技术领域technical field
本发明涉及医疗器械技术领域，特别涉及一种神经外科手术辅助监护床。The invention relates to the technical field of medical instruments, in particular to an auxiliary monitoring bed for neurosurgical operations.
背景技术Background technique
神经外科是利用外科学方法，以手术为主要治疗手段来治疗脑、脊髓和周围神经系统疾病的学科，手术精细、复杂、危险，且手术时间长，在手术过程中的监护尤为重要。Neurosurgery is a subject that uses surgical methods to treat brain, spinal cord and peripheral nervous system diseases with surgery as the main treatment method. The operation is delicate, complicated, dangerous, and the operation time is long, so the monitoring during the operation is particularly important.
目前在术中对病人监护存在以下问题：因病人大多采取俯卧位，并在病人身上覆盖有无菌手术敷巾，仅暴露出术野部位，因此又不利于医护人员对病人的状况进行直接的观察，因此极易造成病人氧气面罩脱落或面部受压等情况。At present, there are the following problems in the monitoring of patients during the operation: most of the patients are in the prone position, and the patients are covered with sterile surgical towels, which only expose the operative field, so it is not conducive to the medical staff to directly monitor the patient's condition. Therefore, it is very easy to cause the patient's oxygen mask to fall off or the face to be compressed.
有鉴于上述现有的神经外科手术中所存在的缺陷，本发明人基于从事此类产品设计制造多年丰富的实务经验及专业知识，并配合学理的运用，积极加以研究创新，以期创设一种神经外科手术辅助监护床，使其更具有实用性。In view of the defects existing in the above-mentioned existing neurosurgery operations, the inventors actively research and innovate based on years of rich practical experience and professional knowledge in the design and manufacture of such products, and cooperate with the application of academic principles, in order to create a neurosurgery. Surgical operation auxiliary monitoring bed makes it more practical.
发明内容Contents of the invention
通过本发明中的技术方案，能够有效的避免氧气面罩脱落或病人面部受压等情况。Through the technical scheme of the present invention, it is possible to effectively avoid situations such as falling off of the oxygen mask or pressure on the patient's face.
本发明解决其技术问题的技术方案是：The technical scheme that the present invention solves its technical problem is:
神经外科手术辅助监护床，用于俯卧位的神经外科手术，包括手术台、躺板、头部固定器和监控台；Neurosurgery auxiliary monitoring bed for neurosurgery in prone position, including operating table, lying board, head immobilizer and monitoring table;
躺板固定设置在手术台的上表面，供病人躺卧；The lying board is fixed on the upper surface of the operating table for the patient to lie down;
监控台设置在手术台的一端，用于对病人在手术中的身体状况进行监控；The monitoring table is set at one end of the operating table to monitor the patient's physical condition during the operation;
头部固定器固定设置在躺板上，用于对患者头部进行支撑；The head immobilizer is fixedly arranged on the lying board for supporting the patient's head;
头部固定器包括支架和压力调整装置；支架包括额头支撑面和面部支撑面，额头支撑面和面部支撑面间设置有用于放置病人眼睛、鼻子和嘴的空隙；The head immobilizer includes a bracket and a pressure adjustment device; the bracket includes a forehead support surface and a face support surface, and a gap for placing the patient's eyes, nose and mouth is arranged between the forehead support surface and the face support surface;
压力调整装置分别设置于额头支撑面和面部支撑面上，且压力调整装置由至少三个充气单元组成，充气单元内设置有压力传感器和充气口，压力传感器和充气口的开关阀体均与监控台电连接。The pressure adjustment device is respectively arranged on the forehead support surface and the face support surface, and the pressure adjustment device is composed of at least three inflatable units. The inflatable unit is provided with a pressure sensor and an inflatable port. Taipower connection.
优选地，充气单元充气后的水平剖面形状为正六边形。Preferably, the horizontal cross-sectional shape of the inflatable unit after being inflated is a regular hexagon.
