CN208808816U - A multifunctional leg cover - Google Patents
A multifunctional leg cover Download PDFInfo
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- CN208808816U CN208808816U CN201820780354.6U CN201820780354U CN208808816U CN 208808816 U CN208808816 U CN 208808816U CN 201820780354 U CN201820780354 U CN 201820780354U CN 208808816 U CN208808816 U CN 208808816U
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Abstract
本实用新型提供一种多功能腿套,其特征在于,包括:可卷曲成筒状以包裹患者的下肢的本体;设置于该本体中对应于小腿下侧的位置的气囊袋;可拆卸地设置于该气囊袋中的充气气囊;以及固定带,用于将该本体以及被该本体包裹的该下肢固定于腿托上。本实用新型提供的多功能腿套包括本体可包裹于患者的下肢,可以有效避免患者因皮肤暴露而导致体表热量流失,充气气囊可拆卸地设置于本体中,用以支撑小腿下侧,并基于实际需求进行充放气进行气压调整,以减轻患者小腿部尤其是腘窝神经和血管的受压,避免下肢压力性损伤及深静脉血栓的发生。
The utility model provides a multifunctional leg cover, which is characterized by comprising: a body that can be rolled into a cylindrical shape to wrap a patient's lower limbs; an air bag which is arranged in the body at a position corresponding to the lower side of the calf; an inflatable airbag in the airbag bag; and a fixing belt for fixing the main body and the lower limb wrapped by the main body on the leg support. The multifunctional leg cover provided by the utility model includes a main body that can be wrapped around the lower limbs of the patient, which can effectively avoid the loss of body surface heat caused by the exposed skin of the patient. Inflation and deflation are performed based on actual needs to adjust the air pressure to reduce the pressure on the nerves and blood vessels of the patient's lower legs, especially the popliteal fossa, and avoid pressure injuries of the lower extremities and the occurrence of deep vein thrombosis.
Description
技术领域technical field
本实用新型涉及医疗用品技术领域,尤其涉及一种手术用的多功能保暖腿套。The utility model relates to the technical field of medical supplies, in particular to a multifunctional warm leg cover for surgery.
背景技术Background technique
截石位是一种较常见的手术体位,广泛应用于泌尿外科、妇科、肛肠科手术。体位安置过程中,患者下肢体表部位的皮肤大面积暴露于冷环境中,容易导致低体温的发生。再者,患者双下肢需抬高放置于截石位腿架上,下肢血管尤其是腘窝处血管、神经极易受到压迫,麻醉状态下患者下肢血流动力学重新分布,下肢循环血量减少、流速缓慢易引起压力性损伤及深静脉血栓(DVT)的形成。目前临床上体位摆放时较广泛的做法是在患者腘窝处垫软垫,包布遮盖下肢皮肤,此种方法保暖效果不理想;临床上还采用充气式保温毯这一公认最有效安全的保温措施,但由于成本、效益、结构等因素的限制了其应用的范围和效果。The lithotomy position is a relatively common surgical position and is widely used in urology, gynecology, and anorectal surgery. During postural placement, the skin of the patient's lower extremity is exposed to a large area of the cold environment, which can easily lead to hypothermia. Furthermore, the patient’s lower extremities need to be elevated and placed on the leg frame in the lithotomy position. The lower extremity blood vessels, especially the blood vessels and nerves in the popliteal fossa, are easily compressed. Under anesthesia, the lower extremity hemodynamics of the patient is redistributed, and the circulating blood volume of the lower extremity decreases. , The slow flow rate can easily cause pressure injury and the formation of deep vein thrombosis (DVT). At present, the most widely used clinical practice is to place a soft pad at the patient's popliteal fossa and cover the skin of the lower extremity with a cloth. This method is not ideal for keeping warm. In clinical practice, an inflatable thermal blanket, which is recognized as the most effective and safe, is also used. However, due to factors such as cost, benefit and structure, the scope and effect of its application are limited.
因此,有必要设计一种新型的腿套,以克服上述缺陷。Therefore, it is necessary to design a new type of leg cover to overcome the above-mentioned defects.
实用新型内容Utility model content
本实用新型的目的在于提供一种多功能腿套,其能够为患者提供保温和隐私安全,降低术中压力性损伤的发生几率,此外,将充气气囊作可拆卸式设计有利于腿套的清洗和重复使用。The purpose of the utility model is to provide a multifunctional leg cover, which can provide patients with thermal insulation and privacy safety, reduce the probability of pressure injury during surgery, and in addition, the detachable design of the inflatable airbag is conducive to the cleaning of the leg cover and reused.
为达到上述目的,本实用新型提供了一种多功能腿套,其包括:In order to achieve the above-mentioned purpose, the utility model provides a kind of multifunctional leg cover, which comprises:
本体,该本体可卷曲成筒状以包裹患者的下肢;The body, which can be rolled into a cylindrical shape to wrap the lower limbs of the patient;
气囊袋,设置于该本体中对应于小腿下侧的位置;an air bag, arranged in the body at a position corresponding to the lower side of the calf;
充气气囊,可拆卸地设置于该气囊袋中;以及an inflatable airbag, detachably disposed in the airbag bag; and
固定带,用于将该本体以及被该本体包裹的该下肢固定于腿托上。The fixing belt is used for fixing the body and the lower limb wrapped by the body on the leg support.
较佳的,对该充气气囊进行充气、排气、或保持容纳气体;其中,Preferably, the inflatable air bag is inflated, exhausted, or kept containing gas; wherein,
该充气气囊通过气管连接至打气球囊,该打气球囊用于向该充气气囊中充气;The inflatable balloon is connected to an inflatable balloon through the trachea, and the inflatable balloon is used to inflate the inflatable balloon;
该气管上还设置有三通阀,用于控制该充气气囊的充气、排气、或保持气体于该充气气囊中。The trachea is also provided with a three-way valve, which is used to control the inflation and exhaust of the inflatable airbag, or to keep the gas in the inflatable airbag.
