EP0251862A1 - Evolving module for the retention of the inferior limbs - Google Patents

Evolving module for the retention of the inferior limbs Download PDF

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Publication number
EP0251862A1
EP0251862A1 EP87401366A EP87401366A EP0251862A1 EP 0251862 A1 EP0251862 A1 EP 0251862A1 EP 87401366 A EP87401366 A EP 87401366A EP 87401366 A EP87401366 A EP 87401366A EP 0251862 A1 EP0251862 A1 EP 0251862A1
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EP
European Patent Office
Prior art keywords
panel
module according
grooves
patient
vertical
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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.)
Withdrawn
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EP87401366A
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German (de)
French (fr)
Inventor
Raymond Audran
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Individual
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Individual
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/065—Rests specially adapted therefor
    • A61G7/075—Rests specially adapted therefor for the limbs
    • A61G7/0755—Rests specially adapted therefor for the limbs for the legs or feet

Definitions

  • the present invention relates to an evolving module for restraining the lower limbs.
  • This structure does not offer very great comfort for the patient. He often feels and complains of a feeling of coldness and great emptiness around the lower limbs.
  • FR 2,062,3408 also discloses a device intended to be positioned at the end of the bed and allowing the support of the covers.
  • This device consists of a plate placed vertically at the end of the bed. The upper part of this fairly long plate acts as a support and the lower part, which is shorter, serves as an insert between the mattress and the bed frame. Between the support part and the insertion part, a transverse board projects horizontally and has two lateral projections forming between them a recess allowing the placement of the feet.
  • the board associated with the insertion part allows the entire device to be held in position.
  • the invention proposes a structure which offers a better adaptation of the curvature of the sheet and the blankets, to the morphology of the lower limbs of the patient.
  • This structure also ensures stable and comfortable positioning of the legs.
  • the invention also aims to provide, from this vertical panel, practical means of restraint of the lower limbs of the patient in order to maintain them in a correct position and to facilitate, for example, the establishment of a urinal which can remain permanently.
  • the structure according to the invention essentially consists of a rectangular type panel with a height substantially equal to the size of the patient's feet and a width substantially equal to that of the mattress; this panel being arranged substantially vertically at the foot of the patient's bed to raise sheets and blankets which thus fall more quickly leaving only the space necessary for the members; it comprises adjustable means for the positioning of the members, which means consist of at least one square with a gutter profile, intended to ensure on the one hand the positioning of the lower member and, on the other hand, the substantially vertical maintenance of the panel .
  • the vertical panel comprises at least one groove disposed horizontally halfway up said panel, cooperating with ears arranged on each side of the brackets; these ears each having vertical grooves so as to allow with the horizontal grooves of the panel, a displacement in any direction of said brackets relative to said vertical panel.
  • the vertical panel comprises, around the horizontal grooves, a grainy surface which, after tightening the brackets on the panel, prevents any displacement.
  • brackets with gutter profile of different sizes, suitable for the morphology of the patients, according to their age.
  • the vertical panel is provided with means for anchoring to the bed frame comprising a fixing rod associated with an anchoring lug, intended to be fixed by means of a fixing screw, in the grooves.
  • the rod is linked to a stirrup fixed to the frame of the bed by means of an extension tab of said stirrup.
  • the panel is produced by thermoforming and consists of a base plate having at least one horizontal groove, a peripheral rim and at least one internal rib of width substantially identical to that of the rim and extending to from the base plate, on the same side as the peripheral edge.
  • the panel In the case of adult patients, the panel is placed at the end of the bed. In the case of small patients, the panel is placed directly on the mattress; it remains in the vertical position thanks to the limbs for holding the limbs and it is automatically brought into position by the presence of the patient.
  • FIG. 1 the structure is arranged at the end of a mattress 1 partially shown.
  • This structure consists of a rectangular panel 2, arranged vertically in end of mattress 1; the length of this panel is substantially less than the width of the mattress 1 and the two upper corners 3 are largely rounded.
  • the panel extends above the mattress, at a height at least equal to a normal height of the patient's foot.
  • FIGS 3 and 4 show the vertical panel 2 from the back and in section, respectively.
  • This panel 2 is made of plastic type material, by thermoforming. It comprises a base plate 20, provided at its periphery with a rim 21 extending backwards. A set of ribs 22 extend horizontally also backwards from the internal part of the base plate 20, they have a width, or depth, substantially equal to that of the flange 21.
  • the vertical panel 2 comprises, substantially at mid-height, two grooves 4 arranged end to end on the same horizontal line, and on either side of its vertical median axis 5.
  • the grooves 4 are divided into two parts, a large 41 and a small 42, separated by an orifice 43 for the passage of fasteners.
  • the large part 41 of the grooves 4 is situated on the side of the median axis 5 of the panel 2, at the level of the set of ribs 22.
  • the small part 42 of the grooves 4 extends outwards, outside the occupied surface by the ribs 22.
  • These grooves 4 constitute a part of the anchoring means of the brackets 6 which bear both on the panel 2 and on the mattress 1. These brackets 6 also shown in FIG.
  • gutter profile adapted to the morphologies of patients of different ages. It is also possible to provide for a gutter profile sufficiently proportioned to receive, for example, a plastered lower limb or even to receive a lower limb dressed in a large sock and / or a slipper.
  • the vertical wing 6v of the bracket in contact with the panel 2 comprises on each side, ears 7 provided with a vertical central groove 8.
  • the vertical wing 6v is fixed by bolts to the panel 2, at the level of the large parts 41 of the grooves 4.
  • a grainy surface is produced around the horizontal grooves 4 which accentuates the immobilization of the vertical wing 6v on the panel 2 when tightening the bolts arranged in the ears 7, passing through the grooves 8 and 4.
  • brackets provide better comfort to the patient provided with plaster in particular since they replace the traditional sandbags which wedge the plaster.
  • These brackets 6 also allow, for bedridden patients an abduction of the lower limbs which makes it possible to permanently position a urinal for example.
  • the brackets 6 can be provided, as shown in FIGS. 5 and 6, with an orifice, or window 61, at the location of the heel of the patient. These windows 61 provide better comfort to the patient and in particular make it possible to avoid the formation of bedsores at the heel.
  • the brackets 6, like the panel 2, will be made of a plastic type material, easy to clean and disinfect.
  • the structure can be placed on the mattress instead of being at the end.
  • the lower edge of the panel 2 is at the same level as the horizontal wings 6h of the brackets 6; the latter thus maintain said panel in a vertical position.
  • the panel 2 is then placed on the ground, on the peripheral rim which will provide sufficient thickness to prevent the retaining screws of the brackets 6 on the panel 2 from coming into contact with the ground.
  • the rim combined with the internal ribs, improves the rigidity of the panel.
  • Short gutters of length less than 40 cm, arriving under the popliteal fossa, may in this case be used so as to allow bending of the leg at the knee.
  • long gutters longer than 70 cm may be used.
  • the device In order to improve the positioning of the panel 2 when it is placed directly on the mattress, or even when it is placed at the end of the bed, the device includes a fixing system as shown in FIGS. 2 and 4.
  • This fastening system is placed on the face of the panel 2, opposite the gutters 6, and consists of a fastening rod 9 sliding at one of its ends 16 in an orifice 15 secured to an anchoring tab 10.
  • This anchor tab 10 is fixed by means of a fixing screw 11 in one of the grooves 4 of the panel 2, at the level of the small part 42.
  • the other end 17 of the rod 9 is made integral with a stirrup 12 fixed to the frame 13 of the bed by means of screws 24.
  • This stirrup 12 is extended by a lug 14 of length substantially equal to the thickness of the mattress, provided at its end with an orifice 18 allowing engagement and articulation around the horizontal axis X, from the end 17 U-shaped rod 9.
  • This U-shaped end 17 is engaged from front to rear in the orifice 18 so as to avoid its disengagement by pressing the feet on the panel 2.
  • Such a fixing device is placed on each lateral side of the bed as seen in FIG. 2.
  • the fixing rods 9 serve as an anchoring means by engagement of the U-shaped end around the legs of the chair or the chair.
  • the different screws used, whether to fix the brackets 6 or the anchoring lugs 10 on the panel 2, consist, as shown in Figure 4, of a round screw head 11 associated with a nut or star button 25.
  • the threaded rod 26 of the screw ends in a smooth ball 27.
  • This special fixing system is simple to implement, by passing the screw head through the orifice 43 and engaging in one of the parts 42 or 41 of the groove 4, it ensures an efficient and rapid connection between the different elements and makes it possible to avoid injuries which may be caused by the use of traditional screw-nut systems.
  • the smooth end ball also avoids the separation between the screw and the nut allowing the fixing system to stay in place.
  • Holding blocks 28 as shown in FIG. 6 can also be associated with a square with a gutter profile. These wedges 28 have a groove 29 allowing variable fixing at the horizontal and vertical level. These wedges 28 provide lateral support for the feet at the level of panel 2, they can be used alone or in pairs.
  • the brackets 6 as well as the wedges 28 can be provided with lateral slots 23 intended for the passage of straps to provide better support for the lower limbs.
  • the straps located at the horizontal wing 6h of the bracket 6 are preferably placed obliquely to hold the patient's leg. This special positioning of the straps will avoid the phenomena of blood and nervous strangulation encountered when the straps surround the members transversely.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Invalid Beds And Related Equipment (AREA)

