RU2482820C1 - Transport immobilising collapsible splint (versions) - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: claimed invention relates to medicine and can be used by ambulance and emergency medical service for fixation of upper and lower extremities and neck of injured people. Transport immobilising collapsible splint contains base from sheet waterproof material. Base of splint for lower extremity contains support for shin and support for foot, made in form of a single plate from low-pressure polyolefin-polyethylene. Longitudinal and transverse guides for modelling splint dimensions in width and length are made in form of successive chain of perforations. To fold splint in length during transportation transverse guides in form of perforation are made on plate surface, to fix splint in working position, in the region of connection of support for shin and support for foot of splint, on plate made are transverse cuts, on both sides of which from each side made are paired holes with guides, in which fixers are placed.

EFFECT: invention makes it possible to reduce time consumption for preparation of splint for use to minimum, increase efficiency and convenience of application of claimed splint in wide medical practice, increase durability and service term of transport immobilising splint, use claimed splint construction repeatedly and efficiently.

17 cl, 5 dwg

Description

The invention relates to medicine, and more particularly to devices used by ambulance and emergency medical services for fixing the upper and lower extremities and neck of affected people. The developed transport immobilization folding tire will find effective application in traumatology by emergency medical services, disaster medicine, military and emergency medicine, as well as for the immobilization of injured limbs in various emergency rooms, first-aid posts and health centers of enterprises, in outpatient medicine institutions.

There are various designs of medical transport tires intended for transport immobilization of injured limbs of an injured person.

Known transport tire used for fractures of the lower limbs (SU, ed. St. No. 127788, A61F 5/04, 1960).

The main disadvantage of the above tire is its narrow specialization, by virtue of which this tire is used only when a certain type of limb is fractured. As a result, there is a need to carry a wide variety of types of tires in ambulances for all fractures. Corresponding tires are described in the Small Medical Encyclopedia under the editorship of V.X. Vasilenko, M., Soviet Encyclopedia, 1989, Volume II, pp. 473-477, 479.

The universal transport bus Kramer is known (see Small Medical Encyclopedia under the editorship of V.X. Vasilenko, M., Soviet Encyclopedia, 1989, Volume II, pp. 475-477).

The Kramer tire for immobilization of the upper extremities is a lodgement for accommodating the damaged limb, made in the form of a rectangular elongated frame made of steel soft wire with transverse wire ties, wrapped with a soft cloth and packed in an oilcloth cover. The Cramer tire contains a clamp of a damaged limb relative to the lodgement, made in the form, for example, of an elastic bandage wound around a damaged limb and lodgement.

To apply the Cramer tire, take the ladder segment of the required length, depending on the fracture location, bend it in the necessary places to give a shape corresponding to the shape of the broken limb, apply the tire to the limb and wind it with bandages.

The Kramer transport bus, in its traditional constructive implementation, although it allows solving the task of providing emergency assistance to people with broken limbs in extreme and field conditions, has a number of significant operational disadvantages that significantly limit its scope.

Significant disadvantages of the Cramer tire include its fragility, unreliability and low hygiene. From periodic bending in almost the same places, the wire bar loses its mechanical strength and soon breaks.

At the same time, the metal staircase of the Cramer tire wrapped in soft cloth is not able to adequately provide reliable and painless fixation of the broken limb, since when applying the staircase tire, individual parts and sections of the broken limb will be in the areas of structural voids of the metal frame, which is the dominant element transport tires.

In addition, the use of glued material as an external protective cover does not allow for effective hygienic processing of the transport tire due to the low mechanical strength and insufficient chemical resistance of the glued material of the protective cover

A transport ladder tire is known (RF patent No. 86460 for a utility model) comprising a tool tray for immobilizing a damaged limb located in an external protective cover, made in the form of a flat rectangular elongated frame made of wire with transverse wire ties, characterized in that a flat rectangular frame made of wire is placed in an elastic clip made of foamed polyethylene, and the outer protective cover is made of tent material polyvinyl chloride.

Transport ladder tire according to the patent of the Russian Federation No. 866460 characterized in that:

- for the manufacture of elastic clips using foamed polyethylene brand polyrex NPE;

- the thickness of the elastic holder made of foamed polyethylene is from 4 to 12 mm;

- for immobilization of the lower extremities, a tire is made with a length of 1200-1300 mm and a width of 145-160 mm, and for upper limbs - with a length of 800-900 mm and a width of 110-130 mm;

- a flat rectangular frame made of steel, or copper, or aluminum wire.

