Prone position ventilation turning-over auxiliary device for tracheostomy patient

Abstract

The utility model relates to a tracheostomy patient prone position ventilation turning-over auxiliary device which comprises a prone plate (1) and a turning-over auxiliary plate (2). A head supporting module (3), a shoulder and chest supporting module (4), a pelvic bone supporting module (5) and a leg supporting module (6) are sequentially arranged on the prone plate (1) in the long edge direction. A notch (41) used for avoiding a tracheotomy catheter is formed in the middle of the front end of the shoulder and chest supporting module (4). The turning-over auxiliary plate (2) comprises an auxiliary plate body (21) and a fixing belt (22) connected with the auxiliary plate body (21); the auxiliary board body (21) can rotate around the long edge of one side of the prone board (1). Compared with the prior art, the utility model can fully guarantee the ventilation safety of the tracheostomy patient in prone position treatment.

Description

Technical Field

[0001] The utility model relates to the technical field of medical devices, in particular to a tracheotomy patient prone position ventilation turning auxiliary device. Background Art

[0002] Skin care for patients in the prone position is the focus of nursing care for critically ill patients and also the difficulty of nursing care. The standardized process of prone position mentions that prone position requires a turning sheet, foam dressing, headrest, 2-3 cylindrical pillows and several silicone soft pillows. In actual implementation, nurses use foam dressings to protect the vulnerable parts, then use turning sheets to turn over, pad the headrest on the patient's head, and pad several soft pillows on the patient's shoulders, chest, iliac region, knees, and legs to protect the patient's skin. The tracheostomy tube of tracheotomized patients is located at the 3rd-4th tracheal cartilage ring on the midline of the neck. The surface position is just below the front of the neck. When the pillows are placed on the shoulders and chest in the prone position, it is very easy to press the patient's tracheostomy tube, increasing the risk of suffocation for the patient; at the same time, neck pressure may cause pressure sores on the skin around the tracheostomy tube, increasing the difficulty of subsequent nursing care, and clinical nurses need to constantly adjust the position of the soft pillow manually. This not only increases the workload of nurses, but also increases the risk of suffocation for patients.

[0003] Utility model patent CN 219629985 U discloses a prone position ventilation turning assist device, which includes a prone board and a turning assist board, the turning assist board can rotate around one long side of the prone board, and the prone board also includes a headrest, which is connected to one short side of the prone board body, and a connection gap is provided at the connection between the headrest and the prone board body, and the connection gap is suitable for the tracheotomy mask and humidification bottle of the tracheotomy patient and other devices and pipelines to prevent the channel from being blocked and affecting the oxygen supply. However, the device still has a high risk of pressing the tracheotomy tube. Utility Model Content

[0004] The utility model aims to provide a tracheotomy patient prone position ventilation turning auxiliary device to reduce the risk of tracheotomy tube being compressed.

[0005] The purpose of the utility model can be achieved by the following technical solutions: a tracheotomy patient prone position ventilation turning auxiliary device, comprising a prone board and a turning auxiliary board;

[0006] The prone board is provided with a head support module, a shoulder and chest support module, a pelvic support module and a leg support module in sequence along the long side direction;

[0007] A notch is provided in the middle of the front end of the shoulder-chest support module for accommodating the tracheotomy tube;

[0008] The turning over auxiliary board comprises an auxiliary board body and a fixing belt connected to the auxiliary board body;

[0009] The auxiliary board body can rotate around one long side of the prone board.

[0010] Preferably, the notch is an inwardly concave arc structure, similar to a "U" shape. When in use, the shoulder and chest support module is placed on the patient's shoulder and chest, with the front notch aligned with the patient's tracheotomy tube.

[0011] Preferably, the maximum dimension of the notch in the transverse direction (the short side direction of the prone board) is 10 to 20 cm, and the maximum dimension in the longitudinal direction (the long side direction of the prone board) is 4 to 6 cm.

