EP0129481B1 - Drucktherapiegerät - Google Patents

Drucktherapiegerät Download PDF

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Publication number
EP0129481B1
EP0129481B1 EP84401237A EP84401237A EP0129481B1 EP 0129481 B1 EP0129481 B1 EP 0129481B1 EP 84401237 A EP84401237 A EP 84401237A EP 84401237 A EP84401237 A EP 84401237A EP 0129481 B1 EP0129481 B1 EP 0129481B1
Authority
EP
European Patent Office
Prior art keywords
pressure
chambers
sleeve
partition walls
equipment according
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.)
Expired - Lifetime
Application number
EP84401237A
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English (en)
French (fr)
Other versions
EP0129481A2 (de
EP0129481A3 (en
Inventor
Jean Tissot
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Individual
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of EP0129481A2 publication Critical patent/EP0129481A2/de
Publication of EP0129481A3 publication Critical patent/EP0129481A3/fr
Application granted granted Critical
Publication of EP0129481B1 publication Critical patent/EP0129481B1/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs

Definitions

  • the present invention relates to automatic pneumatic massage devices, of the type comprising at least one inflatable sleeve, covering a part of the body of a patient, member in general, placed under rhythmic pressure, a technique commonly called "pressotherapy”.
  • a pressure therapy device has two separate parts:
  • the generator or apparatus proper provided with the means for producing the compressed air (compressor) and its distribution (valves or distributor); means for adjusting the pressure and its control (regulator and manometer); means for adjusting the duration of the compression and rest and the duration of the application.
  • the compression elements also called massage elements, connected by pipes to the generator and which, for convenience, we will call “machons”.
  • the sleeve is alternately pressurized, time that we will call work or compression, then in the open air, time that we will call rest or depression.
  • the outer sheath-forming tunic which represents the maximum volume to be pressurized and the internal tunic which applies pressure to the surface of the treated limb, delimit only one hollow inflatable capacity: we speak in this case mono-alveolar or single enclosure sleeve and non-stage pressotherapy.
  • the sleeve is divided into several capacities, or cells, or enclosures, independent and pressurized successively, according to different methods. We speak in this case of multi-alveolar sleeve and stepped pressotherapy.
  • the distribution means are designed as a function of the type of sleeve used and the number of independent enclosures that it may contain.
  • the main objective of pressotherapy is to remedy the insufficiencies of the return circulation (venous and, or, lymphatic) and, or, the problems of liquid stasis (edema, for example).
  • French Patent No. 1,775,918 uses a rotary valve type valve.
  • the different cells that make up the sleeve are inflated one after the other before being deflated.
  • all the cells are under pressure and in communication with the compressed air source, see Figures 11 and 12. They can only be at the same pressure.
  • French patent n ° 1,562,252 uses electromagnetic valves for the successive pressurization of the cells.
  • the cams 39, 40, 41 hold the valves 20, 18, 16 open, that is to say that at the same time, all the cells are in communication with the source of compressed air, therefore at the same pressure.
  • French Patent No. 2,246,620 uses a pneumatic cylinder as a means of distribution.
  • the piston successively discovers the supply lights of the various cells. Behind the piston, the inflated cells are therefore in communication with the source of compressed air.
  • the pressure in these cells can only be that which exists in the distribution cylinder and the same for each of them.
  • German patent n ° 27 53 523 does not pretend to innovate in terms of compressed air distribution, since it does not describe a distributor and refers to what exists and in particular to US patent 2,781,041.
  • Figures 2, 3, 4, 5, 6 and 8 it can be seen that the various cells which constitute the sleeve remain in communication with the source of compressed air, when they have been inflated. Consequently, they can only be at the same pressure.
  • 27 53 523 claims nothing else (claim 4) than the means of successively inflating, then deflating the alveoli.
  • the subject of the present invention is the combination of a compressed air distributor and a pressure therapy sleeve comprising a plurality of cells, the distributor being provided with means making it possible to close the supply line for each cell after 'it was inflated so as to isolate it during the pressurization of the other cells and the sleeve comprising a plurality of flexible partitions, but not elastic, the length of which is greater than the distance separating the two tunics forming the sleeve.
