WO1990005503A1 - Dispositif permettant d'immobiliser une tete - Google Patents

Dispositif permettant d'immobiliser une tete Download PDF

Info

Publication number
WO1990005503A1
WO1990005503A1 PCT/US1989/004243 US8904243W WO9005503A1 WO 1990005503 A1 WO1990005503 A1 WO 1990005503A1 US 8904243 W US8904243 W US 8904243W WO 9005503 A1 WO9005503 A1 WO 9005503A1
Authority
WO
WIPO (PCT)
Prior art keywords
foundation
panels
panel
engaging means
head
Prior art date
Application number
PCT/US1989/004243
Other languages
English (en)
Inventor
David Weston
James R. Traut
Charlie A. Patterson
Original Assignee
California Medical Products, Inc.
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 California Medical Products, Inc. filed Critical California Medical Products, Inc.
Publication of WO1990005503A1 publication Critical patent/WO1990005503A1/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
    • A61F5/058Splints
    • A61F5/05883Splints for the neck or head

Definitions

  • This invention relates to a new and improved device for immobilizing a patient's head during emergency treatment or transport.
  • a head immobilization device comprising a foundation portion and a restraining portion.
  • the foundation portion comprises a foundation panel and a first engaging means situated on the top surface of the foundation panel.
  • the restraining portion comprises a base panel, two side panels extending laterally from the outer sides of the base panel, two outside panels extending laterally from the outer side of each of the side panels, two anchor panels extending laterally from the outer side of each of the outside panels and a second engaging means situated on the top surface of each of the anchor panels such that the second engaging means is engagable with the first engaging means so as to place the side panels and the outside panels in proper conformation to immobilize the head of a patient placed between the side panels.
  • the first engaging means comprises a first strip of Velcro and the second engaging means comprises a second strip of Velcro which is the mate to the first strip of Velcro.
  • the foundation portion is constructed from a first distinct sheet of material
  • the restraining portion is constructed from a second discrete sheet of material and the upper surface of the foundation portion is attached to the lower surface of the base panel of the restraining portion.
  • the foundation portion and the restraining portion are constructed from the same sheet of material and the base panel extends outward from and in the same plane with the foundation panel.
  • Fig. l is a perspective view of one embodiment of the present invention in its assembled conformation.
  • Fig. 2 is a front plan section of the embodiment of Fig. l taken along line 2-2.
  • Fig. 3 is a top plan view of a second embodiment of the present invention in its unassembled conformation.
  • Fig. 4 is a perspective view of the embodiment of Fig.
  • FIGS. 5 through 8 are perspective views of the embodiment of Figs. 3 and 4 in use and positioned around the head of a patient.
  • Fig. 9 is a fragmentary view of a portion of the embodiment of Figs. 3 and 4 showing an alternative means for attaching the device to a spine board or other surface.
  • Fig 10 shows two fragmentary views of a portion of a device of the present invention showing means for holding the anchor panels of the device out of the way until they can be properly placed and engaged.
  • Figs, l and 2 depict a first embodiment of the present invention which is constructed from two separate sheets of material.
  • the first piece is a foundation portion 11 which is a flat sheet of material in the embodiment shown.
  • the foundation portion 11 comprises a foundation panel 23 which has on its upper surface four strips of hook Velcro 12.
  • the foundation panel 23 also has on its lower surface an adhesive 13 (e.g., double stick tape) for anchoring the device to a spine board or other -surface such that the device will not move during use.
  • an adhesive 13 e.g., double stick tape
  • the adhesive can be replaced with a non-slip material which will deter the device from moving over the surface of the spine board.
  • the second piece is a restraining portion 14 which in this embodiment is constructed from a second flat sheet of material.
  • the restraining portion 14 is divided into seven panels: a base panel 15, two side panels 16, two outside panels 17 and two anchor panels 18.
  • the base panel 15 is located at the center of the restraining portion 14.
  • the side panels 16 extend laterally from each side of the base panel 15.
  • the outside panels 17 extend laterally from the outer side of each side panel 16.
  • the anchor panels 18 extend laterally from the outer side of each outside panel 17.
  • the lines separating the various panels are flexible as shown to place the restraining portion 14 and its various panels in the proper conformation for use of the device.
  • Each anchor panel 18 has on one of its surfaces two strips of loop Velcro 19 (i.e., the mate to the Velcro strips on the foundation panel) such that, when the restraining portion 14 of the device is flexed into the conformation shown, the loop Velcro 19 can be engaged with the hook Velcro 12 on the foundation portion 11.
  • loop Velcro 19 i.e., the mate to the Velcro strips on the foundation panel
  • the foundation portion 11 is attached to the restraining portion 14 at attachment site 22 by any available means (e.g., glue, tape, staples) such that the two portions will not move with respect to each other during use of the device.
  • any available means e.g., glue, tape, staples
  • the upper surface of the base panel 15 and side panels 16, which will contact the patient's head during use can be lined with foam padding 20.
  • Figs. 3-5 depict a second embodiment of the present invention which is constructed from a single sheet of material.
  • Fig. 3 shows that relationship of the various features of the device within the plane of the single sheet of material.
  • the foundation portion 11 and restraining portion 14 are formed from the same sheet of material and, therefore, do not need to be joined by other means.
