ES2620985A1 - Security and thoracic retention device for patients and associated tensioning element at the same (Machine-translation by Google Translate, not legally binding) - Google Patents

Abstract

Safety and thoracic retention device, comprising a retention harness (2) configured to fit the upper back of a patient (p); a first fastening tape (3) extending laterally of the retaining harness (2), and having a first joining end (31); and a second fastening tape (4) extending laterally of the retaining harness (2) in the opposite direction to the first fastening tape (3), and having a second joining end (41). Both joining ends (31, 41) configured to be joined together around a bed or stretcher (c). Where the second fastening tape (4) comprises an auxiliary end (5) for connection of a tensioning element (6) in turn joined to the first joining end (31), allowing to gradually tension the fixing tapes (3, 4) around the bed or stretcher (c). (Machine-translation by Google Translate, not legally binding)

Description

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SAFETY AND TORACICA RETENTION DEVICE FOR PATIENTS AND TENSOR ELEMENT ASSOCIATED WITH THE SAME

DESCRIPTION

Field of the invention

The present invention relates to a thoracic safety and retention device for agitated and / or aggressive patients, as well as to a tensor element associated therewith, especially applicable in the emergency health and / or mental health field.

Background of the invention

The thoracic retention devices should be used as a last resort during the mechanical contention of agitated and / or aggressive patients according to hospital protocols, guaranteeing at all times the safety of the patient, health personnel and third parties. In addition, they must always take into account a continuous supervision of the patient, a correct placement of the patient on the bed or stretcher in which the contention is carried out, as well as a correct use of the device during the agitation episode and / or the waits for the pharmacological content to act. Once the agitation disappears, the device should be removed as quickly as possible.

Various devices for the mechanical containment of this type of patients are currently known. One of the most representative is SALVAFIX®. It consists of a thorax harness in the form of "¥" that is attached to an abdominal belt by the back of the patient through velcro® through a fabric buckle. Then it goes up the dorsal area to a tape or transverse webbing, previously fixed to the bed frame by means of magnetic fixation elements.These ribbons surround the patient through each clavicular area joining together in front of the neck in the form of a "blade" by means of a magnetic fixing element, to another tape that serves as an extension and that goes up the neck from the ventral area of the abdominal belt. This "¥" shaped webbing also has two "Y" sewn webbing with the function of surrounding the patient's chest at the height of the floating ribs and joining the extension that rises from the ventral zone of the abdominal content in another fixing point by means of a magnetic fixing element, located below, to which it joins the tapes or straps with

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“blade” shape. Once these magnetic elements have been closed, they cannot be opened manually, but require the use of specific tools.

This type of device has several drawbacks, both for the patient and for the healthcare staff.

As far as the patient is concerned, it should be noted that thoracic retention is carried out through the use of two retention straps that, in a crossed way, extend each of them from the patient's abdominal area to the clavicular area near their neck. So, such retention straps can end up passing very close to the softer parts of the neck, putting the patient at risk. In addition, all tapes, bands and / or belts that use this type of device have flat and rigid surfaces that may be uncomfortable for the patient.

As for the healthcare staff, it should be noted that the main problems arise during the placement of the device, and more especially when you have to tighten the fixing straps and the type of stretcher does not allow it due to lack of access to the frame, and You have to proceed to the union of its ends. This is due to the great diversity of widths, shapes and sizes presented by said support bases (beds, stretchers, etc.), as well as the thickness and fluffiness of the mattresses used thereon. As an example, those used in ambulances can be between 50 and 60 cm wide, between 70 and 80 cm in hospital beds, and more than 90 cm in beds. Therefore, when tensioning the fixing straps, the medical personnel must manually pull them tightly, often in quite uncomfortable positions due to lack of space (especially in ambulances and in boxes with beds attached to the wall), and with the patient acting against it, so that the device is firmly attached to said support base. It usually happens on many occasions that, once the magnetic fixing element is arranged, the fixing straps are not sufficiently tight to the bed or stretcher, giving the patient some mobility that may jeopardize their safety and / or that of third parties, for example, giving headboards to the railings, wall or sanitary personnel.

