US3343532A - Orthopaedic apparatus for immobilizing and stretching the cervical column - Google Patents

Orthopaedic apparatus for immobilizing and stretching the cervical column Download PDF

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Publication number
US3343532A
US3343532A US429740A US42974065A US3343532A US 3343532 A US3343532 A US 3343532A US 429740 A US429740 A US 429740A US 42974065 A US42974065 A US 42974065A US 3343532 A US3343532 A US 3343532A
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United States
Prior art keywords
shell
cervical
inflating
inflatable
bottom portion
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Expired - Lifetime
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US429740A
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English (en)
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Zumaglini Giovanni
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MEDICO ORTOPEDICA DOTT OFF
OFFICINA MEDICO-ORTOPEDICA DOTT
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MEDICO ORTOPEDICA DOTT OFF
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/055—Cervical collars
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/23—Cervical collars

Definitions

  • orthopaedic apparatus of various types have been suggested heretofore, which are complex and tedious to manufacture, uncomfortable to wear, and which are so clumsy as to lack practical usefulness.
  • Other types of apparatus are ditficult to adjust and requires an expert to make the necessary adjustments.
  • This invention obviates the above drawbacks by providing an orthopaedic apparatus for immobilizing and stretching the cervical column, which is simple and rugged in construction, quickly fitted, easily adjusted and comfortable even during prolonged use.
  • the apparatus according to this invention comprises in combination:
  • a semi-rigid anatomically shaped cast of synthetic resin of a known type having a lower portion adapted to rest on the clavicular region and a top portion on which the submandibular and occipital regions rest,
  • a substantially anular air tube adapted to be interposed between the clavicular region of the patient and the bottom portion of the semi-rigid cast, which, when inflated, acts to stretch the cervical rachis and
  • An inflating appliance comprising a pump and a valve unit of the sphygmanoametric type for inflating the air tube.
  • FIGURE 1 is a perspective view of an orthopaedic apparatus according to this invention.
  • FIGURE 2 is a sectional view on line 11-11 of FIG- URE 1,
  • FIGURE 3 is a sectional view on line IHHI of FIG- URE 1,
  • FIGURE 4 is a view similar to FIGURE 3 showing the apparatus fitted with an air tube comprising two independent sectors,
  • FIGURE 5 is a view similar to FIGURE 2 showing the apparatus fitted with a mental and an occipital air tube,
  • FIGURE 6 is a sectional view on line VIVI of FIGURE 5,
  • FIGURE 7 is a view similar to FIGURES 2 and 5 showing the use of a retro-cervical air tube
  • FIGURE 8 is a sectional View on line VIIIVIII of FIGURE 7.
  • a semi-rigid cast 1 of synthetic resin comprises a bottom portion 2 adapted to bear on the clavicular region, a middle portion 3 encircling the neck and a top portion provided with a mental rest 4 for the sub-mandibular region and a back rest 5 for the occipital region.
  • the bottom portion 2 is outwardly flared from the middle portion 3 and shaped to be supported on the patients shoulders, upper part of the chest and the upper part of the back.
  • Strips of fiberglass are used to reinforce the bottom portion 2 of the plastic resin cast 1 in order to 3,343,532 Patented Sept. 26, 1967 provide increased stiffness to this portion for support of the remainder of the cast.
  • the middle portion 3 is somewhat resilient and is provided with two openings 12, 13 cut therethrough.
  • the upper or top portion flares outwardly form the middle portion 3 and is reinforced with fiberglass strips to provide increased stiffness for the support of the patients sub-mandibular region in the mental rest 4 and the occipital region by the back rest 5.
  • the cast is slotted on one side, the facing edges of the slot being provided with a closure, such as a sliding clasp fastener 6.
  • the apparatus comprises an air tube 7 adapted to be interposed between the lower portion 2 of the armature and the clavicular region of the patient.
  • the air tube 7 is of substantially annular shape and is connected by a conduit 8 and valve 11 to an inflating appliance comprising a pump 9 and a pressure gauge 10 of type employed in blood pressure measuring apparatus (sphygmomanometers).
  • Air is pumped by the pump 9 into the air tube 7 which grows thicker, resulting in an upward pull starting at the clavicular region and acting through the cast 1 on the mandibular and occipital regions of the patient.
  • the cervical rachis is thus subjected to a traction proportional to the thickness acquired by the air tube 7, which results in a diastasis of the vertebral intersomatic joints.
  • the patient is in a condition to check the pulling force by means of the pressure gauge 10 which is provided with a maximum and minimum scale.
