JP2015228938A - Sternum deformation prevention equipment - Google Patents

Sternum deformation prevention equipment Download PDF

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Publication number
JP2015228938A
JP2015228938A JP2014115596A JP2014115596A JP2015228938A JP 2015228938 A JP2015228938 A JP 2015228938A JP 2014115596 A JP2014115596 A JP 2014115596A JP 2014115596 A JP2014115596 A JP 2014115596A JP 2015228938 A JP2015228938 A JP 2015228938A
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Japan
Prior art keywords
sternum
deformation prevention
trunk
prevention device
deformation
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JP2014115596A
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JP6302752B2 (en
Inventor
憲太 藤原
Kenta Fujiwara
憲太 藤原
慎太郎 根本
Shintaro Nemoto
慎太郎 根本
永野 徹
Toru Nagano
徹 永野
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Osaka Medical College
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Osaka Medical College
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Abstract

PROBLEM TO BE SOLVED: To provide sternum deformation prevention equipment which not only can be fitted to a trunk and can buffer impact and stress applied from outside with a cushioning material, and can safely and reliably perform shape retention, but also can exert favorably wearing feeling, can put a correction pad onto and intensively press an incised sternum injury part, and can prevent the sternum deformation and effectively protect the sternum injury part.SOLUTION: Sternum deformation prevention equipment 1 is integrally formed by a sternum support body 2, both side support bodies 9, and back part support body 10, in accordance with an outline of a trunk 16 and can be opened in a back side. In the sternum deformation prevention equipment 1, a sheet-like cushioning material 14 is internally arranged along an inner peripheral face, an opening part 3 with a required width is formed in the sternum support body 2, and a correction pad 4 is attachably/detachably attached in the opening 3 with an attachment band 5 so as to correspond to the sternum injury part.

Description

本発明は胸骨変形防止装具に関し、更に詳細には、特に小児心臓手術後に装着して胸
骨の変形を防止せしめ、創部を有効に保護せしめる、胸骨変形防止装具に関する。
The present invention relates to a sternal deformation prevention device, and more particularly, to a sternum deformation prevention device that is mounted after pediatric cardiac surgery to prevent sternum deformation and effectively protect a wound.

新生児、乳児、あるいは幼児などの小児が胸骨を上下方向に切開することにより心臓な
どの手術を受けたさいには、縫合後に切開部位の胸骨創部が膨隆する症状を生起するおそ
れがあるものである。このため、かかる胸骨変形を防止せしめるべく手術後に胸骨変形防
止装具を装着せしめ、胸骨の変形を防止せしめつつ創部を保護せしめる、保存的療法が提
案されている。
When a child such as a newborn, an infant, or an infant undergoes surgery such as the heart by incising the sternum vertically, the sternum wound at the incision site may bulge after suturing. . For this reason, conservative therapy has been proposed in which a sternum deformation prevention device is attached after surgery to prevent such sternum deformation, and the wound is protected while preventing sternum deformation.

ところで、かかる胸骨変形防止装具として特開2002−345868号(特許文献1
)には、体幹に合せて胸部支持体と背部支持体とが装着バンドを介して装着自在とされる
と共に、該胸部支持体内面には胸部支持体とほぼ同形の矯正パッドが取着されたものが開
示されている。
そして、かかる胸骨変形防止装具は、矯正パッドを切開部位の胸骨創部のみならず胸部
全面に当てがいつつ装着バンドでもって常時押圧状に装着せしめ、胸骨の変形を防止せし
めつつ創部を保護せしめるものである。
By the way, as such a sternum deformation prevention device, JP-A-2002-345868 (Patent Document 1).
), The chest support and the back support can be freely attached to the trunk through an attachment band, and a correction pad substantially the same shape as the chest support is attached to the inner surface of the chest support. Have been disclosed.
And this sternum deformation prevention device is to apply the correction pad not only to the sternum wound part of the incision site but also to the entire chest part, and always wear it with a wearing band to protect the wound part while preventing deformation of the sternum. is there.