较佳的,该气管上还设置有测压管,用于观察该充气气囊中的气体压强。Preferably, the trachea is also provided with a pressure measuring tube for observing the gas pressure in the inflatable air bag.
较佳的,该固定带包括第一系带和第二系带,其中,Preferably, the fixing strap includes a first strap and a second strap, wherein,
该第一系带和该第二系带通过打结进行固定;或者,The first tether and the second tether are secured by knotting; or,
该第一系带包括插扣,该第二系带包括插槽,该第一系带和该第二系带通过该插扣和该插槽的卡合进行固定;或者,The first tether includes a buckle, the second tether includes a slot, and the first tether and the second tether are fixed by engaging the buckle and the slot; or,
该第一系带包括魔术贴子面,该第二系带包括魔术贴母面,该第一系带和该第二系带通过该魔术贴子面和该魔术贴母面的粘合进行固定。The first lace includes a Velcro surface, the second lace includes a Velcro mother, and the first and second lace are fixed by bonding the Velcro surface and the Velcro mother .
较佳的,该固定带包括第一系带,其中,Preferably, the fixing strap includes a first strap, wherein,
该本体对应位置设置有扣袢,该第一系带穿入该扣袢中进行固定;或者,A buckle loop is provided at the corresponding position of the main body, and the first strap is inserted into the buckle loop for fixing; or,
该第一系带上设置有魔术贴母面,该本体对应位置设置有魔术贴子面,该第一系带通过该魔术贴子面和该魔术贴母面的粘合固定于该本体的对应位置,其中,该魔术贴母面或该魔术贴子面的尺寸沿系带的长度方向具有设定长度以便于调节该第一系带相对于该本体的位置;或者,The first strap is provided with a velcro female surface, a corresponding position of the main body is provided with a velcro surface, and the first tie is fixed to the corresponding position of the main body through the bonding of the velcro surface and the velcro mother surface. position, wherein the size of the Velcro female surface or the Velcro surface has a set length along the length of the tether to facilitate adjusting the position of the first tether relative to the body; or,
该第一系带设置有插扣,该本体的对应位置设置有插槽,该第一系带通过该插扣和该插槽的卡合固定于该本体的对应位置,其中,该插扣于该第一系带的固定位置可调节。The first strap is provided with a buckle, and a slot is set at a corresponding position of the main body, and the first strap is fixed to the corresponding position of the body through the engagement of the buckle and the slot, wherein the buckle is located in the corresponding position of the body. The fixed position of the first tether is adjustable.
较佳的,该本体包括上端和底端;其中,Preferably, the body includes an upper end and a bottom end; wherein,
该上端被翻折并包裹固定于该腿托的部分,并露出患者大腿部的至少1/3长度,以便于手术的进行;该上端覆盖患者大腿部,以在手术未进行时进行遮挡和保温;The upper end is folded over and wraps the part fixed to the leg support, and exposes at least 1/3 of the length of the patient's thigh, so as to facilitate the operation; the upper end covers the patient's thigh to cover when the operation is not in progress and insulation;
该底端在术中收紧并露出患者部分足背,以便于观察足背动脉;The bottom end is tightened and exposed part of the dorsum of the patient's foot during the operation, so as to observe the dorsal artery of the foot;
第一弹性带穿过该上端,并借由弹簧扣或扣袢进行收紧或放松;第二弹性带穿过该底端,并借由弹簧扣或扣袢进行收紧或放松。The first elastic band passes through the upper end and is tightened or loosened by means of a spring buckle or a buckle; the second elastic band is passed through the bottom end and is tightened or loosened by a spring buckle or a buckle.
较佳的,该本体的布料夹层中设置有保温填充物;该本体的内层布料采用亲肤布料。Preferably, a thermal insulation filler is arranged in the cloth interlayer of the main body; the inner layer of the main body is made of skin-friendly cloth.
较佳的,该本体平行下肢长度方向的一侧边设置该气囊袋的开口处,该本体平行下肢长度方向的另一侧边设置可闭合的开口,用于可拆卸地容纳保温填充物。Preferably, one side of the body parallel to the length direction of the lower limb is provided with the opening of the air bag, and the other side of the body parallel to the length direction of the lower limb is provided with a closable opening for detachably accommodating the thermal insulation filler.
较佳的,该本体中该气囊袋的周边以对应的纽扣与扣孔进行可拆卸的固定,或者以对应的揿钮的公座和母座进行可拆卸的固定;其中,该气囊袋的周边解除固定以将保温填充物塞入或取出。Preferably, the periphery of the airbag bag in the body is detachably fixed with corresponding buttons and button holes, or is detachably fixed with the male seat and female seat of the corresponding button; wherein, the periphery of the airbag bag is detachably fixed. Unfasten to insert or remove thermal padding.
较佳的,该气囊袋的开口处相对的两侧分别设置魔术贴子面和魔术贴母面,通过该魔术贴子面和该魔术贴母面的粘合将该充气气囊固定于该气囊袋中;或者,该气囊袋的开口处相对的两侧分别设置纽扣和扣孔,通过该纽扣和该扣孔的扣合将该充气气囊固定于该气囊袋中;或者,该气囊袋的开口处相对的两侧分别设置揿钮的公座和母座,通过该揿钮的公座和母座的扣合将该充气气囊固定于该气囊袋中。Preferably, a Velcro surface and a Velcro mother surface are respectively provided on the opposite sides of the opening of the airbag bag, and the inflatable airbag is fixed to the airbag bag through the bonding of the Velcro surface and the Velcro mother surface. or, a button and a button hole are respectively provided on the opposite sides of the opening of the air bag, and the inflatable air bag is fixed in the air bag by the button and the button hole; or, the opening of the air bag is A male seat and a female seat of the snap button are respectively arranged on the opposite sides, and the inflatable airbag is fixed in the airbag bag through the buckling of the male seat and the female seat of the snap button.
