CN101711720A - 无管加压设备 - Google Patents

无管加压设备 Download PDF

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CN101711720A
CN101711720A CN200910177632A CN200910177632A CN101711720A CN 101711720 A CN101711720 A CN 101711720A CN 200910177632 A CN200910177632 A CN 200910177632A CN 200910177632 A CN200910177632 A CN 200910177632A CN 101711720 A CN101711720 A CN 101711720A
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pipeline
cystoblasts
pressurized equipment
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fluid
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M·A·维斯
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Covidien LP
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Tyco Healthcare Group LP
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A61H9/0092—Cuffs therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165—Wearable interfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/10—Leg
    • A61H2205/106—Leg for the lower legs

Abstract

一种用于向佩带者的身体部件施加压力的加压设备，具有可膨胀囊，其由第一和第二囊层以及将第一和第二囊层彼此固定的囊密封线所限定。由将第一和第二囊层彼此固定的间隔开的、基本相对管道密封线以及第一和第二囊层位于管道县之间的部分，限定管道。管道流体地连接至可膨胀囊，用于将加压空气释放至可膨胀囊。不需要管道连接至加压设备。

Description

无管加压设备
技术领域
本发明大体上涉及一种加压设备，尤其是用于防止或治疗诸如深静脉血栓类型的加压设备。
背景技术
不能移动的患者和类似人员的主要顾虑是在血液中形成凝块的医学情况，诸如深静脉血栓(DVT)和。这种患者和人员包括那些正接受手术、麻醉和长期卧床休养等的人。这些血液凝结情况通常发生在下肢或骨盆的深静脉中。这些静脉，诸如髂骨、股骨、膝后弯和胫骨，将已脱氧的血液返回至心脏。例如，当这些静脉中的血液循环由于疾病、损伤或休止而受阻时，可能使得血液积聚或汇集。血液的静态池可以导致形成血栓。与这一情况相关的主要风险是干扰心血管循环。最严重地，血栓的碎片可以松散地碎裂并且移动。碎片可能形成肺栓塞，这可能阻塞主肺动脉，这可能是威胁生命的。本发明还可以应用于治疗其它情况，诸如淋巴水肿。
通过向患者肢体、诸如举例而言腿部施加间歇性压力以协助血液循环，可以控制或减轻与患者不可移动性相关的情况和产生的风险。例如，已经使用了连续加压设备，诸如授予Hasty的美国专利号No.4091864中所公开的设备。连续加压设备通常包括在接缝处固定在一起的两片材料，以限定一个或多个流体密封的囊，其连接至压力源，用于在患者身体部件周围施加连续压力，以改善血液返回心脏。可膨胀部分覆盖有薄片以提高耐用性、患者舒适度，以及防止穿孔。作为加压设备的一部分，两片的结构设计成在重复使用下，承受随着时间改变的压力。使用医学管道形成从压力源至加压设备的通常数个囊的连接。气压源是最常位于远离患者的空气压缩器。
发明内容
在本发明一个方面，一种用于向佩戴者的身体部件施加压力的加压设备，通常包括集成形成为一片空气可透过材料的第一囊层，以及集成形成为一片空气可透过材料的第二囊层。第一和第二囊层布置成彼此相对的关系。可膨胀囊由第一和第二囊层以及使第一和第二囊层彼此固定的囊密封线所限定。多个管道均由间隔开的、将第一和第二囊层彼此固定的基本上相对的管道密封线以及管道线之间的第一和第二囊层的部分所限定。至少一个管道流体连接至可膨胀囊，用于将加压空气释放至可膨胀囊中。由加压设备支撑的管道端子在其中具有通道。对于每个管道，第一和第二囊层中至少之一在相应的一个通道处密封地连接至管道端子，以形成管道端子和管道之间的流体密封连接，由此通道和管道流体相通。