The transport tire according to RF patent No. 866460 has improved strength and performance characteristics, but has a limited scope, cannot be used to immobilize the cervical spine, the geometric dimensions of this tire do not allow it to be used to immobilize injuries in children.

Also known immobilization tire (options) described in the patent of the Russian Federation No. 2278639 (A61F 5/04), which is the closest technical solution to the patented invention and which is selected as a prototype. The design of this tire has several versions, allowing directly at the place of assistance to victims to form the following options for disposable tires as needed:

1 - for immobilization of the neck (cervical spine);

2 - for immobilization of the forearm;

3 - for immobilization of the shoulder;

4 - for immobilization of the lower leg;

5 - for immobilization of the thigh (for immobilization with extension of the lower limb in case of hip fracture).

In all embodiments, the immobilization tire contains a base of waterproof sheet corrugated cardboard, made in the form of a matrix of protrusions on the front and back sides of the sheet, formed by the intersection of vertical and horizontal thinning, as well as a device for fixing tire elements in the working position, made in the form of a set of clips - Velcro fasteners, and a device for fixing the tire on the victim. In the first embodiment, the tire (for the neck) is made of two first and second bases interconnected, differing in the location of the clamps, each of which has the following ratio of parameters: Nv / Ng = 4/10, where Nv is the number of vertical rows of protrusions, and Ng - the number of horizontal rows of protrusions, as well as S / L = 148 mm / 370 mm, where S is the optimal width of the base, and L is the optimal length of the base. In the second (for the forearm), third (for the shoulder), fourth (for the lower leg) and fifth (for the thigh) versions of the immobilization tire, the base of the tire is the third base, which has the following parameter ratios: Nв / Нг = 8/27, where Nv is the number of vertical rows of protrusions, and Ng is the number of horizontal rows of protrusions, as well as S / L = 282 mm / 999 mm, where S is the optimal width of the base, and L is the optimal length of the base. In the second embodiment, the tire is adjustable in length. In the third embodiment, the tire is additionally equipped with a device for fixing the shoulder of the victim, which is used as another third base. In the fifth embodiment, the tire is equipped with four stops in the form of reinforced stiffening ribs: inguinal, two axillary, made of additional third bases, and heel made of the first or second base, as well as two shock absorbers - axillary and inguinal, located in the upper ends of the upper ends, respectively axillary and inguinal stops and made from bundled parts of the packaging of the original bases.

The patented transport immobilization tire, due to its multivariate design implementation, has wide functional capabilities.

At the same time, the analysis and generalization of the practice of using the tire according to the patent of the Russian Federation No. 2278639 carried out by the applicant allows us to state that significant design and operational disadvantages are characteristic of all variants of the implementation of this tire. In particular:

- the structural elements of the tire options have a rather complicated configuration, requiring quite a lot of time to prepare the tire for use;

- the structural elements of the tire are associated with the need to cut out a complex contour, which is extremely undesirable in the time limit in emergency situations;

- tires have a complex composite structure, since they are made of two and three bases, contain a large number of stops in the form of reinforced stiffeners: inguinal, two axillary, made of additional third bases, and heel, made of the first or second base, as well as two shock absorbers - axillary and inguinal, located in the upper ends of the upper axillary and inguinal stops, respectively, and made of the packaging parts of the packaging of the original bases that are folded into bundles, which necessitates the use of appropriate the corresponding number of clamps when mounting the tire in a damaged place;

- the material from which the tires are made (waterproof sheet corrugated cardboard) has low mechanical strength and insufficient high moisture resistance, which significantly impairs the effectiveness of the use of such tires in conditions of high humidity (rain, snow, blizzard, field conditions during rain and snow, use in marine conditions of high humidity, etc.).

The cardboard tire matrix has protrusions on the front and back sides of the cardboard sheet formed by the intersection of vertical and horizontal thinning. When forming the necessary working size of the transport tire (for example, bending the matrix by thinning), tires from low mechanical strength of the matrix material and increased humidity lose their operational properties to reliably fix the fracture site in the patient.

The task, which is aimed by the claimed group of inventions, is to increase the efficiency of using the immobilization tire due to:

- simplifying the design of the transport folding tire;

- dramatically reducing the number of structural elements that make up tires;

- ensuring multiple and reliable use of the tire for immobilization of the lower and upper limbs and neck;

- improving the convenience of its operation;

- reducing the time to prepare the tire in working position.

The solution of the technical problem is achieved as follows.

1st option.

