Restraint device for dysphoria patient

By designing a restraint device including a servo stepper motor driving arc-shaped bent rod and a U-shaped bracket, the problem of joint movement of restless patients in the existing restraint device is solved, and effective restraint and safety protection for restless patients is achieved .

CN119499054APending Publication Date: 2025-02-25THE SECOND AFFILIATED HOSPITAL ARMY MEDICAL UNIV
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Patent Information

Application Number
CN202411461513.2
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-10-18
Publication Date
2025-02-25

AI Technical Summary

Technical Problem

When the agitation patient is bound by the existing restraint device, there is still a loose amount of movement in the joint position, and there is space for self-injury, injury, and extubation.

Method used

A restraint device is designed, including a restraint bed structure, limb ankle wrist restriction and limb joint restriction. The limb ankle wrist restriction parts realize automatic locking and controllable environmental protection of the patient's ankle wrist through arc-shaped bent rods and gear mechanisms driven by servo stepper motor. Limb joint restriction pieces limit the patient's joint bending through a U-shaped bracket and canvas tie.

Benefits of technology

It effectively limits the limb movement of agitated patients, avoids the occurrence of adverse events such as self-injury, injury, and extubation, and reduces the patient's discomfort and psychological pressure.

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Abstract

The invention discloses a restraint device for a dysphoria patient, relates to the technical field of restraint equipment, and provides the following scheme that the restraint device comprises a restraint sickbed structure, and four limb ankle and wrist limiting pieces are arranged at the four corners of the top surface of the restraint sickbed structure; four limb joint limiting pieces located on the front sides of the limb ankle and wrist limiting pieces are arranged at the four corners of the top surface of the restraint sickbed structure. According to the technical scheme, the four limb ankle and wrist limiting pieces are arranged on the restraint sickbed, the ankle and wrist portions of the four limbs of a dysphoria patient are restrained, automatic locking can be achieved through the band-type brake function of servo stepping motors in the limb ankle and wrist limiting pieces, the environment protection degree of the limb ankle and wrist limiting pieces to the ankle and wrist is controllable, and the restraint sickbed is convenient to use. And limbs with different thicknesses can be used. And the limb joint limiting piece can limit the joint bending of the patient, so that the situation that the joint position of the patient still has movement clearance is avoided.
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Description

Technical Field

[0001] The present invention relates to the technical field of restraint equipment, and in particular to a restraint device for a restless patient. Background Art

[0002] In the intensive care unit, awake agitated patients are a special and challenging group. Such patients may show agitated behavior due to various reasons (such as pain, anxiety, drug side effects, environmental stimulation, etc.), which not only affects the patient's comfort and treatment effect, but also may lead to adverse events such as unplanned extubation, falls, self-injury, etc. Although traditional restraint measures can prevent patients from engaging in dangerous behaviors to a certain extent, they may also bring problems such as discomfort, psychological pressure and damaged dignity to patients. In addition, the inventors found that when agitated patients are restrained by existing restraint devices, there is still room for activity in the patient's joints, and there is room for self-injury, injury to others, and extubation. Therefore, those skilled in the art hereby propose a technical solution for a restraint device for agitated patients. Summary of the invention

[0003] In view of the above background technology, when an agitated patient is restrained by an existing restraint device, there is still room for movement in the patient's joints, leaving room for self-injury, injury to others, and extubation. Therefore, a technical solution for a restraint device for an agitated patient is provided.

[0004] It includes a restraint bed structure, wherein four limb ankle and wrist restraints are arranged at the four corners of the top surface of the restraint bed structure, and four limb joint restraints are arranged at the four corners of the top surface of the restraint bed structure and located in front of the limb ankle and wrist restraints;

[0005] The restraint bed structure includes a steel bed frame, a steel bed board fixed on the upper surface of the steel bed frame, and a sponge mattress laid on the upper surface of the steel bed board, and four universal rollers are connected to the four corners of the bottom of the steel bed frame by screw locking;

