CN1315850A - Medical device for applying cyclic therapeutic action to person's foot - Google Patents

Medical device for applying cyclic therapeutic action to person's foot Download PDF

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Publication number
CN1315850A
CN1315850A CN99810329A CN99810329A CN1315850A CN 1315850 A CN1315850 A CN 1315850A CN 99810329 A CN99810329 A CN 99810329A CN 99810329 A CN99810329 A CN 99810329A CN 1315850 A CN1315850 A CN 1315850A
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CN
China
Prior art keywords
foot
flat board
aerating gasbag
instruments
arch
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN99810329A
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Chinese (zh)
Inventor
丹·马诺尔
罗尼·比比
伊莱·利维
阿舍·什穆列维茨
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
MEDICAL DYNAMICS Ltd
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MEDICAL DYNAMICS Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from PCT/IL1998/000352 external-priority patent/WO1999006004A1/en
Priority claimed from IL12646298A external-priority patent/IL126462A0/en
Priority claimed from IL12832899A external-priority patent/IL128328A0/en
Priority claimed from IL13000099A external-priority patent/IL130000A0/en
Application filed by MEDICAL DYNAMICS Ltd filed Critical MEDICAL DYNAMICS Ltd
Publication of CN1315850A publication Critical patent/CN1315850A/en
Pending legal-status Critical Current

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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
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0266Foot
    • 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
    • A61H2201/01Constructive details
    • A61H2201/0119Support for the device
    • 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
    • A61H2201/01Constructive details
    • A61H2201/0157Constructive details portable
    • 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
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • 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
    • A61H2201/165Wearable interfaces
    • 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
    • A61H2201/1657Movement of interface, i.e. force application means
    • A61H2201/1676Pivoting
    • 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 medical device for applying a cyclic therapeutic action to a subject's foot, the device including a platform with at least one independently actuable inflatable bladder to solely underlie the subject's foot, an inflatable bladder converging towards a laterally extending neck portion with an aperture raised with respect to said platform on accommodation of a subject's foot inside the medical device.