  • the foundation panel 23 has on its upper surface two strips of loop Velcro 19 and on its lower surface an adhesive 13 for anchoring the device.
  • the restraining portion 14 is still divided into the same seven panels. As shown in Fig. 3, the base panel 15 of this -5- embodiment extends from the center of the foundation panel
  • the side panels 16 extend laterally from each side of the base panel 15.
  • the outside panels 17 extend laterally from
  • each side panel 16 5 the outer side of each side panel 16.
  • the anchor panels 18 extend laterally from the outer side of each outside panel
  • each anchor panel 18 has on one of its surfaces two strips of hook Velcro 12 (i.e., the mate to the Velcro strips on the foundation panel) such that, when the restraining portion 14 of the device is flexed into the conformation shown, the hook Velcro 12 can be engaged with 5 the loop Velcro 19 on the foundation panel 23 as shown in
  • the outside panels 17 can be bent along the dotted line shown in Fig. 3 to add greater strength to the outside panels 17, thus preventing them from bending.
  • Figs. 3 and 4 also show that the side panels 0 16 of this embodiment have several score lines 21 along their width.
  • the score lines 21 are optional and make the side panels 16 more flexible such that they may be more closely confirmed to the shape of the patient's head to achieve a close fit as shown in Fig. 5.
  • Score lines could also be incorporated into the embodiment of the present invention shown in Figs. 1 and 2.
  • Foam padding could also be used in the embodiment shown in Figs. 3-5.
  • the embodiment shown in Figs. 3-5 is distinguished from the embodiment shown in Figs.
  • Devices of the present invention can be constructed from any sheet material with enough rigidity to support and immobilize the patient's head during use of the device.
  • the devices are constructed from corrugated cardboard or corrugated plastics.
  • Figs. 4 through 8 show a device of the present invention in use.
  • the device is slid under the patient's head such that the head rests on the base panel 15.
  • the adhesive 13 can be engaged such that the device is anchored to the spine board 24.
  • the restraining portion 14 of the device is then flexed into the proper conformation (e.g., as shown in Figs. 4 and 5) such that the side panels 16 fit snugly against the patient's head, thus preventing the head from rotating.
  • the Velcro strips of the anchor panels 18 are then engaged with the Velcro strips on the foundation panel 23 to hold the restraining portion 14 in the proper conformation. As shown in Fig.
  • a piece of adhesive tape 25 can optionally be used across patient's forehead from the apices of the side panel/outside panel joint lines to achieve greater restraint of movement of the patient's head.
  • Tape 31 can also be used, as shown in Figs. 7 and 8, to tape from one side of the spine board across the patient's head to the other side of the spine board to lend even greater stability.
  • Using the taping configuration shown in Figs. 7 and 8 in connection with a device of the present invention provides a restraint which allows virtually no movement of -7- the patient's head.
  • the patient's head is immobilized by a
  • three-point restraint method (1) circumferential contact is made with the patient's head such that the head cannot move significantly with respect to tape 25 and base panel 15; (2) a point on the back of the patient's head is immobilized with respect to the imaginary line formed by the patient's spine by fixing the device to the spine board, thus immobilizing the portion of the device under the patient's head; and (3) a point on the front of the patient's head is immobilized with respect to the imaginary line formed by the patient's spine by placing tape 31 starting from one edge of the spine board, placing it across the forehead, and the to the other edge of the spine board, thus immobilizing a point on the forehead.
  • three-point immobilization including without limitation various configurations of straps, can also be used in connection with devices of the present invention to achieve the desired degree of immobilization.
  • Such three-point method of restraint can also be employed without the devices of the present invention using other means to produce the three immobilizing factors.
  • Fig. 9 shows one means to more easily adhere a device of the present invention to a spine board or other surface without having to disrupt the position of the device.
  • the underside of the foundation portion 11 bears an adhesive strip 13 as previously described.
  • the adhesive strip 13 is covered by backing material 27.
  • a portion of the backing material 27 forms a tab 28 which sticks up through slot 29 in the foundation portion 11 of the device.
  • tab 28 is grasped as shown in Fig. 9 and the backing material 27 is pulled through slot 29 thus exposing the adhesive strip 13 and attaching the device to the surface of the spine board.
  • Other means for uncovering the adhesive strip while the device is in position can also be used.
  • Fig. 10 depicts one means for holding the anchor panels 18 in a retracted position until they can be properly placed and engaged to hold the device in the proper position.
  • An adhesive strip 30 is positioned on the surface of the anchor panel 18 opposite the hook Velcro 12.
  • the anchor panel 18 is then folded toward the underside of the outside panel 17 until the adhesive strip 30 holds the anchor panel 18 against the outside panel 17 as shown in Fig. 10A. This position holds then anchor panel 18 out of the way during positioning of the device and flexing of the panels of the restraining portion 14 such that the hook Velcro 12 on the anchor panel 18 does not prematurely become engaged with its mate, loop Velcro 19, on the foundation portion 11. Premature engagement of the Velcro may then require that the Velcro be disengaged to properly position the device which may, in some instances, result in undesirable movement of the patient's head.
  • the anchor panel 18 can then be flipped down, as shown in Fig.