Another complication more than the existing ones, is the difficulty in placing the thorax harness by the different parts that compose it and the risk of injuries perceived by the

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health personnel having straps that pass very close to the soft tissue area of the neck when the patient is violently incorporated. In addition to the need to have magnetic keys and sufficient material for the content available at all times, to be able to quickly release the patient, in case of vital risk.

The present invention solves the problems described above by means of a safety and thoracic retention device for agitated and / or aggressive patients, as well as a tension element associated therewith, whose configuration allows the connection of a tension element to be carried out in the first term. a quick union of both fixing straps, and in the second term a progressive or gradual adjustment of the tension of the same on the bed or stretcher until reaching the desired tension, allowing later to join the ends of the same to release said tensioning element and reuse it on another device In turn, the configuration of the harness that incorporates the device of the present invention also favors its correct disposition on the patient, avoiding risks for the same and ensuring its adequate containment and release in case of emergency of vital risk in a more comfortable, fast way and safe, using a unique magnetic fixing element that does not interfere with the rapid release of agitated / aggressive patients.

Description of the invention

The present invention relates to a thoracic retention and safety device for patients of the present invention comprises:

- a retention harness configured to fit the top of a patient's back;

- a first fastening tape that extends laterally from the retaining harness, and which has a first joining end; Y

- a second fixing tape that extends laterally from the retaining harness in the opposite direction to the first fixing tape, and which has a second joining end;

where both ends of the union are configured to join each other around a bed or stretcher on which the patient is disposed.

Said device is characterized in that the second fixing belt comprises an auxiliary end for connection of a tensioning element connected in turn to the first end

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of joining the first fixing tape, allowing to gradually tighten the fixing bands around the bed or stretcher.

The device of the present invention enjoys a certain ergonomics that allows it to adapt to the morphology of the various patients. The form and measures of its components facilitates such adaptation. Also, the device integrates all its components to prevent its loss, and thus, prevent it from being inoperative.

Preferably, the auxiliary end allows the tensioning element to be released once the fixing tapes are tensioned, after joining both joining ends. This allows the tension element to be used in other patients.

Preferably, the retention harness comprises a back band configured to fit on the patient's back, which has:

- a first side of which the first fixing tape extends laterally; Y

- a second side, opposite the first side, from which the second fixing tape and the auxiliary end are extended laterally.

Preferably, the retention harness comprises a first retention strap and a second retention strap arranged in parallel, configured to fit around the patient's acromioclavicular joints. Also, the first retaining strap comprises a first adjustment end to which a first rapid adjustment element is connected by a first rotating union; while the second retaining strap comprises a second adjustment end to which a second rapid adjustment element is connected by a second rotating union. Said swivel joints allow the retention straps to better adapt to the pseudocircular shape of the acromioclavicular zone. The fast adjustment elements, being for example Velcro® type, also contribute to improving said adaptation.

Preferably, the first retaining strap extends perpendicularly from the rear band from a first fixed joint integral with said rear band and opposite the first rapid adjustment element; while the second retaining strap extends perpendicularly from the rear band from a second fixed fixed joint to said rear band and opposite the second rapid adjustment element. Also, the rear band comprises a first fastening strip

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enabled to allow the passage of the first adjustment end between said first fastening strip and the rear band; and a second fastening strip enabled to allow the passage of the second adjustment end between said second fastening strip and the rear band.

Preferably, the first retention strap and the second retention strap respectively comprise a first padded liner and a second padded liner for patient protection. Thus, being “foamized” the retention straps give the patient greater safety and comfort.

Preferably, the first fixing tape and the second fixing tape respectively have a first length and a second length; where the second length is less than the first length. For example, the first length may be of the order of about 120 cm, while the second length may be of the order of about 20 cm. This allows the point of attachment is not just under the bed or stretcher, but on one side of it above the mattress. So that the time and effort of the placement on the stretcher by the health personnel is improved, since it is not necessary for it to get under it to join both tapes.

Preferably, the first joint end and the second joint end respectively comprise first adjustment holes and second adjustment holes configured to coincide with each other, allowing the passage of a fixing element between two matching adjustment holes to join both union ends. .