在本发明另一方面，一种用于向佩带者的身体部件施加压力的加压设备，通常包括集成形成为一片空气可透过材料的第一囊层，以及集成形成为一片空气可透过材料的第二囊层。第一和第二囊层布置成彼此相对的关系。可膨胀囊由第一和第二囊层以及使第一和第二囊层彼此固定的囊密封线所限定。至少一个管道由间隔开的、将第一和第二囊层彼此固定的基本上相对的管道密封线以及管道密封线之间的第一和第二囊层的部分所限定。管道流体连接至可膨胀囊，用于将加压空气释放至可膨胀囊中。由加压设备支撑的管道端子在其中具有通道。第一和第二囊层中至少之一在相应的一个通道处密封地连接至管道端子，以形成管道端子和管道之间的流体密封连接，由此通道和管道流体相通。管道端子包括按扣连接器部件，用于与空气压缩器单元形成按扣连接。按扣连接器部件在其中包括流体通道，其与管道流体相通，并且适于在与空气压缩器单元连接时与其流体相通。
在本发明又一实施例中，一种制备加压设备的方法，包括沿着囊密封线将相对的第一和第二囊层彼此密封，以限定可膨胀腔室。第一和第二囊层均集成地形成为一片空气可透过材料。沿着相对的管道密封线将第一和第二囊层彼此密封，以限定细长的管道，其与可膨胀腔室流体相通，用于将加压空气释放至可膨胀腔室。所提供的管道端子中包括通道。第一和第二囊层中至少之一连接至管道端子，以在通道和管道之间建立流体相通。
其它目的和特征中部分将是显然的，并且部分将在下文指出。
附图说明
图1是处于闭合、已环绕结构的加压设备组件的透视图；
图2是处于开放、未环绕结构的加压设备组件的加压设备的平面图；
图3是示出与座分离的便携式控制器单元的加压设备组件的放大不完整截面；
图3A是图3的放大不完整视图，其中便携式控制器单元与座连接；
图4是加压设备的一部分的放大不完整视图；
图5是沿着图4中的线5-5获取的加压设备的放大截面；以及
图6是加压设备的放大不完整视图。
相应的附图标记指示附图中相应的部件。
具体实施方式
现在参考附图并且尤其参考图1，用于对佩带者的身体部位施加压力治疗的加压设备组件总体上标识为10。加压设备组件包括总体上标识为12的加压设备以及安装在加压设备上的总体上标识为14的便携式控制器单元。
参考图1-3，所示实施例的加压设备12的尺寸和形状适于环绕在佩带者的腿部。加压设备12包括可膨胀部件16，其具有三个间隔开的可膨胀囊18。囊的数量和/或结构可以与所示实施例中不同。可膨胀部件16包括沿着上、中和下密封线24分别彼此固定的相对的内、外囊层20、22。如本文中所采用的，术语“内”、“外”指的是当设备12环绕腿时相对于佩带者腿的相对位置。密封线24以及囊层20、22在线外周中的部分一起限定了各可膨胀囊18，其能够保持加压空气。在一个实施例中，每个囊层20、22由单片材料一体地形成。例如，每个囊层20、22可以由单片空气不可透过的材料、诸如PVC形成，或者可以是层叠材料。此外，囊层20、22可以沿着囊密封线24彼此熔接，但是形成囊线和可膨胀囊的其它方式也在本发明的范围中。虽然未示出，加压设备12可以包括用于接触佩带者皮肤的内层或衬垫以及形成设备外部表面的外层。其它结构也在本发明的范围中。
参考图1-6，与各个可膨胀囊18流体相通的管道28从可膨胀囊18延伸至座32(更广义地，“管道端子”)，其中安装有便携式控制器单元14(或“空气压缩器单元”)，如下文将详细描述的。使用管道28以在使用期间将加压空气从控制器单元14释放至可膨胀囊18。每个管道28由将囊层20、20彼此固定的、间隔开的、大体上相对的一对管道密封线30所形成。每对管道线30以及囊层20、22位于该对线之间的部分限定了一个管道28。囊层20、22可以通过囊密封线24沿着管道线30彼此熔接。此外，如所示实施例中，各隔囊18和相关的管道28可以由单个连续线形成。例如而不是进行限制，单次熔接操作可以形成连续密封线，其包括囊密封线24以及囊18及其相关的管道28中之一的该对管道密封线30。
参考图3-6，在每个管道28中容纳一个垫圈34，用于保持管道沿着其长度方向张开，从而在使用期间管道与控制器单元14流体相通。每个垫圈34沿着其长度大体上是细长和柔性的，从而垫圈能够适应于管道28的路径。如图5中最佳地所示，每个垫圈34具有大体U-形横截面和在管道中的相对囊层20、22之间延伸的高度。至少在正常情况下，每个垫圈34沿着其高度基本上是不可压缩的，或者将不完全地折叠。通过该结构，管道28保持张开，并且囊18保持与控制器单元14流体相通，而不考虑施加至设备12的任何压缩力(例如，佩带者腿部的重量)，其可能闭合或者以其它方式妨碍控制器单元和一个或多个可膨胀囊之间的流体流动。在一个实例中，每个垫圈34由PVC或硅树脂构成，包括可挤出的硅树脂，并且可以通过挤出或由原料形成。