Description

People's foot is implemented the medical apparatus and instruments of circulation treatment
The invention belongs to the medical apparatus and instruments of human body lower limbs and especially people's foot being implemented circulation treatment.
The people who is much comprised the multiple disease of especially all tremulous pulsies and venous disease, hypertension, diabetes and dark courageous and upright phlebitis treats from the medical apparatus and instruments that foot and lower limb flow to heart to promote venous blood by having at least one aerating gasbag and being used for that human body lower limbs and especially his foot are implemented circulation treatment.
Can promote flowing of venous blood by one of vein muscle pumping that to stimulate two physiological functions be people's sura and emptying of people's peduncular veins vascular plexus or both.Particularly, in U.S. Pat 2,531,074, US3,454,010, US3,683,897, US3,789,836, US4,003,374, US4,696,289, US4,945,905, US4,989,589, US5,117,812, US5,354,260, US5,396,896, US5,443,440, describe and show among WO 88/09653, DE 30 09 408 and SU 0 1452-523 and be used to stimulate one of described two physiological functions or whole medical apparatus and instruments.
Especially, GB 2 213 784 describes and shows a kind of like this medical apparatus and instruments, and it has one and has four staggered but flat boards of nonoverlapping aerating gasbag, and wherein said aerating gasbag is along the flat board setting, so that support foot is with, arch of foot, metatarsal and toe separately.This aerating gasbag is equipped with a plastic tube that links to each other with pressure source respectively.These pipes are harder, and since they be distributed in patient's foot below, so when patient stands, can feel them, thereby can allow the people feel under the weather.
According to a first aspect of the invention, a kind of medical apparatus and instruments that is used for people's foot is implemented circulation treatment is provided, this apparatus comprises that one has at least one and can independently enable so that support the flat board of the aerating gasbag of people's foot separately, wherein each aerating gasbag shrinks towards a side cervical region that has a hole, described hole described relatively dull and stereotyped rising in people's foot is wrapped in this medical apparatus and instruments the time.
Medical apparatus and instruments preferably is equipped with four aerating gasbags that are crisscross arranged in nonoverlapping mode along its flat board, so as respectively only support foot can periodically apply the compressed line ripple to foot plate surface thus with, arch of foot, metatarsal and toe.The size of aerating gasbag is such, and promptly its spacing makes them to extend jointly with foot plate surface basically.In addition, flat board is preferably formed as an arc arch support pad and an arc toe support pads that is used for firmly supporting the toe root that is used for firmly supporting people's foot arch of foot.Two basic embodiment of this medical apparatus and instruments have been found out in advance: be designed to the boots shape shoes that seem and wear and resemble the normal domestic use slippers, can not make people must change footwear thus for therapeutic purposes, and the common flat single-piece folding foot-binding of treatment as being used for treating in bed patient that is used for the longer time.
According to a second aspect of the invention, a kind of medical apparatus and instruments that is used for people's foot is implemented circulation treatment is provided, described apparatus comprises that the boots shape shoes of the whole foot that is used for putting patient and at least one for good and all are arranged on described footwear and is communicated with a pressure source fluid so that the aerating gasbag that foot plate surface is exerted pressure selectively
It is characterized in that, described shoes have a connector that can touch from the outside on the outer surface that firmly and directly is fixed on footwear, and described connector is communicated with described at least one aerating gasbag fluid all the time and can disconnects selectively with the fluid of described pressure source and being communicated with.
According to a third aspect of the invention we, a kind of medical apparatus and instruments that is used to realize the dorsiflex of people's foot is provided, described apparatus comprises a flat board that is used to support people's foot, it has one and is used for only should making relatively periodically forefoot to be lifted away from the dull and stereotyped entopic aerating gasbag of its contact flat board, make forefoot thus with respect to the remainder bending that steps down in the foot on the flat board, described aerating gasbag has first compartment that is stacked on the flat board and is hinged on second compartment on first compartment and is used to limit limited part away from the maximum height of edge when aerating gasbag is inflated of second compartment of described trailing edge along the trailing edge of the sensing heel of described aerating gasbag, thus, this aerating gasbag presents the leg-of-mutton inflated shapes towards the heel convergent.
The particular design shape of aerating gasbag is such, be it can be under the less situation of volume as the aerating gasbag similar with being generally equilateral and size compare and have bigger maximum height, thus, even adopt less compressor, also can realize high cycling rate.