优选地，充气单元与人体接触的顶面为球面结构。Preferably, the top surface of the inflatable unit in contact with the human body has a spherical structure.
优选地，头部固定器还包括与支架固定连接的面罩固定部，用于对氧气面罩进行固定。Preferably, the head holder further includes a mask fixing part fixedly connected with the bracket, for fixing the oxygen mask.
优选地，面罩固定部包括分别与支架固定连接的四个第一支座，四个第一支座两两通过弹性连接杆连接，其中，弹性连接杆两端设置有第一万向球，用于与第一支座铰接；Preferably, the mask fixing part includes four first supports that are fixedly connected to the bracket respectively, and the four first supports are connected in pairs by elastic connecting rods, wherein first universal balls are arranged at both ends of the elastic connecting rods for use to be hinged with the first support;
两弹性连接杆上均设置有滑块，滑块沿弹性连接杆滑动，其中两滑块通过弹性支撑杆连接，弹性支撑杆中部设置有第二支座，第二支座内设置有第二万向球，第二万向球通过充气结构与氧气面罩接触。Both elastic connecting rods are provided with sliders, and the sliders slide along the elastic connecting rods, wherein the two sliders are connected by elastic supporting rods, and a second support is arranged in the middle of the elastic supporting rods, and a second support is arranged in the second supporting rods. The second universal ball is in contact with the oxygen mask through the inflatable structure.
进一步地，四个第一支座沿矩形的四个角分布，矩形的两长边沿病人俯卧时的人体高度方向设置。Further, the four first supports are distributed along the four corners of the rectangle, and the two long sides of the rectangle are arranged along the height direction of the human body of the patient when lying prone.
进一步地，第二支座的各棱边均为平滑的圆角结构。Further, each edge of the second support is a smooth rounded structure.
进一步地，充气结构为碗形结构，其内壁设置有用于放置氧气面罩的腔体，充气结构外壁设置有与第二万向球固定连接的连接座，充气结构的充气腔内设置有与监控台电连接的压力传感器。Further, the inflatable structure is a bowl-shaped structure, the inner wall of which is provided with a cavity for placing an oxygen mask, the outer wall of the inflatable structure is provided with a connecting seat fixedly connected to the second universal ball, and the inflatable cavity of the inflatable structure is provided with a monitoring station. connected pressure sensor.
进一步地，腔体底部设置有供氧气管穿过的孔位。Further, the bottom of the cavity is provided with a hole for the oxygen tube to pass through.
进一步地，压力传感器设置于所述碗形结构内的底部。Further, the pressure sensor is arranged at the bottom of the bowl-shaped structure.
采用了上述技术方案后，本发明具有以下的有益效果：After adopting above-mentioned technical scheme, the present invention has following beneficial effect:
通过设置由多个充气单元所组成的压力调整装置，使得人体与头部固定器之间的连接为柔性连接，同时通过在充气单元中设置可感知其内部压力的压力传感器，可在手术前，通过采集到的面部各个接触点上的压力来调整各充气单元内的气体量，从而将大多数充气单元内的压力调整为相同的数值，从而使得面部受力均衡，通过上述手段可有效的避免面部压疮的产生，提高手术过程中病人的舒适度。By setting a pressure adjustment device composed of multiple inflatable units, the connection between the human body and the head immobilizer is flexible, and at the same time, by setting a pressure sensor in the inflatable unit that can sense its internal pressure, it can be used before surgery. The gas volume in each inflatable unit is adjusted by collecting the pressure on each contact point of the face, so that the pressure in most inflatable units is adjusted to the same value, so that the force on the face is balanced. Through the above means, it can be effectively avoided. Creation of facial pressure sores, improving patient comfort during surgery.
附图说明Description of drawings
为了更清楚地说明本申请实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本申请中记载的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments described in this application. Those skilled in the art can also obtain other drawings based on these drawings without creative work.
