Thoracoscopic postoperative rehabilitation device

Abstract

The invention belongs to the technical field of thoracoscope postoperative nursing, and particularly relates to a thoracoscope postoperative rehabilitation device. Comprising a bottom frame, wheels are arranged at the bottom of the bottom frame, a bed board assembly is arranged on the upper end face of the bottom frame, a driving mechanism is arranged between the bed board assembly and the bottom frame to achieve folding and unfolding of the bed board assembly, and a breathing training device is arranged on the bed board assembly. According to the device, various exercises can be achieved, and the first exercise mode is positive sitting position breathing training; the initial state of the rehabilitation device after the thoracoscopic surgery is a positive sitting position. And the second exercise mode is flat lying position breathing training. The third exercise mode comprises reciprocating breathing training and expiration training, and in the reciprocating process, inspiration-expiration training is completed. In the process, a first exercise mode and a second exercise mode are combined. The fourth exercise mode is standing position training.

Description

Technical Field

[0001] The present invention belongs to the technical field of postoperative care for thoracoscopy, and particularly relates to a rehabilitation device after thoracoscopic surgery. Background Art

[0002] Thoracoscopic surgery (video-assisted thoracoscopic surgery) is a new minimally invasive thoracic surgery technology that uses modern video technology and high-tech surgical instruments to complete complex intrathoracic surgeries through chest wall trocars or small incisions.

[0003] Thoracoscopic surgery is a representative surgery in minimally invasive thoracic surgery. Its clinical application has changed the treatment concept of some thoracic surgical diseases. In particular, there have been great advancements in redefining the surgical indications, contraindications, and surgical approaches for certain diseases. In many advanced medical centers at home and abroad, it has accounted for one-third or even more than half of the total number of thoracic surgeries. The application ratio and scope also reflect the technical level of the thoracic surgery department in a hospital to a certain extent.

[0004] Thoracoscopic surgery has less trauma: Conventional open-chest surgery has a large trauma, with an incision of more than 20 cm, serious damage to the chest wall, cutting through various chest wall muscles, and forcibly spreading the intercostal space by 10 - 20 cm. Postoperative pain has always been difficult to solve. While thoracoscopic surgery generally only requires making 3 small incisions of 1.5 cm in length on the chest wall to complete the surgery, and there is no need to spread the intercostal space, greatly reducing the surgical trauma. Patients can get out of bed and move on the day after thoracoscopic surgery. Less postoperative pain: Due to the large trauma of the chest wall in conventional open-chest surgery and the forced spreading of the intercostal space during the operation, postoperative pain is obvious, and chest pain can last for several months to several years. Most patients have limited activity after the operation. Thoracoscopic surgery causes significantly less pain to patients after the operation because there is no need to spread the intercostal space. Patients can get out of bed and move on the day of the operation and can resume normal work 2 - 4 weeks after the operation. Less impact on lung function: Thoracoscopic surgery does not cut the chest wall muscles and does not spread the ribs. Compared with conventional open-chest surgery, it largely preserves the integrity of the chest wall and the patient's respiratory function. Therefore, the postoperative lung function and activity ability of patients are better than those of patients who have undergone conventional open-chest surgery. Less impact on immune function: Surgery will reduce the body's immune function to varying degrees, and the greater the surgical trauma, the greater the impact on the immune function. Thoracoscopic surgery significantly reduces surgical trauma compared with traditional open-chest surgery, and the impact on immune function is greatly reduced.

[0005] It generally takes about 15 - 30 days to recover to normal after thoracoscopic surgery. During the recovery period, through appropriate rehabilitation exercises, the recovery process can be accelerated, which is beneficial to the patient's recovery and improves the recovery effect. However, the existing post-thoracoscopic surgery recovery mainly focuses on timely draining tissue fluid to relieve the patient's pain. There is also a patent with the publication number 《CN 117137715 A》 named "A detachable pain relief device after thoracoscopic surgery". By setting a thermoelectric cooler, after the thermoelectric cooler is powered on, the skin temperature is transmitted to the cold end of the thermoelectric cooler through a buffer gasket, and the thermoelectric cooler absorbs heat to reduce the temperature at the wound, achieving the effect of relieving the patient's pain. All these methods achieve the patient's recovery by reducing the patient's pain. However, this way of recovery mainly relieves pain and is not ideal for the recovery of physical functions. Summary of the Invention