According to a forth aspect of the invention, a kind of medical apparatus and instruments that is used to make people's instep to bend is provided, this apparatus comprises a flat board that is used to support people's foot, it has a wedge shape support pads towards the heel convergent, so that firmly support forefoot under a posture with respect to the remainder bending that steps down in the foot on the flat board; And one be installed on this support pads so that make forefoot be lifted away from the dull and stereotyped entopic aerating gasbag of contact with respect to it circularly.
According to a fifth aspect of the invention, provide a kind of medical apparatus and instruments that is used for people's foot is applied circulation treatment, this apparatus comprises a flat board that is used to support people's foot and has the arc arch support pad of an arch of foot that is used for firmly supporting patient; And one be used for making circularly forefoot to be lifted away from the dull and stereotyped entopic aerating gasbag of its contact with respect to flat board, and patient's foot is realized around working shaking of the arch support pad that props up the effect of point-like part.
According to a sixth aspect of the invention, provide a cover to be installed in device on the wheelchair, wherein wheelchair has a pair of footrest that is used to support wheelchair occupant's foot, and a described covering device comprises: a compressor that is driven by rechargeable battery; A pair ofly can form that fluid be communicated with this compressor and can be installed in medical apparatus and instruments on the footrest, each medical apparatus and instruments can be implemented the circulation treatment to foot; And controller that is used to control the work of medical apparatus and instruments.
By this covering device of the present invention, the wheelchair occupant is accepted the mobile treatment of bad venous blood when still can carrying out daily routines by making instep bend and/or foot plate surface is applied the compressed line ripple.
According to a seventh aspect of the invention, provide a kind of medical apparatus and instruments that is used to make people's foot plantar flex, this apparatus comprises: one is used for this medical apparatus and instruments is contained in installed part on people's lower limb; One is fixed on this installed part also sagging so that cover the elongated support member of the portions of proximal of patient's foot front surface at least; An aerating gasbag that extends along the bottom surface of supporting member; And but one be fixed on central authorities so that around the bundle foot part of the elastic bending of the arch of foot of foot along supporting member.
In order to understand the present invention and to recognize how to realize the present invention, only preferred embodiment is described now by the indefiniteness example and referring to accompanying drawing ground, wherein:
Fig. 1 is the view that is designed to the medical apparatus and instruments of boots shape shoes;
Fig. 2 is the perspective view of boots shape shoes shown in Figure 1;
Fig. 3 is the viewgraph of cross-section along the shoes shown in Figure 1 of the III among Fig. 1-III line, and shoes wherein have and are used for the aerating gasbag of having inflated that the metatarsal region of foot is exerted pressure;
Fig. 4 is the decomposition view of boots shape shoes shown in Figure 1;
Fig. 5 is the vertical view of medical apparatus and instruments that is designed to put the normally flat single-piece folding foot-binding of patient's foot;
Fig. 6 is the view of collapsible foot-binding shown in Figure 5;
Fig. 7 is the diagrammatic side view of medical apparatus and instruments shown in Fig. 1,5 of its modified version of expression;
Fig. 8 is the curve chart of the inflation order of aerating gasbag from the heel to the toe of medical apparatus and instruments shown in the presentation graphs 1,5;
Fig. 9 is the view that is used to make people's instep medical apparatus and instruments in the wrong;
Figure 10 is the perspective view of the aerating gasbag of medical apparatus and instruments shown in Figure 9;
Figure 11 A, 11B are the side views of the medical apparatus and instruments shown in Figure 9 in the work;
Figure 12 is the diagrammatic side view that is used to make the another kind of medical apparatus and instruments of barefoot dorsiflex;
Figure 13 is the diagrammatic side view that is used to make another medical apparatus and instruments of barefoot dorsiflex;
Figure 14 A, 14B are the diagrammatic side view that is used to make the medical apparatus and instruments that people's foot rocks around the arch support pad;
Figure 15 is equipped with a cover to be used to make the view of the wheelchair of the device that wheelchair occupant's instep bends; And
Figure 16 A, 16B are the side views of medical apparatus and instruments that is used to make the plantar flex of people's foot.
Referring now to Fig. 1-4,, medical apparatus and instruments 1 is designed to can be used to put the boots shape shoes 2 of people's left foot, and shoes 2 are made of a vamp 3 and a sole 4 made from the textile-like sheet material.Vamp 3 is divided into left half vamp 6 and right half vamp 7, and this two halves vamp is sewn to together except its its common edge of forward peak 8 outers, so that can allow patient's foot insert and extract out shoes 2 like a cork.By strengthen the heel 9 of vamp with group 11, be provided with one simultaneously and have footwear lid 12 (the seeing Fig. 3,4) that are used for the velcro banding pattern hook-type securing member 13 that cooperates with velcro banding pattern loop fasteners 14 on half vamp 7 of the right side, so that when people wear footwear, footwear 2 are fastened on the foot.
