CA1276847C - Inflatable garment for intermittent compression therapy - Google Patents

Abstract

ABSTRACT

An inflatable garment (12,12',46) for use in intermittent compression therapy includes a foot portion (36,36'74) formed by a plurality of inflatable sacs (s). The sacs are arranged such that when inflated pressure is applied thereby inwardly of the foot portion predomi-nantly from above and from below a notional substan-tially horizontal plane (h) passing centrally through the foot portion of the garment.

Description

~ ~7~7 INFLATABLE GARMEyT FOR INTERMITTENT CC)MPRESSION THERAPY

TECHNI CAL FI ELD

This invention relates to an inflatable garment for use in intermittent compression therapy and more particularly to a garment having a portion which substantially encases a patient's foot to be~treated. Such a garment may also further include a leg portion which encases substantially the whole leg i.e both calf and thigh; the lower leg i.e calf; or which further includes only an ankle portion. ~owever, the present invention is concerned with improvements to the foot portion '; 1 of such a garment and reference herein to leg garment is to be understood as including any of the garment forms referred to above.
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BACKGROUND ART
lS Xnown inflatable leg garments are formed from a double skinned fabric blank which comprises integral mirror image leg-shaped -~ parts. The blank is folded in half so that the leg shaped parts are brought into superposed relationship. Thereafter, a zip fastener is inserted in order to provide an openable front seam and the foot portions of the leg-shaped parts are welded and stitched together thereby forming a generally leg-shaped inflatable enclosure having a zip seam and a welded ~ seam.

`~' 25 In use, the garment is fitted about a patient's limb to be treated and cyclically is inflated and deflated to apply intermittent compression to the patient's limb. Whilst the . ~

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!7~ 7 known garment constructlon is generally satisfactory, the pressure applied by the foot portion during inflation of the garment can cause considerable pain to the patient because of the constricting shape which the foot portion of the garment is caused to adopt during inflation.

DISCLOSURE OF THE INVENTION

The present invention seeks to improve the configuration of the garment foot portion so as to provide an equivalent or improved intermittent compression therapy as compared with that given by lcnown garment çonstructions whilst giving better comfort to the user and alleviating the pain.

To this end, the invention provides an inflatable leg garment for use in intermittent compression therapy, which garment is produced from a pair of superposed sheets of material welded together adjacent their peripheries thus forming a blank, a sole portion of the garment being formed by securing together adjacent marginal parts of said blank, said sole portion being part of a foot portion provided by a plurality of inflatable sacs wherein the inflatable sacs are arranged such that, when inflated, pressure is applied thereby inwardly of the fook portion predominantly from above and from below a substantially horizontal plane passing centrally through the foot portion of the garment.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the invention will now be described, by way of example, with reference to the accompanying drawings, in which:
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Figure 1 is a plan view of a preferred fabric blank comprising two superposed sheets of material secured together to form an inflatab1e garment;
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, : , -, - 2a -Figure 2 is a perspective view of a garment in inflated condition as soon from the underside of the foot portion and formed from the fabric blank shown in Figure 1;

Figure 3 is a plan view of another fabric blank comprising two superposed sheets of material secured together to form an inflatable garment;
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FIGURE ~ is a perspective view of a garment in inflated condition as seen from the undel~side of the foot and formed fro~ the fabric blank shown in EIGURE 3;

FIGURE 5 is a plan view of yet another f`abric blank com-prising two superposed sheets of material secured together to form an inflatable garment; and FIGURE 6 is a perspective view of a garment in inflated 1û condition as seen from the underside of the foot portio~ a?d formed from the fabric blank shown in FI~UR~ 4.

FIGURE 7 is a perspective view of a known garment in inflat-ed condition 3S seen from the u~derside of the foot portion.
; BEST MODE FOR CARRYING OUT THE INVENTION
.. q Referring first to FIGURES 1 and ~, there is shown a leg garment blank 10 for forming an inflatable garment 12. Jne blank is formed from two superposed sheets 14,16 of material which will form outer and inner 'skins' of the garments, each comprising a woven Nylon (registered trade mark) sub-strate to one face of which a polyeurathane coating is applied. The sheets are high freq~ency welded together adjacent their peripheries with their coated surfaces juxta-posed so that a continuous peripheral seal 18 is formed. An inflation socket 20 is welded about an aperture provided in the outer sheet 14 so that the garment can be attached to a source of pressure fluid and inflated. A zip fastener 22, 24 is stitched to the opposed sides of the blank so as to form a central forward facing openable seam 26 on the gar-ment.

