DE102004022504B4 - Cuff for treating edema - Google Patents

Abstract

Cuff for treating edema with the first means for decongesting body tissue in the area of the hip, with additional means for decongesting body tissue in the area of the crotch and with further means for decongesting body tissue in the area of the legs, in which the aforementioned decongestants are suitable for to at least temporarily exert a pressure load on the body tissue to be treated, characterized in that the decongestants of body tissue have a forefoot relief in the area of the legs, which has an enlarged cuff in the forefoot area.

Description

The invention relates to a cuff for treating edema with first means for damming body tissue in the region of the hip, with additional means for damming body tissue in the region of the crotch and with further means for damming body tissue in the region of the legs, in particular in the region of the thighs in which the aforementioned defrosting means are suitable for exerting, at least temporarily, a pressure load on the body tissue to be treated. The invention also relates to a method for treating edema in which successive legs and hips, including the step of a person, are dammed.

Cuffs for treating edema are well known in the art in a variety of ways. Such sleeves usually consist of several cooperating chamber systems and support the apparative intermittent compression in modern standard therapies of venous and lymphatic diseases. The treatment cuffs allow effective and gentle decongestion of existing edema, such as primary and secondary lymphoedema and in particular also lipoedema or various mixed forms. Depending on the medical need, different types of treatment cuffs are used for decongestion. Consequently, a variety of different treatment cuffs already exist, such as arm sleeves for tissue compression in the region of an arm, shoulder caps for tissue compression of the tissue in the shoulder region, hip cuffs for tissue compression in the hip region. Hüftmanschetten have pressure chambers in the region of the hip of a patient and possibly in the groin area on the thighs of a patient, for example, but such hip collars have no pressure chambers in the region of the step of a patient. In addition, there are trouser cuffs for tissue compression in the lower extremities from the feet to the hip of a patient. On the other hand, these have such pressure chambers in the crotch region, but the trouser cuffs are constructed so that they extend far over the feet and thus a part of the pressure chambers also exert pressure on the feet of a patient. In particular, such pants cuffs are also used when it comes to a treatment of the entire thigh and / or lower leg. The already known trouser cuffs achieve good results in the treatment of edema in the area of the lower extremities of a patient.

For example, from the European publication EP 1 219 279 A2 a trouser cuff known with which thigh and lower leg of a patient can be subjected to compression. In an attempt to avoid overextension in the decongestion of the legs as far as possible, the leg areas at their lower ends, ie in the foot areas of the cuff, transverse zippers, with which allegedly allows a kinking of the pants cuff at the lower end of the leg areas and thus the Freedom of movement in the area of the feet can be varied. This also provides the opportunity to treat edema right down to the foot region. In this pants cuff gradually individual pressure chambers are controlled, so that a decongestion preferably takes place from the feet on the lower leg and then on the thighs to the hip including the step.

The object of the present invention is now to develop generic treatment cuffs so that a decongestion of a tissue to be treated, especially in the thighs, further improved and at the same time the therapy with a treatment cuff for a patient is performed as pleasant as possible.

The object of the invention is a cuff for treating edema with first means for damming body tissue in the hip area, with additional means for damming body tissue in the region of the step and with further means for damming body tissue in the region of the legs, in particular in Area of the thighs, solved, in which the aforementioned Entstauungsmittel are adapted to exert at least temporarily a compressive load on the body tissue to be treated, and the Entstauungsmittel of body tissue in the region of the legs have a forefoot relief.

Furthermore, cumulatively, alternatively, a cuff is proposed for treating edema with a hip area in which first pressure-building means are arranged, and leg areas in which further pressure-building means are arranged, in which the leg areas have at least one pressure-building-up means and the treatment cuff terminates at a first hip region side at a main opening of the hip region and at a thigh region side opposite the hip region side, and the treatment cuff has a crotch region in which additional pressure-increasing means are arranged.

The present treatment cuff is particularly well suited to damming a tissue in the region of the legs, in particular a tissue in the region of a thigh, by virtue of its structure according to the invention. The particularly good treatment results in the treatment with the present treatment cuff are attributable in particular to the fact that, in addition to the legs and the hip of a person, the crotch area is also blocked by means of the pressure-increasing means during use. With the present treatment cuff, it is particularly possible, over a large area and intensively, to displace abnormal fluid accumulation from a tissue, such as, for example, arteries, veins, lymph, etc., over a large area of the regions to be treated, including the crotch area of a person. In particular, due to the fact that the present treatment cuff comprises additional pressure-increasing means in the region of the step, advantageously no liquid displaced from other regions collects in the region of the step. Thus, there is also no danger of fluid leaking back into the veins, veins or lymph of the previously treated areas immediately after the end of the treatment from the tissue area of the step, and diffusion of fluid from the tissue adjacent to the veins, veins or lymphs in just these veins, veins or lymphs is difficult or prevented. Thus, the risk is greatly reduced or ideally almost completely excluded that a previously displaced liquid flows back too fast or early in the dammed areas.

The use of the present treatment cuff is furthermore very advantageous during the treatment, since the feet are kept in a non-forcing and relaxed natural posture during treatment so that a predicament, such as overstretching of the forefoot and compression of the calf muscles, is avoided that during the treatment no artificial stagnation points of a treated area due to hyperextension of the forefoot come about. It is understood that this advantageously promotes the achievement of an optimal therapeutic result.

