DE4103383A1 - Elbow bandage consisting of tubular body - is made of knitted or woven fabric, is automatically shaped, and surrounds elbow like cap, giving targetted muscular pressure - Google Patents

Elbow bandage consisting of tubular body - is made of knitted or woven fabric, is automatically shaped, and surrounds elbow like cap, giving targetted muscular pressure

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Publication number
DE4103383A1
DE4103383A1 DE4103383A DE4103383A DE4103383A1 DE 4103383 A1 DE4103383 A1 DE 4103383A1 DE 4103383 A DE4103383 A DE 4103383A DE 4103383 A DE4103383 A DE 4103383A DE 4103383 A1 DE4103383 A1 DE 4103383A1
Authority
DE
Germany
Prior art keywords
elbow
characterized
bandage according
shaped
friction core
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.)
Granted
Application number
DE4103383A
Other languages
German (de)
Other versions
DE4103383C2 (en
Inventor
Dieter Brandt
Ingeborg Szlema
Hans Henning Dr Med Wetz
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.)
Beiersdorf AG
Original Assignee
Beiersdorf AG
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
Application filed by Beiersdorf AG filed Critical Beiersdorf AG
Priority to DE4103383A priority Critical patent/DE4103383C2/en
Publication of DE4103383A1 publication Critical patent/DE4103383A1/en
Application granted granted Critical
Publication of DE4103383C2 publication Critical patent/DE4103383C2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0118Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/06Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/061Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for knees
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/10Bandages or dressings; Absorbent pads specially adapted for fingers, hands, or arms; Finger-stalls; Nail-protectors
    • A61F13/101Bandages or dressings; Absorbent pads specially adapted for fingers, hands, or arms; Finger-stalls; Nail-protectors for the elbow, e.g. decubitus ulcer bandages
    • DTEXTILES; PAPER
    • D04BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04BKNITTING
    • D04B1/00Weft knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • D04B1/10Patterned fabrics or articles
    • D04B1/102Patterned fabrics or articles with stitch pattern
    • DTEXTILES; PAPER
    • D04BRAIDING; LACE-MAKING; KNITTING; TRIMMINGS; NON-WOVEN FABRICS
    • D04BKNITTING
    • D04B1/00Weft knitting processes for the production of fabrics or articles not dependent on the use of particular machines; Fabrics or articles defined by such processes
    • D04B1/14Other fabrics or articles characterised primarily by the use of particular thread materials
    • D04B1/18Other fabrics or articles characterised primarily by the use of particular thread materials elastic threads

Abstract

An elbow bandage for the treatment of epicondylalgiene consists of a tubular body made of a knitted or woven fabric, anatomically shaped and surrounds the elbow joint in the manner of a cap. The active bandage part adjointing the lower arm features a pressure pad or two pressure pads, of which each features a shape determined by the bare projections and ligaments of the joint. The pads are shaped bodies made of a flexible or flexible/elastic material incorporating at least one friction core out of a hard or non-compressible material. The core is applied to the ligament attachment of the radial and/or ulnar muscles of the lower arm. ADVANTAGE - The bandage achieves a targeted pressure effect on the radial and ulnar muscle and ligament transition areas without causing arterial blocking.

Description

The invention relates to an elbow bandage made of elastic chemical bandage material in the form of a tube for treatment Epicondylalgia with at least one in the applied state acting on the elbow joint as a pressure pad formed insert.

The elbow joint acts as a hinge joint and as Swivel. The humerus is certified with Elle and spoke. The topographically to the dorsolateral group brachioradialis muscle belonging to the forearm acts doing it as an elbow flexor. Together with the pronator teres it forms the boundary between the predominantly volar located flexors and the predominantly dorsal extensors. The flexor carpi ulnaris muscle arises from the epicondyle  medialis. The nerve runs along the edge of his tendon ulnaris and the ulnar artery. The common tendon of the Flexors of the wrist (flexor carpi radiales muscle, Flexor carpi ulnaris muscle, palmaris longus muscle) and the pronator teres muscle has on the epicondyle homeri medialis their origin. The extensors of the wrist have their muscle origin at the lateral epicondyle humeri.

Bandaging joints, e.g. B. after injuries or for degenerative diseases, is a known ortho pediatric treatment method, the spectrum from one folds with more or less elastic bandages over ready-made bandages in various designs shape up to elaborately designed rails and braces enough. The bandages used are mostly tubular or stocking-shaped, round or flat knitted and at one gene embodiments by flattened coil springs or Plastic rods reinforced laterally.

EP-A-00 27 172 is a bandage made of elastic Bandage material, especially in tubular form, for the Ab support or compression of knees, ankles, elbows and / or wrists, with at least one in the applied Condition surrounding the bone protrusions of the joint adjacent soft tissues compressive compression insert known, in which the compression insert made of elasti chemical but incompressible silicone rubber or a Material with the same elasticity and compression properties exists. By using an elastic, each but incompressible silicone rubber as a material for the Compression insert is only on when bandage is applied the surface of the soft tissues acting massage without  Depth effect achieved because a silicone rubber, the elasti cal and incompressible properties, a has low rebound resilience, so that for a Massage effect required material shift Pressurization does not occur to the desired extent and a massage with a deep effect cannot be achieved is. Add to that that it is for good circulation the joint soft tissue is required, one is sufficient de generating alternating stress due to which the blood is out the joint soft under the compression insert share is pushed out and back when relieved flows back. With an elastic, incompressible sili Such an alternating load is not rubber achievable because local pressure forces exerted on the Support surface assigned to pressure component cannot be generated are. This is due to the fact that in this Bandage silicone chew used as compression insert Tschuk is not compressed under pressure, but there is only a mass shift in the sense that the displaced from the areas under pressure Emigrate mass portions laterally, in neighboring Areas that are not under pressure, so that in these neighboring areas, a mass increase occurs in connection with the applied bandage on the corresponding areas of the tissue have a massage effect. However, an alternating load mentioned above will not reached; however, a good surface is obtained massage, but no massage with a deep effect and thus no improvement in blood circulation.

