A clinical examination device special for pediatrics

Abstract

The application discloses a kind of clinical examination devices of pediatrics, it is related to medical instrument technical field, including: support frame and the support plate of rotation connection in the both ends of support frame;Connecting block, the connecting block is arranged in the inner side of support frame, the connecting block is hinged between the support plate by first hinged link;Threaded rod, the threaded rod is screw-connected in the inner side of support frame, and one end of the threaded rod is penetrated to the inner side of support frame and is rotationally connected with the connecting block.The application is provided with auxiliary pushing piece and poking assembly, in the throat sampling scene of pediatrics, the independent setting of second connecting pipe+the multi-dimension adjusting structure of bolt driving, and the support plate oral cavity support structure form the collaborative system of "stable foundation+flexible adjustment", the key is to solve "the key problem that sampling position is difficult to accurately adapt to the narrow throat of children after oral cavity is fixed", so as to improve the convenience of sampling, and then improve the practicability of device whole.

Description

TECHNICAL FIELD

[0001] The present application relates to the technical field of medical devices, in particular to a clinical examination device special for pediatric internal medicine. BACKGROUND

[0002] Oral cavity detection sampling is to dip the mucosa or tissue cells in the oral cavity with a cotton swab, and then detect and analyze the sample to accurately judge the health of the oral cavity. Oral mucosa refers to the soft and moist tissue covering the inside of the mouth. Generally, it is a barrier that protects the oral cavity. Oral mucosa detection is of great significance because many diseases can be reflected in the early stage through oral mucosa. At the same time, the detection of oral mucosa can also find problems in the immune system.

[0003] The existing oral cavity detection sampling device for pediatric internal medicine is generally directly inserted into the throat of the patient by medical staff for sampling operation. However, small children have poor self-control ability, which may cause the cotton swab to be squeezed by the upper and lower jaws, possibly causing the cotton swab to be bent or even broken. If the broken end is retained in the throat, it needs to be taken out with additional tools, increasing the risk of suffocation. On the other hand, head shaking or tongue movement may cause the cotton swab to deviate from the preset sampling target (such as tonsil crypts, pharyngeal wall follicles). Medical staff need to repeatedly adjust the position of the cotton swab to chase the target, which may cause the tip of the cotton swab to frequently rub the pharyngeal mucosa. Since the pharyngeal mucosa of children is delicate and easy to be scratched, it may cause bleeding or stimulate the epiglottis to cause severe nausea and vomiting, further aggravating the child's resistance. Therefore, we provide a clinical examination device special for pediatric internal medicine to solve the above problems. SUMMARY

[0004] The present application aims to solve the problem that direct insertion of a cotton swab into the oral cavity of a child for sampling may affect the sampling of medical staff due to the poor self-control ability of small children. A clinical examination device special for pediatric internal medicine is provided.

[0005] In order to achieve the above object, the present application provides the following technical scheme: a clinical examination device for pediatric internal medicine, comprising: a support frame and support plates rotatably connected to both ends of the support frame; a connecting block arranged on the inner side of the support frame, the connecting block being hingedly connected to the support plates through a first hinge rod; a threaded rod threadedly connected to the inner side of the support frame, one end of the threaded rod penetrating into the inner side of the support frame and being rotatably connected to the connecting block; a cotton swab arranged at the front end of the support plate, an auxiliary pushing piece being arranged between the cotton swab and the support frame for pushing the cotton swab to perform a dipping operation, the auxiliary pushing piece comprising: a second connecting pipe arranged on the inner side of the connecting block; and a first connecting pipe arranged at the front end of the second connecting pipe; and an auxiliary docking device located between the cotton swab and the first connecting pipe for assisting the cotton swab in docking installation.

[0006] As a further scheme of the present application: the auxiliary pushing piece further comprises a spherical block embedded at the front end of the second connecting pipe, one end of the spherical block being fixedly connected to a connecting column, one end of the connecting column being fixedly connected to the first connecting pipe, and the inner side of the second connecting pipe being provided with a poking assembly for poking and rotating the spherical block.

