Prone position ventilation turning-over device and kneeling position supporting method thereof

Abstract

The invention discloses a prone position ventilation turning-over device and a kneeling position supporting method.The prone position ventilation turning-over device comprises a turning-over frame and two sets of vertical frames, the turning-over frame is transversely arranged between the two sets of vertical frames, and the turning-over frame comprises a shoulder supporting plate, a waist supporting plate and a leg supporting plate which are transversely and sequentially arranged and can be rotationally folded; a folding assembly for supporting the shoulder supporting plate to pull the waist supporting plate to rotate upwards for supporting so as to assist the patient in prostrating in a kneeling posture is fixed to the bottom side of the leg supporting plate, and locking rods extending transversely are fixed to the centers of the outer sides of the shoulder supporting plate and the leg supporting plate. The prone position ventilation device has the beneficial effects that the concave hole for accommodating the face of the patient is formed, so that the patient can be subjected to prone position ventilation with the face facing downwards, secretion discharge is facilitated, and the problem that frequent cleaning is needed when the face spits secretion towards one side in existing prone position ventilation is solved; and the device can assist in supporting the patient to perform prone position conversion of a flat lying posture state and a kneeling posture state, so that discomfort caused by the fact that the patient keeps the same posture for a long time is relieved, and rehabilitation of the patient is facilitated.

Description

Technical Field

[0001] The invention relates to the field of medical devices, and in particular to a prone position ventilation turning device and a kneeling position supporting method thereof. Background Art

[0002] Prone ventilation is one of the important treatment measures for patients with moderate to severe acute respiratory distress syndrome. It can effectively improve the patient's oxygenation index, improve the imbalance of pulmonary ventilation and blood flow, and re-expand the collapsed alveoli on the dorsal side. At the same time, under the action of gravity, the secretions in the lungs and trachea can be well drained, and it can reduce the pressure of the heart and mediastinum on the sagging lung area. It is a simple, economical and effective treatment method for patients with severe acute respiratory distress syndrome. Prone ventilation of patients needs to be achieved by turning over. Currently, turning over an adult patient requires the cooperation of 3 to 5 people. Specifically, turning sheets are laid on the upper and lower sides of the patient's body and aligned, and both sides are rolled up towards the patient at the same time. Medical staff on both sides cooperate to grab the rolled-up part of the turning sheet and move the patient to one side of the bed. Then the patient is lifted up and turned 180° to complete the turning action. This type of turning method requires laying a turning sheet under the patient in advance, and requires the cooperation of multiple people to operate. It is cumbersome to use. In addition, it can only maintain the standard prone ventilation posture of the patient lying flat. During long-term (not less than 12 hours) standard prone ventilation, the face needs to be kept on the side for a long time, which can easily cause discomfort to the patient. If necessary, sedation and analgesia are also required throughout the process, which is extremely inconvenient to use. Summary of the invention

[0003] The purpose of the present invention is to provide a prone ventilation turning over device and a kneeling support method thereof in order to solve the above-mentioned problems. By providing a concave hole for accommodating the patient's face, it is ensured that the patient can perform prone ventilation with the face facing downward, which is helpful for the discharge of secretions and improves the problem of frequent cleaning when the face of the existing prone ventilation is facing one side to spit out secretions. It can also assist in supporting the patient to change between the prone position and the kneeling position, so as to improve the discomfort caused by the patient maintaining the same posture for a long time, and help the patient's recovery. See the following description for details.

[0004] To achieve the above object, the present invention provides the following technical solutions:

[0005] The present invention provides a prone position ventilation turning device, comprising a turning frame and two groups of upright frames, wherein the turning frame is laterally arranged between the two groups of upright frames, and the turning frame comprises a shoulder support plate, a waist support plate and a leg support plate which are rotatably folded and arranged in sequence laterally, a folding component which supports the shoulder support plate and pulls the waist support plate to rotate and prop up upward to assist the patient to lie prone in a kneeling position is fixed to the bottom side of the leg support plate, a laterally extending locking rod is fixed to the outer center of the shoulder support plate and the leg support plate, and lifting blocks are arranged in the middle of the two groups of upright frames, and a combination portion which supports the locking rod to drive the turning frame to rotate is arranged on the opposite sides of the two groups of lifting blocks, and a constraint component is arranged on the top side of the shoulder support plate, the waist support plate and the leg support plate.