In this embodiment which is a preferred form of the invent-ion, the coated material used produces a fluidtight garment.
However, it is envisaged that the garment need not be wholly fluidtight provided that the fluid leakage therefrom during inflation is less than the volume of fluid supplied.

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76l~9~7 Indeed, it is envisaged that the inner skin of the garment may be formed of a porous material or one which is given porosity by the formation therein of a multiplicity of orifices, there-by providing a 'vented' garment. It is thought that such a s vented garment may have the advantage of cooling and/or vent-ilating the patient's skin in the area where the garment is worn^ and also in accelerating wound healing where an open wound is present in such area. The feature of providing a vented garment is not restricted to the foot or leg garments described herein but is applicable to gar,~ents adapted to be worn on other parts of the body e.g arm garments which may comprise a simple double-skinned sleeve with or without an openable seam such as a zip fastener.
: -The blank includes a sole portion 28 which, in part, is defi`ned by peripheral seal portion 18c and a weld seam 30.
Weld seam 3û extends from the junction between peripheral seal - portions 18a and 18b towards, but stopping short of the end edge 32 of the blank and seals sheets 14 and 16 together along 2û its length. A gap 'g' is left between the sheets of material through which pressure~fluid e.g air can flow to inflate the sole portion 28 during inflation of the garment.
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; In order to form the completed garment, marginal parts of the 25 sheets adjacent the peripheral seal portions 18a and 18b are ~-` secured together as by stitching, and likewise, marginal parts of the sheets adjacent the peripheral seal portions 18c and 18d are secured together to form se?l 34 (FIGURE 2J.
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When the garment 12 is worn durlng use and inflated, the foot portion 36 is caused to form three distended 'sacs' S1,52 and S3 respective.ly. Sac 51 is formed by inflation of the sole portion 2~ between seams 30 and 34. The inner surface 38 of sac 51 provides a 'platform' which meets a substantially 35 horizontal ~M~plane 'h' passing through the foot portion on which a patient's foot rests. Pressure is applied upwardly by sac 51. Sacs S2 and S3 are formed by parts of the foot ~;~ portion between seams 26/34 and 26/30 respectively, each of which has an inner surface 40,42 which applies pressure :: - - . . .

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generally downwardly towards the ~t~ Z~horizontal plane 'h~
containing inner surface 38 of sac 51.

Hence, pressure is applied to a patient's foot by inflation S of the three sacs predominantly from above and from below a - horizontal plane passing through the foot portion of the garment.

In use, the garment cyclically is inflated and deflated so as to apply an intermittent compression therapy to a patient~s leg and foot. When the foot portion is constructed as descri-bed above9 the patient's foot is allowed to remain substant-ially flat and straight between the sacs so that discomfort arising from pinching of the skin or sideways squeezing of the foot and toes is minimized.

FI~URES 3 and 4 illustrate a further embodiment of the invent-ion in which a leg garment blank 10~ is provided to form an inflatable garment 12~. ~s in the previous embodiment, the blank is formed from two superposed sheets 14',16' of material welded together adjacent their peripheries to form a cont-inuous peripheral seal 18 ' . An inflation socket 20' is provided in outer sheet 14' and a zip fastener 22',24' is stitched to the opposed sides of the blank 10' so as to form a central, forward facing openable seam 26~ on the garment.

The blank inclvdes a sole portion 28' which is defined, in part, by peripheral seal portions 18e' and 18f'.