图1为本发明中神经外科手术辅助监护床的结构示意图。Fig. 1 is a schematic structural view of a neurosurgery auxiliary monitoring bed in the present invention.
图2为头部固定器的结构示意图；Fig. 2 is the structural representation of head immobilizer;
图3为充气单元的分布示意图；Fig. 3 is the distribution schematic diagram of inflatable unit;
图4为充气单元的侧视图；Figure 4 is a side view of the inflatable unit;
图5为氧气面罩的结构示意图；Fig. 5 is the structural representation of oxygen mask;
图6为面罩固定部的结构示意图；Fig. 6 is a structural schematic diagram of a mask fixing part;
附图标记：头部固定器1、支架11、额头支撑面11a、面部支撑面11b、空隙11c、压力调整装置12、充气单元12a、顶面12a-1、第一支座13a、弹性连接杆13b、滑块13c、弹性支撑杆13d、第二支座13e、手术台2、躺板3、监控台4、氧气面罩5。Reference signs: head immobilizer 1, bracket 11, forehead support surface 11a, face support surface 11b, gap 11c, pressure adjustment device 12, inflation unit 12a, top surface 12a-1, first support 13a, elastic connecting rod 13b, slider 13c, elastic support rod 13d, second support 13e, operating table 2, lying board 3, monitoring platform 4, oxygen mask 5.
具体实施方式Detailed ways
为了使本技术领域的人员更好地理解本申请中的技术方案，下面将结合本申请实施例中的附图，对本申请实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本申请一部分实施例，而不是全部的实施例。基于本申请中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都应当属于本申请保护的范围。In order to enable those skilled in the art to better understand the technical solutions in the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below in conjunction with the drawings in the embodiments of the present application. Obviously, the described The embodiments are only some of the embodiments of the present application, but not all of them. Based on the embodiments in this application, all other embodiments obtained by persons of ordinary skill in the art without creative efforts shall fall within the scope of protection of this application.
如图1~6所示，神经外科手术辅助监护床，用于俯卧位的神经外科手术，包括手术台2、躺板3、头部固定器1和监控台4；躺板3固定设置在手术台2的上表面，供病人躺卧；监控台4设置在手术台2的一端，用于对病人在手术中的身体状况进行监控；头部固定器1固定设置在躺板3上，用于对患者头部进行支撑；头部固定器1包括支架11和压力调整装置12；支架11包括额头支撑面11a和面部支撑面11b，额头支撑面11a和面部支撑面11b间设置有用于放置病人眼睛、鼻子和嘴的空隙11c；压力调整装置12分别设置于额头支撑面11a和面部支撑面11b上，且压力调整装置12由至少三个充气单元12a组成，充气单元12a内设置有压力传感器和充气口，压力传感器和充气口的开关阀体均与监控台4电连接。As shown in Figures 1 to 6, the neurosurgery auxiliary monitoring bed is used for neurosurgery in the prone position, including an operating table 2, a bed board 3, a head immobilizer 1, and a monitoring table 4; The upper surface of the table 2 is for the patient to lie down; the monitoring table 4 is arranged at one end of the operating table 2 for monitoring the physical condition of the patient during the operation; the head immobilizer 1 is fixedly arranged on the lying board 3 for The patient's head is supported; the head immobilizer 1 includes a bracket 11 and a pressure adjustment device 12; the bracket 11 includes a forehead support surface 11a and a face support surface 11b, and a device for placing the patient's eyes is arranged between the forehead support surface 11a and the face support surface 11b. , the gap 11c between the nose and the mouth; the pressure adjustment device 12 is respectively arranged on the forehead support surface 11a and the face support surface 11b, and the pressure adjustment device 12 is composed of at least three inflatable units 12a, and the inflatable unit 12a is provided with a pressure sensor and an inflatable port, the switch valve body of the pressure sensor and the charging port are all electrically connected with the monitoring platform 4.