  • the apparatus is advantageously used in treatment of all painful diseases of the cervical rachis which requires, in addition to full immobilization of the rachis, traction and extension of a permanent character.
  • the apparatus is thus quite simple and exerts a more efficient and comfortable traction through the resiliency afforded by the bottom air tube 7 than was heretofore known.
  • the air tube contours to fit bony projections at the clavicular region and by virtue of being interposed between the latter and the semi-rigid cast 1 it affords a rest which is comfortable to the patient even during prolonged periods of time.
  • the semi-rigid cast 1 is individually prepared from a plaster pattern cast which is molded directly on the patient.
  • the provision of the air tube 7 make it possible to suit the same apparatus to a plurality of patients. By making the apparatus of three different sizes, a fairly wide range of types can be obtained to suit any requirement.
  • the apparatus can be provided as regular equipment at first-aid posts for use in the case of suspected fracture or dislocation of ribs of the cervical section.
  • the synthetic resin cast is fully permeable to X-rays. Clinical and X-ray examinations can therefore be made in full safety and without compelling the patient to be confined to a bed.
  • the apparatus can be employed during the full period of required immobilization with a safety equivalent, at least, to plaster and with largely improved comfort to the patient.
  • the apparatus according to this invention is further useful in the therapy of muscular, obstetrical or spastic torticollis, more particularly during the post-operative recovery period to resist the extraordinary tendency of this deformity towards relapse.
  • the head should be bent to the side opposite its inclination before the operation and should further be rotated in the direction of the sick side.
  • the lateral bending of the head can be effected by sliding beneath the base 2 of the cast an air tube subdivided into two semi-circular independent sectors 7a, 7b, such as vided witha conduit and valve 11a, 11b, both derived from the same inflating appliance 9.
  • a differential pressure can therefore be set up in the sectors to incline the patients head to the desired position.
  • the cast 1 should be shaped tomatch the position of maximum possible correction, by a strictly individual manufacturing technique.
  • the slot in the cast should be formed at the'back and provided with a conventional closure, such a sliding clasp: fastener 61: or the like.
  • the cast 1 may be further provided with two air tubes 14, 15 fitted to the mental region 4 and occipital region 5, respectively, both provided withian individual conduits 16 and 17, respectively, leading through a multi-way connector 18 to the inflating appliance.
  • FIGURES 7 and 8 show a cast titted at its retro-cervical region with a further air bag 19 connecting through a conduit 20 with the'inflating appliance.
  • the air bag 19 is very useful whenever, in addition to traction and immobili- Zation,.a hypertraction of the cervical rachis is desired.
  • the cast llis preferably deprived of the rear slot 13.
  • a cervical brace for immobilization and traction of the cervical rachis comprising in combination: a semirigid shell of synthetic resin material comprising a middle'portion, an upper portion, and a bottom portion, said bottomportion shaped to abut the shoulders, the upper part of the chest and the upper part of the back, said upper portion shaped to form rests for the sub-mandibular region in front and for the occipital region in the back, and said middle portion shaped to surround the neck; an inflatable tube securedto and extending along said bottom portion of said shell, and confined between said abutting body parts and said shell and adapted to partially project downwardly and outwardly from the latter when inflated, said inflatable tube comprising two independent semi-circular sections each arranged on opposite sides of a longitudinal middle plane of symmetry through said shell; a longitudinal slot extending through said shell along said longitudinal middle plane and provided with closure means therealong, whereby said brace may be applied to and removed from a patient; an inflating appliance for inflating said-tube compris
  • a brace as claimed in claim 1 comprising an inflatable bag secured to the inner wall of said upper portion of said shell adjacent the front thereof, a second inflatable bag secured to the inner wall of said upper portion of said shell adjacent the rear thereof, said first inflatable bag shaped to form a restfor the sub-mandibular region and said second inflatable bag forming a rest for the occipital region, a multi-way connector connected to said inflating appliance, and a pair of individual conduits each secured to and communicating with one of said bags and said multiway connector for connectingsaid conduits to said inflating appliance.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
US429740A 1964-02-27 1965-02-02 Orthopaedic apparatus for immobilizing and stretching the cervical column Expired - Lifetime US3343532A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
IT114964 1964-02-27

Publications (1)

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US3343532A true US3343532A (en) 1967-09-26