Preferably, the fixing element is magnetic formed by two magnetized pivots that join together, and whose separation requires a specific tool. However, said fixing elements may also consist of flanges, clipping elements, or the like.

Preferably, the auxiliary end comprises a section of auxiliary belt whose end has a first quick-release and quick-release element, such as a male or female closure buckle.

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Preferably, the device comprises a tensioning element having a connector end for connection to the auxiliary end and an adjustment end for connection to the first joint end. Said connector end is formed by a section of tape, such as about 10 to 30 cm, which extends from the tensioning element to a second quick coupling and disengagement element, such as a male or female closure buckle, complementary to the first element of quick coupling and disengagement. Preferably, said tension element of the ratchet type.

The present invention also relates to a tensioning element for safety devices and thoracic retention for patients, comprising:

- an adjustment end configured to join a first joint end of a first fastening tape of a safety device and thoracic retention for patients; Y

- a connector end configured for connection to an auxiliary end of a second fixing tape of said device having a second connection end;

where said tensioning element allows to gradually tighten the fixing straps around a bed or stretcher on which the patient is disposed.

Preferably, the connector end is formed by a section of tape, such as about 10 to 30 cm, which extends from the tensioning element to a second quick-release and quick-release element, such as a male or buckle closure buckle. female, complementary to a first hook and quick release element of the auxiliary end. Preferably, said tensioning element is of the ratchet type.

Brief description of the drawings

Next, a series of drawings that help to better understand the invention and that expressly relate to an embodiment of said invention that is presented as a non-limiting example thereof is described very briefly.

Figure 1 shows a view of the safety device and thoracic retention for agitated and / or aggressive patients of the present invention arranged on a bed or

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Stretcher.

Figure 2 shows a first rear elevation view of the device of Figure 1, with the retention straps deployed.

Figure 3 shows a second rear elevation view of the device of Figure 1, with the retention straps collected forming two loops for patient support.

Figure 4 shows an elevation view of the tensioning element.

Figure 5 shows a mode of application of the device of the present invention, before proceeding to the union of the union ends of the fixing tapes.

Figure 6 shows a view of the detail "Y" of Figure 5.

Figure 7 shows a mode of application of the device of the present invention, after proceeding to release the tensioning element.

Figure 8 shows a view of the detail "Z" of Figure 7.

Detailed description of the invention

Figure 1 shows a view of the safety device and thoracic retention for agitated and / or aggressive patients of the present invention arranged on a bed or stretcher (C).

As can be seen, said device (1) comprises:

- a retention harness (2) configured to fit a patient's upper back (P);

- a first fixing strap or strap (3) that extends laterally from the retaining harness (2), and which has a first end of attachment (31); Y

- a second fastening tape or strap (4) that extends laterally from the retaining harness (2) in the opposite direction to the first fastening tape (3), and which has a second attachment end (41);

where both ends of union (31, 41) are configured to join

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between each other around a bed or Stretcher (C) on which the patient is arranged (P).

Said device (1) is characterized in that the second fixing strap (4) comprises an auxiliary end (5) for connecting a tensioning element (6), figure 4, in turn connected to the first connecting end (31) of the first fixing tape (3), allowing to gradually tighten the fixing bands (3, 4) around the bed or stretcher (C), figures 5 and 7.

In turn, the retention harness (2) comprises a back band or base (21) configured to fit on the patient's back (P), which has:

- a first side (21a) of which the first fixing tape (3) extends laterally; Y

- a second side (21b), opposite the first side (21a), from which the second fixing tape (4) and the auxiliary end (5) are extended laterally.

As can be seen in Figures 2 and 3, the retention harness (2) comprises a first retention strap (22a) and a second retention strap (22b) arranged in parallel, separated for example between 15 and 25 cm, configured to fit around the patient's acromioclavicular joints (P), figures 5 and 7. Likewise, the first retention strap (22a) comprises a first adjustment end (23a) to which a first rotating joint (24a) is attached rapid adjustment element (25a); while the second retaining strap (22b) comprises a second adjustment end (23b) to which a second rapid adjustment element (25b) is connected by means of a second rotating union (24b). Said rotating joints (24a, 24b) allow the retention belts (22a, 22b) to be better adapted to the pseudocircular shape of the acromioclavicular zone.

