KR20200022611A - The invention of medical cast apparatus for the simplification and shortening of application time and improvement of adapatation to the unduated body skin surface - Google Patents

The invention of medical cast apparatus for the simplification and shortening of application time and improvement of adapatation to the unduated body skin surface Download PDF

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KR20200022611A
KR20200022611A KR1020180098422A KR20180098422A KR20200022611A KR 20200022611 A KR20200022611 A KR 20200022611A KR 1020180098422 A KR1020180098422 A KR 1020180098422A KR 20180098422 A KR20180098422 A KR 20180098422A KR 20200022611 A KR20200022611 A KR 20200022611A
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cast
layer
application
shape
elasticity
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KR1020180098422A
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Korean (ko)
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김재영
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김재영
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/04Plaster of Paris bandages; Other stiffening bandages
    • A61F13/041Accessories for stiffening bandages, e.g. cast liners, heel-pieces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • A61F13/0276Apparatus or processes for manufacturing adhesive dressings or bandages
    • A61F13/0293Apparatus or processes for manufacturing adhesive dressings or bandages manufacturing of plaster of Paris
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/07Stiffening bandages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00089Wound bandages
    • A61F2013/00093Wound bandages tubular
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00544Plasters form or structure
    • A61F2013/00574Plasters form or structure shaped as a body part
    • A61F2013/00578Plasters form or structure shaped as a body part conformable; soft or flexible, e.g. elastomeric
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00544Plasters form or structure
    • A61F2013/00582Properties of backing
    • A61F2013/006Elastic modulus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F2013/00361Plasters
    • A61F2013/00544Plasters form or structure
    • A61F2013/00621Plasters form or structure cast

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Materials Engineering (AREA)
  • Epidemiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Manufacturing & Machinery (AREA)
  • Materials For Medical Uses (AREA)

Abstract

The present invention simplifies a conventional complex method to easily and rapidly perform procedure with a cast used for treating fractures or injuries. The present invention is made in a tube shape similar to the shape of the body by comprising: a soft fiber layer on the innermost layer to be well adapted to a curved body; an elastic space layer made of various synthetic fibers such as nylon, polyester, etc. on the middle part; and an outer layer having little strength to be well attached to a cast.

Description

의료용 기브스 적용 방법의 단순화 간소화 및 피부 굴곡에 대한 순응도 향상과 및 시술 시간의 단축을 위한 새로운 정형외과적 기브스(캐스트) 부속물 및 시술 방법의 발명{The invention of medical cast apparatus for the simplification and shortening of application time and improvement of adapatation to the unduated body skin surface } The invention of medical cast apparatus for the simplification and shortening of application to simplify the application of medical gibs and improve compliance with skin flexion and to reduce the procedure time time and improvement of adapatation to the unduated body skin surface}

본발명은 하지나 상지의 일부를 감싸는 의료용 기브스를 시행 시에 특정부위에 압력이 가지않게하는 인체 공학적인 INLAY를 사람의 발 다리나 손 팔 모양에 맞게 만들고 발이나 팔에 입힌 다음 그위로 기브스용 캐스트 롤을 바로 감으면 기브스가 만들어지는 기존의 기브스 시술을 쉽게 간소화시키고 시술 시간을 단축 키는 기술 분야이다.In the present invention, an ergonomic inlay that does not apply pressure to a specific part when performing a medical gibbs covering a part of the lower limb or upper limb is made to fit the shape of a person's foot leg or hand arm, and then coated on the foot or arm, and then cast on the gibbs Rolling the rolls immediately is a technical field that simplifies the existing Gibbs procedure that makes Gibbs and shortens the procedure time.