Abstract

The module can be connected to anchoring means on the patient support and comprises a rectangular panel (2) of a height at least equal to the size of the patient's feet and it is equipped with adjustable means for the positioning of the limbs, these means consisting of at least one bracket (6), with a gutter profile, ensuring, on the one hand, the positioning of the lower limb and, on the other hand, the essentially vertical retention of the panel (2). The means for fixing the bracket (6), with a gutter profile, to the panel (2) consist of at least one groove (4) extending horizontally at half the height of the panel (2), cooperating with vertical grooves (8) centred on lugs (7) arranged on either side of the vertical wing (6v) of the bracket (6). <IMAGE>

Description

La présente invention concerne un module évolutif pour contention des membres inférieurs.The present invention relates to an evolving module for restraining the lower limbs.

Il est courant d'utiliser, dans les hôpitaux, une structure en forme d'arceaux, disposée au pied du lit du malade, pour maintenir surélevés le drap et les couvertures, évitant ainsi que le poids de ces derniers, ne s'applique sur les pieds du malade.It is common to use, in hospitals, a structure in the form of arches, arranged at the foot of the patient's bed, to keep the sheet and the blankets raised, thus avoiding that the weight of the latter, does not apply to the patient's feet.

Cette structure n'offre pas pour le malade, un très grand confort. Celui-ci ressent et se plaint souvent d'une sensation de froid et de grand vide autour des membres inférieurs.This structure does not offer very great comfort for the patient. He often feels and complains of a feeling of coldness and great emptiness around the lower limbs.

