US1778001A - Surgical truss and like appliance - Google Patents

Description

Oct'. 7, 1930. A. J. PLUMB 1,773,001

I SURGICAL TRUSS` AND LIKE APPLIANCE Filed Sept.; 28, 1929 Z Sheets-Sheet 1 l l. 5 JSM e www farn plawrg Oct. 7; 1930. A. J. PLUME A l 1,773,001

SURGICAL TRUSS AND LIKE APPLIANCE med sept. 2s, 1929 2 sheets-sheet 2 Patented Oct. 7, 1930 UNITED. STATES P .frlaN'iy OFFICE:

An'rHUn JOHN BLUME, or NOTTINGHAM, ENGLAND SURGICAL TRUSS p AND LIKE 'AFPI-LANCE Application led September 28, 1929, lSerial No. 395,973, and in Great Britain September 27, 1928.

This invention comprises improvements in f or relating to surgical trusses andlike appli- .ances and has more particular reference to i appliances employed for Vthe treatment of fr. 5 rupture and other ailments in connection with which pressure has to be applied'to the affected part of the body,'the objectof the invention being ,to provide an appliance which, as compared with existing appliances,

'5.10 will afford increased comfort to the wearerk and permit greater freedom of movement of the bodyv without displacing the appliance ,from its adjusted position.

Additionally, the improved appliance is :Q constructedso as=to ensurethe most effective degree of'rpressure being maintained atthe 'exact required position or positions, and

zby so doing providexgreaterf relief'to the` wearer and expedite a cureof the-rupture or flee other ailment. f' i Y 7 According to this invention ka surgical appliance *isv providedfcomprising a pad, a

retaining strap for said pad, a 'member-slidzable upon a .partsecured Vatv the rear of saidl 'ff-'25 pad,l said ,sliding member-.being interposed lbetween theA ends of the 'strap and a spring associated with said sliding member and resisting movement apart ofthe opposing ends of the strap.

"3o The pad or pads of the improved appliance4 is orare preferably formed hollow or concave f "on the inner face, and` may in` some cases -have Va small plate memberfhinged at the.

" lower-most part so-as toapply upward pressure in the crotch beneath the pad. n

i' In order that the inventionmaybe more readily understood referencel will -now be made to the accompanying drawings, Where-y ruptureorhhernap Y Fig. 2 illustrates an attachment for! apply- U15 inguplward `.pressure in the'crotch.n

` Fig.3 isfa ycross section ofthe padshown .rung-1. ,p Figa illustrates anappliance inaccord- 'ance with this invention foruse in connecfotion witha double ',ruptlllelorilllrla@ Y rand on the other face with leather 6*.

, illustratesone embodiment of 'the invention forius''im ConnetlpI-l 'afs-mgl@ the member 7 by studs 8 or other yconvenient passesarivetlQ anchored to the plate 6.

Fig. 5 shows a modified method of connecting the pads. i

Fig. 6 is an elevational View ofy a further modified method of mounting the pad and the connections therefor.

Fig. 7 is an enlarged cross sectional elevation of the pad shown in Figure 6, and

Fig 8 illustrates a type of pad and method of mounting suitable for use as a kidney support or for other purposes.V

Referring to Fig. 1, an adjustable body belt is represented at 1 and the pad proper is shownat 2. This pad maybe of any usual or convenient construction, ybeing shaped as requirements dictate and preferably com- 05 prising a covering of velvet or other suitable material 3. In the arrangement shown in Figure 3 the interior of the pad comprises two layers of felt 2@ next to the velvet and a centre core oflsponge rubber 2b, but as 70 previously stated any knownor convenient material may be utilized. When employed for treating rupture the` pad is advantageously of greater thickness along that edge adapted towbe disposed Anearest to the hip of the wearer than at the opposite-edge.

