CN102614074A - Compression treatment system - Google Patents

Compression treatment system Download PDF

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CN102614074A
CN102614074A CN201210098027XA CN201210098027A CN102614074A CN 102614074 A CN102614074 A CN 102614074A CN 201210098027X A CN201210098027X A CN 201210098027XA CN 201210098027 A CN201210098027 A CN 201210098027A CN 102614074 A CN102614074 A CN 102614074A
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compression
pressure
ka
balloon
controller
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CN201210098027XA
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Chinese (zh)
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CN102614074B (en
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斯科特·武迪卡
马修·J·佩里
马克·A·维斯
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泰科保健集团有限合伙公司
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Priority to US10/784,323 priority Critical
Priority to US10/784,604 priority patent/US7282038B2/en
Priority to US10/784,604 priority
Priority to US10/784,639 priority
Priority to US10/784,607 priority
Priority to US10/784,607 priority patent/US7871387B2/en
Priority to US10/784,639 priority patent/US7490620B2/en
Priority to US10/784,323 priority patent/US7354410B2/en
Application filed by 泰科保健集团有限合伙公司 filed Critical 泰科保健集团有限合伙公司
Priority to CN200580004326.02005.02.23 priority
Priority to CN2005800043260A priority patent/CN1917842B/en
Publication of CN102614074A publication Critical patent/CN102614074A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1645Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support contoured to fit the user
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1683Surface of interface
    • A61H2201/169Physical characteristics of the surface, e.g. material, relief, texture or indicia
    • A61H2201/1697Breathability of the material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5002Means for controlling a set of similar massage devices acting in sequence at different locations on a patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5071Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/06Arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/10Leg
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/12Feet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL 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
    • A61H2209/00Devices for avoiding blood stagnation, e.g. Deep Vein Thrombosis [DVT] devices

Abstract

A compression treatment system (10) is provided that includes a first bladder (46a, 46b, 46c, 48a, 48b, 48c) supported about a limb. A second bladder is supported about the limb. The bladders are in fluid communication with a fluid source (50) and the bladders are inflated such that the first bladder is inflated for a first time period and the second bladder is inflated for a second time period. The second time period is initiated within the first time period. A single pressure sensor communicates with the first bladder and the second bladder.

Description

压迫治疗系统 Compression therapy system

[0001] 本分案申请是基于申请号为200580004326. 0,申请日为2005年02月23日,发明名称为“压迫治疗系统”的中国专利申请的分案申请。 [0001] This sub-case application is a divisional application Application No. 200580004326.0, filed February 23, 2005, entitled "oppressive treatment system," the Chinese patent application based.

技术领域 FIELD

[0002] 本公开通常涉及应用于身体的肢体的血管治疗领域,更具体地涉及具有调节流体流的控制器的压迫治疗系统。 [0002] The present disclosure relates generally to the field of endovascular treatment is applied to the limb of a body, and more particularly, to a controller having a fluid flow regulating system of the compression therapy.

背景技术 Background technique

[0003] 对于固定的患者和类似的人的主要关注是在血液中形成血块的医学状况,例如深静脉血栓形成(DVT)和外周性水肿。 [0003] medical condition clots formed in the blood to the patient focuses on the fixed and similar persons, such as deep vein thrombosis (DVT) and peripheral edema. 这样的患者和人包括那些经历手术、麻醉和长期卧床休养等的患者和人。 Such patients and persons include those patients and people undergoing surgery, anesthesia and prolonged bed rest, etc. 这些凝血状况通常发生在下肢和/或骨盆的深静脉中。 These blood clotting conditions generally occur in the deep veins lower extremities and / or pelvis. 这些静脉,例如髂静脉、股静脉、胭静脉和胫静脉将脱氧血液返回到心脏。 These veins, such as the iliac vein, femoral, popliteal and tibial vein veins return deoxygenated blood to the heart. 例如,当这些静脉中的血液循环由于疾病、损伤或休止而被延缓时,血液有积聚或蓄积的趋势。 For example, when blood circulation in these veins is retarded due to illness, injury or inactivity is delayed, there is a tendency of blood to accumulate or accumulated. 静态血池对于血块形成是理想的。 Static pool of blood is ideal for clot formation. 与该状况相联系的主要风险是干涉心血管循环。 The main risk associated with this condition is interference with cardiovascular circulation. 最严重的情况下,血块的碎片可以挣脱和迁移。 The most severe cases, blood clots can break free of debris and migration. 肺栓子可以形成主肺动脉阻塞,这可能会危及生命。 Pulmonary emboli can form blocking a main pulmonary artery, which may be life-threatening.

[0004] 与患者不活动相联系的状况和伴随风险可以通过对患者的肢体,例如包括大腿、小腿和足的腿施加间歇压力以帮助血液循环而得以控制和缓解。 [0004] associated with the patient's condition and inactivity can be accompanied by physical risk to patients, such as including thigh, leg and foot legs applying intermittent pressure to help blood circulation and to control and mitigation. 已知的装置已经用于帮助血液循环,例如单片垫和压迫靴。 Known devices have been used to help blood circulation, such as a monolithic piece pads and compression. 例如参见美国专利Nos. 6,290, 662和6,494,852。 See, e.g. U.S. Pat. Nos. 6,290, 662 and 6,494,852.

[0005] 例如,顺序压迫装置已被使用,其由通过一系列空气管连接到一次性包绕垫的空气泵组成。 [0005] For example, sequential compression devices have been used, which is connected by a series of air tube to an air pump surrounding a disposable pad composition. 所述包绕垫构造用于围绕患者腿的一部分,例如大腿、小腿或足布置。 A portion configured to wrap the pad around the patient's leg, for example, thigh, calf or foot arrangement. 多个垫可以安装到腿以覆盖腿的各个部分。 A plurality of pads may be mounted to the legs so as to cover the respective portions of the legs. 空气然后顺序地被压入到一个或多个包绕垫的不同部分中,在大腿、小腿或足周围产生压力,由此提高了静脉回流。 Air is then sequentially pressed into the surrounding portions of one or more different pad, a pressure in the thigh, calf or foot around, thereby improving venous return.

[0006] 这些已知的装置会由于它们的庞大和笨重的使用特性而遭受各种缺陷。 [0006] These known devices due to their large and cumbersome to use properties suffer various drawbacks. 这些缺陷减小了舒适性、顺应性并且会不利地妨碍患者在手术后康复过程中的活动。 These defects reduce comfort, compliance and adversely interfere with the activities of patients after surgery rehabilitation process.

[0007] 此外,这种已知的顺序压迫装置典型地包括调节一个或多个包绕垫中的空气流和压力的控制器组件。 [0007] Furthermore, such known sequential compression devices typically include one or more adjustable air flow controllers and surrounding components of the pressure pad. 所述控制器组件可以安装到床并且在使用期间把插头插入到用于供电的壁装电源插座中。 The controller assembly may be mounted to the bed and during the use of the wall plug into a power outlet in. 然而,例如当患者需要执行某些任务时,例如去洗手间、理疗等,该布置会带来难题。 However, such as when a patient needs to perform certain tasks, such as going to the bathroom, physical therapy, etc., this arrangement will bring problems. 在这些情况下,通常拆除所述垫,因此不利地中止了血管治疗。 In these cases, usually removal of the pad, thus adversely discontinued vascular therapy. 因此,这些控制器组件遭受各种缺陷,原因在于它们并不适应患者转移或活动,而且典型地并不适于膨胀大腿垫、小腿垫和足垫。 Thus, these suffer from various drawbacks controller assembly, because they are not adapted to the patient or transfer activity, but typically are not adapted to expand the thigh pad, leg pad and the foot pad.

[0008] 所以,理想的是用一种具有控制器的压迫治疗系统克服现有技术的不足和缺陷,所述压迫治疗系统适于膨胀大腿、小腿和足套并且适应患者转移和活动以提供连续血管治疗。 [0008] Therefore, it is desirable in a compression therapy system controller has to overcome the disadvantages and drawbacks of the prior art, the compression system is adapted to expand treatment thigh, leg and foot sleeve and adapted to the patient to provide continuous transfer and activities vascular therapy. 理想的是所述系统自动检测与之连接的套的类型。 Desirable that the system type sleeve connected thereto automatically detected. 尤为理想的是所述系统包括气动回路,该气动回路便于用单个压力传感器监视压力以实现本公开的优点。 It is particularly desirable that the system comprises a pneumatic circuit, which facilitates pneumatic circuit with a single pressure sensor monitors the pressure to achieve the advantages of the present disclosure. 可以预见,可以容易地和有效率地制造所述压迫治疗系统。 It contemplated, and can be easily manufactured efficiently the compression treatment system. 发明内容 SUMMARY

[0009] 因此,为了克服现有技术的不足和缺陷,提供了ー种具有控制器的压迫治疗系统,该压迫治疗系统适于膨胀大腿、小腿和足套并且适应患者转移和活动以提供连续血管治疗。 [0009] Accordingly, to overcome the disadvantages and drawbacks of the prior art, there is provided ー kinds of compression treatment system has a controller, which compression treatment system adapted to expand the thigh, leg and foot sleeve and adapted to the patient to provide continuous transfer and vascular events treatment. 理想地,所述系统自动检测与之连接的套的类型。 Ideally, the system automatically detects the type sleeve connected thereto. 最理想地,所述系统包括气动回路,该气动回路便于用单个压カ传感器监视压力以实现本公开的优点。 Most desirably, the system comprises a pneumatic circuit, which facilitates pneumatic circuit with a single pressure sensor monitors the pressure grades to achieve the advantages of the present disclosure. 所述压迫治疗系统容易地和有效率地被制造 The compression treatment system easily and efficiently be manufactured

[0010] 根据本公开的原理,所述压迫治疗系统可以提供间歇气动压迫以用于防止DVTt^n将要论述的,所述压迫治疗系统还可以包括静脉回灌检测,并且紧凑、安静、轻质,而且提供电池电源。 [0010] According to the principles of the present disclosure, the compression system may provide intermittent therapeutic pneumatic compression to prevent DVTt ^ n will be discussed, the compression system may further include intravenous therapy recharge detection, and a compact, quiet, light and provide battery power. 所述压迫治疗系统还具有为每个肢体単独地提供顺序的、梯度压迫的能力和为不同套提供压迫的灵活性,其例如可以包括三个气囊。 The system also has to provide compression treatment order for each limb radiolabeling alone, the power and flexibility to provide different sets of compression of the compression gradient, which may include, for example, three balloons. 如将要论述的,所述套可以包括大腿长度撕掉特征和膝盖长度套。 As will be discussed below, the thigh-length sleeve may comprise a knee-length sleeve, and tear characteristics. 另外,所述压迫治疗系统可以为足套提供更高的压力、缓慢的压迫。 Further, the compression system can provide a higher treatment pressure bootie, slow compression. 当在整个治疗设施使用所述系统时,所述压迫治疗系统提供不中断的DVT预防,并且可以在整个风险期由患者穿戴和连续使用。 When the entire treatment facility using the system, the system provides uninterrupted oppression treatment of DVT prophylaxis, and can be worn and used continuously throughout the risk period by the patient.

[0011] 所述压迫治疗系统可以是便携的,从而为有患DVT风险的患者提供连续治疗。 [0011] The compression treatment system may be portable so as to provide a continuous treatment for a patient suffering from the risk of DVT. 在患者活动和任务期间,例如为了检查而转移、去洗手间、理疗等,该构造有利地便于连续的血管治疗。 During patient activities and tasks, for example for inspection and transfer, go to the bathroom, physical therapy, etc., this configuration advantageously facilitates a continuous treatment vessel. 因此,通过提供一种控制器,当未插上电源时该控制器将用电池带动,所述压迫治疗系统防止在治疗中中断,并且还将足够舒适、紧凑和轻质以在需要时随着患者一起移动。 Thus, by providing a controller for, when the power supply is not plugged in the battery driven controller, the compression treatment system to prevent interruption in therapy, and also comfortable enough to compact and lightweight as needed patients move together.

