Automatic auscultation and sputum excretion all-in-one machine

Abstract

The invention discloses an automatic auscultation and sputum excretion all-in-one machine which comprises a sputum excretion instrument, a base plate, a left backrest plate and a right backrest plate. A guide rod is arranged on the top of the front side of the vertical base plate in the left-right direction, the top of the left backrest plate and the top of the right backrest plate are in sliding fit with the guide rod, the bottom of the left backrest plate and the bottom of the right backrest plate are in sliding fit with the front side of the bottom base plate, and treatment head walking track grooves are formed in the left backrest plate and the right backrest plate. Two treatment heads of the sputum excretion instrument are arranged on the left treatment head driving mechanism and the right treatment head driving mechanism respectively. The left auscultation mechanism is used for auscultating sputum sounds of a left lung, and the right auscultation mechanism is used for auscultating sputum sounds of a right lung, so that the specific position of sputum in the lung is judged; the base plate is further provided with a treatment head driving mechanism for tapping the left chest and the right chest of the back of the human body, the treatment head driving mechanism drives the treatment head to tap the back of the patient, the lung position of sputum is determined through auscultation of the accurate tapping stethoscope, and the sputum is loosened through vibration and can be coughed out easily.

Description

Technical Field

[0001] The invention relates to the technical field of expectoration machines, and in particular to an automatic stethoscope and expectoration integrated machine. Background Art

[0002] Percussion expectoration is suitable for patients with long-term illness, weak body, long-term bedridden, and inability to expectorate. It is contraindicated for patients with uninduced pneumothorax, rib fractures, or a history of pathological fractures, hemoptysis, hypotension, pulmonary edema, etc.

[0003] The percussion expectoration machine can realize the vibration expectoration function through the transmission structure. The percussion head generates vertical and horizontal percussion and rubbing forces on the human body surface. The vertical percussion vibration simulates the rhythm of human hand percussion force, loosens and liquefies the mucus and metabolites on the surface of the respiratory mucosa. At the same time, the directional pushing force generated by the horizontal rubbing after each vertical percussion discharges the liquefied mucus from the body in the selected direction, thereby achieving the auxiliary expectoration effect. The current percussion expectoration machine usually adopts the following method: the user turns on the expectoration machine, and the expectoration power mechanism is connected to the power module through a mechanical flexible shaft, thereby realizing the vibration expectoration function.

[0004] The treatment head is placed close to the patient's back, and the order of tapping to discharge sputum is: from bottom to top, from outside to inside. However, the current tapping is a blind tapping, and the treatment head should be moved from outside to inside according to the shape of the lung lobe, so that the sputum in the respiratory system can move and be discharged in the order of bronchioles, bronchi, trachea, and outside the body.

[0005] This blind tapping method can neither achieve accurate tapping nor waste time, so it cannot effectively expectorate in a short period of time. Summary of the invention

[0006] In view of the deficiencies in the above-mentioned prior art, the present invention provides an automatic stethoscope and expectoration machine which can not only perform accurate tapping but also effectively expectorate in a short period of time.

[0007] In order to solve the above technical problems, the present invention adopts the following technical solutions:

[0008] The automatic auscultation and expectoration integrated machine comprises an expectoration instrument, a base plate, a left backrest plate and a right backrest plate; a left auscultation mechanism for auscultating the left lung of a human body is arranged on the left side of the base plate, a right auscultation mechanism for auscultating the right lung of a human body is arranged on the right side of the base plate, and a treatment head driving mechanism for percussing the left and right chests of the back of a human body is also arranged on the base plate;

[0009] The base plate comprises a vertical base plate and a bottom base plate, the bottom base plate is fixedly arranged on the bottom front side of the vertical base plate, a guide rod is arranged on the top of the front side of the vertical base plate along the left-right direction, the left backrest plate is arranged on the front side of the vertical base plate and close to the left side, the right backrest plate is arranged on the front side of the vertical base plate and close to the right side, the tops of the left backrest plate and the right backrest plate are both slidably matched with the guide rod in the left-right direction, and the bottoms of the left backrest plate and the right backrest plate are slidably matched with the front side of the bottom base plate in the left-right direction; the left and right parts of the vertical base plate are both provided with operation windows, and the left backrest plate and the right backrest plate are both provided with a treatment head walking track groove from bottom to top and from outside to inside;

[0010] The two treatment heads of the sputum removal instrument are respectively arranged on the left and right treatment head driving mechanisms. The treatment head on the left treatment head driving mechanism can pass forward through the treatment head walking track groove on the left backrest plate, and the treatment head on the right treatment head driving mechanism can pass forward through the treatment head walking track groove on the right backrest plate.

[0011] As a preferred embodiment of the present invention, a shoulder limiting mechanism for temporarily limiting the left shoulder and the right shoulder is also provided on the vertical substrate, and the shoulder limiting mechanism includes a horizontal driving cylinder, a rotating motor I, a vertical lifting cylinder, a front and rear horizontal moving cylinder and a shoulder clamp; the horizontal driving cylinder is fixedly arranged on the top of the vertical substrate, and the piston rod of the horizontal driving cylinder is arranged in the left and right directions, the rotating motor I is fixedly arranged on the piston rod of the horizontal driving cylinder, and the power output shaft of the rotating motor I is vertically upward, the vertical lifting cylinder is fixedly arranged on the power output shaft of the rotating motor I, and the piston rod of the vertical lifting cylinder is vertically upward, the front and rear horizontal moving cylinder is fixedly arranged on the piston rod of the vertical lifting cylinder, and the piston rod of the front and rear horizontal moving cylinder extends forward, one end of the shoulder clamp is fixedly arranged on the piston rod of the front and rear horizontal moving cylinder, and the other end of the shoulder clamp is downward.

[0012] As a preferred embodiment of the present invention, the left auscultation mechanism and the right auscultation mechanism both include a horizontal telescopic cylinder, a rotary motor II, a two-stage telescopic cylinder, a front lung auscultation drive cylinder, a front lung auscultation vertical support rod, a side lung auscultation drive cylinder, a side lung auscultation vertical support rod, a rear lung auscultation drive cylinder I, a rear lung auscultation drive cylinder II and a rear lung auscultation vertical support rod; the horizontal telescopic cylinder is arranged on the side wall of the vertical substrate, the rotary motor II is fixedly connected to the piston rod of the horizontal telescopic cylinder, the power output shaft of the rotary motor II is vertically arranged, the two-stage telescopic cylinder is fixedly arranged on the power output shaft of the rotary motor II, the piston rod of the two-stage telescopic cylinder extends horizontally forward, and the front lung auscultation drive cylinder is vertically fixedly arranged on the second-stage piston of the two-stage telescopic cylinder. The front end of the rod, the front lung auscultation vertical support rod is vertically fixed on the movable rod of the front lung auscultation driving cylinder; the side lung auscultation driving cylinder is vertically fixed on the first-stage piston rod of the two-stage telescopic cylinder, and the side lung auscultation vertical support rod is fixed on the piston rod of the side lung auscultation driving cylinder; the rear lung auscultation driving cylinder I is fixed on the cylinder barrel of the side lung auscultation driving cylinder and is parallel to the two-stage telescopic cylinder, the rear lung auscultation driving cylinder II is vertically fixed on the piston rod of the rear lung auscultation driving cylinder I, and the rear lung auscultation vertical support rod is fixed on the piston rod of the rear lung auscultation driving cylinder II; the front lung auscultation vertical support rod, the side lung auscultation vertical support rod and the rear lung auscultation vertical support rod are all provided with a movable stethoscope.