また、特開2012−61027号公報(特許文献2)には、帯状小片の胸部支持体と
背部支持体とが装着バンドを介して装着自在とされると共に、胸部支持体内面には胸骨創
部に対応する大きさの矯正パッドが取着されたもの、さらに、実用新案登録第31658
17号公報(特許文献3)には、小片状の胸部支持体が装着バンドを介して装着自在とさ
れると共に、該胸部支持体の内面には胸骨創部に対応する大きさの矯正パッドが取着され
たものが各々開示されている。
そして、上述の如く構成された胸部変形防止装具は、矯正パッドを切開部位の胸骨創部
に当てがいつつ重点的に装着バンドでもって常時押圧状に装着せしめ、胸骨の変形を防止
せしめつつ創部を保護せしめるものである。
JP 2012-61027 A (Patent Document 2) discloses that a chest support and a back support of a strip-shaped piece can be mounted via a mounting band, and the inner surface of the chest support is attached to the sternum wound part. Applicable size correction pad attached, and utility model registration No. 31658
No. 17 (Patent Document 3) discloses that a small piece of chest support is attachable via an attachment band, and a correction pad having a size corresponding to the sternum wound is provided on the inner surface of the chest support. Each attached is disclosed.
And the chest deformation prevention device constructed as described above protects the wound while keeping the orthopedic pad attached to the sternum wound at the incision site and pressing it with the wearing band at all times in a pressing manner. It is what you want to do.

特開2002−345868号公報JP 2002-345868 A 特開2012−61027号公報JP 2012-61027 A 実用新案登録第3165817号公報Utility Model Registration No. 3165817

ところで、上記特許文献1記載の胸骨変形防止装具は、体幹に合せて胸部支持体と背部
支持体を装着バンドでもってしっかりと装着して保形せしめることが出来る反面、矯正パ
ッドは胸部支持体とほぼ同形状に形成されているから、切開部位の胸骨創部のみならず、
胸骨全面を押圧せしめるものとなり、ひいては、押圧力が分散して胸骨創部に対する重点
的な矯正を行うことが出来ないものであって、極めて矯正効率の悪いものとなっていた。
また、胸部支持体はともかく、背部支持体や装着バンドを体幹に直接的に当てがうもので
あるから、全体として不快な装着感を生起せしめやすいものである。
By the way, the sternum deformation prevention device described in the above-mentioned Patent Document 1 is capable of firmly holding a chest support and a back support with an attachment band in accordance with the trunk, while maintaining the shape, while the correction pad is a chest support. Because it is formed in almost the same shape as the sternum wound at the incision site,
As a result, the entire sternum is pressed, and as a result, the pressing force is dispersed to prevent intensive correction of the sternum wound, and the correction efficiency is extremely poor.
Further, apart from the chest support, since the back support and the mounting band are directly applied to the trunk, it is easy to cause an unpleasant wearing feeling as a whole.

また、特許文献2・3記載の胸骨変形防止装具は、胸骨創部に対応する大きさの矯正パ
ッドが胸部支持体に取着されているから、かかる矯正パッドを切開部位の胸骨創部に当て
がいつつ押圧せしめることが出来るものであって、常に胸骨創部の重点的な矯正を有効に
行なうことが出来る反面、胸部支持体や背部支持体は帯状小片に形成されているから、体
幹に当てがう面積が小となり、ひいては、装着バンドでもって体幹に装着せしめたさいに
は装着が不十分となり、場合によってはガタ付きなどを生起せしめ、保形性のみならず矯
正効果において問題があるものである。
In addition, in the sternal deformation prevention devices described in Patent Documents 2 and 3, since a correction pad having a size corresponding to the sternum wound is attached to the chest support, the correction pad is applied to the sternum wound at the incision site. It can be pressed and can always effectively perform intensive correction of the sternum wound, but the chest support and back support are formed in strips, so they can be applied to the trunk. The area is small, and as a result, when it is worn on the trunk with a wearing band, the wearing becomes insufficient, and in some cases it may cause rattling, etc., and there is a problem not only in shape retention but also in correction effect is there.

