• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
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  • 引用文献
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  • 优先权
    • 专利摘要:
    Stretcher for the examination and treatment of patients with benign paroxysmal positional vertigo. The stretcher for the examination and treatment of patients with Benign Paroxysmal Positional Vertigo (BPPV) comprises a central rectangular body (1), an articulated upper lateral extension (2) to support the head, which can adopt different angular positions, and a articulated lower lateral extension (3), to support the buttocks, and allows the patient to carry out all the movements that are necessary for the diagnosis and treatment of BPPV without the need to mobilize them manually, facilitating the execution of these movements, especially in cases of patients with certain peculiarities, such as obese, elderly or neurological patients with mobility limitations, which make it difficult or impossible to use a standard stretcher. (Machine-translation by Google Translate, not legally binding)
    公开号:ES2828874A1
    申请号:ES201931051
    申请日:2019-11-27
    公开日:2021-05-27
    发明作者:Garrigues Herminio Perez；Guillen Vanesa Perez；Zamora Enrique Garcia；Vicente Carlos Manuel Atienza；Garcia Francisco Jose Navarro；Olivares Nicolas Palomares
    申请人:Asociacion Inst De Biomecanica De Valencia；Fundacion Para La Investigacion Del Hospital Univ La Fe de la Comunidad Valenciana；
    IPC主号:
    专利说明:

    [0001] TURN FOR EXPLORATION AND TREATMENT OF PATIENTS WITH VERTIGO
    [0003] OBJECT OF THE INVENTION
    [0005] The invention refers to a stretcher for the exploration and treatment of patients with Benign Paroxysmal Positional Vertigo (BPPV) that allows the patient to carry out all the movements that are necessary for their diagnosis and treatment, without the need to mobilize them manually, facilitating the execution of said movements, especially in cases of patients with certain peculiarities that make it difficult or impossible to use a standard stretcher.
    [0007] BACKGROUND OF THE INVENTION
    [0009] Benign Paroxysmal Positional Vertigo (BPPV) is the most frequent cause of vertigo, reaching a third of the diagnoses made in Otoneurology in the general population. It consists of episodes of vertigo that are triggered by certain movements of the body or head (hyperextension, flexion, supine or lateral decubitus, etc.). The cause is the displacement of otoliths (calcium carbonate crystals) from the utricle, which is its normal housing, to the semicircular canals. Once located in the semicircular canal, each time the head moves in the direction of said canal, the otolith hits the sensor corresponding to the canal (dome) and triggers vertigo.
    [0011] The diagnosis of (BPPV) is made using an examination table and by printing the patient movements that study all the semicircular canals from the so-called provocation maneuvers: the Dix-Hallpike maneuver for the posterior and anterior canals, and the Dix-Hallpike maneuver for the posterior and anterior canals, and the McCIure or cephalic turn in supine position for the lateral semicircular canal.
    [0013] In the Dix-Hallpike maneuver, the patient is placed on the stretcher and the head is turned to the side about 45 °. He quickly lies backwards until he is in a supine position with his head forming a negative angle of -30o, maintaining this position for at least 40 seconds and observing the appearance of nystagmus. The patient is then seated, observing the inversion of the nystagmus. Finally the maneuver is repeated to the opposite side.
    [0014] In the McCIure maneuver, or supine turn, the patient is placed in this position and the head is turned 90o horizontally.
    [0016] Once the responsible canal has been determined, the treatment is based on causing the patient movements that manage to remove the otolith from the canal (otolith replacement maneuvers) and replace it in the utricle.
    [0018] If BPPV is caused by involvement of the posterior semicircular canal or the anterior superior canal, the Eplay maneuver will be performed. To perform this maneuver, the patient is seated on the stretcher with the head turned 45 ° towards the affected side. A Dix-Hallpike maneuver is performed to this side, which triggers nystagmus, and this position is held for two minutes. The head is then turned 180 ° to the contralateral side, a position that is maintained again for two minutes. The patient is turned to the same side to the lateral decubitus and facing the floor for two minutes. Finally, you slowly get up until you are sitting with your head tilted 20 °.
    [0020] When BPPV occurs due to involvement of the lateral semicircular canal, the Lempert maneuver is performed, which consists of placing the patient in a supine position with the head flexed 30o. The head is then rotated 90 ° to the left, then the patient is rotated 180 ° on himself to the left. The next step is to turn the head 90 ° to the left, leaving the patient face down. Then turn your head 90 °, always to the left. Finally, rotate the body another 180 ° and the head 90 ° returning to its original position.
