AU775186B2 - Flexible head support - Google Patents

Flexible head support Download PDF

Info

Publication number
AU775186B2
AU775186B2 AU90096/01A AU9009601A AU775186B2 AU 775186 B2 AU775186 B2 AU 775186B2 AU 90096/01 A AU90096/01 A AU 90096/01A AU 9009601 A AU9009601 A AU 9009601A AU 775186 B2 AU775186 B2 AU 775186B2
Authority
AU
Australia
Prior art keywords
head support
head
support apparatus
support
allow
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
AU90096/01A
Other versions
AU9009601A (en
Inventor
Paul William Chapman
Simon Edward James Collinge
Anthony George Smith
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Huntleigh Technology Ltd
Original Assignee
Huntleigh Technology Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Huntleigh Technology Ltd filed Critical Huntleigh Technology Ltd
Publication of AU9009601A publication Critical patent/AU9009601A/en
Application granted granted Critical
Publication of AU775186B2 publication Critical patent/AU775186B2/en
Assigned to HUNTLEIGH TECHNOLOGY LIMITED reassignment HUNTLEIGH TECHNOLOGY LIMITED Request to Amend Deed and Register Assignors: HUNTLEIGH TECHNOLOGY PLC
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47C—CHAIRS; SOFAS; BEDS
    • A47C20/00—Head -, foot -, or like rests for beds, sofas or the like
    • A47C20/02—Head -, foot -, or like rests for beds, sofas or the like of detachable or loose type
    • A47C20/026—Supports for lying in a prone position
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/065—Rests specially adapted therefor
    • A61G7/07—Rests specially adapted therefor for the head or torso, e.g. special back-rests
    • A61G7/072—Rests specially adapted therefor for the head or torso, e.g. special back-rests for the head only
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/009—Physiotherapeutic tables, beds or platforms; Chiropractic or osteopathic tables
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121—Head or neck
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • A61G13/1265—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/30—Specific positions of the patient
    • A61G2200/32—Specific positions of the patient lying
    • A61G2200/325—Specific positions of the patient lying prone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1047—Balloon catheters with special features or adapted for special applications having centering means, e.g. balloons having an appropriate shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1061—Balloon catheters with special features or adapted for special applications having separate inflations tubes, e.g. coaxial tubes or tubes otherwise arranged apart from the catheter tube
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1072—Balloon catheters with special features or adapted for special applications having balloons with two or more compartments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1075—Balloon catheters with special features or adapted for special applications having a balloon composed of several layers, e.g. by coating or embedding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Otolaryngology (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Massaging Devices (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Description

