RU2487689C1 - Transporting immobilising collapsible disposable splint (versions) - Google Patents

Abstract

FIELD: medicine.SUBSTANCE: invention relates to field of medicine, in particular to disposable devices, applied by ambulances and services of emergency medical care for fixation of upper and lower extremities and necks of injured people. Transporting immobilising collapsible splint contains base from laminar moisture-resistant crimped carton, on whose surface made are longitudinal and transverse guide lines for modelling splint size in accordance with volume and length and fixers of splint in working position. Splint base is made with possibility of fixation on lower extremity by means of bandages and contains rest for shin and rest for foot, made in form of single plate from moisture-resistant carton. Longitudinal and transverse guide lines for modelling splint size in accordance with volume and length are made in form of hitches. For folding splint in length during transportation transverse guide lines in form of hitches are made on plate surface. For splint fixation in working position in area of connection of splint shin rest and foot rest on plate made are transverse cuts, on both sides of which from each side pair fixers are placed. In accordance with the second version of splint implementation splint base is made with possibility of fixation of upper extremity by means of bandages and cravat bandage and contains support for shoulder and support for forearm and hand. For fixation of splint in working position in the area of connection of shoulder support and forearm and hand support transverse cuts are made on plate. In accordance with the third version of implementation splint contains connected to each other two bases from sheet crimped moisture-resistant carton and fixers of splint base by height and in working position. Splint is made in form of collar and contains upper base, under which lower mobile base is placed. For modelling of splint-collar size by height fixers of splint-collar in working position in form of "Velcro" fasteners are placed on upper and lower mobile bases. For modelling of splint-collar size by length "Velcro" fasteners are mounted on ends of upper base. In order to avoid trauma in the process of product application, edges of splint-collars are closed with paper tape. In order to ensure patients comfort chin area of collar is equipped with specific softening roller from isolon.EFFECT: high reliability of fixation of extremity injured area without causing additional trauma and pain to patient, minimal time for bringing splint in working position, comfort and efficiency of its application in medical practice.18 cl, 5 dwg, 1 tbl

Description

The patented invention relates to medicine, and more specifically to disposable devices that are used by emergency and emergency medical services to fix the upper and lower limbs 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 damaged limbs in various emergency rooms, medical 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.

Known universal transport bus Kramer (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 the structural voids of the metal frame, which is the dominant element of the transport tires.

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

A known series of single-use transport immobilization tires (see RF patents No. 27479, No. 41974 for utility model; RF patent No. 2223724), made on the basis of pressed cardboard. Significant disadvantages of such transport tires are a sharp deterioration in the strength characteristics of tires upon contact with water (rain, damp field conditions, autumn weather, snow, etc.), as well as the absence of an elastic layer in the design of such tires, which causes additional injury and pain to the victim.

Also known is a disposable immobilization tire (options) described in RF patent 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, a Ng is the number of horizontal rows of protrusions, and also 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 task to be solved by the claimed group of inventions is to increase the efficiency of using a disposable immobilization tire due to:

- simplifying the design of the transport folding tire;

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

- ensuring 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 design of a disposable immobilization transport tire, similar to the design described in RF patent No. 2278639, containing a base of moisture-proof corrugated fibreboard, 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 moisture-proof cardboard but.

Longitudinal and transverse guides for modeling tire size in fullness and length are made in the form of thinning.

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

To fix the tire in the working position in the connection area of the shin support and the foot support, transverse cuts are made on the plate, on both sides of which on each side there are paired fixers of the working position of the tire, made in the form of buttons.

Patented invention provides that:

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

- the tire plate for the lower limb is made of moisture resistant corrugated cardboard with a thickness of 2.5-5.5 mm;

- the tire plate for the lower limb for adults in the deployed position is made in size (1200 × 290) ± 50 mm.

- the tire plate for the lower limb for children in the deployed position is made in size (850 * 250) ± 50 mm.

2nd option

In the construction of an immobilization transport tire, similar to the design described in RF patent No. 2278639, containing a base of moisture-proof corrugated fibreboard, 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 moisture resistant corrugated metal tone.

The invention provides that the longitudinal and transverse guides for modeling tire size in fullness and length are made in the form of thinning.

For folding the tire along the length during transportation, transverse guides in the form of thinning 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 fixers for the working position of the tire, made in the form of buttons.

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 moisture resistant corrugated cardboard with a thickness of 2.5-5.5 mm;

- the tire plate for the upper limb for adults in the deployed position is made in the size of (850 * 235) ± 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 design of a transport immobilization collar tire, similar to the design described in RF patent No. 2278639, containing two interconnected sheets of moisture-proof corrugated fibreboard, on the surface of which vertical guides are made to simulate the size of the tire base in height and the clamps of the tire base in working position According to the invention, the collar tire comprises an upper base under which a lower movable base is located.