[0013] As a preferred embodiment of the present invention, the treatment head driving mechanism includes a vertical threaded rod I, a horizontal guide column, a horizontal threaded rod I, a guide nut block I, a treatment head driving cylinder and a motor VIII; the vertical threaded rod I is arranged on the rear side of the operation window of the vertical substrate, the motor VIII is fixedly arranged on the rear side of the vertical substrate and close to the top or bottom, the power output shaft of the motor VIII is fixedly connected to the end of the vertical threaded rod I, the horizontal guide column is sleeved on the vertical threaded rod I and is threadedly matched with the vertical threaded rod I, and both ends of the horizontal guide column are vertically aligned with the side walls of the corresponding operation window. Sliding upward, the horizontal guide column is provided with a horizontal slide groove I along the left and right directions near the front side, the horizontal threaded rod I is arranged in the horizontal slide groove I, and one end of the horizontal slide groove I is provided with a motor III for driving the horizontal threaded rod I to rotate, the guide nut block I is sleeved on the horizontal threaded rod I by means of threaded cooperation and slidingly cooperates with the horizontal slide groove I in the left and right directions, the treatment head driving cylinder is fixedly arranged on the guide nut block I, the piston rod of the treatment head driving cylinder extends horizontally forward, and the treatment head of the sputum removal instrument is fixedly mounted on the front end of the piston rod of the treatment head driving cylinder.

[0014] As a preferred solution of the present invention, waist positioning mechanisms are arranged on the left and right sides of the vertical substrate near the bottom, and the waist positioning mechanism includes a positioning cylinder, a positioning motor IV, a clamping cylinder and a clamping plate; the positioning cylinder is fixedly arranged on the side wall of the vertical substrate and close to the bottom, the piston rod of the positioning cylinder is arranged along the left and right directions, the positioning motor IV is fixedly arranged on the piston rod of the positioning cylinder, the power output shaft of the positioning motor IV is vertically arranged, the clamping cylinder is fixedly arranged on the power output shaft of the positioning motor IV, the piston rod of the clamping cylinder extends forward, and the clamping plate is fixedly arranged on the piston rod of the clamping cylinder and close to the inner side.

[0015] As a preferred solution of the present invention, the vertical support rods for auscultation of the front lung, the vertical support rods for auscultation of the sides of the lungs and the vertical support rods for auscultation of the back lungs are all equipped with a stethoscope driving mechanism for driving the stethoscope to move, and the stethoscope driving mechanism includes a vertical threaded rod II, a motor VI, a guide connecting block, a horizontal guide plate, a horizontal threaded rod II, a motor VII and a guide nut block II; the vertical support rods for auscultation of the front lung, the vertical support rods for auscultation of the sides of the lungs and the vertical support rods for auscultation of the back lungs are all provided with vertical slide grooves along the vertical direction, and the top or bottom ends of the vertical support rods for auscultation of the front lung, the vertical support rods for auscultation of the sides of the lungs and the vertical support rods for auscultation of the back lungs are all provided with motors VI, the vertical threaded rod II is installed in the corresponding vertical slide groove, and the power output shaft of the motor VI is connected to the corresponding vertical threaded rod II The ends are fixedly connected, one end of the guide connecting block is sleeved on the vertical threaded rod II by means of threaded cooperation and slides with the inner wall of the vertical slide groove in the vertical direction, the horizontal guide plate is fixedly arranged on the other end of the guide connecting block, the horizontal guide plate is provided with a horizontal slide groove II along the horizontal direction, the horizontal threaded rod II is arranged in the corresponding horizontal slide groove II and rotates with the corresponding horizontal guide plate, the motor VII is fixedly arranged at the end of the corresponding horizontal guide plate, the power output shaft of the motor VII is fixedly connected with the end of the corresponding horizontal threaded rod II, the guide nut block II is screwed on the horizontal threaded rod II by means of threaded cooperation and slides with the inner wall of the corresponding horizontal slide groove II in the horizontal direction, and the stethoscope is mounted on the outer end of the corresponding guide nut block II.

[0016] As a preferred embodiment of the present invention, the left backrest plate includes a first left backrest plate and a second left backrest plate, the right backrest plate includes a first right backrest plate and a second right backrest plate, the treatment head walking track groove on the left backrest plate is composed of the area between the first left backrest plate and the second left backrest plate, and the treatment head walking track groove on the right backrest plate is composed of the area between the first right backrest plate and the second right backrest plate; the substrate is provided with means for driving the first left backrest plate, the second left backrest plate, the first right backrest plate and the second right backrest plate to move horizontally A movable backrest plate driving mechanism, the backrest plate driving mechanism includes a sliding sleeve and a backrest plate driving cylinder; the tops of the first left backrest plate, the second left backrest plate, the first right backrest plate and the second right backrest plate are all fixedly provided with sliding sleeves, the sliding sleeves are sleeved on the guide rod and slidably cooperate with the guide rod, the front side of the vertical base plate near the top is respectively fixedly provided with backrest plate driving cylinders corresponding to the first left backrest plate, the second left backrest plate, the first right backrest plate and the second right backrest plate, the sliding sleeves are fixedly connected to the piston rods of the corresponding backrest plate driving cylinders.

[0017] As a preferred solution of the present invention, a guide groove is arranged near the bottom on the front side of the bottom substrate, and a slider is arranged near the bottom on the rear sides of the first left backrest plate, the second left backrest plate, the first right backrest plate and the second right backrest plate, and the slider is inserted into the guide groove and slidably cooperates with the guide groove.

[0018] As a preferred embodiment of the present invention, the automatic stethoscope and sputum removal machine also includes a support beam that can be clamped on the guardrails on both sides of the treatment bed, and a lifting mechanism that can drive the vertical base plate to move up and down is arranged on the support beam, and the lifting mechanism includes a vertical guide column, a guide screw, a guide motor and a guide nut connecting plate; the vertical guide column is vertically arranged on the support beam, and a vertical guide groove is arranged on the front side of the vertical guide column, the guide screw is vertically arranged in the vertical guide groove and rotatably cooperates with the vertical guide column, the guide motor is fixedly arranged at the top or bottom of the vertical guide column, and the power output shaft of the guide motor is fixedly connected to the end of the guide screw, one end of the guide nut connecting plate is sleeved on the guide screw by threaded cooperation and slides in the vertical direction with the inner side wall of the vertical guide groove, and the other end of the guide nut connecting plate is fixedly connected to the rear side of the vertical base plate.

[0019] As a preferred embodiment of the present invention, the automatic auscultation and sputum removal machine also includes a controller. Pressure sensors are arranged on the inner side of the clamping plate, on the outer wall of the stethoscope and on the inner side of the shoulder card. Position sensors are arranged on the inner side of the clamping plate and on the inner side of the shoulder card. Signals collected by the pressure sensor and the position sensor are input into the controller. The controller controls the sputum removal instrument, the treatment head, the positioning cylinder, the positioning motor IV, the clamping cylinder, the horizontal telescopic cylinder, the rotating motor II, the two-stage telescopic cylinder, the front lung auscultation drive cylinder, the side lung auscultation drive cylinder, the rear lung auscultation drive cylinder I, the rear lung auscultation drive cylinder II, the treatment head drive cylinder, the motor III, the motor VIII, the guide motor V, the horizontal drive cylinder, the rotating motor I, the vertical lifting cylinder, the front and rear horizontal moving cylinder, the motor VI, the motor VII and the backrest plate drive cylinder.

[0020] Compared with the prior art, the present invention has the following beneficial effects:

[0021] 1. The left auscultation mechanism is used to auscultate the sound of phlegm in the left lung, and the right auscultation mechanism is used to auscultate the sound of phlegm in the right lung, so as to determine the specific location of the sputum in the lungs; the substrate is also provided with a treatment head driving mechanism for tapping the left and right chests of the back of the human body respectively, and the treatment head driving mechanism drives the treatment head to tap the patient's back, and the accurate tapping stethoscope auscultation determines the lung location of the sputum, and the sputum is loosened by vibration to facilitate coughing out.

