Insertion respiration assisting device for coma patient

By designing an insertion respiratory assistance device for coma patients including a main mechanism and a docking mechanism, the patient's face orientation is automatically adjusted, and the problem that the existing device cannot automatically adjust the facial position is solved, which improves the convenience and efficiency of intubation operation.

CN119564446APending Publication Date: 2025-03-07THE SECOND AFFILIATED HOSPITAL ARMY MEDICAL UNIV
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Patent Information

Application Number
CN202510052061.0
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-01-14
Publication Date
2025-03-07

AI Technical Summary

Technical Problem

Existing coma patients cannot automatically adjust the patient's face orientation with respiratory assistance devices, resulting in inconvenient intubation operation, especially during transport.

Method used

An insertion respiratory assistance device for coma patients including a main mechanism and a docking mechanism is designed. The main mechanism realizes the height adjustment and stability of the bed plate through components such as bed plate, walking wheel and electric cylinder. The docking mechanism automatically adjusts the position of the patient's head and face through rotating tubes, arc plates and motor-driven mechanical arms, so that the face is facing upward.

Benefits of technology

It realizes automatic face adjustment of coma patients, which facilitates intubation operation, especially during the transfer process, reducing the difficulty and time of operation of medical staff.

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Abstract

The invention discloses an insertion respiration assisting device for an unconscious patient, and belongs to the technical field of respiration assisting.The insertion respiration assisting device comprises a main body mechanism for the patient to lie down, and the main body mechanism is provided with a butt joint mechanism for assisting in straightening the head of the patient. Meanwhile, the bed board is supported through a plurality of groups of springs, so that the stability of the bed board is good; the connecting tube head and the extension tube do not occupy the space above the head support before a patient is placed on the bed board, so that medical personnel can more conveniently place the patient on the bed board, and the use is convenient; the butt joint mechanism can change the rotating angle of the head support, so that the face orientation of an unconscious patient is changed through the head support, the face of the patient faces upwards, meanwhile, the extending pipe and the connecting pipe head rotate to the position above the face of the patient, and medical staff can conduct intubation operation conveniently.
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Description

Technical Field

[0001] The present invention relates to the technical field of respiratory assistance, and in particular to an insertion respiratory assistance device for comatose patients. Background Art

[0002] The respiratory assistance device for comatose patients mainly provides support for patients who cannot breathe independently, ensures the patency of the airway and maintains normal oxygen supply. Depending on the specific situation of the comatose patient, the selection and use of the respiratory assistance device may be different. When the patient is in a coma and cannot breathe independently, endotracheal intubation is a common choice. Endotracheal intubation inserts a tube into the patient's trachea and connects it to a mechanical ventilation device to allow air to enter the lungs and expel carbon dioxide. Endotracheal intubation is usually suitable for patients with a deep coma who cannot maintain effective ventilation. However, when the patient is in a coma, the direction of his face may not be convenient for intubation, especially when medical staff are transporting the patient. Due to the long journey time, the patient needs to be intubated before being transported, and the breathing tube must be kept inserted during the transportation process. The comatose patient in the prior art cannot automatically straighten the patient's face with the inserted respiratory assistance device, and the patient's face cannot be facing up, which is not convenient for intubation. Summary of the invention

[0003] In response to the above technical problems, the technical solution adopted by the present invention is: an insertable breathing assistance device for a comatose patient, comprising a main body structure for the patient to lie down, the main body structure comprising a bed board, the main body structure is provided with a docking mechanism for assisting in straightening the patient's head, the docking mechanism comprises a rotating tube, and the rotating tube is rotatably mounted on the bed board.

[0004] Furthermore, the main body mechanism includes a frame body, end plates are fixedly installed at both ends of the frame body, two walking wheel frames are rotatably installed in the end plates, walking wheels are rotatably installed on the walking wheel frames, and handrails and controllers are fixedly installed on the frame body.