In order to form the completed garment, marginal parts of the sheets adjacent peripheral seal portions 18e' and 189' are secured together as by stitching, and likewise marginal parts of the sheets adjacent the peripheral seal portions 18f' and 18h' are also stitched together.
When the garment 12' is worn during use and inflated, foot portion 36' is caused to form three distended 'sacs~ S4,SS and S6, respectively. Sac S4 is formed by inflation of the sole portion 28' between seams 18g'-18e' and 18f'-18h'. The inner ... .

surface 38' of sac 54 provides a 'platform~ which meets a substantially horizontal plane 'h1' passing through the foot portion on which a patient's foot rests. Pressure is applied upwardly by sac S4. Sacs 55 and S6 are formed by parts of the foot portion between seams 26~/18e'-18g~ and 26'/18f'-18h' respectively, each of which has an inner surface 40',42' which applies pressure generally downwardly towards the~ Y~4~-plane 'h1' containing inner surface 38l of sac S4.

FIGUR~S 5 and 6 illustrate a still further embodiment of the invention in which a leg garment blank 44 is provided to form in~latable garment 46. As in the previous embodiments the blank is formed from two superposed sheets 48,5û of material welded together adjacent their peripheries to form a contin-uous peripheral seal 52. ~n inflation socket 54 is providedin outer sheet 48 and a zip fastener 56,58 is stitched to the ~` opposed sides of the blank 44 so as to form a central, forward facing, openable seam 60 on the garment.

The blank includes a sole portion 62,64 which is, in part, - defined by peripheral seal portions 52a and 52b and an arcuate weld seam 66 which seals sheets 48 and 50 together along its - length. The weld seam 66 may be interrupted intermediate its ends to provide a two-part seam, one part in each side of the foot portion. The weld seam 66 stops short of the end edges 68 and 70 of the blank thus creating gaps 91 and g2 between the sheets of material through which pressure fluid can flow when the garment is inflated.
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30 In order to form the completed garment, marginal parts of the sheet adjacent the peripheral seal portions 52a and 52b are sec~lred together as by stitching to form a central sole seam 72 ~FIGURE 6).

35 When the garment 46 is worn during use and inflated, the foot ; portion 74 is caused to form four distended 'sacs' 57,58,S9, S10, respectively. Sacs S7 and S8 are formed by the sole portion 62/64 between the left and right parts of seam 66 and sole seam 72. The inner surfaces 76,78 of sacs S7 and S8 . :

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together provide a ~platform' whlch meets a substantially horizontal plane 'h2' passing through the foot portion on which a patient's foot rests. Pressure is applied upwardly by sacs S7 and S8. Sacs ss and S10 are formed by parts of the foot portion between the left and right parts of seam 66 and central zip seam 60. Each of sacs S9 and S10 has an inner surface 80 and 82, respectively which applies pressure generally downwardly towards the horizontal plane 'h2', containing surfaces 76,78 of sacs S7 and S8.

FIGURE 7 shows a garment of known construction, which is formed from a blank similar to that shown in FIGURE 5. However, in the known construction, the weld seam 66 is not present, only a zip seam 's' and a welded seam 'w' are present, so that when 15 the ~arment is inflated, the foot portion forms two 'sacs' SL
and SR which apply pressure inwardly about a vertical plane 'p'. This arrangement often causes considerable discomfort to a wearer since a restrictive sideways force is applied to the foot as previously referred to.

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Claims (4)

1. An inflatable leg garment for use in intermittent compression therapy which garment is produced from a pair of superposed sheets of material welded together adjacent their peripheries thus forming a blank, a sole portion of the garment being formed by securing together adjacent marginal parts of said blank, said sole portion being part of a foot portion provided by a plurality of inflatable sacs wherein the inflatable sacs are arranged such that, when inflated, pressure is applied thereby inwardly of the foot portion predominantly from above and from below a substantially horizontal plane passing centrally, through the foot portion of the garment.

2. An inflatable leg garment according to claim 1, wherein a single sac is disposed below said substantially horizontal plane, which sac has an inner surface which provides a platform on which a wearer's foot is to be rested and an outer surface providing a sole portion of the garment.

3. An inflatable leg garment according to claim 1, wherein a pair of sacs is disposed below said substantially horizontal plane, each of which sacs has an inner surface which provides a platform on which the wearer's foot is to be rested and an outer surface providing part of a sole portion of the garment.

4. An inflatable leg garment according to either of claims 2 or 3, wherein a pair of sacs is disposed above said substantially horizontal plane.