An epicondylitis bandage is described in EP-A-02 50 409 known. Such an epicondylitis bandage exists essentially of a hose section made of elastic  Material, the tensile stress in the circumferential direction over an essentially circumferential Tension strap with closure is changeable, with the hose section mentioned is essentially the same extends moderately on both sides around the elbow joint. Han with the elastic material of the hose section it is a knitted fabric with a heat-insulating effect. At the points corresponding to the epicondyles are in essential plate-shaped, hard elastic inlays act, with the tensioning strap between the mentioned A were at least partially arranged overlapping is. With such an epicondylitis bandage is the pressure effect by a grasping the arm Belt created with the help of platelets that match the positions associated with the epicondyles. Belts and plates are firmly connected with an elastic bracelet. The armband encloses part of the forearm, of the elbow and part of the upper arm and is highly non-slip and should be medically correct Position of tensioning belts with small plates even with only a small number Guarantee tension of the tension belt. An additional The warming effect of the bandage is said to be especially in the cases can be achieved in which a heat-insulating, textile or other location is additionally provided, however an additional heat insulating thread material in the Fabric or knitted fabric can be included.

A bandage for the treatment of epicondylitis describes also DE-U-84 10 987.4. This bandage that is used for loading act of epicondylitis by exerting pressure serving on the extensor muscles of the forearm consists of a belt to relieve the pain on the epicondyles muscles with a holding device arranged at its ends  conclusion to form an adjustable ring element, wherein the belt at least one pressure plate or two at a distance arranged printing plates and for alignment or to the opposite arrangement of the pressure plates on the lower arm the pressure plates can be moved and adjusted on the belt are arranged. With such a bandage should it be possible considering the stretcher comfort a functional, individually adaptable Training arrangement that the adjustment of the pressure plates in the required position.

These known bandages are compression inserts and pressure plates used, facing the joint side have no specially designed surface structure, but are flat, in the former case the Compression insert a pressure on the joint soft tissues Generation of a mechanical, a rapid swelling the effusion of stimuli causing joint injuries Achieve one, an intense massage of the soft joints part effect rolling due to the used, elastic, but incompressible silicone rubber, is exercised, whereas the pressure plates used only an increased pressure of the tendon fibers in their Starting points, namely the epicondyles, cause, however is not a targeted friction massage in either case exerted on special pain points of the joint, d. H. there is no form of massage in which the tendons sentences are treated selectively across the approach. The station wagon nation of a friction massage with a joint soft tissue sage cannot be reached with any of the known bandages.

The invention has for its object an elbow To create bandage of the type mentioned, with which to  Treatment for epicondylalgia a targeted pressure effect on the radial and ulnar muscle and tendons transition areas is reached without it venous congestion or arterial blockage with an Un suppression of the pulse values comes and with a healing effect of the elbow joint, which consists of that bonded to the epicondyles and tissue layer mobilized.

This object is characterized by the in claim 1 features resolved.

An elbow bandage designed in this way according to the invention gently supports active exercise treatment and he enables a faster recovery of the Ge steering function. In addition to the effect of pain relief has a healing effect. Reach the one with the bandage The effect is based on the factors of relief, compresses sion and friction massage, the bandage itself the joint guides, cushions and stabilizes to a limited extent. It is a compression pressure on the joint soft tissues and Tendon inserts generated and an intermittent massage the muscles involved are exercised. Because of the in the print pelotte of the bandage arranged hard friction core in addition to a massage of the joint soft tissues by the padding a targeted friction massage on special Pain points possible; these are the tendon approaches of the radi alen and ulnar muscles on the medial and lateral Epicondylus humeri. With this form of massage, the Tendon insertions treated crosswise to the base, being the cross friction is strictly local. This friction massage works in acute cases of adhesion formation with adjacent structures and solves in sub acute or chronic cases of existing adhesions. At the same time eliminates the friction massage through the free  Settlement of histamine and serotonin from destroyed mast cells local inflammatory reactions biochemically and leads thus to freedom from pain. The ideal orthometric Shape becomes the anatomical shape of the elbow joint adjusted so that a bandage for the elbow joint is obtained, which has the following preferred structure:

  • - Three-dimensional anatomical form knitting in functional Flexion of the joint,
  • - compression pressure 15 mm Hg,
  • - Two-way elasticity and thus balanced pressure distribution in both directions,
  • - specially designed finishes of the bandage edges Pressure reduction edge, so that no congestion symptoms occur,
  • - Viscous elastic profile inserts made of silicone as active elements; Determine bone protrusions and tendon insertions the shape of the pad,
  • - Two-component pad with a firm, hard friction core for targeted friction massage of the critical points, (Tendon insertions),
  • - Inserts made of highly elastic relief knitted fabric, in their Area the material according to the bellows principle is gathered in waves. The waves allow it high mobility, take in joint flexion the excess material and prevent a fall ten formation,
  • - Skin-friendly tissue made of e.g. B. cross-linked polyurethane (Trade name ELASTAN), elastode fibers and polyamide with a high proportion of cotton, whereby elasto fibers are also used can be set due to their chemical on construction are extremely highly deformable and the property point, after canceling the deformation forces essentially  immediately and almost completely in the original return to the original state, d. H. they are highly elastic fibers that have a high elastic elongation have. These highly elastic fibers can be made of rubber threads, of rubber and other synthetic elasto fibers that are not based on polyurethane are made. The elastodic fibers are fibers made from natural polyisoprene (rubber) or synthetic polyisoprene or from such polymers, by the polymerization of one or more dienes, possibly with the addition of one or more vinyl monomers, arise.

