{"id":1388,"date":"2026-06-26T06:31:20","date_gmt":"2026-06-26T06:31:20","guid":{"rendered":"https:\/\/worm-and-worm-wheel.com\/?p=1388"},"modified":"2026-06-26T06:31:20","modified_gmt":"2026-06-26T06:31:20","slug":"worm-and-worm-wheel-for-hospital-beds-and-medical-positioning","status":"publish","type":"post","link":"https:\/\/worm-and-worm-wheel.com\/cs\/worm-and-worm-wheel-for-hospital-beds-and-medical-positioning\/","title":{"rendered":"\u0160nek a \u0161nekov\u00e9 kolo pro nemocni\u010dn\u00ed l\u016f\u017eka a l\u00e9ka\u0159sk\u00e9 polohov\u00e1n\u00ed"},"content":{"rendered":"
\n

<\/p>\n

\n

Korea Ever-Power \u00b7 Pr\u016fvodce aplika\u010dn\u00edm in\u017een\u00fdrstv\u00edm<\/p>\n

\u0160nek a \u0161nekov\u00e9 kolo pro nemocni\u010dn\u00ed l\u016f\u017eka a l\u00e9ka\u0159sk\u00e9 polohov\u00e1n\u00ed<\/h1>\n

Poopera\u010dn\u00ed pacient le\u017e\u00ed na nemocni\u010dn\u00edm l\u016f\u017eku s elektrick\u00fdm pohonem, naklon\u011bn\u00e9m v Trendelenburgov\u011b poloze o 15 stup\u0148\u016f. Sestra opou\u0161t\u00ed pokoj, nap\u00e1jen\u00ed je odpojeno pro p\u0159epravu \u2013 a jedin\u00e9, co br\u00e1n\u00ed 90kg pacientovi v sklouznut\u00ed hlavou dol\u016f, je samosvorn\u00e1 geometrie \u010dty\u0159 mal\u00fdch p\u00e1r\u016f \u0161nekov\u00fdch p\u0159evod\u016f uvnit\u0159 aktu\u00e1tor\u016f r\u00e1mu l\u016f\u017eka. V l\u00e9ka\u0159sk\u00fdch za\u0159\u00edzen\u00edch je p\u00e1r \u0161nekov\u00fdch p\u0159evod\u016f z\u00e1rove\u0148 pohybov\u00fdm prvkem, bezpe\u010dnostn\u00edm z\u00e1mkem a za\u0159\u00edzen\u00edm citliv\u00fdm na hluk, kter\u00e9 funguje v dosahu pa\u017ee sp\u00edc\u00edho pacienta.<\/p>\n

Promluvte si s in\u017een\u00fdrem zdravotnick\u00fdch pohon\u016f \u2192<\/a><\/p>\n<\/div>\n

<\/p>\n

\n
Rychl\u00e1 odpov\u011b\u010f<\/div>\n

L\u00e9ka\u0159sk\u00e9 polohovac\u00ed za\u0159\u00edzen\u00ed \u2013 nemocni\u010dn\u00ed l\u016f\u017eka, chirurgick\u00e9 stoly, vy\u0161et\u0159ovac\u00ed k\u0159esla, zved\u00e1ky pacient\u016f a rehabilita\u010dn\u00ed za\u0159\u00edzen\u00ed \u2013 vy\u017eaduj\u00ed \u0161nekov\u00e9 p\u0159evody, kter\u00e9 spl\u0148uj\u00ed t\u0159i sou\u010dasn\u00e9 po\u017eadavky, kter\u00e9 \u017e\u00e1dn\u00e1 jin\u00e1 aplikace neslu\u010duje: hluk pod 45 dB(A) v m\u00edst\u011b pacienta (ti\u0161\u0161\u00ed ne\u017e \u0161eptan\u00fd rozhovor), absolutn\u00ed spolehlivost samosvornosti p\u0159i v\u00fdpadku nap\u00e1jen\u00ed (bezpe\u010dnost pacienta) a materi\u00e1lov\u00e1 kompatibilita s \u010distic\u00edmi prost\u0159edky l\u00e9ka\u0159sk\u00e9 kvality (opakovan\u00e1 chemick\u00e1 dezinfekce bez degradace pouzdra nebo t\u011bsn\u011bn\u00ed). Norma IEC 60601-1 upravuje elektrickou bezpe\u010dnost syst\u00e9mu pohonu; norma ISO 10993 upravuje biokompatibilitu jak\u00e9hokoli materi\u00e1lu, kter\u00fd by mohl p\u0159ij\u00edt do styku s pacientem v d\u016fsledku \u00faniku maziva nebo tvorby \u010d\u00e1stic. Tabulka shody tyto normy mapuje na specifick\u00e9 konstruk\u010dn\u00ed parametry \u0161nekov\u00fdch p\u0159evod\u016f: povrchov\u00e1 \u00faprava Ra 0,2 a\u017e 0,4 \u00b5m pro hluk, kola z MC Nylonu nebo POM pro tlumen\u00ed vibrac\u00ed, mazivo potravin\u00e1\u0159sk\u00e9 nebo farmaceutick\u00e9 kvality (minim\u00e1ln\u011b NSF H1) a ut\u011bsn\u011bn\u00e1 pouzdra, kter\u00e1 odol\u00e1vaj\u00ed ka\u017edodenn\u00edmu ot\u00edr\u00e1n\u00ed dezinfek\u010dn\u00edmi prost\u0159edky s kvart\u00e9rn\u00edm amoniem nebo kyselinou peroctovou bez degradace t\u011bsn\u011bn\u00ed.<\/p>\n<\/div>\n

<\/p>\n

Pro\u010d l\u00e9ka\u0159sk\u00e9 polohovac\u00ed za\u0159\u00edzen\u00ed pou\u017e\u00edv\u00e1 \u0161nekov\u00e9 p\u0159evody<\/h2>\n

\"Princip<\/p>\n

Modern\u00ed nemocni\u010dn\u00ed l\u016f\u017eko s elektrick\u00fdm pohonem obsahuje 4 a\u017e 6 line\u00e1rn\u00edch aktu\u00e1tor\u016f: pro n\u00e1klon hlavy, n\u00e1klon nohou, kolenn\u00edho kloubu, celkovou v\u00fd\u0161ku, Trendelenburg\u016fv\/reverzn\u00ed Trendelenburg\u016fv polohu a later\u00e1ln\u00ed n\u00e1klon. Ka\u017ed\u00fd aktu\u00e1tor p\u0159ev\u00e1d\u00ed rota\u010dn\u00ed v\u00fdstup motoru na line\u00e1rn\u00ed pohyb sekce l\u016f\u017eka pomoc\u00ed vodic\u00edho \u0161roubu \u2013 a \u0161nekov\u00fd p\u0159evod mezi motorem a vodic\u00edm \u0161roubem zaji\u0161\u0165uje jak sn\u00ed\u017een\u00ed rychlosti, tak i samosvornou funkci udr\u017eov\u00e1n\u00ed polohy.<\/p>\n