[0005] Furthermore, four bottom sliding grooves are arranged under the bed board, a sliding block is slidably installed in the bottom sliding groove, an upper sliding sleeve is fixedly installed on the sliding block, a lower fixed column is slidably installed on the upper sliding sleeve, a vertical spring is arranged between the lower fixed column and the upper sliding sleeve, and the lower fixed column is fixedly installed on the frame.

[0006] Furthermore, a bottom electric cylinder is rotatably installed under the frame, a bottom movable frame is rotatably installed on the output end of the bottom electric cylinder, four rotating bent frames are rotatably installed on the frame, the rotating bent frames are rotatably installed with the bottom movable frame, and four vertical poles are fixedly installed under the bed board, the vertical poles are rotatably installed with the rotating bent frames.

[0007] Place the unconscious patient on the bed board with the patient's head on the headrest. The medical staff holds the handrail and can push the frame and the bed board to move under the action of the four walking wheels. The controller can control the extension and retraction of the bottom electric cylinder, thereby driving the movement of the bottom movable frame, thereby driving the rotation of the rotating bending frame, thereby driving the vertical rod and the bed board to rise and fall. The sliding block slides in the bottom sliding groove, and the upper sliding sleeve and the sliding block provide support and guidance for the bed board, so that the bed board always remains parallel to the frame.

[0008] Furthermore, the docking mechanism includes a rotating arc plate, a connecting frame is fixedly installed on the bed plate, two rotating rollers are rotatably installed on the connecting frame through rolling bearings, an arc groove is provided on the rotating arc plate, the rotating rollers slide along the arc groove, a head support is fixedly installed on the rotating arc plate, a worm gear is fixedly installed under the rotating arc plate, and four sealing disks are fixedly installed on the connecting frame, and the sealing disks are located on the outside of the rolling bearings.

[0009] Furthermore, a screw rack is fixedly installed below the connecting frame, a motor rack is fixedly installed below the screw rack, an adjusting worm is rotatably installed in the screw rack, a screw gear is fixedly installed on the adjusting worm, an adjusting motor is fixedly installed in the motor rack, a motor gear is fixedly installed on the motor shaft of the adjusting motor, the motor gear is meshed with the screw gear, and the adjusting worm is meshed with the worm gear.

[0010] Furthermore, an extension tube is fixedly installed on the rotating tube, a connecting tube head is fixedly installed on the extension tube, a disposable inserted breathing tube is externally connected to the connecting tube head, a steering sleeve is fixedly installed on the motor frame, the rotating tube and the steering sleeve are rotatably installed, a torsion spring is arranged between the rotating tube and the steering sleeve, and the bottom of the rotating tube is connected to the ventilator.

[0011] Furthermore, a steering motor is fixedly mounted on the motor frame, an eccentric wheel is fixedly mounted on the motor shaft of the steering motor, an eccentric column is eccentrically fixedly mounted on the eccentric wheel, a steering wheel is fixedly mounted on the rotating tube, a groove is provided on the steering wheel, and the eccentric column slides in the groove of the steering wheel.

[0012] The patient's head is on the head support. Since the patient is in a coma, the patient's face is not necessarily facing upwards. In the initial state, the connecting tube head and the extension tube are not located above the head support, which is convenient for placing the comatose patient on the bed board. The controller controls the adjusting motor to rotate, and the adjusting motor drives the motor gear to rotate, which drives the adjusting worm to rotate through the lead screw gear, thereby driving the worm gear, the rotating arc plate and the head support to rotate, and the rotating roller provides guidance for the arc groove. The rotation of the head support drives the patient's head to rotate, so that the patient's face faces upwards. Then the controller controls the steering motor to rotate, thereby driving the eccentric wheel to rotate. When the eccentric wheel After the column enters the groove of the steering wheel, the eccentric column drives the steering wheel, the rotating tube, the extension tube and the connecting tube head to rotate above the patient's face. At this time, the torsion spring between the rotating tube and the steering sleeve is twisted, and the steering motor stops. At this time, the medical staff connects the disposable inserted breathing tube to the connecting tube head, and then inserts the breathing tube into the patient's nose. The ventilator delivers oxygen into the patient's respiratory tract through the rotating tube, the extension tube and the connecting tube head. When use is completed, the steering motor rotates, and after the eccentric column disengages from the groove of the steering wheel, the torsion spring between the steering sleeve and the rotating tube is reset, so that the extension tube and the connecting tube head leave the top of the head support again.