Il est connu d'autre part, des documents US 2.986.747 et US 3.523.311, d'utiliser des panneaux rectangulaires fixés en bout de lit de façon à supporter les pieds d'une personne. Ces panneaux comprennent des blocs de soutien latéral des pieds, dont la position peut varier pour modifier le positionnement des membres inférieurs.It is also known, from documents US 2,986,747 and US 3,523,111, to use rectangular panels fixed at the end of the bed so as to support the feet of a person. These panels include lateral support blocks for the feet, the position of which can vary to modify the positioning of the lower limbs.

Un autre document, FR 2.062.348, divulgue également un dispositif destiné à être positionné en bout de lit et permettant le soutien des couvertures. Ce dispositif est constitué d'une plaque placée verticalement en bout de lit. La partie supérieure de cette plaque, assez longue, fait office de soutien et la partie inférieure, plus courte, sert de pièce d'insertion entre le matelas et le cadre de lit. Entre la partie de soutien et la partie d'insertion, une planchette transversale fait saillie horizontalement et comporte deux avancées latérales formant entre elles un évidement permettant le placement des pieds.Another document, FR 2,062,348, also discloses a device intended to be positioned at the end of the bed and allowing the support of the covers. This device consists of a plate placed vertically at the end of the bed. The upper part of this fairly long plate acts as a support and the lower part, which is shorter, serves as an insert between the mattress and the bed frame. Between the support part and the insertion part, a transverse board projects horizontally and has two lateral projections forming between them a recess allowing the placement of the feet.

La planchette associée à la partie d'insertion permet le maintien en position de l'ensemble du dispositif.The board associated with the insertion part allows the entire device to be held in position.

Ces différents équipements ne permettent pas un positionnement simple et précis des membres inférieurs des patients alités et sont bien souvent destinés à un positionnement en bout de lit uniquement, avec des possibilités de réglage limitées.These various devices do not allow simple and precise positioning of the lower limbs of bedridden patients and are often intended for positioning at the end of the bed only, with limited adjustment possibilities.

L'invention propose une structure qui offre une meilleure adaption de la courbure du drap et des couver­tures, à la morphologie des membres inférieurs du malade.The invention proposes a structure which offers a better adaptation of the curvature of the sheet and the blankets, to the morphology of the lower limbs of the patient.

Cette structure assure de plus un positionnement stable et confortable des jambes.This structure also ensures stable and comfortable positioning of the legs.

L'invention a également pour but de fournir, à partir de ce panneau vertical, des moyens pratiques de contention des membres inférieurs du malade dans le but de les maintenir dans une position correcte et de faciliter, par exemple, la mise en place d'un urinal qui peut rester à demeure.The invention also aims to provide, from this vertical panel, practical means of restraint of the lower limbs of the patient in order to maintain them in a correct position and to facilitate, for example, the establishment of a urinal which can remain permanently.

La structure selon l'invention consiste essentiel­lement en un panneau de type rectangulaire avec une hauteur sensiblement égale à la taille des pieds du malade et une largeur sensiblement égale à celle du matelas ; ce panneau étant disposé sensiblement verticalement au pied du lit du malade pour relever drap et couvertures qui tombent ainsi plus rapidement ne laissant que l'espace nécessaire aux membres ; il comporte des moyens réglables pour le positionnement des membres, lesquels moyens sont constitués d'au moins une équerre à profil gouttière, destinée à assurer d'une part le positionnement du membre inférieur et, d'autre part, le maintien sensiblement vertical du panneau.The structure according to the invention essentially consists of a rectangular type panel with a height substantially equal to the size of the patient's feet and a width substantially equal to that of the mattress; this panel being arranged substantially vertically at the foot of the patient's bed to raise sheets and blankets which thus fall more quickly leaving only the space necessary for the members; it comprises adjustable means for the positioning of the members, which means consist of at least one square with a gutter profile, intended to ensure on the one hand the positioning of the lower member and, on the other hand, the substantially vertical maintenance of the panel .

Selon une disposition préférentielle de l'inven­tion, le panneau vertical comporte au moins une rainure disposée horizontalement à mi-hauteur dudit panneau, coopérant avec des oreilles disposées de chaque côté des équerres ; ces oreilles comportant chacune des rainures verticales de façon à permettre avec les rainures horizontales du panneau, un déplacement en tout sens desdites équerres par rapport audit panneau vertical.According to a preferred arrangement of the invention, the vertical panel comprises at least one groove disposed horizontally halfway up said panel, cooperating with ears arranged on each side of the brackets; these ears each having vertical grooves so as to allow with the horizontal grooves of the panel, a displacement in any direction of said brackets relative to said vertical panel.

Toujours selon l'invention, le panneau vertical comporte, autour des rainures horizontales, une surface granuleuse qui permet, après serrage des équerres sur le panneau, d'éviter tout déplacement.Still according to the invention, the vertical panel comprises, around the horizontal grooves, a grainy surface which, after tightening the brackets on the panel, prevents any displacement.

Toujours selon l'invention, il est prévu de réaliser des équerres à profil gouttière, de différentes tailles, appropriées à la morphologie des patients, selon leur âge.Still according to the invention, it is planned to make brackets with gutter profile, of different sizes, suitable for the morphology of the patients, according to their age.