\n
\n
Samosvorn\u00e9 uzam\u010den\u00ed kritick\u00e9 pro pacienta<\/div>\n

P\u0159i odpojen\u00ed nap\u00e1jen\u00ed \u2013 a\u0165 u\u017e \u00famysln\u011b b\u011bhem p\u0159epravy pacienta nebo n\u00e1hodn\u011b p\u0159i v\u00fdpadku proudu \u2013 mus\u00ed ka\u017ed\u00fd aktu\u00e1tor z\u016fstat ve sv\u00e9 poloze. Pacient o hmotnosti 90 kg v 15stup\u0148ov\u00e9m Trendelenburgov\u011b sklonu generuje posuvnou s\u00edlu 230 N. \u0160nekov\u00fd p\u0159evod mus\u00ed t\u00e9to s\u00edle odol\u00e1vat neomezen\u011b dlouho bez te\u010den\u00ed.<\/p>\n<\/div>\n

\n
Hluk u l\u016f\u017eka pod 45 dB(A)<\/div>\n

Pacienti na JIP sp\u00ed do 0,5 metru od aktu\u00e1tor\u016f l\u016f\u017eek. Pokyny WHO doporu\u010duj\u00ed hluk v nemocnic\u00edch v noci pod 35 dB(A). Hlukov\u00fd rozpo\u010det aktu\u00e1toru umo\u017e\u0148uje b\u011bhem nastavov\u00e1n\u00ed 40 a\u017e 45 dB(A) \u2013 ponech\u00e1v\u00e1 tak pouze 5 a\u017e 10 dB(A) rezervu nad pozad\u00edm. Jedn\u00e1 se o nejti\u0161\u0161\u00ed aplikaci \u0161nekov\u00e9ho p\u0159evodu v jak\u00e9mkoli odv\u011btv\u00ed.<\/p>\n<\/div>\n

\n
P\u0159e\u017eit\u00ed chemick\u00e9 dezinfekce<\/div>\n

Nemocni\u010dn\u00ed l\u016f\u017eka se denn\u011b dezinfikuj\u00ed agresivn\u00edmi chemick\u00fdmi l\u00e1tkami \u2013 kvart\u00e9rn\u00edmi amoniov\u00fdmi slou\u010deninami, kyselinou peroctovou nebo peroxidem vod\u00edku. Pouzdro pohonu a t\u011bsn\u011bn\u00ed mus\u00ed vydr\u017eet 3 000 a\u017e 5 000 dezinfek\u010dn\u00edch cykl\u016f b\u011bhem 10let\u00e9 \u017eivotnosti l\u016f\u017eka, ani\u017e by do\u0161lo ke zk\u0159ehnut\u00ed, prask\u00e1n\u00ed nebo selh\u00e1n\u00ed t\u011bsn\u011bn\u00ed.<\/p>\n<\/div>\n<\/div>\n

<\/p>\n

Shoda s po\u017eadavky na l\u00e9ka\u0159sk\u00fd \u0161um a biokompatibilitu \u2013 sty\u010dn\u00e9 body norem IEC 60601 a ISO 10993<\/h2>\n
\n
\n

Normy pro zdravotnick\u00e9 prost\u0159edky p\u0159\u00edmo nespecifikuj\u00ed parametry \u0161nekov\u00fdch p\u0159evod\u016f \u2013 specifikuj\u00ed chov\u00e1n\u00ed cel\u00e9ho za\u0159\u00edzen\u00ed (hluk, bezpe\u010dnost, biokompatibilita). Po\u017eadavky na \u00farovni za\u0159\u00edzen\u00ed se v\u0161ak odv\u00edjej\u00ed od konkr\u00e9tn\u00edch konstruk\u010dn\u00edch mo\u017enost\u00ed \u0161nekov\u00fdch p\u0159evod\u016f. N\u00ed\u017ee uveden\u00e1 tabulka shody p\u0159ev\u00e1d\u00ed normy pro zdravotnick\u00e9 prost\u0159edky do praktick\u00fdch specifikac\u00ed \u0161nekov\u00fdch p\u0159evod\u016f.<\/p>\n

Tato tabulka je specifika\u010dn\u00edm mostem mezi in\u017een\u00fdrem zdravotnick\u00fdch prost\u0159edk\u016f (kter\u00fd uva\u017euje v souladu s normami IEC 60601 a ISO 10993) a dodavatelem \u0161nekov\u00fdch p\u0159evod\u016f (kter\u00fd uva\u017euje v modulu, osov\u00e9 vzd\u00e1lenosti a jakosti materi\u00e1lu).<\/p>\n<\/div>\n

\"plastov\u00e9<\/div>\n<\/div>\n
\n\n\n\n\n\n\n\n\n\n\n
L\u00e9ka\u0159sk\u00fd po\u017eadavek<\/th>\nNorma<\/th>\nSpecifikace p\u00e1ru \u0161nekov\u00fdch p\u0159evod\u016f<\/th>\nImplementace<\/th>\n<\/tr>\n<\/thead>\n
Hluk \u2264 45 dB(A) ve vzd\u00e1lenosti 0,5 m<\/td>\nIEC 60601-1-2 (EMC\/hluk), nemocni\u010dn\u00ed politika<\/td>\nRa \u2264 0,4 \u00b5m \u0161nekov\u00e1 \u00faprava, plastov\u00e9 kolo<\/td>\nKolo z MC nylonu nebo POM: 38\u201345 dB(A). Bronzov\u00e9 kolo: 50\u201358 dB(A) \u2013 nespl\u0148uje v\u011bt\u0161inu nemocni\u010dn\u00edch specifikac\u00ed.<\/td>\n<\/tr>\n
Samosvorn\u00e9 p\u0159i v\u00fdpadku nap\u00e1jen\u00ed<\/td>\nIEC 60601-1 \u00a79.2 (mechanick\u00e1 nebezpe\u010d\u00ed)<\/td>\n\u03b3 \u2264 \u03c1 \u2212 2\u00b0, jednospou\u0161t\u011bc\u00ed<\/td>\n\u00dahel stoup\u00e1n\u00ed 2\u20133\u00b0, q \u2265 12. Statick\u00fd test v\u00fddr\u017ee: jmenovit\u00e1 hmotnost pacienta 150%, 4 hodiny, nulov\u00e9 te\u010den\u00ed.<\/td>\n<\/tr>\n
\u017d\u00e1dn\u00e1 expozice toxick\u00fdm maziv\u016fm<\/td>\nISO 10993-1 (hodnocen\u00ed biokompatibility)<\/td>\nMinim\u00e1ln\u011b mazivo NSF H1 pro potravin\u00e1\u0159sk\u00e9 \u00fa\u010dely<\/td>\nUt\u011bsn\u011bn\u00e9 pouzdro zabra\u0148uje norm\u00e1ln\u00edmu kontaktu. NSF H1 zaji\u0161\u0165uje bezpe\u010dnost v p\u0159\u00edpad\u011b \u00faniku t\u011bsn\u011bn\u00ed b\u011bhem \u017eivotnosti l\u016f\u017eka.<\/td>\n<\/tr>\n
\u017d\u00e1dn\u00e1 tvorba \u010d\u00e1stic<\/td>\nISO 14644 (sousedstv\u00ed \u010dist\u00fdch prostor)<\/td>\nUt\u011bsn\u011bn\u00e9 pouzdro, bez vn\u011bj\u0161\u00edho odv\u011btr\u00e1v\u00e1n\u00ed<\/td>\nPlastov\u00e9 kolo neprodukuje \u017e\u00e1dn\u00e9 kovov\u00e9 \u010d\u00e1stice. Ut\u011bsn\u011bn\u00e9 mazivo eliminuje olejovou mlhu. Bez odvzdu\u0161\u0148ovac\u00edho ventilu.<\/td>\n<\/tr>\n
Pouzdro odoln\u00e9 v\u016f\u010di dezinfek\u010dn\u00edm prost\u0159edk\u016fm<\/td>\nPolitika kontroly nemocni\u010dn\u00edch infekc\u00ed<\/td>\nT\u011bsn\u011bn\u00ed EPDM nebo FKM, pr\u00e1\u0161kov\u00fd lak nebo pouzdro z nerezov\u00e9 oceli<\/td>\nStandardn\u00ed nitrilov\u00e1 t\u011bsn\u011bn\u00ed praskaj\u00ed po 1 000 ot\u0159en\u00edch QAC. EPDM odol\u00e1v\u00e1 v\u00edce ne\u017e 5 000 cykl\u016fm. FKM odol\u00e1v\u00e1 kyselin\u011b peroctov\u00e9.<\/td>\n<\/tr>\n
N\u00edzk\u00e1 s\u00edla sev\u0159en\u00ed na okraj\u00edch sekce lo\u017ee<\/td>\nIEC 60601-2-52 (bezpe\u010dnost zdravotnick\u00fdch l\u016f\u017eek)<\/td>\nTo\u010div\u00fd moment motoru omezen regul\u00e1torem<\/td>\nDvojice \u0161nek\u016f mus\u00ed p\u0159e\u017e\u00edt opakovan\u00e9 zastaven\u00ed (5\u201310 za den) bez po\u0161kozen\u00ed zub\u016f. SF \u2265 1,5 pro zastaven\u00ed.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