[0006] The limb ankle and wrist restraint comprises a rear side plate located at the rear side and a front side plate located at the front side, and the side of the rear side plate and the front side plate close to each other is rotatably connected to two half-circle gears arranged in a left-right mirror symmetry, and an arc-shaped curved rod is fixed on the outer surface of each half-circle gear; a servo stepper motor is installed on the rear side surface of the rear side plate, and the output shaft of the servo stepper motor passes through the rear side plate and is connected to a driving gear, and a driven gear meshed with the driving gear is rotatably connected to the front side surface of the rear side plate, and the front end face of the driven gear is fixedly connected to the rear side surface of the half-circle gear on the left side; specifically, the two ankles and wrists of the agitated patient are respectively placed between the four groups of arc-shaped curved rods, and the driving gear is driven to rotate by the servo stepper motor, so that the driven gear is pulled to rotate by the driving gear, and the driven gear drives the half-circle gear on the left side to rotate, and because the two half-circle gears are meshed and bitten with each other, the arc-shaped curved rods can be gathered together or moved away from each other, and the ankles or wrists are clamped and restricted when the arc-shaped curved rods gather together. Based on the pressure sensor installed inside the arc-shaped bending rod, the servo stepper motor stops working and brakes when the inner side of the arc-shaped bending rod touches the ankle and wrist.

[0007] The limb joint restraint comprises two U-shaped brackets hinged to each other, 3-5 canvas binding straps are fixed on the outer ring surface of the U-shaped brackets, a spline shaft meshing with each other is fixed on the ends of the U-shaped brackets close to each other, a limit plate is provided on the left and right sides of the spline shaft, and a pin passing through the spline shaft is penetrated inside the limit plate. Specifically, before the patient's ankle and wrist are placed inside the limb ankle and wrist restraint, the elbow joint and knee joint are placed in the space between the two U-shaped brackets, and after tying and tightening the canvas binding straps, the limit pin is inserted from the pin hole into the spline shafts. Since the end of the limit pin is stuck in the meshing point between the spline shafts, the spline shafts cannot rotate with each other at this time, and the knee joint and elbow joint can be restricted by the U-shaped bracket and the canvas binding straps.

[0008] In the above-mentioned technical solution of a restraint device for a restless patient, preferably: two groups of support groove steel plates are welded on the left and right side surfaces of the steel bed board, a support rod is welded on the top surface of the support groove steel plate, and the ends of the support rod are fixedly connected to the top surfaces of the rear side plate and the front side plate.

[0009] In the above-mentioned technical solution of the restraint device for a restless patient, preferably: the rear side plate and the front side plate are welded in two pieces, and there is a gap of 3.0cm-5.0cm between the rear side plate and the front side plate for the arc-shaped bending rod to rotate in the gap.

[0010] In the above-mentioned technical solution of the restraint device for a restless patient, preferably: the outer shell surface of the servo stepper motor is fixed on the rear surface of the rear side plate, a through hole for the output shaft of the servo stepper motor to pass through is opened inside the rear side plate, and a bearing adapted to the output shaft of the servo stepper motor is arranged inside the through hole.

[0011] In the above-mentioned technical solution of a restraint device for a restless patient, preferably: a layer of silicone pad is adhered and fixed to the surface of one side of the arc-shaped curved rod that is close to each other by adhesive, and the inner surface of the arc-shaped curved rod has a concave surface protruding outward for fitting the ankle and wrist of the human body.

[0012] In the above-mentioned technical solution of the restraint device for a restless patient, preferably: the four limb, ankle and wrist restraints are all arranged in left-right mirror symmetry with the central axis of the steel bed board as the base point, the positions of the two limb, ankle and wrist restraints on the left side correspond to the positions of the ankle and wrist on the left side of the human body, and the positions of the two limb, ankle and wrist restraints on the right side correspond to the positions of the ankle and wrist on the right side of the human body.

[0013] In the above-mentioned technical solution of the restraint device for a restless patient, preferably: a layer of Velcro is adhered and fixed to the outer surface and the inner surface of the canvas binding belt, and the ends of the canvas binding belt pass through the inside of the U-shaped bracket respectively.

[0014] In the above-mentioned technical solution of a restraint device for a restless patient, preferably: the hinge points where the U-shaped brackets are close to each other are located at the node position of the knee joint or the elbow joint, and the side surfaces where the limit plates are close to each other are in contact with the left and right side surfaces of the spline shaft.

[0015] In the above technical solution of the restraint device for a restless patient, preferably: a circular hole for the nail pin to pass through is provided inside the limit plate and inside the spline shaft.

[0016] In the above technical solution of the restraint device for a restless patient, preferably: a limit pin is passed through the inner central position of the limit plate, and the end of the limit pin is inserted into the meshing point between the spline shafts.

