WO1987001028A1 - Minerve - Google Patents

Minerve Download PDF

Info

Publication number
WO1987001028A1
WO1987001028A1 PCT/EP1986/000493 EP8600493W WO8701028A1 WO 1987001028 A1 WO1987001028 A1 WO 1987001028A1 EP 8600493 W EP8600493 W EP 8600493W WO 8701028 A1 WO8701028 A1 WO 8701028A1
Authority
WO
WIPO (PCT)
Prior art keywords
stiffening
neck
neck collar
collar according
molded part
Prior art date
Application number
PCT/EP1986/000493
Other languages
German (de)
English (en)
Inventor
Gerrit Jan Benckhuijsen
Original Assignee
Gerrit Jan Benckhuijsen
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Gerrit Jan Benckhuijsen filed Critical Gerrit Jan Benckhuijsen
Publication of WO1987001028A1 publication Critical patent/WO1987001028A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/055Cervical collars

Definitions

  • the invention relates to a therapeutic neck collar according to the preamble of claim 1.
  • Neck collars of this type are used for various diseases of the upper spine, for incorrect posture and defects in the neck and shoulder muscles. It is essentially a matter of forcing the head into an upright posture which relieves the corresponding points.
  • the neck collars previously used were either designed in the sense of a "constraint”: they had a hard molded part that surrounded the neck like a shell and made practically every movement of the head impossible. The patient found this correspondingly unpleasant because such a molded part could lead to pressure points, especially below the lower jaw, to grazes and hematomas; or the neck collar consisted only of a foam ring, which had little or no supportive effect on the spine.
  • a neck support for immobilizing the cervical spine was proposed in FR-A 2244447 and in parallel DE-A 2443983, which consists of a rigid, board-shaped material. Such a support is only suitable for the short-term care of an accident victim.
  • a neck support for a child is proposed by US-A 3522804; a shell, possibly containing stiffening rods, is provided for the occiput, which prevents the head from being thrown backwards; the child is not supported.
  • the neck collar according to US Pat. No. 4,034,747 is very similar. Neck supports of the type described in US-A 3504667 or US-A 3374785 in turn hardly support the occiput.
  • the invention is based on the object of creating a neck collar of the type mentioned at the outset in which the disadvantages mentioned are eliminated and nevertheless a perfect hold is provided.
  • the aim is to find a solution with which the contradicting demands are met, namely on the one hand to give the spinal area a firm hold, on the other hand to be compliant enough so that the above-mentioned injuries do not occur.
  • the solution outlined in the characterizing part of claim 1 is proposed, which can also be characterized as follows: stiffening where it is necessary; Deformability where it is permissible.
  • the location of the stiffening is also important, although this is not synonymous with a length of stiffening corresponding to the length of the spine from the first to the seventh cervical vertebrae; rather, the stiffening will have to be of such an extent that a support effect is created for the first and seventh cervical vertebrae, which does not rule out that the stiffening extends even further.
  • the stiffening of the first cervical vertebra - depending on the shape of the head - can possibly take place somewhat from below, so that the stiffening part can then be designed to be somewhat shorter than would correspond to the cervical spine.
  • the neck collar according to the invention is suitable for the treatment of the following symptoms:
  • the molded part preferably consists of a foamed elastic material, which is accordingly light, whereby soft polyather foam is not only inexpensive, but is also particularly suitable in terms of skin compatibility.
  • soft polyather foam is not only inexpensive, but is also particularly suitable in terms of skin compatibility.
  • a favorable thickness of the material that meets both requirements is between 10 and 15 mm. It is advantageous if the specific weight is only between 40 and 50 g / ccm, in order not to cause pressure on the wearer, despite the corresponding strength.