[0022] 2. When the automatic auscultation and expectoration machine is used, the patient leans back on the left backrest board and the right backrest board, and the horizontal and height positions of the patient's shoulders are detected by the position sensor in the shoulder limit mechanism, and the horizontal and height positions of both sides of the patient's waist are detected by the position sensor in the waist positioning mechanism. The data collected by the position sensor is input into the controller, and the controller determines the position of the patient's lungs in front of the vertical substrate according to the height and horizontal position of the position of the lungs in the human body. The controller controls the backrest board driving mechanism to make the treatment head walking track groove between the first left backrest board and the second left backrest board and between the first right backrest board and the second right backrest board correspond to the left and right lungs of the patient. The front, back and side stethoscopes on the left and right auscultation mechanisms detect the front, back and side of the left lung of the patient, and the front, back and side stethoscopes on the right and left auscultation mechanisms detect the front, back and side of the right lung of the patient. After auscultation, the position of sputum in the left and right lungs is determined, and the collected signal is input into the controller. After the auscultation, the left and right auscultation mechanisms deviate from the patient, and the treatment heads on the left and right sides are driven by the treatment head driving mechanism to tap the patient's back from outside to inside and from bottom to top along the treatment head walking track groove on the corresponding side. When the stethoscope detects the position where sputum is present, the tapping force and tapping time of the treatment head can be appropriately increased to loosen the sputum in the lungs and facilitate coughing out.

[0023] 3. The walking track groove of the treatment head is designed according to the principles of clinical chest physical therapy. The treatment head should be moved from the outside to the inside according to the shape of the lung lobe, so that the sputum of the respiratory system can move and be discharged in the order of bronchioles, bronchi, trachea, and outside the body. It helps weak patients after surgery to enhance their ability to eliminate secretions such as sputum of the respiratory system, improve the stagnant lung blood circulation state, and prevent and reduce the occurrence of respiratory complications.

[0024] 4. The location of sputum is accurately detected by a stethoscope, and then the treatment head driving mechanism drives the treatment head to perform targeted tapping on the location of sputum in the patient. Therefore, the automatic stethoscope and sputum discharge machine can achieve precise tapping and can effectively discharge sputum in a short time. BRIEF DESCRIPTION OF THE DRAWINGS

[0025] Figure 1 This is a structural diagram of an automatic stethoscope and expectorant machine installed on a treatment bed;

[0026] Figure 2 It is a structural diagram of an automatic stethoscope and expectorant machine that is not connected to an expectorant host;

[0027] Figure 3 It is a schematic diagram of the structure of the cooperation between the base plate and the driving mechanism of the treatment head;

[0028] Figure 4 It is a schematic diagram of the structure in which the left backrest plate and the right backrest plate are installed on the base plate;

[0029] Figure 5 is a structural schematic diagram of the shoulder limiting mechanism;

[0030] Figure 6 It is a structural diagram of the left auscultation mechanism;

[0031] Figure 7 It is a schematic diagram of the structure of the right auscultation mechanism;

[0032] Figure 8 This is a schematic diagram of the structure of the stethoscope drive mechanism. Figure 1 ;

[0033] Fig. 9 This is a schematic diagram of the structure of the stethoscope drive mechanism. Figure 2 ;

[0034] Fig.10 yes Figure 3 The enlarged structural diagram at A in the middle;

[0035] Fig.11 It is a structural schematic diagram of the waist positioning mechanism;

[0036] Fig.12 It is a structural schematic diagram of the cooperation between the backrest plate driving mechanism and the left backrest plate and the right backrest plate;

[0037] Fig.13 It is a structural diagram of the cooperation between the lifting mechanism and the support beam;

[0038] Fig.14 It is a control system diagram of an automatic stethoscope and sputum discharge machine.

[0039] In the figure: 1—sputum removal device; 11—sputum removal device host; 12—treatment head; 2—base plate; 21—vertical base plate; 22—bottom base plate; 23—guide rod; 24—operation window; 25—support plate; 3—left backrest plate; 31—first left backrest plate; 32—second left backrest plate; 4—right backrest plate; 41—first right backrest plate; 42—second right backrest plate; 5—left stethoscope mechanism; 51—horizontal telescopic cylinder; 52—rotating motor II; 53—two-stage telescopic cylinder; 54—front lung auscultation drive cylinder; 55—front lung 56—lateral lung auscultation drive cylinder; 57—lateral lung auscultation vertical support rod; 58—posterior lung auscultation drive cylinder Ⅰ; 59—posterior lung auscultation drive cylinder Ⅱ; 60—posterior lung auscultation vertical support rod; 6—right auscultation mechanism; 7—treatment head drive mechanism; 71—vertical threaded rod Ⅰ; 72—horizontal guide column; 73—horizontal threaded rod Ⅰ; 74—guide nut block Ⅰ; 75—treatment head drive cylinder; 76—horizontal slide Ⅰ; 77—motor Ⅲ; 78—motor Ⅷ; 8—treatment head walking track Track groove; 9—shoulder limit mechanism; 91—horizontal drive cylinder; 92—rotating motor I; 93—vertical lifting cylinder; 94—front and rear horizontal moving cylinder; 95—shoulder clamp; 10—stethoscope; 101—waist positioning mechanism; 1011—positioning cylinder; 1012—positioning motor IV; 1013—pressing cylinder; 1014—pressing plate; 13—support beam; 14—lifting mechanism; 141—vertical guide column; 142—guide screw; 143—guide motor V; 144—guide nut connecting plate; 14 5—vertical guide groove; 15—stethoscope driving mechanism; 151—vertical threaded rod II; 152—motor VI; 153—guide connecting block; 154—horizontal guide plate; 155—horizontal threaded rod II; 156—motor VII; 157—guide nut block II; 158—vertical slide groove; 159—horizontal groove II; 16—backrest driving mechanism; 161—sleeve; 162—backrest driving cylinder; 163—guide slide groove; 164—slider; 17—position sensor; 18—pressure sensor; 19—treatment bed. DETAILED DESCRIPTION

[0040] The present invention is described in detail below in conjunction with embodiments and drawings.

[0041] like Figure 1 and Figure 2As shown, the automatic auscultation and expectoration integrated machine includes an expectoration instrument 1, a base plate 2, a left backrest plate 3 and a right backrest plate 4. The expectoration instrument 1 includes an expectoration instrument host 11 and a treatment head 12. The expectoration instrument is a prior art, so it is not repeated here. A left auscultation mechanism 5 for auscultating the left lung of the human body is arranged on the left side of the base plate 2, and a right auscultation mechanism 6 for auscultating the right lung of the human body is arranged on the right side of the base plate 2. The left auscultation mechanism 5 and the right auscultation mechanism 6 are both close to the upper part of the base plate 2. The left auscultation mechanism 5 is used to auscultate the sputum sound of the left lung, and the right auscultation mechanism 6 is used to auscultate the sputum sound of the right lung, so as to determine the specific position of the pulmonary sputum. The base plate 2 is also provided with a treatment head driving mechanism 7 for tapping the left and right chests of the back of the human body respectively. The treatment head driving mechanism 7 drives the treatment head 12 to tap the patient's back, and the stethoscope 10 is accurately tapped to auscultate and determine the lung position of the sputum, and the sputum is loosened by vibration to facilitate coughing.

[0042] The substrate 2 includes a vertical substrate 21 and a bottom substrate 22. Figure 3 As shown, the bottom base plate 22 is fixedly arranged on the bottom front side of the vertical base plate 21, and support plates 25 are arranged on the left and right sides of the front side of the vertical base plate 21 near the top. A guide rod 23 is arranged on the top of the front side of the vertical base plate 21 along the left-right direction, and the left and right ends of the guide rod 23 are connected to the support plates 25 on the left and right sides. The left backrest plate 3 is arranged on the front side of the vertical base plate 21 and near the left side, and the right backrest plate 4 is arranged on the front side of the vertical base plate 21 and near the right side. The tops of the left backrest plate 3 and the right backrest plate 4 are slidably matched with the guide rod 23 in the left-right direction, and the bottoms of the left backrest plate 3 and the right backrest plate 4 are slidably matched with the front side of the bottom base plate 22 in the left-right direction, as shown in FIG. Figure 4 The left and right parts of the vertical substrate 21 are both provided with operation windows 24, as shown in FIG. Figure 3 As shown, the left backrest plate 3 and the right backrest plate 4 are both provided with a treatment head walking track groove 8 from bottom to top and from outside to inside. Figure 4 The two treatment heads 12 of the expectoration device 1 are respectively arranged on the left and right treatment head driving mechanisms 7. The treatment head 12 on the left treatment head driving mechanism 7 can pass forward through the treatment head walking track groove 8 on the left backrest plate 3, and the treatment head 12 on the right treatment head driving mechanism 7 can pass forward through the treatment head walking track groove 8 on the right backrest plate 4. Figure 2 As shown, when the treatment head 12 taps the patient's back, the treatment head 12 extends into the treatment head walking track groove 8 area to tap the patient's back.