As an example, the retention straps (22a, 22b) can each have a length of 80 cm and a width of approximately 2.5 cm. In turn, the rapid adjustment elements (25a, 25b) can be of the Velcro® male type of approximately 15 cm in length, also contributing to improve said adaptation.

In turn, the first retaining strap (22a) extends perpendicularly from the rear band (21) from a first fixed joint (26a), figure 1, integral with said

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rear band (21) and opposite the first rapid adjustment element (25a); while the second retention strap (22b) extends perpendicularly from the rear band (21) from a second fixed joint (26b), figure 1, integral with said rear band (21) and opposite to the second rapid adjustment element (25b ). Also, the rear band (21) comprises a first fastening strip (27a) enabled to allow the passage of the first adjustment end (23a) between said first fastening strip (27a) and the rear band (21); and a second fastening strip (27b) enabled to allow the passage of the second adjustment end (23b) between said second fastening strip (27b) and the rear band (21).

The first retention strap (22a) and the second retention strap (22b) respectively comprise a first padded liner (28a) and a second padded liner (28b) for patient protection (P). Thus, being “foamized” the retention straps (22a, 22b) give the patient greater safety and comfort, and also facilitate the fixation of the rapid adjustment elements (25a, 25b) of Velcro® type, figures 5 and 7. By way of example, the padded coverings (28a, 28b) can each have a length of approximately 70 cm of "foam" fabric.

The first fixing tape (3) and the second fixing tape (4) respectively have a first length (3L) and a second length (4L); where the second length (4L) is less than the first length (3L). For example, the first length (3L) can be about 120 cm, while the second length (4L) can be about 20 cm. This allows the point of attachment is not just under the bed or stretcher (C), but on one side of it above the mattress, figures 5 and 7. So that the time and effort of the placement is improved on the stretcher (C) by the health personnel, since it is not necessary for it to get under it to join both tapes (3, 4). In turn, the width of each tape (3, 4) can be, by way of example, about 2.5 cm.

The first joint end (31) and the second joint end (41) respectively comprise first holes or adjustment eyelets (32) and second holes or adjustment eyelets (42) configured to coincide with each other, allowing the passage of an element of fixing (7) between two adjustment holes (32, 42) coinciding to join both ends of union (31, 41).

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The holes (32, 42) can be distributed at several points along the fixing straps (3, 4) to adapt to the different types of beds and Stretchers (C). For example, the first fixing tape (3) can have a first group of first adjustment holes (32), not illustrated, about 60 cm from the first side (21a) of the rear band (21) for use in ambulance stretchers, and a second group of first adjustment holes (32) from about 80 cm from the first side (21a) of the rear band (21) for use in hospital beds. The adjustment holes (32, 42) can be arranged in line along the fixing straps (3, 4), for example, every 4 cm.

According to the present example, the auxiliary end (5) comprises a section of auxiliary belt or strap (51), about 5 cm long and 2.5 cm wide, the end of which has a first quick-release and quick-release element. (52), buckle type female closure, sewn to said auxiliary tape (51).

As can be seen in Figure 4, the device (1) comprises a tension element (6) of the ratchet type which has a connector end (61) for connection to the auxiliary end (5) and an adjustment end (62) for its connection to the first union end (31). Said connector end (61) is formed by a section of tape or webbing (63) of about 20 cm, which extends from the tensioning element (6) to a second quick-release and quick-release element (64), buckle type of Complementary male closure to the first quick release and release element (52). These quick coupling and disengagement elements (52, 64) allow the release of the tensioning element (6) once the fixing tapes (3, 4) have been tensioned, after joining both joining ends (31, 41), in order to use the tension element (6) in other patients.

The tensioning element (6) allows the device (1) to be adjusted to the bed or stretcher (C) to save the sponge of the mattress, adjusting the patient set (P) - bed or stretcher (C) more firmly.