[0006] Preferably, a concave hole for placing the patient's face is vertically penetrated through the top side of the shoulder support away from the leg support, the front and rear sides of the outside of the shoulder support are provided with concave holding grooves, and the top edges of the front and rear parts of the shoulder support are provided with longitudinally extending traction holes.

[0007] Preferably, rotating seats which are respectively hinged to cooperate with the shoulder support plate and the leg support plate are fixed on both sides of the waist support plate, and the rotating seats are arranged below the lateral height of the traction hole. The folding assembly includes a sliding frame arranged below the leg support plate, and two groups of fixing frames which are fixed to the bottom side of the shoulder support plate by bolts are laterally fixed on the top of the sliding frame.

[0008] Preferably, a synchronization block is laterally slidably engaged with the middle part of the sliding frame, and the front and rear sides of the sliding frame are longitudinally penetrated by guide grooves extending along its length direction, and the front and rear sides of the synchronization block are rotatably engaged with traction arms extending out of the guide grooves, and the outer end of the traction arm extends upward to the outside of the shoulder support plate, and the outer end of the traction arm extends into the traction hole and rotatably engaged with the traction hole through a bearing, a traction motor is fixed to the outside of the sliding frame, and the output end of the traction motor is transmission-connected with a traction screw that extends laterally into the interior of the sliding frame, and the traction screw laterally penetrates the synchronization block and is threadedly engaged with the synchronization block.

[0009] Preferably, the stand is a vertically extending rectangular frame structure, the lifting block is an H-shaped block structure matching the stand, the lifting block is vertically slidably matched with the stand, a lifting motor is fixed on the top side of the stand, the output end of the lifting motor is transmission-connected with a lifting screw vertically extending into the interior of the stand, and the lifting screw is threadedly matched with the lifting block.

[0010] Preferably, a rotating sleeve supporting the rotation of the combined part is fixed on one side of the lifting block close to the locking rod, and the combined part includes a transmission shaft extending laterally into the rotating sleeve, the transmission shaft and the rotating sleeve are rotationally matched through a thrust bearing, and a transmission gear is connected to the outer key of the transmission shaft, and a turning motor is arranged on the outer side of the lifting block, and a driving gear meshing with the transmission gear to drive the transmission shaft to rotate is fixed to the output end of the turning motor.

[0011] Preferably, a motor seat supporting and installing the turning motor is fixed on the outside of the lifting block, the locking rod is a regular polygonal long strip structure, and a locking hole for accommodating the locking rod to extend horizontally is arranged at the end of the transmission shaft, and the locking hole is a regular polygonal through hole adapted for the locking rod, and a plug hole is vertically penetrated in the middle of the locking rod, and the outer side thread of the transmission shaft is equipped with a hand screw that vertically extends into the lock hole and passes through the plug hole.

[0012] Preferably, a walking mechanism is provided at the bottom of the two groups of upright frames, and the walking structure includes a support plate fixed to the bottom of the upright frame, universal wheels with foot brake structures are fixed to the four corners of the bottom of the support plate, and two groups of reinforcement seats fixed to both sides of the bottom end of the upright frame are laterally symmetrically provided on the top of the support plate.

[0013] Preferably, the top sides of the shoulder support plate, the lumbar support plate and the leg support plate are successively penetrated laterally with concave prone grooves, and the outer corners of the shoulder support plate and the leg support plate are arc-shaped rounded corners, and the restraint assembly includes an extension belt and a positioning belt respectively fixed to the edge positions on both sides of the top of the turning frame, a plug that can be fixed at any position in the length direction of the extension belt is provided on the outer side of the extension belt, and a socket that can detachably cooperate with the plug is fixed to the outer free end of the positioning belt.