In conventional treatment cuffs, which dammage only the hip area and the thigh area, there is essentially no decongestion of the tissue in the crotch area, so that a liquid displaced from dammed body areas preferably flows back into this crotch area and the liquid after completion of the treatment in the previously dewaxed tissue disadvantageously quickly or prematurely. The result of the decongestant treatment is therefore not optimal in such a case. However, as a result of the fact that the present treatment cuff, in addition to areas of the thigh and areas of the hip, also dammed the crotch area, the therapy results achieved so far are further improved.

In particular, the foot is relieved during a treatment with the present treatment cuff in the region of the forefoot, ie the instep or not loaded by the pressure of a pressure chamber of the treatment cuff. Nevertheless, it is possible on the basis of the present treatment cuff, especially a thigh and possibly a lower leg of a patient special effectively and thoroughly dammed, so that advantageously a therapy is faster to success. Also, if necessary, the cuff can be used much longer than conventional cuffs because during use of the cuff of the invention, the patient's feet are no longer forced to "push" into a position that is substantially aligned with the leg extensions. In addition, an early interruption of a treatment is avoided, since the risk is reduced that the treatment cuff during treatment must be relaxed again and again, at least briefly return the feet from a predicament to their natural relaxed position. The forefoot relief according to the invention thus prevents pressure, in particular on the front area of the feet, that is to say on the area of the foot span, and thereby also an often painful overstretched forced position of the foot and therefore usually associated calf cramps.

Although there are so-called leg cuffs for decongesting the upper and lower legs, which are provided with an ideally preformed kinking foot area. However, in these the decongestion of the legs does not extend beyond the thighs, as the leg cuffs only reach from the feet to the thighs. Thus, the decongestion takes place only up to the area of the thighs and thus below the hip of the patient. If the previously established compression is reduced again, this leads to a fluid which has previously been forced out of the legs into the hip tissue very quickly back into the dammed tissue areas of the legs, in particular the thighs, immediately after the compression of the hip tissue has been reduced. It is understood that the treatment effect or the therapeutic success is significantly worsened as a result.

Such "rapid" and early backflow of the previously displaced liquid, albeit possibly only partially, is due to the present treatment cuff avoided, since this extends into the hip area and works. Therefore, the treatment cuff according to the invention is particularly suitable for successively dehaving different tissue areas with regard to edemas, in particular lipoedema, from the feet of a patient to the hips. Advantageously, in the case of the cuff according to the invention, there is no overstretching of the foot front side of the patient, as has hitherto been the case in such treatment cuffs, such as a trouser cuff, for decongestion of the lower extremities starting from the foot to the hip. Such hyperextension also leads, among other things, to a compression of the calf muscles, which frequently leads to congestion of fluid in the area of the calf or lower leg.

It is particularly advantageous that it is also possible by means of the present treatment cuff to hold the foot or feet of a patient in a relaxed position during the treatment, so that the treatment of edema in the leg and hip area is much more pleasant and effective can be. Previously, such a therapy often had to be interrupted or interrupted because patients complained of severe pain due to overstretching of the anterior foot area, so that a complete decongestion of the legs or the hip was not sufficient or only very time consuming possible.

The term "cuff" describes in the context of the invention treatment cuffs with which a substantially pathological tissue excessively enriched with a fluid of a patient is dammed. Almost all devices that make it possible to apply to body parts or body regions of a patient with a pressure that is sufficiently strong and directed so that a pathologically accumulated fluid can be displaced from a tissue are suitable for this purpose. For this purpose, the sleeves, for example, corresponding pressure chambers, which are preferably each filled with a medium, so that in this case a body part or a body portion enclosing sleeve successively exerts a pressure on this body part or this body region.

The term "forefoot relief" describes here means that allow relief of the instep of a foot, so that the foot can still be kept in a relaxed state of a therapy-related pressure build-up of the present treatment cuff and a successive decongestion, starting from the patient's foot to the Hip of the patient, takes place.

A particularly preferred embodiment provides that the forefoot relief has a cuff extension in the forefoot region. Thus, the substantial pressure build-up of the treatment cuff, for example, only above the lower ankle of a patient, wherein the pressure build-up gradually from the ankle area over the calf area to the knee area and further over the thigh area to the groin area and especially to the crotch area and also into the Hip area is done. For this purpose, the treatment cuff is designed so that during therapy on the foot of a patient either no pressure or pressure is exercised only so low that maintained a relaxed natural posture of the foot and the foot not as usual forced into an "overextended" Foot position is "pressed".

Such a cuff extension is achieved particularly advantageously when the treatment cuff, in particular during the actual treatment application, preferably ends above the patient's ankle joint. Although a foot of a patient is not directly involved in the treatment, the foot can also be moved as far as possible during treatment, so that the patient is given the opportunity to keep the foot in a relaxed position.