充气单元12a的数量选择的越多，越能更好的对面部受压情况进行控制，为了使得多个充气单元12a的排布更加容易，使得充气单元12a充气后的水平剖面形状为正六边形，因为正六边形的形状特性，可实现充气单元12a的无缝拼接。The more the number of inflatable units 12a is selected, the better the pressure on the face can be controlled. In order to make the arrangement of multiple inflatable units 12a easier, the horizontal cross-sectional shape of the inflatable unit 12a after inflation is a regular hexagon , because of the shape characteristics of the regular hexagon, the seamless splicing of the inflatable unit 12a can be realized.
作为一种优选，充气单元12a与人体接触的顶面12a-1为球面结构，可避免充气单元12a连接处硬度较大的部分对病人面部造成损伤。As a preference, the top surface 12a-1 of the inflatable unit 12a in contact with the human body has a spherical structure, which can avoid damage to the patient's face caused by the hard part at the connection of the inflatable unit 12a.
为了避免手术过程中氧气面罩5的脱落，头部固定器1还包括与支架11固定连接的面罩固定部，其中面罩固定部包括分别与支架11固定连接的四个第一支座13a，为了使支撑更加可靠，将四个第一支座13a沿矩形的四个角分布，矩形的两长边沿病人俯卧时的人体高度方向设置，每个长边两端的两第一支座13a均通过弹性连接杆13b连接，其中，弹性连接杆13b两端设置有第一万向球，用于与第一支座13a铰接；两弹性连接杆13b上均设置有滑块13c，滑块13c沿弹性连接杆13b滑动，其中两滑块13c通过弹性支撑杆13d连接，弹性支撑杆13d中部设置有第二支座13e，第二支座13e内设置有第二万向球，第二万向球通过充气结构与氧气面罩5接触，其中因为第二支座13e离人体面部较近，将第二支座13e的各棱边均为平滑的圆角结构，可防止对人体面部造成误伤；充气结构为碗形结构，其内壁设置有用于放置氧气面罩5的腔体，且腔体底部设置有供氧气管穿过的孔位，防止对气管造成挤压，充气结构外壁设置有与第二万向球固定连接的连接座，充气结构的充气腔内设置有与监控台4电连接的压力传感器，压力传感器设置于碗形结构内的底部，相对于设置于碗形结构的边缘可更有效的防止因人体面部对压力传感器的挤压而造成的数据采集错误。In order to avoid the falling off of the oxygen mask 5 during the operation, the head holder 1 also includes a mask fixing part fixedly connected with the bracket 11, wherein the mask fixing part includes four first supports 13a fixedly connected with the bracket 11 respectively, in order to make The support is more reliable, the four first supports 13a are distributed along the four corners of the rectangle, the two long sides of the rectangle are arranged along the human body height direction when the patient is prone, and the two first supports 13a at both ends of each long side are connected by elastic Rod 13b is connected, and wherein, elastic connecting rod 13b two ends are provided with the first universal ball, for being hinged with first bearing 13a; Both elastic connecting rods 13b are provided with slide block 13c, and slide block 13c is arranged along elastic connecting rod 13b slides, wherein the two sliders 13c are connected by an elastic support rod 13d, the middle part of the elastic support rod 13d is provided with a second support 13e, and a second universal ball is arranged in the second support 13e, and the second universal ball passes through the inflatable structure In contact with the oxygen mask 5, because the second support 13e is closer to the face of the human body, each edge of the second support 13e is a smooth rounded structure, which can prevent accidental injury to the face of the human body; the inflatable structure is bowl-shaped structure, its inner wall is provided with a cavity for placing the oxygen mask 5, and the bottom of the cavity is provided with a hole for the oxygen tube to pass through, so as to prevent the extrusion of the trachea, and the outer wall of the inflatable structure is provided with a fixed connection with the second universal ball The connection seat of the inflatable structure is provided with a pressure sensor electrically connected to the monitoring platform 4 in the inflatable cavity. The pressure sensor is arranged at the bottom of the bowl-shaped structure, which can more effectively prevent the human face from Data acquisition errors caused by squeezing the pressure sensor.