- The pad is fixed by adhesive or other means to a metal plate 4 whichis also preferably covered with velvet 3a which may be stitched to the velvet' and thus constitute a means 80 for anchoring the pad tothe plate. Passing through the plate 4 is a screw 5, pivotally mounted upon which is a metal plate 6, preferably covered on the one face with velvet 3b In the arrangement shown the screw 5 is furnished with a headed sleeve 5, there being in addition to the said plate 6 a connecting bar or plate 7 pivotally mounted upon the said sleeve. The one end of the body belt is detachably connected to each extremity of spring being anchored to the sleeve 5 and to 95 a screw or bolt l0. The said screw 1() also passes through the last mentioned extremity of the body belt 1 and near such extremity is formedv a V-shapedslot'll through which Riveted to the body belt 1 is a metal strengthening plate v13 which is also provided with a V-shaped slot coinciding with the slot 11. Mounted eXteriorly of the body kextremity of the beltis capable of movement inthe direction 1of the arrow A against the resistance of the spring'9 and is also capable of pivotal movement about the bolt 10 relatively to the plate14, such pivotal movement being restrictedY by the triangular slot 11.

If va crotch strap is required this may be provided as indicated atl 17,1,being preferably adjustable inflength as shown and being re! movably connected to the lower stud 8 so that lsuch strapi'sitself capable of adjustment by virtue of thefact that the member 7 carrying thepstud isv pivotally mounted as previously described. j l

vIt has been found in practice that in using lappliances in accordance lwith this invention 4 maximum Vfreedom of movement is obtained Y withoutthe pad 2'being moved fromits adjusted position. In lthe modification shown in "Figure 2 the'padis'formed'with a depend- Qing portion 2f for the purposeof giving an upward? pressure inthe crotch V`if desired.

' vIn the arrangement showna Ametal proj ecting tongueI 4-"is hingedly connected as at 4" .to the`Y metal 'plate`4" the padand projection l being' suitably upholsteredand covered in any convenient manner.l

` In theiarrangementshown the crotch strap 17 'passes through keepers y18 located riorly ofthe vprojecting vpart 2 exte- I'n the kapplicationof.the 'inventionvto apv means. These l two "V'modications, arek illus tratedin Figures 4 and 5 respectively.`

' In 'thearrangement shown in'Fi/gure 4 a metal plate 6j preferably covered with suitable material, is pivotally connected to thez i j, ymetal plate forming thebacking'of eachpad Y .2 bymeans of a screwed sleeve 5a. Each eX- ltremity of the bodybelt 'isdetachably yconnected to studs 8 mounted uponl a member 7?? pivotally ymounted upon said screwed ,sleeve '5a andthe crotchstraps 17 are also attached i 1 *tothe lovverv ofthesaidstudsS, 'such straps-A being detachably and adjustablycennected vat member 19 which is slidable in a slot 20 Y formed in a plate 'member 21, such latter member being pivotally anchored at the end remote fromthat in which the slot 2() is formed by a screw or the like 22 to which "the opposite end ofthe said spring is itself anchored. The said members 19 and 22 may be carried directly by the said yplates 6 or alternatively by leather or'fother straps 23 facially attached thereto, such straps 23 be- -ing preferably provided with adjustingholesr 24 for the reception of the screwed sleevea, thereby allowingthe relative positionfof the straps and the pads 2 to be lreadilyaadjusted.

Thefpl'ates 6 may if desired be connected by elastic webbing or other'resilient connecting means indicated at 25 land strengthening plates may also be provided! as indicated at It will be appreciated that the straps 23 arecapable of relative movement inthe direction of the length of thel slotv 20V and are also capable of pivotal movement about'the members" 19 and 22..l

f vIn the alternative arrangementishown in Figure '5 the members' 7 areV themselvesl connected by springs 9 to'a connecting member 26.v Such member may comprise'two leather V straps 262:26 joined byv'a buckle 26C, such buckle allowing for the efective'lengthv ofr the connection 26 being? adjusted. Riveted to the under side ofV each strap is la'imetal plate 27 and a slot 28 in each plate accommodates a pin' ortheylike`29 projecting from lthe plate 6, thus Lproviding for longitudinal movement of each lof ysuch plates 6k against themselves allow for pivotal movement about fthe' members 30,7, such latterVm-embers being:

y bolts orv screws carried by said plates '27 and.