FLEXIBLE HEAD SUPPORT This invention relates to a fully flexible support assembly for the head, to assist with the non-invasive positioning requirements of patients in a clinical setting, in particular for prone positioning.
It is known to have specially shaped cushions/pillows constructed of foam or gel to support the head, such cushions are used primarily in the rehabilitation and physiotherapy fields. Also, prone positioning can be achieved on most types of support surface with the head turned to one side. Known inflatable systems include a head deflate function which improves access around the head by deflating the cells directly underneath the patient independently of the rest of the system. The head drops into the hole created and is then supported using standard pillows.
Head management systems include placing the patient's S 20 head between two cushioned side clamps to maintain spinal alignment during periods of rotation. Similar head support accessories exist in the physiotherapy and operating theatre environments for carrying out ENT, neurosurgical, oral and ophthalmological procedures.
The present invention seeks to make improvements.
It is an object of the present invention to facJi lte effctive- nmrs-Iing? mana nc=mcTi- rf ih heId nA A face by optimising visual and physical access required for clinical interventions, to provide universal adjustment to 30 support most patient anatomies and to provide an effective pressure reducing/relieving contact surface for the head and face.
Accordingly, the invention provides a head support apparatus when positioning a person in a prone position comprising a base having an upstanding post, the post supporting a head support means, the head support means including a pressure reducing contact surface for supporting a face of a person, the pressure reducing contact surface being provided by an inflatable bladder(s), the bladder(s) made of clear material. Advantageously, the invention combines the anatomical positioning requirements of a head support for a person in a prone position with a pressure reducing/relieving inflatable support surface for the head and face and made of clear material to allow nurses and carers to see the head resting on the surface.
Preferably, the bladder is alternately inflatable and deflatable through predetermined cycle times for pressure relieving. Preferably, the bladder(s) is in the shape of a ring.
Preferably, the head support means has a self 20 stabilising base slidable under a support surface. More preferably, the post is adjustable to allow for multiple axis adjustment and additionally, quick release for ease of oo: use and emergencies. Preferably, the head support means is adjustable laterally, to allow for positioning flexibility.
25 Overall, the invention provides the detailed o •o anatomical positioning requirements for a head support during proning to optimise v±iual an-d pLyb the head/facial area whilst minimising the risks of pressure damage to the patient.
30 An embodiment of the present invention is described below, by way of example only, with reference to the accompanying drawings in which: Figure 1 is a schematic diagram of the head support installed on a support surface; Figure 2 is a schematic diagram of the head support system; Figure 3 is a side view of Figure 2 showing the mounting arrangement of the head support on the base; Figure 4 is a back view of Figure 3 showing the head support carriage mechanism; and Figure 5 is a plan view of the head support tray.
Referring to Figure i, the head support assembly is used with the base 11 sliding under a support surface 1 to be used for proning. As shown in Figure 2, the base 11 has a central supporting post 12 incorporating a slide 13, rack 14 and carriage stop 15. As shown in Figure 4, a head support frame 16 is mounted onto the post by a head support carriage 21 engaging the sides of the slide 13 and being locked into position by the carriage stop 15. The carriage mechanism 21 allows for multiple axis adjustment of the 20 frame 16 and delivers a safe method for quick release in the event of an emergency situation. The slide 13 delivers oo a smooth method of vertical adjustment.
A head support tray 18 slides onto the two tubes 17 of the head support frame 16 and is locked into position by locking mechanism 19 (see Figure A safety catch prevents the head support tray from being pulled off the ends of the tu-es 17. An inflataIble pressure UIg ringj 23 is mounted on the head support tray 18 by straps 24 with hook and loop fastening means to provide a static or 30 alternating support surface for the user's head. Contact points along the surface of the pressure reducing ring 23 are protected by fitted pads 25 designed to improve comfort levels for the user. The pressure reducing ring 23 is clear and can comprise a multi-channel air bladder to allow for alternating inflation and deflation through specified cycle times of the individual chambers to provide pressure relief, if desired.
The tray 18 and the pressure reducing ring 23 are adjustable to accommodate differing widths and depths of head sizes (see Figure The head support assembly can be used with any support surface where the head requires some form of artificial support. The structure is modular and easily dismantled for servicing and cleaning requirements.
The visual and physical access to the users head and facial area is maintained at all times to allow for the safe management of lines and tubing which may be associated with the users clinical condition.
The lightweight construction allows the head support assembly to be used independently for positioning 20 requirements to the head in a range of specialist and non specialist fields. The structure is self stabilising and will work on most bed frames with the dedicated support system, but can also be removed for use independently.
a.
00* G 4

Claims (5)

  1. 2. A head support apparatus as claimed in claim 1 wherein the inflatable bladder(s) is in the shape of a ring.
  2. 3. A head support apparatus as claimed in claims 1 or 2 wherein the inflatable bladder(s) comprises chambers alternately inflatable and deflatable through predetermined cycle times.
  3. 4. A head support apparatus as claimed in claims 1, 2 or 3 wherein the head support apparatus has a self stabilising base slidable under a support surface. Se.. S 5. A head support apparatus as claimed in any preceding claim wherein the post is adjustable to allow for multiple .axis adjustment and additionally, quick release for ease of use.
  4. 6. A head support apparatus as claimed in claim 30 wherein the head support means is adjustable laterally, to allow for positioning flexibility.
  5. 7. A head support apparatus substantially as herein claimed and as described with reference to the accompanying drawings. 4 S 4 4* S* tt~4 4 0 *0eg 4, .ea C 4. 4 C SC.. S U 0 0S055
AU90096/01A 2000-09-27 2001-09-26 Flexible head support Ceased AU775186B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
GB0023614 2000-09-27
GBGB0023614.1A GB0023614D0 (en) 2000-09-27 2000-09-27 Flexible head management system
PCT/GB2001/004267 WO2002026188A1 (en) 2000-09-27 2001-09-26 Flexible head support