Figures 5 and 6 respectively show a mode of application of the device (1) of the present invention and a detail thereof, before proceeding to the union of the union ends (31, 41) of the fixing tapes (3, 4).

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As can be seen, the auxiliary end (5) is connected to the tensioning element (6), in turn connected to the first joint end (31) of the first fixing tape (3). This allows to gradually tighten the fixing straps (3, 4) around the bed or stretcher (C). When the desired tension is reached, it is automatically maintained due to the tension that the tension element (6) exerts. At that time, health personnel can easily and effortlessly join the joining ends (31, 41) of both fixing straps (3, 4). To do this, you can use a single magnetic fixing element (7) formed by two magnetized pivots that join together through matching adjustment holes (32, 42).

Figures 7 and 8 show respectively a mode of application of the device of the present invention and a detail thereof, after proceeding to release the tensioning element (6). Said process is carried out easily and comfortably, simply by unhooking the first quick-release and quick-release element (52) of the female-type buckle type, of the second quick-release and quick-release element (64) of the male-type buckle type.

It should be added, in view of the mode of application shown in Figures 5-8, that with regard to patient safety (P), the exposure of the patient's chest (P) to access the patient is improved with respect to known devices. both for medical exploration and for monitoring. This also constitutes an element of vital security, since it does not interfere with normorespiration, since no tape surrounds the patient's thorax (P), thus suffocating asphyxiation due to over tightening.

On the other hand, as mentioned above, the monitoring of the patient (P) content is mandatory according to hospital protocols due to the possibility of lethal arrhythmias due to the sustained increase in cardiac frequency and cardiotoxic substances or respiratory system depressants, which would have was able to consume before the episode of agitation / violence. Asl as pharmacological adverse effects of iatrogenic origin.

The profuse sweating produced by the high physical effort during agitation, the ambient temperature and drugs that raise the body temperature play against the electrodes used to monitor the patient as they detach from the patient's chest or give errors. In this sense, the device (1) of

Safety and thoracic retention of the present invention contemplates the possibility of implementing sensors (100) in contact with the skin, subject to the same device (1), which allow the information to be sent without wires, to a receiver (101) that shows it on a monitor located in the control area of getting sick in real time.

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In addition, according to hospital protocols, a person in mechanical contention must be supervised at least every 15 minutes. During that time, the safety device and thoracic retention of the present invention, being subject to the patient's acromioclavicular zone (P), allows the placement of an accelerometer in order to count the number of scapular movements and Thus, it is possible to determine the level of psychomotor agitation, with the intention of being able to justify its withdrawal when the agitation ceases, or to notify the physician to assess the administration of relaxing rescue drugs.

Claims (18)

