wheel rotates, the pull wire is wound on the wire wheel, and then the locking pin is pulled out of the locking hole; when the locking pin extends into the upper locking hole, the rack meshes with the drive gear; the locking pin The rack is disengaged from the drive gear when extending into the lower locking hole.

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