[0014] The kneeling support method of the prone position ventilation turning device comprises the following steps:

[0015] a. When turning a patient in a supine position for prone ventilation, the turning frame is supported by two sets of walking mechanisms and moved to the bed position, ensuring that the turning frame is moved down to be placed on the bed surface and parallel to the patient. Then, one end of the external plug of the three extension belts is passed under the patient, and the plug is passed under the patient and pulled in the reverse direction to the top of the turning frame. By pulling one end of the external plug of the three extension belts, the patient's body is pulled to the top side of the turning frame. At this time, the patient lies flat on the top side of the turning frame, with the patient's face facing down and placed in the concave hole position of the shoulder support plate, ensuring that the endotracheal tube can be extended along the concave hole to remain unobstructed;

[0016] b. When the patient in the prone position needs to be adjusted to the kneeling ventilation state, the shoulder support is pulled up by the folding assembly, and the lumbar support is driven to turn up by the shoulder support, so that the turning frame is folded into a step shape as a whole. During the operation, the traction motor and the lifting motor outside the shoulder support work synchronously, and the traction motor is used to drive the traction screw to rotate, and then the traction screw is used to drive the synchronous block to slide along the slide frame, and the synchronous block is used to pull the two sets of traction arms to drive the shoulder support to slide toward the leg support;

[0017] c. At the same time, the lifting motor drives the lifting screw to rotate, and the lifting screw drives the lifting block to drive the assembly part and the locking rod to support the shoulder support plate to move up, ensuring that the shoulder support plate is always in a horizontal state. At this time, the waist support plate is folded upward, and the entire turning frame is folded and supported to form a step shape, thereby supporting the patient to lie prone in a kneeling position, reducing the pressure on the abdominal aorta and promoting venous return;

[0018] d. When the prone ventilation is completed and the patient needs to be restored to the supine bed position, the turning motor is used to drive the driving gear to rotate, and the driving gear is engaged with the transmission gear to form a reduction gear mechanism, so that the transmission gear is used to slowly drive the transmission shaft to rotate under the support of the rotating sleeve, and then the transmission shaft is used to support the locking rod to drive the turning frame to rotate as a whole. When the turning frame rotates 90 degrees, the patient is in the lateral position. Then the restraint component on the patient's body is released, and the entire device is disassembled and removed. Then the patient is pushed to continue to turn 90 degrees to achieve supine lying, completing the prone ventilation and turning action.

[0019] The beneficial effect is that: the present invention sets a turning frame as a supporting structure for supporting the patient to perform prone ventilation, uses three sets of extension belts of the restraining components to extend under the patient, and uses the extension belts to pull the patient in the supine position to turn to the top side of the turning frame, so as to quickly realize the patient's prone position conversion action, and does not require multiple people to cooperate with the turning sheet to perform the turning action, which is convenient to use;

[0020] In addition, a concave hole is provided to accommodate the patient's face, so as to ensure that the patient can perform prone ventilation with the face facing downward, which is helpful for drainage of lung secretions and improves the problem that the patient needs to frequently clean the face when the patient spit out secretions due to prone ventilation.

[0021] The turning frame is also configured as a foldable structure, and the three-section turning frame support can be folded up into a step-like structure, so as to assist in supporting the patient in performing prone ventilation in a kneeling position, thereby being able to maintain a kneeling position with the buttocks facing upward and the face facing downward, which is more conducive to the discharge of lung and tracheal secretions, and can assist in supporting the patient in switching between a prone position and a kneeling position, so as to improve the discomfort caused by the patient maintaining the same posture for a long time, and help the patient's recovery. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

[0023] Figure 1 It is a main structural diagram of the present invention;

[0024] Figure 2 It is a three-dimensional structural schematic diagram of the present invention;

[0025] Figure 3 It is a schematic diagram of the structural decomposition of the present invention;

[0026] Figure 4 It is a three-dimensional structural schematic diagram of the shoulder support plate of the present invention;

[0027] Figure 5 It is a three-dimensional structural schematic diagram of the folding assembly of the present invention;

[0028] Figure 6 It is a three-dimensional structural schematic diagram of the stand of the present invention;

[0029] Figure 7 It is a schematic diagram of the three-dimensional structure of the lifting block of the present invention;

[0030] Figure 8 It is a top view of the structure of the present invention;

[0031] Fig. 9 It is a three-dimensional structural schematic diagram of another direction of the present invention;

[0032] Fig.10 This is a main structural diagram of the present invention in a kneeling position;

[0033] Fig.11 It is a three-dimensional structural schematic diagram of the present invention in a kneeling state.