[0012] Further preferably, the maximum transverse dimension of the notch is 15 cm, and the maximum longitudinal dimension is 5 cm.

[0013] Preferably, the shoulder and chest support module has a size of 38*63 cm.

[0014] Preferably, the shoulder and chest support module is filled with a memory foam layer.

[0015] The outer width of an ordinary tracheotomy tube is 10 cm, and different models and types of tracheotomy tubes may be slightly different. The size of an ordinary soft pillow is 38*63 cm. The shoulder and chest support module of the utility model adopts the size of an ordinary soft pillow, but has certain particularities in shape. A part with a length of 15 cm and a width of 5 cm is cut off from the middle of the upper edge of the pillow to form a notch similar to a "U" shape, which can not only avoid the tracheotomy tube from being compressed, but also protect the skin of the patient's shoulders and chest. The size of the cut part is preferably 15cm×5cm, which should not be too large or too small. If it is too small, it cannot avoid the tracheotomy tube from being compressed, and if it is too large, it cannot protect the skin at the left and right clavicles and the sternum. When in use, the pillow is placed on the patient's shoulder and chest, and the notch at the upper edge is aligned with the patient's tracheotomy tube. The improved soft pillow core is filled with memory foam, which has good pressure dispersion performance and can buffer local pressure. Although the memory foam pillow is more expensive than an ordinary pillow, it has excellent recovery ability, will not become flat, can maintain the shape of the pillow for a long time, and has better pressure dispersion performance. Compared with ordinary pillows, it has better anti-pressure sore performance. The shoulder and chest support module can be detachably installed on the prone board. After use by each patient, it can be disinfected with ozone or ultraviolet light in the same way as conventional soft pillows, and can be used repeatedly.

[0016] Preferably, the shoulder and chest support module is in a slope shape with a thick front end and a thin end.

[0017] More preferably, the slope has a gradient of 10 to 30°.

[0018] The utility model further improves the shape of the shoulder and chest support module. Through the sloped design, the patient's tracheotomy tube can be slightly raised to further reduce the risk of compression.

[0019] Preferably, the prone board comprises a main body board and a first slide plate and a second slide plate slidably arranged at two ends of the main body board;

[0020] The head support module is arranged on the first slide plate, the shoulder and chest support module is arranged on the main body plate, and the pelvic support module and the leg support module are arranged on the second slide plate.

[0021] Further preferably, a slide groove is provided on the outer side of the main body plate along the length direction, and a slider that can slide along the slide groove is provided on the first slide plate and the second slide plate.

[0022] More preferably, the slide groove is provided with a plurality of first positioning holes along the length direction, the slider is provided with a second positioning hole, and the positioning bolts can pass through the second positioning holes and the first positioning holes to achieve positioning between the slide groove and the slider.

[0023] Further preferably, one end of the main body plate connected to the first slide plate is provided with a hollow structure, and the first slide plate is straddled above the hollow structure.

[0024] Further preferably, the head support module and the first slide plate are detachably connected via Velcro.

[0025] Further preferably, the shoulder and chest support module is detachably connected to the main body panel via Velcro.

[0026] Further preferably, the pelvic support module and the leg support module are detachably connected to the second slide plate via Velcro.

[0027] Preferably, the turning over auxiliary board is hinged to the middle position of the long side of one side of the prone board.

[0028] Further preferably, the turning over auxiliary plate is hinged to one side of the main body plate.

[0029] Preferably, the head support module, shoulder and chest support module, pelvic support module and leg support module are all flexible cushions.

[0030] Further preferably, the interiors of the head support module, the pelvic support module and the leg support module are filled with sponge or polyester fiber.

[0031] Preferably, the surfaces of the head support module, shoulder and chest support module, pelvic support module and leg support module are all provided with a flexible skin-friendly layer.

[0032] Further preferably, the flexible skin-friendly layer comprises a cotton layer.

