RU2161463C1 - Device for keeping of human - Google Patents

Abstract

FIELD: medical equipment, applicable in medical institutions in field and everyday conditions when it is necessary to restrict the movement of a patient with various degree of motor excitability. SUBSTANCE: the device is provided with a n-section splint-fixative having an assembly on the external side for movement of a movable fastening member along the splint-fixative, due to which it becomes possible to set and fasten at the necessary distance the movable fastening member relative to the fixed one. The device is also provided with inguinal and member and subcavity pads. EFFECT: enhanced functionality, ability to withstand enhanced weight and force loads in the absence of traumatism for the patient, adjustability within a wide range of sizes in length and embrace of human's body parts, as well as enhanced acepticity since the device is made of inert material relative to biological liquids, that can be repeatedly subjected to cleansing and used again. 7 cl, 5 dwg

Description

 The invention relates to medical equipment and can be used in medical institutions for various purposes, in the field and in domestic conditions, when it is necessary to limit the movement of a patient with varying degrees of motor excitability. Strict restriction of movements is necessary not only in clinics for patients with a mental disorder, but also in clinics of general surgery and neurosurgery, especially in the intensive care units of these clinics. In addition, the ambulance service needs atraumatic, reliably holding the patient while moving to the clinic, devices to keep the person in a different position / sitting, lying on his back, on his side, etc. /. Specialized ambulances also need such devices when the patient must be placed in a car without anxiety and provided with primary medical care.

 A number of devices are known for holding and fixing various parts of the patient’s body during his treatment while providing medical staff / a. from. 1271510, class A 61 F 5/37 a.s. 1806695, class A 61 F 5/00, US Pat. 2012302, cl. A 61 G 7/00 /, which are used in operations, sanitation and ensuring immobilization.

 Each of the known devices, having their own positive qualities, have the following disadvantages.

 Common shortcomings include their narrow functional orientation. Each of these devices can be used either as a purely holding device / a.s. 1271510, class A 61 F 5/37 /, or as a medical tire only / US Pat. 2012302, cl. A 61 G 7/00 /, or as a transport bus / a.s. 1806699, cl. A 61 F 5/04 /.

 Some of the analogue devices are traumatic / a.s. 1271510 and a.s. 1806699 / due to metal hooks, hinges, etc., used to adjust the size.

 It is also known "Device for holding a person", US Pat. 2082361, class A 61 F 5/37.

 For the largest number of common features with the claimed technical solution, as well as for the main functional purposes, the “Device for holding a person”, protected by patent N 2082361, cl. A 61 F 5/37.

 A prototype device with all its positive qualities, such as: safety; the ability to quickly fix the patient by medical staff even without professional skills; the possibility of using both as a holding device for a person, and as a dressing for holding dressings; good fit to the held part of the patient's body; hygiene - has the following disadvantages: with increased weight and power loads / up to 200 kg / cannot provide a reliable fixation of the patient. In addition, due to the design of the mounting elements of the device, it cannot be used in a wide range of functions, namely: with spinal injury; when moving the patient to the ambulance car with its subsequent delivery to the clinic; as a medical tire, as well as during the rehabilitation period as a simulator.

 The prototype device also does not allow varying its size in length and allows limited variation in size by girth, therefore, products should be made in size, which is not economical enough for users of products, which are, as a rule, constrained medical facilities.

The objective of the invention is:
- expanding the functionality of the device,
- improving the reliability of human retention at high weight and power loads / up to 200 kg /,
- reducing the number of sizes by increasing the ability to adjust the girth of the held part of the human body in a larger range, as well as by adjusting the distance between the fastening elements.