本発明は従来の課題を解決し、常に緩衝材でもって体幹にフィットせしめつつ外部から
の衝撃や応力を緩衝せしめ、安全かつ確実に保形せしめることが出来るのみならず、良好
な装着感を呈し、しかも矯正パッドを切開部位の胸骨創部に当てがいつつ重点的に押圧せ
しめ、胸骨の変形を防止せしめつつ胸骨創部を有効に保護せしめることが出来る、胸骨変
形防止装具を提供しようとするものである。
The present invention solves the conventional problems, and always shocks and stresses can be buffered while being fitted to the trunk with a cushioning material, so that the shape can be maintained safely and reliably, and a good wearing feeling can be obtained. It is intended to provide a sternum deformity prevention device that can effectively protect the sternum wound part while presenting and pressing the correction pad intensively while applying the correction pad to the sternum wound part of the incision site, while preventing deformation of the sternum. is there.

上記の目的を達成するため、本発明の請求項1記載の発明は、体幹の輪郭に合せて胸部
支持体と両側部支持体と背部支持体とが一体形成されてなる後開き自在な胸骨変形防止装
具であって、該胸骨変形防止装具はその内周面に沿ってシ−ト状の緩衝材が内設されると
共に、胸部支持体には所要幅の開口部が形成され、該開口部内には胸骨創部に対応すべく
矯正パッドが取付けバンドを介して着脱自在に取付けられていることを特徴とする、胸骨
変形防止装具を要旨とするものである。
In order to achieve the above object, the invention according to claim 1 of the present invention is a rear-openable sternum in which a chest support body, both side support bodies and a back support body are integrally formed in accordance with the contour of the trunk. An anti-deformation device, wherein the anti-sternal device is provided with a sheet-like cushioning material along its inner peripheral surface, and an opening having a required width is formed in the chest support. The gist of the present invention is a sternal deformation prevention device, characterized in that a correction pad is detachably attached to the sternum wound portion via an attachment band.

本発明の請求項2記載の発明は、上記矯正パッドに感圧センサ−が装着されてなること
を特徴とする、請求項1記載の胸骨変形防止装具を要旨とするものである。
The invention described in claim 2 of the present invention is summarized in the sternum deformation prevention device according to claim 1, wherein a pressure sensitive sensor is attached to the correction pad.

本発明の請求項3記載の発明は、上記緩衝材がαゲルによりシ−ト状に形成されてなる
ことを特徴とする、請求項1または2記載の胸骨変形防止装具を要旨とするものである。
The invention according to claim 3 of the present invention is characterized in that the cushioning material is formed into a sheet shape by α-gel, and the sternum deformation prevention device according to claim 1 or 2 is characterized. is there.

本発明の請求項1記載の発明は、上述のように構成されているから、常に緩衝材でもっ
て体幹にフィットせしめつつ、胸部支持体と両側部支持体と背部支持体とでもって外部か
らの衝撃や応力を緩衝せしめて安全かつ確実に保形せしめることが出来るのみならず、良
好な装着感を呈する。しかも、胸部支持体の開口部には胸骨創部に対応する矯正パッドが
取着されているから、矯正パッドを胸骨創部に適確に当てがいつつ重点的に押圧せしめる
ことが出来るものであって、常に胸骨の変形を効果的に防止することが出来るのみならず
、胸骨創部を有効に保護せしめることが出来るものである。
Since the invention according to claim 1 of the present invention is configured as described above, the chest support body, the both side support bodies, and the back support body are always fitted from the outside while being fitted to the trunk with the cushioning material. In addition to being able to buffer the impact and stress, the shape can be maintained safely and reliably, and a good wearing feeling is exhibited. Moreover, since the correction pad corresponding to the sternum wound is attached to the opening of the chest support, it is possible to press the correction pad intensively while properly applying the correction pad to the sternum wound, Not only can the deformation of the sternum always be effectively prevented, but also the sternum wound can be effectively protected.

本発明の請求項2記載の発明は、上述のように構成されているから、感圧センサ−でも
って矯正パッドによる押圧力を計測せしめ、常に適正な押圧力でもって胸骨創部を押圧せ
しめつつその変形を有効に防止せしめることが出来るものである。
Since the invention according to claim 2 of the present invention is configured as described above, the pressing force by the correction pad is measured with the pressure sensor, and the sternum wound is constantly pressed with the appropriate pressing force. Deformation can be effectively prevented.