Tabulka shody ukazuje, \u017ee l\u00e9ka\u0159sk\u00e1 specifikace je simult\u00e1nn\u00edm optimaliza\u010dn\u00edm probl\u00e9mem: po\u017eadavek na hluk tla\u010d\u00ed na plastov\u00e1 kola a jemnou povrchovou \u00fapravu; po\u017eadavek na samosvornost tla\u010d\u00ed na n\u00edzk\u00fd \u00fahel stoup\u00e1n\u00ed a vysokou hodnotu q; po\u017eadavek na biokompatibilitu omezuje v\u00fdb\u011br maziva a po\u017eadavek na odolnost v\u016f\u010di dezinfekci omezuje materi\u00e1l t\u011bsn\u011bn\u00ed. Ka\u017ed\u00fd parametr mus\u00ed spl\u0148ovat v\u0161echna omezen\u00ed sou\u010dasn\u011b \u2013 konstrukce, kter\u00e1 spl\u0148uje p\u011bt ze \u0161esti po\u017eadavk\u016f, ale jeden nespl\u0148uje, je nevyhovuj\u00edc\u00ed a nelze ji dodat k dod\u00e1vce.<\/p>\n

<\/p>\n

Ultratich\u00fd pohon \u2013 plastov\u00e1 \u0161nekov\u00e1 kola pro provoz u l\u016f\u017eka<\/h2>\n

Limit hluku u l\u016f\u017eka 45 dB(A) je nejn\u00e1ro\u010dn\u011bj\u0161\u00ed specifikac\u00ed hluku pro jakoukoli aplikaci \u0161nekov\u00e9ho p\u0159evodu \u2013 je p\u0159\u00edsn\u011bj\u0161\u00ed ne\u017e limity 52\u201358 dB(A) pro pr\u00e9miov\u00e9 v\u00fdtahy (\u010dl\u00e1nek A07), eskal\u00e1tory v obchodn\u00edch domech (\u010dl\u00e1nek A08) nebo nemocni\u010dn\u00ed roboty AGV (\u010dl\u00e1nek A05). Spln\u011bn\u00ed tohoto limitu s bronzov\u00fdm \u0161nekov\u00fdm kolem je prakticky nemo\u017en\u00e9: i lapovan\u00e9 bronzov\u00e9 kolo s Ra 0,2 \u00b5m produkuje 50 a\u017e 55 dB(A) p\u0159i v\u00fdstupn\u00edch rychlostech typick\u00fdch pro pohony l\u016f\u017eek (v\u00fdstup 5 a\u017e 15 ot.\/min).<\/p>\n

\"Kompaktn\u00ed<\/p>\n

Plastov\u00e1 \u0161nekov\u00e1 kola \u2013 MC Nylon (lit\u00fd polyamid 6) nebo POM (acetal) \u2013 dosahuj\u00ed 38 a\u017e 45 dB(A) prost\u0159ednictv\u00edm t\u0159\u00ed mechanism\u016f: tlumen\u00ed materi\u00e1lu absorbuje energii vibrac\u00ed ozuben\u00e9ho kola, m\u00edsto aby ji vyza\u0159ovalo jako zvuk; ni\u017e\u0161\u00ed modul pru\u017enosti plastu vytv\u00e1\u0159\u00ed \u0161ir\u0161\u00ed kontaktn\u00ed p\u00e1s, kter\u00fd rozkl\u00e1d\u00e1 zat\u00ed\u017een\u00ed na v\u011bt\u0161\u00ed plochu zubu (sn\u00ed\u017een\u00ed buzen\u00ed bodov\u00e9ho kontaktu); a kontakt plastu s ocel\u00ed m\u00e1 ni\u017e\u0161\u00ed kol\u00eds\u00e1n\u00ed koeficientu t\u0159en\u00ed, co\u017e vede k plynulej\u0161\u00ed rotaci s men\u0161\u00edm po\u010dtem mikrotrhliv\u00fdch prokluz\u016f.<\/p>\n