The invention consists in the following:
- the device is equipped with an n-section bus-latch, rigidly connected to one of the n-section fastening elements, for example, using reinforced firmware at the junction of the sections;
- other n-section fastening elements are mounted with the possibility of longitudinal movement relative to the retainer bus. In this case, one of the movable fastening elements is designed to fix and hold the head / in case of a spinal injury / or to hold and fix a narrow part of the limb / in case of limb injury / and is installed with the possibility of movement using a "moving unit" made of "n" parallel to each other to each other of the strips, the extreme of which, representing the looped part of the Velcro fastener, are rigidly fixed along the entire length of the fastener to the fixation rail to a fixed fastening element, and the middle bar, which is a guide line, w it is firmly fixed on the tire with its ends, while the guide bar is passed through through pockets made in horizontal cord ribbons, from which a contour is formed to grip parts of the human body, and the looped part of the "Velcro" is passed under horizontal cord ribbons, which are rigidly connected to the outer surface n-section movable fastening element with reinforced firmware at the joints of its sections, starting from the wide lateral edge of the retainer tire, and on the inner side of horizontal slings on both Torons from the pockets through fixed response hook fastener portion "Velcro."

Another movable fastening element is removable, for which, on the inner side of its extreme sections, strips of the hook portion of the Velcro fastener are installed. A removable fastening element is provided for holding and fixing the chest, when necessary, in other cases, it is stored with the remaining parts of the device in the compartment provided for this purpose;
- locks for adjusting the length of the cord tapes, of which the contours are made for girth of parts of the human body and for fastening them to the frame, made in the form of, for example, gripping frames or rings;
- Velcro fasteners at the extreme sections of the fastening elements are made elongated;
- the n-section attachment element rigidly connected to the n-section fixation bus is provided with inguinal contours from the strap cord with locks for adjusting its length, which are fixed in the lower part of the attachment element, and axillary contours are fixed from the narrow upper part of the fixation tire, similar to inguinal contours;
- the device is equipped with removable pads, on one side of which the hook portion of the Velcro fastener is rigidly fixed;
- in one of the large ends of the n-section fastening elements, a slot with a fastener, for example, of the "lightning" type, is made.

These distinctive features from the prototype signs provide a number of significant positive qualities, namely:
1. To expand the functions of the claimed device:
a) the presence of an n-section tire-clamp connected to the fastening elements allows the device to be used both in stationary conditions / in clinics during operations, for treatment and rehabilitation /, and in mobile conditions when transporting a patient with various types of injuries / with a lower fracture and upper limbs, with a fracture of the spine / with the provision of first aid to him / injections, bandages, etc. /;
b) making a slot with a fastener, for example, of the “lightning” type at the end of the larger side of the n-section fastening element, allows inserts with different functionalities to be installed in the formed pockets, such as:
- rigid inserts of lightweight strong material, such as lightweight plastic, to form a rigid bed of medical and transport tires,
- elastic soft inserts - to use the fastening elements as a purely restraining device / part of the patient’s body or medical napkin /,
- rigid weighted inserts - for the patient to engage in physical education during the rehabilitation period, moreover, with the possibility of regulating the load by weight and its distribution by girth;
c) the presence of "inguinal" and "axillary" contours allows you to mobilize a patient with a fracture of the spine, if necessary, in a sitting position, because these contours allow you to unload the damaged spine;
d) the presence of pads with the hook part of the Velcro fastener allows you to conveniently lay part of the patient’s body, if there is a cavity / under the knee, in the sacral region, from the back of the neck /.

2. To increase the reliability of human retention at high weight and power loads / up to 200 kg /, which is ensured by:
a) making locks in the form of, for example, gripping frames or rings;
b) the presence of an additional cord tape at the fastening elements;
c) performing reinforced firmware at the joints of sections of fastening elements.

 3. To provide the ability to adjust the girth of the injured part of the human body in a wider range / which leads to a decrease in the standard sizes of fasteners / due to the implementation of Velcro fasteners on the extreme sections of the fasteners elongated.

 4. Adjust the locking bus, and therefore the device as a whole, along the length with the help of a “moving unit”, which is made so that movable and removable fastening elements can be moved along the guide bar along the tire, and fasten the hook parts of the Velcro fastener on looped strips located on both sides of the guide bar and rigidly fixed along its entire length on the retainer rail.

 The implementation of the "node of movement" in this way allows, firstly, to adjust the length of the device in a fairly wide range / within 1400 - 2000 mm /, and secondly, this design of the "node of movement" provides the device with complete safety under any conditions of its use, in thirdly, install the removable fastener / chest fastener / to the required height, securing the hook part of its "Velcro" on the looped straps of the "displacement site". When a removable fastener is not needed / for example, when attaching the limbs /, it is removed.