[0013] Compared with the prior art, the present invention has the following beneficial effects: (1) the main mechanism provided in the present invention can adjust the height of the bed board, which is convenient for medical staff to place the unconscious patient on the bed board. At the same time, the bed board is supported by multiple sets of springs, and the bed board has good stability; (2) the connecting pipe head and the extension pipe provided in the present invention will not occupy the space above the headrest before the patient is placed on the bed board, so that the medical staff can place the patient on the bed board more conveniently, which is convenient to use; (3) the docking mechanism provided in the present invention can change the rotation angle of the headrest, thereby changing the facial orientation of the unconscious patient through the headrest, so that the patient's face faces upward, and at the same time the extension pipe and the connecting pipe head are rotated above the patient's face, which is convenient for medical staff to perform intubation operations. BRIEF DESCRIPTION OF THE DRAWINGS

[0014] Figure 1 It is a schematic diagram of the overall structure of the present invention.

[0015] Figure 2 The main structure of the present invention is shown in FIG. Figure 1 .

[0016] Figure 3 The main structure of the present invention is shown in FIG. Figure 2 .

[0017] Figure 4 The docking mechanism structure of the present invention is shown in FIG. Figure 1 .

[0018] Figure 5 The docking mechanism structure of the present invention is shown in FIG. Figure 2 .

[0019] Figure 6 The docking mechanism structure of the present invention is shown in FIG. Figure 3 .

[0020] Figure 7 The docking mechanism structure of the present invention is shown in FIG. Figure 4 .

[0021] Figure numbers: 101-frame; 102-end plate; 103-walking wheel frame; 104-walking wheel; 105-controller; 106-handrail; 107-lower fixed column; 108-upper sliding sleeve; 109-vertical spring; 110-bed board; 111-bottom electric cylinder; 112-bottom movable frame; 113-rotating bending frame; 114-vertical rod; 115-sliding block; 116-bottom sliding groove; 201-rotating tube; 202-extending tube; 203-connecting tube Head; 204-connecting frame; 205-sealing plate; 206-rotating arc plate; 207-arc groove; 208-head support; 209-screw frame; 210-motor frame; 211-adjusting motor; 212-motor gear; 213-screw gear; 214-worm gear; 215-adjusting worm; 216-rotating roller; 217-rolling bearing; 218-steering motor; 219-eccentric wheel; 220-eccentric column; 221-steering wheel; 222-steering sleeve. DETAILED DESCRIPTION

[0022] The specific implementation of the present invention will be further described below in conjunction with the accompanying drawings.

[0023] Example: Reference Figure 1-Figure 7 A respiratory assist device for comatose patients includes a main body structure for patients to lie down, the main body structure includes a bed board 110, a docking mechanism for assisting in straightening the patient's head is arranged on the main body structure, the docking mechanism includes a rotating tube 201, and the rotating tube 201 is rotatably mounted on the bed board 110.

[0024] like Figure 2 , Figure 3 As shown, the main structure includes a frame 101, with end plates 102 fixedly installed at both ends of the frame 101, two walking wheel frames 103 rotatably installed in the end plates 102, and walking wheels 104 rotatably installed on the walking wheel frames 103, and handrails 106 and a controller 105 are fixedly installed on the frame 101.

[0025] like Figure 2 , Figure 3As shown, four bottom sliding grooves 116 are arranged under the bed board 110, and a sliding block 115 is slidably installed in the bottom sliding groove 116, an upper sliding sleeve 108 is fixedly installed on the sliding block 115, a lower fixed column 107 is slidably installed on the upper sliding sleeve 108, a vertical spring 109 is arranged between the lower fixed column 107 and the upper sliding sleeve 108, and the lower fixed column 107 is fixedly installed on the frame 101.