[0006] The purpose of the present invention is to provide a rehabilitation device after thoracoscopic surgery, which can overcome the deficiencies of the above-mentioned existing technologies. The device of the present invention can achieve various exercises. Exercise method 1: Orthostatic breathing training. The initial state of the rehabilitation device after thoracoscopic surgery is orthostatic. Exercise method 2: Supine breathing training. For patients who have just had surgery, start the telescopic electric cylinder, so that the telescopic electric cylinder contracts. The end of the telescopic electric cylinder pulls the connecting rod downward, and then pulls the backboard to rotate downward around the rotating shaft, so that the backboard is horizontally set, and then the patient can perform supine breathing training. Exercise method 3: Breathing training. Inhalation training: Fix the breathing training device on the armrest. The patient inhales and squeezes the airbag. The airbag makes the piston move upward, and then makes the training balloon inflate and expand. Finally, fix the piston with a spring hook. Exhalation training: Then, the patient blows air into the built-in balloon, making the built-in balloon expand, pushing the moving plate to the left, and then making the ejector rod push the spring hook, so that the piston loses restraint, the training balloon resets, and the piston is pressed back again. In the reciprocating process, inhalation-exhalation training is completed. In this process, it is combined with exercise method 1 and exercise method 2. Exercise method 4: Standing position training. On the basis of supine breathing training, start the straight rod type telescopic electric cylinder to directly lift the backboard, making the whole device stand upright, playing a role in limiting and protecting the patient. The patient's fingers move up the wall on the side to achieve post-thoracoscopic surgery rehabilitation training.

[0007] In order to achieve the above technical effects, the technical solutions adopted by the present invention are as follows: A rehabilitation device after thoracoscopic surgery, including a chassis. Wheels are provided at the bottom of the chassis. A bed board assembly is provided on the upper end surface of the chassis. A driving mechanism is provided between the bed board assembly and the chassis to realize the folding and unfolding of the bed board assembly. A breathing training device is provided on the bed board assembly.

[0008] Preferably, the bed board assembly includes a seat cushion strip board, a back board, and armrests. An articulated seat is fixedly provided on the upper end surface of the front part of the chassis. One end of the seat cushion strip board is rotatably arranged on the articulated seat, and the other end is rotatably connected to the back board through a rotating shaft. Mounting plates are provided on the seat cushion strip board and the back board, and cushions are provided on the mounting plates.

[0009] Preferably, a clamping piece is provided on the upper side surface of the chassis. A hemispherical clamping hole is opened on the inner side surface of the clamping piece, and a clamping protrusion cooperating with the clamping hole is provided on the seat cushion strip board.

[0010] Preferably, the driving mechanism includes a link type telescopic electric cylinder and a straight rod type telescopic electric cylinder; The link type telescopic electric cylinder includes two telescopic electric cylinders and a link. One end of the telescopic electric cylinder is articulated to the chassis, and the other end is rotatably connected to the link. The other end of the link is fixedly connected to the back board; One end of the straight rod type telescopic electric cylinder is articulated to the chassis, and the other end is articulated to the mounting plate connected to the seat cushion strip board.

[0011] Preferably, the breathing training device includes an inhalation training mechanism and an exhalation training component communicated with the inhalation training component. A training balloon is communicated with the upper end of the inhalation training component; The inhalation training mechanism includes an airbag component and a piston cylinder component communicated with the airbag component.

[0012] Preferably, the airbag component includes a vertical plate and an airbag connected to the vertical plate through penetration. A cavity is opened in the center of the vertical plate. An airbag is bonded to the side wall of the vertical plate. A plurality of through holes are also opened on the side wall of the vertical plate to connect the cavity with the airbag.