本发明中神经外科手术辅助监护床的工作原理如下：The operating principle of the neurosurgery auxiliary monitoring bed in the present invention is as follows:
病人俯卧于躺板3上，额头与设置于额头支撑面11a上的多个充气单元12a接触，面部和下颚与设置于面部支撑面11b上的多个充气单元12a接触，对多个充气单元12a内同时充气，且通入的气体量相同，因每位病人的面部轮廓存在差异，因此对不同位置的充气单元12a的压力不同，从而导致不同的充气单元12a内的压力传感器所感应到的压力是不同，为了保证病人面部受力均匀，对感知到的压力较小的充气单元12a内继续充气，直至多个充气单元12a内的压力基本相同，则说明病人的面部受力较为均衡了，具体压力值的选择，可通过手术前的调试来确定。为了避免病人在手术过程中氧气面罩或氧气管的脱落，通过设置与支架11固定连接的面罩固定部来对氧气面罩进行固定，可缓解在手术中面罩容易脱落的问题，面罩固定部设置有两级缓冲结构和三个角度调整结构，其中两级缓冲结构分别为：由弹性连接杆13b和弹性支撑杆13d形成的弹性框架，以及，连接第二万向球和氧气面罩5的充气结构，通过弹性框架对弹性面罩进行柔性的支撑，便于病人对较为适合自己的面罩位置的选择，通过向充气结构内充气可使氧气面罩5与面部的压力得到提升，因此可实现氧气面罩在面部的固定，同时通过监控台4可对充气结构内部的气体压力进行监控，当压力变低时，说明氧气面罩5已脱落或即将脱落，即使氧气面罩5未脱落，仅氧气管脱落时，也会使充气结构内的气体压力发生变化，从而检测到此危险情况的产生；三个角度调整结构分别为第一支座13a与弹性连接杆13b的铰接处、两滑块13c与弹性连接杆13b的滑动连接处以及充气结构与第二支座13e的铰接处，通过此3处的设置，可使得氧气面罩5进行任意空间角度的调整，使得氧气面罩5与面部各处的贴合点压力均衡，提高病人的舒适度。The patient lies prone on the lying board 3, the forehead is in contact with a plurality of inflatable units 12a arranged on the forehead support surface 11a, and the face and lower jaw are in contact with a plurality of inflatable units 12a arranged on the face support surface 11b. Inflation at the same time, and the amount of gas passed through is the same, because the facial contours of each patient are different, so the pressure on the inflatable unit 12a at different positions is different, resulting in the pressure sensed by the pressure sensor in the different inflatable unit 12a It is different. In order to ensure that the patient’s face is evenly stressed, continue to inflate the inflatable unit 12a with a lower perceived pressure until the pressures in the multiple inflatable units 12a are basically the same, which means that the patient’s facial force is more balanced. Specifically The choice of pressure value can be determined through pre-operation debugging. In order to avoid the patient's oxygen mask or oxygen tube falling off during the operation, the oxygen mask is fixed by setting the mask fixing part fixedly connected with the bracket 11, which can alleviate the problem that the mask is easy to fall off during the operation. The mask fixing part is provided with two One-stage buffer structure and three angle adjustment structures, wherein the two-stage buffer structure is respectively: the elastic frame formed by the elastic connecting rod 13b and the elastic support rod 13d, and the inflatable structure connecting the second universal ball and the oxygen mask 5, through The elastic frame flexibly supports the elastic mask, which is convenient for the patient to choose a more suitable mask position. By inflating the inflatable structure, the pressure between the oxygen mask 5 and the face can be increased, so the oxygen mask can be fixed on the face. At the same time, the gas pressure inside the inflatable structure can be monitored through the monitoring platform 4. When the pressure becomes low, it means that the oxygen mask 5 has fallen off or is about to fall off. The gas pressure inside changes to detect the occurrence of this dangerous situation; the three angle adjustment structures are respectively the hinge joint between the first support 13a and the elastic connecting rod 13b, and the sliding connection between the two sliders 13c and the elastic connecting rod 13b And the hinge of the inflatable structure and the second support 13e, through the setting of these three places, the oxygen mask 5 can be adjusted at any spatial angle, so that the pressure of the bonding points between the oxygen mask 5 and the face is balanced, and the patient's health is improved. comfort.