Publications (2)

Publication Number Publication Date
AU9009601A AU9009601A (en) 2002-04-08
AU775186B2 true AU775186B2 (en) 2004-07-22

Family

ID=9900189

Family Applications (1)

Application Number Title Priority Date Filing Date
AU90096/01A Ceased AU775186B2 (en) 2000-09-27 2001-09-26 Flexible head support

Country Status (11)

Country Link
US (1) US20030051293A1 (en)
EP (1) EP1320350A1 (en)
JP (1) JP2004509703A (en)
CN (1) CN1180758C (en)
AU (1) AU775186B2 (en)
CA (1) CA2390038A1 (en)
GB (2) GB0023614D0 (en)
NZ (1) NZ518913A (en)
TW (1) TW504383B (en)
WO (1) WO2002026188A1 (en)
ZA (1) ZA200203571B (en)

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7080420B2 (en) * 2004-09-16 2006-07-25 Scott Damron Adjustable head-support for therapy tables
FR2917278A1 (en) * 2007-06-18 2008-12-19 Hill Rom Ind S A Sa MATTRESS-TYPE SUPPORT DEVICE HAVING A HETEROGENEUS INFLATABLE STRUCTURE
US9095489B2 (en) 2007-07-24 2015-08-04 Wake Forest University Health Sciences Surgical head support adapter
FR2922439B1 (en) * 2007-10-18 2010-12-10 Hill Rom Ind Sa METHOD FOR ALTERNATE INFLATION OF AN INFLATABLE CELL SUPPORT DEVICE AND DEVICE FOR IMPLEMENTING IT
CN103040580B (en) * 2013-01-04 2015-04-22 简月奎 Head rest for operating table
DK3071074T3 (en) * 2013-11-20 2017-12-11 Lasch Holding Aps HEAD SUPPORT WITH HOLDING MECHANISM
US9782317B2 (en) 2014-11-28 2017-10-10 Mary Madeline Mount Head support device
US20160354265A1 (en) * 2015-06-04 2016-12-08 Frederick Usoltseff Inflatable head support apparatus to maintain neutrally aligned neck position
CN105362027B (en) * 2015-12-07 2017-01-04 郭晓斌 Gastroscope operation air bag is rested the head on
CN105286931B (en) * 2015-12-09 2018-03-09 微至（苏州）医疗科技有限公司 Disposable tissue suspender
EP3668440B1 (en) * 2017-08-15 2021-08-04 Pro Med Instruments GmbH Head stabilization system with arc features
CN109453008A (en) * 2018-12-21 2019-03-12 常州市第二人民医院 One kind is novel to crouch down device
CN109464260A (en) * 2019-01-11 2019-03-15 重庆医科大学附属永川医院 The head rest of dental chair
CN110279474B (en) * 2019-07-09 2020-08-04 中国人民解放军陆军特色医学中心 Craniocerebral operation fixing device and using method thereof
US11529276B2 (en) * 2020-10-23 2022-12-20 Hill-Rom Services, Inc. Proning frame for a patient bed
US20220125653A1 (en) * 2020-10-23 2022-04-28 Hill-Rom Services, Inc. Proning frame for a patient bed
PL437735A1 (en) * 2021-04-28 2022-10-31 Uniwersytet Medyczny W Lublinie Method and a mattresses system for placing the patient in the prone position

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2398940A (en) * 1942-10-19 1946-04-23 Samuel R Jones Surgical headrest
US6151734A (en) * 1998-01-21 2000-11-28 Lawrie; William H. Head support apparatus