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US (1) US3343532A (it)
CH (1) CH431812A (it)
DE (1) DE1914724U (it)
GB (1) GB1063576A (it)

Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3716049A (en) * 1971-03-25 1973-02-13 M Kaplan Therapeutic traction apparatus
DE2404683A1 (de) * 1974-02-01 1975-08-07 Schuett & Grundei Sanitaet Cervicalstuetze und verfahren zu ihrer herstellung
US3937216A (en) * 1974-09-09 1976-02-10 Pneumatic Traction Company Pneumatic traction means for medical patients
US4194501A (en) * 1978-07-31 1980-03-25 Watt Russell A First aid splint for cervical spine injuries
US4232663A (en) * 1978-12-12 1980-11-11 Newton John E Cervical support collar
US4250874A (en) * 1978-06-28 1981-02-17 Rude Kennon G Therapeutic neck tractioning device
US4325363A (en) * 1978-06-26 1982-04-20 Joseph Berkeley Posture training therapeutic neck support
US4401111A (en) * 1980-10-28 1983-08-30 Blackstone Ralf W Cervical spine collar
US5205813A (en) * 1990-01-08 1993-04-27 Schmidt Shawn M Cephalic and cervical support appliance
WO1995007669A1 (en) * 1993-09-13 1995-03-23 Glacier Cross, Inc. Inflatable cervical traction/stretch device
US5403266A (en) * 1993-07-06 1995-04-04 United States Manufacturing Company Inflatable cervical traction collar
US5441479A (en) * 1993-09-13 1995-08-15 Glacier Cross, Inc. Cervical traction device
US5520619A (en) * 1993-05-20 1996-05-28 Ambu International A/S Adjustable cervical collar
US5588957A (en) * 1993-05-20 1996-12-31 Ambu International A/S Cervical collar
US5622529A (en) * 1994-06-08 1997-04-22 Calabrese; Salvatore Flat cervical collar having a unitary chin support
GB2309645A (en) * 1996-01-30 1997-08-06 William Duffy Inflatable lumbar-support belt with pressure gauge
US5662597A (en) * 1993-09-13 1997-09-02 Glacier Cross, Inc. Gravity traction device
US5752927A (en) * 1995-12-29 1998-05-19 Rogachevsky; Richard J. Inflatable cervical traction device
US5797863A (en) * 1995-11-30 1998-08-25 Ambu International A/S Collapsible cervical collar
US5916185A (en) * 1993-09-13 1999-06-29 Glacier Cross, Inc. Inflatable cervical traction or stretch device
US5993403A (en) * 1993-05-20 1999-11-30 Ambu International A/S Adjustable cervical collar
US6036664A (en) * 1994-02-22 2000-03-14 Ambu International A/S Automatic adjustable cervical collar
US6050965A (en) * 1998-10-23 2000-04-18 Pillai; Bala Hari Cervical collar for lifting the skull of a wearer
USRE36745E (en) * 1994-09-29 2000-06-20 Ambu Inc. Extrication cervical collar with adjustable supports
JP3180047B2 (ja) 1996-01-18 2001-06-25 昌俊 朴 椎間板脱出症または捻挫の物理治療用牽引装置
US20040015111A1 (en) * 2000-11-10 2004-01-22 Stefan Axelsson Traction collar
US6726643B1 (en) 1994-02-22 2004-04-27 Ambu International A/S Automatic adjustable cervical collar
US20040204666A1 (en) * 2003-04-14 2004-10-14 Marsh M. Lou Cervical spine brace and traction device
US20050098176A1 (en) * 2001-07-12 2005-05-12 Helmut Hoffrichter Respiratory therapy device for keeping free the natural respiratory tract of a human body and the use thereof in order to prevent the sound of snoring
US20050283104A1 (en) * 2004-06-18 2005-12-22 Abelbeck Kevin G Back therapy device
US20090198163A1 (en) * 2008-02-06 2009-08-06 Andrew Senyei Traction apparatus and methods
US20090204046A1 (en) * 2008-02-08 2009-08-13 Susan Nickell Cervical traction/stretch device kit
US20100121243A1 (en) * 2008-02-08 2010-05-13 Aune, Chitwood, Nickell Cervical traction/stretch device and method for its use
US20110184325A1 (en) * 2010-01-25 2011-07-28 Kamran Behzadian Orthopedic apparatuses for mobilizing, stretching and protecting the spinal column
US20220000698A1 (en) * 2020-07-03 2022-01-06 Hoi Ming Michael HO Inflatable neck traction device