 4. Ease of use of the device due to the presence of removable pads with a hook-and-loop fastener fastened to one side. Pads can be installed under the sacrum and under the back of the neck when laying the patient with a fracture of the spine, as well as in the popliteal cavity in the fracture of the lower extremities. In other cases, when they are not required, they, together with other parts of the device, are laid in the compartment for removable parts provided for this purpose.

 The possibility of bending the n-section fastening elements along the stitching lines allows you to perform various medical procedures without disturbing the patient, which is also convenient. To do this, the extreme sections of the fastening element are unbent, and the contour for wrapping the body is fastened over these sections.

In FIG. 1 shows a "Device for holding a person" - a General view;
in FIG. 2 - an example of the use of the device when fixing and holding the lower limb;
in FIG. 3 - mounting element in expanded form;
in FIG. 4 - an example of the implementation of the frame lock "capture type";
in FIG. 5 - "movement unit" for adjusting the distance between the fastening elements.

 The device for holding a person contains n-section fastening elements 1, 2, 3, an n-section retention bar 4 and a frame 5 / a table, a bed, a stretcher, etc. / located between them.

 Each n-section fastener 1, 2, 3 is made of a non-wettable fabric, for example polyamide, to the outside of the fastener / with respect to the patient / straps 6 are made of strong fabric, for example of cordocapron, the free end of each of which is equipped with a lock "captive" type 7, made, for example, in the form of frames or rings, one part 8 of which is exciting, and the other 9 is captured.

 The straps 6 together with the locks 7 form two contours: circuit 10 - to grip parts of the human body over the n-section sprinkling element 1, 2, 3, and circuit 11 - to secure the fastener 1, 2, 3 together with the injured part of the human body to frame 5.

At the end of the larger side of the n-section fastener 1, 2, 3, a slot 12 is made with a zipper fastener 13, with the help of which each section of the fastener is a pocket 14 in which an insert of the material necessary for the situation can be inserted, and exactly:
- during normal human retention, for example, in the postoperative period or when the patient has no fractures, inserts of soft elastic material (for example, polyethylene foam) are used;
- when using the device as a medical or transport tire, lightweight rigid inserts, for example, of lightweight plastic, should be inserted into the pockets-sections 14, with the exception of the last pockets-sections 15, into which inserts of elastic material should be inserted. This variation of the inserts is caused, on the one hand, by the need to hold and fix a part of a person’s body with a fracture in a rigid bed / tire function /, on the other hand, by the need to tightly fit a part of a person’s body / function of a purely fastening element /, which cannot be achieved if only rigid sections;
- when using the inventive device as a rehabilitation, inserts with a variable weight can be inserted into the pockets section 14.

 The inserts are held securely with a zipper 13 and can be easily replaced without disturbing the patient.

 An elongated Velcro or burdock fastener 16 is attached to the last sections 15 of the fastening elements 1, 2, 3 to arrange the large sides of the fastening elements strictly parallel to each other. The elongated "Velcro" 16 allows you to vary the size of the fastening elements in terms of girth, without changing the rest of the device and it is safe.

 To ensure the adjustment of the size of the claimed device along the length, one of the fastening elements 2 is mounted with the possibility of longitudinal movement relative to the retainer bus 4 with the help of a “displacement assembly” 17 made on the side external to the patient from n-parallel strips 18 and 19, the last of which 18, representing the looped part of the Velcro fastener, are rigidly fixed along the entire length of the retainer rail 4, and the middle bar 19, which is a guide line, is rigidly fixed to the retainer rail 4 only at their ends, while the guide bar 19 is passed through through pockets 20 made in horizontal cord ribbons 6, of which a contour 10 is formed to grip parts of the human body, and the looped part of the trims 18 is passed under the cord ribbons 6, while the latter are rigidly connected with the outer surface of the n-section movable fastener 2 reinforced firmwares at the junction of its sections, starting from the wide lateral edge of the retainer bus 4, and on the inside of the horizontal cord ribbons 6 on both sides From the through pockets 20, hook parts 21 of the Velcro fastener are located.