Accordingly, it is proposed that the treatment cuff comprise a lower leg region providing pressure-building means, the treatment cuff then terminating at a lower leg region side opposite the hip region side so that a person's foot can be held in a non-constrained, relaxed position when applying the extended treatment cuff. This results in a further improvement of the previous therapy results, especially when edemas extend into the region of a lower leg. Thus, a decongestion of the lower leg, the thigh, the groin, the crotch and the hip is made without the feet are so detected here as in previously known treatment cuffs so that the feet forced due to the pressure build-up within the cuff in a stretched posture be in which the Fußvorderbereich or the instep of the foot in the worst case is painfully overstretched. In the present embodiment, the new treatment cuff is not in the form of a hip or trouser cuff, but rather in the form of a corselet cuff or in the form of a 3/4 trouser cuff, so that essentially the lower and thigh areas including the crotch area and the hip are treated, without forcing the feet into a predicament.

An alternative and no less advantageous embodiment provides that an anatomically shaped foot region or a boot cuff is provided for the forefoot extension. It has been shown that it is advantageous in certain applications, when a decongestion already involves the foot of a patient or emanating from the feet of a patient, so that the pressure builds successively from the foot over the lower leg further into the thigh and over the groin area in the crotch area and ultimately in the hip area of a patient and in this case the foot or the feet is still held in a relaxed forcible-free position. Thus, with the present treatment cuff different tissue areas of a patient starting from the tips of the toes into the abdomen into it by a successive pressure build-up within the cuff can be dammed without on the one hand omitted intermediate areas or on the other a foot of the patient is overstretched.

While in generic pants cuffs, as exemplified in the document EP 1 219 279 A2 described in the decongestion of the lower extremities of a patient's foot forced by the expansion of individual pressure chambers in a more or less stretched and thus tense foot position, the foot can be kept in the treatment with existing treatment cuff in a relaxed natural foot position. As a result, the previous treatment options or treatment methods are advantageously supplemented so that better treatment results or treatment goals can be achieved more quickly.

It is advantageous if the treatment cuff comprises an anatomically shaped foot area provided with pressure-building means. In particular, if a decongestion additionally take place in the feet of a patient or if the risk is to be reduced that liquid, for example, from the dammed lower leg area unintentionally gets into the feet, it is advantageous if the treatment cuff additionally has a foot area. For example, a boot cuff may be disposed on the lower leg region of the present cuff such that a decongestive therapy substantially occurs from the tiptoe to the abdomen of the patient.

The object of the invention is also achieved by a method for treating edemas, in which successive legs and a person's hip, including the crotch, are dammed and the person's feet are kept in a non-constrained, relaxed position during defrosting.

In this context, it has proven to be advantageous if the thigh region of the treatment cuff and a lower leg region of the treatment cuff or a foot region of the treatment cuff can be firmly but detachably arranged with one another and on the hip region of the treatment cuff. On the one hand, this creates a versatile and highly flexible treatment cuff. On the other hand, conventional treatment cuffs are significantly improved. Thus, in particular the lower extremities of a patient can be dammed more optimally and purposefully than previously. It should be noted at this point that the features with regard to the different regions which can be firmly but detachably connected to one another are also advantageous without the other features of the present invention, since a treatment sleeve is substantially improved by these.

In order for a fixed, but detachable, to connect the different sleeve portions of the treatment cuff and to close, for example, access openings of the treatment cuff, it is advantageous if the treatment cuff or areas thereof connecting means and / or closure means, about which parts or areas of the treatment sleeve detachably connected to each other. Both the connection means and the closure means of the treatment cuff are advantageous because they substantially facilitate the use of the treatment cuff for a patient. In particular, the closure means serve to open parts of the treatment cuff or areas of the treatment cuff so that an entry into the treatment cuff or a withdrawal from the treatment cuff for a patient is particularly easy.

Naturally, the treatment cuff has a front and a back, wherein it is advantageous if on the front closure means are arranged. It is self-evident that the closure means can be arranged at various positions on the present treatment sleeve, in particular also on the rear side and / or on a lateral area between the front side and the rear side. It is also possible for the closure means to be arranged in their progressions from the lower edge of the treatment cuff to the upper edge of the treatment cuff in alternating regions of the treatment cuff. For example, such fastening means can be arranged in the foot region of the treatment cuff in its side region and subsequently in the leg region or in the hip region be arranged on the front of the treatment cuff.

In particular on a boot or foot cuff or in the area of the feet arranged in side regions closure means have the advantage that structurally particularly simple pressure-building means can be provided on the front of the boot or foot cuff. The closure means arranged in particular in the side region described in connection with the boot or foot cuff are also advantageous without the other features of the present invention.

However, these closure means are particularly accessible at the front for operators, but also for a patient, so that the use of the present treatment cuff is much simpler and the treatment cuff is much more convenient to handle. The placement of the closure means on the front of the treatment cuff and all related features are advantageous even without the other features of the invention, as this significantly improves the use of the treatment cuff. This applies in particular to trouser cuffs with or without a developed foot area.

In order to further simplify the use of the present treatment cuff, a variant embodiment provides that the treatment cuff has a first half and a second half, which are connected to one another by holding means in such a way that the treatment cuff halves are completely separable from one another. Preferably, the two halves in the crotch region of the treatment cuff are interconnected by the retaining means such that, for example, the first half substantially form the left leg region half and the second half substantially the right leg region half of the treatment cuff. In order that the treatment cuff or the two treatment cuff halves can be completely separated from each other, the holding means advantageously extend from the upper edge of the front over the crotch region of the treatment cuff to the upper edge of the back of the treatment cuff, so that when the holding means are released, the first half of the second half or vice versa is completely solved. The ability to separate the treatment cuff in half, especially in a left half of the treatment cuff and in a right half of the treatment cuff, not only has an advantageous effect on use during treatment, but also facilitates cleaning in the area of the inside of the treatment cuff. It is understood that the treatment sleeve can be sewn depending on the embodiment in the crotch area. By means of this very intimate connection, in particular very high treatment pressures can be absorbed by the treatment cuff.