MC Nylon versus POM pro l\u00e9ka\u0159sk\u00e9 aktu\u00e1tory.<\/strong> MC Nylon je preferovanou volbou pro \u0161nekov\u00e1 kola nemocni\u010dn\u00edch l\u016f\u017eek, proto\u017ee nab\u00edz\u00ed o n\u011bco lep\u0161\u00ed tlumen\u00ed vibrac\u00ed ne\u017e POM (o 2 a\u017e 3 dB(A) ti\u0161\u0161\u00ed p\u0159i stejn\u00e9 rychlosti) a m\u016f\u017ee b\u011b\u017eet nasucho bez maz\u00e1n\u00ed p\u0159i n\u00edzk\u00e9m zat\u00ed\u017een\u00ed typick\u00e9m pro aktu\u00e1tory l\u016f\u017eek (v\u00fdstupn\u00ed moment 5 a\u017e 30 N\u00b7m). POM nab\u00edz\u00ed lep\u0161\u00ed rozm\u011brovou stabilitu (ni\u017e\u0161\u00ed absorpce vlhkosti) a je preferov\u00e1n pro chirurgick\u00e9 stoly, kde m\u016f\u017ee b\u00fdt aktu\u00e1tor vystaven st\u0159\u00edkaj\u00edc\u00ed kapalin\u011b, kter\u00e1 by mohla zp\u016fsobit bobtn\u00e1n\u00ed MC Nylonu. Oba materi\u00e1ly negeneruj\u00ed \u017e\u00e1dn\u00e9 kovov\u00e9 \u010d\u00e1stice \u2013 co\u017e je d\u016fle\u017eit\u00fd faktor pro aktu\u00e1tory l\u016f\u017eek pracuj\u00edc\u00ed v bl\u00edzkosti o\u0161et\u0159ovac\u00edch prostor.<\/p>\n

<\/p>\n

\n
Pozn\u00e1mka k in\u017een\u00fdrsk\u00e9mu stolu<\/div>\n

Korejsk\u00fd v\u00fdrobce nemocni\u010dn\u00edch l\u016f\u017eek p\u0159edlo\u017eil vzorky p\u00e1r\u016f \u0161nekov\u00fdch p\u0159evod\u016f od dvou dodavatel\u016f k porovn\u00e1vac\u00edm test\u016fm hluku. Dodavatel A: ocelov\u00fd \u0161nek brou\u0161en\u00fd Ra 0,4 \u00b5m, kolo z MC nylonu, modul 1,5, rozte\u010d 30 mm. Dodavatel B: ocelov\u00fd \u0161nek odvalovan\u00fd Ra 1,2 \u00b5m, kolo z POM, stejn\u00fd modul a rozte\u010d. Oba p\u00e1ry spl\u0148ovaly specifikace to\u010div\u00e9ho momentu a samosvoru. Test hluku p\u0159i v\u00fdstupn\u00edch ot\u00e1\u010dk\u00e1ch 10 ot.\/min, m\u011b\u0159eno ve vzd\u00e1lenosti 0,5 m: Dodavatel A nam\u011b\u0159il 41 dB(A). Dodavatel B nam\u011b\u0159il 49 dB(A). Rozd\u00edl 8 dB(A) byl zcela zp\u016fsoben povrchovou \u00fapravou \u0161neku \u2013 Ra 0,4 \u00b5m oproti Ra 1,2 \u00b5m. S 49 dB(A) p\u00e1r dodavatele B p\u0159ekro\u010dil nemocni\u010dn\u00ed limit hluku u l\u016f\u017eka 45 dB(A) a nepro\u0161el p\u0159ej\u00edmac\u00ed zkou\u0161kou. Dodavatel B nab\u00eddl, \u017ee \u0161neky p\u0159ebrous\u00ed na Ra 0,4 \u00b5m s nav\u00fd\u0161en\u00edm n\u00e1klad\u016f o 1,80 USD za \u0161nek. P\u0159ebrou\u0161en\u00e9 \u0161neky nam\u011b\u0159ily 42 dB(A) \u2013 v r\u00e1mci specifikace. Ponau\u010den\u00ed: v aplikac\u00edch l\u00e9ka\u0159sk\u00fdch aktu\u00e1tor\u016f nen\u00ed povrchov\u00e1 \u00faprava \u0161neku \u201ep\u0159\u00edjemn\u00fdm\u201c vylep\u0161en\u00edm kvality \u2013 je to parametr shody s po\u017eadavky. Rozd\u00edl v drsnosti povrchu 0,8 \u00b5m (Ra 1,2 oproti Ra 0,4) p\u0159edstavoval rozd\u00edl mezi selh\u00e1n\u00edm 49 dB(A) a schv\u00e1len\u00edm 41 dB(A). N\u00e1klady na dosa\u017een\u00ed shody: 1,80 USD na \u0161neka.<\/p>\n<\/div>\n

<\/p>\n

T\u0159i p\u0159\u00edpady specifikace p\u00e1ru \u0161nekov\u00fdch p\u0159evod\u016f pro zdravotnick\u00e9 za\u0159\u00edzen\u00ed<\/h2>\n

\"V\u00fdroba<\/p>\n

P\u0159\u00edpad 1 \u2013 V\u00fdrobce korejsk\u00e9ho nemocni\u010dn\u00edho l\u016f\u017eka: l\u016f\u017eko JIP s 5 pohony, c\u00edlov\u00e1 hodnota 42 dB(A)<\/h3>\n

Korejsk\u00fd v\u00fdrobce nemocni\u010dn\u00edch l\u016f\u017eek specifikoval p\u00e1ry \u0161nekov\u00fdch p\u0159evod\u016f pro pr\u00e9miov\u00e9 l\u016f\u017eko JIP s 5 poh\u00e1n\u011bn\u00fdmi aktu\u00e1tory (n\u00e1klon hlavy 0\u201370 stup\u0148\u016f, n\u00e1klon nohou 0\u201335 stup\u0148\u016f, kolenn\u00ed op\u011brka 0\u201330 stup\u0148\u016f, v\u00fd\u0161ka 400\u2013800 mm, Trendelenburg \u00b115 stup\u0148\u016f). Maxim\u00e1ln\u00ed hmotnost pacienta: 200 kg. Motor na aktu\u00e1tor: 24 V DC, 80 W. Stoup\u00e1n\u00ed vodic\u00edch \u0161roub\u016f: 6 mm. Po\u017eadovan\u00fd p\u0159evodov\u00fd pom\u011br \u0161nekov\u00e9ho p\u0159evodu: 20:1. V\u00fdstupn\u00ed to\u010div\u00fd moment p\u0159i maxim\u00e1ln\u00ed hmotnosti pacienta a maxim\u00e1ln\u00edm \u00fahlu n\u00e1klonu: 18 N\u00b7m. C\u00edlov\u00e1 hlu\u010dnost: 42 dB(A) ve vzd\u00e1lenosti 0,5 m od r\u00e1mu l\u016f\u017eka b\u011bhem nastaven\u00ed n\u00e1klonu hlavy (nejhlu\u010dn\u011bj\u0161\u00ed aktu\u00e1tor kv\u016fli nejvy\u0161\u0161\u00edmu zat\u00ed\u017een\u00ed a nejdel\u0161\u00edmu zdvihu). P\u00e1r \u0161nekov\u00fdch p\u0159evod\u016f: jednochod\u00fd, modul 1, rozte\u010d 25 mm, q = 14, \u00fahel stoup\u00e1n\u00ed 2,6 stup\u0148\u016f, brou\u0161en\u00ed \u0161neku Ra 0,4 \u00b5m, kolo z MC nylonu. Mazivo: na b\u00e1zi silikonu NSF H1. T\u011bsn\u011bn\u00ed: O-krou\u017eek EPDM spl\u0148uj\u00edc\u00ed normu pro odolnost v\u016f\u010di kvart\u00e9rn\u00edmu amoniu. Pouzdro: pozinkovan\u00e1 ocel s pr\u00e1\u0161kov\u00fdm n\u00e1st\u0159ikem l\u00e9ka\u0159sk\u00e9 kvality. Nam\u011b\u0159en\u00e1 hlu\u010dnost: 41 dB(A) p\u0159i maxim\u00e1ln\u00edm zat\u00ed\u017een\u00ed \u2013 v r\u00e1mci c\u00edlov\u00e9ho limitu. Zkou\u0161ka samosvornosti: 150% jmenovit\u00e9 zat\u00ed\u017een\u00ed (300 kg), 4hodinov\u00e9 statick\u00e9 udr\u017een\u00ed p\u0159i 15stup\u0148ov\u00e9m Trendelenburgov\u011b \u00fahlu, nulov\u00e9 te\u010den\u00ed. Cena za p\u00e1r \u0161nekov\u00fdch p\u0159evod\u016f: 12 USD. Cena za l\u016f\u017ekovou sadu s 5 pohony: 60 USD. Objem v\u00fdroby: 3 000 l\u016f\u017eek ro\u010dn\u011b (15 000 p\u00e1r\u016f \u0161nekov\u00fdch p\u0159evod\u016f ro\u010dn\u011b). Interval v\u00fdm\u011bny kol MC Nylon: 5 let p\u0159i nemocni\u010dn\u00edm provozu (p\u0159ibli\u017en\u011b 15 000 se\u0159izovac\u00edch cykl\u016f b\u011bhem 5 let \u2013 trivi\u00e1ln\u011b m\u00e1lo z hlediska \u00fanavy, ale bl\u00ed\u017e\u00ed se limitu absorpce vlhkosti MC Nylon ve vlhk\u00e9m prost\u0159ed\u00ed na odd\u011blen\u00edch).<\/p>\n