[0012] 所述压迫治疗系统包括控制器、管组和套。 [0012] The compression treatment system includes a controller, and the sleeve tube set. 例如,所述压迫治疗系统通过所述管组将空气输送到ー对一次性套,一个套用于ー个肢体。 For example, the compression set of the treatment system of the pipe feeding air to the ー disposable sleeve for a sleeve by ー limbs. 所述套可以具有各对应于踝、小腿和大腿的三个气囊。 The sleeve may have, each corresponding to the ankle, calf and thigh of the three balloons. 所述压迫治疗系统独立地压迫肢体中的ー个,左肢体或右肢体。 The compression treatment system independently ー compression of a limb, the left and right limb or limbs. 当两个肢体都被连接时在两者之间交替膨胀。 When the two expansion limbs are connected alternately therebetween. 作为另ー选择,只有一个套可被连接。 Alternatively ー Alternatively, only one sleeve may be connected.

[0013] 作为另ー选择,所述压迫治疗系统被用作缓慢压迫足装置。 [0013] Alternatively ー Alternatively, the compression system is used as a therapeutic means slow compression foot. 在该构造中,所述压迫治疗系统包括替代所述套的一对单人使用的、单气囊的一次性足套。 In this configuration, the compression sleeve of the alternative treatment system comprising a pair of single-use, disposable single airbag bootie. 还可以使用单个足套。 You can also use a single bootie. 所述压迫治疗系统还考虑了在第一肢体上使用足套和在第二肢体上使用套。 The compression system also contemplates the use of therapeutic bootie used in a first limb and a second limb on the sleeve.

[0014] 所述压迫治疗系统包括与所述管组上的匹配几何形状互锁的管组连接器端ロ。 [0014] The compression treatment system comprising matching the geometry of the tube block interlocking tube set connector end ro. 当所述压迫治疗系统开始被供电时,空气通过所述端ロ被输送直到所述系统识别哪个端ロ连接到套以及什么类型的套(即腿套或足套)连接到那些端ロ。 When the compression start treatment system is powered, the air is delivered until the end ro system ro identify which end is connected to and what type of sleeve jacket (i.e., leg sleeve or bootie) that is connected to the terminal by ro. 压迫治疗被输送到与合适的套连接的端ロ。 Compression therapy is delivered to the end with a suitable connector ro sleeve.

[0015] 例如,所述压迫治疗系统提供用于血管治疗的临床參数,例如11秒的膨胀周期,接着是20-60秒的排放期,这取决于静脉回灌测量。 [0015] For example, the compression system to provide clinical therapy for vascular treatment parameters, such as the expansion cycle of 11 seconds, followed by emission of 20-60 seconds, depending on the recharge measurement vein. 11秒的压迫时间是按顺序:在O秒第ー气囊开始膨胀。 The compression time is 11 seconds in order: first begins to expand the second O ー airbag. 在2. 67秒第二气囊开始膨胀,在5. 67秒第三气囊开始膨胀。 Begins to expand the second balloon 2.67 seconds, 5.67 seconds begins to expand in the third bladder. 在11秒之后,所有三个气囊排放。 After 11 seconds, all three balloons emissions. 在膨胀期间的压カ必须保持梯度,第一气囊大于第二气囊,第二气囊大于第三气囊。 Ka pressure must be maintained during the expansion gradient of the first balloon than the second balloon, the second balloon is greater than the third bladder. 作为例子,周期结束压力可以是在第一气囊中为45mmHg,在第二气囊中为40mmHg,在第三气囊中为30mmHg。 As an example, the cycle ends in a first pressure may be 45mmHg airbag, the airbag for the second 40mmHg, the third balloon is 30mmHg. 压迫在该周期模式中继续,直到所述压迫治疗系统被关闭或所述控制器报警。 In this mode compression cycle continues until the compression treatment system is turned off or the controller alarm.

[0016] 作为另ー个非限定性例子,足压迫參数可以包括5秒的膨胀周期,接着是与上面提供的用于套压迫(20-60秒)相同的排放期。 [0016] As another non-limiting examples ー, sufficient compression parameters may include the expansion period of 5 seconds, followed by emission of the same for the compression sleeve (20-60 seconds) provided above. 在5秒的膨胀期结束时足套的周期结束压カ将具有130mmHg的设定压力目的。 At the end of 5 second expansion cycle is completed bootie pressure grades having a set pressure of 130mmHg purposes. [0017] 静脉回灌检测可以用于所述压迫治疗系统。 [0017] Recharge detecting venous compression therapy can be used for the system. 静脉回灌检测包括在所述的第二气囊内收集一定量的空气,并且当患者的肢体中的静脉由血液回灌时监视压力增加。 Intravenous recharge detecting comprises collecting a volume of air in said second air bag, and when the limb of a patient is monitored by venous blood pressure increases recharge. 当所述压迫治疗系统到达设定压力时,在其后每30分钟,控制器测量静脉回灌并且为任何单个肢体调节膨胀周期之间的排放时间,从20秒至60秒。 When the system reaches the set pressure compression treatment, every 30 minutes thereafter, the controller measures the venous drainage time between recharging and adjusting the expansion period of any single limb, from 20 to 60 seconds. 从两个肢体的更长的静脉回灌测量将被用于调节排放时间。 From the two measuring recharge longer limb vein will be used to adjust the discharge time.

[0018] 所述压迫治疗系统受益于若干优点,包括紧凑并且轻质以便于携带的电池动力控制器。 [0018] The compression treatment system benefits several advantages, including a compact and lightweight battery-powered controller so as to carry. 所述压迫治疗系统还可以用于一个或两个肢体并且可以为足套提供缓慢压迫。 The compression treatment system may also be used two or a limb and may provide slow compression of the bootie. 所述压迫治疗系统还可以检测所连接的套的类型并且自动施加合适的压迫。 The compression sleeve of the type of treatment system can also detect the connected and automatically applying a suitable compression.

[0019] 所述压迫治疗系统还包括被设计成用于所述压迫治疗系统的气动回路以允许膨胀气囊和仅仅使用一个传感器监视压力。 [0019] The system further comprises a compression treatment is designed for the treatment of the compression system to allow an expandable balloon pneumatic circuit and pressure is monitored using only one sensor. 从螺线管阀的歧管侧进行压力监视解决了阀上的压力下降,并且具有仅仅需要一个传感器来监视任何连接的气囊的附加优点。 From the manifold solenoid valve in the pressure side of the pressure on the monitor valve solution decreases, and have the added advantage requires only one sensor to monitor the connection of any airbag. 该构造有利地导致了低制造成本和低维护要求,尤其关于传感器校准。 This configuration advantageously results in low manufacturing cost and low maintenance requirements, especially in respect to the sensor calibration.

[0020] 在一个实施方式中,根据本公开的原理,所述压迫治疗系统包括围绕肢体支撑的第一气囊。 [0020] In one embodiment, the principles of the present disclosure, the treatment system comprises a compression balloon surrounding a first limb supported. 第二气囊还围绕所述肢体支撑。 The second balloon further around the limb support. 所述气囊与流体源流体连通并且所述气囊膨胀,使得所述第一气囊膨胀持续第一时间段,所述第二气囊膨胀持续第二时间段。 The balloon is in fluid communication with a fluid source and the airbag is inflated, the first airbag is inflated so that the first period of time, the second balloon is inflated for a second period of time. 所述第二时间段在所述第一时间段内开始。 The second period starts at the first time period. 单个压力传感器与所述第一气囊和所述第二气囊相联。 A single pressure sensor and the first balloon and the second balloon associated. 所述压力传感器被构造成监视所述气囊中的每一个的压力。 The pressure sensor is configured to monitor the pressure in each bladder.

[0021] 所述压迫治疗系统可以包括与加压流体源和压力传感器相联的控制器。 [0021] The compression treatment system may include a controller with a source of pressurized fluid and a pressure sensor associated. 所述控制器被构造成监视和调节所述气囊中的压力。 The controller is configured to monitor and regulate the pressure in the balloon. 所述控制器可以与便携式外壳一起布置。 The controller may be arranged together with the portable housing. 所述外壳可以包括可连接到多个气囊的多个端口。 The housing may include a plurality of ports connectable to a plurality of airbag.

[0022] 所述压力传感器可以监视在所述多个端口的每一个处的压力以确定气囊是否与之连接并且将代表信号发送到所述控制器。 [0022] The pressure sensor may monitor the pressure at each of said plurality of ports to determine whether an airbag connected thereto and transmits representative signal to the controller. 所述控制器可以包括调节所述气囊的膨胀的独立阀。 The controller may include a separate valve regulates the expansion of the airbag. 所述压迫治疗系统可以限定气动回路。 The system may define a compression treatment pneumatic circuit. 所述压力传感器可以联接到所述气动回路并且布置在所述加压流体源和所述气动回路中的所述阀之间。 The pressure sensor may be coupled to the pneumatic circuit and arranged between the pressurized fluid source and the valves of the pneumatic circuit.

[0023] 所述压迫治疗系统可以包括围绕足支撑的第三气囊。 [0023] The system may include a third therapeutic compression balloon surrounding the foot support. 所述第三气囊与所述流体源流体连通,单个压力传感器与所述气囊相联。 The third bladder in fluid communication with the fluid source, a single pressure sensor and the associated airbag. 所述加压流体源可以交替地使围绕所述肢体布置的气囊和围绕足布置的气囊膨胀。 The pressurized fluid source may be alternately arranged so that the balloon around the limb and inflated airbag disposed around the foot.

[0024] 在一个备选实施方式中,所述压迫治疗系统包括围绕第一肢体支撑的第一多个气囊。 [0024] In an alternative embodiment, the treatment system includes a first plurality of compression balloon surrounding the first support limb. 第二多个气囊围绕第二肢体支撑,所述气囊与流体源流体连通。 A second plurality of airbags around the second support limb, the balloon is in fluid communication with a fluid source. 所述第一多个气囊的第一气囊膨胀持续第一时间段,并且所述第一多个气囊的第二气囊膨胀持续第二时间段。 A first plurality of the first airbag inflation of the airbag for a first time period, said first and second plurality of balloon expandable balloon for a second period of time. 所述第二时间段在所述第一时间段内开始。 The second period starts at the first time period.

[0025] 所述第二多个气囊的第一气囊膨胀持续第三时间段,并且所述第二多个气囊的第二气囊膨胀持续第四时间段。 [0025] The first of the second plurality of balloon expandable balloon for a third period of time, and a second plurality of the second balloon expandable balloon fourth period duration. 所述第四时间段在所述第三时间段内开始。 The fourth time period in said third time period begins. 单个压力传感器与所述气囊相联。 A single pressure sensor and the associated airbag. 所述加压流体源可以交替地使围绕所述第一肢体布置的气囊和围绕所述第二肢体布置的气囊膨胀。 The pressurized fluid source may alternatively be so arranged around the first limb about the second limb bladder and inflation of the airbag arrangement.

[0026] 在另一个备选方式中,所述压迫治疗系统可以包括围绕第一肢体支撑的第一多个气囊和围绕第二肢体支撑的第二多个气囊。 [0026] In another alternative embodiment, the therapeutic system may comprise a first compression balloon surrounding the first plurality and a second plurality of support limb a second limb support surrounding the airbag. 所述第一多个气囊和所述第二多个气囊的每一个气囊具有与之相联的独立阀。 Each of said first plurality of air cells and a second plurality of said airbag having an airbag individual valves associated therewith. 所述阀与流体源流体连通。 The valve communicates with a fluid source.

