CA1237352A - Cervical collar permitting tracheotomy - Google Patents

Cervical collar permitting tracheotomy

Info

Publication number
CA1237352A
CA1237352A CA000487233A CA487233A CA1237352A CA 1237352 A CA1237352 A CA 1237352A CA 000487233 A CA000487233 A CA 000487233A CA 487233 A CA487233 A CA 487233A CA 1237352 A CA1237352 A CA 1237352A
Authority
CA
Canada
Prior art keywords
collar
tab
stabilizer
opening
lower portion
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.)
Expired
Application number
CA000487233A
Other languages
French (fr)
Inventor
Anthony Calabrese
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.)
GRIENER (CHARLES) AND COMPANY Inc
Original Assignee
GRIENER (CHARLES) AND COMPANY Inc
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 GRIENER (CHARLES) AND COMPANY Inc filed Critical GRIENER (CHARLES) AND COMPANY Inc
Application granted granted Critical
Publication of CA1237352A publication Critical patent/CA1237352A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/055Cervical collars
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0465Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • A61M16/0472Devices for performing a tracheostomy

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

CERVICAL COLLAR PERMITTING TRACHEOTOMY

Abstract of the Disclosure A cervical collar having front 14 and rear 16 halves removably connected together provides for the possibility of a tracheotomy via an opening 22 in the front half so as to permit access to a person's trachea. The collar provides sufficient support so as to restrict the cervical region without hyperextension of the neck thereby avoiding further injury.

Description

73~

--1 ~

CERVICAL COLLAR PERMITTI~G TRACHEOTOM~

Background of the Invention Cervical collars are well-known. See U.S. Patent 3,756,226 dated September 4, 1973. The collar disclosed in said patent is comprised of body halves removably coupled together. At the center of the front half of the collar disclosed in said patent, there is provided a rigid reinforcing support member directly opposite a person's trachea~ Hence, in the event that an emergency tracheotomy is called for, there is no way to have access to the trachea without removing the front half of the collar.
The present invention is direc-ted to a solution of the problem oE how to provide a cervical collar which pro-vides sufficient support so as to restrict the cervical region of a patient at the scene of an accident without hyperextension of the neck and permits a tracheotomy without otherwise interfering with the provision of rigid reinforcing members on the collar halves.
Summarv of the Invention The present invention is directed to a cervical collar which permits a tracheotomy. The cervical collar is com-prised of first and second discrete body halves. Each body half is generally U-shaped and preormed from a soft flexi-ble, light weight foam polymeric material, A strap means is provided for releasably interconnecting the free ends of the halves in overlapping relation. Each half has a rigid ~3~73~

support member fixedly secured thereto adjacent the bight.
The rigid support member on the front half is positioned so as to expose a hole at the bight of the front half fo~
permitting a tracheotomy without interfering with the interconnection between the halves when worn by a patient.
It is an object of the present invention to provide a novel ce~vical colla- which may be used with o- without a stabilizer fo- providing any necessary support and while permitting a tracheotomy without removing the collar.
Other objects will appear hereinafter.
For ~he purpose of illustrating the invention, there is shown in the drawings a form which is presently pre-ferred; it being understood, however, that this invention is not limited to the p-ecise arrangements and instrumen-talities shown.
Figu-e l is a ?erspective view of a person wearing a stabilized cervical collar in accordance with the present invention.
Figure 2 is a perspective view of the stabilized collar shown in Figure l~
Figure 3 is a sectional view taken along the line 3-3 in Figure 2.
Figure 4 is a sectional view taken along the line 4-4 in Figure 3~
Figure 5 is an enlarged perspective view o~ the col-la- shown in figure l without the stabi~izer.
Detailed Description Referring to the drawing in detail, wherein like numerals indicate like elements, there is shown in Figure l a cervical collar designated generally as 10 which may be utilized with or without a stabilizer designated generall~
as 12. Colla- 10 without the stabilizer is shown in figure 5. The collar 10 is comprised of a front half 14 and a rear half 16. Fach collar half is generally U-shaped and preformed from a soft, flexible, light-weight closed . .
~ "~