Because the elbow bandage from one on the forearm beginning and cap-shaped around the elbow joint reaching and anatomically shaped tube body consists of a fabric or knitted fabric, which one directly in the bend of the joint or immediately above the elbow bow ending length and below his upper edge with a wedge-shaped, above the elbow lying insert made of a highly elastic relief knitted fabric is provided, the active on the forearm Part of the bandage is a pressure pad or two over the radial and ulnar muscular pressure pads has, each of which pressure pad as a molded body made of a soft or soft-elastic material is formed in which at least one fixed friction core made of a hard or incompressible material arranged and fixed in position is one active friction bandage for therapy of painful stimulus  conditions of the elbow joint as well as in epicondylitis created. The elbow bandage relieves the elbow joint and exerts an intermittent compression on the radial and ulnar muscles. The special effect the bandage unfolds primarily in movement. The two- Component pads cause targeted friction massage the critical points on the radial and ulnar Tendon insertion. Through the painless it creates Permanent massage will be the one radiating into the epicondyle Tendon fibers redirected and blood flow to the joint soft tissues improved.

The elbow bandage becomes a treatment for exercise Sport or worn during a professional activity. After a short period of wear, there is a noticeable pain relief and functional improvement. The use of the ellen bow bandage takes place in case of irritation and overload symptoms of the elbow joint as well as joint effusions and swelling in osteoarthritis and arthritis, also in radial and ulnar epicondylitis, in myopathy of Forearm muscles; it also serves after injuries to immobilize. By combining functional Increased mobility and targeted pain relief with the elbow bandage an effective effect aims.

The elbow bandage is an anatomically shaped bandage for the elbow joint with one along the outside of the arm guided seam. The bandage begins in the created Condition on the forearm and extends cap-shaped around the elbow bow joint; it ends directly in the flexion or un indirectly above the elbow. Below the top The edge is wedge-shaped over the elbow bandage  the elbow is made of highly elastic relief Knit incorporated. During the upper part of the bandage only the bracket is used, the active part is on the lower poor. Here are above the radial and ulnar Muscles preferably two symmetrically arranged Pressure pads as profile inserts, with each print pelotte, above the muscle-tendon transition preferably with a button-like friction core a greater hardness than the material of the pressure pad firmly arranged or inserted into the material of the pressure pad is poured. The friction core closes on the surface spherical.

According to a further embodiment of the invention, the Tube body of the elbow bandage below his top with a wedge-shaped edge over the elbow lying insert made of a highly elastic relief knitted fabric Mistake. Occurs particularly with elbow bandages because of the relatively large Beu there angle often causes the problem of undesirable wrinkling on. This problem can be counteracted by the fact that the bandage at least in the critical diffraction areas is knitted with a more elastic yarn. Such However, yarns are relatively expensive. Beyond that leads from the use of these yarns that in Stretching or resting state of the joint is too high a compress setting which leads to constriction of the blood vessels can and accordingly when wearing the bandage Unan comfort caused. For this reason, one is out Fabric fabric made for use in inner and outer flexion area of an elbow bandage created that is economically producible and with the can be reliably excluded that in the bend area of the elbow bandage even after prolonged use  need to form wrinkles, so that the wearing comfort is better Bandage is achieved.

Due to the features of claim 23 is a Textile threads created existing fabric, so is built that at least on one side a relief in A wave structure is created. This wave structure is made higher by an underlying thread arrangement elastic yarn or thread elastic biased and sta bilized, leaving the deck structure in a relaxed state of the fabric wave-like, preferably half waves good, bulges. If the surface structure accordingly used in articulated bandages and perpendicular to the alignment the cross waves is claimed, for example when Bending the bandaged joint is the case, too next only the cross shafts flattened or smooth, without stretching or stretching the covering structure follows. Overstretching of the deck structure can be done in this way and be reliably excluded, thereby equal the appearance of wrinkles early, even after length rem use of the bandage, is avoided. This area bilde is therefore particularly suitable for use in Elbow bandages because the elbow joint is a big one Has freedom of movement or bending angle.

The structure of the textile fabric thus allows despite relatively high elongation the use of relatively inelastic yarn for the cover structure, which creates the conditions for an economic production position of the textile fabric can be created.

This can be done particularly advantageously from textile threads manufactured fabrics with the Eigen outlined above  form as a knitted fabric, because there is already a great basic elasticity of the textile fabric is ready is provided. The danger of overstretching the yarn can can be additionally reduced with this embodiment.

The textile fabric is preferably in the cubit bow bandage only used in certain areas, namely there, where the greatest expansion paths are to be expected. The alignment The cross waves are regularly perpendicular to the main Direction of stretch. It is also possible in which by Ge Steering flexion in the highly stressed area of the elbow ban dage to arrange several textile surface structures so that the respective cross shaft orientations at an angle to each other who stand.

Further advantageous embodiments of the invention are in the Subclaims marked.

Embodiments of the invention are as follows explained in more detail with reference to the drawing. Show it

Fig. 1 is a side view of an elbow support with disposed on the pressure pad, and with a joint disposed in the diffraction region insert of a relief-knitted fabric,

FIG. 2 is a diagrammatic side view of a forearm with its various muscles,

Fig. 3 in a view from above the one side cut and folded-elbow bandage with two pressure pads,

Fig. 4 in a top view of the pressure pad,

Fig. 5 is a vertical longitudinal section along line VV in Fig. 4,

Fig an enlarged side view tion core. 6 is a frik,

Fig. 7 in a top view of the pressure pad, with the arcuate narrow side regions of the insert form body illustrated base circles,

Fig. 8 in a vertical longitudinal section of another embodiment of a compression pad having incorporated in their friction core material,

FIGS. 9 to 12, the various stages of the application of the elbow-elbow bandage on,

Fig. 13 is an enlarged section through the insert from the relief-knitted fabric according to line XIII-XIII in Fig. 12,

Fig. 14 in a simplified schematic representation of the Prin the deformation of the surfaces made of textile threads and forming the insert in the elbow bandage zip structure,

Fig. 15 representations of rows of knitting to illustrate a first embodiment for a method for the produc- tion of the relief knitted fabric, and

Fig. 16 in Fig. 15 similar representation of a further knitting pattern for the relief knit.