[0027] 第一阀打开,使得所述第一多个气囊的第一气囊膨胀持续第一时间段,并且第二阀打开,使得所述第一多个气囊的第二气囊膨胀持续第二时间段。 [0027] The first valve is opened, such that the first plurality of the first airbag is inflated bladder for a first period of time, and the second valve opening, such that said first plurality of second balloon expandable balloon for a second time segment. 所述第二时间段在所述第一时间段内开始。 The second period starts at the first time period. 第三阀打开,使得所述第一多个气囊的第三气囊膨胀持续第三时间段。 Third valve is opened, such that the third plurality of the first airbag is inflated airbag third time period. 所述第三时间段在所述第二时间段内开始。 Said third period of the beginning of the second time period.

[0028] 第四阀打开,使得所述第二多个气囊的第一气囊膨胀持续第四时间段,并且第五阀打开,使得所述第二多个气囊的第二气囊膨胀持续第五时间段。 [0028] The fourth valve is opened, such that the second plurality of first balloon expandable balloon duration of the fourth period, and the fifth valve is opened, such that the second plurality of second balloon expandable balloon for the fifth time segment. 所述第五时间段在所述第四时间段内开始。 The fifth time period starting at the fourth period of time. 第六阀打开,使得所述第二多个气囊的第六气囊膨胀持续第六时间段。 Sixth valve is opened, such that the second plurality of sixth balloon expandable balloon sixth time period duration. 所述第六时间段在所述第五时间段内开始。 The sixth time period starts at the fifth time period. 单个压力传感器与所述气囊相联。 A single pressure sensor and the associated airbag. 附图说明 BRIEF DESCRIPTION

[0029] 据信是新颖的本公开的目的和特征在后附权利要求中被具体阐述。 [0029] It is believed to be novel objects and features of the present disclosure are set forth with particularity in the appended claims. 本公开究其组织和操作方式以及进一歩的目的和优点可以通过參考结合附图的以下描述最好地被理解,所述附图在下面被描述。 The following description of the present disclosure study its organization and manner of operation as well as into a ho objects and advantages by reference to the accompanying drawings best be understood that the drawings are described below.

[0030] 图I是根据本公开的原理的压迫治疗系统的ー个具体实施方式的前视图; [0030] FIG ー I is a front view of a particular embodiment of the compression therapy system according to the present disclosure principles;

[0031] 图2是图I中所示的压迫治疗系统的侧视图; [0031] FIG. 2 is a side view of a compression therapy system shown in Figure I;

[0032] 图3是图I中所示的压迫治疗系统的顶视图; [0032] FIG. 3 is a top view of a compression therapy system shown in Figure I;

[0033] 图4是图I中所示的压迫治疗系统的后视图; [0033] FIG. 4 is a rear view of a compression therapy system shown in Figure I;

[0034] 图5是图I中所示的压迫治疗系统的气动回路的示意图; [0034] FIG. 5 is a schematic diagram of the pneumatic circuit of the compression treatment system shown in Figure I;

[0035] 图6是围绕肢体布置的图I中所示的压迫治疗系统的套的平面图; [0035] FIG. 6 is a plan view of the compression sleeve shown in FIG therapeutic system disposed around a limb in I;

[0036] 图7是图6中所不的套的ー个备选实施方式;和 [0036] FIG. 7 is not in FIG. 6 of an alternative embodiment a sleeve ー embodiment; and

[0037] 图8是图6中所示的套的另ー个备选实施方式。 [0037] FIG. 8 is another ー sleeve shown in FIG. 6 one alternative embodiment.

具体实施方式 Detailed ways

[0038] 所公开的压迫治疗系统和操作方法的典型实施方式就包括应用于身体的肢体的预防性压迫装置的血管治疗进行论述,更具体地就具有适于膨胀大腿、小腿、踝和足套并且适应患者转移和活动的控制器的压迫治疗系统进行论述。 [0038] The exemplary embodiments disclosed compression treatment system and method of operation applied to include prophylactic treatment of a body vessel limb compression apparatus discussed, it has more particularly adapted to expand the thigh, calf, ankle, and foot sleeve compression therapy and adapt the system controller and patient transfer activities discussed. 可以预见,所述压迫治疗系统可以用于防止和克服与患者不活动相联系的风险。 It is foreseeable that the system may be used for compression therapy to prevent and overcome risks associated with patient inactive. 进ー步可以预见,所述压迫治疗系统消除了患者不活动产生的状况,从而例如防止DVT、外周性水肿等。 Step into ー contemplated, the compression condition of the patient treatment system does not eliminate activities, thereby preventing the example of DVT, peripheral edema. 可以预见,根据本公开的压迫治疗系统可以归于所有类型的静脉压迫系统,包括但不限于预防性顺序压迫装置。 Contemplated, can be attributed to all types of venous compression therapy system according to the compression system of the present disclosure, including but not limited to prophylaxis sequential compression apparatus. 术语“预防性顺序”应当被理解成限定在此描述的一般静脉压迫治疗系统。 The term "prophylactic sequence" should be understood as defined in the general venous compression therapy system described herein. 然而可以想象,本公开可以应用于各种固定状况的人和类似患者,例如那些经历手术、麻酔、长期卧床休养、肥胖、年老、恶性肿瘤、早先血栓栓塞等的人和患者。 However conceivable that the present disclosure can be applied to a variety of people and fixed conditions similar patients, such as those undergoing surgery, Anesthesiology, prolonged bed rest, obesity, old age, cancer, and the patients previously thromboembolism and the like.

[0039] 在下面的论述中,术语“近端”表示更靠近治疗对象的躯干的结构部分,术语“远端”表示更远离躯干的部分。 [0039] In the following discussion, the term "proximal" means closer to the torso moiety subject to be treated, the term "distal" means more distant from the torso portion. 当在此使用吋,术语“治疗对象”指的是经历使用压迫治疗系统的血管治疗的患者。 Inch when used herein, the term "therapeutic target" refers to a patient undergoes treatment with vascular compression therapy system. 根据本公开,术语“医师”指的是施行压迫治疗系统的个体并且可以包括辅助人员。 According to the present disclosure, the term "medical practitioner" refers to a subject purposes of compression therapy system and may include support personnel.

[0040] 以下论述包括压迫治疗系统的描述,之后描述根据本公开的原理操作压迫治疗系统的典型方法。 [0040] The following discussion includes a description of compression therapy system, a typical method according to the present disclosure, after the operating principles of the system described with compression therapy. 现在将具体參考由附图示出的典型实施方式和公开。 Specific reference will now be made of exemplary embodiments and the accompanying drawings illustrates the disclosed embodiment.

[0041] 现在来看附图,其中在所有若干视图中,类似的部件由类似的附图标记指代。 [0041] Turning now to the drawings, wherein the several views, like parts by like reference numerals refer to. 首先參考图1-5,其示出了根据本公开的原理构造的压迫治疗系统10。 Referring first to FIGS. 1-5, which illustrate the principles of the present disclosure treatment system 10 constructed in accordance with compression. 压迫治疗系统10包括外壳12。 Compression therapy system 10 includes a housing 12. 外壳12封闭布置在其中的控制器14的部件(如图5中示意性所示)。 The controller 12 of the housing member 14 disposed therein is closed (as shown schematically in FIG. 5 exemplary).

[0042] 外壳12具有半圆形构造并且具有沿其最高点18的提手16,以便于转移和治疗对象活动。 [0042] The housing 12 has a semi-circular configuration and having its highest point 18 along the handle 16 to facilitate transfer of the subject being treated and activities. 可以想象,外壳12可以有不同的构造和尺寸,例如矩形、球形等。 Envisioned that housing 12 may have different configurations and sizes such as rectangular, spherical, and the like. 进一步可以想象,可以通过任何合适的工艺组装外壳12,例如搭扣配合、粘合剂、溶剂焊接、热焊、超声焊接、螺钉、铆钉等。 Further envisioned, by any suitable process housing assembly 12, such as snap fit, adhesive, solvent welding, thermal welding, ultrasonic welding, screws, rivets or the like. 作为另一选择,外壳12可以整体地形成或由多个外壳部分整体组装,并且可以基本上是透明的、不透明的等等。 Alternatively, the housing 12 may be integrally formed or integrally assembled part of the housing by a plurality of, and may be substantially transparent, opaque, and the like. 外壳12可以包括肋、脊等以便于操作压迫治疗系统10。 The housing 12 may include ribs, ridges, etc. to facilitate compression treatment system 10 operating.

[0043] 外壳12的部件可以由适合于医学应用的材料制造,诸如聚合物或金属(例如不锈钢),这取决于特定的医学应用和/或医生的偏好。 [0043] The housing member 12 may be manufactured in a material suitable for medical applications, such as a polymer or metal (e.g. stainless steel), depending on the particular medical application and / or physician preference. 可以预见使用半刚性和刚性聚合物,以及弹性材料,例如模制医用级聚丙烯来制造。 It can be predicted using the semi-rigid and rigid polymer, and a resilient material, such as molded medical grade produced polypropylene. 然而,根据本公开,本领域的技术人员将理解适合于组装和制造的其它材料和制造方法也将是合适的。 However, according to the present disclosure, one skilled in the art will appreciate that suitable for assembly and manufacture of other materials and manufacturing methods would also be suitable.

[0044] 外壳12可携带以便于对治疗对象(未示出)进行连续血管治疗。 [0044] The portable housing 12 to facilitate the treatment of subject (not shown) in a continuous treatment vessel. 外壳12包括便于外壳12可拆卸地安装到例如医院病床、工作台等的托架20。 The housing 12 includes a housing 12 to facilitate removably mounted to the bracket 20, for example, a hospital bed, a table or the like. 托架20从外壳12的后部22延伸并且提供钩状构造以用于从治疗对象的床等悬挂外壳12。 Bracket 20 extends in the rear portion 12 of the housing 22 and configured to provide a hook for suspending the housing from the bed 12 from the subject to be treated. 可以预见,托架20可以从用于可拆卸地安装外壳12的各种结构悬挂,或者作为另一选择,外壳12并不包括托架,而是可以放置在地板或其它支撑表面上。 It is foreseeable that the bracket 20 may be suspended from a variety of structures for removably mounting the housing 12, or alternatively, the housing 12 does not include the carrier, but may be placed on a floor or other supporting surface. 作为另一选择,外壳12包括如图2中所示的肩带24,该肩带允许在转移期间外壳12穿戴在治疗对象或医师身上。 Alternatively, the housing 12 includes a shoulder belt 24 shown in FIG. 2, the strap during the transfer of the housing 12 to allow the wearer or physician in treating a subject body. 肩带24可以使用或不使用托架20并且例如可以固定到外壳12的任何部分,包括提手16。 Strap 24 may be used with or without a bracket 20 may be fixed and, for example, to any portion of the housing 12, includes a handle 16.

[0045] 压迫治疗系统10使用用于操作其部件的电子AC/DC开关电源。 [0045] The compression treatment system 10 using their member for operating the electronic AC / DC switching power supply. 电源线26连接到外壳12以用于将电力传导到控制器14的部件。 Power supply line 26 is connected to the housing 12 for conducting electrical power to the components of the controller 14. 电源线26通过壁装电源插座等接入AC电源。 Power line 26 and the like through a wall outlet into an AC power source. 控制器14可以包括变压器或其它电子设备以用于连接到电源。 The controller 14 may include a transformer or other electronic equipment for connection to a power source. 可以想象,电源线26可以为了贮存和在转移和治疗对象活动期间缠绕托架20。 Imagine, for the power supply line 26 can be stored and transferred during treatment and the object carrier 20 is wound activities. 进一步可以想象,所述压迫治疗系统10可以包括用外壳12保持电源线26的贮存俘获机构。 Is further envisioned that the compression treatment system 10 may include a reservoir holding the power supply line capture means 26 with the housing 12. 所述贮存俘获机构可以包括松紧绳、滑轮等。 The storage means may include elastic strands capture and pulleys.