P\u0159\u00edpad 2 \u2013 Japonsk\u00fd chirurgick\u00fd st\u016fl: nosnost 250 kg, odoln\u00fd proti st\u0159\u00edkaj\u00edc\u00ed tekutin\u011b, kole\u010dka z POM<\/h3>\n

Japonsk\u00fd v\u00fdrobce chirurgick\u00fdch stol\u016f specifikoval \u0161nekov\u00e9 p\u0159evody pro st\u016fl se 6 aktu\u00e1tory s motorizovan\u00fdm v\u00fd\u0161kov\u00fdm nastaven\u00edm, Trendelenburgov\u00fdm nastaven\u00edm, bo\u010dn\u00edm nakl\u00e1p\u011bn\u00edm, z\u00e1dovou \u010d\u00e1st\u00ed, \u010d\u00e1stmi pro nohy a ledvinov\u00fdm m\u016fstkem. Nosnost pacienta: 250 kg (v\u010detn\u011b chirurgick\u00e9ho zakryt\u00ed a vybaven\u00ed). Prost\u0159ed\u00ed opera\u010dn\u00edho s\u00e1lu p\u0159edstavovalo specifickou v\u00fdzvu: chirurgick\u00e9 tekutiny (krev, fyziologick\u00fd roztok, antiseptick\u00e9 roztoky) mohly st\u0159\u00edkat na z\u00e1kladnu stolu, kde jsou um\u00edst\u011bny aktu\u00e1tory. POM byl zvolen m\u00edsto MC Nylonu, proto\u017ee POM absorbuje m\u00e9n\u011b ne\u017e 0,2 procenta vlhkosti (oproti 2 a\u017e 3 procent\u016fm u MC Nylonu) a zachov\u00e1v\u00e1 si rozm\u011brovou stabilitu i p\u0159i opakovan\u00e9m vystaven\u00ed tekutin\u00e1m. \u0160nekov\u00e9 p\u0159evody: jednochod\u00e9, modul 1,5, rozte\u010d 30 mm, q = 12, brou\u0161en\u00fd \u0161nekov\u00fd p\u0159evod Ra 0,3 \u00b5m, kolo z POM. Mazivo: fluorosilikon zahu\u0161t\u011bn\u00fd PTFE farmaceutick\u00e9 kvality (kompatibiln\u00ed s \u010distic\u00edmi prost\u0159edky pro opera\u010dn\u00ed s\u00e1ly v\u010detn\u011b kyseliny peroctov\u00e9). T\u011bsn\u011bn\u00ed: O-krou\u017eek FKM (Viton) \u2014 FKM odol\u00e1v\u00e1 kyselin\u011b peroctov\u00e9, peroxidu vod\u00edku a glutaraldehydu, kter\u00e9 ni\u010d\u00ed standardn\u00ed nitril a EPDM b\u011bhem 6 m\u011bs\u00edc\u016f. Hluk: 44 dB(A) ve vzd\u00e1lenosti 0,5 m \u2013 m\u00edrn\u011b nad c\u00edlovou hodnotou pro l\u016f\u017eka JIP, ale p\u0159ijateln\u00e9 pro opera\u010dn\u00ed s\u00e1ly, kde je hluk v pozad\u00ed z anesteziologick\u00e9ho vybaven\u00ed (ventil\u00e1tory, monitory) 45 a\u017e 55 dB(A). Cena za p\u00e1r: 22 USD (t\u011bsn\u011bn\u00ed FKM a farmaceutick\u00e9 mazivo v\u00fdrazn\u011b zvy\u0161uj\u00ed hodnotu oproti specifikaci pro nemocni\u010dn\u00ed l\u016f\u017eko). Proch\u00e1zet tich\u00fd \u0161nekov\u00fd p\u0159evodov\u00fd stupe\u0148<\/a> mo\u017enosti pro aplikace l\u00e9ka\u0159sk\u00fdch aktu\u00e1tor\u016f vy\u017eaduj\u00edc\u00ed ultra n\u00edzkou hlu\u010dnost a chemickou odolnost.<\/p>\n

P\u0159\u00edpad 3 \u2013 Vietnamsk\u00fd rehabilita\u010dn\u00ed nakl\u00e1p\u011bc\u00ed st\u016fl: 150 kg, cenov\u011b dostupn\u00e9, bronz p\u0159ijateln\u00fd<\/h3>\n