Footwear lid 12 has limited a roughly pocket 16 of triangularity, it has a hole 17 near a connector 18 that can touch from the outside, heel 9 ground towards footwear are fixed on left half vamp 6 this connector 18 by a tab 19, and described tab engages (see figure 4) with a clasp shape member 21 that is provided with along a side of connector 18.Connector 18 is suitable for linking to each other with a complementary connector 22 that stably is communicated with pressure source 23 fluids under the control of controller 24 selectively.Connector 18 and 22 belongs to the self-alignment magnetic lock bolt type that can separate fast, and they have first couple of Magnet 26A, 26B and have second couple of Magnet 27A, 27B at the other end at the one end.Magnet is so polarized to 26A, 26B and 27A, 27B, and promptly connector 22 can only link to each other with connector 18 according to single predetermined way.
Pressure source 24 has four outlet 28A-28D, they are communicated with four hole 29A-29D fluids on connector 22 upstream sides, these four hole 29A-29D form fluids with four hole 31A-31D on connector 18 downstreams and are communicated with making under connector 22 and the 18 interconnective situations again, and the latter forms with four aerating gasbag 32A-32D that fluids are communicated with again so that independently aerating gasbag 32A-32D is inflated to toe or toe to the order of heel and exit according to the heel of being scheduled to.
Aerating gasbag 32A-32D is bonded on dull and stereotyped 33 the upside and according to nonoverlapping mode and is crisscross arranged along flat board, so that exerted pressure in the bottom surface of toe, metatarsal region, plantar region and heel respectively.Aerating gasbag 32A-32D has the cervical region 34A-34D that extends laterally, and they are half vamp 6 towards a left side.Cervical region 34A-34D has hole 35A-35D, these holes link to each other with four hole 31A-31D above dull and stereotyped 33 and by plastic tube 36A-36D, above-mentioned plastic tube extends between the junction surface between left half vamp 6 and the sole 4, and passes pocket 16 ground and stretch to connector 18.Like this, that pipe 36A-36D normally can't see and so laid, promptly patient is in imperceptible their existence of when walking, otherwise can make patient feel certain uncomfortable.
Dull and stereotyped 33 more flexible the going up between sole spare 37 and the harder following sole spare 38 that are placed in an internal sole structure 39, above-mentioned internal sole structure is placed in again between vamp 3 and the sole 4.Last sole spare 37 is fixed on the vamp 3 along periphery, and sole spare 38 is along the peripheral slit 39 that links to each other with the bottom surface of last sole spare 37 and be equipped with a longitudinal extension at first down, and dull and stereotyped 33 can be inserted into a (see figure 3) in the groove 41 that puts that takes shape between the upper and lower sole spare 37,38 by this vertical slit.
Except not being arranged on the connector 18 on its inner surface highlightedly, shoes 2 just look as if common boots shape slippers, and can replace slippers.People just can be fixed on connector 18 on the connector 22 so that treat near only need forming between Magnet is to 26,27 when being tightly connected closely connector 22 being taken to connector 18 like a cork.After treatment, can make connector 22 break away from connector 18 like a cork by allowing foot leave connector 22.
Now referring to Fig. 5 and 6, medical apparatus and instruments 50 is similar to medical apparatus and instruments 1, but it is designed to a normally flat single-piece folding foot-binding 51, and this foot-binding has the core 52 of a bearing flat plate 33, left and right upper portion 53,54 and bundle heel part 56.Medical apparatus and instruments 50 has the flat board 33 that similarly has four positions aerating gasbag 32A-32D thereon, aerating gasbag 32A-32D assembles towards the cervical region 34A-34D that has hole 35A-35D, in this case, described hole will bind foot 51 be elevated to when swathing on patient's foot dull and stereotyped 33 above.Hole 35A-35D is equipped with the pipe 36A-36D that is communicated with connector 18 fluids that are used for linking to each other with pressure source 23.Foot-binding 51 is normally used for long treatment, for example when patient in bed, but because the layout of pipe 36A-36D, make and overlapping 51 the patient of binding foot on the foot and do not stand with can having any discomfort sense.
Referring now to Fig. 7,, medical apparatus and instruments 60 is similar to medical apparatus and instruments 10, and its difference is that it is h that flat board 33 is provided with a height 1Be used for stably support vola arciform arc arch support pad 61 and a height is h 2The arc toe bow portion support pads 62 that is used for stably supporting the toe root.Support pads 61 is general maximum than dull and stereotyped 33 high about 0.7 centimetre-1.2 centimetres and preferably high about 1.0 centimetres, and support pads 62 is general maximum than dull and stereotyped 33 high about 0.3 centimetre-0.7 centimetre, and preferably high 0.5 centimetre.Support pads 61,62 can bring many advantages, comprising providing comfortable fit more with the similar mode of orthopaedic insole, help to satisfy to the demand in small pressure source 33 and can obtaining predetermined pressure more quickly in relevant aerating gasbag 32C, 32A.
Now referring to Fig. 8, the figure shows from the heel to the toe ground and give the order of aerating gasbag 32A-32D inflation and venting, this and traditional being used to make venous return the compressed line ripple by completely different as far as near direction.In fact order from the heel to the toe has imitated the attitude of people's walking, thereby has stimulated the vein blood vessel clump of muscle pumping of patient's sural veins and foot naturally.