 The device for holding a person is also equipped with inguinal 22 and axillary 23 circuits made of a strap cord 6 with locks 7. Inguinal circuits 22 are designed to hold a person with a fracture of the spine in a sitting position, when necessary, and axillary circuits 23 - for the same option use, but to further relieve the load on the spine, while the inguinal contours 22 are fixed at the lower wide side of the fixed mounting element 1, and the axillary contours from the narrow upper part of the tire-f iksator 4, and the exciting part 8 of the lock 7 is fixed rigidly by firmware, and the captured part 9 - with the possibility of removal, for example, using locks "lightning".

 The fastening element 3 is removable and is designed to fix and fasten the human body in the chest area during a fracture of the spine, and when there is a fracture of the limbs there is no need for it. The removable fastener 3 is similar to the movable n-section fastener 2, but its horizontal cord ribbons 6 do not have through pockets, therefore it is not connected by a guide bar 19 and is fixed only by the hook part of the Velcro fastener 21 on the loop 18, rigidly fixed throughout its length on the locking bar 4.

 The device is also equipped with a removable pad 24, on one side of which the hook portion of the Velcro fastener is rigidly fixed. The cushion 24, if necessary, is installed in the hollows / under the knee, under the sacrum, from the back of the neck / and is attached to the looped part 25 of the Velcro fastened to the inner side of the retainer tire 4, relative to the patient.

 In order for the removable n-section fastening element 3 to be compact during storage, a firmware 26 is made between its horizontal cord ribbons 6 along the entire length of the fastening element, along which it is folded in half lengthwise. In this case, the fastening element 3, the cushion 24, the removable part of the inguinal 22 and axillary 23 circuits, if there is no need for them, are stored in the compartment provided for this purpose and are included in the device kit. The compartment for storing removable elements is made on the packaging bag, which is not shown in the figures.

The use of a device for holding a person is as follows:
- As a purely fixator of parts of the human body and as a dressing to hold dressings on the wound, fastening elements 1, 2 installed at the desired distance between each other and with inserts in pockets 14, 15 of elastic soft material can be used. Moreover, all removable components of the device are not involved. The rest of the claimed device is used similarly to the prototype device.

 - As a medical or transport tire.

 The injured / or diseased / part of the person’s body is placed in a rigid n-section box from the retainer bus 4, having previously adjusted the length using the “displacement unit” 17 and the circumference using the locks 7; both parts of the Velcro fastener 16 of the n-section fastening elements 1.2 are lapped and locks 7 are closed on top of the fastener, forming a contour 10, another contour 11, used to fasten the n-section fastening elements to the frame 5 together with the injured part of the body, also After adjusting it with the lock 7, fix it on the available frame 5 / stretcher, bed, table, to the seat in the car, etc. /.

 A rigid / or rigid / insert made of lightweight material, such as lightweight plastic, can be inserted into the pockets-sections 14 either previously or after laying the patient in a bed from the retainer bus 4 and the fastening elements 1, 2, which depends on the condition of the patient. At the same time, hard inserts in the outer pockets - sections 15 are not inserted. For a better fit on demand, soft elastic inserts are inserted in the last few pockets-sections 15.

 Adjusting the length of the device using the "node" 17 is as follows. The movable fastener 2 along the guide bar 19 with the help of horizontal cord strips 6 is moved before installing it at the desired distance from the fixed fastener 1 and then fixed with Velcro fasteners 18 located on both sides of the guide bar 19.

 In those cases when it is necessary to significantly reduce the load on the injured spine of the patient, axillary contours 23 of cord tapes with locks 7 adjusting their length are provided, which are used in conjunction with inguinal 22 circuits made similar to them, but serving to transport a patient with a spinal injury in a sitting position position.

 When using the inventive device as a medical or transport tire for the lower extremities, the fixed fastening elements 1 can be combined with cord tapes with locks 7 that control their length, which allows you to change and fix the angle of dilution of the lower extremities.