[0034] The following are the descriptions of the reference numerals:

[0035] 1. Shoulder support plate; 101. Traction hole; 102. Grip groove; 103. Concave hole; 2. Waist support plate; 201. Rotating seat; 3. Leg support plate; 4. Constraint assembly; 401. Extension belt; 402. Positioning belt; 403. Plug; 404. Socket; 5. Folding assembly; 501. Sliding frame; 501a. Fixed frame; 502. Synchronous block; 503. Guide groove; 504. Traction motor; 505. Traction screw; 506. Traction arm; 6. Stand; 601. Lifting motor; 602. Lifting screw; 7. Lifting block; 701. Rotating sleeve; 702. Turning motor; 703. Driving gear; 704. Motor seat; 8. Combination part; 801. Transmission shaft; 802. Locking hole; 803. Thumb screw; 804. Transmission gear; 9. Traveling mechanism; 901. Support plate; 902. Reinforcement seat; 903. Universal wheel; 10. Locking rod; 10a. Socket. DETAILED DESCRIPTION

[0036] To make the purpose, technical solution and advantages of the present invention clearer, the technical solution of the present invention will be described in detail below. Obviously, the described embodiments are only part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other implementation methods obtained by ordinary technicians in this field without creative work belong to the scope of protection of the present invention.

[0037] See also Figure 1-Figure 11 As shown, the present invention provides a prone position ventilation turning device, comprising a turning frame and two groups of upright frames 6, the turning frame is laterally arranged between the two groups of upright frames 6, and the turning frame comprises a shoulder support plate 1, a lumbar support plate 2 and a leg support plate 3 which are laterally arranged in sequence and can be rotatably folded, a folding component 5 is fixed to the bottom side of the leg support plate 3 for supporting the shoulder support plate 1 to pull the lumbar support plate 2 to rotate upward and prop up to assist the patient to lie prone in a kneeling position, a laterally extending locking rod 10 is fixed to the outer center of the shoulder support plate 1 and the leg support plate 3, and a lifting block 7 which can be vertically lifted and slid is arranged in the middle of the two groups of upright frames 6, and a combination part 8 which supports the locking rod 10 to drive the turning frame to rotate is arranged on the opposite sides of the two groups of lifting blocks 7, and a restraint component 4 is arranged on the top side of the shoulder support plate 1, the lumbar support plate 2 and the leg support plate 3, so that the patient's body can be restrained to the outside of the turning frame through the restraint component 4 when the turning frame is used to support the patient to turn over.

[0038] As an optional embodiment, a concave hole 103 for placing the patient's face is vertically penetrated on the top side of the shoulder support plate 1 away from the leg support plate 3, and the front and rear sides of the outside of the shoulder support plate 1 are provided with concave gripping grooves 102, so that the medical staff can put their hands into the gripping grooves 102 to grab the shoulder support plate 1 for moving operations. The top edges of the front and rear parts of the shoulder support plate 1 are provided with longitudinally extending traction holes 101, and both sides of the waist support plate 2 are fixed with rotating seats 201 that are respectively hinged to the shoulder support plate 1 and the leg support plate 3. The movable seat 201 is arranged below the traction hole 101 in the horizontal height. The folding assembly 5 includes a sliding frame 501 arranged below the leg support plate 3. Two sets of fixing frames 501a are fixed to the top of the sliding frame 501 in the horizontal direction and are fixed to the bottom side of the shoulder support plate 1 by bolts. A synchronous block 502 is slidably matched with the middle part of the sliding frame 501 in the horizontal direction. The front and rear sides of the sliding frame 501 are longitudinally penetrated with a guide groove 503 extending along the length direction thereof. The front and rear sides of the synchronous block 502 are rotatably matched with a traction arm 506 extending out of the guide groove 503. The traction arm 506 is rotatably matched with the traction arm 506 extending out of the guide groove 503. The outer end of the traction arm 506 extends upward to the outside of the shoulder support plate 1, and the outer end of the traction arm 506 extends into the traction hole 101 and rotates with the traction hole 101 through the bearing to ensure that the shoulder support plate 1 and the leg support plate 3 can be connected through the traction arm 506. A traction motor 504 is fixed to the outside of the slide frame 501. The output end of the traction motor 504 is transmission-connected to a traction screw 505 that extends horizontally into the interior of the slide frame 501. The traction screw 505 horizontally penetrates the synchronous block 502 and is threadedly matched with the synchronous block 502 to ensure that the shoulder support plate 1 and the leg support plate 3 can be connected through the traction arm 506. When the turning frame is to be folded up so as to support the patient in a kneeling position for ventilation, the traction motor 504 drives the traction screw 505 to rotate, and the traction screw 505 drives the synchronous block 502 to slide laterally along the slide frame 501, and then the synchronous block 502 supports the traction arm 506 to pull the shoulder support plate 1 to drive the lumbar support plate 2 to rotate and fold up, and at the same time, the rotating seat 201 is set below the horizontal height of the traction hole 101 to ensure that when the traction arm 506 pulls the shoulder support plate 1, the lumbar support plate 2 can be rotated and supported upward on the side close to the shoulder support plate 1;