[0026] like Figure 2 , Figure 3 As shown, a bottom electric cylinder 111 is rotatably installed below the frame 101, a bottom movable frame 112 is rotatably installed on the output end of the bottom electric cylinder 111, four rotating bent frames 113 are rotatably installed on the frame 101, the rotating bent frames 113 are rotatably installed with the bottom movable frame 112, and four vertical poles 114 are fixedly installed below the bed board 110, the vertical poles 114 are rotatably installed with the rotating bent frames 113.

[0027] The unconscious patient is placed on the bed board 110, with the patient's head on the headrest 208. The medical staff holds the handrail 106 and can push the frame 101 and the bed board 110 to move under the action of the four walking wheels 104. The controller 105 can control the extension and retraction of the bottom electric cylinder 111, thereby driving the movement of the bottom movable frame 112, thereby driving the rotation of the rotating bending frame 113, thereby driving the vertical rod 114 and the bed board 110 to rise and fall, and the sliding block 115 slides in the bottom sliding groove 116. The upper sliding sleeve 108 and the sliding block 115 provide support and guidance for the bed board 110, so that the bed board 110 always remains parallel to the frame 101.

[0028] like Figure 4-Figure 7 As shown, the docking mechanism includes a rotating arc plate 206, a connecting frame 204 is fixedly installed on the bed plate 110, two rotating rollers 216 are rotatably installed on the connecting frame 204 through rolling bearings 217, an arc groove 207 is provided on the rotating arc plate 206, the rotating rollers 216 slide along the arc groove 207, a head support 208 is fixedly installed on the rotating arc plate 206, a worm gear 214 is fixedly installed below the rotating arc plate 206, and four sealing disks 205 are fixedly installed on the connecting frame 204, and the sealing disks 205 are located on the outside of the rolling bearings 217.

[0029] like Figure 4-Figure 7 As shown, a screw rack 209 is fixedly installed below the connecting rack 204, a motor rack 210 is fixedly installed below the screw rack 209, an adjusting worm 215 is rotatably installed in the screw rack 209, a screw gear 213 is fixedly installed on the adjusting worm 215, an adjusting motor 211 is fixedly installed in the motor rack 210, a motor gear 212 is fixedly installed on the motor shaft of the adjusting motor 211, the motor gear 212 is meshed with the screw gear 213, and the adjusting worm 215 is meshed with the worm gear 214.

[0030] like Figure 4-Figure 7 As shown, an extension tube 202 is fixedly mounted on the rotating tube 201, a connecting tube head 203 is fixedly mounted on the extension tube 202, a disposable insertable breathing tube is externally connected to the connecting tube head 203, a steering sleeve 222 is fixedly mounted on the motor frame 210, the rotating tube 201 and the steering sleeve 222 are rotatably mounted, a torsion spring is arranged between the rotating tube 201 and the steering sleeve 222, and the bottom of the rotating tube 201 is connected to the ventilator.

[0031] like Figure 4-Figure 7 As shown, a steering motor 218 is fixedly mounted on the motor frame 210, an eccentric wheel 219 is fixedly mounted on the motor shaft of the steering motor 218, an eccentric column 220 is eccentrically fixedly mounted on the eccentric wheel 219, a steering wheel 221 is fixedly mounted on the rotating tube 201, a groove is provided on the steering wheel 221, and the eccentric column 220 slides in the groove of the steering wheel 221.