Toujours selon l'invention, le panneau vertical est muni de moyens d'ancrage au cadre du lit comprenant une tige de fixation associée à une patte d'ancrage, destinée à venir se fixer par l'intermédiaire d'une vis de fixation, dans les rainures. La tige est liée à un étrier fixé sur le cadre du lit par l'intermédiaire d'une patte de prolongement dudit étrier.Still according to the invention, the vertical panel is provided with means for anchoring to the bed frame comprising a fixing rod associated with an anchoring lug, intended to be fixed by means of a fixing screw, in the grooves. The rod is linked to a stirrup fixed to the frame of the bed by means of an extension tab of said stirrup.

Toujours selon l'invention, le panneau est réalisé par thermoformage et est constitué d'une plaque de base possédant au moins une rainure horizontale, un rebord périphérique et au moins une nervure interne de largeur sensiblement identique à celle du rebord et s'étendant à partir de la plaque de base, du même côté que le rebord périphérique.Still according to the invention, the panel is produced by thermoforming and consists of a base plate having at least one horizontal groove, a peripheral rim and at least one internal rib of width substantially identical to that of the rim and extending to from the base plate, on the same side as the peripheral edge.

Dans le cas de patients adultes, le panneau est disposé à l'extrémité du lit. Dans le cas de patients de petite taille, le panneau est disposé sur le matelas directement ; il reste en position verticale grâce aux équerres de maintien des membres et il est mis automatique­ment en position par la présence du malade.In the case of adult patients, the panel is placed at the end of the bed. In the case of small patients, the panel is placed directly on the mattress; it remains in the vertical position thanks to the limbs for holding the limbs and it is automatically brought into position by the presence of the patient.

L'invention sera mieux comprise à l'aide de la description suivante et des dessins annexés, donnés à titre indicatif.

  • - la figure 1 est une vue en perspective montrant le devant du module évolutif pour contention des membres inférieurs selon l'invention,
  • - la figure 2 est une vue en perspective montrant la face arrière du module comprenant les moyens d'ancrage au cadre du lit,
  • - la figure 3 est une vue de dos du panneau vertical,
  • - la figure 4 est une vue agrandie de côté, en coupe selon 1-1 de la figure 3, avec une partie du système d'ancrage,
  • - la figure 5 est une vue en perspective d'une équerre du type gouttière selon un mode avantageux de réalisation,
  • - la figure 6 est une vue en perspective d'une autre possibilité de réalisation du module selon l'invention.
The invention will be better understood with the aid of the following description and the appended drawings, given for information only.
  • FIG. 1 is a perspective view showing the front of the progressive module for restraining the lower limbs according to the invention,
  • FIG. 2 is a perspective view showing the rear face of the module comprising the means for anchoring to the frame of the bed,
  • FIG. 3 is a back view of the vertical panel,
  • FIG. 4 is an enlarged side view, in section along 1-1 of FIG. 3, with part of the anchoring system,
  • FIG. 5 is a perspective view of a bracket of the gutter type according to an advantageous embodiment,
  • - Figure 6 is a perspective view of another possible embodiment of the module according to the invention.

Telle qu'elle est représentée, figure 1, la structure est disposée à l'extrémité d'un matelas 1 partiellement représenté. Cette structure se compose d'un panneau 2 de type rectangulaire, disposé verticalement en bout du matelas 1 ; la longueur de ce panneau est sensiblement inférieure à la largeur du matelas 1 et les deux angles supérieurs 3 sont largement arrondis. Le panneau s'étend au-dessus du matelas, sur une hauteur au moins égale à une hauteur normale de pied de patient.As shown, Figure 1, the structure is arranged at the end of a mattress 1 partially shown. This structure consists of a rectangular panel 2, arranged vertically in end of mattress 1; the length of this panel is substantially less than the width of the mattress 1 and the two upper corners 3 are largely rounded. The panel extends above the mattress, at a height at least equal to a normal height of the patient's foot.

Les figures 3 et 4 montrent le panneau 2 vertical de dos et en coupe, respectivement. Ce panneau 2 est réalisé en matériau de type plastique, par thermoformage. Il comporte une plaque de base 20, munie à sa périphérie d'un rebord 21 s'étendant vers l'arrière. Un ensemble de nervures 22 s'étendent horizontalement également vers l'arrière à partir de la partie interne de la plaque de base 20, elles ont une largeur, ou profondeur, sensiblement égale à celle du rebord 21.Figures 3 and 4 show the vertical panel 2 from the back and in section, respectively. This panel 2 is made of plastic type material, by thermoforming. It comprises a base plate 20, provided at its periphery with a rim 21 extending backwards. A set of ribs 22 extend horizontally also backwards from the internal part of the base plate 20, they have a width, or depth, substantially equal to that of the flange 21.