与现有技术相比,本实用新型提供的多功能腿套包括本体可包裹于患者的下肢,可以有效避免患者因皮肤暴露而导致体表热量流失,充气气囊可拆卸地设置于本体中,用以支撑小腿下侧,并基于实际需求进行充放气进行气压调整,以减轻患者小腿部尤其是腘窝神经和血管的受压,避免下肢压力性损伤及DVT的发生;同时,充气气囊可拆卸式的设计有利于腿套清洁消毒工作的进行、以及多次重复使用,可以节约腿套的制作成本。Compared with the prior art, the multifunctional leg cover provided by the utility model includes a body that can be wrapped around the lower limbs of the patient, which can effectively avoid the loss of body surface heat of the patient due to skin exposure. In order to support the lower side of the calf, and adjust the air pressure based on the actual needs of inflation and deflation, to reduce the compression of the patient's calf, especially the popliteal nerve and blood vessels, to avoid the occurrence of lower extremity pressure injury and DVT; at the same time, the inflatable air bag can The detachable design is conducive to the cleaning and disinfection of the leg cover, and the repeated use for many times, which can save the production cost of the leg cover.
附图说明Description of drawings
图1为本实用新型第一实施例的多功能腿套在使用中的实施示意图;Fig. 1 is the implementation schematic diagram of the multifunctional leg cover of the first embodiment of the present utility model in use;
图2A为本实用新型一实施例的多功能腿套的内侧面结构示意图;2A is a schematic diagram of the inner side structure of a multifunctional leg cover according to an embodiment of the present invention;
图2B为本实用新型一实施例的多功能腿套的外侧面结构示意图;2B is a schematic structural diagram of the outer side of the multifunctional leg cover according to an embodiment of the present invention;
图2C为本实用新型一实施例的多功能腿套中的充气气囊结构示意图。2C is a schematic structural diagram of an inflatable airbag in the multifunctional leg cover according to an embodiment of the present invention.
具体实施方式Detailed ways
为使对本实用新型的目的、构造、特征、及其功能有进一步的了解,兹配合实施例详细说明如下。In order to have a further understanding of the purpose, structure, features, and functions of the present utility model, the following detailed descriptions are given in conjunction with the embodiments.
在说明书及权利要求书当中使用了某些词汇来指称特定的元件。所属领域中具有通常知识者应可理解,制造商可能会用不同的名词来称呼同一个元件。本说明书及权利要求书并不以名称的差异来作为区分元件的方式,而是以元件在功能上的差异来作为区分的准则。在通篇说明书及权利要求当中所提及的「包括」为开放式的用语,故应解释成「包括但不限定于」。Certain terms are used in the specification and claims to refer to particular elements. It should be understood by those of ordinary skill in the art that manufacturers may refer to the same element by different nouns. The description and claims do not use the difference in name as a way to distinguish elements, but use the difference in function of the elements as a criterion for distinguishing. The "including" mentioned throughout the specification and claims is an open-ended term, so it should be interpreted as "including but not limited to".
参照图1至图2C所示,揭示了本实用新型多功能腿套的第一实施例的结构示意图,其包括本体10、气囊袋20、和可拆卸地设置于气囊袋20中的充气气囊30。Referring to FIG. 1 to FIG. 2C , a schematic structural diagram of the first embodiment of the multifunctional leg cover of the present invention is disclosed, which includes a main body 10 , an air bag 20 , and an inflatable air bag 30 detachably arranged in the air bag 20 . .
本体10,可卷曲成筒状以包裹患者的下肢。其尺寸可以大于腿周尺寸,这样,不论患者胖瘦高矮均可以使用本实用新型的腿套。The body 10 can be rolled into a cylindrical shape to wrap the lower limbs of the patient. Its size can be larger than the size of the circumference of the leg, so that the leg cover of the present invention can be used regardless of whether the patient is fat, thin, or tall.
优选地,本体10的内层11,即贴近患者下肢皮肤的一侧表层,可以选用亲肤的布料,例如,棉布,绒面布料等等,用以提供较佳的触感和良好的保热性能。由于手术中可能会使用到一些药水,患者的血迹、体液也可能会造成腿套的外层12表面的脏污,因此,优选地,选择易清洁的布料作为本体10的外层布料,例如,可采用化学纤维面料,例如涤纶面料,可以采用任意材质的防水牛津布料,同时还可以防止药水或体液对腿套的污染。Preferably, the inner layer 11 of the main body 10, that is, the surface layer on the side close to the skin of the lower limb of the patient, can be made of a skin-friendly fabric, such as cotton fabric, suede fabric, etc., to provide better tactile sensation and good thermal insulation performance. . Since some medicines may be used in the operation, the blood and body fluids of the patient may also cause the surface of the outer layer 12 of the leg cover to be dirty. Therefore, it is preferable to select an easy-to-clean cloth as the outer layer of the body 10. For example, Chemical fiber fabrics, such as polyester fabrics, can be used, and waterproof Oxford fabrics of any material can be used, which can also prevent the contamination of the leg wraps by potions or body fluids.
为了使本体10具有较好的保温效果,可以选择较厚的面料作为本体10的内层面料和/或外层面料,也可以在内层面料的内侧衬多层保暖性较好的薄海绵布、棉布、锦纶布等,或者,以海绵、棉花、锦纶等材料制作保温填充物,填充于内层面料和外层面料之间;保温填充物可以直接埋设于固定不可拆的内层面料和外层面料之间,也可以制成内胎,可拆卸地填充于具有开口的内层面料和外层面料之间。In order to make the main body 10 have a better thermal insulation effect, a thicker fabric can be selected as the inner and/or outer fabric of the main body 10, and the inner side of the inner fabric can also be lined with multiple layers of thin sponge cloth with better thermal insulation , cotton cloth, nylon cloth, etc., or use sponge, cotton, nylon and other materials to make thermal insulation fillers and fill them between the inner and outer fabrics; Between the layers of fabrics, an inner tube can also be made, which can be detachably filled between the inner layer fabric and the outer layer fabric with openings.