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2122905B (en) * 1982-06-14 1985-10-30 Robert John Dudley Welch Inflatable splint
CA1237352A (en) * 1984-09-28 1988-05-31 Griener (Charles) And Company, Inc. Cervical collar permitting tracheotomy
GB8426326D0 (en) * 1984-10-18 1984-11-21 Helfet Arthur Jacob Neck support
EP1218242B1 (de) * 1999-10-05 2004-12-01 Josef Schmitz Einrichtung zur entlastung der halswirbelsäule

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL80393C (it) *
US1884927A (en) * 1930-04-23 1932-10-25 Martin Van Raalte Surgical appliance
GB549294A (en) * 1941-07-30 1942-11-13 Francts Mcdonogh A surgical support
US2389690A (en) * 1945-11-27 Cervical collar
US2699165A (en) * 1950-06-29 1955-01-11 Ferrier Andre Pierre Suzanne Means for treating diseases of the circulatory system
US2747570A (en) * 1954-05-19 1956-05-29 Jobst Conrad Means for assisting return circulation of fluids in an animal body
US2806471A (en) * 1953-09-21 1957-09-17 Allan H Breese Cervical brace
US2830585A (en) * 1955-04-21 1958-04-15 Efram I Weiss Ankle support
US3164151A (en) * 1962-12-14 1965-01-05 Nicoll Esmond D Vere Inflatable splint

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL80393C (it) *
US2389690A (en) * 1945-11-27 Cervical collar
US1884927A (en) * 1930-04-23 1932-10-25 Martin Van Raalte Surgical appliance
GB549294A (en) * 1941-07-30 1942-11-13 Francts Mcdonogh A surgical support
US2699165A (en) * 1950-06-29 1955-01-11 Ferrier Andre Pierre Suzanne Means for treating diseases of the circulatory system
US2806471A (en) * 1953-09-21 1957-09-17 Allan H Breese Cervical brace
US2747570A (en) * 1954-05-19 1956-05-29 Jobst Conrad Means for assisting return circulation of fluids in an animal body
US2830585A (en) * 1955-04-21 1958-04-15 Efram I Weiss Ankle support
US3164151A (en) * 1962-12-14 1965-01-05 Nicoll Esmond D Vere Inflatable splint