[0013] Preferably, the piston cylinder component includes a piston cylinder and a piston arranged in the piston cylinder. The piston cylinder is fixedly connected to the vertical plate, and the cavity is communicated with the piston cylinder. The piston is in a "work" - shaped structure. A fixed block is arranged at the upper end of the inner cavity of the piston cylinder, and a spring hook is arranged at the lower end of the fixed block. A hole cooperating with the spring hook is opened in the upper part structure of the piston.

[0014] Preferably, the exhalation training component includes an exhalation cylinder, an internal balloon, and a moving plate. The exhalation cylinder is fixedly arranged on the upper side surface of the piston cylinder and has a channel opened in the middle. A one - way valve is arranged in the channel. A blocking ball is arranged in the exhalation cylinder. The internal balloon is located on one side of the blocking ball, and its air inlet protrudes out of the exhalation cylinder. The moving plate is located on the other side of the blocking ball, and a top rod is arranged at the center. The fixed rod can slide through the channel to push the spring hook.

[0015] Compared with the prior art, the beneficial effects of the present invention are: The device of the present invention can achieve various exercises. Exercise method 1: Orthostatic breathing training. The initial state of the rehabilitation device after thoracoscopic surgery is the orthostatic position. Exercise method 2: Supine breathing training. For patients who have just undergone surgery, start the telescopic electric cylinder, so that the telescopic electric cylinder contracts, and the end of the telescopic electric cylinder pulls the connecting rod downward, thereby pulling the backboard to rotate downward around the rotating shaft, so that the backboard is horizontally arranged, and then the patient can perform supine breathing training. Exercise method 3: Breathing training. Inhalation training: Fix the breathing training device 4 on the armrest. The patient inhales and squeezes the airbag, and the airbag makes the piston move upward, thereby inflating and expanding the training balloon. Finally, fix the piston through the spring hook. Exhalation training: Then, the patient blows air into the built-in balloon, making the built-in balloon expand, pushing the moving plate to the left, and then making the ejector rod push the spring hook, so that the piston loses restraint, the training balloon resets, and the piston is pressed back again. In the reciprocating process, inhalation-exhalation training is completed. In this process, it is combined with exercise method 1 and exercise method 2. Exercise method 4: Standing position training. On the basis of supine breathing training, start the straight rod type telescopic electric cylinder, directly lift the backboard, make the whole device stand upright, play a role in limiting and protecting the patient, and the patient's fingers move up from bottom to top on the side wall to achieve postoperative rehabilitation training after thoracoscopy. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] The drawings are used to provide a further understanding of the present invention, and constitute a part of the specification. Together with the embodiments of the present invention, they are used to explain the present invention, and do not constitute a limitation to the present invention.

[0017] In the drawings: Figure 1 is a schematic structural diagram of the rehabilitation device after thoracoscopic surgery of the present invention; Figure 2 is a schematic structural diagram of the present invention without a breathing training device; Figure 3 is Figure 2 an enlarged view of part A in Figure 4 is a cross-sectional view of the breathing training device; Figure 5 is Figure 4 an enlarged view of part B in Figure 6 is a cross-sectional view of the clamping piece and the seat cushion strip; Among them, 1. chassis, 2. bed board assembly, 21. cushion strip board, 211. clamping protrusion, 22. rotating shaft, 23. back board, 24. hinge seat, 25. mounting plate, 26. clamping piece, 261. clamping hole, 27. cushion, 3. driving mechanism, 31. telescopic electric cylinder, 32. connecting rod, 33. straight rod type telescopic electric cylinder, 4. breathing training device, 41. airbag assembly, 411. vertical board, 412. cavity, 413. through hole, 414. airbag, 42. piston cylinder assembly, 421. piston cylinder, 422. piston, 4221. hole, 423. fixed block, 424. spring hook, 43. exhalation training assembly, 431. exhalation cylinder, 432. blocking ball, 433. built-in balloon, 434. moving plate, 435. ejector rod, 436. channel, 5. wheel. Detailed implementation manners

[0018] In order to enable those of ordinary skill in the art to better understand the technical solutions of the present invention, the technical solutions of the present invention will be further described below with reference to the drawings and embodiments.