  • first cell when a first cell has been inflated, its supply line is closed, then the next cell is inflated in turn, at the same supply pressure, which causes a deformation of the walls of the first and a slight increase in the internal pressure of this first cell and thus gradually, with the same supply pressure, the appearance of a pressure gradient, the first swollen cells having an internal pressure slightly higher than that of the second alveolus, itself having an internal pressure slightly higher than that which follows it and so on.
  • FIG. 1 schematically represents a sleeve A, divided into three independent enclosures A1, A2, A3, by means of two collages A4 and A5, between the two tunics which compose it, the tunic F being the inner tunic forming a sheath in contact with the limb to be treated and the tunic G, not extensible, defining the maximum volume of the sleeve.
  • the multi-cellular sleeve is produced from a sewn canvas sheath, into which independent inflatable pockets are inserted.
  • the outer wall G corresponds to what has previously been called the outer jacket and the inner wall F to what has been called the inner jacket.
  • FIG. 2 represents a fabric sleeve B, covering a member segment S, into which three inflatable bags B1, B2, B3 have been slipped, which when inflated, become contiguous at B4 and B5. Pressurized, the pocket B1 will first occupy its volume. Then pocket B2 will do the same. It is only when B3 is pressurized that the canvas sheath will be completely filled and that the three pockets will be joined at B4 and B5, but they will all be at substantially the same pressure.
  • the division into independent enclosures is carried out by means of transverse partitions, connecting the internal tunic F of the sleeve to its external tunic G, the width of these partitions being clearly greater than the distance separating the two tunics G and F when they are in use.
  • FIG. 3 represents a sleeve C, covering a portion of member S, divided into three separately inflatable enclosures C1, C2, C3, by means of two partitions C4 and C5, of sufficient width, connecting the internal tunic F to the external tunic G
  • the enclosure C1 is put at a pressure "p" which is that which is determined by the pressure regulator which the apparatus comprises. Then the supply line of the enclosure C1 is closed at the distributor, and the enclosure C2 is then inflated to the pressure "p".
  • the compressed air distributor includes a pressure regulator which can be adjusted at will to obtain a constant predetermined pressure and a set of obturation means, one for each supply line, connected to a cell, when the corresponding cell has been inflated to the desired pressure, close the pipe so that the swollen cells cannot communicate with each other.
  • the combination of means constituted by the use of a distributor arranged to isolate the enclosures after the pressurization of each and of a sleeve, the division of which into independent enclosures is carried out by means of internal partitions, integral with the tunics which constitute it, the width of these partitions being clearly greater than the distance separating the two tunics G and F when they are in use, makes it possible to create a pressure gradient between the different enclosures of the sleeve, in such a way that, in a way logical, the treated limb is compressed more strongly at its end than at its root. This improvement has never been achieved until now on devices comprising only one pressure regulator.
  • the apparatus combines a compressed air distributor provided with a single pressure regulator and provided with means making it possible to shut off the supply of each cell when it is inflated to the desired pressure so as to isolate the cells from each other and a sleeve whose partition walls are flexible so that the inflation of each cell causes a decrease in the volume of the adjacent cell which has been previously inflated and therefore a slight increase in the pressure in the latter.
  • a pressure gradient is thus obtained while having only one pressure regulator.
  • FIG. 4 schematically represents a sleeve D, with three enclosures D1, D2 and D3, with short partitions D4 and D5, which will generate only a small pressure gradient.
  • FIG. 5 represents a sleeve E, divided into three enclosures E1, E2 and E3, by means of large partitions E4 and E5, capable of determining a greater pressure gradient. It is even possible to form sleeves whose gradient value will be different depending on the level considered, by installing partitions of different width.
  • An apparatus according to the invention is characterized in that the value of the pressure gradient can be predetermined as a function of the surface of the partitions which divide the sleeve into independent enclosures.
  • the characteristic function of the means of distributing the compressed air is that: in addition to its dual role, successively pressurizing the cells and then venting, the distributor must include a specific means which makes it possible to isolate a cell after it has been pressurized, during the pressurization of the following cells.

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Massaging Devices (AREA)

Claims (6)