[0043] The vertical base plate 21 is also provided with a shoulder limiting mechanism 9 which can temporarily limit the left shoulder and the right shoulder. Figure 2 The shoulder limit mechanism 9 includes a horizontal drive cylinder 91, a rotary motor I 92, a vertical lift cylinder 93, a front and rear horizontal movement cylinder 94 and a shoulder clamp 95. Figure 5As shown. The horizontal driving cylinder 91 is fixedly arranged on the top of the vertical substrate 21, the horizontal driving cylinder 91 on the left side is arranged on the top of the vertical substrate 21 and close to the left side, the horizontal driving cylinder 91 on the right side is arranged on the top of the vertical substrate 21 and close to the right side, the piston rod of the horizontal driving cylinder 91 is arranged in the left-right direction, the rotating motor Ⅰ92 is fixedly arranged on the piston rod of the horizontal driving cylinder 91, the power output shaft of the rotating motor Ⅰ92 is vertically upward, the vertical lifting cylinder 93 is fixedly arranged on the power output shaft of the rotating motor Ⅰ92, the piston rod of the vertical lifting cylinder 93 is vertically upward, the front and rear horizontal moving cylinder 94 is fixedly arranged on the piston rod of the vertical lifting cylinder 93, the piston rod of the front and rear horizontal moving cylinder 94 extends forward, one end of the shoulder clamp 95 is fixedly arranged on the piston rod of the front and rear horizontal moving cylinder 94, the other end of the shoulder clamp 95 is downward, and the inner side surface of the shoulder clamp 95 is provided with a position sensor 17 and a pressure sensor 18. The piston rod of the horizontal driving cylinder 91 can be extended and retracted to drive the rotary motor Ⅰ92, the vertical lifting cylinder 93, the front and rear horizontal moving cylinder 94 and the shoulder clamp 95 to move left and right, and then the distance between the front and rear horizontal moving cylinders 94 and the shoulder clamp 95 on the left and right sides can be adjusted. When the patient leans on the left backrest board 3 and the right backrest board 4, the rotary motor Ⅰ92 on the left and right sides is started, and the rotary motor Ⅰ92 drives the front and rear horizontal moving cylinder 94 and the shoulder clamp 95 to lean against the patient's shoulders through the vertical lifting cylinder 93, and then the piston rod of the vertical lifting cylinder 93 is retracted downward, and the piston rod of the front and rear horizontal moving cylinder 94 is retracted backward, so that the left and right shoulder clamps 95 are pressed on the left and right shoulders of the patient, and the position sensor 17 on the shoulder clamp 95 detects the horizontal and high-end positions of the patient's shoulders, and the pressure sensor 18 on the shoulder clamp 95 detects the pressing force on the shoulders.

[0044] The left auscultation mechanism 5 and the right auscultation mechanism 6 each include a horizontal telescopic cylinder 51, a rotary motor II 52, a two-stage telescopic cylinder 53, a front lung auscultation drive cylinder 54, a front lung auscultation vertical support rod 55, a side lung auscultation drive cylinder 56, a side lung auscultation vertical support rod 57, a rear lung auscultation drive cylinder I 58, a rear lung auscultation drive cylinder II 59 and a rear lung auscultation vertical support rod 60, as shown in FIG. Figure 6 and Figure 7As shown. The horizontal telescopic cylinder 51 is arranged on the side wall of the vertical base plate 21, the horizontal telescopic cylinder 51 on the left side is fixedly arranged on the left side wall of the vertical base plate 21, the horizontal telescopic cylinder 51 on the right side is fixedly arranged on the right side wall of the vertical base plate 21, the rotary motor II 52 is fixedly connected to the piston rod of the horizontal telescopic cylinder 51, the power output shaft of the rotary motor II 52 is arranged vertically, the two-stage telescopic cylinder 53 is fixedly arranged on the power output shaft of the rotary motor II 52, the piston rod of the two-stage telescopic cylinder 53 extends forward horizontally, the front lung auscultation driving cylinder 54 is vertically fixedly arranged on the front end of the second stage piston rod of the two-stage telescopic cylinder 53, the front lung auscultation vertical support rod 55 is vertically fixedly arranged on the movable rod of the front lung auscultation driving cylinder 54, and the front lung auscultation vertical support rod 55 is close to the front lung of the patient during auscultation. The lateral lung auscultation drive cylinder 56 is vertically fixed on the first-stage piston rod of the two-stage telescopic cylinder 53, and the lateral lung auscultation vertical support rod 57 is fixed on the piston rod of the lateral lung auscultation drive cylinder 56. During auscultation, the lateral lung auscultation vertical support rod 57 is close to the lateral lung of the patient. The posterior lung auscultation drive cylinder I 58 is fixed on the cylinder barrel of the lateral lung auscultation drive cylinder 56 and is parallel to the two-stage telescopic cylinder 53. The posterior lung auscultation drive cylinder II 59 is vertically fixed on the piston rod of the posterior lung auscultation drive cylinder I 58. The posterior lung auscultation vertical support rod 60 is fixed on the piston rod of the posterior lung auscultation drive cylinder II 59. During auscultation, the posterior lung auscultation vertical support rod 60 is close to the posterior lung of the patient. A movable stethoscope 10 is provided on the anterior lung auscultation vertical support rod 55, the lateral lung auscultation vertical support rod 57 and the posterior lung auscultation vertical support rod 60.

[0045] The stethoscope driving mechanism 15 for driving the stethoscope 10 to move is installed on the front lung auscultation vertical support rod 55, the side lung auscultation vertical support rod 57 and the back lung auscultation vertical support rod 60. Figure 8 and Fig. 9As shown, the stethoscope driving mechanism 15 includes a vertical threaded rod II 151, a motor VI 152, a guide connecting block 153, a horizontal guide plate 154, a horizontal threaded rod II 155, a motor VII 156 and a guide nut block II 157. The vertical support rod 55 for auscultation of the front lung, the vertical support rod 57 for auscultation of the side lungs and the vertical support rod 60 for auscultation of the back lungs are all provided with vertical slide grooves 158 along the vertical direction. The bottom ends of the vertical support rods 55 for auscultation of the front lungs, the vertical support rods 57 for auscultation of the side lungs and the vertical support rods 60 for auscultation of the back lungs are all provided with motors VI 152. The vertical threaded rods II 151 are installed in the corresponding vertical slide grooves 158. The power output shaft of the motor VI 152 is fixedly connected to the end of the corresponding vertical threaded rod II 151. One end of the guide connecting block 153 is sleeved on the vertical threaded rod II 151 by threaded cooperation and slides with the inner side wall of the vertical slide groove 158 in the vertical direction. The horizontal guide plate 154 is fixedly arranged on the other end of the guide connecting block 153. The horizontal guide plate 154 is arranged on the end thereof, and during auscultation, the horizontal guide plate 154 is close to the patient's lungs. The horizontal guide plate 154 is provided with a horizontal slide groove Ⅱ159 in the horizontal direction. The horizontal threaded rod Ⅱ155 is arranged in the corresponding horizontal slide groove Ⅱ159 and is rotatably matched with the corresponding horizontal guide plate 154. The motor Ⅶ156 is fixedly arranged at the end of the corresponding horizontal guide plate 154. The power output shaft of the motor Ⅶ156 is fixedly connected to the end of the corresponding horizontal threaded rod Ⅱ155. The guide nut block Ⅱ157 is screwed on the horizontal threaded rod Ⅱ155 by threaded matching and is slidably matched with the inner wall of the corresponding horizontal slide groove Ⅱ159 in the horizontal direction. The stethoscope 10 is installed on the outer end of the corresponding guide nut block Ⅱ157. During auscultation, the stethoscope 10 is close to the patient's lungs.

