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
  • A61H9/0057—Suction
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61F—FILTERS 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
  • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
  • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
  • A61F5/03—Corsets or bandages for abdomen, teat or breast support, with or without pads
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61F—FILTERS 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
  • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
  • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
  • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
  • A61F5/042—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for extension or stretching
  • A61F5/048—Traction splints
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61F—FILTERS 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
  • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
  • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
  • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
  • A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
  • A61F5/058—Splints
  • A61F5/05833—Splints rigidified by vacuum evacuation
• • 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
  • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
  • A61H1/008—Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
• • 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
  • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
  • A61H2201/16—Physical interface with patient
  • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
  • A61H2201/1619—Thorax
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
  • A61M2210/00—Anatomical parts of the body
  • A61M2210/10—Trunk
  • A61M2210/101—Pleural cavity

Definitions

• the invention relates to the non-surgical treatment of funnel depressions of the thorax, called "pectus excavatum", congenital or non-congenital.
• a treatment orthosis commonly called "bell" which is applied to the thorax extending in a vertical direction from the head to the feet.
• bell a treatment orthosis
• the cartilages and costal arches attracts the chest wall, so that, at the end of treatment, the depth of the thoracic funnel is reduced.
• This non-invasive treatment is carried out by means of various orthoses, the most common of which is that called “Eckart KLOBE”, described in document EP 1 469 804, and called “Suction bell for the non-invasive treatment of the thorax as a funnel. .
• This prosthesis in the form of an open box turned to the thorax, is composed of a transparent plastic bottom, able to be brought parallel to the vertical plane of the thorax, and a peripheral skirt forming a sealing lip while coming into contact. with the thorax.
• the skirt is defined between faces, respectively, inner and outer, which go flaring from the bottom.
• the KLOBE orthosis gives its peripheral lip a variable deformation possibility, greater at the top and on the sides. This is achieved by giving the lip a trapezoidal cross section whose thickness, defined between the faces, respectively, inner and outer, varies depending on the deformability sought to ensure tightness regardless of the configuration of the chest. The variation of deformability is also obtained by modifying the inclination of the faces of the lip
• the invention aims to remedy this by controlling differently the deformability of adjustment of the prosthesis on the patient.
• the prosthesis according to the invention has, in a known manner, a general shape of open box and is composed of a bottom, parallel to the thorax, of a peripheral lip of flexible material, elastically deformable, extending around the bottom and adapted to come into sealed contact with the thorax, to form a vacuum treatment space, and at least one suction nozzle, said treatment space being connectable, by a flexible hose with venting valve , to a means generating a depression.
• the bottom wall is formed by juxtaposed transverse boxes, hollow and rigid, connected to each other by bridges of the same flexible material as that constituting the peripheral lip of the orthosis, these material bridges giving at the bottom wall a possibility of deformation to conform the orthosis to the anatomy of the chest when it is applied vertically against it.
• the sealing of the orthosis against the thorax does not depend on the variation in deformability of its peripheral lip but on the longitudinal deformability of the bottom bearing this lip.
• the system of articulated boxes also allows the patient to be able to mobilize and in particular to sit down.
• the bridges of flexible material between the transverse boxes have a thickness which is increasing since that of the material bridge applying against the upper chest.
• This embodiment gives the orthosis a greater stiffness in its lower part while its upper part remains more deformable.
• each of the bridges of flexible material between the transverse boxes has at least one longitudinal duct or channel connecting the processing spaces formed under the juxtaposed boxes.
• Figures 1 and 2 are perspective views, respectively above and below, of a medium orthosis with four compartments;
• Figures 3 and 4 are side views in section on an enlarged scale, respectively III-III and IV-IV of Figure 1;
• Figure 5 is a plan view over a middle orthosis adapted to the female conformation;
• Figure 6 and 7 are plan views over orthotics for, respectively, large size and small size