Le panneau vertical 2 comporte, sensiblement à mi-hauteur, deux rainures 4 disposées bout à bout sur une même ligne horizontale, et de part et d'autre de son axe médian vertical 5. Les rainures 4 sont divisées en deux parties, une grande 41 et une petite 42, séparées par un orifice 43 de passage de fixations. La grande partie 41 des rainures 4 est située du côté de l'axe médian 5 du panneau 2, au niveau du jeu de nervures 22. La petite partie 42 des rainures 4 s'étend vers l'extérieur, en dehors de la surface occupée par les nervures 22. Ces rainures 4 constituent une partie des moyens d'ancrage des équerres 6 qui prennent appui à la fois sur le panneau 2 et sur le matelas 1. Ces équerres 6 représentées également figure 5, selon un mode de réalisation avantageux, ont un profil gouttière, et elles sont destinées à recevoir la partie postérieure des jambes du patient et en particulier le pied, dans la partie verticale 6v de l'équerre, alors que la partie basse de la jambe se positionne dans la partie horizontale 6h de l'équerre.The vertical panel 2 comprises, substantially at mid-height, two grooves 4 arranged end to end on the same horizontal line, and on either side of its vertical median axis 5. The grooves 4 are divided into two parts, a large 41 and a small 42, separated by an orifice 43 for the passage of fasteners. The large part 41 of the grooves 4 is situated on the side of the median axis 5 of the panel 2, at the level of the set of ribs 22. The small part 42 of the grooves 4 extends outwards, outside the occupied surface by the ribs 22. These grooves 4 constitute a part of the anchoring means of the brackets 6 which bear both on the panel 2 and on the mattress 1. These brackets 6 also shown in FIG. 5, according to an advantageous embodiment, have a gutter profile, and they are intended to receive the posterior part of the patient's legs and in particular the foot, in the vertical part 6v of the bracket, while the lower part of the leg is positioned in the horizontal part 6h of the square.

On peut prévoir plusieurs pointures pour le profil gouttière, adaptées aux morphologies des patients d'âge différent. On peut également prévoir de réaliser un profil gouttière suffisamment proportionné pour recevoir par exemple un membre inférieur platré ou encore pour recevoir un membre inférieur habillé d'une grosse chaussette et/ou d'un chausson.We can provide several sizes for the gutter profile, adapted to the morphologies of patients of different ages. It is also possible to provide for a gutter profile sufficiently proportioned to receive, for example, a plastered lower limb or even to receive a lower limb dressed in a large sock and / or a slipper.

L'aile verticale 6v de l'équerre en contact avec le panneau 2, comporte de chaque côté, des oreilles 7 munies d'une rainure centrale verticale 8. La présence des rainures horizontales 4 sur le panneau et des rainures verticales 8 sur les oreilles de l'aile verticale 6v de l'équerre, permet de choisir pour ces dernières des positions appropriées au problème du patient. L'aile verticale 6v est fixée par boulons sur le panneau 2, au niveau des grandes parties 41 des rainures 4. De préférence on réalise autour des rainures horizontales 4 une surface granuleuse qui accentue l'immobilisation de l'aile verticale 6v sur le panneau 2 lors du serrage des boulons disposés dans les oreilles 7, traversant les rainures 8 et 4.The vertical wing 6v of the bracket in contact with the panel 2, comprises on each side, ears 7 provided with a vertical central groove 8. The presence of the horizontal grooves 4 on the panel and the vertical grooves 8 on the ears vertical wing 6v of the square, allows to choose for these positions appropriate to the patient's problem. The vertical wing 6v is fixed by bolts to the panel 2, at the level of the large parts 41 of the grooves 4. Preferably, a grainy surface is produced around the horizontal grooves 4 which accentuates the immobilization of the vertical wing 6v on the panel 2 when tightening the bolts arranged in the ears 7, passing through the grooves 8 and 4.

Le réglage de l'écartement des équerres s'effectue de façon rapide et efficace. Ces équerres procurent un meilleur confort au malade muni de plâtre notamment puisqu'elles se substituent aux traditionnels sacs de sable qui calent le plâtre. Ces équerres 6 permettent encore, pour des malades grabataires une abduction des membres inférieurs qui permet de positionner à demeure un urinal par exemple. Les équerres 6 peuvent être munies, comme représenté figures 5 et 6, d'un orifice, ou fenêtre 61, au niveau de l'empla­cement du talon du malade. Ces fenêtres 61 assurent un meilleur confort au malade et permettent en particulier d'eviter la formation d'escarres au niveau du talon. Les équerres 6, comme le panneau 2, seront réalisées en matériau du type plastique, facile à nettoyer et à désinfecter.Adjusting the spacing of the brackets is quick and efficient. These brackets provide better comfort to the patient provided with plaster in particular since they replace the traditional sandbags which wedge the plaster. These brackets 6 also allow, for bedridden patients an abduction of the lower limbs which makes it possible to permanently position a urinal for example. The brackets 6 can be provided, as shown in FIGS. 5 and 6, with an orifice, or window 61, at the location of the heel of the patient. These windows 61 provide better comfort to the patient and in particular make it possible to avoid the formation of bedsores at the heel. The brackets 6, like the panel 2, will be made of a plastic type material, easy to clean and disinfect.

Lorsque le malade est de taille petite, la struc­ture peut être disposée sur le matelas au lieu d'être à l'extrémité. Dans ce cas, l'arête inférieure du panneau 2 est au même niveau que les ailes horizontales 6h des équerres 6 ; ces dernières assurent ainsi le maintien en position verticale dudit panneau.When the patient is small, the structure can be placed on the mattress instead of being at the end. In this case, the lower edge of the panel 2 is at the same level as the horizontal wings 6h of the brackets 6; the latter thus maintain said panel in a vertical position.

On peut également prévoir d'utiliser la structure hors du lit pour maintenir les pieds notamment, dans une position correcte, lorsque le malade est disposé dans un fauteuil par exemple. Le panneau 2 est alors posé sur le sol, sur le rebord périphérique qui procurera une surépaisseur suffisante pour éviter que les vis de maintien des équerres 6 sur le panneau 2 n'entrent en contact avec le sol. Le rebord procure, associé aux nervures internes, une amélioration de la rigidité du panneau.One can also plan to use the structure out of the bed to maintain the feet in particular, in a correct position, when the patient is placed in a armchair for example. The panel 2 is then placed on the ground, on the peripheral rim which will provide sufficient thickness to prevent the retaining screws of the brackets 6 on the panel 2 from coming into contact with the ground. The rim, combined with the internal ribs, improves the rigidity of the panel.