Patented invention provides that:

- to simulate the size of the collar tire in height, the clamps of the collar tire in the working position in the form of a Velcro fastener are placed on the upper and lower movable bases;

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

- to avoid injury when using the product, the edges of the collar tires are covered with paper tape, and to ensure the patient's comfort, the chin area of the collar is equipped with a special softening roller made of isolon;

- the upper and lower bases of the collar tire are made of moisture-resistant corrugated cardboard with a thickness of 2.5-5.5 mm;

- 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 disposable allows you to:

- minimize the time spent on preparing the tire for use, since the tire is structurally made in the form of a single plate of moisture-resistant cardboard with longitudinal and transverse guides that allow you to quickly simulate the required tire size, while excluding any operations for 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 the operational simplicity of the procedure for assembling the tire into the working position and immobilizing the patient, since the tire is a single plate, convenient for modeling the required dimensions, with a guide system and a simple and reliable mechanism fixing the tire in the working position, as well as the ability to quickly select the required tire size, taking into account physiological characteristics injured patient (adult or child);

- significantly reduce the complexity and time to prepare the tire in the working position.

The invention is illustrated by the description of the options patentable transport immobilization folding tire disposable 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 for single use 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 disposable for the lower limb (Fig.1, 4) contains a base in the form of a single integral plate 1 made of moisture-resistant corrugated cardboard. The plate 1 contains a support for the lower leg 6 and a support for the foot 7 (figure 4).

To simulate the tire size in fullness and length on the plate 1, longitudinal 13 and transverse 4 guides are made in the form of thinning.

To fold the tire along the length during transportation, transverse guides 11 are made on the surface of the plate 1 in the form of thinning.

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 (Fig. 1), transverse cuts 14 are made, on both sides of which on each side there are paired latches, in the form of buttons 5.

Cross sections 14 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 (figure 4).

To simulate the size of the tire in its entirety, 4-6 longitudinal guides 13 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 plate 1 of the tire for the lower limb is made of moisture-resistant cardboard with a thickness of 3-5.5 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 × 290) ± 50 mm, and the plate 1 of the tire for the lower limb for children in the deployed position is made in size (850 * 250) ± 50 mm.

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

Option 2. The tire transport immobilization folding disposable for the upper limb (Fig.2, 3) contains a base in the form of a single integral plate 1 made of moisture-resistant corrugated cardboard. Plate 1 contains support for the shoulder 2 and support for the forearm and hand 3 (figure 3).

To simulate the size of the tire in fullness and length on the plate 1, longitudinal 13 and transverse 4 guides are made in the form of thinning (figure 2).

To fold the tire along the length during transportation, transverse guides 11 are made on the surface of the plate 1 in the form of thinning.

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 14 are made, on both sides of which on each side there are paired locks, in the form of buttons 5.

Cross sections 14 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 (figure 3).

To simulate the size of the tire in its entirety, 4-6 longitudinal guides 13 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 plate 1 of the tire for the upper limb is made of moisture resistant cardboard with a thickness of 2.5-5.5 mm.

Plate 1 of the tire for the upper limb for adults in the deployed position is made in size (850 * 235) ± 50 mm, and plate 1 of the tire for the upper limb for children in the deployed position is made in size (670 × 180) ± 50 mm.

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

Option 3. The tire-collar transport immobilization folding (figure 5), is a two-component structure, which contains the upper base 8, under which is located the lower movable base 9.

To simulate the size of the collar tire in height in the upper base 8 and the lower movable base 9, latches of the collar tire are placed in the working position in the form of a Velcro fastener 12.

To simulate the size of the collar tire along the length at the ends of the upper base 8, Velcro fasteners 10 are mounted.

Adjustment of the collar tire in the neck volume is carried out using the Velcro fastener 10, and height adjustment 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 moisture-resistant corrugated cardboard with a thickness of 2.5-5.5 mm.

In order to avoid injury during use, the edges of the collar tires are covered with a paper tape (not shown in Fig.), And to ensure the patient's comfort, the chin area of the collar is equipped with a special softening roller 15 from Isolon (Fig. 5).

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 placed in a plastic bag (bag).

Preparation of a transport immobilization tire for single use and operating procedure:

1. Remove the tires from the packaging.

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 13 to form a tray-shaped form (Fig.3, 4);

- bend the tire at a right angle (along the line of fastening of the clamp buttons 5) to form the supporting parts (2 and 3, or 6 and 7, respectively);

- fix the bend with latch buttons 5;

- 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 pushing the upper 8 and lower 9 base relative to each other and fix with size clamps - Velcro fastener 12,

- place the collar splint on the patient’s neck and fix it with a Velcro-type textile fastener 10.