골절이나 신체에 손상이 있는 경우 외상의 치료와 골절의 유합 및 인대 및 건손상의 치료에 있어 손상된 신체의 고정은 매우 중요하며 감염이 없는 상처가 빠르게 치유 될 수 있게 할때도 전접촉 기브스(total contac cast)를 사용하여 치료한다. 좋은 cast는 충분한 고정력을 장시간 유지할 수 있고 시술이 쉬어야 하며 굴곡진 신체에 균등하게 잘 배분되어 특정부위에 불필요한 압력의 증가가 없어야 한다. In the case of a fracture or damage to the body, the fixation of the damaged body is very important in the treatment of trauma and in the union of the fracture and in the treatment of ligaments and tendon injuries. treatment with cast). A good cast should be able to maintain a sufficient fixation for a long time, the procedure should be easy to rest, evenly distributed on the curved body and there should be no unnecessary increase in pressure at the specific site.

일반적으로 인체는 표면이 평편하거나 구의 형태를 가지는 경우보다 표면이 울퉁 불퉁하고 고르지 않다. 이로 인해 기존의 캐스트는 피부 표면의 굴곡에 ?추지 못하는 경우가 대부분이다. 기존 석고 캐스트는 비교적 표면의 굴곡에 잘 순응하나 무게가 무겁고 통기가 되지 않으며 시술 시간이 매우 오래걸리고 상당한 숙련된 기술을 요하는 단점이 있다. 유리섬유와 수성경화 폴리우레탄으로 만들어진 캐스트롤을 이용한 캐스트는 신체 표면의 굴곡에 잘 순응이 안될 뿐아니라 역시 비교적 많은 시간과 숙련된 기술을 요한다. 탄력있는 캐스트롤을 감을 ? 특정부위애 압력이 증가되어 또 다른 피부 궤양을 유발하는 합병증이 자주 발생한다. 이러한 합병증을 피하기 위해서는 많은 양의 패딩을 캐스트와 피부 사이에 대야 하며 이로인해 캐스트 본연의 역할인 고정력을 상실 하기가 쉽다. 특히 전접촉 기브스의 경우에는 시술이 까다롭고 전문가도 신체의 굴곡에 순응하여 전접촉 기브스의 시술을 하기라 어렵다. In general, the human body is more uneven and uneven surface than a flat surface or a sphere shape. As a result, conventional casts are often unable to bend the surface of the skin. Conventional gypsum casts are relatively well adapted to surface curvature, but have the disadvantages of being heavier in weight, non-ventilated, requiring very long procedure times and requiring considerable skill. Cast using cast rolls made of glass fiber and water-curable polyurethane is not only well-adapted to the curvature of the body surface but also requires a relatively long time and skill. Winding elastic cast rolls? Complications that cause increased pressure on specific areas often lead to other skin ulcers. To avoid these complications, a large amount of padding must be placed between the cast and the skin, which makes it easy to lose the cast's natural role of fixation. In particular, in the case of the pre-contact gibs, the procedure is difficult, and it is difficult for a specialist to perform the pre-contact gibs to comply with the curvature of the body.

첫째 , 고도의 전문적인 기술이 요구되는 기브스와 전접촉 기브스를 누구나 할수 있게 단순화, 간편화 시키는것과 이로 인해 30 분이상 소요 되던 기스브 시술 시간과 시술후 보행 까지 1시간 이상 소요되었던 시간을 15분이내 보행으로 단축 시키고자 하는 과제. First, the simplification and simplification of Gibbs and all-contact Gibbs, which require highly specialized skills, and the walking time within 15 minutes of the Gibbs operation time, which took more than 30 minutes, and the time required to walk after the procedure, within 15 minutes To shorten the problem.

둘째 , 개인 마다 다른 발과 상하지 의 모양에 맞추어 기브스가 되도록 피부에 많은 면적이 접촉해 체중의 분산이 잘되게 하는 과제 이다. Secondly, it is a task to distribute the weight well by contacting a large area of skin to give Gibbs according to the shape of different feet and upper and lower limbs.