Vietnamsk\u00fd v\u00fdrobce rehabilita\u010dn\u00edho za\u0159\u00edzen\u00ed specifikoval dvojice \u0161nekov\u00fdch p\u0159evod\u016f pro motorizovan\u00fd nakl\u00e1p\u011bc\u00ed st\u016fl pou\u017e\u00edvan\u00fd ve fyzioterapii pro pacienty po mrtvici a poran\u011bn\u00ed m\u00edchy. Nakl\u00e1p\u011bc\u00ed st\u016fl se ot\u00e1\u010d\u00ed z horizont\u00e1ln\u00ed (0 stup\u0148\u016f) do t\u00e9m\u011b\u0159 vertik\u00e1ln\u00ed (80 stup\u0148\u016f) polohy s pacientem p\u0159ipoutan\u00fdm k povrchu. Jeden aktu\u00e1tor s klikov\u00fdm mechanismem. Nosnost pacienta: 150 kg. Motor: 24 V DC, 200 W. Po\u017eadovan\u00fd v\u00fdstupn\u00ed to\u010div\u00fd moment na dvojici \u0161nekov\u00fdch p\u0159evod\u016f: 65 N\u00b7m (hmotnost pacienta v rameni maxim\u00e1ln\u00edho momentu). Rychlost nakl\u00e1p\u011bn\u00ed: 2 stupn\u011b za sekundu (pomal\u00fd, kontrolovan\u00fd pohyb nezbytn\u00fd pro bezpe\u010dnost pacienta). Prost\u0159ed\u00ed rehabilita\u010dn\u00ed kliniky bylo m\u00e9n\u011b citliv\u00e9 na hluk ne\u017e JIP \u2013 hluk pozad\u00ed z cvi\u010debn\u00edho za\u0159\u00edzen\u00ed byl 55 a\u017e 65 dB(A) \u2013 tak\u017ee bronzov\u00e9 kolo s 52 dB(A) bylo p\u0159ijateln\u00e9. Dvojice \u0161nekov\u00fdch p\u0159evod\u016f: jednochod\u00e1, modul 2, rozte\u010d 40 mm, kolo z fosforov\u00e9ho bronzu CuSn12Ni, \u0161nekov\u00fd v\u00fdbrus Ra 0,6 \u00b5m. Standardn\u00ed lithn\u00e9 komplexn\u00ed mazivo (ne NSF H1 \u2013 aktu\u00e1tor je pln\u011b uzav\u0159en v z\u00e1kladn\u011b stolu bez kontaktn\u00ed cesty s pacientem). Standardn\u00ed nitrilov\u00e9 t\u011bsn\u011bn\u00ed (v rehabilita\u010dn\u00edch klinik\u00e1ch se nepou\u017e\u00edvaj\u00ed agresivn\u00ed dezinfek\u010dn\u00ed prost\u0159edky \u2013 pouze standardn\u00ed ot\u0159en\u00ed alkoholem). Cena za p\u00e1r: 28 USD. Specifikace ukazuje, \u017ee ne v\u0161echny zdravotnick\u00e9 prost\u0159edky vy\u017eaduj\u00ed \u00faplnou tabulku shody \u2013 \u00farove\u0148 po\u017eadavk\u016f z\u00e1vis\u00ed na klinick\u00e9m prost\u0159ed\u00ed, bl\u00edzkosti pacienta a dezinfek\u010dn\u00edm re\u017eimu.<\/p>\n

<\/p>\n

\u010casto kladen\u00e9 ot\u00e1zky<\/h2>\n
\n
\nOt\u00e1zka: Pot\u0159ebuje samotn\u00fd p\u00e1r \u0161nekov\u00fdch p\u0159evod\u016f certifikaci IEC 60601?<\/summary>\n

Ne \u2013 Norma IEC 60601 certifikuje kompletn\u00ed zdravotnick\u00fd prost\u0159edek (nemocni\u010dn\u00ed l\u016f\u017eko nebo chirurgick\u00fd st\u016fl jako hotov\u00fd v\u00fdrobek), nikoli jednotliv\u00e9 komponenty. \u0160nekov\u00fd p\u0159evod je d\u00edl\u010d\u00ed komponentou, kter\u00e1 p\u0159isp\u00edv\u00e1 k souladu na \u00farovni za\u0159\u00edzen\u00ed. Dodavatel \u0161nekov\u00e9ho p\u0159evodu by v\u0161ak m\u011bl poskytnout dokumentaci, kter\u00e1 podporuje certifikaci v\u00fdrobce za\u0159\u00edzen\u00ed: \u00fadaje o zkou\u0161ce hluku p\u0159i specifikovan\u00fdch rychlostech a zat\u00ed\u017een\u00edch, v\u00fdsledky zkou\u0161ek samosvornosti p\u0159i 150% jmenovit\u00e9m zat\u00ed\u017een\u00ed, materi\u00e1lov\u00e9 certifik\u00e1ty pro \u0161nek a kolo a bezpe\u010dnostn\u00ed listy maziv potvrzuj\u00edc\u00ed status NSF H1 nebo farmaceutick\u00e9 kvality. V\u00fdrobce za\u0159\u00edzen\u00ed, kter\u00fd nem\u016f\u017ee tuto dokumentaci z\u00edskat od dodavatele p\u0159evodu, bude muset v\u0161echny testy prov\u00e9st samostatn\u011b \u2013 co\u017e prodlu\u017euje proces certifikace a zvy\u0161uje n\u00e1klady.<\/p>\n<\/details>\n

\nOt\u00e1zka: Jak dlouho vydr\u017e\u00ed plastov\u00e9 \u0161nekov\u00e9 kolo v aktu\u00e1toru nemocni\u010dn\u00edho l\u016f\u017eka?<\/summary>\n

Pohony nemocni\u010dn\u00edch l\u016f\u017eek se vyzna\u010duj\u00ed velmi n\u00edzkou z\u00e1t\u011b\u017e\u00ed: obvykle 20 a\u017e 50 zm\u011bn polohy denn\u011b, s dobou v\u00fdm\u011bny 5 a\u017e 15 sekund. B\u011bhem 10let\u00e9 \u017eivotnosti l\u016f\u017eka je celkov\u00e1 provozn\u00ed doba zhruba 200 a\u017e 500 hodin \u2013 co\u017e je hluboko pod mez\u00ed mechanick\u00e9 \u00fanavy jak\u00e9hokoli plastov\u00e9ho kola. Omezuj\u00edc\u00edm faktorem \u017eivotnosti je st\u00e1rnut\u00ed materi\u00e1lu: MC Nylon absorbuje vlhkost z vlhk\u00e9 atmosf\u00e9ry odd\u011blen\u00ed (2 a\u017e 3 hmotnostn\u00ed procenta), co\u017e postupn\u011b zv\u011bt\u0161uje pr\u016fm\u011br kola a zu\u017euje v\u016fli ok. Po 5 a\u017e 7 letech v typick\u00e9 nemocni\u010dn\u00ed vlhkosti (50 a\u017e 70 procent relativn\u00ed vlhkosti) m\u016f\u017ee zm\u011bna rozm\u011br\u016f zv\u00fd\u0161it provozn\u00ed hluk o 3 a\u017e 5 dB(A) a zv\u00fd\u0161it odb\u011br proudu motoru o 10 a\u017e 15 procent. POM absorbuje zanedbatelnou vlhkost a nevykazuje toto st\u00e1rnut\u00ed, ale stoj\u00ed zhruba o 20 procent v\u00edce na kolo. Pro l\u016f\u017eka s 10letou c\u00edlovou \u017eivotnost\u00ed je POM bezpe\u010dn\u011bj\u0161\u00ed dlouhodobou volbou; pro l\u016f\u017eka s 5 a\u017e 7let\u00fdm cyklem v\u00fdm\u011bny je MC Nylon dosta\u010duj\u00edc\u00ed a cenov\u011b v\u00fdhodn\u011bj\u0161\u00ed.<\/p>\n<\/details>\n