 When it is necessary to treat a sore spot in a patient or to operate it, then, without opening the circuits 11 and opening the locks 7 at the circuit 10, the extreme soft sections-pockets 15 and sections with Velcro 16 are folded along the firmware line, and the contour is closed again over the folded sections 10, thus opening up access to the place to be treated, allowing the doctor or nurse to safely perform the operation or medical procedure / injection, wound treatment, compressing, etc. /, which is especially important in the treatment or operation of patients with a mental disorder. This can be done both in stationary conditions and on the go, when moving the ambulance.

 - As a simulator during the rehabilitation period.

 Inserts are inserted into the pockets sections 14, 15, which can be varied by weight and / or quantity. Then the zipper 13 closes, the fastening elements 1, 2 are fixed by the contours 10 in the right place of the human body, the contour 11 is increased with the help of the lock 7 by the distance from the frame 5, which is necessary for training.

The proposed device for holding a person provides a number of positive qualities inherent in the prototype and analogues and has a number of advantages over them, namely:
- provides reliable fixation and retention of a person and parts of his body with increased weight and power loads / up to 200 kg /, and without the risk of injury to the patient;
- the claimed invention has broader functions, because it can be used as a purely restraining device for a person / as in the analogue of A. with. 1271510 / and for a medical napkin / as in the analogue of A. with. 1803083 /, and as a transport / as in the analogue of A. with. 1806699 / and medical / as in the analogue of US Pat. 2012302 / tires. In addition to these functions, the claimed device can be used as a simulator in the rehabilitation period;
- the design of the device allows you to adjust its length and girth in a wide enough range, which significantly reduces the number of device sizes, which makes it economical both for the manufacturer / saving material and accessories /, and for the consumer, as a rule, financially constrained.

Claims (7)

 1. A device for holding a person containing a frame and n-section fastening elements made of aseptic low-wetting material, each of which contains a loop of cord straps to grip parts of the human body with a lock to adjust its length and secure the fastener, and an identical contour for fastening on the frame of the fastening elements, the last two sections of which are equipped with Velcro fasteners, characterized in that it is equipped with an n-section fixation bus rigidly connected to one of the n-section elec mounting brackets, and the other n-section mounting element is mounted with the possibility of longitudinal movement relative to the retainer bus using a displacement assembly made on the outside, relative to the patient, side of the retainer rail from n-parallel strips, the outermost of which are the looped part of the Velcro fastener is rigidly fixed along its entire length on the n-section retainer bus, and the middle bar, which is a guiding sling, is rigidly fixed on its retainer rail with its ends, for example the adhesive film is passed through through pockets made in horizontal cord tapes, from which a contour is formed to grip parts of the human body, and the looped part of the "Velcro" is passed under the horizontal cord tapes, which are rigidly connected to the outer surface of the n-section movable fastening element with reinforced firmware in the junctions of its sections, starting from the wide lateral edge of the n-section tire-clamp, and on the inner side of the horizontal cord ribbons on both sides of the through pockets of the closed The mating hook parts of the Velcro fastener are insulated.  2. The device for holding a person according to claim 1, characterized in that it is equipped with a removable n-section mounting element.  3. The device for holding a person according to claim 1, characterized in that in one of the large ends of the n-section fastening elements there is a slot with a fastener, for example, of the type “zipper”.  4. The device for holding a person according to claim 1, characterized in that the n-section fastening element rigidly connected to the fixation bus is provided with inguinal contours of a strap cord with locks for adjusting its length, which are fixed in the lower part of the fixed, rigidly fixed element fastenings, and from the narrow upper part of the n-section retainer tire axillary contours are fixed, similar to the inguinal contours.  5. The device for holding a person according to claim 1, characterized in that the locks for adjusting the length of the cord tapes, from which the contours for wrapping around parts of the human body and for fastening the fastening elements to the frame, are made in the form of, for example, gripping frames or rings.  6. The device for holding a person according to claim 1, characterized in that the Velcro fasteners attached to the extreme sections of the fastening elements are elongated.  7. The device for holding a person according to claim 1, characterized in that each of the fastening elements is provided with at least one additional cord tape with a lock for adjusting its length, fixed parallel to the main one.

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