[0039] The stand 6 is a vertically extending rectangular frame structure, and the lifting block 7 is an H-shaped block structure matching the stand 6. The lifting block 7 is vertically slidably matched with the stand 6. A lifting motor 601 is fixed to the top side of the stand 6. The output end of the lifting motor 601 is transmission-connected with a lifting screw 602 that vertically extends into the stand 6. The lifting screw 602 is threadedly matched with the lifting block 7, so that the height position of the lifting block 7 can be controlled by the lifting motor 601, and then the supporting position of the shoulder support plate 1 can be changed in cooperation with the folding component 5. A rotating sleeve 701 that supports the rotation of the combination part 8 is fixed to the lifting block 7 near the locking rod 10. The part 8 includes a transmission shaft 801 extending laterally into the interior of the rotating sleeve 701, the transmission shaft 801 and the rotating sleeve 701 are rotatably matched through a thrust bearing, and a transmission gear 804 is keyed to the outer side of the transmission shaft 801, and a turning motor 702 is arranged on the outer side of the lifting block 7, and a driving gear 703 is fixed at the output end of the turning motor 702 to mesh with the transmission gear 804 to drive the transmission shaft 801 to rotate, and the driving gear 703 cooperates with the transmission gear 804 to form a reduction gear mechanism to ensure that the turning motor 702 can drive the turning frame to perform a slow turning action through the transmission shaft 801 to support the locking rod 10;

[0040] The outer side of the lifting block 7 is fixed with a motor seat 704 for supporting and installing the turning motor 702. The locking rod 10 is a regular polygonal strip structure. The end of the transmission shaft 801 is provided with a locking hole 802 for accommodating the locking rod 10 to extend horizontally. The locking hole 802 is a regular polygonal through hole adapted to the locking rod 10, ensuring that the transmission shaft 801 can support the locking rod 10 to rotate synchronously. The middle part of the locking rod 10 is vertically penetrated by a plug hole 10a. The outer thread of the transmission shaft 801 is matched with a hand screw that vertically extends into the lock hole 802 and penetrates the plug hole 10a. The screw 803 is screwed, and the locking and unlocking actions of the locking rod 10 and the transmission shaft 801 can be realized by hand-tightening the screw 803. A walking mechanism 9 is provided at the bottom of the two sets of stands 6. The walking structure includes a support plate 901 fixed to the bottom of the stand 6. Universal wheels 903 with foot brake structures are fixed at the four corners of the bottom of the support plate 901. Two sets of reinforcement seats 902 fixed to both sides of the bottom of the stand 6 are symmetrically arranged on the top of the support plate 901, thereby improving the installation stability of the stand 6 on the top side of the support plate 901;

[0041] The top sides of the shoulder support plate 1, the lumbar support plate 2 and the leg support plate 3 are successively penetrated with concave prone grooves in a transverse direction, and the outer sides of the shoulder support plate 1, the lumbar support plate 2 and the leg support plate 3 are covered with a foreskin layer filled with sponge inside, so as to improve the softness of the contact position between the turning frame and the patient's body and improve the comfort, and the outer corners of the shoulder support plate 1 and the leg support plate 3 are both arc-shaped fillets, and the restraint component 4 includes an extension belt 401 and a positioning belt 402 respectively fixed to the edge positions on both sides of the top of the turning frame, and a plug that can be fixed to any position in the length direction of the extension belt 401 is provided on the outer side of the extension belt 401 403, a socket 404 that can be detachably matched with the plug 403 is fixed to the outer free end of the positioning belt 402, and a locking mechanism is realized by plugging and locking the plug 403 and the socket 404, so as to restrain and position the patient's body through the restraint component 4 when the patient is turned over by using the turning frame. In addition, the extension belt 401 of the restraint component 4 can also be filled with a hard board to improve the smoothness of the extension belt 401 when passing through the patient's body and the bed, and to improve the structural stability when the extension belt 401 is used to support the patient's body to turn over onto the turning frame.