The advantages of relieving agents in the area of the forefoot have already been explained at the beginning. In addition to such a forefoot relief, it is also advantageous if the treatment cuff has pressure relief means in the upper region of its front side. Such pressure relief means are particularly advantageous in the region of the upper end of the treatment cuff, since it is possible by pressure relief means arranged during the treatment to reduce pressure on the abdomen or chest of a patient, at least for a short time, so that the treatment, in particular with a very high treatment cuff , can be performed much more pleasant for a patient. This applies in particular with regard to such treatment cuffs, in which the pressure-increasing agents reach into the chest area, that is to say into an area directly under the armpits of a patient. By the pressure relief means in such treatment cuffs feelings of tightness or respiratory distress can be well-alleviated or largely avoided due to the high pressure on the chest of a patient during the treatment. Such pressure relief means are structurally particularly simple realized on the treatment cuff by the holding means described above, when the opening region begins at the upper end of the treatment sleeve front side and such holding means are also open during the treatment. In addition, the pressure relief means may also be arranged on the back and in a lateral region of the treatment cuff between the front and the back, but they are very good at the front and comfortable for the patient himself, especially in the case of cuffs, which are in the chest area reach, reachable.

A further embodiment of the treatment cuff provides that the treatment cuff comprises an expansion cuff. Such expansion cuff is always advantageous when particularly volume-intensive body areas, for example, of heavyweight persons, are to be dammed because often such volume-intensive body areas can not be accommodated in an average ready-made treatment cuff. In such cases, the extension cuff is preferably arranged on previously released closure means of the treatment cuff.

For this purpose, it is advantageous if the expansion sleeve has fastening means, the Closing means of the treatment cuff fixed but detachable, can be arranged. In this case, closure means, which are arranged, for example, on the front side of the treatment cuff, are separated from one another such that the treatment cuff can be completely opened. Subsequently, the fastening means of the expansion sleeve are arranged on the closure means of the treatment cuff, so that in particular the circumference of a leg portion of the treatment cuff is substantially increased. Thus, volume-intensive body areas of a patient can also be accommodated in the treatment cuff.

In this context, it is advantageous if the fastening means are arranged at a distance from circumferential edges of the expansion sleeve on the expansion sleeve and / or the actual treatment sleeve. This means that the fastening means are not arranged directly on the edge of the expansion sleeve, but that the fastening means are overlapped at least on a patient-facing side of the expansion sleeve of areas, in particular pressure-building means of the expansion sleeve. In this way, on the one hand, the risk is reduced that there are areas in the area of the interface "fastening means / closure means" in which no pressure-increasing means are provided, which accordingly would be pressure-free during the treatment. Moreover, in particular when closing, but also when opening the treatment cuff advantageously avoided that neither fasteners nor connecting means come into direct skin contact with a patient, so that the risk of skin crushing during the communication of the attachment means of the expansion cuff and the closure means of the treatment cuff is excluded ,

In practice, it has been found that it is advantageous if the fastening means are arranged at least 5 mm or at least 10 mm, preferably at least 30 mm, of circumferential edges of the expansion sleeve on the expansion sleeve. In particular, if the fastening means are located from the peripheral edges by approximately 30 mm, the transitions from the treatment sleeve to the expansion sleeve can be provided particularly easily. By the back of the fastening means, in particular by 30 mm, structurally particularly simple pressure-building means can advantageously be arranged between the fastening means and the inside of the expansion sleeve or the skin of a patient such that tunneling between the fastening means and the patient is avoided. As a result, a good application of pressure is ensured in particular in the areas of the fastening means.

In order to additionally expand the variability of the treatment cuff when using an expansion cuff, an advantageous embodiment variant provides that the expansion cuff has a basic body which has a modified cross section along its longitudinal axis. For example, the extension cuff is tapered at one end so as to be substantially tapered toward that end. This has the advantage that the internal diameter of a leg region of the treatment cuff along its longitudinal axis is not increased by a uniform amount by means of the expansion sleeve, but that the diameter increase can be additionally varied.

This is advantageous because it is often necessary that the treatment cuff must be extended, in particular in the area of the thighs, by a significantly greater amount than is required in the area of the lower leg.

However, such expansion sleeves are not limited to one-sided pointed body. Rather, they can, depending on the application, for example, taper at both ends or be bulged in the direction of their greatest longitudinal extent.

In this context, it should be mentioned for the sake of completeness that an expansion sleeve can not only be arranged on closure means of the treatment cuff, but moreover expansion cuffs can advantageously also be arranged on connection means and / or retaining means of the treatment cuff. In particular, by arranging an expansion sleeve on holding means of a treatment cuff, the inner diameter in the hip area of the treatment cuff is structurally particularly easily widened.