1. Massagetherapiegerät bestehend aus einer Druckluft-Verteilvorrichtung und einer Manschette, welche zwischen ihrer Außenhaut (F), die zum Anlegen an die Oberfläche eines zu behandelnden Gliedes bestimmt ist, und ihrer Innenhaut (G), die eine Hülle aus weichen, jedoch nicht elastischen Materialien bildet, eine Mehrzahl von dichten Zellen (C, D, E) enthält, die durch Einsetzen von weichen, die beiden Häute verbindenden Querwänden (C4, C5; D4, D5; E4, E5), deren Länge größer als der die beiden Häute trennende Abstand ist, gebildet sind, wobei die Zellen dafür bestimmt sind, durch die Verteilvorrichtung, die Druckluft eines vorgegebenen konstanten Drukkes abgibt, aufgeblasen zu werden und danach wieder abgelassen zu werden, dadurch gekennzeichnet, daß die Verteilvorrichtung Mittel enthält, um jede Zelle, nachdem sei aufgeblasen worden ist, derart abzusperren, daß die Verformung der Querwände das Auftreten eines Druckgradienten zwischen den Zellen bewirkt, wobei der Druck in einer Zelle kleiner ist als der Druck in der vor ihr aufgeblasenen Zelle, derart daß "p1">"p2"="p" der Druckunterschied zwischen zwei benachbarten Zellen direkt proportional dem Verhältnis ist, das zwischen der Oberfläche der Trennwand und dem Volumen der zuerst unter Druck gesetzten Zelle besteht.
2. Massagetherapiegerät nach Anspruch 1, bei dem die Zellen der Manschette gleiche Volumina haben und die Trennwände gleiche Flächen, dadurch gekennzeichnet, daß der Druckgradient gleichmäßig ist.
3. Massagetherapiegerät nach Anspruch 1, bei dem die Zellen der Manschette ungleiche Volumina haben und durch Trennwände mit verschiedenen Flächen getrennt sind, dadurch gekennzeichnet, daß der Druckgradient veränderlich ist.
4. Massagetherapiegerät nach den vorangehenden Ansprüchen, dadurch gekennzeichnet, daß die Verbindungslinien zwischen den Trennwänden und den Häuten (F, und G), der Manschette übereinander oder gegeneinander versetzt angeordnet sind, um die Oberfläche der Trennwände und dadurch den Wert der Druckdifferenz zwischen den Zellen zu verringern oder zu erhöhen.
5. Massegetherapiegerät nach den vorangehenden Ansprüchen, dadurch gekennzeichnet, daß die Häute und die Trennwände der Manschette aus weichen und luftundurchlässigen Materialien bestehen, oder aus luftdurchlässigen Materialien, die in diesem Falle so angeordnet sind, daß sie die Zellen begrenzen, in denen aufblasbare Lufts- äcke geeigneter Form untergebracht sind.
6. Massegetherapiegerät nach den vorangehenden Ansprüchen, dadurch gekennzeichnet, daß die Zellen in Gruppen von mindestens zwei Zellen angeordnet sein können und die Gruppen nacheinander unter Druck gesetzt werden können.
EP84401237A 1983-06-16 1984-06-15 Drucktherapiegerät Expired - Lifetime EP0129481B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR8309957A FR2548017B1 (fr) 1983-06-16 1983-06-16 Perfectionnements aux appareils de massage pneumatique
FR8309957 1983-06-16

Publications (3)

Publication Number Publication Date
EP0129481A2 EP0129481A2 (de) 1984-12-27
EP0129481A3 EP0129481A3 (en) 1985-05-22
EP0129481B1 true EP0129481B1 (de) 1990-08-08

Family

ID=9289845

Family Applications (1)

Application Number Title Priority Date Filing Date
EP84401237A Expired - Lifetime EP0129481B1 (de) 1983-06-16 1984-06-15 Drucktherapiegerät

Country Status (4)

Country Link
US (1) US4573453A (de)
EP (1) EP0129481B1 (de)
DE (1) DE3482918D1 (de)
FR (1) FR2548017B1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11842884B2 (en) 2017-11-17 2023-12-12 Advanced Energy Industries, Inc. Spatial monitoring and control of plasma processing environments