Cited By (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3716049A (en) * 1971-03-25 1973-02-13 M Kaplan Therapeutic traction apparatus
DE2404683A1 (de) * 1974-02-01 1975-08-07 Schuett & Grundei Sanitaet Cervicalstuetze und verfahren zu ihrer herstellung
US3937216A (en) * 1974-09-09 1976-02-10 Pneumatic Traction Company Pneumatic traction means for medical patients
US4325363A (en) * 1978-06-26 1982-04-20 Joseph Berkeley Posture training therapeutic neck support
US4250874A (en) * 1978-06-28 1981-02-17 Rude Kennon G Therapeutic neck tractioning device
US4194501A (en) * 1978-07-31 1980-03-25 Watt Russell A First aid splint for cervical spine injuries
US4232663A (en) * 1978-12-12 1980-11-11 Newton John E Cervical support collar
US4401111A (en) * 1980-10-28 1983-08-30 Blackstone Ralf W Cervical spine collar
US5205813A (en) * 1990-01-08 1993-04-27 Schmidt Shawn M Cephalic and cervical support appliance
US6245033B1 (en) 1993-05-20 2001-06-12 Ambu International A/S Adjustable cervical collar
US5520619A (en) * 1993-05-20 1996-05-28 Ambu International A/S Adjustable cervical collar
US5588957A (en) * 1993-05-20 1996-12-31 Ambu International A/S Cervical collar
US5728054A (en) * 1993-05-20 1998-03-17 Ambu International A/S Adjustable cervical collar
US5993403A (en) * 1993-05-20 1999-11-30 Ambu International A/S Adjustable cervical collar
US5403266A (en) * 1993-07-06 1995-04-04 United States Manufacturing Company Inflatable cervical traction collar
US5441479A (en) * 1993-09-13 1995-08-15 Glacier Cross, Inc. Cervical traction device
US5454781A (en) * 1993-09-13 1995-10-03 Glacier Cross, Inc. Inflatable cervical traction/stretch device
US5916185A (en) * 1993-09-13 1999-06-29 Glacier Cross, Inc. Inflatable cervical traction or stretch device
JP3096776B2 (ja) 1993-09-13 2000-10-10 グレイシャー クロス インク． 膨張式頸部牽引／伸張装置
US5662597A (en) * 1993-09-13 1997-09-02 Glacier Cross, Inc. Gravity traction device
AU687099B2 (en) * 1993-09-13 1998-02-19 Glacier Cross, Inc. Inflatable cervical traction/stretch device
WO1995007669A1 (en) * 1993-09-13 1995-03-23 Glacier Cross, Inc. Inflatable cervical traction/stretch device
US6036664A (en) * 1994-02-22 2000-03-14 Ambu International A/S Automatic adjustable cervical collar
US6726643B1 (en) 1994-02-22 2004-04-27 Ambu International A/S Automatic adjustable cervical collar
US6071255A (en) * 1994-06-08 2000-06-06 Philadelphia Cervical Collar Company Flat cervical collar having a unitary chin support
US5622529A (en) * 1994-06-08 1997-04-22 Calabrese; Salvatore Flat cervical collar having a unitary chin support
USRE36745E (en) * 1994-09-29 2000-06-20 Ambu Inc. Extrication cervical collar with adjustable supports
US5797863A (en) * 1995-11-30 1998-08-25 Ambu International A/S Collapsible cervical collar
US5752927A (en) * 1995-12-29 1998-05-19 Rogachevsky; Richard J. Inflatable cervical traction device
JP3180047B2 (ja) 1996-01-18 2001-06-25 昌俊 朴 椎間板脱出症または捻挫の物理治療用牽引装置
GB2309645B (en) * 1996-01-30 1999-08-11 William Duffy A lumbar support
GB2309645A (en) * 1996-01-30 1997-08-06 William Duffy Inflatable lumbar-support belt with pressure gauge
US6050965A (en) * 1998-10-23 2000-04-18 Pillai; Bala Hari Cervical collar for lifting the skull of a wearer
US20040015111A1 (en) * 2000-11-10 2004-01-22 Stefan Axelsson Traction collar
US7070573B2 (en) * 2000-11-10 2006-07-04 Stefan Axelsson Traction collar
US20050098176A1 (en) * 2001-07-12 2005-05-12 Helmut Hoffrichter Respiratory therapy device for keeping free the natural respiratory tract of a human body and the use thereof in order to prevent the sound of snoring
US7182082B2 (en) * 2001-07-12 2007-02-27 Hoffrichter Gmbh Respiratory therapy device for keeping free natural respiratory tract of a human body and the use thereof in order to prevent the sound of snoring
US20040204666A1 (en) * 2003-04-14 2004-10-14 Marsh M. Lou Cervical spine brace and traction device
US7128724B2 (en) 2003-04-14 2006-10-31 Ohana Medical Concepts, Llc Cervical spine brace and traction device
US20050283104A1 (en) * 2004-06-18 2005-12-22 Abelbeck Kevin G Back therapy device
US8905958B2 (en) 2008-02-06 2014-12-09 Dynotrax, Llc Traction apparatus and methods
US20090198163A1 (en) * 2008-02-06 2009-08-06 Andrew Senyei Traction apparatus and methods
US10744024B2 (en) 2008-02-06 2020-08-18 Ohana Alana, Llc Traction apparatus and methods
US7670307B2 (en) 2008-02-08 2010-03-02 International Rehabilitative Sciences, Inc. Cervical traction/stretch device kit
US8251939B2 (en) 2008-02-08 2012-08-28 International Rehabilatative Sciences, Inc. Cervical traction/stretch device and method for its use
US20100121243A1 (en) * 2008-02-08 2010-05-13 Aune, Chitwood, Nickell Cervical traction/stretch device and method for its use
US20090204046A1 (en) * 2008-02-08 2009-08-13 Susan Nickell Cervical traction/stretch device kit
US20110184325A1 (en) * 2010-01-25 2011-07-28 Kamran Behzadian Orthopedic apparatuses for mobilizing, stretching and protecting the spinal column
US20220000698A1 (en) * 2020-07-03 2022-01-06 Hoi Ming Michael HO Inflatable neck traction device
US12076288B2 (en) * 2020-07-03 2024-09-03 Hoi Ming Michael HO Inflatable neck traction device

Also Published As

Publication number Publication date
GB1063576A (en) 1967-03-30
DE1914724U (de) 1965-04-29
CH431812A (it) 1967-03-15

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