[0019] In the description of the present invention, it should be understood that the orientation or positional relationship indicated by the terms "upper", "lower", "front", "rear", "left", "right", "front end", "rear end", "inner side", "outer side", etc. is based on the orientation or positional relationship shown in the drawings, and is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation of the present invention.

[0020] In the description of the present application, it should also be noted that, unless otherwise clearly defined and limited, the terms "set", "installed", "connected", and "connected" should be understood in a broad sense. For example, it may be a fixed connection, a detachable connection, or an integral connection; it may be directly connected, or indirectly connected through an intermediate medium, and may be the communication inside two elements. For those of ordinary skill in the art, the specific meanings of the above terms in the present application can be understood according to specific situations.

[0021] The following describes the preferred embodiments of the present invention with reference to the drawings. It should be understood that the preferred embodiments described herein are only used to illustrate and explain the present invention, and are not used to limit the present invention. Embodiment

[0022] Referring to the attached Figures 1-6 , a rehabilitation device after thoracoscopic surgery, comprising a chassis 1, wheels 5 are arranged at the bottom of the chassis 1, a bed board assembly 2 is arranged on the upper end surface of the chassis 1, a driving mechanism 3 is arranged between the bed board assembly 2 and the chassis 1 to realize the folding and unfolding of the bed board assembly 2, and a breathing training device 4 is arranged on the bed board assembly 2.

[0023] The bed board assembly 2 includes a seat cushion strip board 21, a back board 23 and an armrest 28. An articulated seat 24 is fixedly arranged on the upper end surface of the front part of the chassis 1. One end of the seat cushion strip board 21 is rotatably arranged on the articulated seat 24, and the other end is rotatably connected to the back board 23 through a rotating shaft 22. Mounting plates 25 are arranged on the seat cushion strip board 21 and the back board 23, and cushions 27 are arranged on the mounting plates 25.

[0024] A clamping piece 26 is arranged on the upper side surface of the chassis 1. A hemispherical clamping hole 261 is opened on the inner side surface of the clamping piece 26, and a clamping protrusion 211 cooperating with the clamping hole 261 is arranged on the seat cushion strip board 21.

[0025] The driving mechanism 3 includes a link type telescopic electric cylinder and a straight rod type telescopic electric cylinder 33; The link type telescopic electric cylinder includes two telescopic electric cylinders 31 and a link 32. One end of the telescopic electric cylinder 31 is articulated to the chassis 1, the other end is rotatably connected to the link 32, and the other end of the link 32 is fixedly connected to the back board 23; One end of the straight rod type telescopic electric cylinder 33 is articulated to the chassis 1, and the other end is articulated to the mounting plate 25 connected to the seat cushion strip board 21.

[0026] The breathing training device 4 includes an inhalation training mechanism and an exhalation training component 43 communicated with the inhalation training component. A training balloon 44 is communicated with the upper end of the inhalation training component; The inhalation training mechanism includes an airbag component 41 and a piston cylinder component 42 communicated with the airbag component 41.

[0027] The airbag component 41 includes a vertical plate 411 and an airbag 414 connected through the vertical plate 411. A cavity 411 is opened at the center of the vertical plate 411. The airbag 414 is adhered to the side wall of the vertical plate 411. A plurality of through holes 413 are also opened on the side wall of the vertical plate 411 to communicate the cavity 411 with the airbag 414.

[0028] The piston cylinder component 42 includes a piston cylinder 421 and a piston 422 arranged in the piston cylinder 421. The piston cylinder 421 is fixedly connected to the vertical plate 411, and the cavity 411 is communicated with the piston cylinder 421. The piston 422 is of an "I" - shaped structure. A fixed block 423 is arranged at the upper end of the inner cavity of the piston cylinder 421, a spring hook 424 is arranged at the lower end of the fixed block 423, and a hole 4221 cooperating with the spring hook 424 is opened on the upper part structure of the piston 422.