[0046] When auscultation is required, the rotary motors II 52 on the left and right sides are started, and the rotary motors II 52 drive the two-stage telescopic cylinder 53 and the components thereon to rotate toward one side of the patient, and the piston rod of the horizontal telescopic cylinder 51 is retracted, driving the rotary motor II 52, the two-stage telescopic cylinder 53 and the components thereon to approach the patient, and the first-stage piston rod of the two-stage telescopic cylinder 53 is extended, so that the lung side auscultation drive cylinder 56 faces the patient's lungs, and the piston rod of the lung side auscultation drive cylinder 56 is extended to drive the lung The side auscultation vertical support rod 57 and the stethoscope driving mechanism 15 thereon extend toward the side of the patient's lung; the second-stage piston rod of the two-stage telescopic cylinder 53 extends, and the piston rod of the front lung auscultation driving cylinder 54 extends, driving the front lung auscultation vertical support rod 55 and the stethoscope driving mechanism 15 thereon to extend toward the front of the patient's lung; the piston rods of the rear lung auscultation driving cylinder I 58 and the rear lung auscultation driving cylinder II 59 extend, driving the rear lung auscultation vertical support rod 60 and the stethoscope driving mechanism 15 thereon to extend toward the rear of the patient's lung. The stethoscopes 10 at the front, side and rear of the patient's lung complete auscultation of the front, side and rear of the patient's lung under the drive of their respective stethoscope driving mechanisms 15. After auscultation is completed, the piston rods of the posterior lung auscultation drive cylinder II 59, the posterior lung auscultation drive cylinder I 58, the lateral lung auscultation drive cylinder 56, the anterior lung auscultation drive cylinder 54, and the two-stage telescopic cylinder 53 are all retracted, and the left and right rotating motors II 52 are started again. The rotating motor II 52 drives the corresponding two-stage telescopic cylinder 53 and the components thereon to rotate toward the side away from the patient, and the piston rods of the horizontal telescopic cylinders 51 on the left and right sides extend out, further driving the rotating motor II 52, the two-stage telescopic cylinder 53 and the components thereon on the corresponding side to move toward the side away from the patient.

[0047] The treatment head driving mechanism 7 includes a vertical threaded rod I 71, a horizontal guide column 72, a horizontal threaded rod I 73, a guide nut block I 74, a treatment head driving cylinder 75 and a motor VIII 78. Figure 3 and Fig.10As shown, a treatment head driving mechanism 7 is provided in the operation windows 24 on the left and right sides of the vertical substrate 21. The vertical threaded rod Ⅰ71 is provided at the rear side of the operation window 24 of the vertical substrate 21, the motor Ⅷ78 is fixedly provided at the rear side of the vertical substrate 21 and close to the top, the power output shaft of the motor Ⅷ78 is vertically downward, the power output shaft of the motor Ⅷ78 is fixedly connected to the end of the vertical threaded rod Ⅰ71, the horizontal guide column 72 is sleeved on the vertical threaded rod Ⅰ71 and threadedly matched with the vertical threaded rod Ⅰ71, both ends of the horizontal guide column 72 are slidably matched with the side walls of the corresponding operation window 24 in the vertical direction, and the horizontal guide column 72 is provided with a water-tightening device near the front side along the left and right directions. Smooth groove Ⅰ76, horizontal threaded rod Ⅰ73 is arranged in the horizontal slide groove Ⅰ76, one end of the horizontal slide groove Ⅰ46 is provided with a motor Ⅲ77 for driving the horizontal threaded rod Ⅰ73 to rotate, the guide nut block Ⅰ74 is sleeved on the horizontal threaded rod Ⅰ73 by threaded matching and slides with the horizontal slide groove Ⅰ46 in the left and right directions, the treatment head driving cylinder 75 is fixedly set on the guide nut block Ⅰ74, the piston rod of the treatment head driving cylinder 75 extends horizontally forward, and the treatment head 12 of the sputum removal instrument 1 is fixedly installed on the front end of the piston rod of the treatment head driving cylinder 75.

[0048] When it is necessary to perform tapping operation on the patient's back, ensure that the left stethoscope mechanism 5 and the right stethoscope mechanism 6 are away from the patient, the piston rod of the treatment head driving cylinder 75 is extended, driving the treatment head 12 to extend forward the corresponding treatment head walking track groove 8, and press on the patient's back; start the motor VIII 78, drive the vertical threaded rod I71 to rotate, and then drive the horizontal guide column 72 to move vertically on the vertical threaded rod I71, start the motor III 77, drive the horizontal threaded rod I73 to rotate, and then drive the guide nut block I74 to move horizontally on the horizontal threaded rod I73. While moving, the treatment head 12 of the sputum discharger 1 is used to tap the patient's back from the outside to the inside and from the bottom to the top along the treatment head walking track groove 8. When the stethoscope 10 detects the position where sputum is present, the tapping force and tapping time of the treatment head 12 can be appropriately increased to loosen the sputum in the lungs and facilitate coughing.

[0049] The waist positioning mechanism 101 is disposed on both sides of the vertical substrate 21 near the bottom. Fig.11As shown, the waist positioning mechanism 101 includes a positioning cylinder 1011, a positioning motor IV 1012, a clamping cylinder 1013 and a clamping plate 1014; the positioning cylinder 1011 is fixedly arranged on the side wall of the vertical substrate 21 and close to the bottom, the piston rod of the positioning cylinder 1011 is arranged in the left and right directions, the positioning motor IV 1012 is fixedly arranged on the piston rod of the positioning cylinder 1011, the power output shaft of the positioning motor IV 1012 is arranged vertically, the clamping cylinder 1013 is fixedly arranged on the power output shaft of the positioning motor IV 1012, the piston rod of the clamping cylinder 1013 extends forward, the clamping plate 1014 is fixedly arranged on the piston rod of the clamping cylinder 1013 and close to the inner side, and a position sensor 17 and a pressure sensor 18 are arranged on the inner side of the clamping plate 1014. When the patient's back is pressed against the left backrest 3 and the right backrest 4, the positioning motors IV 1012 on the left and right sides are started, driving the clamping cylinder 1013 and the clamping plate 1014 to turn toward the patient's waist, and the piston rods of the positioning cylinders 1011 on the left and right sides are retracted, driving the clamping cylinder 1013 and the clamping plate 1014 to move toward the patient's waist until the clamping plate 1014 is pressed against the patient's waist. The position sensors 17 on the clamping plates 1014 on the left and right sides detect the horizontal and high-end positions on both sides of the patient's waist, and the pressure sensors 18 on the clamping plates 1014 detect the clamping force on the patient's waist.

[0050] The left backrest board 3 includes a first left backrest board 31 and a second left backrest board 32, and the right backrest board 4 includes a first right backrest board 41 and a second right backrest board 42. Figure 4 and Fig.12 As shown, the treatment head walking track groove 8 on the left backrest plate 3 is composed of the area between the first left backrest plate 31 and the second left backrest plate 32, and the treatment head walking track groove 8 on the right backrest plate 4 is composed of the area between the first right backrest plate 41 and the second right backrest plate 42. The base plate 2 is provided with a backrest plate driving mechanism 16 for driving the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41 and the second right backrest plate 42 to move horizontally. The backrest plate driving mechanism 16 includes a sliding sleeve 161 and a backrest plate driving cylinder 162, as shown in FIG. Fig.12As shown; a sliding sleeve 161 is fixedly provided on the top of the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41 and the second right backrest plate 42, the sliding sleeve 161 is sleeved on the guide rod 23 and slidably cooperates with the guide rod 23, and a backrest driving cylinder 162 corresponding to the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41 and the second right backrest plate 42 is fixedly provided on the front side of the vertical base plate 21 near the top, and the sliding sleeve 161 is fixedly connected to the piston rod of the corresponding backrest driving cylinder 162. In this embodiment, a guide slot 163 is provided near the bottom on the front side of the bottom substrate 22, and the guide slot 163 is a T-shaped guide slot. A slider 164 is provided near the bottom on the rear sides of the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41, and the second right backrest plate 42. The slider 164 is a T-shaped slider. The slider 164 is inserted into the guide slot 163 and slidably cooperates with the guide slot 163, as shown in FIG. Figure 4 As shown, the T-shaped slider cooperates with the T-shaped guide slot to prevent the slider 164 from withdrawing from the guide slot 163. The position sensor 17 on the shoulder card 95 and the position sensor 17 on the pressing block 1014 collect the position of the patient's back. Once the position of the patient is determined, the position of the patient's lungs and chest cavity is determined. By controlling the piston rod of the backrest driving cylinder 162 corresponding to the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41 and the second right backrest plate 42 to extend and retract, the positions of the first left backrest plate 31, the second left backrest plate 32, the first right backrest plate 41 and the second right backrest plate 42 are adjusted, and then the position of the treatment head walking track slot 8 between the first left backrest plate 31 and the second left backrest plate 32 is adjusted, and the position of the treatment head walking track slot 8 between the first right backrest plate 41 and the second right backrest plate 42 is adjusted, so that the positions of the left and right treatment head walking track slots 8 correspond to the left and right lungs of the patient and avoid the patient's kidney area and spine.