In the construction of an immobilization transport tire, similar to that described in RF patent No. 2278639, containing a base of sheet waterproof material, on the surface of which longitudinal and transverse guides are made to simulate the size of the tire in terms of its fullness and length and the tire clips in the working position, according to the invention, the base of the tire for the lower limb contains support for the lower leg and support for the foot, which are made in the form of a single plate of polyolefin, for example low-pressure polyethylene.

Longitudinal and transverse guides for modeling tire size in fullness and length are made in the form of a sequential chain of perforations.

For folding the tire along the length during transportation, transverse guides in the form of perforation are made on the surface of the plate.

To fix the tire in the working position in the area of connection of the shin support and the support for the tire foot, transverse cuts are made on the plate, on both sides of which on each side there are paired openings with guides in which the clamps are placed.

Patented invention provides that:

- for modeling the tire size in fullness, 4-6 longitudinal guides are made on the plate; for modeling the tire size along the length on the plate, 6-12 transverse guides are made;

- the tire plate for the lower limb is made of polyolefin, for example, low-pressure polyethylene, with a thickness of 1.5-2.5 mm;

- the tire plate for the lower limb for adults in the deployed position is made in size (1200 × 280) ± 50 mm;

- the tire plate for the lower limb for children in the deployed position is made in the size of (850 × 240) ± 50 mm.

2nd option

In the construction of an immobilization transport tire, similar to that described in RF patent No. 2278639, containing a base of sheet waterproof material, on the surface of which longitudinal and transverse guides are made to simulate the size of the tire in terms of its fullness and length and the tire clips in the working position, according to the invention, the base of the tire for the upper limb contains support for the shoulder and support for the forearm and hand, which are made in the form of a single plate of polyolefin, for example, low polyethylene of pressure.

The invention provides that the longitudinal and transverse guides for modeling tire size in completeness and length are made in the form of a sequential chain of perforations.

For folding the tire along the length during transportation, transverse guides in the form of perforation are made on the surface of the plate.

To fix the tire in the working position in the area where the support for the shoulder and support for the forearm and hand are connected, transverse cuts are made on the plate, on both sides of which on each side there are paired openings with guides in which the clamps are placed.

According to the patented invention:

- to simulate the size of the tire in its entirety, 4-6 longitudinal guides are made on the plate;

- for modeling the tire size along the length on the plate, 6-10 transverse guides for an adult and 8-12 transverse guides for children are made;

- the tire plate for the upper limb is made of polyolefin, for example, low-pressure polyethylene with a thickness of 1.5-2.5 mm;

- the tire plate for the upper limb for adults in the deployed position is made in size (850 × 225) ± 50 mm;

- the tire plate for the upper limb for children in the unfolded position is made in size (670 × 180) ± 50 mm.

3rd option

In the construction of a transport immobilization collar tire, similar to the design described in RF patent No. 2278639, containing two interconnected bases of sheet waterproof material, on the surface of which vertical guides are made to simulate the size of the base of the tire in height and the clamps of the base of the tire in the working position, According to the invention, the collar tire comprises an upper base, under which a lower movable base with a softening substrate is located.

Patented invention provides that:

- to simulate the size of the collar tire in height in the upper and lower movable base, guides are made in which the collar tire clamps are placed in the working position;

- to simulate the size of the collar tire along the length at the ends of the upper base, Velcro fasteners are mounted;

- to simulate the size of the collar tire in height in the upper and lower movable base, 4-6 vertical guides are made;

- the upper and lower bases of the collar tire are made of polyolefin, for example, polypropylene with a thickness of 1.5-2.0 mm, or plastic similar in characteristics;

- the softening substrate is made of isolon with a thickness of 3.0-8.0 mm or a material similar in characteristics;

- tire-collar for adults in the unfolded position is made in size (630 × 175) ± 50 mm;

- the tire-collar for children in the unfolded position is made in size (450 × 115) ± 50 mm.

The technical result of the patented group of inventions is that the developed transport immobilization folding tire allows you to:

- minimize the time required to prepare the tire for use, since the tire is structurally made in the form of a single plate of polyolefin, for example low-pressure polyethylene, with longitudinal and transverse guides that allow you to quickly simulate the required tire size, while excluding any operations on cutting sections of the tire contour, which is typical for the prototype;

- to increase the efficiency and usability of the patented tire in wide medical practice by combining the optimal tire design and operational simplicity of the procedure for assembling the tire into the working position and immobilizing the patient, since the tire is a plate convenient for modeling the required dimensions with a guide system and a simple and reliable fixation mechanism tires in working position, as well as the ability to quickly select the required tire size, taking into account the physiological features the patient who gave it (adult or child);

- increase the durability and service life of the transport immobilization tire, repeatedly and effectively use the patented design of the transport tire in wide medical practice, due to the developed new tire design and the selected structural material of the tire.