本体10弯折包裹患者的一个下肢,其可以在弯折重叠的部位设置对应的固定部以形成稳定的包裹。例如可以在对应位置设置魔术贴母面15和魔术贴子面16,通过二者的粘合实现固定;也可以通过拉链、插扣与插槽、系带打结的方式实现固定,在此不再赘述。The body 10 is bent and wrapped around one lower limb of the patient, and a corresponding fixing portion can be provided at the overlapping portion of the bent to form a stable wrap. For example, the velcro mother surface 15 and the velcro surface 16 can be set at the corresponding positions, and the fixing can be achieved by bonding the two; the fixing can also be achieved by zippers, buckles and slots, and tie knots. Repeat.
气囊袋20,设置于本体10中对应于患者小腿下侧的位置,这样,可以通过对置于其中的充气气囊30进行充放气以减轻患者小腿下侧的压力,降低甚至消除压力性损伤和DVT的发生几率。优选地,气囊袋20距离本体10接近患者脚部的底端14约30cm,以使穿戴时大致对应于患者小腿的位置。气囊袋20具有本体10内层面料或外层面料的开口21,开口21也可设置在内层面料和外层面料缝合的边界处位置。可以直接以内层面料和外层面料的缝合形成气囊袋20的空间,也可以设置一独立的口袋缝制于开口21处。The air bag 20 is arranged in the body 10 at a position corresponding to the lower side of the patient's calf, so that the pressure on the lower side of the patient's calf can be relieved by inflating and deflating the inflatable air bag 30, thereby reducing or even eliminating pressure injuries and Occurrence of DVT. Preferably, the air bag 20 is about 30 cm from the bottom end 14 of the body 10 close to the patient's foot, so as to roughly correspond to the position of the patient's lower leg when worn. The airbag 20 has an opening 21 of the inner or outer fabric of the body 10 , and the opening 21 can also be set at the boundary where the inner fabric and the outer fabric are stitched. The space of the airbag bag 20 can be formed directly by stitching the inner layer fabric and the outer layer fabric, or an independent pocket can be sewn at the opening 21 .
气囊袋20的开口可以用于可拆卸地放置充气气囊30,也可作为可拆卸的内胎形式的保温填充物的出/入口,此时,本体10内部气囊袋20区域和其他区域之间可以以可拆卸的方式实现区隔,例如,在气囊袋20区域的周边相对的位置分别设置纽扣和对应的扣孔,也可以是以对应的揿钮的公座和母座,或者对应设置魔术贴子面和母面。为了保证在取放的内胎形式的保温填充物时造成对保温填充物的损伤,优选以以前两种实现方式实现。也可以是充气气囊30的取放开口和保温填充物的取放开口相互独立,例如,充气气囊30的取放开口位于本体10平行于下肢长度方向的一侧边,保温填充物的取放开口位于本体10平行于下肢长度方向的一侧边的另一侧边,本发明不以此为限。The opening of the airbag 20 can be used for detachably placing the inflatable airbag 30, and can also be used as the exit/entry for the thermal insulation filler in the form of a detachable inner tube. Separation can be achieved in a detachable manner. For example, buttons and corresponding button holes are respectively arranged at opposite positions on the periphery of the airbag 20 area, or corresponding male seats and female seats for pressing buttons, or corresponding Velcros are arranged. face and mother face. In order to ensure that damage to the thermal insulation filler is caused when the thermal insulation filler in the form of an inner tube is taken and placed, it is preferably implemented in the first two implementation manners. It can also be that the pick-and-place opening of the inflatable airbag 30 and the pick-and-place opening of the thermal insulation filler are independent of each other. The pick-and-place opening is located on the other side of the side of the main body 10 that is parallel to the length direction of the lower limb, and the present invention is not limited to this.
优选的,为了防止装载、运输乃至使用过程中,充气气囊30从气囊袋20中脱离,在气囊袋20朝向外侧的开口21处设置固定结构以限制其内部充气气囊30的移动,可以在气囊袋20开口处相对的两侧分别设置魔术贴子面和魔术贴母面,通过该魔术贴子面和该魔术贴母面的粘合将该充气气囊30固定于该气囊袋20中;或者,该气囊袋20的开口21处相对的两侧分别设置纽扣和扣孔,通过该纽扣和该扣孔的扣合将该充气气囊30固定于该气囊袋20中;或者,该气囊袋20的开口21处相对的两侧分别设置揿钮的公座和母座,通过该揿钮的公座和母座的扣合将该充气气囊30固定于该气囊袋20中。Preferably, in order to prevent the inflatable airbag 30 from being detached from the airbag bag 20 during loading, transportation and even use, a fixing structure is provided at the opening 21 of the airbag bag 20 toward the outside to limit the movement of the inflatable airbag 30 inside the airbag bag. The opposite sides of the opening of 20 are respectively provided with a Velcro surface and a Velcro mother surface, and the inflatable airbag 30 is fixed in the airbag bag 20 through the bonding of the Velcro surface and the Velcro mother surface; or, the Buttons and button holes are respectively provided on opposite sides of the opening 21 of the airbag 20 , and the inflatable airbag 30 is fixed in the airbag 20 through the fastening of the button and the buttonhole; or, the opening 21 of the airbag 20 A male seat and a female seat of the snap button are respectively arranged on opposite sides of the button, and the inflatable air bag 30 is fixed in the air bag 20 by the snap fit of the male seat and the female seat of the snap button.
