US2245293A

US2245293A - Restraining device

Info

Publication number: US2245293A
Application number: US356237A
Authority: US
Inventors: Herbert H Ogburn
Original assignee: Individual
Current assignee: Individual
Priority date: 1940-09-10
Filing date: 1940-09-10
Publication date: 1941-06-10
Anticipated expiration: 1958-06-10

Description

June 10, 1941.

H. H. oeBuRN 2,245,293

RESTRAINING DEVICE Filed Sept. 10, 1940 2 Sheets-Sheet 1 gwue/wbo'n HeIbcr ZL H 096 4 rn,

June 10, 1941. H. H. OGBURN RESTRAINING DEVICE Fiied Sept. 10, 1940 2 SheetsSheet 2 Patented June 10, 1941 RESTRAlNlNG DEVICE Herbert H. Ogburn, Greensboro, N. C.

Application September 10, 1940, Serial No. 356,287

8 Claims. (61. 128-434) This invention relates to restraining devices, and more particularly to devices for restraining movement of the arms or legs of patients who, because of pain, or because they are delirious or insane, might otherwise inflict injury upon themselves or others or interfere with a surgeon while he is performing an operation.

While in some cases it is desirable,'or necessary, that the patient, as distinguished from being restrained from rising from a bed, shall be also restrained from making any movement whatever of his arms or legs, as the case may be, it is in many cases highly desirable that the patient be generally restrained but permitted to move the restrained limbs through a limited range of movement, which will prevent cramping of the muscles and which also has a material psychological effect in lessening the fear and mental tension of the patient.

One of the objects of my invention is to pro vide a restraining device by which the arms or legs of a patient may be restrained so as to have only a limited range of movement. A further object is to provide such a device which may be readily and quickly adjusted to reduce the permitted range of movement or to prevent movement. Still further objects are to provide such a device which is durable, strong, simple and inexpensive to manufacture, and which can be readily adjusted upon the limbs of the patient and then adjusted to move the limbs to their restrained position. A still further object is to provide a device of this type in which all of the adjustments may be quickly made, and in which the adjustments may be continuous, that is to say, may be varied toany point whatever throughout the desired range of adjustment.

Other objects of the invention will be apparent from the following specification which describes two embodiments of the invention which are illustrated in the accompanying drawings, in which- Figure l is a fragmentary view in perspective of a bed, with an embodiment of the invention in place thereon;

Fig. 2 is a fragmentary bottom plan View of the restraining device shown in Fig. 1;

Fig. 3 is a view in perspective of the bottom of one of the cuifs, the attached parts being broken away; I

Fig. 4 is a view in perspective of one of the strap-securing clips;

Fig. 5 is a fragmentary view in perspective showing a slightly modified embodiment of the invention in place upon a patient in the prone position;

Fig. 6 is a fragmentary view in perspective of the device shown in Fig. 5;

Fig. 7 is a fragmentary view in perspective similar to Fig. 5, but showing the head of the patient as raised slightly, with the arms in their lowermost position; and

Fig. 8 is a fragmentary view in rear elevation of the head and shoulders of a patient, with the ,device of Figs. 5 and 6 shown in place.

In general, the invention com-prises a pair of cuffs which may be placed upon either the wrists or ankles of the patient and contracted and secured in any position of adjustment thereon, said cuffs being secured to a base member, which is preferably underneath the patient, and which is itself secured to the bed or table upon which the patient rests. In the embodiment shown in Figs. 1 and 2, the cuffs can not be raised materially from the bed, but may be slid laterally upon the base member away from the side of the patient to an extent determined by an adjustable strap; while in the embodiment shown in Figs. 5 to 8 the base member is in the form of a harness of crossed straps which form loops engaged about the shoulders of the patient and the cuffs may be slid a limited distance along the straps toward and from the face of the patient, while the straps may also be bent slightly upwardly to permit some slight range of swinging movement, the extent of the sliding movement of the cuffs as well as that of the swinging movement being dependent upon the adjustment of the straps, which determine the size of the loops.

In the embodiment of the invention shown in Figs. 1 and 2, a base member in the form of a wide strap ll, preferably of leather or similar material and preferably of a length greater than the width of the bed I2, is adapted to be secured in place upon the top of the bed by a securing strap 13 which passes under the bed, each of such straps being provided with the usual buckles Id and H3, or similar means, for detachably securing together the ends of such straps. While in the normal use of the device the patient rests upon the central portion of the base member II, it will be understood that, if it is desirable for any reason, the member H may be engaged over the body of the patient to restrain the movement of the body and effect a modified range of movement of the arms.