The elbow bandage 10 shown in Fig. 1 consists of a starting at the forearm and cap-shaped around the elbow joint and ana tomically shaped tubular body 11 made of a fabric or knitted fabric. This tube body has a length on the basis of which the elbow bandage 10 bends directly in the joint or ends immediately above the elbow. In the unfolded state, the tubular body 11 has the cut shape shown in FIG. 3, the parts 11 a, 11 b forming the tubular body 11 being connected via a longitudinal seam 12 when both tubular body parts 11 a, 11 b are formed to form the tubular body 11 are. The lower edge of the hose body 11 is designated 13 and the upper edge 14 .

Below its upper edge 14 , the tube body 11 of the elbow bandage 10 is provided with a wedge-shaped insert 50 made of a highly elastic relief knitted fabric 51 , the tube body 11 then being arranged in such a way that the insert 50 is in place when the elbow bandage 10 is in place from the highly elastic relief knitted fabric 51 over the elbow.

The adjacent forearm active part 10 a of the elbow bandage 10 carries a pressure pad 20 or two pressure pads 20 , 20 'located above the radial and ulnar muscles ( FIG. 3).

The human forearm 100 shown in FIG. 2 shows the arrangement of the various muscles. At 101 the brachioradialis muscle, at 102 the extensor carpi radialis longus muscle, at 103 the extensor carpi radialis brevis muscle, at 104 the extensor digitorum muscle, at 105 the extensor carpi ulnaris muscle, at 106 the anconeus muscle and at 107 the epicondyle lateralis humeri.

The pressure pad 20 shown in FIGS . 4 and 5 is used as an insert in the tubular elbow bandage 10 . Such a bandage 10 is auf bar on the elbow joint, with the pressure pad 20 applied to the joint in such a way that a compression pressure on the joint soft tissues and tendon inserts and a targeted friction massage is exerted on special pain points. For the attachment of the pressure pad 20 to the bandage 10 , the latter is preferably formed in the attachment region in two layers, the pressure pad 20 , which has the shape shown in FIGS. 4 and 5, then being arranged in the space formed by this double layer. However, other known attachment forms for the pressure pad, e.g. B. such as welded, adhesive or sewing connections are possible. The pressure pad 20 'is designed in accordance with the pressure pad 20 .

The pressure pad 20 is designed as a shaped body 21 and has a shape predetermined by the bone projections and tendon attachments of the joint. The molded body 21 of the pressure pad 20 consists of a soft-elastic material Ma.

In the material of the molded body 21 , a fixed friction core 30 is fixed, which is made of a hard material, such as. B. an incompressible polyamide, polyurethane, silicone rubber or a material with the same elastic properties or an inelastic material. This friction core 30 is disc-shaped or bar-shaped with a circular or other geometric shape having cross-section and has a recess in the form of a groove 32 , groove-shaped recesses, undercuts, toothing or the like in the area of its circumferential wall surface 31 , for receiving of the molded body material is used so that the friction core 30 is fixed in position in the molded body 21 of the pressure pad 20 . Preferably, the arrangement of the friction core 30 is such that it comes to lie just below the surface of the molded body 21 so as to be able to exert high pressure on the joints ( FIG. 5).

The molded body 21 consists of a soft or soft elastic material. In contrast, the friction core 30 consists of a hard or incompressible material; it is fixed in its position in the material of the molded body 21 . The friction core 30 has a greater hardness than the hardness of the molded body 21 . The difference between the hardness of the molded body 21 and the hardness of the friction core 30 is at least 10 Shore A, preferably 20 Shore A.

The hardness of the material from which the molded body 21 is located is below 50 Shore A, whereas the hardness of the material from which the friction core 30 is made is above 50 Shore A, which will be discussed in more detail below.

The pressure pad 20 preferably has the shape shown in FIGS . 4 and 5. According to this, the molded body 21 is provided with a flat base 22 and an outer curvature 23 facing away from the base, which tapers from one end 24 to the other end 25 of the molded body 21 . The friction core 30 is in the molded body 21 before angeord net preferably in that area of the outer curvature 23 which has the largest cross section ( FIG. 5).

The molded body 21 itself has an approximately rectangular shape with a conical taper towards the molded body end 25 towards the long sides 28 , 29 , of which the long side 29 is arcuate and the long side 28 is almost straight, preferably with a slight indentation, and with an arcuate configuration Narrow sides 26 , 27 , the two arcuate narrow sides being based on different circular diameters R 1 , R 2 . The circular diameter R 1 of the circle K 1 on which the arcuate narrow side 26 is based has, for example, approximately 4 cm in the embodiment shown in FIG. 7 and the circular diameter R 2 of the circle K 2 on which the arcuate narrow side 27 is based, with the shaped body 21 is a length of approximately 11 cm and a height of the outer curvature 23 of approximately 1 cm in the region of the narrow side 26 . A pressure pad 20 with these dimensions represents a preferred type. Deviations from these dimensions are possible.

The molded body 21 consists of a soft or soft elastic material, such as felt, foam rubber, neoprene, rubber or of viscoelastic silicone rubber or of an elastic, compressible, pressure-deformable silicone rubber z. B. with a hardness of 40 Shore A, a silicone foam with a hardness of 9 to 13 Shore A or a compressible, deformable by pressure and without resilience in its shape reforming silicone rubber of the type of a vulcanizing cold rubber according to the process of polyaddition, the In addition to a high degree of flexibility, the hardness is less than 4 Shore A, but silicone rubbers can also be used if their hardness is above 4 Shore A. Such viscoelastic silicone rubbers or materials with the same elastic properties have the property to have a massaging effect when the bandage is applied with such a pressure pad due to the sliding movement, triggered by mass shift, when pressure is applied or during movement processes. For the production of the molded body 21 , a material should be selected which is viscoelastic and, due to its elastic properties, brings about a massage.