[0032] The patient's head is located on the headrest 208. Since the patient is in a coma, the patient's face is not necessarily facing upwards. In the initial state, the connecting tube head 203 and the extension tube 202 are not located above the headrest 208, which is convenient for placing the comatose patient on the bed board 110. The controller 105 controls the adjusting motor 211 to rotate. The adjusting motor 211 rotates to drive the motor gear 212 to rotate, and the adjusting worm 215 is driven to rotate through the screw gear 213, thereby driving the worm gear 214, the rotating arc plate 206 and the headrest 208 to rotate. The rotating roller 216 provides guidance for the arc groove 207. The rotation of the headrest 208 drives the patient's head to rotate, so that the patient's face faces upwards. Then the controller 105 controls the steering motor 218 to rotate, thereby driving the eccentric wheel 219 to rotate. When the eccentric column 22 After the ventilator enters the groove of the steering wheel 221, the eccentric column 220 drives the steering wheel 221, the rotating tube 201, the extending tube 202 and the connecting tube head 203 to rotate above the patient's face. At this time, the torsion spring between the rotating tube 201 and the steering sleeve 222 is twisted, and the steering motor 218 stops. At this time, the medical staff connects the disposable inserted breathing tube to the connecting tube head 203, and then inserts the breathing tube into the patient's nose. The ventilator passes oxygen into the patient's respiratory tract through the rotating tube 201, the extending tube 202 and the connecting tube head 203. When the use is completed, the steering motor 218 rotates, and after the eccentric column 220 is separated from the groove of the steering wheel 221, the torsion spring between the steering sleeve 222 and the rotating tube 201 is reset, so that the extending tube 202 and the connecting tube head 203 leave the top of the head support 208 again.

[0033] The working principle of an insertable breathing assistance device for a comatose patient disclosed in the present invention is as follows: the comatose patient is placed on a bed board 110, with the patient's head located on a headrest 208. The medical staff holds the handrail 106 and can push the frame 101 and the bed board 110 to move under the action of four walking wheels 104. The controller 105 can control the extension and retraction of the bottom electric cylinder 111, thereby driving the movement of the bottom movable frame 112, thereby driving the rotation of the rotating bending frame 113, thereby driving the vertical rod 114 and the bed board 110 to rise and fall, and the sliding block 115 slides in the bottom sliding groove 116. The upper sliding sleeve 108 and the sliding block 115 provide support and guidance for the bed board 110, so that the bed board 110 always remains parallel to the frame 101. The patient's head is located on the headrest 208. Since the patient is in a coma, the patient's face is not necessarily facing upwards. In the initial state, the connecting tube head 203 and the extension tube 202 are not located above the headrest 208, which is convenient for placing the comatose patient on the bed board 110. The controller 105 controls the adjusting motor 211 to rotate. The adjusting motor 211 rotates to drive the motor gear 212 to rotate, and the adjusting worm 215 is driven to rotate through the screw gear 213, thereby driving the worm gear 214, the rotating arc plate 206 and the headrest 208 to rotate. The rotating roller 216 provides guidance for the arc groove 207. The rotation of the headrest 208 drives the patient's head to rotate, so that the patient's face faces upwards. Then the controller 105 controls the steering motor 218 to rotate, thereby driving the eccentric wheel 219 to rotate. When the eccentric column 22 After the ventilator enters the groove of the steering wheel 221, the eccentric column 220 drives the steering wheel 221, the rotating tube 201, the extending tube 202 and the connecting tube head 203 to rotate above the patient's face. At this time, the torsion spring between the rotating tube 201 and the steering sleeve 222 is twisted, and the steering motor 218 stops. At this time, the medical staff connects the disposable inserted breathing tube to the connecting tube head 203, and then inserts the breathing tube into the patient's nose. The ventilator passes oxygen into the patient's respiratory tract through the rotating tube 201, the extending tube 202 and the connecting tube head 203. When the use is completed, the steering motor 218 rotates, and after the eccentric column 220 is separated from the groove of the steering wheel 221, the torsion spring between the steering sleeve 222 and the rotating tube 201 is reset, so that the extending tube 202 and the connecting tube head 203 leave the top of the head support 208 again.

[0034] The above description is only a preferred specific implementation manner of the present invention, but the protection scope of the present invention is not limited thereto. Any technician familiar with the technical field can make equivalent replacements or changes according to the technical scheme and inventive concept of the present invention within the technical scope of the present invention, which should be covered by the protection scope of the present invention.