Family Cites Families (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2239003A (en) * 1939-07-18 1941-04-22 Samuel R Jones Headrest
US3159371A (en) * 1962-10-08 1964-12-01 Weissenberg Eugene Henry Support with displaceable elements
US3613671A (en) * 1968-08-07 1971-10-19 John H Poor Inflatable massaging pad for a seat
EP0195536A3 (en) * 1985-02-26 1987-01-28 Charles D. Ray, Ltd. Head and chin rest for face down operations
US5987779A (en) * 1987-08-27 1999-11-23 Reebok International Ltd. Athletic shoe having inflatable bladder
GB2262435A (en) * 1991-12-20 1993-06-23 Wellington Ophthalmic Laser Te Head support
US5408713A (en) * 1993-08-16 1995-04-25 Westcoast Med-Assist, Inc. Head-rest
US5427436A (en) * 1994-05-26 1995-06-27 Lloyd; John T. Adjustable headrest
US5520623A (en) * 1995-03-07 1996-05-28 Williams; Dallas Head and face support device
US5661860A (en) * 1995-09-29 1997-09-02 Heitz; Alfred J. Eye surgery recovery apparatus
DE19716268C1 (en) * 1997-04-18 1998-08-06 Bernd Oltmanns Therapeutic instrument for joints and spinal columns
WO1999009869A1 (en) * 1997-08-21 1999-03-04 Huntleigh Technology Plc Medical apparatus for relief of pain
US6023801A (en) * 1998-02-26 2000-02-15 Lamm; Kenneth Therapeutic headrest
US6081947A (en) * 1998-04-13 2000-07-04 Disher; Michael J. Massage board and face rest
US6042184A (en) * 1998-12-03 2000-03-28 Kofoed; Virginia C. Face and head supporting device for use with a lounge chair or the like
US6327724B1 (en) * 1999-02-02 2001-12-11 O.R. Comfort, Llc Inflatable positioning aids for operating room
US6148460A (en) * 1999-03-02 2000-11-21 Fried; Steven J. Massage and therapeutic bed extension device

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2398940A (en) * 1942-10-19 1946-04-23 Samuel R Jones Surgical headrest
US6151734A (en) * 1998-01-21 2000-11-28 Lawrie; William H. Head support apparatus

Also Published As

Publication number Publication date
NZ518913A (en) 2004-02-27
CN1392792A (en) 2003-01-22
JP2004509703A (en) 2004-04-02
EP1320350A1 (en) 2003-06-25
AU9009601A (en) 2002-04-08
GB0123190D0 (en) 2001-11-21
US20030051293A1 (en) 2003-03-20
GB0023614D0 (en) 2000-11-08
TW504383B (en) 2002-10-01
CA2390038A1 (en) 2002-04-04
GB2367238A (en) 2002-04-03
GB2367238B (en) 2002-11-13
CN1180758C (en) 2004-12-22
WO2002026188A1 (en) 2002-04-04
ZA200203571B (en) 2003-05-06

Similar Documents

Publication Publication Date Title
AU775186B2 (en) Flexible head support
US7444698B2 (en) Therapeutic cushion
US7225486B2 (en) Therapeutic seat cushion
US4893367A (en) System of separately adjustable pillows
US5476105A (en) Abduction pillow for orthopedic support
US7496980B2 (en) Operating table conversion platform
US6357066B1 (en) Patient support device
US7197778B2 (en) Patient transfer system
CN110338916A (en) A kind of neurosurgery head fixing device
US4827541A (en) Prone patient positioner
US20100122414A1 (en) Pediatric craniofacial surgical table
WO2004103240A3 (en) Alternating pressure cushion
US11737905B2 (en) Inflatable perfusion enhancement apparatuses and associated devices, systems and methods
CN114642561A (en) Auxiliary support for neurosurgery
CN114795723A (en) Head is fixed with nursing bed
CN218552606U (en) Spine combined position pillow
CN215535449U (en) Restraint protection chair
CN214318413U (en) Thrombus prevention rehabilitation device after knee joint replacement
US20230372176A1 (en) Device for supporting a human body in a lying position
CN213851795U (en) Leg supporting and protecting device for lateral position operation
EP2223674B1 (en) Inflatable head or forearm support device
JPH11103980A (en) Air mattress automatically changing body position and its utilization
US20130167300A1 (en) System and method for providing spinal alignment in surgical and non-medical environments
WO2014008237A1 (en) Limb support device and system and methods of using the same
KR20210135214A (en) Systems and methods for controlling and monitoring an inflatable perfusion improvement device to relieve contact pressure