    [0022] As observed in the previous explanations, all the movements that must be carried out for the diagnosis and treatment of BPPV must be done respecting specific angles of movement, according to the spatial situation of the semicircular canals. In addition, the patient must rotate on himself maintaining these angles. For certain patients, performing this type of movement is difficult on a standard stretcher, especially in the case of obese, elderly or neurological patients with mobility limitations.
    [0024] DESCRIPTION OF THE INVENTION
    [0026] The stretcher for the exploration and treatment of patients with Benign Paroxysmal Positional Vertigo proposed by the present invention solves the problems or inconveniences mentioned above, since it allows the patient to carry out all the movements that are necessary. necessary for the diagnosis and treatment of BPPV without the need for manual mobilization.
    [0028] Specifically, the device object of the invention comprises a rectangular central body that constitutes the central element of the stretcher, an articulated upper lateral extension designed to support the head, which starts from a first larger side of the central body, which articulates with respect to to this and that can adopt any angle between 45 ° and -90o with respect to said central body, and an articulated lower lateral extension that starts from a second larger side of the central body, designed to support the buttocks, which adopts a position coplanar with the central body when extended, or that can be folded together with the upper lateral extension at an angle of -90o to the central body so that the stretcher becomes a standard dimension stretcher.
    [0030] The stretcher also comprises a first articulation mechanism that facilitates the rotation of the upper lateral extension and the fixation of any position between 45 ° and -90 °, a handrail located on a first minor side of the body, a structure that supports the central body that is movable in height, a mechanism for raising and lowering the height and a nightstand or headrest located on a second, smaller side of the central body, facing the handrail.
    [0032] The articulation mechanism of the upper lateral extension allows the doctor to adjust its inclination, within the range between 45 ° and -90 °, so that the desired angle of the patient's head is obtained depending on the type of maneuver ( -30 °, 0 ° and 30 °).
    [0034] The stretcher may additionally comprise a second articulation mechanism that facilitates the rotation of the lower lateral extension and the fixation of at least two positions (-90 °, 180 °).
    [0036] To carry out the diagnosis and treatment of BPPV, the patient lies on the central body of the table, with the head resting on the upper lateral extension, which will be adjusted according to the desired angle, and the buttocks resting on the lower lateral extension. The patient executes the movements that the doctor indicates, which may include rotation on himself on the central body of the stretcher, the patient always being protected from falling by the guardrail and the handrail.
    [0038] All movements that must be carried out both for the diagnosis and treatment of BPPV must be done respecting specific angles of movement. Also, if the patient It has to rotate on itself on the stretcher, it must do so while maintaining these angles. This device facilitates the execution of these exploration and treatment maneuvers for BPPV, since by means of the horizontal extension of the rectangular central body and the two lateral extensions, the patient can rotate 360o on himself, always respecting the specific angles of movement, and avoiding having to mobilize it manually. In this way, the doctor is prevented from making the overexertions associated with mobilizing the patient, especially in the case that the patient is obese, elderly or with neurological limitations to move.
    [0040] When the stretcher is not being used for the exploration and treatment of patients with BPPV, it can be used like a conventional stretcher, since both the upper lateral extension and the lower lateral extension can be folded perpendicular to the central body, at an angle of -90o, resulting in on a stretcher comprising a central body and a headrest at the top.
    [0042] DESCRIPTION OF THE DRAWINGS
    [0044] To complement the description that is being made and in order to help a better understanding of the characteristics of the invention, according to a preferred example of a practical embodiment thereof, a set of drawings is attached as an integral part of said description. where, with an illustrative and non-limiting nature, the following has been represented:
    [0046] Figure 1.- Shows a detailed view of the table for the examination and treatment of patients with Benign Paroxysmal Positional Vertigo.
    [0048] Figure 2.- Shows a schematic view of the angles that the upper lateral extension and the lower lateral extension can adopt with respect to the central body of the stretcher.
    [0050] Figure 3.- Shows a detailed view of the lower part of the stretcher.
    [0052] Figure 4.- Shows a detailed view of the stretcher with the upper lateral extension at an angle of 45 °.
    [0054] Figure 5.- Shows a detailed view of the stretcher with the upper lateral extension at an angle of -90 °.
    [0055] PREFERRED EMBODIMENT OF THE INVENTION
    [0057] In view of the figures described above, it is possible to observe a non-limiting embodiment of the stretcher for the exploration and treatment of patients with benign Paroxysmal Positional Vertigo, object of this invention.