Now referring to Fig. 9-Figure 11, the medical apparatus and instruments 70 that is used to realize the dorsiflex of foot comprises one with a heel support pads 72, a branch of foot flat board 71 with 73 and one aerating gasbag 74.Aerating gasbag 74 is arranged on an end of dull and stereotyped 71, so that support forefoot separately, and it links to each other with pressure source 76 under the control of controller 77, so that periodically make it be inflated to a wedge-type shape towards the other end convergent of flat board (seeing Figure 11 B) from common flat shape (seeing Figure 11 A).
Aerating gasbag 74 comprises one three sections covers 78, it comprises part 78A, 78B and 78C, first two section is made into one and is used to admit a sack 79 that is generally foursquare single inflation element 81, and then part is the limited part of the maximum height of a wedge shape that is used for restricted charging.Inflation element 81 twice stitching thread 82A, the 82Bs of quilt in core 83 both sides are divided into equal-sized two compartment 81A, 81B, and described core can make two compartment 81A, 81B form the fluids connection.Each compartment 81A, 81B have a rigid member 84 on its top, and compartment 81B is furnished with an inlet 86 that also is used for to another compartment 81A inflation.
Now referring to Figure 12, medical apparatus and instruments 90 and medical apparatus and instruments 70 are similar and also comprise the periodicity dorsiflex that is used to realize foot and around the arc arch support pad 61 that rocks of arch support pad 61.
Referring to Figure 13, medical apparatus and instruments 100 and medical apparatus and instruments 90 are similar and also comprise one towards heel wedge shape support pads 101 decrescence, so that stably be bearing on the bending position forefoot with respect to the bundle foot that is stacked on dull and stereotyped 72, help dorsiflex better thus, such dorsiflex is to occur under the more crooked posture of forefoot.Support pads 101 faces toward angle α that are about 30 degree with respect to dull and stereotyped 72, and has a simple inflatable article 102, and it is arranged on the flat board, is used to realize the circulation dorsiflex of foot and shaking around arch support pad 61.
Now referring to Figure 14 A, 14B, medical apparatus and instruments 110 has one and has an arc arch support pad 112 and a pair of aerating gasbag 113,114 flat board 111, described aerating gasbag is arranged on its side and forms fluid with pressure source 116 under the control of controller 117 and is communicated with, so that by alternately reinstating aerating gasbag 113 periodically, 114 and realize foot shaking around arch support pad 112, thereby raise under heel and the situation on heel is pressed in it with respect to dull and stereotyped 111 under the situation respectively on forefoot is pressed in it and raise forefoot with respect to dull and stereotyped 111, the vola dorsiflex that makes patient's foot thus effectively is with the vein blood vessel clump that helps emptying people foot and stimulate the pumping of sural veins muscle, so as with venous blood from patient's legs and feet pump to heart.Support pads 112 has be about 1 centimetre-3 centimetres and preferably be about 2 centimetres maximum height h above dull and stereotyped 111 usually 3
Now referring to Figure 15, wheelchair 120 with left and right footrest 121A, 121B has been equipped with the therapeutic equipment 122 of the dorsiflex of a foot that is used to realize the wheelchair occupant.Therapeutic equipment 122 comprises a compressor that is driven by rechargeable battery 123, controller 124 and two medical apparatus and instruments 126A, 126B.Compressor 123 and controller 124 are contained on the support 127; medical apparatus and instruments 126A, 126B are installed in respectively on footrest 121A, the 121B of wheelchair; be convenient to thus entirely carry therapeutic equipment 122, and therapeutic equipment thereby do not hinder patient to proceed daily routines.
Now referring to Figure 16 A, 16B, the medical apparatus and instruments 130 that is used for plantar flex has one and is used for medical apparatus and instruments 120 is installed in installed part 131 on patient's lower limb.Supporting member 132 is rigidly fixed on the installed part 131 basically so that arrange along the major part of people's foot front surface.Aerating gasbag 133 extends along the bottom side of supporting member 132 and is communicated with pressure source 134 fluids under the control of controller 136.But an almost fixed is surrounded the arch of foot of patient's foot at the bundle foot part 137 of supporting member 132 intermediary elastic bendings, so the cycle charge discharge QI excess of aerating gasbag 137 has showed periodically people's foot is carried out plantar flex, help the vein blood vessel clump of emptying people foot thus and stimulate the pumping of sural veins muscle, thereby venous blood is taken out to heart from people's legs and feet.
Can carry out various modification and the changes that fall in the present invention's spirit scope at above-mentioned project organization.The present invention includes those and fall into follow-up claims scope interior change and modification.For example, an aerating gasbag that is arranged on below the arch of foot can be divided into two aerating gasbags that are placed in respectively under arch of foot pars intermedia and its sidepiece.Medical apparatus and instruments 90,100,110 also can be equipped with a heel support pads 72 and a bundle foot is with 73.Wheelchair 120 can be equipped with one by in the above-mentioned medical apparatus and instruments any one and patient's foot is implemented the therapy equipment of any suitable circulation treatment effect.