[0046] 压迫治疗系统10还使用为控制器14的部件供电的电池28以便于转移和治疗对象活动。 [0046] The compression system 10 further therapeutic use as components of the controller 14 is powered by the battery 28 to facilitate transfer of the subject being treated and activities. 电池28放置在外壳12的电池盒30内。 Battery 28 is placed inside the battery case 30 of the housing 12. 可以预见,电池28可以包括一个或多个单元。 Can be predicted, the battery 28 may comprise one or more units. 电池单元可以是锂离子型的,等等。 The cell may be a lithium-ion type, and the like. 进一步可以预见,电池28可再充电,并且可以用于各种范围的工作时间,例如6小时、8小时、10小时,等等。 Further contemplated, the rechargeable battery 28, and may be used for various hours of work, for example, 6 hours, 8 hours, 10 hours, and the like. 例如,电源线26可以被拔掉并且由外壳12的贮存俘获机构俘获。 For example, the power cord 26 can be pulled out and captured by the capture mechanism housing 12 of the reservoir. 压迫治疗系统10然后以电池28电源工作并且治疗对象可走动。 Compression treatment system 10 and then the power battery 28 and the therapeutic ambulatory subject.

[0047] 可以想象,电池28可以安装到外壳12的外表面或者与之分离。 [0047] envisioned that battery 28 may be mounted to an outer surface of the housing 12 or separate therefrom. 进一步可以想象,压迫治疗系统10可以包括电源的备选来源,例如太阳能、非电力等,或者作为另一选择可以不包括电池电源。 Further envisioned that alternative power source 10 may include a source of compression therapy systems, such as solar, and other non-electric, or alternatively may not include a battery power supply.

[0048] 外壳12具有布置在其前表面34上的控制面板32。 [0048] The housing 12 has a control panel disposed on a front surface 34 32. 控制面板32包括用于操作压迫治疗系统10的控制器和指示器。 Control panel 32 comprises a compression therapy system for operating the indicator 10 and the controller. 控制面板32具有LED显示器36,该LED显示器提供系统10的各种部件的状态提示、消息等,例如功率、电池、套识别和连接、膨胀、排放、静脉回灌、错误等等。 State control panel 32 having a display LED 36, the LED display 10 to provide the various components of the system prompts, messages, etc., such as power, a battery, and the connection sleeve identification, expansion, exhaust, intravenous recharge, errors, etc. 控制面板32还包括用于为系统10供电的手动开关等。 Control panel 32 further includes a power supply system for the manual switch 10 and the like. 可以预见,这样的开关是由指压启动的膜式开关等。 It is foreseeable that such a switch is a membrane switch or the like by the finger pressure activated.

[0049] 外壳12的后部22限定端口38、40(图4)。 [0049] The rear portion 12 of the housing 22 defines ports 38, 40 (FIG. 4). 端口38、40分别包括输出端口38a、38b、38c,和输出端口40a、40b、40c。 Output ports 38, 40 respectively include ports 38a, 38b, 38c, and output ports 40a, 40b, 40c. 如将要论述的,输出端口38a、38b、38c和输出端口40a、40b、40c与分别与压迫套46的可膨胀室46a、46b、46c和压迫套48的可膨胀室48a、48b、48c流体连通,所述可膨胀室被构造成通过匹配连接器42和管组44安装在治疗对象的腿周围。 As will be discussed, the output ports 38a, 38b, 38c and the output port 40a, 40b, 40c respectively and the compression sleeve inflatable chamber 46, 46a, 46b, 46c, and compression sleeve inflatable chamber 48 48a, 48b, 48c in fluid communication said inflatable chamber is configured by a matching connector 42 and tubing set 44 mounted around the legs of the subject being treated. 输出端ロ38&、3813、38(:,40&、4013、40(3构造用于连接到管组44。每个端ロ38、40可连接到特定压迫套,例如腿套、足套等。 Ro & output terminal 38, 3813,38 (:, 40 &, 4013,40 (3 configured for connection to a tubing set 44. Each end 38, 40 may be connected to a particular ro compression sleeve, e.g. leg coverings, foot covers.

[0050] 如图5中所示的气动回路所示,端ロ38、40还与布置在外壳12内的控制器14的部件连接以便于膨胀选择的压迫套。 Means [0050] shown, and further the end ro 38,40 disposed in the pneumatic circuit shown in FIG. 5 within the housing 12 of the controller 14 is connected to the expansion of the compression sleeve selection. 如将要论述的,控制器14包括加压流体源,例如与用于连接端ロ38、40的阀歧管52流体连通的泵50。 As will be discussed, controller 14 includes a source of pressurized fluid, for example, connected to the pump end of the valve manifold 52 ro 38, the fluid communication 50. 泵50包括通过管系等将空气压缩到阀歧管52的电动机。 Pump 50 through tubing or the like comprising a compressed air to the motor 52 of the valve manifold. 电子控制泵电动机的速度以按照需要为各个输出压力提供相应的压缩机速度。 Electronic control pump motor speed as required to provide the appropriate pressure compressor speed for each output. 可以预见,本领域技术人员已知的包括必要的电子设备、电路、软件等的电源板连接到泵发动机和控制器14的其它部件以调节其功率。 Contemplated, known to those skilled include necessary electronics, circuits, software and other power board is connected to the engine and other components of the pump controller 14 to adjust its power. 可以想象,泵50可以是隔膜泵。 Imagine, pump 50 may be a diaphragm pump.

[0051] 如将要论述的,控制器14还包括止回阀54,在静脉回灌检测期间,当监视气囊压力时所述止回阀防止空气反向通过泵50泄漏。 [0051] As will be discussed, the controller 14 further includes a check valve 54, during the recharge detection vein, the balloon pressure when the monitoring check valve 50 prevents air from leaking back through the pump. 减压阀56与气动回路一起布置以防止压迫套中的过压。 Pressure relief valve 56 arranged together with the pneumatic circuit to prevent overpressure in the compression sleeve. 减压阀56被构造成必要时放出过量空气压力。 Pressure relief valve 56 is configured to release excess air pressure when necessary. 可以预见,可以使用各种类型的阀,例如弹簧加力柱塞阀等。 Contemplated, you may use various types of valves, such as a spring urging the plunger valve.

[0052] 阀歧管52包括分别联接到输出端ロ38a、38b、38c、40a、40b、40c的螺线管阀58a、58b、58c、60a、60b、60c。 [0052] The valve manifold 52 includes an output terminal respectively coupled to ro 38a, 38b, 38c, 40a, 40b, 40c of the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c. 螺线管阀58a、58b、58c、60a、60b、60c均具有通过控制器14的控制处理器电子驱动的相关螺线管。 Solenoid valve 58a, 58b, 58c, 60a, 60b, 60c has an associated solenoid control processor by the controller 14 of the electronic drive. 螺线管联接到每个特定螺线管阀58a、58b、58c、60a、60b、60c的阀座,使得当启动螺线管时所述阀座可操作地打开和关闭各自的螺线管阀。 Solenoid valve coupled to each particular solenoid 58a, 58b, 58c, 60a, 60b, 60c of the valve seat so that the seat is operable to open and close the respective solenoid valve when the solenoid is started . 例如參见Bock等人的美国专利No. 5,876,359中描述的螺线管阀,所述专利的整个内容被结合于此以作參考。 See, for example, a solenoid valve Bock et al., Described in U.S. Patent No. 5,876,359, the entire contents of which are incorporated herein by reference. 可以预见,控制器14的控制处理器包括本领域技术人员已知的必要的电子设备、电路、软件等以响应压迫治疗系统10的变化条件以及控制器14的部件所感测到的其它指示和测量而启动螺线管阀58a、58b、58c、60a、60b、60c。 It is foreseeable that the controller controls the processor 14 comprises known to those skilled in the necessary electronic devices, circuits, software and other indication in response to changes in the measurement condition and a compression therapy system 10 of the controller member 14 being sensed to activate the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c. 可以想象,可以使用ー个或多个螺线管阀,或者作为另ー选择,可以使用其它类型的阀。 Envisioned, one or more may be used ー solenoid valves, or alternatively ー Alternatively, other types of valves may be used.

[0053] 螺线管阀58a、58b、58c、60a、60b、60c和它们的相关阀部件安装到外壳12的内部上的端ロ38、40。 [0053] solenoid valves 58a, 58b, 58c, 60a, 60b, 60c and their associated valve member mounted to the interior end 12 of the housing 38, 40 ro. 螺线管阀58a、58b、58c、60a、60b、60c是双位、三通常闭阀,其分别具有开ロ62a、62b、62c、64a、64b、64c。 Solenoid valve 58a, 58b, 58c, 60a, 60b, 60c are two-position, three-way normally closed valves, each having open ro 62a, 62b, 62c, 64a, 64b, 64c. 在打开位置,空气通过开ロ62a、62b、62c、64a、64b、64c 流到相关输出端ロ38a、38b、38c,40a、40b、40c并且进入压迫套46的可膨胀室46a、46b、46c和压迫套48的可膨胀室48a,48b,48c。 In the open position, air passes through open ro 62a, 62b, 62c, 64a, 64b, 64c ro flows associated output terminal 38a, 38b, 38c, 40a, 40b, 40c and into the compression chamber 46 of the expandable sleeve 46a, 46b, 46c and compression sleeve 48 of inflatable chamber 48a, 48b, 48c. 在关闭位置,开ロ62a、62b、62c、64a、64b、64c被堵塞,并且来自压迫套46,48的空气通过输出端ロ38a、38b、38c、40a、40b、40c和通过相关阀的排放端ロ66a、66b、66c、68a、68b、68c 回流以收缩可膨胀室46a、46b、46c, 48a, 48b, 48c。 In the closed position, open ro 62a, 62b, 62c, 64a, 64b, 64c is blocked, and air from the compression sleeve 46 through the output terminal ro 38a, 38b, 38c, 40a, 40b, 40c and through the associated discharge valve ro ends 66a, 66b, 66c, 68a, 68b, 68c to contract the expandable reflux chamber 46a, 46b, 46c, 48a, 48b, 48c.

[0054] 螺线管阀58a、58b、58c、60a、60b、60c按顺序被操作以加压可膨胀室46a、46b、46c、48a、48b、48c和在控制器14的控制处理器下为其提供顺序加压和排放所述室。 [0054] solenoid valves 58a, 58b, 58c, 60a, 60b, 60c are sequentially operated to pressurize the inflatable chamber 46a, 46b, 46c, 48a, 48b, 48c and is under control of control processor 14 which provide sequential pressurization and exhaust of said chamber. 可以预见,当需要套的冷却操作时,螺线管阀58a、58b、58c、60a、60b、60c可以选择性地被启动,例如參见Bock等人的美国专利No. 5,876,359。 Can be expected, when it is necessary to set the cooling operation, the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c can be selectively activated, for example, see Bock et al., U.S. Patent No. 5,876,359.