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 must be disposed of in the normal way.

Testing of all patented design options for the transportable immobilizing folding tire confirms the high reliability of fixing the affected area of the limb without causing additional injury and pain to the victim, the minimum time to bring the tire into working position, the convenience and effectiveness of its use in medical practice.

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

product name dimensions Mass g In working condition, (L × W) mm when folded, (L × W × H) mm Immobilization transport tire for lower limb for adults SHTIvn-02 (1200 × 290) ± 50 (290 × 140 × 30) ± 10 160 ± 20 Immobilization transport tire for lower limb for children SHTIdn-02 (850 * 250) ± 50 (250 × 140 × 30) ± 10 130 ± 20 Immobilization transport tire for upper limb for adults ShTIvr-02 (850 * 235) ± 50 (235 × 140 × 30) ± 10 100 ± 20 Immobilization transport tire for the upper limb for children SHTIdr-02 (670 × 180) ± 50 (180 × 140 × 30) ± 10 800 ± 20 The tire collar transport immobilization for adults ShTIvv-02 (630 × 175) ± 50 (320 × 130 × 10) ± 10 60 ± 20 The tire collar transport immobilization for children of ShTIdv-02 (450 × 115) ± 50 (220 × 84 × 10) ± 10 50 ± 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 (18)

1. The transport immobilizing folding tire, comprising a base of moisture-proof corrugated fibreboard, on the surface of which longitudinal and transverse guides are made to simulate the size of the tire in terms of fullness and length, and tire clamps in the working position, characterized in that the tire base is made to be fixed on lower limb with bandages and contains support for the lower leg and support for the foot, which are made in the form of a single plate of moisture resistant cardboard, longitudinal and transverse Authors for modeling the tire size in fullness and length are made in the form of thinning, for folding the tire in length during transportation, transverse guides in the form of thinning are made on the surface of the plate, while for fixing the tire in the working position in the area of connection of the leg 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 retainers. 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 moisture-resistant cardboard with a thickness of 2.5-5.5 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 the size of (1200 × 290) ± 50 mm. 6. The tire according to claim 1, characterized in that the tire plate for the lower limb for children in the deployed position is made in the size of (850 * 250) ± 50 mm. 7. The tire according to claim 1, characterized in that the latches of the working position of the tire are made in the form of buttons. 8. The transport immobilization folding tire, comprising a base of moisture-proof corrugated fibreboard, on the surface of which longitudinal and transverse guides are made to simulate the size of the tire in terms of fullness and length, and tire clamps in the working position, characterized in that the tire base is made to be fixed on upper limb with 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 moisture resistant tones, longitudinal and transverse guides for modeling the tire size in fullness and length are made in the form of thinning, for folding the tire in length during transportation, transverse guides in the form of thinning are made on the surface of the plate, while for fixing the tire in the working position in the connection area of the shoulder support and supports for the forearm and hand on the plate are transverse cuts, on both sides of which on each side there are paired retainers. 9. The tire of claim 8, wherein 4-6 longitudinal guides are made for modeling the tire size in full on the plate. 10. The tire according to claim 8, 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. 11. The tire of claim 8, characterized in that the tire plate for the upper limb is made of moisture-resistant cardboard with a thickness of 2.5-5.5 mm. 12. The tire of claim 8, characterized in that the tire plate for the upper limb for adults in the deployed position is made in the size of (850 × 235) ± 50 mm. 13. The tire according to claim 8, characterized in that the tire plate for the upper limb for children in the deployed position is made in the size of (670 × 180) ± 50 mm. 14. The tire of claim 8, characterized in that the latches of the working position of the tire is made in the form of buttons. 15. The transport immobilizing folding tire, comprising two foundations of a sheet of corrugated moisture-resistant cardboard and clamps of the base of the tire in height and in working position, and made in the form of a collar, characterized in that the collar tire contains an upper base, under which there is a lower movable base, for modeling the size of the collar tire in height, the clamps of the collar of the collar in the working position in the form of a Velcro fastener are placed on the upper and lower movable bases, for modeling the size Bus-collar along the length of the ends of upper base mounted fastener "Velcro", thus avoiding injury during use of the product tire-collars closed edges paper tape, and to ensure patient comfort chin region of the collar is provided with a special emollient roller of izolona. 16. The tire according to claim 15, characterized in that the upper and lower bases of the collar tire are made of moisture resistant cardboard with a thickness of 2.5-5.5 mm. 17. The tire according to claim 15, characterized in that the collar tire for adults in the unfolded position is dimensioned (630 × 175) ± 50 mm. 18. The tire according to claim 15, characterized in that the collar tire for children in the unfolded position is made in size (450 × 115) ± 50 mm.

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