[0007] As a further scheme of the present application: the poking assembly comprises a pulling rod arranged on the inner side of the second connecting pipe, a second hinge rod being arranged between the pulling rod and the spherical block, both ends of the second hinge rod being rotatably connected to the pulling rod and the spherical block through a fixed seat respectively, and both the fixed seats being fixedly connected to the pulling rod and the spherical block.

[0008] As a further scheme of the present application: an end of the second connecting pipe is fixedly connected to a fixed ring, the fixed ring being in contact with but not connected to the spherical block, and an arc spring being installed between the fixed ring and the connecting column.

[0009] As a further scheme of the present application: the poking assembly further comprises a sealing plate fixedly connected to the end of the second connecting pipe, a bolt being threadedly connected to the inner side of the sealing plate, a rectangular block being slidingly connected to the inner side of the second connecting pipe, one end of the bolt being rotatably connected to the rectangular block through a bearing, and the rectangular block being fixedly connected to the pulling rod.

[0010] As a further scheme of the present application: the inner side of the second connecting pipe is provided with a rectangular groove matched with the rectangular block, and the inner side of the sealing plate is provided with a threaded groove matched with the bolt.

[0011] As a further further scheme of the present application: the auxiliary adapter includes a threaded ring threaded on the outer wall of the first connecting pipe, one end of the threaded ring is fixedly connected with a connecting cover, and the cotton swab is mounted on the inner side of the connecting cover, and a suction auxiliary assembly is mounted between the connecting cover, the first connecting pipe and the second connecting pipe.

[0012] As a further further scheme of the present application: the suction auxiliary assembly includes a first suction groove opened in the inner side of the connecting cover, a second suction groove is opened in the inner side of the first connecting pipe, a through hole for communicating the first suction groove and the second suction groove is opened in the inner side of the threaded ring, an introduction groove is opened in the end of the connecting cover and communicates with the first suction groove, and the introduction groove is arranged on the outer side of the cotton swab.

[0013] As a further further scheme of the present application: the suction auxiliary assembly further includes a connecting pipe arranged on the inner side of the first connecting pipe, one end of the connecting pipe penetrates into the interior of the second suction groove, a first one-way valve is fixedly connected on one end of the connecting pipe which penetrates into the exterior of the second connecting pipe, a elastic bag is fixedly connected on one end of the first one-way valve, a second one-way valve is arranged in the interior of the elastic bag, and one end of the second one-way valve penetrates into the exterior of the elastic bag.

[0014] As a further further scheme of the present application: a through groove with a diameter larger than that of the connecting pipe is opened in the interior of the connecting column and the spherical block, and the connecting pipe penetrates from the interior of the through groove.

[0015] Compared with the prior art, the present application has the following advantages:

[0016] 1. By arranging the auxiliary pushing member and the pushing assembly, in the scene of throat sampling in pediatric department, the independent arrangement of the second connecting pipe and the multi-dimensional adjustment structure driven by the bolt form a collaborative system of "stable foundation + flexible adjustment" with the oral cavity supporting structure of the supporting plate, the key is to solve the key problem of "difficult to accurately adapt the sampling position after oral fixation to the narrow throat of children", so as to improve the convenience of sampling, and further improve the practicability of the device as a whole.

[0017] 2、By setting the suction auxiliary assembly, when the worker operates the second connecting pipe with one hand to drive the cotton swab to sample, the other hand can repeatedly squeeze the elastic bag, when the elastic bag is squeezed, the gas in the elastic bag can be discharged from the inside of the second one-way valve to the outside, when the elastic bag is reset under the action of its own elasticity, the inside of the connecting pipe can be suctioned through the first one-way valve, and then the outside is suctioned through the guide groove, so that the cotton swab is dipped at the same time as suctioning, the sample collection amount is actively improved, and the secondary sampling operation caused by insufficient dipping is avoided, since the amount of children's throat secretions (such as inflammatory exudates and pus point secretions) is usually small and attached to the mucosa surface, simple cotton swab dipping is easy to cause "secretion adhesion weak" and "child swallowing reflex", resulting in insufficient sample amount, repeated sampling increases the pain of children, the guide groove is accurately aligned outside the cotton swab, and negative pressure can actively "adsorb the secretions on the mucosa surface of the throat to the cotton head of the cotton swab", especially for a small amount of secretions in deep hidden areas such as tonsil crypts and posterior wall follicles, negative pressure can "pull" the secretions to contact the cotton swab, compared with simple dipping (depending on the passive adsorption of the cotton head), so that the collection amount is improved, the sample concentration is higher, and the accuracy of subsequent detection is improved. BRIEF DESCRIPTION OF DRAWINGS