Claims (52)

1. medical apparatus and instruments that is used for people's foot is implemented circulation treatment, this apparatus comprise one have at least three that can independently enable and along its be crisscross arranged in case respectively only support foot with, arch of foot with comprise metatarsal and the flat board of the aerating gasbag of the forefoot of toe, can only apply the compressed line ripple periodically thus to foot plate surface, it is characterized in that, each aerating gasbag shrinks towards a cervical region that extends laterally that has a hole, and described hole raises with respect to described flat board when patient's foot is housed in this medical apparatus and instruments.
2. apparatus as claimed in claim 1 is characterized in that, each cervical region points to the medial side of medical apparatus and instruments.
3. apparatus as claimed in claim 1 or 2, it is characterized in that, described medical apparatus and instruments is made into boots shape shoes, it has a connector that can touch from the outside that firmly and directly is fixed on the shoes outer surface, and this connector is communicated with described at least one aerating gasbag fluid all the time and can disconnects selectively with the fluid of a pressure source and being communicated with.
4. apparatus as claimed in claim 3 is characterized in that described connector is arranged towards heel.
5. apparatus as claimed in claim 3 is characterized in that, described boots shape shoes comprise an internal sole structure, and described flat board is arranged between the upper and lower sole spare.
6. apparatus as claimed in claim 5, it is characterized in that, the described sole spare of going up links to each other with the vamp of described shoes along periphery, and described down sole spare links to each other with described bottom surface of going up sole spare and is equipped with the slit of a longitudinal extension at first along periphery, and described flat board is inserted into one by this slit and takes shape in putting in the groove between the upper and lower sole spare.
7. apparatus as claimed in claim 1 or 2 is characterized in that, described medical apparatus and instruments is made into a common flat single-piece folding foot-binding.
8. as the described apparatus of one of claim 1-7, it is characterized in that the aerating gasbag below arch of foot comprises a pair of aerating gasbag that is positioned at below arch of foot middle part and the sidepiece thereof.
9. as the described apparatus of one of claim 1-7, it is characterized in that described flat board is equipped with four and is crisscross arranged so that separately support foot is with the aerating gasbag of, arch of foot, metatarsal and toe along it.
10. as the described apparatus of one of claim 1-9, it is characterized in that described at least one aerating gasbag is crisscross arranged along described flat board, so that extend jointly with sole basically.
11., it is characterized in that it also comprises an arc arch support pad that is used for firmly supporting arch of foot as the described apparatus of one of claim 1-10.
12. apparatus as claimed in claim 11 is characterized in that, described arch support pad is higher 0.7 centimetre-1.2 centimetres than described flat board at most.
13., it is characterized in that it also comprises an arc toe support pads that is used for firmly supporting the toe root as the described apparatus of one of claim 1-12.
14. apparatus as claimed in claim 13 is characterized in that, described toe support pads is maximum higher 0.3 centimetre-0.5 centimetre than described flat board.
15. medical apparatus and instruments that is used for people's foot is implemented circulation treatment, described apparatus comprises that the boots shape shoes of whole the foot that is used to put patient and one have that at least one dress is communicated with thereon and with a pressure source fluid so that the flat board of the aerating gasbag that foot plate surface is exerted pressure selectively, it is characterized in that, described shoes have a connector that can touch from the outside that firmly and directly is fixed on the shoes outer surface, and described connector is communicated with described at least one aerating gasbag fluid all the time and can disconnects selectively with the fluid of described pressure source and being communicated with.
16. apparatus as claimed in claim 15 is characterized in that, each aerating gasbag shrinks towards a cervical region that extends laterally that has a hole, and described hole is with respect to described dull and stereotyped the rising.
17. apparatus as claimed in claim 16 is characterized in that, each cervical region points to the medial side of described shoes.
18., it is characterized in that described connector is arranged towards heel as the described apparatus of one of claim 15-17.
19., it is characterized in that described shoes comprise an internal sole structure as the described apparatus of one of claim 15-18, described flat board wherein is arranged between the upper and lower sole spare.
20. apparatus as claimed in claim 19, it is characterized in that, the described sole spare of going up links to each other with the vamp of described shoes along periphery, described down sole spare links to each other with described bottom surface of going up sole spare and is equipped with the slit of a longitudinal extension at first along periphery, and described flat board is inserted into one by this slit and takes shape in putting in the groove between the upper and lower sole spare.
21. as the described apparatus of one of claim 15-20, it is characterized in that, described flat board have at least three that can independently enable and be crisscross arranged so that support patient's heel, arch of foot respectively separately and comprise metatarsal and the aerating gasbag of the forefoot of toe along it, can only apply the compressed line ripple periodically thus to foot plate surface.
22., it is characterized in that described flat board is furnished with four and is crisscross arranged so that separately support foot is with the aerating gasbag of, arch of foot, metatarsal and toe along it as the described apparatus of one of claim 15-20.
23., it is characterized in that described at least one aerating gasbag is provided with along described flat board with foot plate surface basically with extending jointly as the described apparatus of one of claim 15-22.
24., it is characterized in that it also comprises an arc arch support pad that is used for firmly supporting arch of foot as the described apparatus of one of claim 15-23.
25. apparatus as claimed in claim 24 is characterized in that, described arch support pad is maximum higher 0.7 centimetre-1.2 centimetres than described flat board.
26., it is characterized in that it also comprises an arc toe support pads that is used for firmly supporting the toe root as the described apparatus of claim 15-25.
27. apparatus as claimed in claim 26 is characterized in that, described toe support pads is maximum higher 0.3 centimetre-0.5 centimetre than described flat board.
28. a method that is used for people's foot is implemented circulation treatment, this method may further comprise the steps:
(a) provide a kind of medical apparatus and instruments that is used to support the flat board of people's foot that has, it have at least three that can independently enable and along its be crisscross arranged in case respectively only support foot with, arch of foot and comprise metatarsal and the aerating gasbag of the forefoot of toe; And
(b) inflate for aerating gasbag periodically, so that foot plate surface is applied the compressed line ripple according to the direction from the heel to the toe.