v"ffpliances yforu'se in connection -with double "rupturesgor hernias the resilient spring means may be located between the pads,4 or alterna 7tivelythe body strapmay atl each extremity `be connectedtothe pads by separate resilient forming the anchoring means for the one extremity of eachfspring. Vlrtthe other extremity the springs areanchored to thescrewed sleeves 5a. f

tion shown in FigureV 5 the connection 26 allows of relative-movement offthepads into and out ofthe paper in the manner `ofa e hinge, but vif desired the buckle .276v `may` be replaced; gby a metal. or other form ,of^hinge, means beingY again preferably provided Yfor varyingtheleffective length off thefconnection.4 l Y v Imodified 'method l offlmounting the springs usedv inaccordancewith this ,invention isshown in Figures 6 and 7. vThe,screw 5 passing thro-ugh' the plates 4 andfis pro# vided with a sleeve 5aanda screwed head4 5*. Passing throughthisheadfis aV rod. or' bolt the resistance ofl the springsQ relatively` to Y the connecting member 26 whilst the springs Y 115 It will be appreciated that in thelconstrucposes.

Ywhich functions to compress the spring is connected to the said sleeve or an extension thereto. Y

Figure 8 illustrates a construction suitable for use as a kidney support or for other pur- T'he'belt is connected at one extremity to a plate 130 and at the other extremity to a plate 81. Such latter plate is connected Vzo by springs 9 to an intermediate plate 32 and such intermediate plate is connected by adjustable straps 33 to the plate 130. The one end of each spring 9 is anchored to members 34 carried by the plate 31 and such members 34 are slidable in slots 35 formed in metal plates 36, such latter plates being axially connected to the intermediate plate 32 Vand the springs at the opposite extremity being anchored to members carried by such plates. The pad for bearing upon the affected part of the body is conveniently anchored at one extremity to the outer end of the plate 3l and at the other extremity it may be attachedby means such as a rubber band 37 to that end of the plate 130 to which one end of the body belt is attached, the other end of such belt being removably connected to studs 8 formed on a pivotal member 7, such latter member being hingedly connected to the plate 31.

The retaining strap or belt l utilized with appliances in accordance with this invention may be extensible or otherwise as desired but it will be seen that the requisite freedom of movement of the body is obtained without relying upon the resilience of the retaining strap and without moving the pad from its adjusted positionv It will be seen that in each embodiment of the invention herein described one end of the strap or belt has pivotal connection with the plate that is attached to the pad, as through the plate or lever 7 `that tothe other end o f the strap there is connected a member, such as a plate, that has limited and directed sliding movement relative to the plate connected to the pad, and that the spring or springs employed to constitute an extensible connection between the ends of the strap or belt is, or are, connected at one end, either Y directly or indirectly, with the plate united with the pad. In most of the forms of the invention illustrated the connection of the spring'with the plate 6 is through the medium of the screw 5 and the sleeve 5a turning thereon, thus giving a pivotal connection between the plate and one end of the spring, aswell as adordinga pivotal connection between the plate and the pad;

Iclaim2- e 1. A surgical appliance comprising a pad, a retaining strap therefor, a plate united to the pad, a bar lever to the opposite ends of which one end of the strap is connected permitting pivotal movement of the strap relative to the pad, a member having connection with the other end of the strap and associated with the said plate so as to have a limited sliding movement relative thereto, and a spring interposed between the said sliding member and the said plate, operating to resist movement apart of the opposite ends of the strap.

2. A surgical appliance comprising a pad, a retaining strap therefor, a plate at the rear of the pad, a pivotal connection uniting the plate and the pad, a bar lever to the opposite ends of which one end of the strap 1s connected, centrally supported upon the said pivotal connection, a sliding plate at the rear of the pad, with which the other end of the strap is connected, a guiding pin-and-slot mounting for the sliding plate, whereby it has limited movement relative to the plate

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