Families Citing this family (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AT386739B (de) * 1985-02-07 1988-10-10 Mottl Hans Massagegeraet in form einer liege
US4945905A (en) * 1988-02-08 1990-08-07 The Kendall Company Compressible boot
US5033457A (en) * 1989-06-23 1991-07-23 Bonutti Peter M Air assisted medical devices
US5074285A (en) * 1989-11-20 1991-12-24 Wright Linear Pump, Inc. Thermal applicator method
GB2255019A (en) * 1991-04-04 1992-10-28 Neil William Rasburn Pressure sleeve for reduction of digital swelling
US6039702A (en) 1996-08-02 2000-03-21 Jb Research, Inc. Microcontroller based massage system
US6179796B1 (en) 1997-04-11 2001-01-30 Tactile Systems, Inc. Lymphedema treatment system
US6860862B2 (en) * 1997-04-11 2005-03-01 Tactile Systems Technology, Inc. Lymphedema treatment system
AU749610B2 (en) 1997-08-31 2002-06-27 Medical Compression Systems (D.B.N.) Ltd. Device for pressurizing limbs
IL121661A (en) 1997-08-31 2002-09-12 Medical Compression Systems D Device and method for applying pressure to organs, especially for fixation or massage of organs
US6494852B1 (en) * 1998-03-11 2002-12-17 Medical Compression Systems (Dbn) Ltd. Portable ambulant pneumatic compression system
US7771376B2 (en) 2000-06-02 2010-08-10 Midtown Technology Ltd. Inflatable massage garment
US7044924B1 (en) 2000-06-02 2006-05-16 Midtown Technology Massage device
WO2004091463A2 (en) * 2003-04-11 2004-10-28 Hill-Rom Services, Inc. System for compression therapy
JP4728338B2 (ja) 2004-10-11 2011-07-20 コンヴァテック テクノロジーズ インコーポレイテッド 電気的に作動する圧縮バンド
GB0423410D0 (en) * 2004-10-21 2004-11-24 Bristol Myers Squibb Co Compression device for the limb
PT1981459E (pt) 2006-01-13 2011-12-21 Convatec Technologies Inc Dispositivo, sistema e método para tratamento por compressão de uma parte do corpo
IL201497A0 (en) * 2009-10-13 2010-05-31 Mego Afek Ac Ltd Compression bag
EP2525761B1 (de) * 2010-01-18 2014-09-03 Mitchell, Barrett Reed Weste für Hochfrequenz-Oszillation der Thoraxwand (HFCWO)
US9737454B2 (en) 2012-03-02 2017-08-22 Hill-Rom Services, Inc. Sequential compression therapy compliance monitoring systems and methods
EP3207911B1 (de) 2016-02-18 2019-04-03 Hill-Rom Services, Inc. Patientenliegevorrichtung mit integrierter gliedmassenkompressionsvorrichtung
USD848625S1 (en) 2017-09-28 2019-05-14 Tactile Systems Technology, Inc. Leg garment
USD849254S1 (en) 2017-09-28 2019-05-21 Tactile Systems Technology, Inc. Combination trunk and leg garment
USD870297S1 (en) 2017-09-28 2019-12-17 Tactile Systems Technology, Inc. Trunk garment

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DE440113C (de) * 1927-01-28 Artur Knoedler Dr Gamasche mit regelbarem Seitenschluss zur Behandlung von Krampfadern
US2531074A (en) * 1947-06-03 1950-11-21 Gerald W Miller Pneumatic massage
US2659593A (en) * 1950-08-23 1953-11-17 H A Hadley Associates Inc Weighing scale
FR1464774A (fr) * 1964-11-23 1967-01-06 Heinrich Schmid Appareil physiothérapeutique ou analogue et ses diverses applications
US3454010A (en) * 1967-05-08 1969-07-08 Robert W Lilligren Surgical bandage,constrictive device,and inflatable means
FR2246260A1 (en) * 1973-10-05 1975-05-02 Tissot Jean Automatic pneumatic massage equipment - has sleeve bearing on internal envelope with equal pressure everywhere
IL53123A0 (en) * 1977-10-13 1977-12-30 Hydrola Ltd Human body treating apparatus
DE2753523A1 (de) * 1977-12-01 1979-06-07 Hydrola Ltd Vorrichtung zur behandlung von koerperteilen
US4253449A (en) * 1979-08-09 1981-03-03 The Kendall Company Compression device with connection system
EP0026799B1 (de) * 1979-10-03 1985-02-06 Katsumasa Hara Aufblasbarer Druckbehälter für pneumatische Massage
US4311135A (en) * 1979-10-29 1982-01-19 Brueckner Gerald G Apparatus to assist leg venous and skin circulation
US4374518A (en) * 1980-10-09 1983-02-22 Raul Villanueva Electronic device for pneumomassage to reduce lymphedema
IL63574A (en) * 1981-08-14 1985-07-31 Mego Afek Massaging sleeve for body limbs

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11842884B2 (en) 2017-11-17 2023-12-12 Advanced Energy Industries, Inc. Spatial monitoring and control of plasma processing environments

Also Published As

Publication number Publication date
DE3482918D1 (de) 1990-09-13
EP0129481A2 (de) 1984-12-27
FR2548017B1 (fr) 1986-08-29
EP0129481A3 (en) 1985-05-22
FR2548017A1 (fr) 1985-01-04
US4573453A (en) 1986-03-04

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