29. medical apparatus and instruments that is used to realize the dorsiflex of people's foot, described apparatus comprises a flat board that is used to support people's foot, it has one and is used for only making forefoot be lifted away from the dull and stereotyped entopic aerating gasbag of its contact periodically with respect to described flat board, make forefoot thus with respect to the remainder bending that steps down in the foot on the described flat board, described aerating gasbag has first compartment that is stacked on the described flat board and is hinged on second compartment on first compartment and is used to limit limited part away from the edge of second compartment of the described trailing edge maximum height when the described aerating gasbag inflation along the trailing edge of the sensing heel of described aerating gasbag, thus, described aerating gasbag presents the leg-of-mutton inflated shapes towards the heel convergent.
30. apparatus as claimed in claim 29 is characterized in that, described compartment is made of a single inflation element.
31. as claim 29 or 30 described apparatuses, it is characterized in that, described inflation element is installed in one on the wedge shape support pads of heel convergent, so that only firmly support forefoot under a posture with respect to the remainder bending that steps down in the foot on the described flat board.
32. apparatus as claimed in claim 31 is characterized in that, described support pads is about the 30 angle α that spend with respect to described flat board facing to one.
33., it is characterized in that it also comprises an arc arch support pad that is used for firmly supporting the arch of foot of patient's foot as the described apparatus of one of claim 29-32.
34. apparatus as claimed in claim 33 is characterized in that, described arch support pad is maximum higher 0.7 centimetre-1.2 centimetres than described flat board.
35. medical apparatus and instruments that is used to make people's instep to bend, this apparatus comprises a flat board that is used to support people's foot, it has one towards heel wedge shape support pads decrescence, so that firmly support forefoot under a posture with respect to the remainder bending that steps down in the foot on the flat board; And one be installed on the described support pads in case make periodically forefoot with respect to its be lifted away from the dull and stereotyped entopic aerating gasbag of contact.
36. apparatus as claimed in claim 35 is characterized in that, described support pads is approximately the 30 angle α that spend with respect to described flat board facing to one.
37. as claim 35 or 36 described apparatuses, it is characterized in that, described aerating gasbag has first compartment that is stacked on the described flat board and is hinged on second compartment on first compartment and is used to limit limited part away from the maximum height of edge when aerating gasbag is inflated of second compartment of described trailing edge along the trailing edge of the sensing heel of described aerating gasbag, thus, described aerating gasbag presents towards heel leg-of-mutton inflated shapes decrescence.
38. apparatus as claimed in claim 37 is characterized in that, described compartment is made of a single inflation element.
39., it is characterized in that it also comprises an arc arch support pad that is used for firmly supporting the arch of foot of patient's foot as the described apparatus of one of claim 35-38.
40. apparatus as claimed in claim 39 is characterized in that, described arch support pad is maximum higher 0.7 centimetre-1.2 centimetres than described flat board.
41. medical apparatus and instruments that is used for people's foot is applied circulation treatment, this apparatus comprise one be used for supporting people's foot thereon and have the dull and stereotyped of an arc arch support pad that is used for firmly supporting arch of foot and one be used for making periodically forefoot to be lifted away from out the dull and stereotyped entopic aerating gasbag of its contact with respect to described flat board, people's foot is realized around working rocking of the arch support pad that props up the effect of point-like member.
42. apparatus as claimed in claim 41 is characterized in that, about 1 centimetre-3 centimetres than the maximum height of described flat board on described arch support pad.
43., it is characterized in that it also comprises an arc toe support pads that is used for firmly supporting the toe root as claim 41 or 42 described apparatuses.
44. apparatus as claimed in claim 43 is characterized in that, described toe support pads is maximum higher 0.3 centimetre-0.7 centimetre than described flat board.
45., it is characterized in that it comprises that also one is used for making periodically its heel to be lifted away from the dull and stereotyped entopic aerating gasbag of its contact with respect to flat board as the described apparatus of one of claim 41-44.
46. apparatus as claimed in claim 45, it is characterized in that, described aerating gasbag has first compartment that is stacked on the described flat board and is hinged on second compartment on first compartment and is used to limit limited part away from the maximum height of edge when aerating gasbag is inflated of second compartment of described trailing edge along the trailing edge of the sensing heel of described aerating gasbag, thus, described aerating gasbag presents towards heel leg-of-mutton inflated shapes decrescence.
47. apparatus as claimed in claim 46 is characterized in that, described compartment is made of a single inflation element.
48. a method that is used for handler's foot, it may further comprise the steps:
(a) provide a kind of medical apparatus and instruments as described below, this apparatus comprise one be used for supporting people's foot thereon and have the dull and stereotyped of an arc arch support pad that is used for firmly supporting arch of foot and one be used for making selectively forefoot to be lifted away from the dull and stereotyped entopic aerating gasbag of its contact with respect to described flat board; And
(b) under heel is pressed in situation on the flat board, raise forefoot periodically, realize people's foot rocking thus around the arch support pad that plays a point-like member effect with respect to flat board.
49. a cover is used to be installed in device on the wheelchair, described wheelchair has a pair of footrest that is used to support wheelchair occupant's foot, and a described covering device comprises: a compressor that is driven by rechargeable battery; A pair ofly can be communicated with this compressor fluid and can be installed in medical apparatus and instruments on the footrest, each medical apparatus and instruments can be implemented the circulation treatment to patient's foot; And controller that is used to control the work of medical apparatus and instruments.
50. a covering device as claimed in claim 49 is characterized in that, each medical apparatus and instruments can make people's instep bend.
51. a covering device as claimed in claim 49 is characterized in that, each medical apparatus and instruments can apply the compressed line ripple to patient's foot plate surface.
52. a medical apparatus and instruments that is used to make the sole flexing of people's foot, this apparatus comprises: one is contained in installed part on people's lower limb to this apparatus; One links to each other also sagging so that cover the supporting member of the portions of proximal of people's foot front surface at least basically rigidly with this installed part; An aerating gasbag that extends along the bottom surface of supporting member; But and one be fixed on along supporting member in the middle of so that around the bundle foot part of the elastic bending of the arch of foot of patient's foot.
CN99810329A 1998-07-30 1999-07-30 Medical device for applying cyclic therapeutic action to person's foot Pending CN1315850A (en)