~:3'7~5'~

cell foam polymeric plastic material. The halves overlap one another as shown more clearly in Figures 2-4 and may have air holes 17 therethrough.
The front half 14 has a chin cavity 18 at the bight.
The chin cavity 18 is preferably covered with a material such as moleskin which is adhesively or otherwise secured to the cavity 18. The front half 14 is provided with a rigid reinforcing support member 20 at the bight. Member 20 has an opening 22 which surrounds a smaller diameter opening 24 in the front half at the bight thereof. Opening 24 has a preferred diameter of about one and one half inches (3~8cm). Opening 24 is positioned so as to be directly opposite the trachea when collar 10 is worn by a patient as shown in Figure 1.
The member 20 is secured to the front half 14 by a plurality of plastic rivets 26. As shown more clearly in Figure 4, the member 20 is arcuate so as to conform to the arcuate surface of the front half 14 adjacent its bight.
As shown in Figures 2 and 4, along one side edge of the member 20, there is provided a slot through which extends one end portion of a strap 30. The strap 30 extends along the front half 14 to the free end thereof wherein the strap is stitched to the front half 14. On other side of the member 20, there is provided a similar slot 32 through which extends one end portion of a strap 34. The other end of the strap 34 is stitched to a free end of the front half 14.
As shown more clearly in Figure 4, at the bight of the rear half 16, there is provided a rigid reinforcing support member 36 attached thereto by a plastic rivet 40.
A strap 38 is also attached to the rear half 16 by said rivet 40.
A strip 42 is attached to one end of the strap 38 and is adapted to overlie a portion of the strap 30 in the assembled relationship of the collar 10. A strip 44 is attached to the other end of strap 38 and is adapted to overlie a portion of strap 34 in the assembled position of ~2~5~

the collar lO. The outer surface o~ straps 30, 34 and the inner surface of the strips 42, 44 have mating structure adapted for releasable engagement. Such mating structure may be of the type which is sold commercially under the trademark VELCRO.
The stabilizer 12 includes a front piece 46 adapted to overlie part of a persons's chest and a rear piece 4~
adapted to overlie a person's back. The front piece and the rear piece are identical except as will be made clear hereinafter. Hence, only the front piece 46 will be des-cribed in detail. Corresponding prime numerals are pro-~ided on the rear piece 48.
The front piece 46 includes a substrate 50 of rigid materially having a generally T-shape. The substrate 50 is preferably made from a rigid polymeric plastic material such as ABS. A liner 52 is adhesively or otherwise secured to the curved innersurface of substrate 50. The liner 52 is preferably made from a closed cell of foam material such as polyethylene so as to have the following attributes:
uniform thickness, non-toxic, low specific gravity of about .04, non-corrosive, and will not burn but will melt. The shape of liner 52 corresponds to the shape of substrate 50.
A connecting member 54 is fixedly connected to the center leg of substrate 50 in any convenient manner such as by plastic rivets 56. The connecting member 54 is pre-ferably made from a softer or more flexible plastic mater-ial than the substrate 50 such as polyethylene.
Member 54 is arcuate at its lower end and channel-shaped at its upper end. Member 54 is telescoped over a downwardly extending extension member 58 on the member 20 until a tongue on member 60 snaps into a slot on member 58.
~ember 60 acts like a hinge and is integral at one end only with the member 54.
It is desirable to removably interconnect the front and rsar pieces 46, 48 to the halves of the collar lO in a manner so that stabilizer 12 is not readily removable by the patient. In this regard, at least one and preferably two plastic rivets 62 are carried by member 54 by way of a flexible string. The rivets 62 are easily pushed and snapped into aligned holes on members 54 and 58. Each rivet prefera~ly is provided with a head having flats on opposite sides thereof and split shanks. The rivets 62 are easily force-fit into the aligned holes by application of finger pressure. However, a tool such as a pair oE pliers is needed to pull out the rivets. Rivets 62 are designed so that they cannot be removed by the patient and should only be removed when authorized by a physician. When the rivets 62 are removed, members 54 and 58 are easily sepa-rated by pulling on the member 60 so as to cause removal of its tongue from the slot in member 58. The channel-shape a-t the upper end of member 54 assures that the tongue of member 60 will be aligned with the mating slot in member 58.
The rear piece 48 is identical with the front piece 46 except as follows. Corresponding elements are provided with corresponding primed numerals. Member 54' is thinner and therefore more flexible than member 54. Greater rigidity is needed on the front peice 46 as compared with the rear piece 48. The upper end of member 54 is remov-ably connected to the reinforcing support member 36 on the rear half 16 in the same manner as described above.
A strap 64 has one end fixedly secured to the sub-strate on the rear piece 48 by a plastic rivet 68. The strap 64 extends through a plastic loop 66 on the front piece 46 and then overlies itself. Juxtaposed surfaces of the strap 64 are provided with adjustable fasteners which are preferably of the VELCRO type.
A strap 70 is similarly provided to interconnect the front and rear pieces 46, 48 on the opposite side from strap 64. One end of strap 70 is fixedly secured to the substrate on the rear piece 48 by a plastic rive-t 74. An intermediate portion of strap 70 extends through a plastic loop 72 on the front piece 46 and then overlies itselfO