参考图1-3A，将其上安装有便携式控制器单元14的座32固定至外囊层20的外部表面。座32包括内凹连接器部件38，用于接收便携式控制器单元14的可匹配的凸连接器部件40，以将控制器单元可释放地安装在加压设备12上。应当理解，座32可以包括凸连接器部件，用于接收在本发明的范围中的便携式控制器单元14的可匹配的凹连接器部件中。在所示的实施例中，通过按扣匹配啮合，阳连接部件40可释放地保持在阴连接部件38中。凸连接器部件40具有略球茎的形状，而凹连接器部件38(“容器”)具有相应的形状。凸连接器部件40的最宽部分比凹连接器部件38的出口更宽，从而随着阳部件进入凹连接器部件时，阳部件和/或阴部件变形。一旦将凸连接器部件40插入凹连接器部件38中足够远时，其达到凹连接器部件的较宽部分，并且向回“按扣”成其原始形状。将意识到，此后连接器部件38、40防止分离。然而，在施加足够的力时，连接器部件38、40可以脱离。将便携式控制器单元14可释放地安装在加压设备12上的其它方式，包括可匹配按扣匹配部件，在本发明的范围中。
参考图3和3A，座32的每个凹连接器部件38经由座内的一个入口通道44流体地连接至一个管道28。在一个实例中，座32，包括凹连接器部件38和入口通道44，模制为整体单元。形成座32的其它方式也在本发明的范围中。通过热焊接(例如，射频(RF)焊接)、粘合剂、机械连接器或其它方式将座32固定至内外囊层20、22，从而座中的入口通道44与各个囊管道28处于密封的流体相通。例如而不是进行限制，在一种方法中，将座32与将成为内囊层20的一片一同设置在RF焊接夹钳中，而该片围绕入口通道44而焊接至座32。外囊层22和垫圈34(将形成的每个管道28具有一个)相邻设置在焊接夹钳中。形成第二焊接，将内外囊层20、22连接在一起并且将两层连接至座32，从每个入口通道44至座的外周，由此形成管道28的小部分。使用U-形夹钳部件用于该过程，从而管道28的小部分保持在座32的外周开放。第三焊接步骤将内外囊层20、22连接在一起，以形成每个管道28的其余部分，以及囊18。在第三焊接步骤中，将垫圈34封装在管道28中。由于当座32存在于焊接线中是与当座不是焊接的一部分时材料的厚度有所不同，使用两个不同的焊接步骤以形成管道28。然而，可以想象，使用合适调整的焊接夹钳可以在单一步骤中形成管道28。
参考图1，便携式控制器单元14包括电连接至空气压缩器52和阀机构54的控制器50。每个部件50、52和54安装在多管底部56(广义地，底部)上。如下文所述的，阳连接部件40从多管底部56向外延伸。更特别地，阳连接部件40从底部56的第一面58a(图3)向外延伸，而控制器50、空气压缩器52和阀机构54安装在底部的相对第二面58b(图3)上。在所示的实施例中，底部56的纵轴A1通常与连接部件40的轴A2(仅示出一条)垂直。控制器50可以是微处理器，其在运行期间与空气压缩器52和阀机构54相通。阀机构54可以包括多个阀(例如，电磁阀)，其由微处理器控制。虽然附图中未示出，但是控制器单元可以包括可再充电、便携式电源，诸如电池，用于向控制器50、空气压缩器52和阀机构54供电。便携式控制器单元14的操作可以与本领域中已知的方式相同的方式进行操作。
参考图1和3，多管底部56包括延伸通过凸连接器部件40的单一内部通风入口60和多个内部通风出口62。通风入口60流体地连接空气压缩器52和阀机构54。通风入口60在第一位置处从多管底部56的第二面58b延伸至第二面上的第二位置。空气压缩器52安装在底部56的第二面58b上，在第一位置与通风入口60流体相通。通风出口62流体地连接阀机构54和凸连接器部件40。通风出口62在第三位置处延伸通过底部56的第二面58b，并且轴向地延伸通过凸连接器部件40以将阀机构54流体地连接至各个管道28和各个囊18。阀机构54安装在底部56的第二面58b上，其在第二位置与通风入口60并且在第三位置与通风出口62流体相通。在一个实例中，包括通风入口60、通风出口62和凸连接器部件40的多管底部56模制为单一集成单元。例如，底部56和阳部件40可以由弹性聚合物材料形成。应当理解，底部56可以以其它方式形成，而不背离本发明的范围。便携式控制器单元14还可以包括可脱离地固定至多管底部56的盖(未示出)，以封闭控制器50、空气压缩器52和阀机构54.