充气气囊30,可拆卸地设置于气囊袋20中。充气气囊30本身充好气且全密封,其可拆卸地设置时,便于取出充气气囊30以对腿套进行更换清洗。充气气囊30也可以是可充气型的,可通过对充气气囊30操作以进行充气、放气或保持容纳气体,从而调节患者小腿部的受压情况,刺激患者小腿部的反应。其充气方式可以通过一气管31连接至悬空于腿套外部的打气球囊32实现,用手挤压打气球囊32,从而将空气打入充气气囊30中。在气管31上还设置有三通阀33,在无需充放气的时候,关闭阀门以保持气体不流通,即使在被压的情况下也不会产生泄漏;在需要放气的时候,直接打开三通阀33,充气气囊30中的气体经由阀门排出到外部环境空气中;在需要充气时,打气球囊32的气体可经由三通阀33以及气管31进入充气气囊30中。在长时间的手术过程中,通过间歇地对充气气囊30进行充气和放气,促进患者下肢局部组织的血液循环,减少特殊体位引起的下肢血液流速缓慢导致的深静脉血栓的发生。The inflatable airbag 30 is detachably arranged in the airbag bag 20 . The inflatable airbag 30 itself is inflated and fully sealed, and when it is detachably arranged, it is convenient to take out the inflatable airbag 30 to replace and clean the leg cover. The inflatable airbag 30 can also be inflatable, and the airbag 30 can be operated to inflate, deflate or maintain the contained gas, so as to adjust the compression of the patient's calf and stimulate the response of the patient's calf. The inflation method can be realized by connecting a trachea 31 to the inflation balloon 32 suspended outside the leg cover, and pressing the balloon 32 by hand to blow air into the inflation balloon 30 . A three-way valve 33 is also provided on the gas pipe 31. When there is no need to inflate and deflate, the valve is closed to keep the gas from flowing, and no leakage will occur even under pressure; when deflation is required, directly open the three-way valve 33. Through the valve 33 , the gas in the inflatable air bag 30 is discharged into the external ambient air through the valve; when inflated, the gas inflating the air bag 32 can enter the inflatable air bag 30 through the three-way valve 33 and the trachea 31 . During a long-term operation, by intermittently inflating and deflating the inflatable balloon 30, the blood circulation of the local tissue of the lower extremity of the patient is promoted, and the occurrence of deep vein thrombosis caused by the slow blood flow rate of the lower extremity caused by the special posture is reduced.
充气气囊30可以采用柔性袋体作为气囊容纳气体的结构,可以采用塑胶、橡胶或硅胶材料的袋体。充气气囊30的形状可以是枕形气垫,以便于取放和固定,也可以是椭圆形或圆形的气垫,本发明不以此为限。优选的,充气气囊30选择宽20cm,长30cm的高分子橡胶材质的枕形气垫。The inflatable air bag 30 can use a flexible bag body as the structure for the air bag to accommodate the gas, and can use a bag body made of plastic, rubber or silicone material. The shape of the inflatable airbag 30 may be a pillow-shaped air cushion, which is convenient for picking, placing and fixing, or an oval or circular air cushion, which is not limited in the present invention. Preferably, the inflatable airbag 30 is a pillow-shaped air cushion made of polymer rubber with a width of 20 cm and a length of 30 cm.
优选的,该气管31上还设置有测压管34,以便于观察充气气囊30中的气体压强,进而通过操作三通阀33和/或打气球囊32将充气气囊30中的气压调整到合适的值。优选的,充气气囊30的压强的合适的范围为150~200mmHg,此时可以有效抬高下肢,并保持足够的弹性支撑。护理人员在使用过程中可以通过观察测压管34的压强/压力值,以便于对充气气囊30的充盈情况进行评估。Preferably, the trachea 31 is also provided with a pressure measuring tube 34, so as to observe the gas pressure in the inflatable air bag 30, and then adjust the air pressure in the inflatable air bag 30 to a suitable value by operating the three-way valve 33 and/or inflating the air bag 32. value of . Preferably, the suitable range of the pressure of the inflatable airbag 30 is 150-200 mmHg, at this time, the lower limb can be effectively raised and sufficient elastic support can be maintained. Nursing staff can observe the pressure/pressure value of the pressure measuring tube 34 during use, so as to evaluate the filling condition of the inflatable air bag 30 .
充气气囊30装入气囊袋20时,气管31、打气球囊32、测压管34等从气囊袋20的开口21处伸出腿套外,以便于护理人员对其进行操作或观察。When the inflatable air bag 30 is loaded into the air bag bag 20, the trachea 31, the inflation bag 32, the pressure measuring tube 34, etc. extend out of the leg cover from the opening 21 of the air bag 20, so that the nursing staff can operate or observe it.
该腿套还包括固定带40,用于将本体10、以及被本体10包裹的下肢固定于腿托上。这样,防止患者的意外用力或其他人员的意外碰撞导致患者的下肢改变位置,体位发生改变而不利于手术的进行。优选的,固定带40设置于本体10上距离靠近患者脚部的底端14约40cm,以使穿戴时大致位于患者小腿的中部位置。The leg cover further includes a fixing belt 40 for fixing the body 10 and the lower limb wrapped by the body 10 on the leg support. In this way, the accidental force of the patient or the accidental collision of other personnel can be prevented from changing the position of the lower limb of the patient, and the change of the body position is not conducive to the operation. Preferably, the fixing strap 40 is disposed on the body 10 at a distance of about 40 cm from the bottom end 14 of the patient's foot, so as to be approximately in the middle of the patient's calf when worn.