[0051] The automatic stethoscope and expectoration machine also includes a support beam 13 that can be clamped on the guardrails on both sides of the treatment bed 19, and a lifting mechanism 14 that can drive the vertical base plate 21 to move up and down is arranged on the support beam 13. The lifting mechanism 14 includes a vertical guide column 141, a guide screw 142, a guide motor 143 and a guide nut connecting plate 144. Fig.13As shown, the vertical guide column 141 is vertically arranged on the support beam 13, a vertical guide groove 145 is arranged at the front side of the vertical guide column 141, a guide screw 142 is vertically arranged in the vertical guide groove 145 and rotates with the vertical guide column 141, a guide motor 143 is fixedly arranged at the top or bottom of the vertical guide column 141, a power output shaft of the guide motor 143 is fixedly connected with the end of the guide screw 142, one end of the guide nut connecting plate 144 is sleeved on the guide screw 142 by threaded matching and slides with the inner side wall of the vertical guide groove 145 in the vertical direction, and the other end of the guide nut connecting plate 144 is fixedly connected with the rear side of the vertical base plate 21. Start the guide motor V143, drive the guide screw 142 to rotate, drive the guide nut connecting plate 144 to move in the vertical direction, and then drive the vertical base plate 21 and the components thereon to move in the vertical direction together. When the automatic stethoscope and sputum discharge machine is not in use, the support beam 13 is moved to the head of the bed or the bed position, and then the vertical base plate 21 and the components thereon are driven to rise to the top together through the lifting mechanism 14 to avoid affecting the patient's head or footsteps or rest; when the automatic stethoscope and sputum discharge machine is needed, the support beam 13 only needs to be moved to a position convenient for the patient to lean back. The support beam 13 can be moved and fixed manually, or it can be driven by a motor IX to drive a screw rod, which cooperates with the nut block III. The end of the support beam 13 is connected to the end of the nut block III. The motor IX drives the screw rod to rotate, and the screw rod drives the nut block III to move along the guardrail on one side of the bed, thereby driving the support beam 13 to move along the guardrails on both sides of the treatment bed 19. The moving method is a prior art, so it will not be repeated. In this embodiment, the support beam 13 is designed to move on the side of the treatment bed 19 close to the head of the bed, and the motor IX, the screw rod and the nut block III cooperate to drive the support beam 13 to move, such as Figure 1 shown.

[0052] The automatic stethoscope and expectorant machine also includes a controller. Position sensors 17 are provided on the inner side of the shoulder card 95 and the inner side of the clamping plate 1014. Pressure sensors 18 are provided on the inner side of the clamping plate 1014, the outer side of the stethoscope 10, and the inner side of the shoulder card 95. The signals collected by the position sensor 17 and the pressure sensor 18 are input to the controller. The controller controls the expectorant 1, the treatment head 12, the positioning cylinder 1011, the positioning motor IV 1012, the clamping cylinder 1013, the horizontal telescopic air cylinder 1014, the horizontal telescopic air cylinder 1015, the horizontal telescopic air cylinder 1016, the horizontal telescopic air cylinder 1017, the horizontal telescopic air cylinder 1018, the horizontal telescopic air cylinder 1019, the horizontal telescopic air cylinder 1020, the horizontal telescopic air cylinder 1021, the horizontal telescopic air cylinder 1023, the horizontal telescopic air cylinder 1024, the horizontal telescopic air cylinder 1025, the horizontal telescopic air cylinder 1026, the horizontal telescopic air cylinder 1027, the horizontal telescopic air cylinder 1028, the horizontal telescopic air cylinder 1029, the horizontal telescopic air cylinder 1030, the horizontal telescopic air cylinder 1031, the horizontal telescopic air cylinder 1032, the horizontal telescopic air cylinder 1033, the horizontal telescopic air cylinder 1034, the horizontal telescopic air cylinder 1035, the horizontal telescopic air cylinder 1036, the horizontal telescopic air cylinder 1037, the horizontal telescopic air cylinder 1038, the horizontal telescopic air cylinder 1039, the horizontal telescopic air cylinder 1040, the horizontal telescopic air cylinder 1041, the horizontal telescopic air cylinder 1042, the horizontal telescopic air cylinder 1043, Cylinder 51, rotating motor II 52, two-stage telescopic cylinder 53, front lung auscultation drive cylinder 54, side lung auscultation drive cylinder 56, rear lung auscultation drive cylinder I 58, rear lung auscultation drive cylinder II 59, treatment head drive cylinder 75, motor III 77, motor VIII 78, guide motor V 143, horizontal drive cylinder 91, rotating motor I 92, vertical lifting cylinder 93, front and rear horizontal moving cylinder 94, motor VI 152, motor VII 156, backrest plate drive cylinder 162 and motor IX, such as Fig.14 The controller can be connected to a remote controller, and the remote controller can be operated by medical staff through the remote controller, or the patient can operate it by himself after understanding the operating instructions.

[0053] When using the automatic stethoscope and expectoration machine, the patient only needs to sit or lie on the treatment bed 19, move the support beam 13 close to the patient's back and then lock it, start the guide motor V 143, drive the guide screw 142 to rotate, and then drive the guide nut connecting plate 144 to move downward, and then drive the base plate 2 and the components thereon to move downward together, so that the height of the left backrest plate 3 and the right backrest plate 4 is roughly the same as the height of the patient's back, and the patient leans on the left backrest plate 3 and the right backrest plate 4. Through the cooperation of the horizontal driving cylinder 91, the rotating motor I 92, the vertical lifting cylinder 93 and the front and rear horizontal moving cylinder 94 in the shoulder limit mechanism 9, the shoulder clamp 95 is driven to press on the patient's shoulder, and the position sensors 17 on the left and right shoulder clamps 95 detect the horizontal and height positions of the patient's shoulders. The positioning cylinder 1011 and the positioning motor IV 1012 in the waist positioning mechanism 101 cooperate to drive the clamping plate 1014 to press on the patient's waist. The position sensors 17 on the left and right clamping plates 1014 detect the horizontal and height positions on both sides of the patient's waist. The data collected by the position sensors are input into the controller. The controller determines the position of the patient's lungs in front of the vertical substrate 21 according to the height and horizontal position of the lungs in the human body. The controller controls the piston rod of the backrest plate driving cylinder 162 to extend and retract, drive the driving sleeve 161 to move on the guide rod 23, and then drive the corresponding first left backrest plate 31, second left backrest plate 32, first right backrest plate 41 and second right backrest plate 42 to move appropriately behind the patient, so that the treatment head walking track groove 8 between the first left backrest plate 31 and the second left backrest plate 32 corresponds to the patient's left lung, and the treatment head walking track groove 8 between the first right backrest plate 41 and the second right backrest plate 42 corresponds to the patient's right lung. The rotating motor II 52 in the left stethoscope mechanism 5 and the right stethoscope mechanism 6 drives the two-stage telescopic cylinder 53 on the corresponding side and the components thereon to approach the patient, and the front, back and side of the left lung of the patient are detected by the front, back and side stethoscopes 10 on the left stethoscope mechanism 5, and the front, back and side of the right lung of the patient are detected by the front, back and side stethoscopes 10 on the right stethoscope mechanism 6. After auscultation, the position of sputum in the left and right lungs is determined, and the collected signal is input into the controller. After the auscultation is completed, the left stethoscope mechanism 5 and the right stethoscope mechanism 6 are deviated from the patient. The vertical threaded rod Ⅰ71, horizontal guide column 72, horizontal threaded rod Ⅰ73, guide nut block Ⅰ74, treatment head driving cylinder 75 and motor Ⅷ78 in the treatment head driving mechanism 7 are used to drive the treatment heads 12 on the left and right sides to tap the patient's back from outside to inside and from bottom to top along the treatment head walking track groove 8 on the corresponding side. When the stethoscope 10 detects the position where sputum is present, the tapping force and tapping time of the treatment head 12 are appropriately increased to facilitate the detachment of sputum from the lungs. When the patient coughs and spits, the sputum can be spit out by simply driving the shoulder limit mechanism 9 to leave the shoulder through the controller.