첫째 , 기브스 시술의 간편성과 편이성, 시간단축을 위해 발과 하지의 모양과 유사한 특수한 디자인과 발의 넓이와 하퇴부 장단지의 크기를 조절할수 있는 외형을 가진 특수한 모양의 공간 및 탄력성을 가진 중간층 아래 시술후 높이가 줄어 드는 면이나 폴리에스테르 소재의 천과 윗 층에는 격자 형태의 확장이 가능한 경화층으로 약간의 강도(마지막 캐스트롤을 감을때 눌리지 않을 만한 강도) 를 가진 층으로 신체의 모양을 힘을 주지 않은 상태에서 유지 할수 있게 하는 층이다. 일반적으로 격자나 사선 모양의 사이가 늘어날수 있는 모양으로 만들어 일반적인 발이 나 손의 형태의 외형에 부착 한다. 이 상태에서는 누구나 캐스트롤을 이 발명 기구위로만 저당한 압력으로 감아만 주면 됨으로 쉽게 기브스를 완성 할수 있다. First, the height after the procedure under the intermediate layer with a special shape and elasticity with a special design similar to the shape of the foot and lower leg and the shape that can adjust the width of the foot and the length of the lower thigh for simplicity, convenience, and shortening of time. Is a lattice-shaped, hardened layer that has a slight strength (which is not likely to be crushed when the last cast roll is rolled). It is a layer that can be maintained at. In general, it is made of a shape that can be extended between the lattice or the diagonal shape and attached to the shape of the general foot or hand. In this state, anyone can easily finish Gibbs by simply winding the cast roll with the appropriate pressure on this invention mechanism.

둘째 발다리나 손과 팔의 굴곡은 탄력과 신축성을 가진 형태의 발명품 inlay 에서 피부의 요철에 따라 피부에 밀착하여 공간을 없애게 기브스 전체가 신체가 접촉하게 하여 체중을 분산 하여특정 부위에 압력이 가지 않게 할수 있다. . Second, the leg or hand and arm flexion is an invention inlay with elasticity and elasticity. It adheres to the skin according to the irregularities of the skin so that the entire body is in contact with Gibbs to disperse the body weight so that pressure is applied to a specific part. You can do that. .

많은 경험과 기술이 없이도 기브스를 쉽게 기브스의 목적에 부합하게 할수가 있고 기브스 시술 시간을 현저하게 줄일수 있으며 신체의 굴골진 부분에 잘 적응되는 CAST를 만들어 기브스에서 발이나 신체가 웅직이지 않아 특정부위만 증가된 압력에 의해 발생되는 기브스 궤양이나 괴사를 줄일수가 있다. Without much experience and skill, Gibbs can easily meet Gibbs's purpose, significantly reduce the time of Gibbs's treatment, and make CAST that adapts well to the curved parts of the body. Only can reduce Gibbs ulcers or necrosis caused by increased pressure.

도 1 - 전체적인 간략도 특정 신체 모양을 튜브 형태로 제작되면, 내피(1.a) , 중간 knitt 탄력층 (1. b), 경화층 (1.c)으로 구성 되어 있으며, 120 - 200% 정도 늘어 날수 있다.
도 2 - 실체 튜브의 단면 이다. 내피(2.a) , 중간 knitt 탄력층 (2. b) , 경화층 (2.c)으로 구성 되어 있음.
도 3 - 외층에 약간의 강도(경도)를 가진 외피를 나타낸다.(3. a)
도 4 - 시제품을 실제로 발에 장착 한 모습을 보여 주고 있다.
도 5 - 발명 시제품 에 캐스트 롤을 단순히 감아주면 기브스가 완성 되며 펴안하고 신체에 잘 접촉 된다.
Figure 1-Overall Schematic When a specific body shape is produced in the form of a tube, it consists of an endothelial (1.a), an intermediate knitt elastic layer (1.b), and a hardening layer (1.c), about 120-200% Can increase.
Figure 2-A cross section of an entity tube. It consists of endothelial (2.a), middle knitt elastic layer (2.b) and hardened layer (2.c).
Figure 3-shows the sheath with some strength (hardness) in the outer layer. (3. a)
4-The prototype is actually mounted on the foot.
Figure 5-Simply wrap the cast roll on the invention prototype, the gibbs are completed and unfolded and in good contact with the body.