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
PCT/IL1998/000352 WO1999006004A1 (en) 1997-07-30 1998-07-30 Apparatus for foot dorsiflexion and method therefor
WOPCT/IL98/00352 1998-07-30
IL12646298A IL126462A0 (en) 1998-10-04 1998-10-04 Sandal
IL12832899A IL128328A0 (en) 1998-07-30 1999-02-02 Apparatus for manipulation of a subject's foot
IL130000 1999-05-18
IL128328 1999-05-18
IL13000099A IL130000A0 (en) 1999-05-18 1999-05-18 Footwear for manipulation of a subjects foot
IL126462 1999-05-18

Publications (1)

Publication Number Publication Date
CN1315850A true CN1315850A (en) 2001-10-03

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CN99810329A Pending CN1315850A (en) 1998-07-30 1999-07-30 Medical device for applying cyclic therapeutic action to person's foot

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EP (1) EP1100427A2 (en)
KR (1) KR20010079580A (en)
CN (1) CN1315850A (en)
AU (1) AU768942B2 (en)
CA (1) CA2338903A1 (en)
WO (1) WO2000006077A2 (en)

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CN104905947A (en) * 2014-03-13 2015-09-16 松下知识产权经营株式会社 Air massage device
CN105792696A (en) * 2013-12-04 2016-07-20 铃木壮太 Shoe
CN111568702A (en) * 2020-05-18 2020-08-25 米伦医疗科技(苏州)有限公司 Bionic walking aid

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CN101232855B (en) * 2005-06-08 2011-03-30 康沃特克科技公司 Compression device for the foot
CN103054705A (en) * 2008-12-16 2013-04-24 萨亚德·诺尔 Pulsatile and non-invasive device for circulatory and haemodynamic assistance
CN105792696A (en) * 2013-12-04 2016-07-20 铃木壮太 Shoe
CN105792696B (en) * 2013-12-04 2022-03-18 铃木壮太 Shoes with removable sole
CN104905947A (en) * 2014-03-13 2015-09-16 松下知识产权经营株式会社 Air massage device
CN111568702A (en) * 2020-05-18 2020-08-25 米伦医疗科技(苏州)有限公司 Bionic walking aid

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CA2338903A1 (en) 2000-02-10
AU768942B2 (en) 2004-01-08
WO2000006077A3 (en) 2000-05-18
EP1100427A2 (en) 2001-05-23
KR20010079580A (en) 2001-08-22
AU5190199A (en) 2000-02-21
WO2000006077A2 (en) 2000-02-10

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