[0029] The exhalation training component 43 includes an exhalation cylinder 431, a built-in balloon 433, and a moving plate 434. The exhalation cylinder 431 is fixedly arranged on the upper side of the piston cylinder 421, with a channel 436 formed in the middle. A one-way valve 4361 is arranged in the channel. A blocking ball 432 is arranged in the exhalation cylinder 431. The built-in balloon 433 is located on one side of the blocking ball 432, and its air inlet protrudes from the exhalation cylinder 431. The moving plate 434 is located on the other side of the blocking ball 432, and a push rod 435 is arranged at the center. The push rod 435 can slide through the channel 436 to push the spring hook 424.

[0030] Application examples: When a patient has a lung disease, thoracoscopic surgery can be adopted for the treatment of lung diseases such as lung cancer, lung abscess, and pulmonary tuberculosis. Through thoracoscopic surgery, doctors can remove lung tissue or perform other treatment operations through smaller incisions.

[0031] When suffering from mediastinal diseases, thoracoscopic surgery can also be used. The mediastinum is an anatomical structure located in the center of the chest cavity. Common mediastinal diseases include mediastinal tumors, enlarged mediastinal lymph nodes, etc. The use of thoracoscopic technology can reduce the impact of surgery on the surrounding structures of the mediastinum, and at the same time, the pain and recovery time of patients after surgery are shorter.

[0032] In addition, thoracoscopic surgery can also be used to treat esophageal diseases. For the diagnosis and treatment of esophageal diseases, thoracoscopic technology can also be adopted. For example, the surgical treatment of diseases such as esophageal cancer and hiatal hernia can be carried out through thoracoscopy.

[0033] After thoracoscopic surgery, in order to recover better and faster, the thoracoscopic surgery rehabilitation device of the present application is used for rehabilitation exercises.

[0034] First, move the thoracoscopic surgery rehabilitation device to a suitable position and start the exercise.

[0035] Exercise method 1: Orthostatic breathing training.

[0036] The initial state of the thoracoscopic surgery rehabilitation device is orthostatic.

[0037] Exercise method 2: Supine breathing training.

[0038] For patients who have just had surgery, start the telescopic electric cylinder 31 to make the telescopic electric cylinder 31 contract. The end of the telescopic electric cylinder 31 pulls the connecting rod 32 downward, and then pulls the back plate 23 to rotate downward around the rotating shaft 22, so that the back plate 23 is horizontally arranged, and then the patient can perform supine breathing training.

[0039] Exercise method 3: Breathing training.

[0040] Inspiratory training: The breathing training device 4 is fixedly arranged on the armrest 28. When the patient inhales, the airbag 414 is squeezed, and the airbag 414 causes the piston 422 to move upward, thereby causing the training balloon 44 to inflate and expand. Finally, the piston 422 is fixed by the spring hook 424.

[0041] Exhalation training: Next, the patient blows air into the built-in balloon 433, causing the built-in balloon 433 to expand, pushing the moving plate 434 to the left, and then causing the ejector rod 435 to push the spring hook 424, so that the piston 422 loses its restraint, the training balloon 44 resets, and the piston 422 is pushed back again.

[0042] During the reciprocating process, the inhalation-exhalation training is completed.

[0043] During this process, it is combined with exercise method one and exercise method two.

[0044] Exercise method four: Standing position training.

[0045] On the basis of the breathing training in the lying position, the straight rod type telescopic electric cylinder 33 is started to directly lift the back plate 23, making the whole device stand upright, playing a role in limiting and protecting the patient. The patient's fingers move up from bottom to top on the side wall to achieve the postoperative rehabilitation training of thoracoscopy.

[0046] The above shows and describes the basic principles, main features and advantages of the present invention. Those skilled in the art should understand that the present invention is not limited by the above embodiments. What is described in the above embodiments and the specification only illustrates the principles of the present invention. Without departing from the spirit and scope of the present invention, the present invention will have various changes and improvements, and these changes and improvements all fall within the scope of the present invention claimed. The scope of protection claimed by the present invention is defined by the appended claims and their equivalents.