\nOt\u00e1zka: M\u016f\u017ee \u0161nekov\u00e9 soukol\u00ed u nemocni\u010dn\u00edho l\u016f\u017eka b\u011b\u017eet bez maz\u00e1n\u00ed?<\/summary>\n

\u0160nekov\u00e1 kola z MC Nylonu a POM mohou b\u011b\u017eet nasucho (bez maziva) proti brou\u0161en\u00e9mu ocelov\u00e9mu \u0161neku p\u0159i n\u00edzk\u00e9m zat\u00ed\u017een\u00ed typick\u00e9m pro pohony nemocni\u010dn\u00edch l\u016f\u017eek (v\u00fdstupn\u00ed moment 5 a\u017e 30 N\u00b7m). Chod nasucho eliminuje jak\u00e9koli riziko \u00faniku maziva a zjednodu\u0161uje posouzen\u00ed biokompatibility. Chod nasucho v\u0161ak zvy\u0161uje hluk o 3 a\u017e 5 dB(A) ve srovn\u00e1n\u00ed s provozem s mazivem (mazac\u00ed film tlum\u00ed mikrovibrace) a zvy\u0161uje koeficient t\u0159en\u00ed (sn\u00ed\u017een\u00ed \u00fa\u010dinnosti o 5 a\u017e 10 procentn\u00edch bod\u016f). V\u011bt\u0161ina v\u00fdrobc\u016f nemocni\u010dn\u00edch l\u016f\u017eek pou\u017e\u00edv\u00e1 tenkou vrstvu maziva NSF H1, aby dos\u00e1hla co nejni\u017e\u0161\u00edho hluku \u2013 riziko biokompatibility je zm\u00edrn\u011bno ut\u011bsn\u011bn\u00fdm krytem, \u200b\u200bnikoli \u00fapln\u00fdm odstran\u011bn\u00edm maziva. U za\u0159\u00edzen\u00ed, u kter\u00fdch nelze kryt zcela ut\u011bsnit (n\u011bkter\u00e9 konstrukce zved\u00e1k\u016f pacient\u016f s odkryt\u00fdmi mechanismy), je bezpe\u010dn\u011bj\u0161\u00edm p\u0159\u00edstupem chod nasucho s plastov\u00fdm kolem.<\/p>\n<\/details>\n

\nOt\u00e1zka: Co se stane, kdy\u017e se \u0161nekov\u00fd p\u0159evod v nemocni\u010dn\u00edm l\u016f\u017eku samosvorn\u00fd nezajist\u00ed?<\/summary>\n

\u010c\u00e1st l\u016f\u017eka se vych\u00fdl\u00ed ze sv\u00e9 nastaven\u00e9 polohy \u2013 hlava se pomalu spou\u0161t\u00ed, Trendelenburg\u016fv sklon se postupn\u011b vyrovn\u00e1v\u00e1 nebo v\u00fd\u0161ka pomalu kles\u00e1. Pro pacienta p\u0159i v\u011bdom\u00ed je to nep\u0159\u00edjemn\u00e9 a alarmuj\u00edc\u00ed. Pro sedovan\u00e9ho nebo bezv\u011bdom\u00e9ho pacienta na JIP to m\u016f\u017ee b\u00fdt l\u00e9ka\u0159sky nebezpe\u010dn\u00e9: posun hlavy dol\u016f b\u011bhem ventilace s p\u0159etlakem m\u011bn\u00ed geometrii d\u00fdchac\u00edch cest a posun v\u00fd\u0161ky m\u016f\u017ee zp\u016fsobit nap\u011bt\u00ed v nitro\u017eiln\u00ed soustav\u011b. Norma IEC 60601-2-52 vy\u017eaduje, aby v\u00fdrobce l\u016f\u017eka prok\u00e1zal, \u017ee v\u0161echny funkce poh\u00e1n\u011bn\u00e9ho polohov\u00e1n\u00ed si udr\u017e\u00ed svou nastavenou polohu i b\u011bhem v\u00fdpadku nap\u00e1jen\u00ed po dobu typick\u00e9ho klinick\u00e9ho pou\u017eit\u00ed (minim\u00e1ln\u011b 8 hodin). \u0160nekov\u00fd p\u0159evod je prim\u00e1rn\u00edm mechanismem pro spln\u011bn\u00ed tohoto po\u017eadavku. Ov\u011b\u0159en\u00ed samosvornosti mus\u00ed b\u00fdt provedeno s nejhor\u0161\u00edm mo\u017en\u00fdm mazivem (nejni\u017e\u0161\u00ed koeficient t\u0159en\u00ed), p\u0159i nejhor\u0161\u00ed mo\u017en\u00e9 teplot\u011b (nejvy\u0161\u0161\u00ed teplota sni\u017euje viskozitu maziva a t\u0159en\u00ed) a p\u0159i 150 procentech jmenovit\u00e9 hmotnosti pacienta, aby byla zaji\u0161t\u011bna rezerva pro t\u011b\u017ek\u00e9 pacienty a klinick\u00e9 vybaven\u00ed um\u00edst\u011bn\u00e9 na l\u016f\u017eku.<\/p>\n<\/details>\n

\nOt\u00e1zka: Pou\u017e\u00edvaj\u00ed se \u0161nekov\u00e9 p\u0159evody v elektrick\u00fdch invalidn\u00edch voz\u00edkech a zved\u00e1c\u00edch pro pacienty?<\/summary>\n