在另一典型使用中，加压设备组件10环绕患者的肢体，例如腿。可以使用临近加压设备12的相对侧边缘的可匹配紧固件，诸如钩和环紧固件(未示出)，以将加压设备可释放地固定至佩带者肢体，正如本领域所公知的。在将加压设备12固定至佩带者肢体之前或之后，通过将连接部件40插入座32中的各个阴连接部件38中，将便携式控制器单元14安装在设备上。如上所述，阳连接部件28通过按扣匹配啮合维持在阴连接部件中。使用安装在设备12上的控制器单元14，控制器单元与可膨胀囊18流体相通。可以激活控制器50以开始加压治疗，由此空气压缩器52经由多管底部56中的通风入口60将加压空气释放至阀机构54，其将空气转向三个通风出口62中之一并且经由一个管道28转向合适的囊18。通过简单地将底部56拉离座32，从而公连接部件40脱离座32中的阴连接部件38，使便携式控制器单元14可以与加压设备12分离。将意识到，在所示实施例中，消除了用于释放空气的独立管道。可以想象，加压设备12可以是一次性的，并且构建为用于单次使用。因而，具有可再充电电源的便携式控制器单元14可以重复使用，并且安装在相同类型的另一加压设备12上。
在介绍本发明的元件或其优选实施例时，冠词“一”、“一个”、“这个”和“所述”意于表达存在一个或多个元件。术语“包括”、“包含”和“具有”意于是包括性的，并且意味着还可以有除了所列元件以外的其它附加元件。
由于上述，将发现，实现了本发明的数个目的，并且获得了其它有利的结果。
由于可以对上述结构、产品和方法进行各种改变，这意味着包含在上述说明书中并且在随附附图中所示的所有主题应当裂解为说明性的，而非限制意义的。

Claims (23)

1.一种用于向佩带者的人体部件施加压力的加压设备，该加压设备包括：
第一囊层，集成形成为一片空气可透过材料；
第二囊层，集成形成为一片空气可透过材料，所述第一和第二囊层布置成彼此相对的关系；
可膨胀囊，由第一和第二囊层以及使第一和第二囊层彼此固定的囊密封线所限定；以及
多个管道，每个管道由间隔开的、将第一和第二囊层彼此固定的基本上相对的管道密封线以及管道线之间的第一和第二囊层的部分所限定，至少一个管道流体连接至可膨胀囊，用于将加压空气释放至可膨胀囊中；
管道端子，由加压设备支撑并且在其中具有通道，对于每个管道，第一和第二囊层中至少之一在相应的一个通道处密封地连接至管道端子，以形成管道端子和管道之间的流体密封连接，由此通道和管道流体相通。
2.根据权利要求1所述的加压设备，其中管道端子适于将便携式空气压缩器单元安装在加压设备上，并且适于将空气压缩器单元流体地连接至管道，以将加压空气从空气压缩器单元释放至可膨胀囊。
3.根据权利要求2所述的加压设备，其中第二囊层密封地连接至管道端子。
4.根据权利要求2所述的加压设备，其中管道端子适于与空气压缩器单元形成按扣连接。
5.根据权利要求4所述的加压设备，其中管道端子包括按扣连接器部件，用于按扣连接至空气压缩器单元，所述按扣连接器部件在其中包括第一通道，其与管道流体相通，并且适于在连接至空气压缩器单元后与其流体相通。
6.根据权利要求5所述的加压设备，其中按扣连接器部件包括容器。
7.根据权利要求2所述的加压设备，其中可膨胀囊包括多个可膨胀囊，其由第一和第二层以及由囊密封线所形成，每个管道与各个可膨胀囊流体相通。
8.根据权利要求2所述的加压设备，其中组合有空气压缩器单元。