[0042] The kneeling support method of the prone position ventilation turning device comprises the following steps:

[0043] a. When turning a patient in a supine position over for prone ventilation, the turning frame is supported by two sets of walking mechanisms 9 and moved to the bed position, ensuring that the turning frame is moved down to be placed on the bed surface and in parallel with the patient, and then one end of the external plug 403 of the three extension belts 401 is passed under the patient, and the plug 403 is passed under the patient and pulled in the reverse direction to the top of the turning frame, and the patient's body is pulled to the top side of the turning frame by pulling one end of the external plug 403 of the three extension belts 401. At this time, the patient lies flat on the top side of the turning frame, with the patient's face facing down and placed at the concave hole 103 of the shoulder support plate 1, ensuring that the endotracheal tube can be extended along the concave hole 103 to remain unobstructed;

[0044] b. When the patient in the prone position needs to be adjusted to the kneeling ventilation state, the shoulder support plate 1 is pulled upward by the folding assembly 5, and the lumbar support plate 2 is turned upward by the shoulder support plate 1, so that the turning frame is folded into a step shape as a whole. During the operation, the traction motor 504 and the lifting motor 601 outside the shoulder support plate 1 work synchronously, and the traction motor 504 is used to drive the traction screw 505 to rotate, and then the traction screw 505 is used to drive the synchronous block 502 to slide along the slide frame 501, and the synchronous block 502 is used to pull the two sets of traction arms 506 to drive the shoulder support plate 1 to slide toward the leg support plate 3;

[0045] c. At the same time, the lifting motor 601 drives the lifting screw 602 to rotate, and the lifting screw 602 drives the lifting block 7 to drive the combination part 8 and the locking rod 10 to support the shoulder support plate 1 to move upward, ensuring that the shoulder support plate 1 is always in a horizontal state. At this time, the waist support plate 2 is folded upward, and the entire turning frame is folded and supported to form a step shape, thereby supporting the patient to lie prone in a kneeling position, reducing the pressure on the abdominal aorta and promoting venous return;

[0046] d. When the prone ventilation is completed and the patient needs to be restored to the supine bed position, the turning motor 702 drives the driving gear 703 to rotate, and the driving gear 703 is engaged with the transmission gear 804 to form a reduction gear mechanism, so that the transmission gear 804 slowly drives the transmission shaft 801 to rotate under the support of the rotating sleeve 701, and then the transmission shaft 801 supports the locking rod 10 to drive the turning frame to rotate as a whole. When the turning frame rotates 90 degrees, the patient is in the lateral position. Then the restraint component 4 on the patient's body is released, and the entire device is disassembled and removed. Then the patient is pushed to continue to turn 90 degrees to achieve supine lying, completing the prone ventilation and turning action.

[0047] By setting a turning frame as a supporting structure for supporting the patient to perform prone ventilation, the extension belts 401 of the three sets of restraint components 4 are extended under the patient, and the extension belts 401 are used to pull the patient in the supine position to turn to the top side of the turning frame, so that the patient's prone position conversion action can be quickly realized, and there is no need for multiple people to cooperate in using the turning sheet to perform the turning action, which is convenient to use;

[0048] In addition, a concave hole 103 is provided to accommodate the patient's face, so as to ensure that the patient can perform prone ventilation with the face facing downward, which is helpful for drainage of lung secretions and improves the problem that the patient needs to frequently clean the face when the patient spit out secretions due to prone ventilation.

[0049] The turning frame is also configured as a foldable structure, and the three-section turning frame support can be folded up into a step-like structure, so as to assist in supporting the patient in performing prone ventilation in a kneeling position, thereby being able to maintain a kneeling position with the buttocks facing upward and the face facing downward, which is more conducive to the discharge of lung and tracheal secretions, and can assist in supporting the patient in switching between a prone position and a kneeling position, so as to improve the discomfort caused by the patient maintaining the same posture for a long time, and help the patient's recovery.

[0050] The above is only a specific embodiment of the present invention, but the protection scope of the present invention is not limited thereto. Any person skilled in the art can easily think of changes or substitutions within the technical scope disclosed by the present invention, which should be included in the protection scope of the present invention. Therefore, the protection scope of the present invention should be based on the protection scope of the claims.