The invention is illustrated by the description of the options patentable transport immobilization folding tire and graphic materials on which are presented:

Figure 1 - the basis of the transport immobilization folding tire for the lower limb;

Figure 2 - the basis of the transport immobilization folding tire for the upper limb;

Figure 3 - transport immobilization folding tire for the upper limb in the working position;

Figure 4 - transport immobilization folding tire for the lower limb in the working position;

Figure 5 - transport immobilization tire collar in the deployed position.

Patented transport immobilization folding tire can be implemented in the following options:

- option 1 - a tire for the lower limb for adults and children (figures 1, 4);

- option 2 - a tire for the upper limb for adults and children (figure 2, 3);

- option 3 - tire-collar for adults and children (figure 5).

Option 1. The tire transport immobilization folding for the lower limb (Fig.1, 4) contains a base in the form of a single integral plate 1 made of a polyolefin, for example low pressure polyethylene (HDPE). The plate 1 contains a support for the lower leg 6 and support for the foot 7.

To simulate the tire size in fullness and length on the plate 1, longitudinal 14 and transverse 4 guides are made in the form of a sequential chain of perforations.

To fold the tire along the length during transportation, transverse guides 12 are made on the surface of the plate in the form of perforations.

To fix the tire in the working position in the area of connection of the support for the lower leg 6 and the support for the foot 7 on the plate 1, transverse cuts 15 are made, on both sides of which, on each side, there are paired openings with guides 13 in which the latches 5 are placed.

Cross sections 15 on the plate 1 provide the possibility of forming a convenient tray-shaped form for supporting the lower leg 6 and support for the foot 7.

To simulate the size of the tire in its entirety, 4-6 longitudinal guides 14 are made on the plate 1.

To simulate the size of the tire along the length on the plate 1, 6-12 transverse rails 4 are made.

The tire plate 1 for the lower limb is made of a polyolefin, for example, low-pressure polyethylene with a thickness of 1.5-2.5 mm.

The invention provides for a differential implementation of the patented tire, i.e. production of tire sizes for adults and for children. The plate 1 of the tire for the lower limb for adults in the deployed position is made in size (1200 × 280) ± 50 mm, and the plate 1 of the tire for the lower limb for children in the deployed position is made in size (850 × 240) ± 50 mm.

Fixation of the tire on the lower limb is done using bandages.

Option 2. The tire transport immobilization folding for the upper limb (Fig.2, 3) contains a base in the form of a single integral plate 1 made of polyolefin, such as low pressure polyethylene (HDPE). Plate 1 contains support for the shoulder 2 and support for the forearm and hand 3.

To simulate the tire size in fullness and length on the plate 1, longitudinal 14 and transverse 4 guides are made in the form of a sequential chain of perforations.

To fold the tire along the length during transportation, transverse guides 12 are made in the form of perforations on the surface of the plate 1.

To fix the tire in the working position in the area of connection of the support for the shoulder 2 and the support for the forearm and hand 3 on the plate 1, transverse cuts 15 are made, on both sides of which, on each side, there are paired holes with guides 13 in which the clips 5 are placed.

Cross sections 15 on the plate 1 provide the possibility of forming a convenient tray-shaped form for supporting the shoulder 2 and support for the forearm and hand 3.

To simulate the size of the tire in its entirety, 4-6 longitudinal guides 14 are made on the plate 1.

To simulate the size of the tire along the length on the plate 1, 6-10 transverse rails 4 for an adult and 8-12 transverse rails 4 for children were made.

The tire plate 1 for the upper limb is made of polyolefin, for example, low-pressure polyethylene with a thickness of 1.5-2.5 mm.

The plate 1 of the tire for the upper limb for adults in the deployed position is made in the size of (850 × 225) ± 50 mm, and the plate 1 of the tire for the upper limb for children in the deployed position is made in the size of (670 × 180) ± 50 mm.

The tire is fixed on the upper limb using bandages and a kerchief bandage.

Option 3. The bus-collar transport immobilization folding (figure 5) is a multicomponent structure, which contains the upper base 8, under which there is a lower movable base 9 and softening substrate 10 made of isolon.

To simulate the size of the collar tire in height in the upper base 8 and the lower movable base 9, vertical guides 4 are made in which the collar tire clamps 5 are placed in the working position.