[0017] It can be seen from the above technical solution that the present invention provides a restraint device for a restless patient. Compared with the prior art, the present invention has the following beneficial effects:

[0018] In the technical solution of the present invention, four limb ankle and wrist restraints are arranged on the restraint bed to restrain the limb ankle and wrist parts of the agitated patient, and the brake function of the servo stepper motor inside the limb ankle and wrist restraint can be used to achieve automatic locking, and the degree of environmental protection of the ankle and wrist by the limb ankle and wrist restraint is controllable, and different limbs can be used. Moreover, the limb joint restraint can limit the patient's joint bending to avoid the patient's joint position still having a range of motion. BRIEF DESCRIPTION OF THE DRAWINGS

[0019] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the following briefly introduces and describes the drawings required for use in the embodiments of the present invention or the description of the prior art. Obviously, the drawings described below are only some embodiments of the present invention, and for ordinary technicians in this field, other drawings can be obtained based on these drawings without creative work.

[0020] Figure 1 Schematic diagram of the overall structure of the restraint bed for agitated patients;

[0021] Figure 2 It is a schematic diagram of the structure of the restrained bed;

[0022] Figure 3 is a schematic diagram of a limb ankle-wrist restraint;

[0023] Figure 4 is a schematic diagram of a limb joint restriction;

[0024] Figure 5 For attachment Figure 4 Schematic diagram of the enlarged area A in FIG.

[0025] Attached Figure 1 -Attached Figure 5 The corresponding relationship of the parts is as follows:

[0026] 1. Restraint bed structure; 11. Steel bed frame; 12. Steel bed board; 13. Sponge mattress; 14. Universal roller; 15. Support groove steel plate; 2. Limb ankle and wrist restraints; 21. Rear side plate; 22. Servo stepper motor; 23. Driving gear; 24. Driven gear; 25. Half circle gear; 26. Front side plate; 27. Arc-shaped bent rod; 3. Limb joint restraints; 31. U-shaped bracket; 32. Canvas binding belt; 33. Spline shaft; 34. Limit plate; 35. Limit pin; 36. Pin hole. DETAILED DESCRIPTION

[0027] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the embodiments described below are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative work are within the scope of protection of the present invention.

[0028] In order to provide a clearer explanation and description of the technical solution and implementation of the present invention, several preferred specific embodiments for implementing the technical solution of the present invention are introduced below.

[0029] Embodiment: A preferred technical solution for a restraint device for a restless patient:

[0030] Refer to the instruction manual Figure 1 As shown: it includes a restraint bed structure 1, four limb ankle and wrist restraints 2 are arranged at the four corners of the top surface of the restraint bed structure 1, and four limb joint restraints 3 located in front of the limb ankle and wrist restraints 2 are arranged at the four corners of the top surface of the restraint bed structure 1;

[0031] Refer to the instruction manual Figure 2 As shown: the restraint bed structure 1 includes a steel bed frame 11, a steel bed board 12 fixed on the upper surface of the steel bed frame 11, and a sponge mattress 13 laid on the upper surface of the steel bed board 12, and four universal rollers 14 are connected to the four corners of the bottom of the steel bed frame 11 by screw locking;

[0032] Refer to the instruction manual Figure 3 As shown: the limb ankle and wrist restraint 2 includes a rear side plate 21 located at the rear side and a front side plate 26 located at the front side, and the side of the rear side plate 21 and the front side plate 26 close to each other is rotatably connected to two half-circle gears 25 arranged in a left-right mirror symmetric manner, and an arc-shaped curved rod 27 is fixed on the outer surface of each half-circle gear 25;

[0033] Refer to the instruction manual Figure 3 As shown: a servo stepper motor 22 is installed on the rear surface of the rear side plate 21, the output shaft of the servo stepper motor 22 penetrates the rear side plate 21 and is connected to a driving gear 23, a driven gear 24 meshing with the driving gear 23 is rotatably connected to the front surface of the rear side plate 21, and the front end surface of the driven gear 24 is fixedly connected to the rear surface of the left half-circle gear 25;

[0034] Refer to the instruction manual Figure 5As shown: the limb joint limiter 3 includes two U-shaped brackets 31 hinged to each other, 3-5 canvas binding straps 32 are fixed on the outer ring surface of the U-shaped bracket 31, and a spline shaft 33 meshing with each other is fixed on one end of the U-shaped bracket 31 close to each other. A limit plate 34 is provided on the left and right sides of the spline shaft 33, and a nail pin passing through the spline shaft 33 is penetrated inside the limit plate 34.