对所公开的实施例的上述说明，使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的，本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下，在其它实施例中实现。因此，本发明将不会被限制于本文所示的这些实施例，而是要符合与本文所公开的原理和新颖特点相一致的最宽的范围。The above description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Therefore, the present invention will not be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710719638.4ACN107485529B (en) | 2017-08-21 | 2017-08-21 | Neurosurgery auxiliary is monitoring bed |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710719638.4ACN107485529B (en) | 2017-08-21 | 2017-08-21 | Neurosurgery auxiliary is monitoring bed |
| Publication Number | Publication Date |
|---|---|
| CN107485529A CN107485529A (en) | 2017-12-19 |
| CN107485529Btrue CN107485529B (en) | 2018-06-22 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710719638.4AExpired - Fee RelatedCN107485529B (en) | 2017-08-21 | 2017-08-21 | Neurosurgery auxiliary is monitoring bed |
| Country | Link |
|---|---|
| CN (1) | CN107485529B (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109771202A (en)* | 2019-03-05 | 2019-05-21 | 南昌大学第二附属医院 | A new type of body position conversion head fixation system |
| CN111067735A (en)* | 2019-12-25 | 2020-04-28 | 中山市雅西环保科技有限公司 | Ophthalmic prone position head support with high comfort level and uniform stress on face |
| CN115363895B (en)* | 2022-10-10 | 2023-06-16 | 中南大学湘雅医院 | An electroencephalogram detection device for the depth of sedation |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104758057A (en)* | 2015-04-28 | 2015-07-08 | 陈为涛 | Auxiliary device for neurosurgery operation |
| CN204684078U (en)* | 2015-05-21 | 2015-10-07 | 中国人民解放军第四军医大学 | A kind of Operative Neurosurgical Head Rest protective pad |
| CN205108121U (en)* | 2015-10-20 | 2016-03-30 | 南阳医学高等专科学校第一附属医院 | Multi -functional neurosurgical care bed |
| US9398992B1 (en)* | 2014-05-30 | 2016-07-26 | Kathleen Suzanne Jansen | Pressure free face rest |
| CN205885753U (en)* | 2016-05-24 | 2017-01-18 | 南通市第一人民医院 | Facial support frame is used in operation |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9398992B1 (en)* | 2014-05-30 | 2016-07-26 | Kathleen Suzanne Jansen | Pressure free face rest |
| CN104758057A (en)* | 2015-04-28 | 2015-07-08 | 陈为涛 | Auxiliary device for neurosurgery operation |
| CN204684078U (en)* | 2015-05-21 | 2015-10-07 | 中国人民解放军第四军医大学 | A kind of Operative Neurosurgical Head Rest protective pad |
| CN205108121U (en)* | 2015-10-20 | 2016-03-30 | 南阳医学高等专科学校第一附属医院 | Multi -functional neurosurgical care bed |
| CN205885753U (en)* | 2016-05-24 | 2017-01-18 | 南通市第一人民医院 | Facial support frame is used in operation |
| Publication number | Publication date |
|---|---|
| CN107485529A (en) | 2017-12-19 |
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|---|---|---|
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| Date | Code | Title | Description |
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| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
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| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee | Granted publication date:20180622 |