[0054] In order to improve the patient's physical reaction of coughing and spitting, a respiratory vibration expectorant can be used to assist. The present invention can drive the treatment head 12 to massage the patient's back alone through the treatment head driving mechanism 7. The controller can also be connected to the alarm and the voice reminder module. Once the stethoscope 10 detects the sputum sound, the alarm will sound. The sputum alarm sound can be graded. If the sputum is drained clean, the alarm will prompt that the sputum is clean; the display screen of the expectorant 1 can also display the specific location of the sputum, and the screen will display the sputum in different colors according to the amount of sputum, and the color display will change at any time according to the expectoration effect; the voice reminder module can perform voice broadcasting, and each time the next step is performed, the voice reminder module performs voice reminders, such as starting auscultation, expectoration mode, fixed-point expectoration enhancement mode, massage mode, etc.

[0055] Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention rather than to limit it. Although the present invention has been described in detail with reference to the preferred embodiments, those skilled in the art should understand that the technical solution of the present invention can be modified or replaced by equivalents without departing from the purpose and scope of the technical solution of the present invention, which should be included in the scope of the claims of the present invention.

Claims

1. Automatic stethoscope and sputum removal machine, characterized by: The device comprises a sputum discharger (1), a base plate (2), a left backrest plate (3) and a right backrest plate (4); a left auscultation mechanism (5) for auscultating the left lung of a human body is arranged on the left side of the base plate (2), a right auscultation mechanism (6) for auscultating the right lung of a human body is arranged on the right side of the base plate (2), and a treatment head driving mechanism (7) for percussing the left and right chests of the back of a human body is also arranged on the base plate (2); The base plate (2) comprises a vertical base plate (21) and a bottom base plate (22), wherein the bottom base plate (22) is fixedly arranged on the bottom front side of the vertical base plate (21), a guide rod (23) is arranged on the top of the front side of the vertical base plate (21) along the left-right direction, the left backrest plate (3) is arranged on the front side of the vertical base plate (21) and close to the left side, and the right backrest plate (4) is arranged on the front side of the vertical base plate (21) and close to the right side, the tops of the left backrest plate (3) and the right backrest plate (4) are both slidably matched with the guide rod (23) in the left-right direction, and the bottoms of the left backrest plate (3) and the right backrest plate (4) are slidably matched with the front side of the bottom base plate (22) in the left-right direction; the left and right parts of the vertical base plate (21) are both provided with operation windows (24), and the left backrest plate (3) and the right backrest plate (4) are both provided with treatment head walking track grooves (8) from bottom to top and from outside to inside; The two treatment heads (12) of the sputum discharge device (1) are respectively arranged on the left and right treatment head drive mechanisms (7); the treatment head (12) on the left treatment head drive mechanism (7) can pass forward through the treatment head travel track groove (8) on the left backrest plate (3); and the treatment head (12) on the right treatment head drive mechanism (7) can pass forward through the treatment head travel track groove (8) on the right backrest plate (4).

2. The automatic stethoscope and sputum removal machine according to claim 1, characterized in that: The vertical base plate (21) is also provided with a shoulder limiting mechanism (9) capable of temporarily limiting the left shoulder and the right shoulder, and the shoulder limiting mechanism (9) comprises a horizontal driving cylinder (91), a rotating motor I (92), a vertical lifting cylinder (93), a front and rear horizontal moving cylinder (94) and a shoulder clamp (95); the horizontal driving cylinder (91) is fixedly arranged on the top of the vertical base plate (21), the piston rod of the horizontal driving cylinder (91) is arranged in the left and right directions, and the rotating motor I (92) is fixedly arranged on the movable part of the horizontal driving cylinder (91). On the plug rod, the power output shaft of the rotating motor I (92) is vertically upward, the vertical lifting cylinder (93) is fixedly arranged on the power output shaft of the rotating motor I (92), the piston rod of the vertical lifting cylinder (93) is vertically upward, the front and rear horizontal moving cylinder (94) is fixedly arranged on the piston rod of the vertical lifting cylinder (93), the piston rod of the front and rear horizontal moving cylinder (94) extends forward, one end of the shoulder clamp (95) is fixedly arranged on the piston rod of the front and rear horizontal moving cylinder (94), and the other end of the shoulder clamp (95) is downward.

3. The automatic stethoscope and sputum removal machine according to claim 2, characterized in that: The left auscultation mechanism (5) and the right auscultation mechanism (6) both comprise a horizontal telescopic cylinder (51), a rotary motor II (52), a two-stage telescopic cylinder (53), a front lung auscultation drive cylinder (54), a front lung auscultation vertical support rod (55), a side lung auscultation drive cylinder (56), a side lung auscultation vertical support rod (57), a rear lung auscultation drive cylinder I (58), a rear lung auscultation drive cylinder II (59) and a rear lung auscultation vertical support rod (60); the horizontal telescopic cylinder (51) is arranged on the side wall of the vertical base plate (21), the rotating motor II (52) is fixedly connected to the piston rod of the horizontal telescopic cylinder (51), the power output shaft of the rotating motor II (52) is vertically arranged, the two-stage telescopic cylinder (53) is fixedly arranged on the power output shaft of the rotating motor II (52), the piston rod of the two-stage telescopic cylinder (53) extends horizontally forward, and the front lung auscultation drive cylinder (54) is vertically fixedly arranged on the second end of the two-stage telescopic cylinder (53). The front end of the first-stage piston rod of the lung front part is fixedly mounted on the movable rod of the lung front part auscultation driving cylinder (54); the lung side auscultation driving cylinder (56) is fixedly mounted on the first-stage piston rod of the two-stage telescopic cylinder (53); the lung side auscultation vertical support rod (57) is fixedly mounted on the piston rod of the lung side auscultation driving cylinder (56); the lung rear auscultation driving cylinder I (58) is fixedly mounted on the lung side auscultation driving cylinder (56) The rear lung auscultation drive cylinder II (59) is vertically fixed on the piston rod of the rear lung auscultation drive cylinder I (58), and the rear lung auscultation vertical support rod (60) is fixed on the piston rod of the rear lung auscultation drive cylinder II (59); the front lung auscultation vertical support rod (55), the side lung auscultation vertical support rod (57) and the rear lung auscultation vertical support rod (60) are all provided with a movable stethoscope (10).

4. The automatic stethoscope and sputum removal machine according to claim 3, characterized in that: The treatment head driving mechanism (7) comprises a vertical threaded rod I (71), a horizontal guide column (72), a horizontal threaded rod I (73), a guide nut block I (74), a treatment head driving cylinder (75) and a motor VIII (78); the vertical threaded rod I (71) is arranged at the rear side of the operation window (24) of the vertical substrate (21); the motor VIII (78) is fixedly arranged at the rear side of the vertical substrate (21) and close to the top or the bottom; the power output shaft of the motor VIII (78) is fixedly connected to the end of the vertical threaded rod I (71); the horizontal guide column (72) is sleeved on the vertical threaded rod I (71) and threadedly matched with the vertical threaded rod I (71); both ends of the horizontal guide column (72) are vertically connected to the side wall of the corresponding operation window (24). The horizontal guide column (72) is provided with a horizontal slide groove I (76) near the front side along the left and right directions, the horizontal threaded rod I (73) is provided in the horizontal slide groove I (76), one end of the horizontal slide groove I (46) is provided with a motor III (77) for driving the horizontal threaded rod I (73) to rotate, the guide nut block I (74) is sleeved on the horizontal threaded rod I (73) by means of threaded cooperation and is slidably cooperated with the horizontal slide groove I (76) in the left and right directions, the treatment head driving cylinder (75) is fixedly provided on the guide nut block I (74), the piston rod of the treatment head driving cylinder (75) extends horizontally forward, and the treatment head (12) of the sputum removal device (1) is fixedly installed on the front end of the piston rod of the treatment head driving cylinder (75).