  • adhesive agent it should be understood to mean everything that produces an adhesive effect, namely not only an adhesive in the narrow sense, but also a solvent for the material, which is slightly sticky by slightly dissolving it makes, but also a glue in the warm state of the material (welding, eg with ultrasound).
  • FIG. 1 shows the head of a patient from the side, with the neck collar in section.
  • Fig. 4 is a plan view of a material plate of a foam to which
  • FIG. 5 shows a section along the line V-V of FIG. 4.
  • FIG. 6 shows a rear view of an alternative embodiment.
  • Neck collar 3 placed, which consists essentially of elastic material 4, namely a polymer foam, in particular polyether.
  • elastic should of course always be understood to mean rubber elasticity.
  • other, in this sense elastic, materials can also be used, such as rubber, or foam rubber, polyester-polyurethane soft foam, etc., but a polyether foam in particular best meets the requirements.
  • the neck collar from composite materials, for example from a core made of harder rubber, which can be provided on the neck particularly in the area of the spine 5 and can be covered by at least one softer layer, possibly also by several layers increasing softness.
  • a stiffening 6 is provided, which is shown in broken lines in the perspective view according to FIG. 3 and thus in the form of a clip or a strap is formed, similar to the fish legs used for stiffening in the corset branch.
  • the stiffening 6 can be formed from metal, in particular elastically flexible metal, such as steel, or also from plastic, a certain spring effect being favorable. If a single clip 6 is also used according to FIG. 3, the stiffening may have other shapes as well, as is shown on the stiffening bracket 106 of FIG. 6, which then partially encloses the neck and at least one upper bracket section 106 ' and has a lower portion 106 ".
  • a stiffening extending parallel to the spine 5 is preferred: it is lighter, does not result in any forces acting laterally on the neck 1 and is also less expensive.
  • the stiffening 6 or 106 should be such that the first cervical vertebra I is supported on the upper side. As illustrated in FIG. 1 by a dash-dotted line 7 starting from the cervical vertebra I and to the contact point of the stiffening span 6 on the head, approximately normal to the tangent, any force is transmitted along this line 7 to the stiffening 6, which in turn produces this Force distributed over the area of its expansion, in particular downwards to the lower area of the spine 5 and to the shoulders. As a result, the diseased or endangered areas are relieved without the patient 2 being prevented from moving in principle, although in the upper edge 9 of the neck collar 3 which extends below the chin drawer 8, the head position shown is stopped.
  • connection of the two elongated ends 3 ', 3 is preferably a flat one, whereby a large number of push buttons would be conceivable. It would also be conceivable to provide a detachable adhesive connection, but one tends to become dirty and becomes slightly unsightly It is therefore preferred if the flat connection is designed as a Velcro connection 11 (cf. the surfaces 11 in FIGS. 2 and 3).
  • the ends 3', 3" can also be on both sides up to the respective half-neck depth are sufficient so that the entire neck collar 3 has a length of one and a half neck circumferences in the open state. The closure is then provided on the side.
  • connection 11 is also claimed in the sense of pulling apart, as is clear from FIG. 2
  • the invention is in no way limited to such a configuration of the sternal stiffening.
  • a stiffening body could also be provided at one of the ends 3 'or 3 ", which at the same time is designed like a clip and thus holds the other shortened end.
  • FIG. 1 also shows that at least the foam body 4 - here also the stiffening clip 6 - is covered by a textile material 12.
  • This material contributes to the skin-friendliness of the neck collar 3. It preferably consists of knitted fabric, that is to say a knitted fabric or knitted fabric, because the irregular shape of the neck collar 3 can be clearly seen from FIG. 3 and knitted fabric can best adapt to it due to a certain intrinsic elasticity.
  • the material 12 can be glued to the foam body 4.