[0035] Refer to the instruction manual Figure 3 As shown: two support groove steel plates 15 are welded to the left and right side surfaces of the steel bed board 12, and a support rod is welded to the top surface of the support groove steel plate 15, and the ends of the support rod are fixedly connected to the top surfaces of the rear side plate 21 and the front side plate 26. Two pieces 28 are welded between the rear side plate 21 and the front side plate 26, and there is a gap of 3.0cm-5.0cm between the rear side plate 21 and the front side plate 26 for the arc-shaped bending rod 27 to rotate in the gap. The outer shell surface of the servo stepper motor 22 is fixed on the rear side surface of the rear side plate 21, and a through hole is opened inside the rear side plate 21 for the output shaft of the servo stepper motor 22 to pass through, and a bearing adapted to the output shaft of the servo stepper motor 22 is arranged inside the through hole.

[0036] Refer to the instruction manual Figure 3 As shown: a layer of silicone pad is fixed to the surface of the arc-shaped curved rod 27 on one side close to each other by adhesive, and the inner surface of the arc-shaped curved rod 27 has a concave surface protruding outwards, which is used to fit the ankle and wrist of the human body. The four limb ankle and wrist restraints 2 are all arranged in a left-right mirror symmetric manner with the central axis of the steel bed plate 12 as the base point. The positions of the two limb ankle and wrist restraints 2 on the left side correspond to the positions of the ankle and wrist on the left side of the human body, and the positions of the two limb ankle and wrist restraints 2 on the right side correspond to the positions of the ankle and wrist on the right side of the human body.

[0037] Refer to the instruction manual Figure 4 As shown: a layer of Velcro is adhered and fixed to the outer and inner surfaces of the canvas binding belt 32, and the ends of the canvas binding belt 32 pass through the inside of the U-shaped bracket 31 respectively. The hinge points of the U-shaped bracket 31 are located at the node position of the knee joint or the elbow joint, and the side surfaces of the limit plates 34 that are close to each other are in contact with the left and right side surfaces of the spline shaft 33. The inside of the limit plate 34 and the inside of the spline shaft 33 are both provided with round holes for the pins to pass through. A limit pin 35 passes through the central position of the inside of the limit plate 34, and the end of the limit pin 35 is inserted into the meshing point between the spline shafts 33.

[0038] According to the above-mentioned preferred technical solution, the workflow of the technical solution is described as follows:

[0039] The two ankles and wrists of the agitated patient are placed between the four groups of arc-shaped curved rods 27, and the servo stepper motor 22 drives the driving gear 23 to rotate, so that the driving gear 23 pulls the driven gear 24 to rotate, and the driven gear 24 drives the left half-circle gear 25 to rotate. Since the two half-circle gears 25 are meshed with each other, the arc-shaped curved rods 27 can be brought together or away from each other, and the ankles or wrists are clamped and restricted when the arc-shaped curved rods 27 are brought together. On the basis of installing a pressure sensor inside the arc-shaped curved rod 27, the servo stepper motor 22 stops working and brakes when the inner side of the arc-shaped curved rod 27 contacts the ankles and wrists.

[0040] Before the patient's ankle and wrist are placed into the limb ankle-wrist restraint 2, the elbow joint and knee joint are placed in the space between the two U-shaped brackets 31. After tying and tightening the canvas binding strap 32, the limit pin 35 is inserted from the pin hole 36 into the spline shafts 33. Since the end of the limit pin 35 is stuck in the meshing point between the spline shafts 33, the spline shafts 33 cannot rotate relative to each other at this time, and the knee joint and elbow joint can be restricted by the U-shaped bracket 31 and the canvas binding strap 32.

[0041] The present invention is not limited to the above-mentioned optimal implementation mode. Anyone should be aware that any structural changes made under the inspiration of the present invention, and any technical solutions that are the same or similar to the present invention, fall within the protection scope of the present invention. Finally, it should be noted that the structures, proportions, sizes, etc. illustrated in the drawings of this specification are only used to match the contents disclosed in the specification for people familiar with this technology to understand and read, and are not used to limit the restrictive conditions that can be implemented in this application, so they have no technical substantive significance. Any structural modification, change in proportional relationship or adjustment of size, without affecting the effects that can be produced by this application and the purposes that can be achieved, should still fall within the scope that can be covered by the technical content disclosed in this application.