Claims

1. A prone position ventilation turning device, characterized in that: The invention comprises a turning frame and two groups of upright frames (6), wherein the turning frame is transversely arranged between the two groups of upright frames (6), and the turning frame comprises a shoulder support plate (1), a waist support plate (2) and a leg support plate (3) which are arranged transversely in sequence and can be rotated and folded. A folding component (5) is fixed on the bottom side of the leg support plate (3) for supporting the shoulder support plate (1) and pulling the waist support plate (2) to rotate upward to assist the patient to lie prone in a kneeling position. A transversely extending locking rod (10) is fixed to the outer center of each of the shoulder support plate (1) and the leg support plate (3), and a lifting block (7) is arranged in the middle of each of the two groups of upright frames (6). A combination part (8) for supporting the locking rod (10) to drive the turning frame to rotate is arranged on the opposite sides of the two groups of lifting blocks (7), and a restraining component (4) is arranged on the top side of each of the shoulder support plate (1), the waist support plate (2) and the leg support plate (3).

2. A prone position ventilation turning device according to claim 1, characterized in that: A concave hole (103) for placing the patient's face is vertically penetrated through the top side of the shoulder support (1) away from the leg support (3), and the front and rear sides of the outside of the shoulder support (1) are both provided with inwardly concave gripping grooves (102), and the top edges of the front and rear parts of the shoulder support (1) are both provided with longitudinally extending traction holes (101).

3. A prone position ventilation turning device according to claim 2, characterized in that: The waist support plate (2) is fixed with a rotating seat (201) on both sides thereof, which is respectively hinged to the shoulder support plate (1) and the leg support plate (3); the rotating seat (201) is arranged below the lateral height of the traction hole (101); the folding assembly (5) comprises a sliding frame (501) arranged below the leg support plate (3); two groups of fixing frames (501a) are fixed to the top of the sliding frame (501) in a lateral manner and are fixed to the bottom side of the shoulder support plate (1) by bolts.

4. A prone position ventilation turning device according to claim 3, characterized in that: A synchronous block (502) is slidably engaged with the middle part of the slide frame (501) in a transverse direction, and a guide groove (503) extending along the length direction of the slide frame (501) is longitudinally penetrated on the front and rear sides of the slide frame (501), and a traction arm (506) extending out of the guide groove (503) is rotatably engaged with the front and rear sides of the synchronous block (502), and the outer end of the traction arm (506) extends upward to the outside of the shoulder support plate (1), and the outer end of the traction arm (506) extends into the traction hole (101) and is rotatably engaged with the traction hole (101) through a bearing, and a traction motor (504) is fixed to the outside of the slide frame (501), and the output end of the traction motor (504) is drivingly connected to a traction screw (505) extending transversely into the interior of the slide frame (501), and the traction screw (505) transversely penetrates the synchronous block (502) and is threadably engaged with the synchronous block (502).

5. A prone position ventilation turning device according to claim 4, characterized in that: The stand (6) is a vertically extending rectangular frame structure, and the lifting block (7) is an H-shaped block structure matching the stand (6). The lifting block (7) is vertically slidably matched with the stand (6). A lifting motor (601) is fixed on the top side of the stand (6). The output end of the lifting motor (601) is transmission-connected with a lifting screw (602) vertically extending into the interior of the stand (6), and the lifting screw (602) is threadedly matched with the lifting block (7).

6. A prone position ventilation turning device according to claim 5, characterized in that: A rotating sleeve (701) supporting the rotation of the combined part (8) is fixed on one side of the lifting block (7) close to the locking rod (10); the combined part (8) comprises a transmission shaft (801) extending laterally into the interior of the rotating sleeve (701); the transmission shaft (801) and the rotating sleeve (701) are rotationally matched via a thrust bearing; and a transmission gear (804) is keyed on the outer side of the transmission shaft (801); a turning motor (702) is arranged on the outer side of the lifting block (7); a driving gear (703) meshing with the transmission gear (804) to drive the transmission shaft (801) to rotate is fixed on the output end of the turning motor (702).