  • this bonding must not hinder the breathing of the skin, which is why either a suitable permeable adhesive is selected, or the bonding only in individual areas, e.g. at adhesive points 13 distributed over the surface.
  • a further therapeutic effect can be associated with the fabric cover 12 by selecting a fabric from an electrostatically charging plastic material.
  • a fabric preferably consists of the material specified in claim 6.
  • the skin is formed in a known manner by the electrostatic charge Blood circulation and thus the recovery process promote slight and harmless irritation of the skin, so that healing can be achieved more quickly than before.
  • an advantageous embodiment can consist in the fabric 12 having at least one insert pocket in a manner known per se to tenants possesses, the dimensions of which are adapted for insertion, in particular from above, of the clasp 6, so that the clasp 6 can be exchanged for different patients and whose body dimensions or shapes can be adapted.
  • FIG. 1 shows the stiffening brace 6, which can be seen in a section along the line II of FIG. 3, running essentially straight. "However, since, as can be seen, the back of the patient 2 protrudes beyond the upper edge 9 , it may be expedient to dig out the clip 6 at the upper end in order to avoid any risk of a pressure point on the other hand. On the other hand, in order to better transmit the supporting forces to the lower spine, it may be useful to lightly press the lower end of the stiffening clip 6 to be directed against the spine 5, so that - when both bends are realized - a slight S-shape of the stiffening clip (or all clips if several are provided) is obtained.
  • the neck collar shown derives its strength not only from the strength of the material itself, but that due to the fact that it clings to the body on the one hand and by enclosing the neck on the other hand, a curvature directed towards several spatial coordinates results. which - according to the type of construction of a saddle - results in stiffening with little material and weight.
  • seams 14 can be seen, which are arranged essentially where the main body of the neck collar 3 itself is curved, and which each extend in the direction of the generatrix of this curvature. These seams 14 result from the manufacturing process for the molded body made of foam 4 (cf. FIG. 1) and are normally covered by the material 12, which also protects them from damage.
  • a flat foam sheet expediently 11 to 13 mm thick, for example 12 mm thick, is first cut into the flat shape shown in FIG. 4. Then, in order to produce the seams 14 (cf. FIG. 3) at the bending points, that is to say where a clear bending of the shaped body is desired. Cut out strips of material which, in plan view, have the lancet shape of the remaining openings 15, as can be seen in FIG. 4. In cross-section (FIG. 5), the cut-out, lancet-shaped material strips 16 have the shape of a triangle, the base 17 of which runs along the inner surface 18 (cf. FIGS. 3, 4).
  • the cut is made from the inside 18 and can be continuous to the rear or leave a narrow web in the area thereof.
  • the openings 15 are obtained, which are delimited laterally by mutually opposite cutting surfaces 19 (FIG. 5).
  • the inclination of these cut surfaces 19 with respect to the inner surface 18 depends on the extent of the desired curvature or bend and thus on the size of the clothing. The more acute the apex angle of the triangle enclosed by the cut surfaces 19, the smaller the resulting bend will be if, in a subsequent step, the two cut surfaces are coated with an adhesive or a dilute solvent and then placed against one another, whereupon the adhesive is allowed to dry.
  • the area of the cut surfaces could also be softened, for example by the action of heat, so that a kind of welding results when the surfaces 19 are joined together.
  • the stiffening is applied after the shaped body 4 has been bent. In itself, this can be 6, end pieces 20 widened in the manner of FIG. 6 with subsequent constrictions 21 can serve to give a band, a cord or a strap 22 for connection to the foam 4 a firm hold.
  • the 1 band 22 or the like can then be pulled through on the inside and sewn into a ring, although this type of fastening leads to a certain strain on the foam 4.