5. The automatic stethoscope and sputum removal machine according to claim 4, characterized in that: A waist positioning mechanism (101) is arranged on both sides of the vertical substrate (21) near the bottom, and the waist positioning mechanism (101) comprises a positioning cylinder (1011), a positioning motor IV (1012), a pressing cylinder (1013) and a pressing plate (1014); the positioning cylinder (1011) is fixedly arranged on the side wall of the vertical substrate (21) and near the bottom, the piston rod of the positioning cylinder (1011) is arranged in the left and right directions, the positioning motor IV (1012) is fixedly arranged on the piston rod of the positioning cylinder (1011), the power output shaft of the positioning motor IV (1012) is arranged vertically, the pressing cylinder (1013) is fixedly arranged on the power output shaft of the positioning motor IV (1012), the piston rod of the pressing cylinder (1013) extends forward, and the pressing plate (1014) is fixedly arranged on the piston rod of the pressing cylinder (1013) and near the inner side.

6. The automatic stethoscope and sputum removal machine according to claim 5, characterized in that: The front lung auscultation vertical support rod (55), the side lung auscultation vertical support rod (57) and the back lung auscultation vertical support rod (60) are all equipped with a stethoscope driving mechanism (15) for driving the stethoscope (10) to move, and the stethoscope driving mechanism (15) comprises a vertical threaded rod II (151), a motor VI (152), a guide connecting block (153), a horizontal guide plate (154), a horizontal threaded rod II (155), a motor VII (156) and a guide nut block II (157); the front lung auscultation vertical support rod (55), the side lung auscultation vertical support rod (57) and the back lung auscultation vertical support rod (60) are all equipped with a stethoscope driving mechanism (15) for driving the stethoscope (10) to move, and the stethoscope driving mechanism (15) comprises a vertical threaded rod II (151), a motor VI (152), a guide connecting block (153), a horizontal guide plate (154), a horizontal threaded rod II (155), a motor VII (156) and a guide nut block II (157); The rod (55), the lateral lung auscultation vertical support rod (57) and the posterior lung auscultation vertical support rod (60) are all provided with a vertical slide groove (158) along the vertical direction, and the top or bottom of the anterior lung auscultation vertical support rod (55), the lateral lung auscultation vertical support rod (57) and the posterior lung auscultation vertical support rod (60) are all provided with a motor VI (152), and the vertical threaded rod II (151) is installed in the corresponding vertical slide groove (158), and the power output shaft of the motor VI (152) is connected to the corresponding vertical threaded rod II (15 1), one end of the guide connection block (153) is sleeved on the vertical threaded rod II (151) by threaded engagement and slides with the inner side wall of the vertical slide groove (158) in the vertical direction, the horizontal guide plate (154) is fixedly arranged on the other end of the guide connection block (153), the horizontal guide plate (154) is provided with a horizontal slide groove II (159) along the horizontal direction, the horizontal threaded rod II (155) is arranged in the corresponding horizontal slide groove II (159) and slides with the corresponding horizontal guide plate (154) rotationally matched, the motor VII (156) is fixedly arranged at the end of the corresponding horizontal guide plate (154), the power output shaft of the motor VII (156) is fixedly connected to the end of the corresponding horizontal threaded rod II (155), the guide nut block II (157) is screwed onto the horizontal threaded rod II (155) by means of threaded matching and slides in the horizontal direction with the inner wall of the corresponding horizontal slide groove II (159), and the stethoscope (10) is installed on the outer end of the corresponding guide nut block II (157).

7. The automatic stethoscope and sputum removal machine according to claim 6, characterized in that: The left backrest plate (3) comprises a first left backrest plate (31) and a second left backrest plate (32); the right backrest plate (4) comprises a first right backrest plate (41) and a second right backrest plate (42); the treatment head walking track groove (8) on the left backrest plate (3) is formed by the area between the first left backrest plate (31) and the second left backrest plate (32); the treatment head walking track groove (8) on the right backrest plate (4) is formed by the area between the first right backrest plate (41) and the second right backrest plate (42); the base plate (2) is provided with a backrest plate driving mechanism (16) for driving the first left backrest plate (31), the second left backrest plate (32), the first right backrest plate (41) and the second right backrest plate (42) to move horizontally respectively; The backrest driving mechanism (16) comprises a sliding sleeve (161) and a backrest driving cylinder (162); the tops of the first left backrest (31), the second left backrest (32), the first right backrest (41) and the second right backrest (42) are all fixedly provided with sliding sleeves (161); the sliding sleeves (161) are sleeved on the guide rod (23) and slidably cooperate with the guide rod (23); the front side of the vertical base plate (21) near the top is respectively fixedly provided with backrest driving cylinders (162) corresponding to the first left backrest (31), the second left backrest (32), the first right backrest (41) and the second right backrest (42); the sliding sleeves (161) are fixedly connected with the piston rods of the corresponding backrest driving cylinders (162).

8. The automatic stethoscope and sputum removal machine according to claim 7, characterized in that: A guide slot (163) is arranged near the bottom on the front side of the bottom substrate (22); a slider (164) is arranged near the bottom on the rear sides of the first left backrest plate (31), the second left backrest plate (32), the first right backrest plate (41) and the second right backrest plate (42); the slider (164) is inserted into the guide slot (163) and slidably cooperates with the guide slot (163).

9. The automatic stethoscope and sputum removal machine according to claim 8, characterized in that: The device also comprises a support beam (13) which can be clamped on the guardrails on both sides of the treatment bed, and a lifting mechanism (14) which can drive the vertical base plate (21) to move up and down is arranged on the support beam (13), and the lifting mechanism (14) comprises a vertical guide column (141), a guide screw (142), a guide motor (143) and a guide nut connecting plate (144); the vertical guide column (141) is vertically arranged on the support beam (13), a vertical guide groove (145) is arranged on the front side of the vertical guide column (141), and the guide screw (142) is vertically arranged in the vertical guide groove. (145) and rotatably cooperates with the vertical guide column (141), the guide motor (143) is fixedly arranged at the top or bottom of the vertical guide column (141), the power output shaft of the guide motor (143) is fixedly connected to the end of the guide screw (142), one end of the guide nut connecting plate (144) is sleeved on the guide screw (142) by means of threaded cooperation and slidably cooperates with the inner side wall of the vertical guide groove (145) in the vertical direction, and the other end of the guide nut connecting plate (144) is fixedly connected to the rear side of the vertical base plate (21).

10. The automatic stethoscope and sputum removal machine according to claim 9, characterized in that: The device further comprises a controller, wherein a pressure sensor (18) is arranged on the inner side of the pressing plate (1014), on the outer wall of the stethoscope (10) and on the inner side of the shoulder clamp (95), and a position sensor (17) is arranged on the inner side of the shoulder clamp (95) and on the inner side of the pressing plate (1014). Signals collected by the pressure sensor (18) and the position sensor (17) are input into the controller, and the controller controls the sputum discharger (1), the treatment head (12), the positioning cylinder (1011), the positioning motor IV (1012), the pressing cylinder (1013), the horizontal telescopic cylinder ( 51), rotating motor II (52), two-stage telescopic cylinder (53), front lung auscultation drive cylinder (54), side lung auscultation drive cylinder (56), rear lung auscultation drive cylinder I (58), motor VIII (78), rear lung auscultation drive cylinder II (59), treatment head drive cylinder (75), motor III (77), guide motor V (143), horizontal drive cylinder (91), rotating motor I (92), vertical lifting cylinder (93), front and rear horizontal moving cylinder (94), motor VI (152), motor VII (156) and backrest drive cylinder (162).

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