Des gouttières courtes, de longueur inférieure à 40 cm, arrivant sous le creux poplité, pourront dans ce cas être utilisées de façon à permettre une flexion de la jambe au niveau du genou.Short gutters, of length less than 40 cm, arriving under the popliteal fossa, may in this case be used so as to allow bending of the leg at the knee.

Dans le cas où la jambe doit nécessairement rester raide, des gouttières longues, de longueur supérieure à 70 cm pourront être utilisées.If the leg must necessarily remain stiff, long gutters, longer than 70 cm may be used.

Afin d'améliorer le positionnement du panneau 2 lorsque celui-ci est disposé directement sur le matelas, voire même lorsqu'il est disposé à l'extrémité du lit, le dispositif comporte un système de fixation tel que représenté figures 2 et 4.In order to improve the positioning of the panel 2 when it is placed directly on the mattress, or even when it is placed at the end of the bed, the device includes a fixing system as shown in FIGS. 2 and 4.

Ce système de fixation est placé sur la face du panneau 2, opposée aux gouttières 6, et consiste en une tige 9 de fixation coulissant à l'une de ses extrémités 16 dans un orifice 15 solidaire d'une patte d'ancrage 10. Cette patte d'ancrage 10 se fixe par l'intermédiaire d'une vis de fixation 11 dans l'une des rainures 4 du panneau 2, au niveau de la petite partie 42.This fastening system is placed on the face of the panel 2, opposite the gutters 6, and consists of a fastening rod 9 sliding at one of its ends 16 in an orifice 15 secured to an anchoring tab 10. This anchor tab 10 is fixed by means of a fixing screw 11 in one of the grooves 4 of the panel 2, at the level of the small part 42.

L'autre extrémité 17 de la tige 9 est rendue solidaire d'un étrier 12 fixé sur le cadre 13 du lit par l'intermédiaire de vis 24.The other end 17 of the rod 9 is made integral with a stirrup 12 fixed to the frame 13 of the bed by means of screws 24.

Cet étrier 12 se prolonge par une patte 14 de longueur sensiblement égale à l'épaisseur de matelas, munie à son extrémité d'un orifice 18 permettant l'engagement et l'articulation autour de l'axe horizontal X, de l'extrémité 17 en forme de U de la tige 9. Cette extrémité 17 en forme de U est engagée de l'avant vers l'arrière dans l'orifice 18 de façon à éviter son désengagement par appui des pieds sur le panneau 2.This stirrup 12 is extended by a lug 14 of length substantially equal to the thickness of the mattress, provided at its end with an orifice 18 allowing engagement and articulation around the horizontal axis X, from the end 17 U-shaped rod 9. This U-shaped end 17 is engaged from front to rear in the orifice 18 so as to avoid its disengagement by pressing the feet on the panel 2.

Une vis de serrage 19 indémontable, située au niveau de l'orifice 15 de la patte 10, assure le maintien en position de la tige 9 par rapport à la patte 10.A non-removable clamping screw 19, located at the orifice 15 of the tab 10, maintains the position of the rod 9 relative to the tab 10.

L'articulation de l'extrémité 17 de la tige 9 autour de l'axe horizontal X, associée aux différents placements possibles des vis 11 dans la rainure 4 et au coulissement de l'extrémité 16 de la tige 9 dans l'orifice 15 de la patte 10 permet un réglage de la fixation en fonction de la largeur du lit et de l'épaisseur du matelas.The articulation of the end 17 of the rod 9 around the horizontal axis X, associated with the different possible placements of the screws 11 in the groove 4 and the sliding of the end 16 of the rod 9 in the orifice 15 of the tab 10 allows adjustment of the binding according to the width of the bed and the thickness of the mattress.

Un tel dispositif de fixation est placé de chaque côté latéral du lit comme on le voit sur la figure 2.Such a fixing device is placed on each lateral side of the bed as seen in FIG. 2.

Lorsque la structure est utilisée comme moyen de contention en dehors du lit, par positionnement à plat par terre, les tiges de fixation 9 lui servent de moyen d'ancrage par engagement de l'extrémité en forme de U autour des pieds du fauteuil ou de la chaise.When the structure is used as a means of restraint outside the bed, by positioning it flat on the ground, the fixing rods 9 serve as an anchoring means by engagement of the U-shaped end around the legs of the chair or the chair.

Les différentes vis utilisées, que ce soit pour fixer les équerres 6 ou les pattes d'ancrage 10 sur le panneau 2, sont constituées, comme le montre la figure 4, d'une tête de vis ronde 11 associée à un écrou ou bouton étoile 25. La tige filetée 26 de la vis se termine par une boule lisse 27. Ce système de fixation spécial est simple à mettre en oeuvre, par passage de la tête de vis, dans l'orifice 43 et engagement dans l'une des parties 42 ou 41 de la rainure 4, il assure une liaison efficace et rapide entre les différents éléments et permet d'éviter les blessures pouvant être occasionnées par l'utilisation des systèmes traditionnels à vis-écrous.The different screws used, whether to fix the brackets 6 or the anchoring lugs 10 on the panel 2, consist, as shown in Figure 4, of a round screw head 11 associated with a nut or star button 25. The threaded rod 26 of the screw ends in a smooth ball 27. This special fixing system is simple to implement, by passing the screw head through the orifice 43 and engaging in one of the parts 42 or 41 of the groove 4, it ensures an efficient and rapid connection between the different elements and makes it possible to avoid injuries which may be caused by the use of traditional screw-nut systems.