[0018] Figure 1 It is a structural schematic diagram of the application;

[0019] Figure 2 It is a sectional view of the application;

[0020] Figure 3 It is a sectional view of the first connecting pipe of the application;

[0021] Figure 4 It is a structural schematic diagram of the application Figure 3 It is an enlarged view of A in the application;

[0022] Figure 5 It is a schematic diagram of the connection between the threaded ring and the first connecting pipe of the application;

[0023] Figure 6 It is a structural schematic diagram between the first connecting pipe and the second connecting pipe of the application;

[0024] Figure 7 It is a sectional view of the second connecting pipe of the application;

[0025] Figure 8 It is a structural schematic diagram of the spherical block of the application.

[0026] In the figure: 1, support frame; 2, threaded rod; 3, connecting block; 4, support plate; 5, first hinged rod; 6, first connecting pipe; 7, second connecting pipe; 8, sealing plate; 9, cotton swab; 10, connecting cover; 11, threaded ring; 12, connecting pipe; 13, first suction groove; 14, second suction groove; 15, guide groove; 16, pulling rod; 17, second hinged rod; 18, fixing seat; 19, spherical block; 20, fixing ring; 21, arc spring; 22, connecting column; 23, rectangular groove; 24, rectangular block; 25, bolt; 26, first one-way valve; 27, elastic bag; 28, second one-way valve. DETAILED DESCRIPTION

[0027] The technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, rather than all the embodiments of the present application. Based on the embodiments in the present application, all other embodiments obtained by those skilled in the art without creative work fall within the scope of protection of the present application.

[0028] In the description of the present application, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" and the like indicate the orientation or positional relationship shown in the drawings, and are only for the convenience of describing the present application and simplifying the description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore cannot be understood as a limitation on the present application. In addition, the terms "first", "second", "third" are only for the purpose of description, and cannot be understood as indicating or implying relative importance. In the description of the present application, it should be noted that unless otherwise explicitly specified and limited, the terms "mounting", "connecting", "connecting", "setting" should be understood broadly, for example, it can be fixedly connected, or it can be detachably connected, or integrally connected; it can be mechanically connected, or it can be electrically connected; it can be directly connected, or it can be indirectly connected through an intermediate medium, or it can be the communication inside two elements. For those skilled in the art, the specific meaning of the above terms in the present application can be understood according to the specific circumstances. The embodiments of the present application will be described below according to the overall structure of the present application.