A pair of cuff members l6 and I1 are slidably mounted upon the base member I I. Each of such cuff members preferably comprises a rectangular piece l3 of heavy, relatively stiff leather or similar material, upon which a padding |9, composed of suitable spongy material enclosed in thin flexible leather or a similar covering is attached, as by stitching 23. a strap 2| of less width than the cuff l8, and preferably of less width than the base member strap H, is secured at one end to the outside of one end of each cuff member, the other end of each cuff member having a plurality of openings, such as 22, 23 and 24, therein at varying distances from the end of such cuff member, and each preferably reinforced by a metal eyelet or grommet, through which the strap 2| may be passed to hold the cuff contracted upon the arm or leg of the patient. Adjacent to the

openings friction clips

25, 26 and 2'1, respectively, are provided to receive and frictionally hold the strap 2| after it has been passed through the adjacent opening, has been reversely bent and has then been engaged under the clip by movement laterally of the cuff, that is, from the edge of the cuff toward its center. Each of the clips is formed as shown in Fig. 4, being of U-shape, preferably formed of rather heavy metal, with a base having a hole 28 in its free end to receive a rivet 29 by which it is secured to the cuff body I3. It will be understood that such clips are passed through openings in the cuff body l8, and preferably riveted to such cuff body before the padding l9 is attached. The inner surface of the top portion of each of the clips is formed with longitudinally extending serrations 30 as shown in Fig. 4, in order to prevent slipping, and the free end 3i of each clip is preferably bent slightly outwardly and rounded, in order to facilitate the sliding engagement of the strap 2| thereunder. It will be understood that the top portion of each clip is spaced, by about the thickness of the strap 2|, from the outer surface of the cuff body If], and extends toward the side of the cuff body, to define with the cuff a mouth opening laterally into which the strap 2| may be readily and quickly slid, thegrip being suificient to hold the strap against any endwise extending slits 32 slightly longer than the width r of the strap H, to define a loop portion 33 between them under which the strap I is engaged, so that the cuff members may slide lengthwise of the strap Each of the cuff members is provided with a traction member 34 preferably in the form of a narrow strap having a fiat hook member 35 at one end, detachably engaged over the loop portion 33 of the cuff member, as shown in Fig. 2, and extending lengthwise of, and under, the strap under the loop portion of the other cuff member and through an opening 36 in the strap H. A reinforcing guide piece 3'! is preferably attached to the center of strap II, as by stitching 38, and not only holds the traction straps 34 in place but also serves as a stop preventing movement of either cuif memher past the middle point of the strap A pair of friction clips 39, larger than the

clips

25, 26 and 2'! but of the same general formation, are secured by rivets all to the strap adjacent the openings 36, the base of each clip as shown being underneath the strap II and extending around one edge thereof so as to be spaced sufficiently from the upper face of such strap to receive and hold the corresponding strap 34 in adjusted position, after it has been passed through an opening 36 and bent back and slid laterally under such clip 39.

With the device in place upon the bed as shown in Fig. 1, but with both cuff members open and preferably at the edge of the bed, and with the patient lying upon the strap II, the cuff members I3 and I! may be adjusted and secured upon the wrists of the patient. If the straps 34 are not secured, the patient may move his wrists laterally, the range of movement being limited in one direction by the bend of strap H where it passes over the edge of the bed and, in the other direction, by the patients body. By pulling upon and securing the members 34 the range of movement can be decreased and, if desired, the wrists may be drawn up against the patients body and secured so as to prevent any movement whatever thereof. If it is desired to secure the ankles of the patient, the device is properly positioned upon the bed, and the cuffs are adjusted and secured in the same way. It will be apparent, however, that the range of movement inwardly from the edge of the bed would extend almost to the middle of the strap I I, but that the outer limit of movement could be adjusted as desired by means of the straps 34, and movement could be prevented by drawing the cuff members substantially into contact with each other, and securing the straps 34.

In the embodiment shown in Figs. 5 to 8, the cuff members 4| and 42 are substantially identical with those shown in Figs. 1 to 3, but since they are to be used only upon the wrists, two adjustment-strap-receiving openings probably would be sufiicient to cover the full range of adjustment needed, and the slits 43 and 44 extend parallel to the edges of the cuff members to provide a loop portion 45 between them by which they are slidably secured to the base memher. The base member of such modification comprises a pair of straps 46 and 41, preferably having widened ends which are crossed and secured together by a loose rivet 48 so as to permit relative swinging movement. The unattached ends of the straps 46 and 41 are of less width and pass under the loop portions 45 of the cuff members 4| and 42, respectively. Adjacent their widened ends, the

straps

46 and 47 are each provided with an opening having an eyelet or grommet 49 therein and with a friction clip 50, similar to the

clips

25, 26 and 21, shown in Fig. 3, to receive and hold the free end of the other of such straps 46 and 41. As will be apparent from the drawings, particularly Fig, 6, the two straps cooperate to form. two loops adjustably engageable about the shoulders of the patient and crossed back of the neck of the patient. In order to prevent the patient from rising from the bed, a separate strap 5| is passed between the patient and the

straps

46 and 47 where they cross, and its ends are secured together after being passed about the bed or a portion thereof, as shown in Fig. 7. If it is desired, the strap 5| may be permanently, or detachably, secured to the rivet 48.