~:3~;~5~

Juxtaposed surfaces on strap 70 are provided with adjust-able fasteners as described above.
The collar 10 may be worn by a patient when required due to a particular injury and with advice of a physician.
If the particular injury requires inc-eased stabilization of the collar 10, so as to prevent hyperextending the patient's nec~, the stabilizer 12 is removably connected to the reinforcing members on the front half 14 and rear half 16. When no longer required, the stabilizer 12 may be removed while collar 10 remains on the patient. When an injury requi-es wea-ing of the collar 10 and requi-es a tracheotomy, the trachea is readily accessible through the opening 24. If the opening 24 is too small o~ is not aligned with the trachea, the foam of front half 14 may be readily cut at the scene of an accident and enlarged up to the size of the opening 22. The opening 24 facilitates a tracheotomy without removing the colla- 10 and regardless of whether or or not the stabilizer 12 is removably attached to the collar 10.
Since patients come in different sizes, the collar 10 is preferably made in different sizes such as small, medium and large. All of the rivets described above and shown in drawings are preferably made from plastic whereby a patient may be X-rayed with the collar of the present invention mounted on the patient. There are no metal parts which will show up on X-rays and interfere with evaluation of the X-rays.
An advantage of the collar 10 is that it can facili-tate a life-saving tracheotomy at the scene of an accident.
When additional support is needed, stabilizer 12 can be removably attached to the collar 10 at the scene of the accident or later at a hospital with removing collar 10~
The bight on the front half of the collar has been suffi-ciently reinforced to provide the necessary support without interfering with the access hole needed for tracheotomy.

~L~3~35;~

Thus, there is provided a versatile device for use in an emergency by a paramedic in the field. Colla- 10 pro-vides the required support in the cervical region and can be applied quickly without the necessity of any tools.
The present invention may be embodied in other spe-cific forms without departing from the spirit or essential attributes thereof and accordingly, reference should be made to the appended claims, rather than to the foregoing specification, as indicating the scope of the invention.

"

Claims (6)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. A cervical collar suitable for use with a stabilizer having a connecting member with a tongue resiliently connected thereto and a hole for receipt of a rivet, said collar comprising:
first and second discrete collar halves, one of said collar halves being a front half and the other being a rear half, each collar half being U-shaped and having a bight portion and side portions and being formed of a soft flexible light-weight polymeric plastic material;
a first rigid support means secured to and located adjacent a bight portion of the front collar half;
a second rigid support means secured to and located adjacent the bight portion of the rear collar half;
means for removably interconnecting the free ends of the collar halves in overlapping relation; and each of said first and second rigid support means including a lower portion adapted to releasably secure the stabilizer thereto, each lower portion includes an alignment means and a fastening means, said alignment means includes a tab which is an extension of said lower portion, said tab having a width less than said lower portion, said tab having a slot extending into said tab, said slot adapted to receive the tongue on said stabilizer, and said fastening means includes an opening through said tab and spaced from said slot and adapted to receive the rivet whereby when the tongue engages said slot, the opening and hole are coaxially aligned.
2. A cervical collar suitable for use with a stabilizer having a connecting member with a tongue resiliently connected thereto and a hole for receipt of a rivet, said collar comprising:

first and second discrete collar halves, one of said collar halves being a front half and the other being a rear half, each collar half being U-shaped and having a bight portion and side portions and being preformed from a soft, flexible, light-weight polymeric plastic material;
a first rigid support means secured to and located adjacent the bight portion of the front collar half and including a widened upper portion extending across the bight portion and terminating proximal the side portions;
a second rigid support means secured to and located adjacent the bight portion of the rear collar half;
means for removably interconnecting the free ends of the collar halves in overlapping relation; and each of said first and second rigid support means including a lower portion adapted to releasably secure the stabilizer thereto, each lower portion includes an alignment means and a fastening means, said alignment means includes a tab which is an extension of said lower portion, said tab having a width less than said lower portion, said tab having a slot extending into said tab, said slot adapted to receive the tongue on said stabilizer, and said fastening means includes an opening through said tab and spaced from said slot and adapted to receive the rivet whereby when the tongue engages said slot, the opening and hole are coaxially aligned.
3. The cervical collar according to claim 2 wherein said front half is provided with an opening at the bight portion, and said first rigid support means is provided with an opening in juxtaposition with said opening in said front collar half bight portion.
4. A cervical collar suitable for use with a stabilizer having a connecting member with a tongue resiliently connected thereto and a hole for receipt of a rivet, said collar comprising:

first and second discrete collar halves, one of said collar halves being a front half and the other being a rear half, each collar half being U-shaped and having a bight portion and side portions and being preformed from a soft, flexible light-weight polymeric plastic material, said front collar half having an opening at said bight portion;
a first rigid support means being secured to and located adjacent said bight portion of said front collar half and including a widened upper portion extending across said bight portion and terminating proximal said side portions, and a narrower central portion having an opening circumscribing and larger than said opening in said front collar half, a lower portion narrower than said upper and central portions and adapted to releasably secure the stabilizer thereto;
a second rigid support means being secured to and located adjacent said bight portion of said rear collar half, said second rigid support means having a lower portion adapted to releasably secure the stabilizer thereto;
means for removably interconnecting the free ends of said collar halves in overlapping relationship; and each said lower portion includes a tab provided with a slot adapted to receive a tongue on the stabilizer.
5. The cervical collar according to claim 4 wherein each support means lower portion includes an opening adapted to receive a rivet.
6. A cervical collar comprising:
first and second discrete collar halves, one of said collar halves being a front half and the other being a rear half, each collar half being U-shaped and having a bight portion and side portions and being preformed of a soft flexible light-weight polymeric material, said front collar half having an opening at said bight portion;

a first rigid support means being secured to and located adjacent said bight portion of said front collar half and including a widened upper portion extending across said bight portion and terminating proximal said side portions, and a narrow central portion having an opening circumscribing and larger than said opening in said front collar half, and a lower portion narrower than said upper and central portions and adapted to releasably secure a stabilizer thereto;
a second rigid support means being secured to and located adjacent said bight portion of said rear collar half, said second rigid support means including a lower portion adapted to releasably secure said stabilizer thereto;
means for removably interconnecting the free ends of said collar halves in overlapping relation;
said stabilizer for said collar adapted for preventing any movement of a patient's head, said stabilzer including a front piece adapted to overlie a part of a person's chest and a rear piece adapted to overlie a part of a person's back;
means on the upper end of said stabilizer for releasably interconnecting the upper end of the front piece with said first support means and means on said upper end of said rear piece for removably interconnecting the rear piece with the second support means, said means including a connecting member with a tongue resiliently connected thereto and a hole for receipt of said rivet; and each lower portion of said first and second rigid support means includes an alignment means and a fastening means, said alignment means includes a tab which is an extension of said lower portion, said tab having a width less than a tab which is an extension of said lower portion, said tab having a width less than said lower portion, said tab having a slot extending into said tab, said slot adapted to receive the tongue on said stabilizer, and said fastening means includes an opening through said tab and spaced from said slot and adapted to receive the rivet whereby when the tongue engages said slot, the opening and hole are coaxially aligned.
CA000487233A 1984-09-28 1985-07-23 Cervical collar permitting tracheotomy Expired CA1237352A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US65612384A 1984-09-28 1984-09-28
US656,123 1984-09-28

Publications (1)