[0033] Preferably, the fixing belt is an elastic fixing belt.

[0034] As an important treatment for ARDS, prone position therapy is increasingly being used in clinical practice. Its efficacy has been fully recognized, but its complications are often underestimated, including local tissue damage caused by long-term compression of the nasal or throat mucosa by the endotracheal tube, discomfort caused by sputum retention in the airway, and long-term prone position may cause increased intraocular pressure and orbital venous pressure, which in turn causes discomfort such as periorbital edema. In response to the above problems, many scholars have taken corresponding measures. In clinical practice, fluid pillows and horseshoe-shaped pillows are often used as headrests to avoid pressure on the patient's nose and eyes, but the protection of the tracheostomy tube site of tracheostomy patients has been neglected. At present, ordinary soft pillows are still used in clinical practice to cushion the patient's shoulders and chest. Although the skin of the patient's shoulders and chest is protected, the risk of tracheostomy tube compression is ignored. Tracheostomy tube compression increases the risk of suffocation in patients, and long-term compression of the skin by the tracheostomy tube can cause local pressure sores. In order to avoid tracheostomy tube compression, clinical nurses often rely on experience to regularly feel the position of the shoulder and chest pillows and make continuous adjustments. If the tracheostomy tube is felt to be compressed, the pillow is pushed down. This method has certain risks. The patient is in a prone position and cannot directly see the current position of the pillow. The nurse can only use her hands to feel the position of the tracheostomy tube and the shoulder and chest pillow. Blindly pushing the pillow down may cause the pillow to go too far down and fail to protect the shoulder and chest skin, and may also cause pressure on the abdomen. In addition, the process of pushing the pillow down may cause the catheters in the front and side chest to shift, resulting in adverse nursing events. This method not only greatly increases the risk to the patient and the probability of adverse events, but also increases the workload of the nurse.

[0035] Compared with the prior art, the utility model has the following beneficial effects:

[0036] 1. The utility model can reduce the risk of tracheotomy tube being compressed by the notch design on the shoulder and chest support module;

[0037] 2. The utility model shoulder and chest support module can better protect the patient's shoulder and chest skin, and at the same time avoid the patient's tracheotomy tube from being compressed, ensuring the patient's safety and reducing the workload of nurses;

[0038] 3. The utility model can fully guarantee the ventilation safety of tracheotomy patients in prone position treatment and reduce the probability of adverse events;

[0039] 4. The utility model can slightly raise the patient's tracheotomy tube through the sloped design of the shoulder and chest support module, further reducing the risk of compression;

[0040] 5. The utility model can flexibly adjust the positions of the head support module, the shoulder and chest support module and the pelvic support module according to the patient's height through the coordination of the main board, the first slide plate, the second slide plate and the components thereon, thereby improving the patient's comfort and the applicability of the device;

[0041] 6. The utility model adopts a hollow structure design in which the main plate is connected to one end of the first slide plate, which provides sufficient and flexible passage space for various pipelines and devices required for prone position treatment including tracheotomy tubes, thereby ensuring ventilation safety. BRIEF DESCRIPTION OF THE DRAWINGS

[0042] Figure 1 The structure of the utility model of the tracheotomy patient prone position ventilation turning auxiliary device is schematically shown Figure 1 ;

[0043] Figure 2 This is a schematic diagram of the use of the shoulder and chest support module of the utility model;

[0044] Figure 3 The structure of the utility model of the tracheotomy patient prone position ventilation turning auxiliary device is schematically shown Figure 2 ;

[0045] Figure 4 The structure of the utility model of the tracheotomy patient prone position ventilation turning auxiliary device is schematically shown Figure 3 ;

[0046] In the figure: 1-prone board, 11-main board, 111-slide groove, 1111-first positioning hole, 112-hollow structure, 12-first slide plate, 13-second slide plate, 14-slider, 15-positioning bolt, 2-turning auxiliary board, 21-auxiliary board body, 22-fixing belt, 23-head gasket, 24-pad, 25-buckle, 26-auxiliary rod, 3-head support module, 4-shoulder and chest support module, 41-notch, 5-pelvic support module, 6-leg support module. DETAILED DESCRIPTION

[0047] The present invention is described in detail below in conjunction with the accompanying drawings and specific embodiments. This embodiment is implemented based on the technical solution of the present invention, and provides a detailed implementation method and a specific operation process, but the protection scope of the present invention is not limited to the following embodiments.