It will be apparent, particularly from Figs. 5 and 7, that in addition to the patient being able to slide the cuffs toward his face along the straps 4B and 41, the patient can also bend the straps to swing the loops formed by the straps upwardly to bring the cuff members, and his wrists, above his shoulders. It will likewise be apparent that, by adjusting and securing the free ends of the straps 46 and 4'! the size of the loops may be decreased and the range of permitted movement reduced as desired.

It will be understood that either of the devices may be used upon an operating table or chair as well as upon a bed and the term bed is used herein to indicate any such support for the patient. Likewise, as stated heretofore, the strap ll of the embodiment shown in Figs. 1 and 2 may be engaged over the patient and, if desired, the cuffs may be adjusted to bring and hold the wrists of the patient substantially into contact with each other or to permit a limited range of movement from such position.

By the use of the friction clips the adjustments are continuously variable, to permit exactly the adjustment desired, and any such adjustment may be quickly and easily made or chan ed.

What I claim is:

1. In a restraining device, the combination of a base member, means for detachably securing said base member to a bed, and a cuff member secured to and slidable along said base member, said cuff member being flexible to permit folding about a limb of a patient and having means for holding it in adjusted condition comprising a strap secured at one end to one end of said cuff, said cuff having a plurality of openings therein adjacent its other end through which said strap can be passed, and a rigid clip extending laterally of said cuff frictionally engaging said strap to prevent endwise movement of said strap when it has been slid laterally under said clip.

2. In a restraining device, the combination of a base member, means for detachably securing said base member to a bed, and a pair of cuff members secured to and slidable along said base member, each of said cuff members being foldable about a limb of a patient and having a strap attached to one end thereof and having a plurality of openings variably spaced from its other end to receive said strap, and having means adjacent said openings for frictionally engaging said strap in any position of adjustment to hold it from endwise movement, whereby a continuous range of adjustment of the perimeter of said cufi member is effected.

3. In a restraining device, the combination of a base member, means for detachably securing said base member to a bed, and a pair of cuif members each having a loop therein engaged about said base member to permit sliding movement thereof along said base member, each of said cuff members having a strap of less width than the cuff member secured to the outer face of said cuff member, and having a plurality of laterally-extending strap-receiving openings variably spaced from one end thereof, and a rigid clip extending laterally of said cuff and having a free end spaced from the outer face thereof to define a strap-receiving mouth adapted to receive and hold said strap from endwise movement.

4. In a restraining device, the combination of a base member, means for securingsaid base member upon the upper surface of a bed, a pair of cuff members secured to said base member and slidable relatively thereto, means for moving said cuff members toward each other, and means cooperating with said moving means for holding said cuffs from movement away from each other.

5. In a restraining device, the combination of a base member, means for detachably securing said base member to a bed with at least a portion of said base member underneath a patient, and a pair of cufi members secured to and slidably mounted upon said base member, each of said lcufi members being flexible and having means thereon for securing it in adjusted position about a limb of the patient, a separate traction member for each of said cuff members, secured at one end to the cuff member and extending along said base member underneath the other cuff member, and means for holding each of said traction members in adjusted position.

6. In a restraining device, the combination of a base member, means for detachably securing said base member to a bed, and a pair of cuff members slidably mounted upon said base member, and adjustable means for varying the possible range of movement of said cuff members.

7. In a restraining device, the combination of a base member comprising a pair of straps each having an anchored end and a free end, said straps being secured together adjacent their anchored ends, and the free end of each of said straps being adapted to be detachably secured to the anchored end of the other of said straps to form a pair of loops engageable about the shoulders of a patient with said anchored ends back of the neck of the patient, a pair of cuff members each mounted on one of said straps, means cooperating with each of said cuff members to secure it in adjusted, folded position about an arm of the patient, and means for securing said base member to a bed.

8. In a restraining device, the combination of a base member comprising a pair of straps each having an anchored end and a free end, said straps being secured together adjacent their anchored ends and each having an opening therein adjacent its end adapted to receive the free end of the other of said straps and means for securing the free end of such other strap in adjusted position, a pair of cufi members slidably mounted upon said straps, respectively, means carried by each of said cuff members for adjustably holding it folded about an arm of a patient, and means for detachably securing said base member to a bed.

HERBERT H. OGBURN.