It is understood that in the present case, the connection means, the closure means, the fastening means and / or the holding means can be realized by a variety of means, such as buttons, clips, magnetic strips, etc. To arrange different parts or areas of the treatment sleeve and arranging It is advantageous for the expansion cuff as well as the opening or closing of the treatment cuff or parts or areas thereof to be structurally particularly simple if connecting means, closure means, fastening means and / or retaining means have zips and / or hook-and-loop fasteners.

In order not to reduce the treatment success of the present treatment cuff by the insertion of an expansion cuff, it is advantageous if the expansion cuff has at least more than one pressure-increasing means. It has been shown that it is particularly advantageous to the Entstauungsergebnis affects when the expansion sleeve opposite the treatment cuff on which the expansion sleeve is arranged, ideally an equal number of pressure chambers, which allow a substantially similar pressure build-up, as in a Treatment sleeve is realized, to which no expansion sleeve is arranged. However, in order to achieve a sufficiently good pressure build-up in the region of an expansion sleeve, it may even be sufficient if the expansion sleeve has a single pressure chamber divided into many sub-chambers. Such subdivisions or partitions can be achieved by known methods, such as quilting, welding or masking. But it is also possible to perform such chambers as pure Futtersteppung or stitch chambers, which need not be additionally acted upon with compressed air. In this case, for example, the individual step chambers of an expansion sleeve in connection with the associated pressure chambers of the treatment sleeve preferably form a pressure ring which encloses a body region of a patient. But also a combination of lined quilting chambers and chambers to be filled with air can advantageously be used in the present case.

It should be noted at this point that the features with regard to the expansion sleeve are advantageous even without the other features of the invention with regard to a treatment sleeve.

Furthermore, it is advantageous if, in the case of an anatomically shaped foot region or in the case of a boot cuff, the anatomically constructed foot region or the boot cuff has a sole region without pressure-increasing means or with means which can be stressed by tension. In order to achieve the wearing comfort of an anatomically shaped foot region or a boot cuff without reducing the quality of decongestion in the area of the foot, it is advantageous if no pressure is exerted directly on the underside of a foot during the treatment by a pressure-increasing means. Preferably, means which can be acted upon by tension are instead provided, which are acted upon by pressure at a different location, for example in the upper foot region, by means of a pull, which then again causes pressure on the sole of the foot. However, this is much more pleasant than directly acting on the sole of the foot pressure-building agent and can also relieve the ankle and toe joints.

In order to further increase the wearing comfort of the treatment cuff or parts thereof, it is cumulatively or alternatively advantageously possible to provide welds in areas of the treatment cuff, in particular in areas of the pressure-building means, which form a crater, in particular near ankles or toe joints effect so that the treatment cuff or areas thereof with the skin of the patient is not or only slightly directly in contact. This cumulatively or alternatively another instrument for pressure relief is provided, in particular in the area of the sole of the foot. Such welds may be formed, for example, by welding a point, a wave, a stroke or other shaped shape.

The aforementioned method is advantageously developed if a gradient pressure is built up during the decongestion of body tissues. By the term "gradient pressure" is meant a pressure build-up during the treatment in which the pressure within the treatment cuff decreases substantially steadily from a lower region of the treatment cuff to an upper region of the treatment cuff. Ideally, in this case the pressure at each time of the treatment in the lower region of the treatment cuff is greater than in the upper region of the treatment cuff, so that there is an ideal increase in pressure or from the foot region of the treatment cuff to the hip region of the treatment cuff.

Further advantages, objects and features of the present invention will be described with reference to the following explanations of attached drawings in which treatment cuffs are shown by way of example.

It shows the

1 schematically a perspective view of a treatment cuff,

2 schematically the treatment cuff off 1 separated into a first half and a second half,

3 1 is a schematic perspective view of another treatment cuff in the form of a pair of cycling shorts in combination with an adjustable boot cuff,

4 schematically a perspective view of a leg portion and the boot cuff of the Radlerhose arranged thereon from the 3 .

5 1 is a schematic view of a leg region and an anatomically shaped foot region of a treatment cuff with overlapping pressure chambers;

6 schematically a sectional view of a section AA through the anatomically shaped foot area of the 5 .

7 schematically a sectional view of a section BB through the anatomically shaped foot area of the 5 .

8th schematically a sectional view of a section CC through the anatomically shaped foot area of the 5 .

9 schematically the treatment cuff after 5 as a pattern,

10 schematically a view of a Fußbereichssohle the anatomically shaped foot area of the 9 in a closed state,

11 1 is a schematic view of an expansion sleeve having a plurality of pressure chambers;

12 schematically a side view of the expansion sleeve of the 11 and

13 schematically a cross section through a leg portion of a treatment cuff on which an extension cuff is arranged.

The in the 1 shown treatment cuff 1 has a right half 2 , a left half 3 as well as a front side 4 and a back 5 on. The right half of the treatment cuff 2 and the left half of the treatment cuff 3 are by a holding means 6 connected with each other. The holding means 6 In this embodiment, a zipper that allows the right half of the treatment cuff to be used 2 from the left half of the treatment cuff 3 completely separate. Because of the treatment sleeve half 2 completely from the treatment cuff half 3 is separable, is the treatment cuff 1 in the area of the holding means 6 especially quick and easy with an expansion sleeve 480 (please refer 11 ) expandable.