本発明の請求項3記載の発明は、上述のように構成されているから、衝撃吸収性が高く
、衝撃を緩和する性能に優れたαゲル製の緩衝材でもって体幹にフィットせしめつつ、外
部からの衝撃や応力を安全、かつ確実に緩衝せしめることが出来るものである。
Since the invention according to claim 3 of the present invention is configured as described above, it is highly shock-absorbing and is fitted to the trunk with an α-gel cushioning material excellent in the performance of mitigating the impact. The shock and stress from the outside can be buffered safely and reliably.

本発明の一実施例を示す正面図である。It is a front view which shows one Example of this invention. 本発明の一実施例を示す背面図である。It is a rear view which shows one Example of this invention. 本発明の一実施例を示す平面図である。It is a top view which shows one Example of this invention. 図3のA−A線に沿う断面図である。It is sectional drawing which follows the AA line of FIG. 本発明の一実施例の使用状態を示す正面図である。It is a front view which shows the use condition of one Example of this invention.

以下に、本発明を実施するための形態を図面に示す一実施例に基づいて説明する。   EMBODIMENT OF THE INVENTION Below, the form for implementing this invention is demonstrated based on one Example shown on drawing.

図1〜図5は本発明の一実施例を示すもので、同図中、1は体幹の輪郭に合せて形成さ
れた後開き状の胸骨変形防止装具で、該胸骨変形防止装具1はサブオルソレンや軟質ポリ
エチレンなどの熱可塑性樹脂により一体に成型されている。2は上記胸骨変形防止装具1
を構成する略逆U字形状の胸部支持体、3は該胸部支持体2の中央部に区画形成された広
幅状の開口部、4は切開部位の胸骨創部に対応すべく該開口部3内に取付けバンド5を介
して着脱自在に取付けられた矯正パッド、6は胸骨創部に対する押圧力を計測せしめるべ
く該矯正パッド4に内臓された感圧センサ−で、該感圧センサ−6としては例えば市販品
である株式会社朝日ラバ−製の「超薄型感圧ラバ−センサ−」を好適に用いることが出来
る。そして、該感圧センサ−6による押圧力の計測を公知の回路により取付けバンド5上
などに表示すべく設定され、また、取付けバンド5は雄雌面ファスナ−7・8でもって胸
部支持体2に緊締係着せしめるものとされている(図1、図3、及び図4参照)。
1 to 5 show an embodiment of the present invention. In the figure, reference numeral 1 denotes a rear-opening sternal deformation prevention device formed in accordance with the contour of the trunk, and the sternum deformation prevention device 1 is It is molded integrally with a thermoplastic resin such as subortholene or soft polyethylene. 2 is the sternum deformation prevention device 1
A substantially inverted U-shaped chest support body 3 is formed with a wide opening formed in the central portion of the chest support body 2, and 4 is provided in the opening 3 so as to correspond to the sternum wound part at the incision site. An orthodontic pad detachably attached via an attaching band 5 is a pressure sensor 6 incorporated in the orthodontic pad 4 to measure the pressing force on the sternum wound. Examples of the pressure sensor 6 include: A commercially available “ultra-thin pressure-sensitive rubber sensor” manufactured by Asahi Rubber Co., Ltd. can be suitably used. The measurement of the pressing force by the pressure-sensitive sensor 6 is set to be displayed on the attachment band 5 by a known circuit. The attachment band 5 is a chest support 2 with male and female surface fasteners 7 and 8. (See FIGS. 1, 3, and 4).