Publication Number Publication Date
CA1237352A true CA1237352A (en) 1988-05-31

Family

ID=24631730

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000487233A Expired CA1237352A (en) 1984-09-28 1985-07-23 Cervical collar permitting tracheotomy

Country Status (5)

Country Link
JP (2) JPS6187547A (en)
CA (1) CA1237352A (en)
DE (1) DE3534191A1 (en)
GB (1) GB2165157B (en)
SE (1) SE463345B (en)

Families Citing this family (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5054475A (en) * 1987-11-17 1991-10-08 Charles Greiner And Company, Inc. Emergency medical collar, collar/stabilizer, collar/stabilizer/head immobilizer
US5097824A (en) * 1990-12-07 1992-03-24 Garth Geoffrey C Extended wear cervical collar
US5366438A (en) 1993-05-20 1994-11-22 Martin Sr Bill Cervical collar
US5993403A (en) 1993-05-20 1999-11-30 Ambu International A/S Adjustable cervical collar
US5520619A (en) 1993-05-20 1996-05-28 Ambu International A/S Adjustable cervical collar
US6036664A (en) 1994-02-22 2000-03-14 Ambu International A/S Automatic adjustable cervical collar
US6726643B1 (en) 1994-02-22 2004-04-27 Ambu International A/S Automatic adjustable cervical collar
US5593382A (en) 1994-09-29 1997-01-14 Rudy, Jr.; Ronald M. Extrication cervical collar with adjustable supports
AU731411B2 (en) 1995-11-30 2001-03-29 Ambu International A/S Collapsible cervical collar
JP2002045382A (en) * 2000-08-03 2002-02-12 Kunihiro Yamamoto Cervical vertebrae collar
US9814853B2 (en) 2005-02-07 2017-11-14 Securisyn Medical, Llc Airway stabilization system
US8001969B2 (en) 2005-02-07 2011-08-23 Securisyn Medical, Llc Complete airway stabilization system and method
EP2364133B1 (en) * 2008-12-03 2013-05-08 Ossur HF Cervical collar having height and circumferential adjustment
US8679044B2 (en) 2008-12-03 2014-03-25 Ossur Hf Cervical collar with reduced vascular obstruction
US10292856B2 (en) 2009-08-10 2019-05-21 Ossur Hf Cervical collar having height and circumferential adjustment
CN105120808B (en) 2012-05-21 2017-04-26 奥索有限责任公司 Cervical collar
WO2016164466A1 (en) 2015-04-06 2016-10-13 Ossur Iceland Ehf Cervical collar having height adjustment
US10512559B2 (en) 2016-02-25 2019-12-24 Ossur Iceland Ehf Cervical collar having height adjustment
CN109803615B (en) 2016-09-19 2021-08-03 奥索冰岛有限公司 Neck ring
USD870899S1 (en) 2017-09-06 2019-12-24 Ossur Iceland Ehf Cervical collar
USD866773S1 (en) 2017-09-06 2019-11-12 Ossur Iceland Ehf Cervical collar
JP2019130313A (en) * 2018-02-01 2019-08-08 国立大学法人鳥取大学 Cervical spine fixture

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CH431812A (en) * 1964-02-27 1967-03-15 Medico Ortopedica Dott Giovann Orthopedic device for immobilization and traction of the cervical spine
JPS421194Y1 (en) * 1964-08-08 1967-01-24
US3756226A (en) * 1971-12-07 1973-09-04 Greiner And Co C Cervical collar
US4413619A (en) * 1981-10-16 1983-11-08 Garth Geoffrey C Portable cervical collar
GB2126485B (en) * 1982-09-15 1986-04-03 Greiner Charles & Co Stabilizer for cervical collar

Also Published As

Publication number Publication date
GB2165157B (en) 1988-06-15
SE8504462L (en) 1986-03-29
JPH036326Y2 (en) 1991-02-18
JPS6187547A (en) 1986-05-02
SE8504462D0 (en) 1985-09-26
DE3534191A1 (en) 1986-04-03
DE3534191C2 (en) 1987-09-17
GB2165157A (en) 1986-04-09
GB8518784D0 (en) 1985-08-29
JPH028417U (en) 1990-01-19
SE463345B (en) 1990-11-12

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