In addition, the treatment cuff points 1 a hip area 7 , a step area 8th , a right leg area 9 and a left leg area 10 where each of the leg areas 9 and 10 a thigh area 11 , a lower leg area 12 as well as a foot area 13 , having, so that a patient, with the treatment cuff 1 is treated in the area of his hip, in the area of his crotch, in his groin area and in his thighs, his lower legs and his foot areas with a pressure. The thigh area 11 , the lower leg area 12 and the foot area 13 are in this illustration by way of example only on the left leg area 10 quantified.

The treatment cuff 1 ends on the one hand on an upper hip area side 14 at which the treatment cuff 1 a main opening 15 of the hip area 7 having. The treatment cuff 1 also ends at the lower ends 16 respectively. 17 of the right leg area 9 or the left leg area 10 ,

The hip area 7 , the step area 8th , the right leg area 9 , the left leg area 10 with her thigh areas 11 , her lower leg areas 12 and their foot areas 13 have pressure chambers 351 on (not explicitly stated here, but see 5 ), which can be individually filled with air. As a result, the volume of these pressure chambers is variably adjustable and the treatment cuff 1 can through these pressure chambers 351 varies in terms of their surrounding volume, ie increased or decreased, are.

On the front side 4 indicates the treatment cuff 1 on the one hand a right closure means 18 and on the other hand a left closure means 19 on. Both the right closure means 18 as well as the left closure means 19 is formed by a zipper, wherein the right closure means 18 starting from the upper hip area side 14 to the bottom 16 of the right leg area 9 can be opened. Accordingly, also the left closure means 19 starting from the upper hip area side 14 to the lower end 17 of the left leg area 10 be completely opened. By means of the right closure means 18 and the left closure means 19 is a patient getting into and out of the treatment cuff 1 much easier. In this case, this disembarkation is also much easier, in particular compared to known trouser cuffs with lateral zippers, so that such closure means, which are arranged on the front of the cuff, are also advantageous independently of the other features.

In that both the holding means 6 as well as the right closure means 18 and the left closure means 19 starting from the top Hüftbereichsseite 14 can be opened in the hip area 7 provided simultaneously three pressure relief means, about which the pressure in the region of the hip of a patient individually and independently of the pressure build-up in the pressure chambers 351 the treatment cuff 1 is adjustable. In particular, a patient can comfortably reach this pressure relief means when the pressure becomes too great for them, as they are at the top or at the front 4 the treatment cuff 1 are arranged easily accessible. Thus represent the holding means 6 , the right locking device 18 and the left closure means 19 It is understood that independently of this further pressure relief means on the treatment cuff 1 can be provided.

A structurally different pressure relief means has the treatment cuff 1 both in her right leg area 9 as well as in her left leg area 10 on, because the foot areas 13 anatomically shaped, causing both the right leg area 9 as well as the left leg area 10 each represent a forefoot relief. This may occur during treatment with the treatment cuff 1 the foot or feet of a patient are kept in a relaxed and substantially forcible position. Thus, the treatment with the present treatment cuff 1 much more comfortable for a patient.

It is understood that, where appropriate, both with the right closure means 18 as well as with the left closure means 19 in the foot areas 13 also a pressure relief means or a kind of forefoot relief can be created when both the right closure means 18 as well as the left closure means 19 starting from the lower end 16 respectively. 17 can be opened. As a result, a similar pressure relief in the region of a forefoot of a patient can be realized as in the hip area 7 ,

Be the holding means 6 , the right locking device 18 and the left closure means 19 fully open, are the right half of the treatment cuff 2 and the left half of the treatment cuff 3 the present treatment cuff 1 completely separated from each other (compare patterns in the 2 ). The right half of the treatment cuff 2 here has a first holding means component group 20 of the holding agent 6 whereas the left half of the treatment cuff 3 a second holding means component group 21 of the holding agent 6 having. In particular, this makes cleaning work easier.

The in the 3 shown cycling shorts cuff 101 has both a hip area 107 , a step area 108 as well as a right leg area 109 as well as a left leg area 110 , Both the hip area 107 , the step area 108 and the right leg area 109 as well as the left leg area 110 are provided with means of damming body tissue, leaving a patient who is wearing the cycling shorts cuff 101 is treated in the area of his hip, in the area of his crotch, in his groin area and in his thighs with a pressure, so that with the treatment of the present Radlerhosenmanschette 101 In particular, a damming of edema in the area of the legs or thigh body tissue is achieved. Both the right leg area 109 as well as the left leg area 110 are in this embodiment with connecting means 130 (here only as an example in the left leg area 110 shown), so that optionally leg extensions or boot cuffs can be attached.

The connecting means 130 have a first zipper ring in this embodiment 131 , a second zipper ring 132 and a third zipper ring 133 on the first zipper ring 131 is less far from a femoral end 134 spaced as the second zipper ring 132 , where the second zipper ring 132 less spaced from the femoral end 134 is as the third zipper ring 133 , Due to the different distances between the femoral end 134 and the respective zipper rings 131 . 132 and 133 is a kind of length adjustment with regard to the Radlerhosenmanschette 101 created.

The individual zipper rings 131 . 132 and 133 are in this case to the respective right leg area 109 and the left leg area 110 arranged that a boot cuff connection means 135 a boot cuff 136 either with the first zipper ring 131 , with the second zipper ring 132 or with the third zipper ring 133 of the bonding agent 130 the biker cuff 101 communicated.