固定带40可以包括两条系带,如图所示,包括第一系带41和第二系带42,第一系带41和第二系带42中的至少一个绕过腿托的下方后实现二者固定,固定的方式包括:打结;第一系带41和第二系带42上分别设置有插扣和插槽,将插扣插入插槽中,从而实现二者的固定;也可以是第一系带41和第二系带42中一个设置有魔术贴子面,一个设置有魔术贴母面(如图2A和图2B所示),二者相对设置并通过二者的粘合实现固定,优选的,第一系带41和第二系带42的尺寸约为30cm,宽5cm,以便于稳定设置魔术贴母面和子面。第一系带41可以设置在本体10沿下肢长度方向的一侧边,第二系带42可以设置在沿下肢长度方向对应于第一系带位置的本体10外层12表面的中间位置,这样本体10裹覆患者下肢时,第一系带41和第二系带42对应于患者的小腿中段的两侧,进而可以通过前述方法实现固定。第一系带41和第二系带42也可以是同一条带体形成,该带体的部分缝制固定于本体10的外层12表面,且于沿下肢长度方向的一侧边、以及对应的本体10外层12表面的中间位置露出的带体自由端部分。The fixing strap 40 may include two straps, as shown in the figure, including a first strap 41 and a second strap 42, at least one of the first strap 41 and the second strap 42 goes around the lower part of the leg support The fixing of the two is achieved, and the fixing method includes: knotting; the first tie 41 and the second tie 42 are respectively provided with a buckle and a slot, and the buckle is inserted into the slot, so as to realize the fixing of the two; It can be that one of the first tie 41 and the second tie 42 is provided with a Velcro surface, and the other is provided with a Velcro mother surface (as shown in Figure 2A and Figure 2B ), and the two are arranged opposite to each other and through the adhesion of the two. In order to achieve fixation, preferably, the size of the first strap 41 and the second strap 42 is about 30 cm and the width is 5 cm, so as to stably set the main surface and the sub surface of the Velcro. The first tether 41 can be arranged on one side of the body 10 along the length of the lower limb, and the second tether 42 can be arranged in the middle of the surface of the outer layer 12 of the body 10 along the length of the lower limb corresponding to the position of the first tether, so that When the body 10 wraps the lower limbs of the patient, the first tether 41 and the second tether 42 correspond to the two sides of the middle segment of the patient's calf, and thus can be fixed by the aforementioned method. The first tether 41 and the second tether 42 can also be formed of the same strap body, and a part of the strap body is sewn and fixed on the surface of the outer layer 12 of the main body 10, and on one side along the length direction of the lower limb and the corresponding The free end portion of the belt body exposed in the middle of the surface of the outer layer 12 of the main body 10.
固定带40也可以是一条系带,如图所示,包括第一系带。而在本体10外层12表面的对应位置设置对应的固定部。例如本体10对应位置设置扣袢,第一系带穿入扣袢中进行固定,或者穿过扣袢后同未穿过扣袢的部分打结进行固定;或者,第一系带上设置魔术贴母面,本体10外层12表面的对应位置设置魔术贴子面,第一系带通过魔术贴子面和母面的相互粘合固定于本体10外层12表面的对应位置。优选的,可以沿系带的长度方向,或者说,沿垂直于下肢长度方向设置魔术贴母面或魔术贴子面具有一设定的长度,从而调节子面与母面粘合的位置,实现松紧度的调整,也适用于大多数下肢尺寸的患者。也可以是第一系带上设置有插扣,本体10外层12表面的对应位置设置有插槽,第一系带通过插扣和插槽的卡固固定于本体10的对应位置,第一系带上插扣的位置可调节,从而实现松紧度的调整,例如,插扣中包括类似扣袢的结构,第一系带穿入扣袢中,通过调整第一系带穿入扣袢中的长度调节插扣的位置,进而实现松紧度调整,该操作可以在插扣未插入插槽时进行,也可在插扣插入插槽时进行,使用灵活性高。The securing strap 40 may also be a tether, as shown, including the first tether. Corresponding fixing portions are provided at corresponding positions on the surface of the outer layer 12 of the main body 10 . For example, a buckle loop is provided at the corresponding position of the main body 10, and the first strap is inserted into the buckle loop for fixing, or after passing through the buckle loop, it is knotted with the part that has not passed through the buckle loop for fixing; or, a Velcro is arranged on the first strap Mother surface, a Velcro surface is provided at the corresponding position on the surface of the outer layer 12 of the main body 10, and the first tie is fixed to the corresponding position on the surface of the outer layer 12 of the main body 10 by mutual bonding between the Velcro surface and the mother surface. Preferably, along the length direction of the lace, or in other words, along the direction perpendicular to the length of the lower limbs, the velcro mother surface or the velcro surface can be arranged to have a set length, so as to adjust the bonding position of the child surface and the mother surface to achieve Tightness adjustment is also available for most lower extremity sizes. It can also be that the first tie is provided with a buckle, the corresponding position on the surface of the outer layer 12 of the body 10 is provided with a slot, and the first tie is fixed to the corresponding position of the body 10 through the buckle and the slot. The position of the buckle on the lace can be adjusted to adjust the tightness. For example, the buckle includes a structure similar to a buckle loop, the first lace is inserted into the buckle loop, and the first lace is inserted into the buckle loop by adjusting the first lace. The length of the button adjusts the position of the buckle, thereby realizing the adjustment of the tightness. This operation can be performed when the buckle is not inserted into the slot, or can be performed when the buckle is inserted into the slot, and the use flexibility is high.
固定带40也可与本体10分离,使用时,固定带40绑缚在腿托下侧,在本体10以及被本体10包裹的患者下肢置于腿托上时,固定带40绕过本体10并进行固定,进而将包裹患者下肢的腿套本体10固定在腿托上,不会因意外碰撞而发生患者下肢脱离腿托的事故发生。The fixing belt 40 can also be separated from the body 10. When in use, the fixing belt 40 is bound on the lower side of the leg support. When the body 10 and the lower limb of the patient wrapped by the body 10 are placed on the leg support, the fixing belt 40 bypasses the body 10 and Fixing is performed, and then the leg cover body 10 wrapping the lower limb of the patient is fixed on the leg support, so that the accident that the lower limb of the patient is separated from the leg support will not occur due to accidental collision.