The friction core 30 of the pressure pad 20 , however, consists of a hard or incompressible plastic with z. B. a greater than 50 Shore A hardness and has a much greater hardness than the molded body 21 , so that a targeted friction massage is achieved on specific pain points of the joints in the movement. Natural or artificial rubber or hard rubber can be used as the material for the friction core. For example, a chloroprene polymer (trade name NEOPRENE) with a hardness of 50 Shore A, a rubber-elastic, cross-linked polyurethane (trade name VULKOLLAN) with a hardness of 65 to 90 Shore A, a silicone rubber with a hardness of 60 Shore A, an ethylene -Propylene-diene rubber (EPDM) with a hardness of 80 Shore A or a copolymer with acrylonitrile (trade name PERBUNAN) with a hardness of 70 Shore A, a polyamide can also be used. However, other plastics or natural product derivatives can also be used to produce the core 30 . It is essential that the core 30 has sufficient hardness to be able to exert the targeted friction massage on specific pain points. The friction core 30 can also consist of metal or wood.

The arrangement of the pressure pad 20 in the bandage is such that the outer curvature 23 of the pressure pad 20 faces the joint. Depending on the joint design, more than one pressure pad can also be arranged in the bandage 10 . The pressure pad can also have a plurality of individual friction cores 30 in order to act on several pain points simultaneously. Symmetrical to the pressure pad 20 , the pressure pad 20 'is arranged in the bandage 10 ' ( Fig. 3).

The friction core 30 , which has a button shape or any other geometric shape, is firmly drawn into the pressure pad 20 and closes spherically on the surface of the pressure pad. To secure the position, ie to secure against moving or moving, the friction core 30 in the pressure pad 20 , the friction core is provided with a surface profile, with undercuts or with toothing in which the pad material engages. It is necessary that the friction core 30 consists of a material which is somewhat harder compared to the material of the pressure pad. Thus, there is also the possibility for the pressure pad, a material with a hardness of 4 Shore A and for the friction core 30 is a material having a hardness of z. B. 15 Shore A to use. When the bandage is applied, the friction core 30 lies on the tendon attachment, whereas the pressure pad 20 itself rests on the muscle and / or the soft joint parts. The pressure pad can also be arranged on both sides of the bandage.

According to a further embodiment of the invention, the friction core 30 is interchangeably arranged in the pressure pad 20 . For this purpose, the molded body 21 is provided with a recess 40 of approximately the size of the friction core 30 , into which the friction core 30 is pressed by means of a slight pressure ( FIG. 5). The recess in the pressure pelotte 20 delimiting inner wall surface has a profile that allows an engagement in the profile of the circumferential wall surface of the friction core 30 and since the pad material is elastic, but the friction core 30 has a greater hardness compared to the pressure pad material the friction core 30 press into the recess, the profile of the inner wall surface being pressed together during the pressing process in such a way that the friction core 30 can slide entirely into the recess 40 and due to the resilience of the material of the pressure pad 20 , the pad material becomes the edge profile of the friction core 30 pressed so that it is held firmly in the pressure pad. By appropriate deformation of the pressure pad by a strong external pressure application, the friction core 30 can be pressed out of the pressure pad. This makes it possible to use friction cores of different hardness. In the case in which pressure pads 20 with an exchangeable friction core 30 are used, the pressure pad is attached to the bandage in such a way that the pressure pad can be removed.

The friction core 30 can be designed as a shaped body; it is then arranged in the material of the molded body 21 . According to a further embodiment of the invention, the material of a plastic, for. As silicone rubber, existing friction core 30 with the material of the shaped body 21 and merged with the molded body 21 unlös bar connected (Fig. 8). The friction core 30 may be due to material curing of a portion which is to form the later friction core and therefore has a greater hardness compared to the soft material of the shaped body 21 of the mold body 21 can be obtained also in the production of the shaped body 21st In both cases, silicone rubber should preferably be used as the material.

Furthermore, the molded body 21 can also be bag-shaped. This bag is made of soft, elastic plastics. The interior of the bag is filled with a gaseous medium, such as. B. air, or a liquid medium, such as. B. a viscous silicone oil, water or the like. Filled. The friction core 30 is then fixed in position on the inner wall surface of the bag.

In addition to the formation of the pressure pad 20 with one or more friction cores 30 , the bandage itself can also carry pressure pads 20 with friction cores 30 on two sides facing one another.

The length of the elbow bandage 10 is preferably measured in the last notch upwards about 6.5 cm and downwards about 15.5 cm. The height of the two end edges 13, 14 is approximately 2.3 cm. With these dimensions of the elbow bandage 10 , the pad should have a maximum width of 5 cm and a length of 11 cm. The position of the pad 20 or 20 'on the hose body 11 is such that, measured in the middle of the pad, the distance from the lower edge 13 is about 9 cm and from the longitudinal seam 12 is about 4.5 cm. The pad is attached with the curved side inwards. The width of the end edges 13, 14 depends on the respective sizes of the elbow bandage 10 and can be 8 to 12 cm in the upper region and 9 to 13 cm in the lower region.

The elbow bandage 10 is applied as follows according to FIGS. 9 to 12:
The bandage is first gripped at the upper edge 14 ( FIG. 9). The bandage is then pulled over the forearm to the elbow ( Fig. 10). The corrugated wedge of the insert 50 from the relief knitted fabric 51 is pushed over the elbow so that the bandage has a good fit and holds ( Fig. 11). The bandage is properly seated when the longitudinal seam 12 of the tube body 11 on the outside of the arm extends over the middle of the elbow ( Fig. 12).