9.根据权利要求1所述的加压设备，其中管道端子模制为一片材料。
10.根据权利要求1所述的加压设备，还包括管道中的间隔部件，用于使得管道线之间的第一和第二囊层的部分间隔开，由此在使用期间管道包括开放。
11.根据权利要求2所述的加压设备，其中间隔部件各自包括细长主题，其具有基本上U形的横截面。
12.一种用于向佩带者的身体部件施加压力的加压设备，该加压设备包括：
第一囊层，集成形成为一片空气可透过材料的；
第二囊层，集成形成为一片空气可透过材料，第一和第二囊层布置成彼此相对的关系；
可膨胀囊，由第一和第二囊层以及使第一和第二囊层彼此固定的囊密封线所限定；以及
至少一个管道，由间隔开的、将第一和第二囊层彼此固定的基本上相对的管道密封线以及管道密封线之间的第一和第二囊层的部分所限定，管道流体连接至可膨胀囊，用于将加压空气释放至可膨胀囊中；
管道端子，由加压设备支撑并且在其中具有通道，第一和第二囊层中至少之一在相应的一个通道处密封地连接至管道端子，以形成管道端子和管道之间的流体密封连接，由此通道和管道流体相通；
管道端子包括按扣连接器部件，用于与空气压缩器单元形成按扣连接。按扣连接器部件在其中包括流体通道，其与管道流体相通，并且适于在与空气压缩器单元连接时与其流体相通。
13.根据权利要求12所述的加压设备，其中按扣连接器部件包括容器。
14.根据权利要求12所述的加压设备，其中管道端子模制为一片材料。
15.根据权利要求12所述的加压设备，其中可膨胀囊包括多个可膨胀囊，其由第一和第二层所形成，并且还包括多个管道，每个管道由囊密封线形成并且与一个可膨胀囊流体相通。
16.根据权利要求15所述的加压设备，其中管道端子在其中具有多个通道，第一和第二囊层中至少之一固定至管道端子，从而每个管道设置成与管道端子中相应的通道流体相通。
17.一种制备加压设备的方法，包括：
沿着囊密封线将相对的第一和第二囊层彼此密封，以限定可膨胀腔室，第一和第二囊层均集成地形成为一片空气可透过材料；
沿着相对的管道密封线将第一和第二囊层彼此密封，以限定细长的管道，其与可膨胀腔室流体相通，用于将加压空气释放至可膨胀腔室；
提供在其中中包括通道的管道端子；
将第一和第二囊层中至少之一连接至管道端子，以在通道和管道之间建立流体相通。
18.根据权利要求17所述的方法，其中所述密封相对的第一和第二囊层以限定可膨胀囊并且所述密封第一和第二囊层以限定细长管道，基本上同时执行。
19.根据权利要求17所述的方法，其中所述密封相对的第一和第二囊层以限定可膨胀囊并且所述密封第一和第二囊层以限定细长管道，通过射频焊接而执行。
20.根据权利要求17所述的方法，还包括将便携式控制器单元可释放地固定至加压设备的管道端子，其与管道和可膨胀腔室流体相通。
21.根据权利要求20所述的方法，其中可释放地固定便携式控制器包括将便携式控制器按扣连接至管道端子。
22.根据权利要求17所述的方法，其中将第一和第二囊层中至少之一连接至管道端子，包括将第一囊层连接至管道端子。
23.根据权利要求22所述的方法，其中将第一和第二囊层密封在一起以形成管道包括在将第一囊层连接至管道端子之后，进行将第一和第二囊层彼此连接并且将它们连接至管道端子的步骤。
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