[0055] 螺线管阀58a、58b、58c、60a、60b、60c由控制器14的控制处理器所提供的脉冲宽度调制信号驱动。 [0055] solenoid valves 58a, 58b, 58c, 60a, 60b, 60c driven by a pulse width modulation signal controller processor 14 is provided. 螺线管驱动信号初始处于用于快速和主动启动螺线管阀的较高功率级。 Solenoid drive signal is at a higher initial power levels for fast and active starter solenoid valve. 在初始启动之后,可以减小驱动信号,例如减小70%以保持阀启动,由此减小功率消耗。 After the initial startup, the drive signal can be reduced, for example to maintain a 70% reduction valve activation, thereby reducing the power consumption. 可以想象,可以按照需要停用螺线管阀58a、58b、58c、60a、60b、60c。 Imagine, you can disable the solenoid valves as required 58a, 58b, 58c, 60a, 60b, 60c. 进ー步可以想象,控制器14的控制处理器包括检验螺线管阀58a、58b、58c、60a、60b、60c的状态的能力。 Step into ー conceivable, the controller controls the processor 14 includes a verification solenoid valves 58a, 58b, 58c, 60a, 60b, 60c of the capability state. 当螺线管阀58a、58b、58c、60a、60b、60c的条件变化时,控制处理器检验它们的状态。 When the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c when the conditions change, the control processor verify their status. 例如,如果检测到特定阀短路或打开,压迫治疗系统10将进入特定错误模式,这将要进行论述。 For example, if a short circuit is detected or a certain valve opening, the compression treatment system 10 enters the specific error pattern, as will be discussed.

[0056] 控制器14还包括布置在外壳12内的压力传感器66。 [0056] The controller 14 further includes a pressure sensor 66 disposed within the housing 12. 压力传感器66通过管系等联接到气动回路并且布置在泵50和螺线管阀58a、58b、58c、60a、60b、60c之间。 The pressure sensor 66 is coupled through tubing to a pneumatic circuit and the like disposed in the pump 50 and the solenoid valves 58a, 58b, 58c, 60a, 60b, between 60c. 压力传感器66与可膨胀室46a、46b、46c、48a、48b、48c流体连通以用于监视可膨胀室46a、46b、46c、48a、48b、48c的每一个中的压力。 46a, 46b, 46c, 48a, 48b, 48c for monitoring fluid communication with the inflatable chamber 46a, 46b, 46c, 48a, 48b, 48c of the pressure in each pressure sensor 66 with the expandable chamber. 控制器14的控制处理器指导压力传感器66测量连接到它们各自的螺线管阀并因此与之流体连通的可膨胀室46a、46b、46c、48a、48b、48c中的任何一个。 Guidance control processor 66 measures the pressure sensor 14 is connected to the controller their respective solenoid valves and thus the expansion chamber 46a, 46b, 46c, 48a, 48b, 48c of any fluid communication therewith. 在螺线管阀的前面将压力传感器66布置在气动回路的歧管侧上有利地便于仅仅使用单个压力传感器以用于测量可膨胀室中的压力。 In front of the solenoid valve 66 of the pressure sensor arrangement advantageously facilitates using only a single pressure sensor on the side of the manifold of the pneumatic circuit for measuring the pressure in the inflatable chamber. 该构造便于膨胀一个或多个可膨胀室。 This configuration facilitates the expansion of one or more inflatable chambers. 该构造还有利地减小控制器14的体积以有助于压迫治疗系统10的紧凑和轻质设计,便于转移、患者活动和减少制造成本。 This configuration also advantageously reduce the volume of the controller 14 to facilitate a compact and lightweight design of the compression therapy system 10, in order to transfer, patient activity and reduce the manufacturing cost.

[0057] 例如,在选择的压迫周期期间,螺线管阀58a、58b、58c、60a、60b、60c被顺序通电以到达打开位置以用于按顺序加压可膨胀室46a、46b、46c、48a、48b、48c。 [0057] For example, during the selection of the compression cycle, the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c are sequentially energized to an open position for sequentially pressurizing the inflatable chambers 46a, 46b, 46c, 48a, 48b, 48c. 在打开位置,螺线管阀58a、58b、58c、60a、60b、60c允许空气从泵50通过各自输出端口38a、38b、38c,40a、40b、40c到达可膨胀室。 In the open position, the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c to allow air from the respective output ports 38a through the pump 50, 38b, 38c, 40a, 40b, 40c reaches the inflatable chamber. 压力传感器66监视气动回路的可膨胀室46a、46b、46c、48a、48b、48c的每一个并且为控制器14的控制处理器提供电信号输出以用于反馈控制。 The pressure sensor 66 monitors the pneumatic circuit inflatable chambers 46a, 46b, 46c, 48a, 48b, 48c and provide electrical signals to each output controller processor 14 for feedback control.

[0058] 在选择的压迫周期结束时,螺线管阀58a、58b、58c、60a、60b、60c被同时断电到达用于从套46、48断开泵50的关闭位置。 [0058] At the end of the selected compression cycle, the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c are off while the pump reaches the closed position for disconnecting the sleeve 50 from 46. 在关闭位置,泵50空气被堵塞并且螺线管阀58a、58b、58c、60a、60b、60c通过阀歧管52上的排放端口66a、66b、66c、68a、68b、68c将套压力排放到大气。 In the closed position, the air pump 50 is blocked and the solenoid valves 58a, 58b, 58c, 60a, 60b, 60c through the discharge port 66a on the valve manifold 52, 66b, 66c, 68a, 68b, 68c to the pressure discharge sleeve atmosphere. 可以预见,压迫治疗系统10可以交替膨胀第一肢体和第二肢体之间的室。 Can be expected, treatment system 10 can alternate compression expansion chamber between the first limb and second limb. 进一步可以预见,压迫治疗系统10可以单独地膨胀每个气囊。 Further contemplated, compression treatment system 10 may be separately inflated to each balloon.

[0059] 参考图6,与上述类似的压迫治疗系统10被组装和包装以供使用。 [0059] Referring to Figure 6, similar to the above compression treatment system 10 is assembled and packaged for use. 在操作中,压迫治疗系统10包括上述的与外壳12 —起布置的控制器14,和套112。 In operation, compression therapy system 10 includes a housing 12 and above - from the controller 14 are arranged, and the sleeve 112. 套112包括大腿气囊114、小腿气囊116和踝气囊118。 An airbag cover 112 comprises a leg 114, the ankle and calf of the airbag 116 of the airbag 118. 套112包括与匹配连接器42配合的连接器120,所述匹配连接器通过管系44连接到端口38。 Sleeve 112 includes a mating connector 42 with the mating connector 120, the mating connector is connected to port 38 via tubing 44. 连接器120通过管组122与套112的室流体连通。 Tube set 120 through 122 in fluid communication with the connector housing 112 and. 因此,该构造便于气囊114、116、118和泵50之间的流体连通。 Thus, the airbag 114, 116 and configured to facilitate fluid communication between the pump 50. 在此可以预见,连接器120可以进一步包括控制流体流的阀机构。 Here foreseeable, the connector 120 may further include a fluid flow control valve mechanism.

[0060] 提供和操作套112以用于围绕治疗对象(未示出)的腿L布置。 [0060] The operation of sleeve 112 and to provide for leg L arrangement (not shown) around the subject being treated. 连接器120与匹配连接器42配合以在套112和气动回路之间建立流体连通。 The connector 120 mating with the mating connector 42 to establish fluid communication between the sleeve 112 and the pneumatic circuit. 套112缠绕腿L并且通过钩和环垫124、126与之固定。 112 L wound around the leg sleeve and by hook and loop pad 124 fixed thereto. 可以预见,压迫治疗系统10可以用类似于套112的压迫套通过与端口40的连接治疗对象的第二条腿。 It is foreseeable that compression treatment system 10 may be similar to the compression sleeve 112 by a sleeve connected to the treatment target with the second leg 40 of the port. 如下面的备选实施方式所述,在与下述用于治疗腿L的压迫周期交替的压迫周期中治疗第二条腿。 The alternative embodiment described below, the second leg in the treatment of the following compression cycle for the treatment of leg L of compression cycles alternating.

[0061] 外壳12和控制器14的上述便携特征提供了一种便于转移和治疗对象活动的压迫治疗系统10。 [0061] The housing 12 is provided for facilitating transfer of the subject being treated and the activity and said compression treatment system 10 wherein the portable controller 14. 当在整个治疗设施使用所述系统时,该有利构造提供了不中断的DVT预防,并且可以在整个风险期由治疗对象穿戴和连续使用。 When the entire treatment facility using the system, which is advantageous configuration provides uninterrupted DVT prophylaxis, and can be worn and used continuously throughout the risk period from the subject being treated. 在治疗对象活动和任务期间,例如为了检查而转移、去洗手间、理疗等,压迫治疗系统10有利地便于连续的血管治疗。 In treating a subject during activities and tasks, for example for inspection and transfer, go to the bathroom, physical therapy, compression therapy system 10 advantageously facilitates a continuous treatment vessel. 通过提供控制器14,当未插上电源线时该控制器将用电池28带动,压迫治疗系统10防止在治疗中中断,并且还将足够舒适、紧凑和轻质以在需要时随着治疗对象一起移动。 By providing a controller 14, with controller 28 when the drive battery, when the compression treatment system 10 to prevent the power cord is not plugged in therapy interruption, and also sufficiently comfortable, compact and lightweight to treatment with the subject when required move together.

[0062] 控制器14的控制面板32的手动开关接通压迫治疗系统10以用于为其供电。 [0062] The controller 14 of the control panel of the manual switch 32 is turned on compression treatment system 10 for its power supply. 当压迫治疗系统10初始被接通吋,由控制器14的控制处理器进行一系列自测试。 When compression therapy system 10 is initially turned inches, a series of self tests performed by the controller processor 14. 显示器36的LED指示器被点亮并且可听到提示发声以检验视听指示器的可操作性。 LED display indicator 36 is lit and an audible sound prompt visual indicator to verify operability. 显示器36被打开以检验显示器可操作性。 A display monitor 36 is opened to verify operability. 控制器14还检验控制处理器的软件的可操作性。 The controller 14 also checks the control processor software operability. 如果任何一个检验失败,错误代码提供代表性可听和/或可视提示。 If either test fails, an error code to provide a representative audible and / or visual cues. [0063] 可以预见,如果控制器14的控制处理器不能继续正常的软件运行,错误代码将被触发。 [0063] It is foreseeable that if the controller processor 14 can not continue normal operation of the software, the error code will be triggered. 这导致压迫治疗系统10重置并且重新启动正常操作。 This results in compression treatment system 10 resets and restarts the normal operation. 套112将在重新启动程序期间排放。 The discharge cover 112 during restart procedure. 可听和可视提示还可以用于代表条件。 An audible and visual cues can also be used to represent conditions.

[0064] 一旦完成用于压迫治疗系统10的自测试序列,控制器14开始套检测程序以确定连接到端ロ38、40的套的ー种或多种类型。 [0064] Upon completion of self-test sequence for compression therapy system 10, the controller 14 sets the detection start to the end of the program to determine the connection types ro ー sleeve 38, 40 or more types. 在控制器14初始被通电之后在第一膨胀(检測)周期期间进行套检測。 Performed during the first expansion sleeve detected (detection) cycles after the controller 14 is initially energized. 在所述检测周期期间,使泵50工作两秒,或者直到压カ到达缺省阈值,空气被交替地输送通过端ロ38、40。 During the detection period, so that the pump 50 operates two seconds, or until the pressure reaches the default threshold value grades, the air is alternately delivered by the end of 38 ro. 一秒后,压カ传感器66在套检测下进行压カ测量以确定气囊是否连接到特定输出端ロ38a、38b、38c,40a、40b_40c。 After one second, the pressure sensor 66 ka ka pressure measured at the airbag cover detection to determine whether a particular output terminal is connected to the ro 38a, 38b, 38c, 40a, 40b_40c.