[0048] It should be noted that similar reference numerals and letters denote similar items in the following drawings, and therefore, once an item is defined in one drawing, further definition and explanation thereof is not required in subsequent drawings.

[0049] In conjunction with the accompanying drawings, some embodiments of the present invention are described in detail below. In the absence of conflict, the following embodiments and features in the embodiments can be combined with each other.

[0050] Example 1

[0051] A tracheotomy patient prone position ventilation turning assisting device, such as Figure 1As shown, it includes a prone board 1 and a turning over auxiliary board 2 which is connected to and rotates around one long side of the prone board 1 . The turning over auxiliary board 2 includes an auxiliary board body 21 and a fixing belt 22 connected to the auxiliary board body 21 .

[0052] Among them, the prone board 1 is provided with a head support module 3 for supporting the patient's head, a shoulder and chest support module 4 for supporting the patient's shoulders and chest, a pelvic support module 5 for supporting the patient's pelvis and a leg support module 6 for supporting the patient's legs in sequence along the long side direction.

[0053] In this embodiment, a notch 41 is provided in the middle of the front end of the shoulder-chest support module 4 for evading the tracheotomy tube. Figure 2 As shown, when in use, the shoulder and chest support module 4 is placed on the patient's shoulder and chest, with the upper edge notch 41 aligned with the patient's tracheotomy tube, which can reduce the risk of pressing the tracheotomy tube.

[0054] Example 2

[0055] A tracheotomy patient prone position ventilation turning auxiliary device, the shoulder chest support module 4 is a 38*63cm soft pillow, the pillow core is memory foam, the middle of the upper edge is cut off with a length of 15cm and a width of 5cm, forming a notch 41 similar to a "U" shape, which can not only prevent the tracheotomy tube from being compressed, but also protect the patient's shoulder and chest skin. The cut part is 15cm×5cm, which should not be too large or too small. If it is too small, it cannot prevent the tracheotomy tube from being compressed, and if it is too large, it cannot protect the skin at the left and right clavicles and the sternum. The rest is the same as Example 1.

[0056] When the patient is in a prone position, the shoulder and chest support module 4 is placed on the patient's shoulder and chest, with the upper edge notch aligned with the patient's tracheostomy tube to prevent the tracheostomy tube from being compressed and to protect the shoulder and chest skin. When there is no patient in a prone position, the soft pillow can be used as an ordinary soft pillow, but it has better pressure dispersion performance and can be used in some patients at high risk of pressure sores. After use, it can be disinfected like other soft pillows.

[0057] Safety care has always been the focus of care for patients in the prone position. Protecting the patient's skin and maintaining the normal operation of important pipelines are crucial. When a tracheostomy patient is in the prone position, the protection of the tracheostomy tube is an important means to maintain the stability of the patient's vital signs. The improved shoulder-chest pillow can not only prevent the tracheostomy tube from being compressed and reduce the patient's risk of suffocation; it can also protect the skin around the tube and avoid the occurrence of pressure sores; it can also prevent nurses from blindly pushing the soft pillow and causing abdominal compression or other important tubes to slip, ensuring the safety of patients and reducing the workload of nurses to a certain extent. In addition, although the cost of the improved shoulder-chest pillow is slightly higher than that of an ordinary pillow, it does not deform after long-term use, has better pressure dispersion performance, and can be disinfected and used repeatedly, with little impact on department costs.