La boule lisse d'extrémité évite de plus la désolidarisation entre la vis et l'écrou permettant ainsi au système de fixation de rester en place.The smooth end ball also avoids the separation between the screw and the nut allowing the fixing system to stay in place.

Des cales de maintien 28 telles que représentées figure 6 peuvent également être associées à une équerre à profil gouttière. Ces cales 28 présentent une rainure 29 permettant une fixation variable au niveau horizontal et vertical. Ces cales 28 permettent d'assurer un maintien latéral des pieds au niveau de panneau 2, elles peuvent être utilisées seules ou par deux.Holding blocks 28 as shown in FIG. 6 can also be associated with a square with a gutter profile. These wedges 28 have a groove 29 allowing variable fixing at the horizontal and vertical level. These wedges 28 provide lateral support for the feet at the level of panel 2, they can be used alone or in pairs.

Les équerres 6 ainsi que les cales 28 peuvent être munies de fentes latérales 23 destinées au passage de sangles afin d'assurer un meilleur maintien des membres inférieurs.The brackets 6 as well as the wedges 28 can be provided with lateral slots 23 intended for the passage of straps to provide better support for the lower limbs.

Les sangles situées au niveau de l'aile horizontale 6h de l'équerre 6 seront de préférence placées obliquement pour maintenir la jambe du malade. Ce positionnement spécial des sangles permettra d'éviter les phénomènes de strangulation sanguine et nerveuse recontrés lorsque les sangles enserrent transversalement les membres.The straps located at the horizontal wing 6h of the bracket 6 are preferably placed obliquely to hold the patient's leg. This special positioning of the straps will avoid the phenomena of blood and nervous strangulation encountered when the straps surround the members transversely.

Claims (11)

1.- Module évolutif de contention des membres inférieurs pour malades infirmes, pouvant être associé à des moyens d'ancrage sur le support dudit malade, comprenant un panneau rectangulaire (2) de hauteur au moins égale à la taille des pieds du malade, muni de moyens réglables pour le positionnement des membres, caractérisé en ce que ces moyens réglables sont constitués d'au moins une équerre (6) à profil gouttière assurant d'une part le positionnement du membre inférieur et, d'autre part, le maintien sensiblement vertical du panneau (2).1.- Evolutionary module for restraining the lower limbs for infirm patients, which can be associated with anchoring means on the support of said patient, comprising a rectangular panel (2) of height at least equal to the size of the patient's feet, provided adjustable means for positioning the limbs, characterized in that these adjustable means consist of at least one bracket (6) with gutter profile ensuring on the one hand the positioning of the lower limb and, on the other hand, the maintenance substantially vertical of the panel (2). 2.- Module selon la revendication 1, caractérisé en ce qu'il comporte des moyens de fixation de l'équerre (6) à profil gouttière sur le panneau (2), ces moyens de fixation étant constitués d'au moins une rainure (4) s'étendant horizontalement à mi-hauteur dudit panneau (2), coopérant avec des rainures verticales (8) centrées sur des oreilles (7) disposées de part et d'autre de l'aile verticale (6v) de l'équerre (6).2.- Module according to claim 1, characterized in that it comprises means for fixing the bracket (6) with gutter profile on the panel (2), these fixing means consisting of at least one groove ( 4) extending horizontally halfway up said panel (2), cooperating with vertical grooves (8) centered on ears (7) arranged on either side of the vertical wing (6v) of the bracket (6). 3.- Module selon la revendication 2, caractérisé en ce que le panneau (2) comporte, autour des rainures (4), une surface granuleuse offrant une meilleure immobilisation de l'aile verticale (6v) sur le panneau lorsqu'elle est fixée par boulons disposés dans les rainures (8 et 4).3.- Module according to claim 2, characterized in that the panel (2) comprises, around the grooves (4), a grainy surface offering better immobilization of the vertical wing (6v) on the panel when it is fixed by bolts arranged in the grooves (8 and 4). 4.- Module selon la revendication 1, caractérisé en ce que le panneau (2) a une hauteur suffisante pour s'encastrer à l'extrémité du lit, en bout du matelas.4.- Module according to claim 1, characterized in that the panel (2) has a sufficient height to fit into the end of the bed, at the end of the mattress. 5.- Module selon la revendication 1, caractérisé en ce que l'arête inférieure du panneau (2) est au même niveau que le dessous des équerres horizontales (6h).5.- Module according to claim 1, characterized in that the lower edge of the panel (2) is at the same level as the underside of the horizontal brackets (6h). 6.- Modules selon l'une quelconque des revendications précédentes, caractérisé en ce qu'il est muni de moyens d'ancrage sur le support du malade.6.- Modules according to any one of the preceding claims, characterized in that it is provided with anchoring means on the patient's support. 7.- Module selon la revendication 6, caractérisé en ce que les moyens d'ancrage sur le cadre (1) du lit comprennent une tige de fixation (9) associée à une patte d'ancrage (10) destinée à venir se fixer par l'intermédiaire d'une vis de fixation (11) dans les rainures (4), ladite tige (9) étant liée à un étrier (12), fixé sur le cadre (1) du lit, par l'intermédiaire d'une patte de prolongement (14) dudit étrier (12).7.- Module according to claim 6, characterized in that the anchoring means on the frame (1) of the bed comprise a fixing rod (9) associated with an anchoring tab (10) intended to be fixed by through a fixing screw (11) in the grooves (4), said rod (9) being linked to a stirrup (12), fixed to the frame (1) of the bed, by means of an extension tab (14) of said stirrup (12). 8.- Module selon l'une des revendications 6 ou 7, caractérisé en ce que une extrémité (16) de la tige (9) peut coulisser dans un orifice (15) de la patte d'ancrage (10), l'autre extrémité (17) en forme de U venant s'engager dans un orifice (18) de la patte (14).8.- Module according to one of claims 6 or 7, characterized in that one end (16) of the rod (9) can slide in an orifice (15) of the anchor tab (10), the other end (17) U-shaped from engaging in an orifice (18) of the tab (14). 9.- Module selon l'une quelconque des revendica­tions précédentes, caractérisé en ce qu'il comprend au moins une cale (28) permettant un maintien latéral des pieds.9.- Module according to any one of the preceding claims, characterized in that it comprises at least one wedge (28) allowing lateral support of the feet. 10.- Module selon l'une quelconque des revendica­tions précédentes, caractérisé en ce que les équerres (6) et les cales (28) sont munies de fentes latérales (23) destinées au passage de sangles pour assurer le maintien des membres inférieurs.10.- Module according to any one of the preceding claims, characterized in that the brackets (6) and the wedges (28) are provided with lateral slots (23) intended for the passage of straps to maintain the lower limbs. 11.- Module selon l'une quelconque des revendications précédentes, caractérisé en ce que le panneau (2) est réalisé par thermoformage et est constitué d'une plaque de base (20) possédant au moins une rainure horizontale (4), un rebord périphérique (21) et au moins une nervure interne (22) de largeur sensiblement identique à celle du rebord (21) et s'étendant à partir de la plaque de base (20) du même côté que le rebord périphérique.11.- Module according to any one of the preceding claims, characterized in that the panel (2) is produced by thermoforming and consists of a base plate (20) having at least one horizontal groove (4), a flange peripheral (21) and at least one internal rib (22) of width substantially identical to that of the rim (21) and extending from the base plate (20) on the same side as the peripheral rim.
EP87401366A 1986-06-19 1987-06-17 Evolving module for the retention of the inferior limbs Withdrawn EP0251862A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR8609155 1986-06-19
FR8609155A FR2600248B1 (en) 1986-06-19 1986-06-19 MEDICAL STRUCTURE FOR BED FOOT