[0029] Please refer to Figures 1-8The embodiment provides a clinical examination device special for pediatric internal medicine, which comprises a support frame 1, support plates 4 rotatably connected to both ends of the support frame 1, a connecting block 3 arranged on the inner side of the support frame 1, a first hinge rod 5 arranged between the connecting block 3 and the support plate 4, a threaded rod 2 arranged on the inner side of the support frame 1 and rotatably connected to the connecting block 3, a cotton swab 9 arranged at the front end of the support plate 4, and an auxiliary pushing piece arranged between the cotton swab 9 and the support frame 1 and used for pushing the cotton swab 9 to perform a dipping operation, wherein the auxiliary pushing piece comprises a second connecting pipe 7 arranged on the inner side of the connecting block 3 and a first connecting pipe 6 arranged at the front end of the second connecting pipe 7, an auxiliary docking device arranged between the cotton swab 9 and the first connecting pipe 6 and used for assisting the cotton swab 9 to perform docking installation, and a spherical block 19 embedded at the front end of the second connecting pipe 7, wherein one end of the spherical block 19 is fixedly connected with a connecting column 22, one end of the connecting column 22 is fixedly connected with the first connecting pipe 6, the inner side of the second connecting pipe 7 is provided with a poking assembly used for poking the spherical block 19 to rotate, the poking assembly comprises a pulling rod 16 arranged on the inner side of the second connecting pipe 7, a second hinge rod 17 arranged between the pulling rod 16 and the spherical block 19, two fixed seats 18 rotatably connected with the pulling rod 16 and the spherical block 19 and fixedly connected with the pulling rod 16 and the spherical block 19, a fixed ring 20 fixedly connected with the end of the second connecting pipe 7 and in contact with but not connected with the spherical block 19, an arc-shaped spring 21 arranged between the fixed ring 20 and the connecting column 22, a cover plate 8 fixedly connected with the end of the second connecting pipe 7, a bolt 25 threadedly connected with the inner side of the cover plate 8, a rectangular block 24 slidably connected with the inner side of the second connecting pipe 7, one end of the bolt 25 rotatably connected with the rectangular block 24 through a bearing, the rectangular block 24 fixedly connected with the pulling rod 16, a rectangular groove 23 arranged on the inner side of the second connecting pipe 7 and matched with the rectangular block 24, a threaded groove arranged on the inner side of the cover plate 8 and matched with the bolt 25, and a threaded ring 11 threadedly connected with the outer wall of the first connecting pipe 6, wherein one end of the threaded ring 11 is fixedly connected with a connecting cover 10, and the cotton swab 9 is arranged on the inner side of the connecting cover 10.

[0030] When medical staff needs to dip and sample the throat of a child through a cotton swab, in order to prevent the child from affecting the sampling operation due to lack of self-control, the cotton swab 9 can be inserted into the connecting cover 10, the cotton swab 9 can be shrunk and attached to the inner side of the connecting cover 10 under the extrusion of the cotton itself, then the threaded ring 11 can be screwed on the outer wall of the first connecting pipe 6, so that the cotton swab 9 is installed at the front end of the first connecting pipe 6, and the above steps are directionally operated, so that the staff can take the cotton swab 9 to other places for storage without touching the cotton swab 9.

[0031] When the sampling operation is needed, the staff can select the threaded rod 2 to push the connecting block 3 to move towards the first hinged rod 5, thereby pushing the two support plates 4 to open, and then inserting the two opened support plates 4 into the child's oral cavity to form a support.

[0032] The support plates 4 can actively support the child's upper and lower jaws to form a fixed "oral operation channel". Through the threaded transmission of the threaded rod 2, the medical staff can accurately control the movement distance of the connecting block 3, thereby adjusting the opening angle of the two support plates 4 (such as adjusting to 2-3 cm for children aged 3-6 years old, and adjusting to 3-4 cm for children aged 7-12 years old), ensuring that the channel size is suitable for the oral cavity size of children of different ages, neither too loose to close the channel, nor too tight to compress the oral cavity.

[0033] This design replaces the traditional "medical staff forcibly supporting the child's oral cavity with hands" method, avoids hand blocking the view or causing pain to the child due to uncontrolled force, provides "uninterrupted physical space" for subsequent cotton swab dipping and position adjustment, and fundamentally solves the problem of "oral cavity closing suddenly during sampling";

[0034] The second connecting pipe 7 is only arranged on the inner side of the threaded rod 2 and the connecting block 3 and has no connection relationship with them. When the child's oral cavity is supported by the two support plates 4, the worker pushes the second connecting pipe 7 to drive the cotton swab 9 to move towards the patient's throat, and performs the dipping sampling operation. When the worker needs to adjust the position of the cotton swab 9, the worker can rotate the bolt 25 to push the rectangular block 24 to move forward or backward, thereby pushing the spherical block 19 through the pulling rod 16 and the second hinged rod 17 to drive the first connecting pipe 6 to be raised or pressed downward, and then the worker can rotate the second connecting pipe 7 to adjust the position for scraping operation.