本体10的上端13和底端14可进行收紧和放松。其中,上端13未被翻折时可覆盖患者大腿部,从而在手术未进行时对患者进行遮挡和保温;在手术准备过程中以及手术进行过程中,则将上端13翻折并包裹部分腿托,进而通过上端13中的固定结构(如图1至图2B中的131,132)固定于该部分腿托,从而有效暴露患者的皮肤消毒区域,便于护理人员进行消毒以及后续的手术操作。同时上端13翻折同样对手术中的患者下肢进一步固定,增强固定的效果,进一步防止了下肢移位异常的发生。The upper end 13 and the lower end 14 of the body 10 can be tightened and loosened. Wherein, the upper end 13 can cover the patient's thigh when it is not folded, so as to shield and keep the patient warm when the operation is not in progress; during the operation preparation process and the operation process, the upper end 13 is folded over and wraps part of the leg The leg rest is then fixed to this part of the leg rest by the fixing structure in the upper end 13 (131, 132 in FIG. 1 to FIG. 2B ), thereby effectively exposing the skin disinfection area of the patient, which is convenient for the nursing staff to perform disinfection and subsequent surgical operations. At the same time, the upper end 13 is folded to further fix the lower limb of the patient during the operation, which enhances the effect of fixation and further prevents the occurrence of abnormal displacement of the lower limb.
底端14在手术中收紧并至少露出患者部分足背,以便于手术人员观察足背动脉或对足背动脉进行测量,了解下肢的血液循环情况。在手术尚未进行时,也可将底端14覆盖住患者的整个足部,以进行保温,避免了管口过大导致保暖性能的降低。The bottom end 14 is tightened during the operation and exposes at least part of the dorsum of the patient's foot, so that the operator can observe the dorsal foot artery or measure the dorsal foot artery to understand the blood circulation of the lower extremity. Before the operation is performed, the bottom end 14 can also cover the entire foot of the patient for thermal insulation, so as to avoid the reduction of thermal insulation performance caused by the oversized opening of the tube.
上端13和底端14的收紧与放松可以通过穿设于上端13或底端14的带131和141的固定实现。例如可以通过带体(131或141)的打结,带体(131或141)的两端穿过弹簧扣(132或142)进行收紧或放松,或者带体的一端固定于上端13或底端14,另一端露出于本体10上端13或底端14的一侧,上端13或底端14的另一侧则设置扣袢,将带体穿过扣袢并调节穿过扣袢的长度实现收紧或放松。优选的,带体本身带有弹性,可采用弹力皮筋、或皮筋的织带,等等。The tightening and loosening of the upper end 13 and the bottom end 14 can be achieved by fixing the straps 131 and 141 passing through the upper end 13 or the bottom end 14 . For example, the strap (131 or 141) can be knotted, the two ends of the strap (131 or 141) can be tightened or loosened through the spring buckle (132 or 142), or one end of the strap can be fixed on the upper end 13 or the bottom End 14, the other end is exposed on one side of the upper end 13 or the bottom end 14 of the main body 10, and the other side of the upper end 13 or the bottom end 14 is provided with a buckle loop, and the belt body is passed through the buckle loop and adjust the length of the buckle loop to achieve Tighten or relax. Preferably, the belt body itself has elasticity, and elastic elastic bands, or webbing of elastic bands, etc. may be used.
例如,本体10的尺寸为76cm*90cm,其中为适应大多数患者的下肢小腿周径,且考虑被包裹的腿托的尺寸,由于国内截石位腿托的周径一般为40~50cm,长约30~40cm,选择本体10的宽度为76cm,基于下肢中大腿、小腿以及脚部的整体长度,选择本体10的长度为90cm,本发明不以此为限。本体10可以呈现长方形,也可以呈现梯形,其中上端13宽于底端14的周径尺寸。上端13和底端14可以对距离端部约3cm的位置缝制容纳带体的管道,优选的,弹性带体的尺寸可以选用长90cm、宽1cm的弹力皮筋。选用可拆卸的棉胎作为保温填充物时,可根据本体10的尺寸设置棉胎的尺寸,例如,棉胎的尺寸为长70cm、宽80cm、高1cm,其中,空出部分尺寸以对气囊袋20进行让位。For example, the size of the main body 10 is 76cm*90cm, in order to adapt to the circumference of the lower limbs of most patients, and considering the size of the leg support to be wrapped, the circumference of the leg support at the domestic lithotomy position is generally 40-50cm, and the length is 40-50cm. About 30-40 cm, the width of the main body 10 is selected as 76 cm, and the length of the main body 10 is selected as 90 cm based on the overall length of the thighs, calves and feet in the lower limbs. The present invention is not limited to this. The body 10 can be rectangular or trapezoidal, wherein the upper end 13 is wider than the circumference of the bottom end 14 . The upper end 13 and the bottom end 14 can be sewed about 3 cm away from the ends to accommodate the pipes of the belt body. Preferably, the size of the elastic belt body can be selected from elastic elastic bands with a length of 90 cm and a width of 1 cm. When a detachable batt is used as the thermal insulation filler, the size of the batt can be set according to the size of the body 10. For example, the size of the batt is 70cm long, 80cm wide, and 1cm high, wherein the size of the vacant part is used for the airbag bag. 20 to give way.