[0065] 例如,为用于套端ロ38、40的每ー个进行气囊114、116、118的检测程序。 [0065] For example, for each sleeve end ro ー airbag 38, a detection procedure for 114, 116. 如果在用于与气囊连接的特定出口端ロ没有反压力,则控制器14的控制处理器确定气囊未用于特定出口端ロ。 If there is no back pressure at the particular ro outlet end is connected to the air bag, the controller 14 determines the control processor for a particular airbag is not exit end ro. 所述控制处理器相应地为检测到的套构造调节压迫治疗。 The control processor is adjusted accordingly compression therapy sleeve configured to detect. 对于3气囊套,当连接到控制器14时在气囊114、116、118检测到反压力。 3 sets for the airbag, when connected to the controller 14 detects the back pressure in the air bag 114, 116. 可以预见,如果该程序在端ロ38或40未检测到套,或者如果检测到的构造未被识别。 It can be expected, if the program end ro 38 or sleeve 40 is not detected, or if the detected configuration was not recognized. 则由相应的可听提示触发低压错误。 Audible cue triggered by the corresponding low-voltage error. 进一歩可以预见,根据特定应用的要求,可以使用用于检测膨胀和压カ测量的各种延迟期间。 Into a ho contemplated, according to the requirements of a particular application, various detection ka expansion and pressure measurements may be used for the delay period.

[0066] 作为另ー选择,大腿气囊114可从小腿气囊116拆除。 [0066] Alternatively ー selection, thigh airbag 114 of the airbag 116 can be removed from the leg. 例如,小腿气囊116通过有孔连接件可拆除地连接到大腿气囊114,例如參见2004年2月23日公开的、发明名称为“压迫装置”的、序列号为No. 10/784,607的美国专利申请中所描述的套,所述申请的全部内容被结合于此以作參考。 For example, the calf bladder apertured connecting member 116 removably connected to the thigh air bag 114, for example, see February 23, 2004 disclosed, entitled "compression means", Serial No. No. 10 / 784,607 U.S. Patent application sleeve as described, the entire contents of which are incorporated herein by reference. 对于可拆除大腿气囊114,控制器14的控制处理器执行类似的套检测程序,如上所述。 For removable thigh air bag 114, the controller controls the processor 14 performs a similar set of tests, as described above. 控制处理器将由于配备连接器120的流动限制阀(未示出)检测3气囊套。 Since the control processor with a flow restriction valve connector (not shown) detects the third bag holder 120. 例如參见2004年2月23日公开的、发明名称为“流体通道连接器装置”的、序列号为No. 10/784, 639的美国专利申请中所描述的流动限制阀,所述申请的全部内容被结合于此以作參考。 See, for example, 23 February 2004, the disclosure, entitled "fluid passage connection device", the serial number No. 10/784, U.S. Patent Application flows 639 as described in limiting valve, said application the entire contents of which are incorporated herein by reference. 当实际上没有连接的气囊时所述流动限制阀模拟大腿114产生的反压力。 When the air bag is not actually connected to the counter-pressure flow restriction valve 114 generates the analog thighs. 因此,从3气囊大腿长度套转变到2气囊膝盖长度套并不显著影响压迫參数,并且控制器14继续血管治疗,就如同大腿114仍然完整。 Thus, the transition from the balloon 3 to the thigh-length sleeve 2 airbag knee-length compression sleeve does not significantly affect the parameters, and the controller 14 continues vascular treatment, just as the thigh 114 is still intact.

[0067] 在ー个备选实施方式中,如图7中所示,套112包括大腿气囊114和単式第二气囊218。 [0067] In an alternative embodiment ー embodiment, shown in Figure 7, sleeve 112 includes a balloon 114 and the thigh air bag 218 type second radiolabeling. 第二气囊218具有小腿部分220和踝部分222。 The second leg portion 220 having a balloon 218 and the ankle portion 222. 泵50通过阀连接器224和独立管系226、228与套112流体地连通,以与上述类似地使用,包括通过穿孔等可选择地拆卸大腿114。 Independent tubing pump 50 via a valve 226, 228 communicates with the connector 224 and sleeve 112 fluidly, similarly to the above-described, including selectively detachable leg 114 by perforation.

[0068] 在用于压迫治疗系统10的ー个特定压迫周期中,压迫參数包括用于膨胀气囊114、116、118的11秒的膨胀期,接着是用于收缩气囊114、116、118的60秒的排放。 [0068] In one particular ー compression cycles for compression therapy system 10, comprising a compression parameter for inflating balloon expandable 114,116,118 of 11 seconds, followed by a contraction of the balloon 114, 116 60 seconds emissions. 11秒的膨胀期是按顺序的: 11 seconds of expansion is in the order of:

[0069] I)在O秒开始初始膨胀踝气囊118并持续第一时间段; [0069] I) an initial start of the second expandable O and 118 for a first time period ankle airbag;

[0070] 2)其后和在第一时间段期间,开始膨胀小腿气囊116并持续第二时间段,第二时间段的开始与第一时间段的大约2. 67秒的持续时间重合; [0070] 2) and thereafter during the first period, the airbag 116 starts expansion leg and a duration of approximately 2.67 seconds in the second period, the first period and starts a second period coincident;

[0071] 3)其后和在第二时间段期间,开始膨胀大腿气囊114并持续第三时间段,第三时间段的开始与第二时间段的大约3. O秒的持续时间和第一时间段的大约5. 67秒的持续时 [0071] 3) and thereafter during a second time period, the thigh bladder 114 begins to expand and a first and a duration of about 3. O third second period, a second period and starts the third period when the duration time period of about 5.67 seconds

间重合; Inter coincidence;

[0072] 4)在第一时间段的11秒之后,排放气囊114、116和118并持续最少20秒最多60秒。 [0072] 4) After 11 seconds the first time period, and the discharge balloon 114, 116 and 118 for a minimum of 20 seconds up to 60 seconds. 在下面的表I中不出了一个例子。 In Table I below are not an example of.

[0073]表 I [0073] TABLE I

[0074] [0074]

Figure CN102614074AD00111

[0075] 可以预见,在腿L上从第一膨胀周期结束到下一膨胀周期开始测量排放周期。 [0075] It is anticipated that the leg L from the first end of the expansion cycle the expansion cycle to the next cycle starts to measure emissions. 进一步可以预见,治疗对象的两个肢体可以被治疗并且压迫治疗系统10从腿L到第二条腿交替进行血管治疗。 Further contemplated, two limbs treating a subject can be treated and treatment system 10 alternate compression treatment vessel from the leg to the second leg of the L. 可以想象,从用于腿L的膨胀周期结束到用于第二条腿的膨胀周期开始的时间段可以在4. 5-24. 5秒内变化。 Conceivable for the leg L of the expanded end of the cycle for the period from the start of the expansion period of the second leg may vary within 4. 5-24. 5 seconds.

[0076] 在如上所述的用于治疗腿L的初始膨胀周期期间,泵50启动缺省低电压,从而在初始周期不过膨胀气囊114、116、118。 [0076] During the treatment described above for the leg L of the initial period of expansion, the pump 50 starts default a low voltage, so that inflation of the airbag in the initial period but 114,116,118. 螺线管阀58a、58b、58c被通电以到达如上所述的打开位置,使得所述阀打开以使用期望的周期时序将空气输送至踝气囊118,然后至小腿气囊116,然后至套112的大腿气囊114。 Solenoid valve 58a, 58b, 58c are energized to reach the open position as described above, such that the valve is opened to a desired cycle timing used to deliver air to the air bag 118 the ankle, calf and then to the balloon 116, and then to the sleeve 112 thigh air bag 114. 压力传感器66在整个11秒的压迫周期监视气囊114、116,118的每一个中的压力。 The pressure sensor 66 in the entire monitoring period of 11 seconds of compression pressure in each air bag 114, 116. 在膨胀周期结束时,泵50停止并且螺线管阀58a、58b、58c断电以到达关闭位置,从而通过排放端口66a、66b、66c允许气囊114、116、118收缩。 At the end of the expansion cycle, the pump 50 is stopped and the solenoid valves 58a, 58b, 58c de-energized to the closed position, so that by the discharge ports 66a, 66b, 66c 114, 116 allow the balloon to contract.

[0077] 可以想象,如果治疗对象的第二条腿以用于血管治疗,螺线管阀60a、60b、60c被通电以到达如上所述的打开位置,使得所述阀打开以使用期望的周期时序将空气输送至类似于套112的围绕第二条腿布置的套的相应气囊。 [0077] conceivable that, if the second leg of the subject being treated for vascular treatment, the solenoid valves 60a, 60b, 60c are energized to reach the open position as described above, such that the valve is opened to a desired period of use the timing is similar to the air delivery sheath 112 about the respective second leg disposed airbag sleeve. 压力传感器66在整个11秒的压迫周期监视所述相应气囊的每一个中的压力。 The pressure sensor 66 over the entire 11 seconds of each compression cycle monitoring pressure in the respective bladder. 在膨胀周期结束时,泵50停止并且螺线管阀60a、60b、60c断电以到达关闭位置,从而通过排放端口68a、68b、68c允许所述相应气囊收缩。 At the end of the expansion cycle, the pump 50 is stopped and the solenoid valves 60a, 60b, 60c de-energized to the closed position, so that by the discharge ports 68a, 68b, 68c allowing the respective balloon is deflated. 进一步可以预见,用于治疗第二条腿的膨胀周期可以在完成用于治疗腿L的膨胀周期之后大约24. 5秒开始。 Further contemplated, the second leg of the expansion for the treatment period may start after completion of the treatment for the leg L of the expansion cycle is about 24.5 seconds. 可以为与两条腿有关的周期重复该过程。 This process may be repeated with the period of about two legs.

[0078] 在该实施方式中,在膨胀周期期间由压力传感器66和中继到控制器14的控制处理器的相应信号测量的气囊114、116、118的压力保持梯度,踝气囊118的压力大于小腿气囊116的压力,小腿气囊116的压力大于大腿气囊114的压力。 [0078] In this embodiment, the pressure during the expansion cycle by the pressure sensor 66 and relayed to the control processor 14 of the controller a signal corresponding to the measured gradient of the airbag holder 114, 116, 118 is greater than the pressure in the ankle bladder pressure bladder 116 of the lower leg, calf pressure greater than the pressure of the airbag 116 of the airbag 114 of the thighs. 周期结束压力例如包括,在踝气囊118中为45mmHg,在小腿气囊116中为40mmHg,在大腿气囊114中为30mmHg。 The pressure end of the cycle include, for example, in the ankle 45mmHg airbag 118, the airbag 116 in the lower leg as 40mmHg, in the airbag 114 for thighs 30mmHg. 在下面的表2中示出了一个例子。 In the following Table 2 shows an example. 可以预见,在该周期模式中压迫继续,直到压迫治疗系统10关闭或控制器14通过可听或可视提示指示错误代码。 It is foreseeable that in the compression cycle mode continues until the compression treatment system 10 is turned off or the controller 14 prompts indicated by an audible or visual error codes. 还可以预见其它周期压力。 It is also contemplated other periods pressure.

[0079]表 2[0080] [0079] Table 2 [0080]

Figure CN102614074AD00121

[0081] 对于所述的用于腿L的初始膨胀周期以后的膨胀周期,可以按照压カ传感器66进行的压カ测量进行压カ反馈调节。 [0081] For the leg L for the expansion period after the initial period of expansion, the pressure measurements can be carried out according ka ka pressure sensor 66 for feedback regulation ka pressure. 在用于腿L的初始膨胀周期结束时,踝气囊118中的周期结束压力由压カ传感器66测量并且由控制器14的控制处理器与45mmHg的设定压力比较。 At the end of the leg L for initial expansion cycle period 118 ends the ankle bladder pressure measurement by the pressure sensor 66 and the grades are compared by the processor controller 14 and the set pressure of 45mmHg. 如果踝气囊118的压カ高于或低于设定压力,则需要泵50的速度相应减小或増加以减小或増加压カ输送。 If the ankle bladder 118 ka pressure higher or lower than the set pressure, the speed of the pump 50 will need to be reduced or a corresponding enlargement of reduced pressure or delivery ka zo. 泵速调节基于以下计算: Adjusting the pump speed based on the following calculation:

[0082] 调节=I45-Pl,其中P =在踝处的压力。 [0082] The adjustment = I45-Pl, where P = pressure at the ankle.