    [0059] Thus, as can be seen in figure 1, the stretcher for the exploration and treatment of patients with BPPV comprises a central rectangular body (1), an articulated upper lateral extension (2), which starts laterally from a first larger side of the central body (1), designed to support the head, which articulates with respect to the central body (1) and which can adopt any angular position between 45 ° and -90o with respect to the central body (1), being represented in figure 2 the angles of -30o, 0 ° and 45 °.
    [0061] It also comprises an articulated lower lateral extension (3), which starts from a second larger side of the central body (1), designed to support the buttocks, which adopts a coplanar position with the central body (1) when extended, or which can be folded together with the upper lateral extension (2) perpendicular to the central body (1) at an angle of -90 °, so that it becomes a standard dimension stretcher, as shown in figure 5 in which the upper side extension (2) appears folded.
    [0063] As shown in figure 3, the invention also comprises a first articulation mechanism (7) that facilitates the rotation of the upper lateral extension (2) and the fixing of positions between 45 ° and -90 °, and a second articulation mechanism (8) that facilitates the rotation of the lower lateral extension (3) and the fixing of the two positions (-90 °, 180 °).
    [0065] The invention additionally comprises, as seen in figure 4, a handrail (5) located on one of the smaller sides of the body, a structure (6) that supports the central body (1) that is movable in height, a mechanism of raising and lowering the height, a nightstand or headrest (4) located at the other lower end facing the railing.
    权利要求:
    Claims (7)
    [1]
    1. - Stretcher for the exploration and treatment of patients with Benign Paroxysmal Positional Vertigo characterized in that it comprises:
    - a rectangular central body (1) whose horizontal extension allows the patient to rotate on himself,
    - an articulated upper lateral extension (2), designed to support the head, which starts from a first larger side of the central body (1), and which can adopt an angular position between 45 ° and 90 ° with respect to said body central (1), allowing movements to be carried out for the diagnosis and identification of BPPV respecting the specific angles of movement,
    - an articulated lower lateral extension (3), designed to support the buttocks, which starts from a second larger side of the central body (1), opposite the first larger side, - a first articulation mechanism (7) that facilitates the turning the upper lateral extension (2) and fixing the angular positions between 45 ° and -90 °, and
    - a structure (6) that supports the central body (1).
    [2]
    2. - The stretcher of claim 1, in which the structure (6) that supports the central body (1) is movable in height.
    [3]
    3. - The stretcher of claim 1, further comprising a handrail (5) located on a first minor side of the central body (1), and which prevents the patient from falling.
    [4]
    4. - The stretcher of claim 1, further comprising a mechanism for raising and lowering the structure (6).
    [5]
    5. - The stretcher of claim 1, further comprising a nightstand or headrest (4) located on a second smaller side of the central body (1) facing the handrail (5).
    [6]
    6. - The stretcher of claim 1, further comprising a second articulation mechanism (8) that facilitates the rotation of the lower lateral extension (3) and the fixation of at least the two angular positions (180 °, -90o ).
    [7]
    7. The stretcher of claim 1, in which the articulated upper lateral extension (2), and the articulated lower lateral extension (3) can be folded at an angle of -90o, remaining perpendicular to the central body (1), so that the stretcher becomes a standard-sized stretcher.
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    同族专利:
    公开号 | 公开日
    ES2828874B2|2021-10-15|
    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    KR20160005519A|2014-07-07|2016-01-15|한국생산기술연구원|Apparatus for diagnosing and treating dizziness|
    CN106880467A|2017-03-14|2017-06-23|温州集智科技有限公司|A kind of benign positional vertigo therapeutic equipment|
    CN108904176A|2018-08-01|2018-11-30|林蔡茜|A kind of bed board for facilitating transfer and overturning patient|
    CN109528428A|2019-01-17|2019-03-29|吉林大学|A kind of medical auxiliary bed that can vertically turn on one's side|
    法律状态:
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    优先权:
    申请号 | 申请日 | 专利标题
    ES201931051A|ES2828874B2|2019-11-27|2019-11-27|TURN FOR EXAMINATION AND TREATMENT OF PATIENTS WITH BENIGN PAROXISTIC POSITIONAL VERTIGO|ES201931051A| ES2828874B2|2019-11-27|2019-11-27|TURN FOR EXAMINATION AND TREATMENT OF PATIENTS WITH BENIGN PAROXISTIC POSITIONAL VERTIGO|
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