To simulate the size of the collar tire along the length at the ends of the upper base 8, Velcro fasteners 11 are mounted.

To simulate the size of the collar tire in height in the upper 8 and lower movable base 9, 4-6 vertical guides 4 are made.

Adjustment of the collar tire according to the volume of the neck is carried out using the Velcro fastener 11, and height adjustment is made by shifting the lower base 9 relative to the upper base 8.

The upper 8 and lower movable base 9 of the collar tire are made of polyolefin, for example polypropylene, with a thickness of 1.5-2.0 mm.

The collar tire for adults in the unfolded position is made in the size of (630 × 175) ± 50 mm, and for children in the unfolded position it is made in the size of (450 × 115) ± 50 mm.

It should be noted that patented transport tires in all its embodiments are radiolucent.

For storage and transportation, patented tires are folded along the transverse fold lines and laid in an individual fabric cover on a cord. A complete set of tires is folded into a transport bag.

Preparation of transport immobilization tire and operating procedure:

1. Remove the tires from the transport bag and individual case.

2. To immobilize a limb, it is necessary:

- decompose the tire on a flat surface (figure 1, 2);

- adjust the tire to the desired size by bending the edges of the tire along the transverse guides 4;

- bend the tire along the longitudinal guides 14 to the formation of a tray-shaped form (Fig.3, 4);

- bend the tire at right angles (along the fastening line of the clips 5) to form the supporting parts (2 and 3, or 6 and 7, respectively). Please note that the support part with the locks must fall inside the support part with guide holes. Fix the fold with the clips 5, for this, thread the heads of the clips 5 into the hole and slide the clips along the guides 13 until they stop;

- Put the tire on the injured limb of the patient, secure with a bandage and a scarf.

3. To immobilize the cervical spine:

- expand the collar tire on a flat surface (figure 5),

- adjust the collar in height by spreading the upper 8 and lower 9 base relative to each other, and fix with size 5 retainers,

- put the collar splint on the patient’s neck and fix it with a Velcro-type textile fastener 11.

When performing transport immobilization, it is necessary to ensure full fixation and extension of the damaged segment of the limb. Fixation consists in creating the immobility of the limb site with the mandatory switching off of movements in at least 2 joints adjacent to the damaged area, which is achieved by the corresponding bending (deformation) of the plate 1 in length and fullness. When applying a transport tire, certain rules must be observed:

- before applying the immobilizing splint, the patient is injected subcutaneously or intramuscularly with an anesthetic;

- The length of the transport tire must correspond to the damaged area. Mandatory fixation of at least 2 joints, above and below the site of damage, and with a fracture of the shoulder and hip - at least 3 joints;

- the tire should have sufficient strength and elasticity, if possible be light and comfortable when applying.

A tire is laid over clothing. The plate 1, based on the nature of the damage to the limb, is bent so as to provide reliable temporary immobilization (i.e. immobilization) of the damaged limb.

First aid for open fractures begins with stopping the bleeding in various ways, depending on the type of bleeding (the most common way is to apply a pressure dressing, less often a rubber band or a tourniquet), to close the wound with an individual dressing bag or other sterile dressing. When fixing the tire, you must not close the place where the tourniquet is applied, so that it is possible at any time to loosen the cord or shift it. The harness lock should be easily accessible. The presence of a wounded tourniquet on a limb should be clearly and clearly indicated with the time of application in minutes.

After applying the tire and fixing it, the victim is covered up to eliminate the possibility of hypothermia.

Transport tires used in medical practice are subject to disinfection, which is carried out, for example, with a 3% solution of hydrogen peroxide according to GOST 177 with the addition of a 0.5% solution of detergent of the Lotus type according to GOST 25644.

Experimental testing of all patented design options for a transportable immobilized folding tire confirms the high reliability of fixing the affected area of the limb without causing additional injuries and pain to the victim, the increased durability and service life of the developed tire variants, the minimum time for bringing the tire into working position, the convenience and effectiveness of its disinfection.