Claims

1. A restraint device for an agitated patient, comprising a restraint bed structure (1), characterized in that: Four limb ankle and wrist restraints (2) are arranged at the four corners of the top surface of the restraint bed structure (1); and four limb joint restraints (3) are arranged at the four corners of the top surface of the restraint bed structure (1) and are located in front of the limb ankle and wrist restraints (2); The restrained bed structure (1) comprises a steel bed frame (11), a steel bed board (12) fixed on the upper surface of the steel bed frame (11), and a sponge mattress (13) laid on the upper surface of the steel bed board (12), and four universal rollers (14) are connected to the four corners of the bottom of the steel bed frame (11) by screw locking; The limb ankle and wrist restraint (2) comprises a rear side plate (21) located at the rear side and a front side plate (26) located at the front side, and two half-circle gears (25) arranged in a left-right mirror symmetric manner are rotatably connected on the side where the rear side plate (21) and the front side plate (26) are close to each other, and an arc-shaped curved rod (27) is fixed on the outer surface of each half-circle gear (25); A servo stepper motor (22) is installed on the rear surface of the rear side plate (21), the output shaft of the servo stepper motor (22) passes through the rear side plate (21) and is connected to a driving gear (23), and a driven gear (24) meshing with the driving gear (23) is rotatably connected to the front surface of the rear side plate (21), and the front end surface of the driven gear (24) is fixedly connected to the rear surface of the half-circle gear (25) on the left side; The limb joint limiting member (3) comprises two U-shaped brackets (31) hinged to each other, 3-5 canvas binding straps (32) are fixed on the outer ring surface of the U-shaped bracket (31), and a spline shaft (33) that meshes with each other is fixed on the ends of the U-shaped brackets (31) that are close to each other, and a limiting plate (34) is provided on the left and right sides of the spline shaft (33), and a pin that passes through the spline shaft (33) is inserted into the interior of the limiting plate (34).

2. A restraint device for an agitated patient according to claim 1, characterized in that: Two support groove steel plates (15) are welded to the left and right side surfaces of the steel bed board (12), and a support rod is welded to the top surface of the support groove steel plate (15), and the ends of the support rod are fixedly connected to the top surfaces of the rear side plate (21) and the front side plate (26).

3. A restraint device for an agitated patient according to claim 1, characterized in that: Two pieces (28) are welded between the rear side plate (21) and the front side plate (26), and a gap of 3.0 cm to 5.0 cm is provided between the rear side plate (21) and the front side plate (26) for the arc-shaped curved rod (27) to rotate in the gap.

4. A restraint device for an agitated patient according to claim 1, characterized in that: The outer shell surface of the servo stepper motor (22) is fixed on the rear surface of the rear side plate (21), and a through hole is provided inside the rear side plate (21) for the output shaft of the servo stepper motor (22) to pass through, and a bearing adapted to the output shaft of the servo stepper motor (22) is provided inside the through hole.

5. A restraint device for an agitated patient according to claim 1, characterized in that: A layer of silicone pad is fixed to the surfaces of the arc-shaped curved rods (27) on one side close to each other by adhesive, and the inner surface of the arc-shaped curved rod (27) has a concave surface protruding outwards, which is used to fit the ankle and wrist of the human body.

6. A restraint device for an agitated patient according to claim 1, characterized in that: The four limb ankle and wrist restraints (2) are all arranged in a left-right mirror-symmetrical manner with the central axis of the steel bed board (12) as a base point, and the positions of the two limb ankle and wrist restraints (2) on the left side correspond to the positions of the ankle and wrist on the left side of the human body, and the positions of the two limb ankle and wrist restraints (2) on the right side correspond to the positions of the ankle and wrist on the right side of the human body.

7. A restraint device for an agitated patient according to claim 1, characterized in that: A layer of Velcro is adhered and fixed to the outer surface and the inner surface of the canvas binding belt (32), and the ends of the canvas binding belt (32) pass through the inside of the U-shaped bracket (31) respectively.

8. A restraint device for an agitated patient according to claim 1, characterized in that: The hinge points of the U-shaped brackets (31) close to each other are located at the node position of the knee joint or the elbow joint, and the surfaces of one side of the limit plates (34) close to each other are in contact with the left and right side surfaces of the spline shaft (33).

9. A restraint device for an agitated patient according to claim 1, characterized in that: The interior of the limiting plate (34) and the interior of the spline shaft (33) are both provided with round holes for the nail pin to penetrate.

10. A restraint device for an agitated patient according to claim 1, characterized in that: A limiting pin (35) is passed through the inner central position of the limiting plate (34), and the end of the limiting pin (35) is inserted into the meshing point between the spline shafts (33).

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