[0083] 如果所述压カ小于设定压力,则用于下ー个周期的泵速被増加调节量。 [0083] If the pressure is less than the set pressure grades, is used for the next cycle ー pump speed is adjusted to increase in amount. 如果所述压カ大于设定压力,则用于下ー个周期的泵速被减小调节量。 Ka if the pressure is greater than a set pressure, the pump speed for the next ー cycle adjustment amount is reduced. 可以预见,甚至在达到设定压力范围之后调节过程还继续。 It is foreseeable that even after reaching the set pressure range adjustment process continues. 进ー步可以预见,压迫治疗系统10可以为连接到控制器14的每个套调节独立泵速。 Step into ー contemplated, compression treatment system 10 may be connected to each sleeve independently adjusted pump speed controller 14. 还可以预见其它顺序压迫周期。 It is also contemplated Other sequential compression cycles.

[0084] 在ー个备选实施方式中,压迫治疗系统10执行静脉回灌时间测量。 [0084] In an alternative embodiment ー, venous compression therapy system 10 performs recharge time measurement. 静脉回灌时间(VRT)測量是空气体积描记技木,该技术确定在压迫周期之后肢体的静脉何时完全被血液回灌。 Intravenous recharge time (the VRT) is a measure of air plethysmography wood technology, the compression technique after a determined period when the limb is fully recharge venous blood. 例如參见Watson等人的美国专利No. 6,231,352中所描述的静脉回灌时间测量,所述专利的全部内容被结合于此以作參考。 See, for example, intravenous recharge time measurement Watson et al., U.S. Pat. No. 6,231,352 described, the entire contents of which are incorporated herein by reference. VRT使血液在静脉内保持停滞的时间长度最小化。 VRT length of time that the blood remains stalled intravenous minimized. VRT将替代缺省休息时间(60秒),前提是VRT在20-60秒。 VRT will replace the default break times (60 seconds), it is provided in the VRT 20-60 seconds. 如果VRT小于20秒,则使用20秒的缺省值。 If the VRT less than 20 seconds, the default value of 20 seconds is used. 如果VRT大于60秒,则使用60秒的最大值。 If the VRT greater than 60 seconds, the maximum value of 60 seconds is used. 当系统首次到达设定压カ并且在其后的每30分钟进行VRT測量。 When the system reaches the first set pressure and conducted grades VRT measurements at each subsequent 30 minutes. 可以预见,VRT技术和算法可以用于套和足压迫两者。 It is foreseeable, VRT techniques and algorithms can be used for both sets of foot and oppression.

[0085] VRT測量使用空气体积描记技术,其中对小腿气囊施加低压。 [0085] VRT measurements using air plethysmography technique wherein low voltage is applied to the lower leg of the airbag. 当静脉被血液灌注时,小腿气囊中的压カ增加,直到达到平稳。 When venous blood is perfused, pressure ka leg airbag increases until smooth. 使压カ达到平稳所用的时间是VRT。 Ka pressure reached a plateau so that the time used is VRT. 如果两个套连接到控制器14,则单独地为每个正被压迫的肢体确定VRT并且两个测量中的较大者被用作压迫周期的新排放时间。 If the two sets are connected to the controller 14, it is separately determined for each VRT limb being oppressed and the larger of two measurements was used as the discharge time of a new compression cycle. 当每个特定套独立地达到设定压カ时为每个套进行VRT测量。 When each particular set independently for each measured VRT performed reaches the set pressure sleeve ka. 然而,并不更新排放时间,直到已为两个套计算出VRT測量。 However, it does not update the discharge time until the measurement has been calculated for the two sets of VRT.

[0086] 例如,压迫治疗系统10可以在系统开始血管治疗之后使用VRT測量。 [0086] For example, compression treatment system 10 may be used after the system starts to measure the VRT treatment vessel. 随后,在30分钟过去之后,将在下ー个完整膨胀周期进行VRT測量。 Then, after 30 minutes in the past, the next expansion cycle complete ー VRT measurements. 在上述套中的任何一个膨胀之后,特定套的ー个或多个气囊在缺省膨胀周期中被排放降到零。 After any of the above-described expansion sleeve, the particular set of one or more ー balloon is discharged to zero by default in the expansion cycle.

[0087] 可以预见,当压カ下降到5-7mmHg时所选气囊压力被监视和气囊的排放ロ被关闭。 [0087] It is foreseeable that the selected balloon pressure when the pressure dropped to 5-7mmHg ka monitored and discharge balloon ro is closed. 如果在当前的周期气囊中的压カ为5-7mmHg,则进行VRT測量。 If the pressure in the current cycle ka airbag is 5-7mmHg, VRT measurement is performed. 如果气囊中的压カ并不排放降到5-7mmHg,则排放时间降保持在其当前值并且降在30分钟内进行另ー测量。 If the balloon is not pressing ka emissions to 5-7mmHg, the discharge time is reduced and maintained at its current value drop over 30 minutes ー another measurement. 如果发生错误,则相应的警报提供可听和/或可视提示。 If an error occurs, the corresponding alarm provides an audible and / or visual cues.

[0088] VRT測量算法确定所选气囊中的压カ在压迫之后何时平稳。 [0088] VRT measurement algorithm determined pressure in the airbag when the selected grades after smooth compression. 将单独地为两条腿确定VRT。 The separately determined for the two legs VRT. 两个回灌时间的较长者将被用作新排放时间。 Two longer recharge time will be used as the new emission time. 如果仅仅对一条腿施加压迫,则用于那条腿的VRT被用作新排放时间。 If compression is applied to only one leg, the leg of a new emission time is used as the VRT. VRT测量算法始于从膨胀周期结束时开始的计时器,所述膨胀周期发生在所选气囊达到5-7mmHg(导致气囊保持与腿的表面接触的足够压力)并且排放停止之后。 VRT measurement algorithm begins a timer starts from the end of the expansion cycle the expansion of the airbag reaches a selected period occurs 5-7 mmHg (balloon cause sufficient pressure to maintain contact with the surface of the leg) and stops after the discharge. VRT测量算法始于从所述膨胀周期结束时开始的计时器。 VRT measurement algorithm starts the timer starts at the end of the expansion cycle.

[0089] 然后监视所选气囊中的压力。 [0089] and then monitoring the selected pressure of the airbag. 作为例子,用10秒的移动采样窗口监视所述压力。 As an example, monitoring the pressure moving the sampling window 10 seconds. 所述窗口以I秒的时间间隔移动。 Said second window to the time movement interval I. 当当窗口中的第一和最后值之间的差值小于大约0.3mmHg时曲线达到其平稳阶段。 Curve reaches a plateau which is the difference between the first window and the coupons last value of less than about 0.3mmHg. VRT测量被视为已完成,并且时段被确定。 VRT measurement is considered to have completed, and the period is determined. 窗口的终点被视为肢体中的静脉系统回灌的点。 The end of the window is considered to recharge points limb venous system.

[0090] 不依赖于VRT测量,在相同肢体上的下一个压迫周期开始之前允许所选气囊排放至少15秒。 [0090] VRT measurement is not dependent on the next compression cycle begins in the same limb airbag before allowing discharge of the selected at least 15 seconds. 作为安全系数,为测量的回灌时间增加5秒,从而不会过早压迫肢体。 As a safety factor, an increase of 5 seconds recharge time measurement, so as not to prematurely limb compression. 可以预见,排放时间可以等于测量的回灌时间加上5秒。 It is foreseeable, it may be equal to the discharge time of the recharge time measurement plus five seconds. 例如,作为患者移动的结果,采样窗口中的标准偏差可能太高,从而使测量出现错误。 For example, as a result of patient movement, the standard deviation of the sampling window may be too high, so that measurement errors. 在这一点上,计算结果被丢弃并且使用以前的VRT值。 At this point, the results are discarded and the previous used value VRT. 如果在测量期间的任何时间所选气囊中的压力小于2mmHg,则VRT测量被视为是错误的,计算结果被丢弃,并且使用以前的VRT值。 If at any time during the pressure measurement is less than the selected balloon 2 mmHg, the VRT measurement is considered incorrect, the results are discarded and the previous used value VRT. 这可能发生在系统中存在泄漏的情况下。 This may occur in the system in the presence of a leak. 可以预见,如果在VRT测量期间的任何时间压力大于20mmHg,则使用以前的VRT值。 It can be expected, if the pressure at any time during the VRT measurement is greater than 20mmHg, VRT previous value is used. 进一步可以预见,如果为两条腿进行了VRT测量,则使用两条腿的较长VRT。 Further contemplated, if the measured VRT two legs, the two legs using longer VRT. 可以想象,如果计算出的VRT大于60秒,则使用60秒的值。 Imagine, if the calculated VRT greater than 60 seconds, using the value of 60 seconds. 如果计算出的VRT小于20秒,则使用20秒的值。 If the calculated VRT less than 20 seconds, the value of 20 seconds is used.

[0091] 作为另一选择,压迫治疗系统10可以使用以下错误代码中的一个、多个或全部以提供系统错误或故障的可听和/或可视提示。 [0091] Alternatively, compression treatment system 10 may be used in a following error code, to provide a plurality or all of the system errors or failures audible and / or visual cues. 这些特征有利地增强了血管治疗期间治疗对象的安全性。 These features advantageously enhance the safety of the treatment of a subject during vascular therapy. 若干错误条件可以导致压迫治疗系统10提供警报和停止特定的压迫周期。 Some error conditions may lead to compression and treatment system 10 provides an alarm to stop a specific compression cycle. 可以预见,压迫治疗系统10可以闪耀错误指示器,发出连续信号声,等等,导致使用者重置压迫治疗系统10。 Can be expected, treatment system 10 can shine compression error indicator, emits a continuous sound signal, etc., causing the user to reset the compression treatment system 10. 控制器14可以为以下错误条件中的一个、多个或全部提供错误警报:高压错误,包括超过设定压力的那些测定压力;低压错误,包括低于设定压力的那些测定压力以及没有检测到套;系统压力错误,包括在膨胀周期内确定的在期望的参数之外的压力;阀错误;软件错误;泵错误;排放和收缩错误;电池错误;和温度错误,包括在特定的环境条件之外的测定温度。 The controller 14 may be one of the following error conditions, to provide a plurality or all of the false alarms: high pressure error, including those measured pressure exceeds a set pressure; the low pressure error, including those measuring pressure below the set pressure and is not detected sets; system pressure error, including determining the pressure in the expansion period outside of desired parameters; a valve error; software error; error pump; emissions and shrinkage error; battery error; and temperature errors, including the environmental conditions in a specific measuring the temperature outside.

[0092] 在一个备选实施方式中,如图8中所示,与上述类型的压迫治疗系统10包括被构造成为治疗对象的足提供血管治疗的足套312。 [0092] In an alternative embodiment, shown in Figure 8, the above-described type comprising a foot compression therapy system 10 is configured to be subject to provide therapeutic treatment vessel 312 bootie. 足套312包括气囊314,所述气囊用空气膨胀以对足施加压力并且然后收缩。 Foot sleeve 312 includes a balloon 314, the balloon inflated with air to apply pressure to the foot and then shrunk. 例如参见2004年2月23日公开的、发明名称为“压迫装置”的、序列号为No. 10/784,604的美国专利申请中所描述的套,所述申请的全部内容被结合于此以作参考。 See, for example, the entire contents of February 23, 2004 disclosed, entitled "compression means", Serial No. U.S. Patent Application sleeve No. 10 / 784,604 are described, which application is incorporated herein reference.