• Figure 8 is a perspective view from below of the orthosis for small size
• Figure 9 is a perspective view from below of an embodiment of a four-compartment orthosis in which the communication between boxes is provided by channels;
• Figure 10 is a longitudinal sectional view of the orthosis of Figure 9.
• Figure 1 1 is a cross-sectional view along XI-XI of Figure 9.
• the orthosis in the form of a box that is open downwards, is composed of a bottom wall 2 and a peripheral lip 3, made of flexible plastic material, such that in "silicones" or equivalent material.
• Figures 3 and 4 show that the lip 3 has a substantially trapezoidal cross section of shape, profile and constant dimensions over the entire periphery of the orthosis.
• the lip 3 is overmolded on the peripheral edges 10 of transverse boxes 4a to 4d, hollow because having a U-shaped cross section returned.
• These boxes juxtaposed 4 are made of rigid plastic material and are connected to each other by bridges of flexible material, referenced 5a, 5b and 5c in Figures 1 to 3.
• Figure 3 shows that the thickness E1, E2 and E3 of the material bridges 5a, 5b and 5c is increasing from top to bottom. This reduces the elasticity of these bridges to obtain an increasing variation of the stiffness allowing a better conformation and application on the thorax during the installation.
• each material bridge is traversed by at least one longitudinal duct 7, in this case three in FIG. 4, communicating the treatment chambers C1 to C4 defined under the caissons 4.
• Each box 4 comprises, at least locally, a window 8 closed by a glazing 9 of transparent plastic material, such as polycarbonate.
• This glazing makes it possible to adjust visually the elevation of the sternum, induced by the depression.
• one of the boxes laterally comprises a bent tubular connection 12, adapted to receive one end of a flexible pipe 13. The provision parallel to the thorax of the air intake, avoids the aspiration of the skin into the orifice, clogging and ulceration by contact with this suction port.
• the other end of the pipe 13 is connectable to the tip 14 of a suction means, such as a pear 15.
• this suction equipment is provided with a purge valve 1 6 for at the end of the treatment, to put in the atmosphere the circuit of putting in depression.
• the orthosis is placed on the funnel formed in the patient's thorax, taking care to place the most flexible compartment C1 at the top, so that the orthosis has a stiffness that increases from top to bottom.
• the good seal obtained allows, with a starting depression of the order of 0.1 to 0.3 atmosphere, to maintain the treatment for several hours, without fatigue or pain for the patient.
• the treatment is interrupted by opening the valve 1 6 and after returning compartments C1 to C4 at atmospheric pressure, removing the orthosis.
• the end boxes 4a and 4d have shapes in a circular segment to give the orthosis rounded ends reducing its size and facilitating installation on the thorax.
• the boxes 4b and 4c have concave lateral edges conforming to the general shape of the central part of the orthosis , without this modifying the general structure of the orthosis, its design and its elastic zones or with controlled stiffness.
• the description has been based on a four-box orthosis and three material bridges, for a medium-sized patient, but it is obvious that the arrangements according to the invention also apply to orthoses with five boxes and four material bridges. , as shown in Figure 6, for large patient, and orthoses with three boxes and two bridges of material, as shown in Figure 7 and 8 for small patient.
• FIGS. 9 to 11 differs from the previous embodiments by:
• Modifying the stiffness of the material bridges by increasing the thickness of the material of the bridges and / or by adding, in each bridge, a wafer 22a, 22b, 22c, each wafer having a greater rigidity that the plate of the bridge of material which precedes it, either by variation of its thickness or its sectional shape (flat, in U or in O).
• the prosthesis according to the invention provides the following advantages:
• material bridges or silicone sleepers constitute molar support bars for the aspirated thorax. This point is also an element of important comfort, since it avoids a support by an abrasive or aggressive material; the lateral organization of the air intake avoiding the ulceration of the skin by contact with the suction port.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Veterinary Medicine (AREA)
• Public Health (AREA)
• General Health & Medical Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• Biomedical Technology (AREA)
• Vascular Medicine (AREA)
• Heart & Thoracic Surgery (AREA)
• Engineering & Computer Science (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Nursing (AREA)
• Epidemiology (AREA)
• Pain & Pain Management (AREA)
• Physical Education & Sports Medicine (AREA)
• Rehabilitation Therapy (AREA)
• Orthopedics, Nursing, And Contraception (AREA)
• Prostheses (AREA)

Applications Claiming Priority (2)

Publications (1)

Family

ID=52829137

Family Applications (1)

Country Status (4)

Families Citing this family (1)

Family Cites Families (12)

• 2015
  • 2015-02-10 FR FR1551088A patent/FR3032349B1/fr active Active
• 2016
  • 2016-02-04 WO PCT/EP2016/052393 patent/WO2016128292A1/fr active Application Filing
  • 2016-02-04 US US15/547,286 patent/US20180021208A1/en not_active Abandoned
  • 2016-02-04 EP EP16702938.8A patent/EP3256091A1/de not_active Withdrawn

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