먼저 기본적으로 3개의 층으로 구성되며 가장 안쪽의 층은 1-3 MM 정도의 두께의 피부와 닿는 면으로 재질은 면이나 폴리에스테르로 제작이 되며 추후 발이나 손에 장착이되면 약 50% 정도 두께가 감소하여 수 MM 의 여유 공간이 생기는 역할을 한다. 둘째 층은 특수한 형태의 KNITT로 직조된 나일론 이나 기타 화학섬유로 만들어진 층으로 5-10MM 정도의 두께를 가지며 120% 에 200% 사이에 신축성이 있으며 굴곡진 피부에 능동적으로 대응하는 역할을 하며 공기의 순환의 기능도 한다. 셋째 층은 격자 형태의 확장이 가능한 경화층으로 약간의 강도(마지막 캐스트롤을 감을때 눌리지 않을 만한 강도) 를 가진 층으로 외측에 기브스롤을 감을 때 잘 붙게 만들어졌으며 잘눌리지 않게 하는 층이다.First, it is basically composed of three layers. The innermost layer is the one that is in contact with the skin with a thickness of about 1-3 mm. The material is made of cotton or polyester. Decreases, resulting in free space of several MM. The second layer is made of a special type of KNITT woven nylon or other chemical fiber, which is 5-10mm thick, stretches between 120% and 200%, and actively responds to curved skin. It also functions as a circulation. The third layer is a lattice-shaped, expandable cured layer that has some strength (which is not likely to be pressed when the last cast roll is rolled) and is made to stick well when winding the gibbs roll on the outside.

Claims (8)

의료용 기브스 시술 시 편이성과 시간을 축시기기 위한 신체 특정부위에 맞추어 미리 제작이 된 다층내피의 적용 이후 바로 캐스트롤을 감을수 있게 하는 것. It is to be able to wind cast rolls immediately after application of multi-layered endothelial, which is pre-fabricated for specific parts of the body to save time and convenience during medical Gibbs procedure. 시술후 피부와접촉하는 부위에는 자극을 감소 시키고 통기가 잘되면 시간이 경과 함에 따라 두께의 감소가 일어나는 내피의 적용 . Application of the endothelium, which reduces irritation at the site of skin contact after the procedure and decreases in thickness as time passes if it is well ventilated. 굴곡진 피부에 잘적응이 되는 특수한 NITT 형태의 탄력 층의 적용 Application of a special NITT-shaped elastic layer that adapts well to curved skin 본 발명품을 발, 다리나 손 팔에 장착후 바로 캐스트롤을 감을 수있는 정도의 강도를 가진 격자 모양 또는 여러가지 모양의 나일론 패드층 또는 다른 여러 물질로 이루어진 경화 층의 적용.Application of a cured layer of lattice or various shaped nylon pad layers or other materials having strength sufficient to wind the cast rolls immediately after mounting the invention to the feet, legs or hand arms. 청구항 2 , 3, 4 의 층을 서로 붙인 형태를 가진 원통형 SHEET. Cylindrical sheet having a shape in which the layers of claims 2, 3 and 4 are bonded to each other. 특정 신체 모양(손, 발, 다리, 팔)에 의 해부학적인 모양으로 맞춘 청구항 5Claim 5 adapted to an anatomical shape of a specific body shape (hands, feet, legs, arms) 청구항 5.의 탄력으로 120% - 200% 정도 늘어 날수 있는 탄력과 구조를 가질것.Have elasticity and structure which can be increased by 120% -200% by elasticity of claim 5. 캐스트롤을 감고 경화 된후에는 탄력이 외부의 경화 층이 캐스롤의 붕대와 붙어 탄력이없어 지는 것.









After the cast roll has been cured and hardened, the elasticity of the outer hardened layer is attached to the bandage of the casing and becomes elastic.









KR1020180098422A 2018-08-23 2018-08-23 The invention of medical cast apparatus for the simplification and shortening of application time and improvement of adapatation to the unduated body skin surface KR20200022611A (en)

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