It is understood that the connecting means 130 Also, fewer or more locking rings may have, thereby the variability of the present Radlerhosenmanschette 101 can be suitably adapted to the actual conditions.

Is the boot cuff 136 on the cycling shorts cuff 101 attached, is the biker cuff 101 in itself to a treatment cuff 1 according to the embodiment of the 1 with an anatomically shaped foot area 13 (please refer 1 ) converted or extended, so that the cycling shorts cuff 101 both a right widened leg area (not shown here) and a left widened leg area 210 (please refer 4 ) with a biker cuff leg area 110 and a boot cuff 136 having. The boot cuff 136 is in this embodiment on the right leg area 109 or on the left leg area 110 the biker cuff 101 arranged that outside 137 of the respective leg area 109 respectively. 110 to the inside (not shown here) of the boot cuff 136 borders. This is an introduction to the Radlerhosenmanschette 101 especially in the linking area 240 much easier, since the respective leg area 109 respectively. 110 the biker cuff 101 the inside of each boot cuff 136 so overlapped that when getting into the Radlerhosenmanschette 101 with the boot cuff attached 136 a "stay hanging" on the boot cuff 136 in the linking area 240 for example, with a foot of a patient is almost impossible. It is understood that such a Radlerhosenmanschette 101 even without the lanyard 130 can be used advantageously for a thigh or step de-stemming. In particular, boot cuffs can also without such fasteners 130 be provided in addition.

The example in the 5 shown right leg area 309 has both a thigh area 311 , a lower leg area 312 as well as a foot area 313 , In the leg area 309 is schematically a leg 350 a patient (not shown here) shown. The right leg area 309 includes a variety of pressure chamber 351 which are annular in the right leg area 309 are incorporated, the pressure chambers 351 are arranged to each other so that they overlap more or less at least partially. Due to the large number of overlapping pressure chambers 351 can be within the right leg area 309 a pressure gradient 352 be built up, so that a pressure starting from the foot area 313 over the lower leg area 312 , the thigh area 311 to the crotch area 8th and the hip area 7 (please refer 1 ) distributed in such a way that in the foot area 313 the greatest pressure is exerted on the patient, whereas in the hip area 7 the lowest pressure is exerted on the patient. Advantageously, in this case, the pressure chambers 351 individually controlled.

The right leg area 309 , especially the foot area 313 is here shaped so that the foot of the patient can be kept in a virtually force-free, natural position, so that even during treatment, the leg 350 , especially in the forefoot area 354 , not overstretched.

Become the pressure chambers 351 When activated, the volume of each pressure chamber increases 351 so that the leg shown 350 is pressurized on all sides with a pressure. In the area of the line AA, therefore, there are the pressure chambers arranged there 355 and 356 so close together that they are essentially the complete cross section of the right leg area 309 in the foot area 313 essentially completely close (see 6 ).

Along the line BB are already the toes 355 arranged the patient, so that arranged in the region of line BB pressure chambers 358 and 359 no longer completely adjacent to each other, but the foot 353 in the toe area 357 enclose (see 7 ).

Along the line CC enclosing the existing pressure chambers 360 and 361 the foot 353 in an area behind the toes (see 8th ).

The right leg area 309 includes a leg area coat 362 , at which the plurality of pressure chambers 351 is arranged. The right leg area 309 has at his area coat 362 a closure means 318 what about the leg area coat 362 in a first pressure chamber half 363 and in a second pressure chamber half 364 is separable. The first pressure chamber half 363 includes, for example, the pressure chambers visible here 355 . 358 and 360 while the second pressure chamber half 364 the pressure chambers visible here 356 . 359 and 361 includes. The right leg area 309 also includes in the sole area 365 of the foot area 313 no pressure chambers 351 but essentially a pressure chamber-free area 366 so that the foot 353 in the area of the sole of the foot 365 is not irritated with additional pressure-building agents (see 8th and 10 ).

In particular, the two pressure chambers communicating with each other 358 and 359 (please refer 7 ) form in the area of the sole of the foot 365 of the right leg area under the foot 353 the patient through the pressure chamber-free area 366 a kind of bead, with which the tissue at the bottom of the foot 353 is charged. Thus, at the bottom of the foot 353 even without existing pressure chambers 351 a pressure built up. This happens there but much more pleasant than with full-scale pressure chambers 351 , Instead of the pressure chambers 351 are in the area of the sole of the foot 365 provided with train acted means that the pressure chamber free area 366 form. While the leg area 309 in the pressure chamber-free area 366 is preferably sewn, the leg area 309 at its front 4 (please refer 1 ) otherwise with those already in the context of treatment cuff 1 described closure means 18 respectively. 19 locked.