Claims

1. A post-thoracoscopic surgery rehabilitation device, comprising a base frame (1), characterized in that: The bottom of the base frame (1) is provided with wheels (5), the upper end surface of the base frame (1) is provided with a bed board assembly (2), a driving mechanism (3) is provided between the bed board assembly (2) and the base frame (1) to achieve folding and unfolding of the bed board assembly (2), and a breathing training device (4) is provided on the bed board assembly (2).

2. A post-thoracoscopic surgery rehabilitation device according to claim 1, characterized in that: The bed board assembly (2) comprises a seat cushion strip (21), a backboard (23) and an armrest (28); a hinge seat (24) is fixedly provided on the upper end surface of the front portion of the base frame (1); one end of the seat cushion strip (21) is rotatably provided on the hinge seat (24), and the other end is rotatably connected to the backboard (23) via a rotating shaft (22); a mounting plate (25) is provided on the seat cushion strip (21) and the backboard (23); and a cushion (27) is provided on the mounting plate (25).

3. A post-thoracoscopic surgery rehabilitation device according to claim 2, characterized in that: A clamping piece (26) is provided on the upper side surface of the base frame (1), a hemispherical clamping hole (261) is provided on the inner side surface of the clamping piece (26), and a clamping protrusion (211) cooperating with the clamping hole (261) is provided on the cushion strip (21).

4. A post-thoracoscopic surgery rehabilitation device according to claim 3, characterized in that: The driving mechanism (3) comprises a connecting rod type telescopic electric cylinder and a straight rod type telescopic electric cylinder (33); The connecting rod type telescopic electric cylinder comprises two telescopic electric cylinders (31) and a connecting rod (32); one end of the telescopic electric cylinder (31) is hinged on the base frame (1), and the other end is rotatably connected to the connecting rod (32); the other end of the connecting rod (32) is fixedly connected to the back plate (23); One end of the straight rod type telescopic electric cylinder (33) is hinged to the base frame (1), and the other end is hinged to the mounting plate (25) connected to the cushion strip (21).

5. The post-thoracoscopic surgery rehabilitation device according to claim 4, characterized in that: The breathing training device (4) comprises an inhalation training mechanism and an exhalation training component (43) connected to the inhalation training component, and the upper end of the inhalation training component is connected to a training balloon (44); The inhalation training mechanism comprises an air bag assembly (41) and a piston cylinder assembly (42) connected to the air bag assembly (41).

6. A post-thoracoscopic surgery rehabilitation device according to claim 5, characterized in that: The airbag assembly (41) comprises a vertical plate (411) and an airbag (414) connected to the vertical plate (411); a cavity (412) is provided at the center of the vertical plate (411); the airbag (414) is bonded to the side wall of the vertical plate (411); and a plurality of through holes (413) are provided on the side wall of the vertical plate (411) to connect the cavity (412) and the airbag (414).

7. The post-thoracoscopic surgery rehabilitation device according to claim 6, characterized in that: The piston cylinder assembly (42) comprises a piston cylinder (421) and a piston (422) disposed in the piston cylinder (421); the piston cylinder (421) is fixedly connected to the vertical plate (411), and the cavity (411) is communicated with the piston cylinder (421); the piston (422) is an "I"-shaped structure; a fixing block (423) is disposed at the upper end of the inner cavity of the piston cylinder (421); a spring hook (424) is disposed at the lower end of the fixing block (423); and a hole (4221) that cooperates with the spring hook (424) is provided on the upper structure of the piston (422).

8. The post-thoracoscopic surgery rehabilitation device according to claim 7, characterized in that: The exhalation training component (43) comprises an exhalation cylinder (431), a built-in balloon (433) and a movable plate (434). The exhalation cylinder (431) is fixedly arranged on the upper side of the piston cylinder (421), and a channel (436) is opened in the middle. A one-way valve (4361) is arranged in the channel. A blocking ball (432) is arranged in the exhalation cylinder (431). The built-in balloon (433) is located on one side of the blocking ball (432), and the air inlet protrudes from the exhalation cylinder (431). The movable plate (434) is located on the other side of the blocking ball (432), and a push rod (435) is arranged in the center. The fixed rod (435) can slide through the channel (436) to push the spring hook (424).

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