According to Fig. 1, the tubular body 11 of Ellen arc bandage 10 basically consists of three sections, namely the lower edge portion 13, the upper Randab section 14 to a non-slip fixation of the elbow to ensure bandage 10, and at the Randab sections 13,14 subsequent compression portion 15 hingewegläuft over the joint. In this compression section 15 , the insert 50 is incorporated from a relief knitted fabric 51 , specifically where the greatest stretching of the elbow bandage occurs due to the articulation.

The tubular body 11 is preferably made of knitted goods, with different types of knitting being used for the individual sections 13 , 14 , 15 and 50 . However, other textile goods and / or knitted fabrics can also be used.

The peculiarity of the elbow bandage shown is that for the insert 50 , which is provided where the highest stretching alternating stresses of the bandage occur, a special textile structure, namely the re-knitted fabric 51 , is used, which is described in more detail below is explained.

The stripe-shaped deposit of the insert 50 indicates that the knitted fabric forms a relief in this area, which is illustrated from the section XIII-XIII in FIG. 12 in the illustration according to FIG. 13 and is designated by 51. This relief knitted fabric 51 is a wave structure that is formed on at least one side of the elbow bandage - in the embodiment shown on the side facing away from the body. Here, a series of half-waves with the interposition of nodes or node areas 220 are lined up, which arise as follows:
A knitted fabric 224 formed from stitches 222 is connected in the area of individual stitches 222 'with an elastic thread arrangement 226 on the underside of the knitted fabric 224 such that a number of stitches 222 of the knitted fabric 224 - in the embodiment four - of a longer stitch 228 the underlying elastic elastic thread arrangement 226 is bridged. The meshes 222 between the node points or regions 220 are bulged upwards as a result, as a result of which the transverse shafts 218 are tensioned and stabilized. By varying the number of bridged meshes 222 and / or meshes 222 ', the deformation behavior and the permanent elasticity can be influenced in a targeted manner.

The deformation behavior of the relief knitted fabric 51 formed in this way can be seen in detail from the representation according to FIG. 14. The knitted fabric is shown in the unloaded state on the left. The stitches are indicated by lines and the connection of the stitches to each other by small circles.

The elastic yarn 226 provided on the underside bridges the knot regions 220 , between which four stitches 222 of the knitted cover 224 are formed. The pre-tensioning of the elastic thread arrangement 226 bulges the stitches 222 into half waves, which creates the relief structure. The half waves each have between two and twelve, preferably four, courses.

The right side shows how the knitted fabric behaves when subjected to a tensile force F. It is known that the elastic thread arrangement 226 is stretched between the knot regions 220 without an additional stretching stress occurring in the region of the half waves, ie in the region of the meshes 222 . The knitted fabric can accordingly lengthen by the dimension L before the stitches 222 of the top knitted fabric 224 are subjected to tension. This dimension L accordingly creates an expansion reserve for the knitted fabric compared to conventional textile fabrics.

The connection between the knitted cover 224 and the elastic thread arrangement 226 can take place in a wide variety of ways. It is also possible to choose or make the connection such that waves are formed on both sides of the Ge knitting. The cover knitted fabric 224 need not be of a single-surface design only.

Due to the above structure of the knitted fabric, despite knitting a high stretch elasticity for the deck knit, normal knitting yarn, such as. As cotton or poly amide yarn can be used. For the elastic Fadenanord voltage 226 preferably more elastic yarn such. B. wrapping yarn, this elastic thread can be plated additional Lich to improve the wear resistance of the textile fabric.

An insertion thread can also be worked into the stitches 222 of the cover knitted fabric 224 in order to achieve a compression effect of the bandage also in this area of the undulating relief structure.

The knitted wave fabric created in this way can also abge for example with elastic yarn be quilted.

Deviating from the exemplary embodiments shown, it is also possible to work with several differently oriented inserts 50 in the diffraction area of the elbow bandage, in order in this way to take into account the specific stretching stress on the bandage.

In FIGS. 15 and 16 are shown two ways in which the above-explained wavy knitted on auto matic knitting machines can be produced. Here, two needle beds are used, namely a first needle bed 260 and a second needle bed 262 with needles arranged at the same distance from one another. One knits on the first needle bed 260 several - in the exemplary embodiment shown four - rows of stitches from normal knitting yarn, such as. B. Cotton or polyamide yarn 264 . Then two rows of stitches on both needle beds 260 , 262 with elastic yarn, such as. As rubber or wrapping yarn, 68 knitted, this elastic yarn preferably a cladding thread 266 is added. In the fifth row of knitting, only needles 602 , 604 , 606,. . . etc. or 622 , 624 , 626,. . . etc. of both needle beds. The plating thread can be formed from a polyamide HE thread. The illustration shows that the course of six stitches is knitted like that on all needles of the two needle beds 260 , 262 . However, this is not absolutely necessary.

Then again there are four rows of stitches with ordinary yarn on the first needle bed 260 and finally two further rows of stitches using elastic yarns, the eleventh row being different from the fifth one in that the needles involved in the needle beds 260 , 262 are offset by one are.

Fig. 16 shows another pattern with a slightly different bond in the region of the later knitting node 220. The knitting courses one to five and seven to eleven correspond to the knitting pattern according to FIG. 15. The only difference is the formation of the knitting courses 6 and 12 , so that a closer examination of this figure does not appear to be necessary.

Deviating from the manufacturing process described above it is also possible to first place a or on a needle bed several rows of stitches made of elastic yarn, such as B. Umwinde yarn, and on the other needle bed courses, from nor painting knitting yarn, such as B. cotton or polyamide yarn, to knit, then one or more stitches row with all or individual needles of both needle beds to be knitted.

The fabric made from textile threads needs not being knitted. Is crucial only that the textile fabric has such an up construction receives that one either incorporated or after specific pattern associated with a textile covering structure elastic thread arrangement the fabric such internal bias indicates that at least on one side wave-like relief arises, which is then created by the outer bean can first be drawn smooth or smoother, without stretching the deck structure already in this phase to claim.