[0035] In the pediatric department throat sampling scene, the independent setting of the second connecting pipe 7 + the multi-dimensional adjustment structure driven by the bolt 25 forms a "stable foundation + flexible adjustment" cooperative system with the oral cavity support structure of the support plate 4, and the core is to solve the key problem of "difficult to accurately adapt to the narrow throat of children after oral fixation", thereby improving the convenience of sampling and improving the overall practicality of the device.

[0036] Please refer to Figures 2-8The suction auxiliary assembly is arranged between the connecting cover 10 and the first connecting pipe 6 and the second connecting pipe 7, the suction auxiliary assembly comprises a first suction groove 13 arranged in the inner side of the connecting cover 10, a second suction groove 14 arranged in the inner side of the first connecting pipe 6, a through hole for connecting the first suction groove 13 and the second suction groove 14 arranged in the inner side of the screw ring 11, a guide groove 15 arranged in the end of the connecting cover 10 and communicating with the first suction groove 13, and the guide groove 15 is arranged on the outer side of the cotton swab 9, the suction auxiliary assembly further comprises a connecting pipe 12 arranged in the inner side of the first connecting pipe 6, one end of the connecting pipe 12 penetrates into the inner side of the second suction groove 14, a first one-way valve 26 is fixedly connected to one end of the connecting pipe 12 and arranged in the outer side of the second connecting pipe 7, a resilient bag 27 is fixedly connected to one end of the first one-way valve 26, a second one-way valve 28 is arranged in the inner side of the resilient bag 27, and one end of the second one-way valve 28 penetrates into the outer side of the resilient bag 27, a through groove with a diameter larger than that of the connecting pipe 12 is arranged in the inner side of the connecting column 22 and the spherical block 19, and the connecting pipe 12 penetrates through the through groove;

[0037] When the staff operates the second connecting pipe 7 to drive the cotton swab 9 to sample by one hand, the other hand can repeatedly squeeze the resilient bag 27, when the resilient bag 27 is squeezed, the gas in the resilient bag 27 is discharged to the outside through the second one-way valve 28, when the resilient bag 27 is reset under the action of the elastic force, the connecting pipe 12 is suctioned through the first one-way valve 26, and then the outside is suctioned through the guide groove 15, so that the cotton swab 9 is dipped and suctioned at the same time, the sample collection amount is actively improved, the secondary sampling operation caused by insufficient dipping is avoided, the amount of secretion (such as inflammatory exudate and pus point secretion) in the throat of children is usually small and attached to the mucosa surface, the simple cotton swab dipping is easy to cause the sample amount to be insufficient due to "weak secretion adhesion" and "child swallowing reflex", and repeated sampling increases the pain of children, the guide groove 15 is accurately aligned with the outer side of the cotton swab 9, and the negative pressure actively "sucks" the secretion on the mucosa surface of the throat to the cotton head of the cotton swab, especially for a small amount of secretion in deep and hidden areas such as tonsil crypts and pharyngeal wall follicles, the negative pressure can "pull" the secretion to contact the cotton swab, compared with simple dipping (depending on the passive adsorption of the cotton head), so that the collection amount is improved, the sample concentration is higher, and the accuracy of subsequent detection is improved.

[0038] The above is only a preferred specific embodiment of the present application, but the protection scope of the present application is not limited to this, any person skilled in the art can make equivalent replacement or change according to the technical scheme and the inventive concept of the present application within the technical range disclosed by the present application, which should be covered in the protection scope of the present application.