9は上記胸部支持体2の両側に各々一体に連結された両側部支持体、10は該両側部支
持体9に各々一体に連結された開閉自在な2つ割状の背部支持体、11は該背部支持体1
0を開閉作動せしめるべく付設された装着バンドで、該装着バンド11は雄雌面ファスナ
−12・13でもって背部支持体10を開閉自在に緊締係着せしめるものとされている
(図2〜図4参照)。14は体幹にフィットせしめると共に外部からの衝撃や応力を緩衝
せしめるべく胸骨変形防止装具1の内周面に内張り状に内設されたシ−ト状の緩衝材で、
該緩衝材14はαゲルによりシ−ト状に形成されており、該αゲルとしては株式会社事業
創造研究所製の「αゲル(商品名)」を好適に用いることが出来る。その他、15は胸部
支持体2より背部支持体10に向けて架設状に取付けられた両側一対の肩紐、16は人体
の体幹を示す。
9 is a bilateral support integrally connected to both sides of the chest support 2, 10 is an openable and closable dorsal back support integrally connected to the both side supports 9, 11 The back support 1
A mounting band provided to open and close 0, and the mounting band 11 has male and female surface fasteners 12 and 13 to fasten and tighten the back support 10 so as to be openable and closable (FIGS. 2 to 2). 4). Reference numeral 14 denotes a sheet-like cushioning material installed on the inner peripheral surface of the sternum deformation prevention device 1 so as to fit the trunk and cushion external shocks and stresses.
The cushioning material 14 is formed in a sheet shape by α-gel, and “α-gel (trade name)” manufactured by Business Creation Laboratory, Inc. can be suitably used as the α-gel. In addition, 15 is a pair of shoulder straps attached on both sides of the chest support 2 toward the back support 10 and 16 is a trunk of the human body.

上述の如く構成された実施例は、図5に示すように、特に小児心臓手術後に体幹16に
装着して胸骨の変形を防止せしめ、創部を有効に保護せしめる。即ち、先ず、胸骨変形防
止装具1を構成する背部支持体10を拡開作動せしめ、緩衝材14を体幹16の外周に当
接せしめつつ、開口部3を切開部位の胸骨創部に対応せしめるべく胸部支持体2を胸部に
当てがうと共に、両側部支持体9および背部支持体10を各々対応する体幹16部位に当
てがったのち、装着バンド11でもって背部支持体10を閉作動せしめ、体幹16に胸骨
変形防止装具1を装着せしめる。このさい、αゲルにより形成された緩衝材14は衝撃吸
収性が高く、衝撃を緩和せしめる性能に優れているから、体幹16にフィットして装着感
が良好であるのみならず、胸部支持体2・両側部支持体9・背部支持体10とも相まって
外部からの衝撃や応力を安全、かつ確実に緩衝せしめることが出来る。
As shown in FIG. 5, the embodiment configured as described above is attached to the trunk 16 especially after a pediatric heart surgery to prevent the sternum from being deformed and to effectively protect the wound. That is, first, the back support 10 constituting the sternal deformation prevention device 1 is operated to expand, and the opening 3 is made to correspond to the sternum wound at the incision site while the cushioning material 14 is brought into contact with the outer periphery of the trunk 16. The chest support 2 is applied to the chest, and the side support 9 and the back support 10 are respectively applied to the corresponding trunk 16 parts, and then the back support 10 is closed with the wearing band 11. Then, the sternum deformation prevention device 1 is attached to the trunk 16. At this time, the cushioning material 14 formed of α-gel has high shock absorption and excellent performance for mitigating the impact. Therefore, the cushioning material 14 not only fits the trunk 16 and has a good wearing feeling, but also supports the chest. 2. Together with both side support 9 and back support 10, it is possible to safely and reliably buffer external impacts and stresses.

体幹16に対する胸骨変形防止装具1の装着が完了すると、矯正パッド4を胸骨創部に
当てがいつつ、取付けバンド5により所要の押圧力でもって胸部支持体2に取付け、胸骨
の変形を防止せしめる。このさい、矯正パッド4を胸骨創部に当てがうものとされている
から、胸骨創部を重点的に押圧せしめることが出来るものであって、常に胸骨の変形を効
果的に防止せしめつつ保護せしめることが出来る。また、取付けバンド5による矯正パッ
ド4の押圧力は感圧センサ−6により検出表示するものとされているから、常に取付けバ
ンド5による矯正パッド4の押圧力を計測せしめつつ適正に調整せしめることが出来るも
のであって、常に適正な押圧力でもって胸骨の変形を効果的に防止せしめることが出来る
ものである。
When the attachment of the sternum deformation prevention device 1 to the trunk 16 is completed, the correction pad 4 is applied to the sternum wound part and attached to the thoracic support 2 with a required pressing force by the attachment band 5 to prevent the sternum from being deformed. At this time, since the correction pad 4 is applied to the sternum wound part, the sternum wound part can be pressed intensively and always protected while effectively preventing the deformation of the sternum. I can do it. In addition, since the pressing force of the correction pad 4 by the attachment band 5 is detected and displayed by the pressure-sensitive sensor-6, the pressing force of the correction pad 4 by the attachment band 5 can always be appropriately adjusted while being measured. It is possible to effectively prevent the sternum from being deformed with an appropriate pressing force at all times.