在使用本实用新型的多功能腿套时,可以在患者入手术间前30~60min将手术间的温度调节至大约27℃(为手术床铺设消毒巾后再将手术间温度调节至22~25℃),将腿套放入50℃温箱中预热保存。手术室护士与麻醉人员按手术安全核查表逐项核对患者信息及手术部位。麻醉完成后患者平卧于手术床上,在手术床量测分别放置腿架,根据患者仰卧屈髋的高度调节腿托的高度。将患者臀部移至手术床背板的下缘,脱去患者裤子,并更换下肢保暖腿套。可以将腿套的本体10展开平铺在截石位腿托上,将患者的双腿屈髋、屈膝放置于铺有腿套的腿托上,将腿套对边固定形成筒状裤腿,小腿调节为水平位,并将固定带40绕过腿托固定,从而将腿套本体10及患者下肢固定在腿托上。将腿套上段翻折并包裹腿托上段的部分(例如腿托上段的1/2),调节腿套上端13的带体(例如松紧带),松紧适宜。腿套上段翻折既方便手术区域皮肤的消毒,有起到固定腿部的作用,固定方法简单有效。腿套底端14使用带体收紧调节松紧程度,并露出部分足背,以便于术中观察肢体血液循环、足背动脉以及皮肤温度的情况;腿套底端14的开口被收小,还起到有效保温的效果。手术结束后,腿套上端13的翻折被还原,并盖住患者的腿部上侧,拆开一个腿套的固定带40,并缓慢放下一侧下肢,测量患者血压,待血压平稳时再放平另一侧下肢,避免同时放平双下肢时血流重新分布,回心血量锐减引起体位性低血压。拆除腿套时可以稍微抬起下肢并将腿套从底端14轻轻拉动至脱离人体,穿脱方便。拆除腿套后,将气囊袋20中的充气气囊30取出,在采用可拆卸式保温填充物时还取出保温填充物,并将剩余的腿套部分送至清洗消毒区,进行清洗、消毒、以及干燥等处理。When using the multifunctional leg cover of the present utility model, the temperature of the operating room can be adjusted to about 27° C. 30-60 minutes before the patient enters the operating room (the temperature of the operating room can be adjusted to 22-25° C. after laying a sterile towel for the operating bed). ℃), put the leg cover in a 50 ℃ incubator to preheat and store. The operating room nurses and anesthesiologists check the patient information and surgical site item by item according to the surgical safety checklist. After the anesthesia is completed, the patient lies on the operating bed, and the leg rests are placed on the operating bed for measurement, and the height of the leg rest is adjusted according to the height of the patient's supine flexion of the hip. Move the patient's buttocks to the lower edge of the operating table back panel, remove the patient's pants, and replace the lower extremity leg warmers. The body 10 of the leg cover can be spread out and laid on the leg support at the lithotomy position, the patient's legs are flexed and the knees are placed on the leg support covered with the leg cover, and the leg cover is fixed on the opposite side to form a tubular trouser leg, and the calf is placed. Adjust to a horizontal position, and fix the fixing belt 40 around the leg support, so as to fix the leg cover body 10 and the lower limb of the patient on the leg support. Fold the upper part of the leg cover over and wrap the upper part of the leg cover (for example, 1/2 of the upper part of the leg support), and adjust the belt (such as an elastic band) of the upper end 13 of the leg cover to make it tight. The folding of the upper section of the leg cover is convenient for the disinfection of the skin in the surgical area, and has the function of fixing the leg, and the fixing method is simple and effective. The bottom end 14 of the leg cover is tightened to adjust the degree of tightness, and part of the dorsum of the foot is exposed, so as to facilitate the observation of the blood circulation of the limbs, the dorsal artery and the skin temperature during the operation; the opening of the bottom end 14 of the leg cover is narrowed, and the It has the effect of effective heat preservation. After the operation, the folding of the upper end 13 of the leg cover is restored, and covers the upper side of the patient's leg, disassemble the fixing belt 40 of a leg cover, and slowly lower one lower limb, measure the blood pressure of the patient, and wait until the blood pressure is stable. Flatten the other lower extremity to avoid redistribution of blood flow when both lower extremities are flattened at the same time. When removing the leg cover, the lower limb can be slightly lifted and the leg cover can be gently pulled from the bottom end 14 until it is separated from the human body, which is convenient to put on and take off. After removing the leg cover, take out the inflatable airbag 30 in the airbag bag 20, and also take out the heat preservation filler when the detachable heat preservation filler is used, and send the remaining leg cover part to the cleaning and disinfection area for cleaning, disinfection, and Drying, etc.
本实用新型的多功能腿套包括本体10可包裹于患者的下肢,可以有效避免患者因皮肤暴露而导致体表热量流失,充气气囊30可拆卸地设置于本体10中的气囊袋20,用以支撑小腿下侧,并基于实际需求进行充放气进行气压调整,以减轻患者小腿部尤其是腘窝神经和血管的受压,避免下肢压力性损伤及DVT的发生。同时,充气气囊30可拆卸式的设计有利于腿套清洁消毒工作的进行、以及多次重复使用,可以节约腿套的制作成本。此外,腿套的固定带40和上端13翻折实现下肢与腿托的双重固定,简单有效。The multifunctional leg cover of the present invention includes a main body 10 that can be wrapped around the lower limbs of the patient, which can effectively prevent the patient from losing body surface heat due to skin exposure. Support the lower side of the calf, and adjust the air pressure based on the actual demand to inflate and deflate, so as to reduce the pressure on the patient's calf, especially the popliteal nerve and blood vessels, and avoid the occurrence of lower extremity pressure injury and DVT. At the same time, the detachable design of the inflatable airbag 30 is conducive to the cleaning and disinfection of the leg cover and the repeated use, which can save the production cost of the leg cover. In addition, the fixing belt 40 and the upper end 13 of the leg cover are folded to realize the double fixation of the lower limb and the leg support, which is simple and effective.
本实用新型已由上述相关实施例加以描述,然而上述实施例仅为实施本实用新型的范例。必需指出的是,已揭露的实施例并未限制本实用新型的范围。相反地,在不脱离本实用新型的精神和范围内所作的更动与润饰,均属本实用新型的专利保护范围。The present invention has been described by the above-mentioned related embodiments, but the above-mentioned embodiments are only examples of implementing the present invention. It must be pointed out that the disclosed embodiments do not limit the scope of the present invention. On the contrary, changes and modifications made without departing from the spirit and scope of the present utility model belong to the scope of patent protection of the present utility model.
Claims (10)
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| CN201820780354.6U CN208808816U (en) | 2018-05-23 | 2018-05-23 | A multifunctional leg cover |
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| CN201820780354.6U CN208808816U (en) | 2018-05-23 | 2018-05-23 | A multifunctional leg cover |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN118680742A (en) * | 2024-07-09 | 2024-09-24 | 南方医科大学珠江医院 | A patient leg positioning system suitable for split-leg supine surgical position |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN118680742A (en) * | 2024-07-09 | 2024-09-24 | 南方医科大学珠江医院 | A patient leg positioning system suitable for split-leg supine surgical position |
| CN118680742B (en) * | 2024-07-09 | 2025-10-28 | 南方医科大学珠江医院 | A leg positioning system for patients in a split-leg supine surgical position |
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