Claims

1. A pediatric internal medicine clinical examination device, characterized in that, include: Support frame (1) and support plates (4) rotatably connected to both ends of the support frame (1); Connecting block (3), the connecting block (3) is disposed on the inner side of the support frame (1), and the connecting block (3) is hinged to the support plate (4) by the first hinge rod (5); Threaded rod (2), the threaded rod (2) is threadedly connected to the inner side of the support frame (1), and one end of the threaded rod (2) passes through the inner side of the support frame (1) and is rotatably connected to the connecting block (3); A cotton swab (9) is disposed at the front end of the support plate (4). An auxiliary pusher is provided between the cotton swab (9) and the support frame (1) for pushing the cotton swab (9) to perform a dipping operation. The auxiliary pusher includes: The second connecting pipe (7) is disposed inside the connecting block (3); And a first connecting pipe (6) disposed at the front end of the second connecting pipe (7); An auxiliary connector is located between the cotton swab (9) and the first connecting tube (6) to assist the cotton swab (9) in docking and installation. The auxiliary pusher also includes a spherical block (19) embedded in the front end of the second connecting tube (7). One end of the spherical block (19) is fixedly connected to a connecting post (22), and one end of the connecting post (22) is fixedly connected to the first connecting tube (6). The inner side of the second connecting tube (7) is provided with a turning component for turning the spherical block (19) to rotate. The auxiliary connector includes a threaded ring (11) threaded to the outer wall of the first connecting tube (6), one end of the threaded ring (11) is fixedly connected to a connecting cover (10), and the cotton swab (9) is installed inside the connecting cover (10). A suction auxiliary component is installed between the connecting cover (10) and the first connecting tube (6) and the second connecting tube (7). The suction auxiliary component includes a first suction groove (13) opened inside the connecting cover (10), a second suction groove (14) opened inside the first connecting tube (6), a through hole for connecting the first suction groove (13) and the second suction groove (14) opened inside the threaded ring (11), and a guide groove (15) opened at the end of the connecting cover (10) communicating with the first suction groove (13), and the guide groove (15) is aligned with the outside of the cotton swab (9). The suction auxiliary assembly also includes a connecting pipe (12) disposed inside the first connecting pipe (6), and one end of the connecting pipe (12) extends into the interior of the second suction groove (14). One end of the connecting pipe (12) extends into the exterior of the second connecting pipe (7) and is fixedly connected to a first one-way valve (26). One end of the first one-way valve (26) is fixedly connected to an elastic bladder (27). A second one-way valve (28) is installed inside the elastic bladder (27), and one end of the second one-way valve (28) extends into the exterior of the elastic bladder (27).

2. The pediatric clinical examination device according to claim 1, characterized in that, The actuating assembly includes a pull rod (16) disposed inside the second connecting tube (7). A second hinge rod (17) is provided between the pull rod (16) and the spherical block (19). The two ends of the second hinge rod (17) are rotatably connected to the pull rod (16) and the spherical block (19) respectively through a fixed seat (18), and the two fixed seats (18) are fixedly connected to the pull rod (16) and the spherical block (19) respectively.

3. The pediatric clinical examination device according to claim 2, characterized in that, The end of the second connecting pipe (7) is fixedly connected to a fixing ring (20), and the fixing ring (20) contacts the spherical block (19) but is not connected. An arc spring (21) is installed between the fixing ring (20) and the connecting column (22).

4. The pediatric clinical examination device according to claim 3, characterized in that, The actuating assembly also includes a sealing plate (8) fixedly connected to the end of the second connecting tube (7). The inner side of the sealing plate (8) is threaded with a bolt (25). The inner side of the second connecting tube (7) is slidably connected with a rectangular block (24). One end of the bolt (25) is rotatably connected to the rectangular block (24) through a bearing. The rectangular block (24) is fixedly connected to the pull rod (16).

5. The pediatric clinical examination device according to claim 4, characterized in that, The inner side of the second connecting pipe (7) is provided with a rectangular groove (23) that matches the rectangular block (24), and the inner side of the sealing plate (8) is provided with a threaded groove that matches the bolt (25).

6. The pediatric clinical examination device according to claim 1, characterized in that, The connecting column (22) and the spherical block (19) have through grooves with a diameter larger than that of the connecting pipe (12) inside, and the connecting pipe (12) passes through the inside of the through grooves.

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