Publications (1)

Publication Number Publication Date
EP0251862A1 true EP0251862A1 (en) 1988-01-07

Family

ID=9336667

Family Applications (1)

Application Number Title Priority Date Filing Date
EP87401366A Withdrawn EP0251862A1 (en) 1986-06-19 1987-06-17 Evolving module for the retention of the inferior limbs

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EP (1) EP0251862A1 (en)
FR (1) FR2600248B1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2276549A (en) * 1993-03-11 1994-10-05 Kevin Hardinge Surgical knee fixator
CN105769481A (en) * 2016-01-28 2016-07-20 张美玲 Multifunctional bracket for surgical nursing

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2720878A (en) * 1953-10-09 1955-10-18 Earl L Hickman Adjustable foot rest for polio bed patients
US2878493A (en) * 1957-11-21 1959-03-24 Delia Nicola Therapeutic device
US2986747A (en) * 1959-10-30 1961-06-06 John T Posey Footboard
US3021837A (en) * 1958-05-12 1962-02-20 Madeline N Brown Traction footboard
US3345654A (en) * 1966-03-21 1967-10-10 Ruth I Noble Drop foot and heel guard for bed patients
US3523311A (en) * 1968-06-12 1970-08-11 Maurine E Ricke Hospital bed footboard assembly
FR2062348A7 (en) * 1969-09-18 1971-06-25 Vuille Rene
FR2161704A5 (en) * 1971-11-18 1973-07-06 Bianchi Maiocchi Antonio

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2720878A (en) * 1953-10-09 1955-10-18 Earl L Hickman Adjustable foot rest for polio bed patients
US2878493A (en) * 1957-11-21 1959-03-24 Delia Nicola Therapeutic device
US3021837A (en) * 1958-05-12 1962-02-20 Madeline N Brown Traction footboard
US2986747A (en) * 1959-10-30 1961-06-06 John T Posey Footboard
US3345654A (en) * 1966-03-21 1967-10-10 Ruth I Noble Drop foot and heel guard for bed patients
US3523311A (en) * 1968-06-12 1970-08-11 Maurine E Ricke Hospital bed footboard assembly
FR2062348A7 (en) * 1969-09-18 1971-06-25 Vuille Rene
FR2161704A5 (en) * 1971-11-18 1973-07-06 Bianchi Maiocchi Antonio

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2276549A (en) * 1993-03-11 1994-10-05 Kevin Hardinge Surgical knee fixator
CN105769481A (en) * 2016-01-28 2016-07-20 张美玲 Multifunctional bracket for surgical nursing
CN105769481B (en) * 2016-01-28 2018-03-13 张美玲 A kind of multi-functional surgical nurses support

Also Published As

Publication number Publication date
FR2600248B1 (en) 1990-09-07
FR2600248A1 (en) 1987-12-24

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