The in the 11 and 12 Illustrated expansion sleeve 480 has a first end area 481 and a second end region 482 , The extension cuff 480 In this embodiment, it is shaped to extend from the first end region 481 to the second end area 482 tipped to a point. This can be a treatment cuff 1 (see, for example 1 ) are extended in different sizes. To the extension cuff 480 to a treatment cuff 1 to order, has the expansion sleeve 480 first left attachment means 483 and second right attachment means 484 on The fasteners 483 and 484 are designed, for example, with the right closure means 18 or with the left closure means 19 the treatment cuff 1 (please refer 1 ), so that the expansion sleeve 480 both on the right leg area 9 as well as on the left leg area 10 at the treatment sleeve front 4 can be arranged. In order to be able to build up a particularly good pressure build-up against the tissue tissues of a patient to be decongested, and in particular to be able to provide a pressure gradient, the expansion sleeve has 480 in this embodiment, a plurality of pressure chambers 485 (please refer 12 , numbered here only as an example) on the extension cuff 480 can, as after 13 represented, for example, in a leg area 510 be arranged. In this case, the fastening means communicate 483 with a first closure means component group 590 and the fasteners 484 with a second closure means component group 591 , Depending on the specific application, for example in the hip area or as an extension between cycling pants cuff and boot cuff, other shapes may be suitable. Likewise, it may not be necessary to provide pressure-building means in the expansion sleeve, in particular if adjacent parts of the remaining sleeve can build up a sufficient pressure which acts into the regions of the expansion sleeve.

The representation after 13 shows a cross section through the leg area 510 , where the first page 481 the extension cuff 480 lies in the paper plane. Accordingly, the extension sleeve extends 480 in the direction of the pointed end 482 into the paper plane. Thus, the left leg area tapers 510 in the direction of a foot 353 according to the rejuvenation of the extension cuff 480 stronger than without extension cuff 480 ,

Because the fasteners 483 and 484 not directly on the border 486 the extension cuff 480 are arranged overlap the pressure chambers 485 the interfaces 592 and 593 to which the expansion sleeve 480 on the left leg area 510 are arranged. Advantageously, this arises in the area of these interfaces 592 and 593 no pressure area free area, so that the treatment can be carried out particularly effectively even with an extension cuff used.

Claims (20)

Cuff for treating edema with first means for dehacking body tissue in the region of the hip, with additional means for damming body tissue in the area of the crotch and with further means for damming body tissue in the area of the legs, in which the aforementioned dewatering means are suitable, at least temporarily applying a compressive load to the body tissue to be treated, characterized in that the decongestant of body tissue in the region of the legs have a Vorderfußentlastung having a sleeve extension in the forefoot. Treatment cuff according to claim 1, characterized in that an anatomically shaped foot region and / or a boot cuff is provided for the forefoot extension. Cuff for treating edema with first means for dehumidifying body tissue in the region of the hip, with additional means for damming body tissue in the region of the step and with further means for damming body tissue in the region of the legs, wherein the aforementioned Entstauungsmittel contain pressure chambers, characterized characterized in that the pressure chambers in the region of the legs have a forefoot relief in the form of an anatomical shape. Treatment cuff according to one of claims 1 to 3, characterized by means for damming body tissue in the region of the thighs. A cuff for treating edema having a hip region in which first pressure chambers are arranged, and leg regions in which further pressure chambers are arranged, in which the leg regions have pressure chambers with thigh regions, and the treatment cuff both on a first hip region side at a main opening of the hip region also ends on a thigh area side opposite the hip area side, characterized in that the treatment cuff has a crotch area in which additional pressure chambers are arranged. Treatment sleeve according to claim 5, characterized in that the Treatment cuff comprises a lower leg area provided with pressure chambers, wherein the treatment cuff then ends at a lower leg area side opposite the hip area side. Treatment cuff according to one of claims 5 or 6, characterized in that the treatment cuff comprises a pressure chamber provided, anatomically shaped foot area. Treatment cuff according to one of claims 1 to 7, characterized in that the thigh region of the treatment cuff and a lower leg region of the treatment cuff and / or a foot region of the treatment cuff are fixedly but detachably arrangeable with each other and on the hip region of the treatment cuff. Treatment sleeve according to one of claims 1 to 8, characterized in that the treatment sleeve or portions thereof have connecting means and / or closure means, about which parts or portions of the treatment sleeve are releasably connected to each other. Treatment cuff according to one of claims 1 to 9, characterized in that the treatment cuff has a front and a back, wherein on the front closure means are arranged. Treatment cuff according to one of claims 1 to 10, characterized in that the treatment cuff comprises a first half and a second half, which are connected to each other by holding means, that the two treatment cuff halves are completely separable from each other. Treatment cuff according to one of claims 1 to 11, characterized in that the treatment cuff comprises pressure relief means in the upper region of its front side. Cuff for treating edema into the hip area, characterized by pressure chambers with an anatomically shaped foot area. Treatment sleeve according to claim 13, characterized in that the foot region has a sole region without pressure-building means and / or a sole region with claimable by train means. Treatment sleeve according to claim 13 or 14, characterized in that the foot region and the hip region are connected to one another via connecting means. Treatment sleeve according to claim 13 or 14, characterized in that the foot area and the hip area are not connected to each other via connecting means. Cuff for treating edema into the hip area, characterized by a boot area comprising an anatomically shaped foot area provided with pressure chambers. Treatment sleeve according to claim 17, characterized in that the boot cuff has a sole region without pressure-building means and / or the sole region with claimable by train means. Treatment cuff according to claim 17 or 18, characterized in that the boot cuff and the hip area are connected to one another via connecting means. Treatment sleeve according to claim 17 or 18, characterized in that the boot cuff and the hip area are not connected to each other via connecting means.

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