[0058] Example 3

[0059] A tracheotomy patient prone ventilation turning assist device comprises a prone board 1 and a turning assist board 2 connected to and rotatably connected to one long side of the prone board 1. The turning assist board 2 comprises an assist board body 21 hinged to the prone board 1 and a fixing belt 22 connected to the assist board body 21.

[0060] Among them, the prone board 1 is provided with a head support module 3 for supporting the patient's head, a shoulder and chest support module 4 for supporting the patient's shoulders and chest, a pelvic support module 5 for supporting the patient's pelvis and a leg support module 6 for supporting the patient's legs in sequence along the long side direction. The head support module 3, the shoulder and chest support module 4, the pelvic support module 5 and the leg support module 6 are all cushions.

[0061] In this embodiment, the shoulder and chest support module 4 is filled with a memory foam layer and is sloped with a thick front end and a thin end, with a slope of 15°. An arc-shaped notch 41 is provided in the middle of the front end of the shoulder and chest support module 4 for avoiding a tracheotomy tube.

[0062] like Figure 3 As shown, the prone board 1 includes a main body board 11, a first slide board 12 and a second slide board 13. The first slide board 12 and the second slide board 13 are respectively slidably arranged at both ends of the main body board 11. The first slide board 12 is provided with a head support module 3, and the main body board 11 is provided with a shoulder and chest support module 4. The end of the main body board 11 connected to the first slide board 12 (i.e., the end close to the head) is provided with a hollow structure 112. The first slide board 12 is straddled above the hollow structure 112, and the second slide board 13 is provided with a pelvic support module 5 and a leg support module 6.

[0063] like Figure 4 As shown, a slide groove 111 is provided on both sides of the main plate 11 along the long side direction, and the first slide plate 12 and the second slide plate 13 are slidably arranged on the main plate 11 through a slider 14 matching the slide groove 111, and the positioning and fixing are achieved through the positioning holes and positioning bolts 15 provided on the slider and the slide groove. Specifically, a plurality of first positioning holes 1111 are provided along the length direction of the slide groove 111, and a second positioning hole is provided on the slider 14, and the positioning holes are all threaded holes. When the distance between the modules needs to be adjusted, the positioning bolts 15 are screwed down, and the distance is adjusted through the cooperation of the slide groove 111 and the slider 14. After the adjustment is in place, the positioning bolts 15 are screwed into the positioning holes to lock the position.

[0064] The working principle of the tracheotomy patient prone ventilation turning auxiliary device of this embodiment is as follows: when in use, the patient first lies flat on the auxiliary board body 21, and the patient is fixed by the fixing belt 22. The operator turns the patient's body over by rotating the auxiliary board body 21 around one long side of the prone board 1, and the patient's head is located on the head support module 3, the shoulder and chest are located on the shoulder and chest support module 4, the pelvis is located on the pelvic support module 5, and the legs are located on the leg support module 6, and then the fixing belt 22 is untied. This embodiment can improve the comfort of the patient during prone ventilation by arranging a flexible support module corresponding to the skin that is easily compressed, which is beneficial to the protection of compressed skin.

[0065] Example 4

[0066] A tracheotomy patient prone ventilation turning auxiliary device, the turning auxiliary board 2 comprises an auxiliary board body 21, a fixing belt 22, a head gasket 23, a cushion block 24, a buckle belt 25 and an auxiliary rod 26.

[0067] The auxiliary board body 21 is provided with two auxiliary rods 26, the fixing belt 22 is connected to the auxiliary board body 21 through a nylon buckle belt 25 with a metal plug buckle, and a flexible pad 24 is provided on the fixing belt 22 corresponding to the shoulder and the lower body. A head gasket 23 is provided on the auxiliary board body 21.