5 10 fifteen twenty 25 30 35 1. Thoracic retention and safety device for patients, comprising: - a retention harness (2) configured to fit a patient's upper back (P); - a first fixing tape (3) that extends laterally from the retaining harness (2), and which has a first connecting end (31); Y - a second fixing tape (4) that extends laterally from the retaining harness (2) in the opposite direction to the first fixing tape (3), and having a second joining end (41); where both ends of union (31, 41) are configured to join each other around a bed or stretcher (C) on which the patient (P) is disposed, said device (1) characterized in that the second fixing strap ( 4) comprises an auxiliary end (5) for connection of a tensioning element (6) in turn connected to the first joint end (31) of the first fixing tape (3), allowing gradually tightening the fixing tapes (3, 4) around the bed or stretcher (C). 2. Safety device and thoracic retention for patients according to revindication 1, characterized in that the auxiliary end (5) allows the release of the tensioning element (6) once the fixing tapes (3, 4) have been tensioned, after joining both ends of union (31, 41). 3. Thoracic retention and safety device for patients according to any of claims 1 to 2, characterized in that the retention harness (2) comprises a rear band (21) configured to fit on the patient's back (P), which has: - a first side (21a) of which the first fixing tape (3) extends laterally; Y - a second side (21b), opposite the first side (21a), from which the second fixing tape (4) and the auxiliary end (5) are laterally extended. 4. Thoracic safety and retention device for patients according to any one of claims 1 to 3, characterized in that the retention harness (2) comprises a first retention strap (22a) and a second retention strap (22b) arranged in parallel, configured to fit around joints 5 10 fifteen twenty 25 30 35 acromioclavicular patient (P). 5. Thoracic safety and retention device for patients according to claim 4, characterized in that the first retention strap (22a) comprises a first adjusting end (23a) to which a first rotating element is connected by means of a first rotating joint (24a) quick adjustment (25a); and because the second retaining strap (22b) comprises a second adjustment end (23b) to which a second rapid adjustment element (25b) is connected by means of a second rotating union (24b). 6. Thoracic retention and safety device for patients according to claims 3 and 5, characterized in that the first retention strap (22a) extends perpendicularly from the rear band (21) from a first fixed joint (26a) integral with said rear band (21) and opposite the first rapid adjustment element (25a); and because the second retaining strap (22b) extends perpendicularly from the rear band (21) from a second fixed joint (26b) integral with said rear band (21) and opposite the second rapid adjustment element (25b). 7. Safety device and thoracic retention for patients according to claim 6, characterized in that the rear band (21) comprises a first fastening strip (27a) enabled to allow the passage of the first adjustment end (23a) between said first strip of fastening (27a) and the back band (21); and a second fastening strip (27b) enabled to allow the passage of the second adjustment end (23b) between said second fastening strip (27b) and the rear band (21). 8. Thoracic safety and retention device for patients according to any of claims 4 to 7, characterized in that the first retention strap (22a) and the second retention strap (22b) respectively comprise a first padded lining (28a) and a second Padded lining (28b) for patient protection (P). 9. Thoracic retention and safety device for patients according to any of claims 1 to 8, characterized in that the first fixing tape (3) and the second fixing tape (4) respectively have a first length (3L) and a second length (4L); where the second length (4L) is less than the first 5 10 fifteen twenty 25 30 35 Length (3L). 10. Thoracic retention and safety device for patients according to any of claims 1 to 9, characterized in that the first joint end (31) and the second joint end (41) respectively comprise first adjustment holes (32) and second holes of adjustment (42) configured to coincide with each other, allowing the passage of a fixing element (7) between two matching adjustment holes (32, 42) to join both joining ends (31, 41). 11. Thoracic retention and safety device for patients according to revindication 10, characterized in that the fixing element (7) is magnetic. 12. Thoracic retention and safety device for patients according to any of claims 1 to 11, characterized in that the auxiliary end (5) comprises a section of auxiliary belt (51) whose end has a first quick-release and quick-release element (52 ). 13. Thoracic retention and safety device for patients according to any of claims 1 to 12, characterized in that it comprises a tensioning element (6) having a connector end (61) for connection to the auxiliary end (5) and an adjustment end (62) for connection to the first joint end (31). 14. Thoracic retention and safety device for patients according to claims 12 and 13, characterized in that the connecting end (61) is formed by a section of tape (63) extending from the tensioning element (6) to a second element quick coupler and quick release (64) complementary to the first quick coupler and quick release (52). 15. Thoracic retention and safety device for patients according to any of claims 1 to 14, characterized in that it comprises a tension element (6) of the ratchet type. 16. Tensioning element for safety devices and thoracic retention for patients, said tensioning element (6) characterized in that it comprises: - an adjustment end (62) configured to join a first joint end (31) of a first fixing tape (3) of a thoracic safety and retention device for patients; Y - a connector end (61) configured for connection to an auxiliary end (5) of a second fixing tape (4) of said device having a second connection end (41); wherein said tensioning element (6) allows to gradually tighten the fixing straps (3, 4) around a bed or stretcher (C) on which the patient is disposed (P). 17. Tensioning element for safety devices and thoracic retention for patients 10 according to claim 16, characterized in that the connecting end (61) is It is formed by a section of tape (63) that extends from the tensioning element (6) to a second quick-release and snap-in element (64) complementary to a first quick-release and quick-release element (52) of the auxiliary end (5) ). fifteen 18. Tension element for safety devices and thoracic retention for patients according to any of claims 16 to 17, characterized in that said tension element (6) is of the ratchet type.