1 胸骨変形防止装具
2 胸部支持体
3 開口部
4 矯正パッド
5 取付けバンド
6 感圧センサ−
9 両側部支持体
10 背部支持体
14 緩衝材
16 体幹
DESCRIPTION OF SYMBOLS 1 Sternum deformation prevention equipment 2 Chest support body 3 Opening part 4 Correction pad 5 Mounting band 6 Pressure sensor
9 Side support 10 Back support 14 Cushioning material 16 Trunk

Claims (3)

体幹の輪郭に合せて胸部支持体と両側部支持体と背部支持体とが一体形成されてなる後
開き自在な胸骨変形防止装具であって、該胸骨変形防止装具はその内周面に沿ってシ−ト
状の緩衝材が内設されると共に、胸部支持体には所要幅の開口部が形成され、該開口部内
には胸骨創部に対応すべく矯正パッドが取付けバンドを介して着脱自在に取付けられてい
ることを特徴とする、胸骨変形防止装具。
A sternal deformity prevention device which can be opened rearward by integrally forming a chest support, both side supports and a back support in accordance with the contour of the trunk, and the sternal deformation prevention device is arranged along its inner peripheral surface. In addition, a sheet-like cushioning material is provided, and an opening of the required width is formed in the chest support, and a correction pad is detachable through the attachment band to correspond to the sternum wound in the opening. A sternal deformity prevention device, characterized by being attached to the sternum.
上記矯正パッドに感圧センサ−が装着されてなることを特徴とする、請求項1記載の胸
骨変形防止装具。
2. The sternum deformation prevention device according to claim 1, wherein a pressure sensitive sensor is attached to the correction pad.
上記緩衝材がαゲルによりシ−ト状に形成されてなることを特徴とする、請求項1また
は2記載の胸骨変形防止装具。
The sternum deformation preventing device according to claim 1 or 2, wherein the cushioning material is formed into a sheet shape by α-gel.
JP2014115596A 2014-06-04 2014-06-04 Sternal deformity prevention device Active JP6302752B2 (en)

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JP2015228938A true JP2015228938A (en) 2015-12-21
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107349039A (en) * 2017-09-11 2017-11-17 房桂珍 A kind of chest and abdomen used after operation safty shield

Citations (5)

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JP2009513191A (en) * 2005-10-28 2009-04-02 ガーヴィングトン リサーチ アンド デベロップメント インコーポレイテッド Thorax support device
JP2010075628A (en) * 2008-09-29 2010-04-08 Otani Katsuhiko Cushion member for lower limb orthosis
JP2011036558A (en) * 2009-08-17 2011-02-24 Konica Minolta Holdings Inc Active device for joint
JP2012061027A (en) * 2010-09-14 2012-03-29 Okawara Seikei Kikai Seisakusho:Kk Protector for preventing sternum deformation
JP2013215246A (en) * 2012-04-05 2013-10-24 Eiji Hanaoka Orthopedic appliance for spinal deformity

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009513191A (en) * 2005-10-28 2009-04-02 ガーヴィングトン リサーチ アンド デベロップメント インコーポレイテッド Thorax support device
US20090131841A1 (en) * 2005-10-28 2009-05-21 Garvington Research & Development Inc. Thorax Supporting Device
JP2010075628A (en) * 2008-09-29 2010-04-08 Otani Katsuhiko Cushion member for lower limb orthosis
JP2011036558A (en) * 2009-08-17 2011-02-24 Konica Minolta Holdings Inc Active device for joint
JP2012061027A (en) * 2010-09-14 2012-03-29 Okawara Seikei Kikai Seisakusho:Kk Protector for preventing sternum deformation
JP2013215246A (en) * 2012-04-05 2013-10-24 Eiji Hanaoka Orthopedic appliance for spinal deformity

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107349039A (en) * 2017-09-11 2017-11-17 房桂珍 A kind of chest and abdomen used after operation safty shield

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