7. A prone position ventilation turning device according to claim 6, characterized in that: A motor seat (704) for supporting and installing the turning motor (702) is fixed on the outer side of the lifting block (7); the locking rod (10) is a regular polygonal long strip structure; a locking hole (802) for accommodating the locking rod (10) to extend horizontally is arranged at the end of the transmission shaft (801); the locking hole (802) is a regular polygonal through hole adapted to the locking rod (10); a plug hole (10a) is vertically penetrated in the middle of the locking rod (10); and a hand screw (803) is threadedly matched on the outer side of the transmission shaft (801) and vertically extends into the locking hole (802) and passes through the plug hole (10a).

8. The prone position ventilation turning device according to claim 7, characterized in that: A walking mechanism (9) is provided at the bottom of the two groups of the vertical frames (6), and the walking structure includes a support plate (901) fixed to the bottom of the vertical frame (6), and universal wheels (903) with a foot brake structure are fixed at the four corners of the bottom of the support plate (901), and two groups of reinforcement seats (902) fixed to both sides of the bottom end of the vertical frame (6) are symmetrically arranged on the top of the support plate (901).

9. A prone position ventilation turning device according to claim 8, characterized in that: The top sides of the shoulder support plate (1), the waist support plate (2) and the leg support plate (3) are successively penetrated by inwardly concave prone grooves, and the outer corners of the shoulder support plate (1) and the leg support plate (3) are arc-shaped rounded corners. The restraint component (4) includes an extension belt (401) and a positioning belt (402) respectively fixed to the edge positions on both sides of the top of the turning frame, and a plug (403) that can be fixed at any position in the length direction of the extension belt (401) is arranged on the outer side of the extension belt (401), and a socket (404) that can be detachably matched with the plug (403) is fixed on the outer free end of the positioning belt (402).

10. The kneeling support method of the prone position ventilation turning device according to any one of claims 1 to 9, characterized in that: The following steps are involved: a. When turning a patient in a supine position over for prone ventilation, the turning frame is supported by two sets of walking mechanisms (9) and moved to the bed position, ensuring that the turning frame is moved down to be placed on the bed surface and in parallel with the patient, and then one end of the external plug (403) of the three extension belts (401) is passed under the patient, and the plug (403) is passed under the patient and pulled in the reverse direction to the top of the turning frame, and the patient's body is pulled to the top side of the turning frame by pulling one end of the external plug (403) of the three extension belts (401). At this time, the patient lies flat on the top side of the turning frame, with the patient's face facing downward and placed at the concave hole (103) of the shoulder support plate (1), ensuring that the endotracheal tube can be extended along the concave hole (103) to remain unobstructed; b. When the patient in the prone position needs to be adjusted to a kneeling ventilation state, the shoulder support plate (1) is pulled upward by the folding assembly (5), and the lumbar support plate (2) is turned upward by the shoulder support plate (1), so that the turning frame is folded into a step shape as a whole. During the operation, the traction motor (504) and the lifting motor (601) outside the shoulder support plate (1) work synchronously, and the traction motor (504) is used to drive the traction screw (505) to rotate, and then the traction screw (505) is used to drive the synchronous block (502) to slide along the slide frame (501), and the synchronous block (502) is used to pull the two sets of traction arms (506) to drive the shoulder support plate (1) to slide in the direction close to the leg support plate (3); c. At the same time, the lifting motor (601) drives the lifting screw (602) to rotate, and the lifting screw (602) drives the lifting block (7) to drive the combination part (8) and the locking rod (10) to support the shoulder support plate (1) to move upward, ensuring that the shoulder support plate (1) is always in a horizontal state. At this time, the waist support plate (2) is folded upward, and the entire turning frame is folded and supported to form a step shape, thereby supporting the patient to lie prone in a kneeling position, reducing the pressure on the abdominal aorta and promoting venous return; d. When the prone position ventilation is completed and the patient needs to be restored to the supine position in bed, the turning motor (702) drives the driving gear (703) to rotate, and the driving gear (703) is engaged with the transmission gear (804) to form a reduction gear mechanism, so that the transmission gear (804) slowly drives the transmission shaft (801) to rotate under the support of the rotating sleeve (701), and then the transmission shaft (801) supports the locking rod (10) to drive the turning frame to rotate as a whole. When the turning frame rotates 90 degrees, the patient is in the lateral position, and then the restraint component (4) on the patient's body is released, and the entire device is disassembled and removed, and then the patient is pushed to continue to turn 90 degrees to lie supine, completing the prone position ventilation and turning action.

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