Claims (33)

1. Elbow bandage made of elastic bandage material in the form of a tube for treatment of epicondylalgia with at least one insert which acts on the elbow in the applied state and is designed as a pressure pad, characterized in that the bandage ( 10 ) starts from an applied state on the forearm, Anatomically shaped tubular body ( 11 ) which extends around the elbow joint and consists of a fabric or knitted fabric which has a length ending directly in the bend of the joint or immediately above the elbow, the active part ( 10 a) of the bandage ( 10 a) 10) a pressure pad (20) or two of the radial and ulnar muscles lying pressure pads (20, 20 '), each of which has pressure pad (20, 20' having) a by the bony prominences and tendon attachments of the joint limited hours te form and as Shaped body ( 21 ) is formed from a soft or soft-elastic material, i n the at least one friction core ( 30 ) made of a hard or incompressible material and fixed in position in the material of the molded body ( 21 ) in such a way that the friction core ( 30 ) acts on the tendon insertion of the radial and / or ulnar forearm muscles.
2. Elbow bandage according to claim 1, characterized in that the tubular body ( 11 ) below its upper edge ( 14 ) with a wedge-shaped insert lying above the elbow ( 50 ) is provided from a highly elastic relief knitted fabric ( 51 ) .
3. Elbow bandage according to claim 1 or 2, characterized in that the two pressure pads ( 20 , 20 ') are arranged symmetrically to each other in the opposite wall surfaces of the hose body ( 11 ).
4. Elbow bandage according to one of claims 1 to 3, characterized in that the friction core ( 30 ) has a greater hardness than the hardness of the material of the shaped body ( 21 ).
5. elbow bandage according to one of claims 1 to 4, characterized in that the difference between the hardness of the molded body ( 21 ) and the hardness of the friction core ( 30 ) is at least 10 Shore A, preferably 20 Shore A.
6. Elbow bandage according to one of claims 1 to 5, characterized in that the material of the shaped body ( 21 ) has a hardness below 50 Shore A and the material of the friction core ( 30 ) has a hardness above 50 Shore A.
7. Elbow bandage according to one of claims 1 to 6, characterized in that the friction core ( 30 ) is disc-shaped or bar-shaped with a circular cross-section or the friction core ( 30 ) has a different geometric shape.
8. elbow bandage according to one of claims 1 to 7, characterized in that the disc-shaped friction core ( 30 ) for fixing the layer in the shaped body ( 21 ) of the pressure pad ( 20 , 20 ') in the region of its surrounding wall surface ( 31 ) groove-shaped recess, indentation such as groove undercuts, toothing or the like. ( 32 ), for receiving molded material.
9. elbow bandage according to one of claims 1 to 7, characterized in that the material of the friction core ( 30 ) with the material of the molded body ( 21 ) is fused and connected to the molded body material, the friction core ( 30 ) and the Shaped body ( 21 ) made of plastics, in particular silicone rubber or the like.
10. Elbow bandage according to one of claims 1 to 7, characterized in that the friction core ( 30 ) in the manufacture of the shaped body ( 21 ) by material hardening of a portion of the shaped body ( 21 ) is obtained, the friction core ( 30 ) and the molded body ( 21 ) consists of plastics, in particular silicone rubbers or the like, of different degrees of hardness.
11. Elbow bandage according to one of claims 1 to 10, characterized in that the shaped body ( 21 ) has a flat, profiled, curved outward or inwardly drawn base area ( 22 ) and a joint facing the base surface facing away from the outer curvature ( 23 ).
12. Elbow bandage according to claim 11, characterized in that the outer curvature ( 23 ) of the shaped body ( 21 ) tapers from one end ( 24 ) to the other end ( 25 ) and that the friction core ( 30 ) in the area of External curvature ( 23 ) is arranged, which has the largest cross section.
13. Elbow bandage according to one of claims 1 to 12, characterized in that the shaped body ( 21 ) has an approximately rectangular shape with a conical body end ( 25 ) tapering longitudinal sides ( 28 , 29 ) and with arcuate narrow sides ( 26 , 27 ), the arcuate narrow sides ( 26 , 27 ) being based on different circular diameters (R 1 , R 2 ).
14. elbow bandage according to claim 13, characterized in that the circular diameter (R 1 ) of the arc-shaped narrow side ( 26 ) underlying circle (K 1 ) about 4 cm and the circular diameter (R 2 ) of the arc-shaped narrow side ( 27 ) of the underlying circle (K 2 ) is approximately 2 cm with a length of the shaped body ( 21 ) of approximately 11 cm and a height of the outer curvature ( 23 ) of approximately 1 cm in the region of the narrow side ( 26 ).
15. Elbow bandage according to one of claims 1 to 14, characterized in that the molded body ( 21 ) made of felt, foam rubber, neoprene, rubber, a viscoelastic silicone rubber or an elastic, compressible, pressure-deformable silicone rubber or a material with same elastic properties as natural rubber, silicone foam or the like.
16. Elbow bandage according to one of claims 1 to 15, characterized in that the shaped body ( 21 ) is bag-shaped and has a filling made of a gaseous or liquid medium, the friction core ( 30 ) on the inner wall surface of the bag in its Location is fixed.
17. Elbow bandage according to one of claims 1 to 16, characterized in that the friction core ( 30 ) made of an incompressible plastic, such as a natural or artificial rubber, hard rubber, chloroprene poly merisat, a rubber-elastic cross-linked polyurethane, polyamide, metal, Wood or the like.
18. Elbow bandage according to one of claims 1 to 17, characterized in that the bandage ( 10 ) carries pressure pads ( 20 , 20 ') on two opposite sides with friction cores ( 30 ).
19. Elbow bandage according to one of claims 1 to 18, characterized in that in the shaped body ( 21 ) of the pressure pad ( 20 , 20 ') is formed a friction core ( 30 ) on receiving recess ( 40 ).
20. Elbow bandage according to claim 19, characterized in that the friction core ( 30 ) in the recess ( 40 ) is releasably held by means of a press or press fit.
21. Elbow bandage according to one of claims 1 to 20, characterized in that the upper wall surface of the friction core ( 30 ) is arcuate, semicircular or flat with rounded corners.
22. Elbow bandage according to one of claims 1 to 21, characterized in that the tubular body ( 11 ) in the unilaterally separated and unfolded state consists of two congruent, in the region of a longitudinal side interconnected cut parts ( 11 a, 11 b), wherein Formation of the tubular shape, the two blank parts ( 11 a, 11 b) in the region of their free longitudinal edges via a longitudinal seam ( 12 ) are connected to one another.
23. Elbow bandage according to one of claims 2 to 22, characterized in that the insert ( 50 ) in the hose body ( 11 ) from a fabric made of textile threads forth with a transverse wave structure ( 216 , 218 ) formed at least on one side stands, which is elastically pre-tensioned and stabilized by an incorporated or under a cover structure elastic thread arrangement ( 226 ), which is connected to the cover structure at certain intervals (A).
24. Elbow bandage according to one of claims 2 to 23, characterized in that the cover structure of the surface formation is formed by a single-surface cover fabric ( 224 ) and the transverse shafts ( 218 ) each have a plurality of stitches ( 222 ).
25. Elbow bandage according to claim 24, characterized in that the cover knitted fabric ( 224 ) consists of a substantially non-elastic knitted fabric ( 264 ).
26. Elbow bandage according to one of claims 2 to 25, characterized in that the elastic thread arrangement ( 226 ) is produced together with the cover knitted fabric ( 224 ) in one operation.
27. elbow bandage according to one of claims 2 to 26, characterized in that the transverse wave structure There are half waves, each between two and twelve, preferably have four rows of stitches.
28. Elbow bandage according to one of claims 2 to 27, characterized in that the cover fabric ( 224 ) consists of cotton and / or polyamide yarn ( 264 ).
29. Elbow bandage according to one of claims 2 to 28, characterized in that the elastic thread arrangement ( 226 ) consists of wrapping yarn ( 268 ) or has this.
30. elbow bandage according to claim 29, characterized in that the wrapping yarn ( 268 ) is plated.
31. Elbow bandage according to one of claims 2 to 30, characterized in that an insert thread is incorporated into the cover fabric ( 224 ).
32. Elbow bandage according to one of claims 2 to 31, characterized in that the transverse wave structure ( 216 ) is aligned substantially perpendicular to the main direction of expansion (F).
33. Elbow bandage according to claim 32, characterized in that the knitted fabric ( 51 ) is shaped such that the number of transverse shafts ( 218 ) is greatest where the greatest expansion path (L) occurs due to the articulation of the joints.
DE4103383A 1991-02-05 1991-02-05 Elbow bandage Expired - Lifetime DE4103383C2 (en)