[0068] In this embodiment, the device further comprises an auxiliary support frame arranged on the back side of the auxiliary board body 21, comprising a frame body and a bottom plate, one end of the frame body is movably connected to the auxiliary board body 21, and the bottom plate is provided with a plurality of slots capable of fixing the other end of the frame body. The rest is the same as in Embodiment 3.

[0069] The working principle of the tracheotomy patient prone ventilation turning auxiliary device of this embodiment is as follows: when in use, the patient first lies flat on the auxiliary board body 21, with the head located on the head gasket 23, and the patient is fixed by the fixing belt 22 and the buckle 25. The pads 24 at the shoulders and lower body can reduce damage to the skin. The operator rotates the auxiliary board body 21 around one long side of the prone board 1 through the auxiliary rod 26, pulls out the frame, and fixes the frame to the slot on the bottom plate as needed. After the patient's body is turned over, the patient's head is located on the head support module 3, the shoulder and chest are located on the shoulder and chest support module 4, the pelvis is located on the pelvic support module 5, and the legs are located on the leg support module 6, and then the fixing belt 22 and the buckle 25 are untied.

[0070] The above description of the embodiments is to facilitate the understanding and use of the utility model by those skilled in the art. It is obvious that those familiar with the art can easily make various modifications to these embodiments and apply the general principles described herein to other embodiments without creative work. Therefore, the utility model is not limited to the above embodiments, and improvements and modifications made by those skilled in the art based on the disclosure of the utility model without departing from the scope of the utility model should be within the scope of protection of the utility model.

Claims

1. A tracheotomy patient prone position ventilation turning assist device, characterized in that: It comprises a prone board (1) and a turning-over auxiliary board (2); The prone board (1) is provided with a head support module (3), a shoulder and chest support module (4), a pelvic support module (5) and a leg support module (6) in sequence along the long side direction; A notch (41) for accommodating a tracheotomy tube is provided in the middle of the front end of the shoulder-chest support module (4); The turning-over auxiliary board (2) comprises an auxiliary board body (21) and a fixing belt (22) connected to the auxiliary board body (21); The auxiliary board body (21) can rotate around one long side of the prone board (1).

2. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The notch (41) is in an inwardly concave arc-shaped structure.

3. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The maximum transverse dimension of the notch (41) is 10 to 20 cm, and the maximum longitudinal dimension is 4 to 6 cm.

4. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The shoulder and chest support module (4) is filled with a memory foam layer.

5. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The shoulder and chest support module (4) is in a sloped shape with a thick front end and a thin rear end.

6. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The prone board (1) comprises a main board (11) and a first slide plate (12) and a second slide plate (13) slidably arranged at two ends of the main board (11); The head support module (3) is arranged on a first slide plate (12), the shoulder and chest support module (4) is arranged on a main body plate (11), and the pelvic support module (5) and the leg support module (6) are arranged on a second slide plate (13).

7. The tracheotomy patient prone ventilation turning assisting device according to claim 6, characterized in that: A sliding groove (111) is provided on the outer side of the main body plate (11) along the length direction, and a sliding block (14) capable of sliding along the sliding groove (111) is provided on the first sliding block (12) and the second sliding block (13).

8. The tracheotomy patient prone ventilation turning assisting device according to claim 7, characterized in that: The slide groove (111) is provided with a plurality of first positioning holes (1111) along the length direction, and the slider (14) is provided with a second positioning hole. The positioning bolt (15) can pass through the second positioning hole and the first positioning hole (1111) to achieve positioning between the slide groove (111) and the slider (14).

9. The tracheotomy patient prone ventilation turning assisting device according to claim 6, characterized in that: One end of the main body plate (11) connected to the first slide plate (12) is provided with a hollow structure (112), and the first slide plate (12) is straddled above the hollow structure (112).

10. The tracheotomy patient prone ventilation turning assisting device according to claim 1, characterized in that: The turning-over auxiliary board (2) is hinged to the middle position of the long side of one side of the prone board (1).

Images