Ano, ve specifick\u00fdch funkc\u00edch. Pohony pro nakl\u00e1p\u011bn\u00ed a skl\u00e1p\u011bn\u00ed sedadla invalidn\u00edho voz\u00edku s elektrick\u00fdm pohonem b\u011b\u017en\u011b pou\u017e\u00edvaj\u00ed \u0161nekov\u00e9 p\u0159evody ze stejn\u00e9ho d\u016fvodu jako nemocni\u010dn\u00ed l\u016f\u017eka \u2013 samosvorn\u00e9 mechanismy dr\u017e\u00ed \u00fahel sedadla bez samostatn\u00e9 brzdy. Stropn\u00ed zved\u00e1ky pro pacienty pou\u017e\u00edvaj\u00ed \u0161nekov\u00e9 p\u0159evody ve zvedac\u00edm mechanismu pro samosvorn\u00e9 mechanismy b\u011bhem p\u0159esunu pacienta (pacient nesm\u00ed sestoupit, pokud se motor zastav\u00ed uprost\u0159ed zved\u00e1n\u00ed). Za\u0159\u00edzen\u00ed pro postaven\u00ed se a vst\u00e1v\u00e1n\u00ed ze sedu pou\u017e\u00edvaj\u00ed \u0161nekov\u00e9 p\u0159evody v kolenn\u00edch a ky\u010deln\u00edch aktu\u00e1torech. Ve v\u0161ech p\u0159\u00edpadech se specifikace \u0161nekov\u00fdch p\u0159evod\u016f \u0159\u00edd\u00ed stejnou tabulkou shody: hluk pod 45 a\u017e 50 dB(A), samosvorn\u00e9 mechanismy p\u0159i 150 procentech jmenovit\u00e9ho zat\u00ed\u017een\u00ed a ut\u011bsn\u011bn\u00e9 pouzdro s vhodn\u00fdm mazivem. Osov\u00e9 vzd\u00e1lenosti jsou men\u0161\u00ed (20 a\u017e 35 mm) a v\u00fdstupn\u00ed kroutic\u00ed momenty jsou ni\u017e\u0161\u00ed (5 a\u017e 25 N\u00b7m) ne\u017e u aktu\u00e1tor\u016f nemocni\u010dn\u00edch l\u016f\u017eek, proto\u017ee tato za\u0159\u00edzen\u00ed nesou jednu kon\u010detinu nebo segment t\u011bla pacienta, nikoli plnou hmotnost pacienta na naklon\u011bn\u00e9 \u010d\u00e1sti l\u016f\u017eka.<\/p>\n<\/details>\n<\/div>\n

<\/p>\n

L\u00e9ka\u0159sk\u00e9 polohovac\u00ed za\u0159\u00edzen\u00ed \u2013 nemocni\u010dn\u00ed l\u016f\u017eka, chirurgick\u00e9 stoly, rehabilita\u010dn\u00ed za\u0159\u00edzen\u00ed, zved\u00e1ky pacient\u016f a elektrick\u00e9 invalidn\u00ed voz\u00edky \u2013 vy\u017eaduj\u00ed \u0161nekov\u00e9 p\u0159evody, kter\u00e9 sou\u010dasn\u011b spl\u0148uj\u00ed nejp\u0159\u00edsn\u011bj\u0161\u00ed specifikace hluku v jak\u00e9mkoli odv\u011btv\u00ed (pod 45 dB(A) u l\u016f\u017eka pacienta), absolutn\u00ed spolehlivost samosvornosti p\u0159i v\u00fdpadku nap\u00e1jen\u00ed (bezpe\u010dnost pacienta dle IEC 60601) a materi\u00e1lovou kompatibilitu s agresivn\u00edmi l\u00e9ka\u0159sk\u00fdmi dezinfek\u010dn\u00edmi prost\u0159edky (t\u011bsn\u011bn\u00ed EPDM nebo FKM vydr\u017e\u00ed 3 000 a\u017e 5 000 cykl\u016f chemick\u00e9ho ot\u00edr\u00e1n\u00ed). Tabulka shody p\u0159eklenuje mezeru mezi normami pro zdravotnick\u00e9 prost\u0159edky a specifikacemi \u0161nekov\u00fdch p\u0159evod\u016f \u2013 p\u0159ev\u00e1d\u00ed po\u017eadavky IEC 60601 a ISO 10993 na povrchovou \u00fapravu, materi\u00e1l kol, druh maziva a v\u00fdb\u011br materi\u00e1lu t\u011bsn\u011bn\u00ed. Plastov\u00e1 \u0161nekov\u00e1 kola (MC Nylon pro nejni\u017e\u0161\u00ed hluk, POM pro odolnost v\u016f\u010di kapalin\u00e1m) jsou standardem pro l\u00e9ka\u0159sk\u00e9 aktu\u00e1tory, proto\u017ee bronz nem\u016f\u017ee splnit limit 45 dB(A) u l\u016f\u017eka bez ohledu na kvalitu povrchov\u00e9 \u00fapravy.<\/p>\n

Pro v\u00fdrobce nemocni\u010dn\u00edch l\u016f\u017eek a zdravotnick\u00e9ho vybaven\u00ed prov\u00e1d\u00ed na\u0161e technick\u00e9 odd\u011blen\u00ed ov\u011b\u0159en\u00ed shody s po\u017eadavky na hluk, samosvornost a biokompatibilitu va\u0161eho za\u0159\u00edzen\u00ed. Standardn\u00ed katalog kompaktn\u00ed \u0161nekov\u00e9 p\u0159evodovky<\/a> Dod\u00e1v\u00e1me v konfigurac\u00edch pro l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely s rozte\u010d\u00ed st\u0159ed\u016f 20 a\u017e 40 mm s koly z MC Nylonu a POM, plastick\u00fdm mazivem NSF H1 a t\u011bsn\u011bn\u00edmi EPDM nebo FKM. Ode\u0161lete specifikace l\u00e9ka\u0159sk\u00e9ho aktu\u00e1toru<\/a> s va\u0161\u00ed c\u00edlovou hladinou hluku, hmotnostn\u00ed kapacitou pacienta a dezinfek\u010dn\u00edm protokolem.<\/p>\n

<\/p>\n

\n

Specifikace p\u00e1r\u016f \u0161nekov\u00fdch p\u0159evod\u016f pro l\u00e9ka\u0159sk\u00e9 polohovac\u00ed za\u0159\u00edzen\u00ed?<\/h3>\n

Za\u0161lete n\u00e1m c\u00edlovou hladinu hluku (dB(A) na vzd\u00e1lenost), hmotnostn\u00ed kapacitu pacienta, po\u010det aktu\u00e1tor\u016f, typ klinick\u00e9ho prost\u0159ed\u00ed (JIP, opera\u010dn\u00ed s\u00e1l, rehabilitace) a pou\u017eit\u00e9 dezinfek\u010dn\u00ed prost\u0159edky. Zmapujeme po\u017eadavky na shodu a doporu\u010d\u00edme materi\u00e1l, povrchovou \u00fapravu a t\u011bsnic\u00ed pouzdro.<\/p>\n

Vy\u017e\u00e1dejte si specifikaci l\u00e9ka\u0159sk\u00e9ho aktu\u00e1toru \u2192<\/a><\/p>\n<\/div>\n

St\u0159iha\u010d: Cxm<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Korea Ever-Power \u00b7 Application Engineering Guide Worm and Worm Wheel for Hospital Beds and Medical Positioning A post-operative patient lies on a powered hospital bed tilted at 15 degrees Trendelenburg position. The nurse leaves the room, the power supply is disconnected for transport \u2014 and the only thing preventing the 90 kg patient from sliding […]<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[2821],"tags":[],"class_list":["post-1388","post","type-post","status-publish","format-standard","hentry","category-worm-and-worm-wheel"],"_links":{"self":[{"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/posts\/1388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/comments?post=1388"}],"version-history":[{"count":2,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/posts\/1388\/revisions"}],"predecessor-version":[{"id":1390,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/posts\/1388\/revisions\/1390"}],"wp:attachment":[{"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/media?parent=1388"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/categories?post=1388"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/worm-and-worm-wheel.com\/cs\/wp-json\/wp\/v2\/tags?post=1388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}