[0093] 泵50与足套312流体地连通。 [0093] 50 communicates with a pump 312 fluidly bootie. 套312包括与匹配连接器42配合的连接器316,所述匹配连接器通过管系44连接到端口40。 Sleeve 312 includes a mating connector 42 connected to the mating connector 316, the mating connector 44 through tubing 40 to the port. 阀连接器316通过管系318与套312的气囊314流体连通。 The connector 316 through valve 314 in fluid communication with the balloon tubing 318 and sleeve 312. 因此,该构造便于气囊314和泵50之间的流体连通。 Thus, the airbag 314 and is configured to facilitate fluid communication between the pump 50. 足套312通过横穿足的足背的钩和环型连接片320以及钩和环型连接踝带322缠绕足的侧部。 Bootie 312 320 and the side hook and loop type connection ankle strap 322 is wound across the foot by the foot instep hook and loop type connection piece.

[0094] 一旦完成类似于所述的用于治疗系统10的自测试顺序压迫,控制器14开始套检测程序以确定连接到端口38、40的套的一个或多个类型。 [0094] Upon completion of self-test similar to that described for sequential compression therapy system 10, the controller 14 sets the start detection routine to determine a sleeve connected to the port 38, 40 or more types. 关于足套312,由对应于气囊314的控制器14的控制处理器检测反压力,所述气囊连接到出口端口40b。 About bootie 312, the back pressure detected by the controller 314 corresponding to the airbag control processor 14, the airbag is connected to the outlet port 40b. 可以预见,压迫治疗系统10可以用足套312治疗对象的第二条腿的足并且如上所述还在交替膨胀周期中治疗腿L。 It is foreseeable that compression treatment system 10 may be a second leg foot bootie 312 as described above is also the subject being treated and the treatment period are alternately expanded leg L. [0095] 在用于足套312的一个特定的典型压迫周期中,压迫参数包括5秒的膨胀期,接着是60秒的排放。 [0095] In a typical compression cycle for a particular foot sleeve 312, the compression parameter includes an expansion of 5 seconds, 60 seconds followed by a discharge. 在下面的表3中示出了一个例子。 In the following Table 3 shows an example.

[0096] 表3 [0096] TABLE 3

[0097] [0097]

Figure CN102614074AD00141

[0098] 可以预见,在治疗对象的足上从一个膨胀周期结束到下一个膨胀周期开始测量排放期。 [0098] It can be predicted from the treatment of a subject on the foot end of the expansion period of the next cycle starts to measure the expansion of the discharge. 进一步可以预见,治疗对象的两个肢体可以被治疗并且压迫治疗系统10从腿L到第二条腿交替进行血管治疗。 Further contemplated, two limbs treating a subject can be treated and treatment system 10 alternate compression treatment vessel from the leg to the second leg of the L. 可以想象,从用于腿L的膨胀周期结束到用于第二条腿的膨胀周期开始的时间段可以在7. 5-27. 5秒内变化。 Conceivable for the leg L of the expandable end of the cycle to the beginning of the period for the second leg of the expansion cycle can be varied within 5-27 7. 5 seconds.

[0099] 在如上所述的用于治疗对象的足的初始膨胀周期期间,泵50启动缺省低电压,从而在初始周期不过膨胀气囊314。 [0099] During the expansion cycle described above for the initial treatment of the foot of the subject, the pump 50 starts default a low voltage, so that in the initial period but expandable balloon 314. 螺线管阀60b被通电以到达如上所述的打开位置,使得所述阀打开以使用期望的周期时序将空气输送至气囊314。 The solenoid valve 60b is energized to an open position as described above, such that the valve is opened to use the desired timing cycle air is fed into the airbag 314. 压力传感器66在整个5秒的压迫周期监视气囊314中的压力。 The pressure sensor 66 in the entire monitoring period of 5 seconds compression pressure in the bladder 314. 在膨胀周期结束时,泵50停止并且螺线管阀60b断电以到达关闭位置,从而通过排放端口68b允许气囊314收缩。 At the end of the expansion cycle, the pump 50 is stopped and the solenoid valve is de-energized to the closed position 60b, thereby allowing contraction of the balloon 314 through the discharge port 68b.

[0100] 可以想象,如果治疗对象的第二只足以用于血管治疗,螺线管阀58b被通电以到达如上所述的打开位置,使得所述阀打开以使用期望的周期时序将空气输送至类似于足套312的围绕另一条腿布置的足套的相应气囊。 [0100] conceivable that, if the treated subject is sufficient for only a second vascular treatment, the solenoid valve 58b are energized to reach the open position as described above, such that the valve is opened to a desired cycle timing used to deliver air to like bootie respective airbag disposed around the other leg 312 of the bootie. 例如,压力传感器66在整个5秒的压迫周期监视所述相应气囊中的压力。 For example, a pressure sensor 66 in the entire monitoring period of 5 seconds compression pressure in the respective bladder. 在膨胀周期结束时,泵50停止并且螺线管阀58b断电以到达关闭位置,从而通过排放端口66b允许所述相应气囊收缩。 At the end of the expansion cycle, the pump 50 is stopped and the solenoid valve is de-energized to the closed position 58b, thereby allowing the respective balloon is deflated through the exhaust port 66b. 进一步可以预见,用于治疗第二只足的膨胀周期可以在完成用于治疗足套312所治疗的足的膨胀周期之后大约27. 5秒开始。 Further contemplated, for only the second treatment period sufficient expansion may begin after completion of the treatment for the treatment of foot sleeve 312 is expanded a sufficient period of about 27.5 seconds. 可以为与两只足有关的周期重复该过程,或者作为另一选择,为第一条腿的足套和第二条腿的腿套重复该过程。 This process may be repeated with the period of about two feet, or alternatively, the process is repeated for the first leg and the second leg of the bootie leg cuffs. 可以预见,压迫治疗系统10可以为套和足套的任何组合提供交替压迫,如果使用这样的组合,则在足膨胀周期之后为所有排放期增加例如附加排放时间的6秒缓冲,从而总时间与缺省套压迫参数一致。 After contemplated, compression treatment system 10 may be provided alternately oppression sets any combination of the bootie, if such a combination, at the foot expansion cycle to increase all emissions of for example 6 seconds buffered additional discharge time, so that the total time consistent set of default compression parameters. 可以预见其它周期时间。 Other foreseeable period of time.

[0101] 在该实施方式中,由压力传感器66和中继到控制器14的控制处理器的相应信号测量的目的压力例如为130mmHg。 [0101] In this embodiment, the pressure sensor 66 by the control processor and the relay signal measurement object corresponding to the pressure controller 14 to, for example, 130mmHg. 可以预见,压迫在该周期模式中继续,直到压迫治疗系统10被关闭或控制器14通过可听或可视提示指示错误代码。 It is foreseeable that in the compression cycle mode continues until the compression treatment system 10 is turned off or the controller 14 prompts indicated by an audible or visual error codes.

[0102] 对于所述用于足套312的初始膨胀周期以后的膨胀周期,可以按照压力传感器66进行的压力测量进行压力反馈调节。 [0102] pressure to the foot sleeve for subsequent expansion of the initial period 312 of the expansion cycle, the pressure sensor 66 can be performed in a pressure measurement feedback regulation. 在用于足套312的初始膨胀周期结束时,气囊314中的周期结束压力由压力传感器66测量并且由控制器14的控制处理器与130mmHg的设定压力比较。 In a bootie initial expansion of the end of cycle 312, the airbag 314 in the end of the cycle the pressure measured by the pressure sensor 66 and compared by the processor 14 and the controller controls the set pressure of 130mmHg. 如果气囊314的压力高于或低于设定压力,则需要泵50的速度相应减小或增加以减小或增加压力输送。 If the pressure bladder 314 is above or below the set pressure, the pump 50 requires a corresponding decrease or increase the speed to decrease or increase the delivery pressure. 泵速调节基于以下计算: Adjusting the pump speed based on the following calculation:

[0103] 调节=|130_P|,其中P =在足处的压力。 [0103] adjusted = | 130_P |, where P = pressure at the foot.

[0104] 如果所述压力小于设定压力,则用于下一个周期的泵速被增加调节量。 [0104] If the pressure is less than the set pressure, the pump speed for the next cycle is increased the amount of adjustment. 如果所述压カ大于设定压力,则用于下ー个周期的泵速被减小调节量。 Ka if the pressure is greater than a set pressure, the pump speed for the next ー cycle adjustment amount is reduced. 可以预见,甚至在达到设定压力范围之后调节过程还继续。 It is foreseeable that even after reaching the set pressure range adjustment process continues. 进ー步可以预见,压迫治疗系统10可以为连接到控制器14的每个套调节独立泵速。 Step into ー contemplated, compression treatment system 10 may be connected to each sleeve independently adjusted pump speed controller 14. 还可以预见其它顺序压迫周期。 It is also contemplated Other sequential compression cycles.

[0105] 将会理解,可以对在此公开的实施方式进行各种修改。 [0105] It will be understood that various modifications may be made to the embodiments disclosed herein. 所以,以上描述不应当被理解成限制,而是应当仅仅被理解成各种实施方式的举例。 Therefore, the above description should not be construed as limiting, but rather should be understood to merely example embodiments of various ways. 在后附于此的权利要求的范围和精神内本领域的技术人员将可以想象其它修改 Within the scope and spirit of the claimed appended hereto skilled in the art that other modifications will be conceivable

Claims (5)

1. 一种压迫治疗系统,包括: 围绕肢体支撑的第一和第二气囊; 用于监视所述第一和第二气囊的压カ的压カ传感器; 用于控制流体相对于流体源流动的止回阀,其中所述第一和第二气囊、压カ传感器和止回阀与所述流体源流体连通。 A compression therapy system, comprising: first and second balloon around the limb support; means for monitoring the pressure of the first and second balloon ka ka pressure sensor; a fluid source with respect to the fluid flow control a check valve, wherein said first and second bladders, the pressure transducer and ka non-return valve in fluid communication with the fluid source.
2.如权利要求I所述的压迫治疗系统,进一歩包括与所述流体源和所述压カ传感器相联的控制器,所述控制器被构造成监视和调节所述气囊中的压カ。 2. The compression treatment system of claim I, including a controller into a ho with the fluid source and the pressure sensor associated grades, the controller is configured to monitor and adjust the pressure in the balloon ka .
3.如权利要求I所述的压迫治疗系统,其中所述外壳包括可连接到多个气囊的多个端□。 I compression therapy system according to claim 2, wherein said housing comprises a plurality of air cells can be connected to a plurality of end □.
4.如权利要求3所述的压迫治疗系统,其中所述压カ传感器监视在所述多个端ロ的每一个处的压カ以确定气囊是否与之连接并且将代表信号发送到所述控制器。 4. The compression treatment system according to claim 3, wherein the pressure sensor monitoring the pressure ka ka at each of the plurality of end ro to determine whether the airbag connected thereto and transmits representative signal to the control device.
5. —种压迫治疗系统,包括: 围绕肢体支撑的至少ー个气囊; 用于监视所述至少一个气囊的每ー个的压カ的压カ传感器;和用于控制流体相对于流体源流动的止回阀,其中所述止回阀布置在流体源和压カ传感器之间。 5. - kind of compression therapy system, comprising: at least about the limb bladders supported ー; for monitoring each of the at least one airbag ー a pressure sensor ka ka pressure; and means for controlling fluid flow relative to the fluid source a check valve, wherein the valve disposed between the fluid source and the pressure sensor ka.
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US10/784,604 2004-02-23
US10/784,639 2004-02-23
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US10/784,607 US7871387B2 (en) 2004-02-23 2004-02-23 Compression sleeve convertible in length
US10/784,639 US7490620B2 (en) 2004-02-23 2004-02-23 Fluid conduit connector apparatus
US10/784,323 US7354410B2 (en) 2004-02-23 2004-02-23 Compression treatment system
US10/784,323 2004-02-23
US10/784,604 US7282038B2 (en) 2004-02-23 2004-02-23 Compression apparatus
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