Claims

1. An insertion breathing assistance device for a comatose patient, comprising a main body for the patient to lie down, characterized in that: The main body mechanism comprises a bed board (110), and a docking mechanism for assisting in straightening the patient's head is arranged on the main body mechanism. The docking mechanism comprises a rotating tube (201), and the rotating tube (201) is rotatably mounted on the bed board (110).

2. The insertion breathing assistance device for a comatose patient according to claim 1, characterized in that: The main body mechanism comprises a frame (101), end plates (102) are fixedly mounted at both ends of the frame (101), two running wheel frames (103) are rotatably mounted in the end plates (102), running wheels (104) are rotatably mounted on the running wheel frames (103), and handrails (106) and a controller (105) are fixedly mounted on the frame (101).

3. The insertion breathing assistance device for a comatose patient according to claim 2, characterized in that: Four bottom sliding grooves (116) are arranged below the bed board (110), a sliding block (115) is slidably installed in the bottom sliding groove (116), an upper sliding sleeve (108) is fixedly installed on the sliding block (115), a lower fixed column (107) is slidably installed on the upper sliding sleeve (108), a vertical spring (109) is arranged between the lower fixed column (107) and the upper sliding sleeve (108), and the lower fixed column (107) is fixedly installed on the frame (101).

4. The insertion breathing assistance device for a comatose patient according to claim 2, characterized in that: A bottom electric cylinder (111) is rotatably mounted below the frame (101), a bottom movable frame (112) is rotatably mounted on the output end of the bottom electric cylinder (111), four rotating curved frames (113) are rotatably mounted on the frame (101), the rotating curved frames (113) are rotatably mounted on the bottom movable frame (112), and four vertical poles (114) are fixedly mounted below the bed board (110), the vertical poles (114) are rotatably mounted on the rotating curved frames (113).

5. The insertion breathing assistance device for a comatose patient according to claim 1, characterized in that: The docking mechanism comprises a rotating arc plate (206), a connecting frame (204) fixedly mounted on the bed plate (110), two rotating rollers (216) rotatably mounted on the connecting frame (204) via rolling bearings (217), an arc groove (207) provided on the rotating arc plate (206), the rotating rollers (216) sliding along the arc groove (207), a head support (208) fixedly mounted on the rotating arc plate (206), a worm gear (214) fixedly mounted below the rotating arc plate (206), and four sealing disks (205) fixedly mounted on the connecting frame (204), the sealing disks (205) being located outside the rolling bearings (217).

6. The insertion breathing assistance device for a comatose patient according to claim 5, characterized in that: A screw frame (209) is fixedly mounted below the connecting frame (204), a motor frame (210) is fixedly mounted below the screw frame (209), an adjusting worm (215) is rotatably mounted in the screw frame (209), a screw gear (213) is fixedly mounted on the adjusting worm (215), an adjusting motor (211) is fixedly mounted in the motor frame (210), a motor gear (212) is fixedly mounted on the motor shaft of the adjusting motor (211), the motor gear (212) meshes with the screw gear (213), and the adjusting worm (215) meshes with the worm gear (214).

7. The insertion breathing assistance device for a comatose patient according to claim 6, characterized in that: The rotating tube (201) is fixedly mounted with an extension tube (202), the extension tube (202) is fixedly mounted with a connecting tube head (203), a disposable insertable breathing tube is externally connected to the connecting tube head (203), a steering sleeve (222) is fixedly mounted on the motor frame (210), the rotating tube (201) and the steering sleeve (222) are rotatably mounted, a torsion spring is provided between the rotating tube (201) and the steering sleeve (222), and the bottom of the rotating tube (201) is connected to a breathing machine.

8. The insertion breathing assistance device for a comatose patient according to claim 7, characterized in that: A steering motor (218) is fixedly mounted on the motor frame (210), an eccentric wheel (219) is fixedly mounted on the motor shaft of the steering motor (218), an eccentric column (220) is eccentrically fixedly mounted on the eccentric wheel (219), a steering wheel (221) is fixedly mounted on the rotating tube (201), a groove is provided on the steering wheel (221), and the eccentric column (220) slides in the groove of the steering wheel (221).