Landscapes

  • 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)

Abstract

Une minerve (3) possède une pièce moulée dans un matériau élastique (4) facilitant la respiration et conférant ainsi une certaine liberté de mouvement. Cependant, pour garantir un soutien efficace de la région de la nuque, un renforcement (6) est prévu dans la partie de la colonne vertébrale comprise entre la première et la septième vertèbre cervicale (I, VII). Pour fabriquer ladite pièce moulée, on découpe dans une feuille continue ou une plaque d'un matériau élastique (4) la forme correspondante sur le plan anatomique, ou bien on découpe après, simultanément ou avant aux endroits destinés à être courbés, des bandes de matériau en forme de lancette, dont les surfaces de coupe se faisant face sont collées les unes aux autres.
PCT/EP1986/000493 1985-08-23 1986-08-22 Minerve WO1987001028A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH363085 1985-08-23
CH3630/85-0 1985-08-23

Publications (1)

Publication Number Publication Date
WO1987001028A1 true WO1987001028A1 (fr) 1987-02-26

Family

ID=4260109

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1986/000493 WO1987001028A1 (fr) 1985-08-23 1986-08-22 Minerve

Country Status (3)

Country Link
EP (1) EP0269636A1 (fr)
AU (1) AU6405286A (fr)
WO (1) WO1987001028A1 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0385114A1 (fr) * 1989-02-28 1990-09-05 Adev, Gesellschaft Für Entwicklung Und Vertrieb Von Medizintechnischen Artikeln Mbh Collier cervical
US5097824A (en) * 1990-12-07 1992-03-24 Garth Geoffrey C Extended wear cervical collar
US5230698A (en) * 1990-12-07 1993-07-27 Garth Geoffrey C Extended wear cervical collar
NL1005564C2 (nl) * 1997-03-18 1998-09-21 Raymundus Augustinus Neve Neksteun.
DE19755923A1 (de) * 1997-12-17 1999-07-08 Beiersdorf Ag Medizinische Halskrawatte
FR2804013A1 (fr) * 2000-01-25 2001-07-27 C I R Collier cervical de type minerve

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3374785A (en) * 1965-10-11 1968-03-26 Medical Specialties Inc Cervical collar
US3504667A (en) * 1966-11-14 1970-04-07 Archie J Mcfarlane Head brace
US3522804A (en) * 1968-05-21 1970-08-04 Abraham Towbin Infant's neck and head support
US3756226A (en) * 1971-12-07 1973-09-04 Greiner And Co C Cervical collar
FR2244447A1 (fr) * 1973-09-25 1975-04-18 Reed International Ltd
US4034747A (en) * 1976-04-02 1977-07-12 New Research And Development Lab., Inc. Cervical collar
GB2151485A (en) * 1983-12-19 1985-07-24 Charles Pujals Device for cervical/occipital support

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3374785A (en) * 1965-10-11 1968-03-26 Medical Specialties Inc Cervical collar
US3504667A (en) * 1966-11-14 1970-04-07 Archie J Mcfarlane Head brace
US3522804A (en) * 1968-05-21 1970-08-04 Abraham Towbin Infant's neck and head support
US3756226A (en) * 1971-12-07 1973-09-04 Greiner And Co C Cervical collar
FR2244447A1 (fr) * 1973-09-25 1975-04-18 Reed International Ltd
US4034747A (en) * 1976-04-02 1977-07-12 New Research And Development Lab., Inc. Cervical collar
GB2151485A (en) * 1983-12-19 1985-07-24 Charles Pujals Device for cervical/occipital support

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0385114A1 (fr) * 1989-02-28 1990-09-05 Adev, Gesellschaft Für Entwicklung Und Vertrieb Von Medizintechnischen Artikeln Mbh Collier cervical
US5097824A (en) * 1990-12-07 1992-03-24 Garth Geoffrey C Extended wear cervical collar
US5230698A (en) * 1990-12-07 1993-07-27 Garth Geoffrey C Extended wear cervical collar
NL1005564C2 (nl) * 1997-03-18 1998-09-21 Raymundus Augustinus Neve Neksteun.
DE19755923A1 (de) * 1997-12-17 1999-07-08 Beiersdorf Ag Medizinische Halskrawatte
EP0923917A3 (fr) * 1997-12-17 2000-04-26 Beiersdorf Aktiengesellschaft Collier cervical
FR2804013A1 (fr) * 2000-01-25 2001-07-27 C I R Collier cervical de type minerve

Also Published As

Publication number Publication date
EP0269636A1 (fr) 1988-06-08
AU6405286A (en) 1987-03-10

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