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Application Number Priority Date Filing Date Title
DE4103383A DE4103383C2 (en) 1991-02-05 1991-02-05 Elbow bandage

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DE4103383C2 DE4103383C2 (en) 1993-12-09

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EP0600218A2 (en) * 1992-11-05 1994-06-08 Beiersdorf Aktiengesellschaft Bandage for the knee joint
EP0602317A2 (en) * 1992-11-05 1994-06-22 Beiersdorf Aktiengesellschaft Bandage for the knee joint
DE4306554A1 (en) * 1993-03-03 1994-09-08 Schieber Universal Maschf Knitting method
DE4336545A1 (en) * 1993-10-26 1995-04-27 Werner Zehrer Epicondylitis bandage
DE102008006504A1 (en) * 2008-01-25 2009-07-30 Sipra Patententwicklungs- Und Beteiligungsgesellschaft Mbh Spacer knit and method and knitting machine for its production
WO2015028734A1 (en) * 2013-09-02 2015-03-05 Millet Innovation Hand orthosis for supporting the thumb, in particular in case of rhizarthrosis

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DE102010006459B4 (en) * 2010-02-01 2012-12-06 Amoena Medizin-Orthopädie-Technik GmbH clothing
US9125787B2 (en) 2011-09-30 2015-09-08 Covidien Lp Compression garment having a foam layer
US9402779B2 (en) 2013-03-11 2016-08-02 Covidien Lp Compression garment with perspiration relief

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0600218A2 (en) * 1992-11-05 1994-06-08 Beiersdorf Aktiengesellschaft Bandage for the knee joint
EP0602317A2 (en) * 1992-11-05 1994-06-22 Beiersdorf Aktiengesellschaft Bandage for the knee joint
EP0600218A3 (en) * 1992-11-05 1994-10-12 Beiersdorf Ag Bandage for the knee joint.
EP0602317A3 (en) * 1992-11-05 1994-10-12 Beiersdorf Ag Bandage for the knee joint.
US6149616A (en) * 1992-11-05 2000-11-21 Beiersdorf Aktiengesellschaft Bandage for the knee joint
DE4306554A1 (en) * 1993-03-03 1994-09-08 Schieber Universal Maschf Knitting method
DE4336545A1 (en) * 1993-10-26 1995-04-27 Werner Zehrer Epicondylitis bandage
DE102008006504A1 (en) * 2008-01-25 2009-07-30 Sipra Patententwicklungs- Und Beteiligungsgesellschaft Mbh Spacer knit and method and knitting machine for its production
WO2015028734A1 (en) * 2013-09-02 2015-03-05 Millet Innovation Hand orthosis for supporting the thumb, in particular in case of rhizarthrosis
FR3009952A1 (en) * 2013-09-02 2015-03-06 Millet Innovation Hand orthesis for supporting the inch especially in the case of rhizarthrosis
CN105682617A (en) * 2013-09-02 2016-06-15 米勒创新公司 Hand orthosis for supporting the thumb, in particular in case of rhizarthrosis

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