In the process of testing the following design options were patented tires.

product name dimensions Mass g In the expanded state, (L × W) mm when folded, (L × W × H) mm Immobilization transport tire for lower limb for adults SHTIvn 1200 × 280 (280 × 140 × 25) ± 10 530 ± 20 Immobilization transport tire for lower limb for children 850 × 240 (240 × 140 × 25) ± 10 330 ± 20 Immobilization transport tire for the upper limb for adults ShTIvr 850 × 225 (225 × 140 × 25) ± 10 300 ± 20 Immobilization transport tire for the upper limb for children SHTIdr 670 × 180 (180 × 140 × 25) ± 10 200 ± 20 The tire collar transport immobilization for adults ShTIvv 630 × 175 (320 × 130 × 10) ± 10 100 ± 20 The tire collar transport immobilization for children of ShTIdv 450 × 115 (220 × 84 × 10) ± 10 60 ± 20

The given design variants of tires have been successfully tested in specialized medical institutions in real conditions for a number of years, while receiving the most positive feedback from medical specialists.

Claims (17)

1. The transport immobilization folding tire, containing a base of sheet waterproof material, on the surface of which longitudinal and transverse guides are made to model the tire size in terms of fullness and length, and tire clamps in the working position, characterized in that the base is made for fixing on the lower limb with using bandages and contains support for the lower leg and support for the foot, which are made in the form of a single plate of low pressure polyolefin-polyethylene, longitudinal and transverse directions For modeling the tire size in fullness and length, made in the form of a sequential chain of perforations, for folding the tire in length during transportation, transverse guides in the form of perforations are made on the surface of the plate, while for fixing the tire in the working position in the area of the joint of the leg support and support for tire stops on the plate are made transverse cuts, on both sides of which on each side there are paired holes with guides in which the latches are placed. 2. The tire according to claim 1, characterized in that 4-6 longitudinal guides are made for modeling the tire size in width on the plate. 3. The tire according to claim 1, characterized in that for modeling the tire size in fullness, 6-12 transverse rails are made on the plate. 4. The tire according to claim 1, characterized in that the tire plate for the lower limb is made of low-pressure polyethylene with a thickness of 1.5-2.5 mm. 5. The tire according to claim 1, characterized in that the tire plate for the lower limb for adults in the deployed position is made in size (1200 × 280) ± 50 mm. 6. The tire according to claim 1, characterized in that the tire plate for the lower limb for children in the unfolded position is made in the size of (850 · 240) ± 50 mm. 7. Transport immobilization folding tire, containing a base made of sheet waterproof material, on the surface of which longitudinal and transverse guides are made for modeling the tire size in terms of fullness and length, and tire clamps in the working position, characterized in that the base is made for fixing on the upper limb with using bandages and a kerchief bandage and contains support for the shoulder and support for the forearm and hand, which are made in the form of a single plate of low pressure polyolefin-polyethylene , longitudinal and transverse guides for modeling the tire size in fullness and length are made in the form of a sequential chain of perforations; for folding the tire in length during transportation, transverse guides in the form of perforations are made on the surface of the plate, while for fixing the tire in the working position in the connection area of the support for shoulder and support for the forearm and hand on the plate are transverse cuts, on both sides of which on each side there are paired holes with guides in which the fix ory. 8. The tire according to claim 7, characterized in that for the simulation of the tire size in fullness, 4-6 longitudinal guides are made on the plate. 9. The tire according to claim 7, characterized in that for modeling the tire size along the length, 6-10 transverse guides for an adult and 8-12 transverse guides for children are made on the plate. 10. The tire according to claim 7, characterized in that the tire plate for the upper limb is made of low-pressure polyethylene with a thickness of 1.5-2.5 mm. 11. The tire according to claim 7, characterized in that the tire plate for the upper limb for adults in the unfolded position is made in the size of (850 · 225) ± 50 mm. 12. The tire according to claim 7, characterized in that the tire plate for the upper limb for children in the unfolded position is made in the size of (670 × 180) ± 50 mm. 13. The transport immobilization folding tire, comprising two interconnected bases of sheet waterproof material, on the surface of which vertical guides are made to simulate the size of the base of the tire in height and the clamps of the base of the tire in the working position, characterized in that the tire contains an upper base under which the lower movable base and the softening substrate are located, for modeling the tire size in height in the upper and lower movable base, guides are made in which the fixed tire racers are in working position, and for modeling the tire size along the length, Velcro fasteners are mounted at the ends of the upper base. 14. The tire according to item 13, wherein 4-6 vertical guides are made for modeling the tire size in height in the upper and lower movable base. 15. The tire according to item 13, wherein the upper and lower bases of the tire are made of polypropylene with a thickness of 1.5-2.0 mm 16. The tire according to item 13, wherein the adult tire in the unfolded position is made in the size of (630 × 175) ± 50 mm. 17. The tire according to item 13, wherein the tire for children in the deployed position is made in size (450 × 115) ± 50 mm.

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