Landscapes

  • Health & Medical Sciences (AREA)
  • Otolaryngology (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

On décrit un dispositif permettant d'immobiliser une tête, comprenant une partie de fondation (11) et une partie de retenue (14). La partie de fondation se compose d'un panneau de fondation (11), dont la surface supérieure comporte un premier élément d'attache. La partie de retenue (14) se compose d'un panneau de base (15), de deux panneaux latéraux (16) qui s'étendent latéralement depuis les bords extérieurs du panneau de base (15), de deux autres panneaux latéraux (17) qui s'étendent latéralement depuis les bords extérieurs de chacun des deux panneaux latéraux (16) de deux panneaux d'ancrage qui s'étendent latéralement depuis les bords extérieurs des panneaux externes (17), et d'un deuxième élément d'attache monté sur la surface supérieure de chacun des panneaux d'ancrage et qui s'engage avec le premier élément d'emboîtement de manière à disposer les panneaux latéraux et les panneaux externes dans une position qui permet d'immobiliser la tête d'un patient placée entre les panneaux latéraux (16). Le premier élément d'attache comprend de préférence une bande à boucles et crochets (19), de même que le deuxième élément d'attache (12), les deux bandes s'agrippant l'une à l'autre. Dans certains modes de réalisation du présent dispositif, la partie de fondation est fabriquée dans une première feuille distincte de matériau, tandis que la partie de retenue est faite d'une seconde feuille discrète de matériau, la surface supérieure de la partie de fondation (11) étant fixée sur la partie de retenue (14), à la surface inférieure du panneau de base. Dans d'autres modes de réalisation, la partie de fondation (11) ainsi que la partie de retenue (14) sont construites dans la même feuille de matériau et le panneau de base s'étend vers l'extérieur depuis le panneau de fondation (11) et sur le même plan que celui-ci.
PCT/US1989/004243 1988-11-23 1989-09-29 Dispositif permettant d'immobiliser une tete WO1990005503A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US27525588A 1988-11-23 1988-11-23
US275,255 1988-11-23
US28744988A 1988-12-20 1988-12-20
US287,449 1994-08-08

Publications (1)

Publication Number Publication Date
WO1990005503A1 true WO1990005503A1 (fr) 1990-05-31

Family

ID=26957330

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1989/004243 WO1990005503A1 (fr) 1988-11-23 1989-09-29 Dispositif permettant d'immobiliser une tete

Country Status (2)

Country Link
AU (1) AU4343589A (fr)
WO (1) WO1990005503A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001092883A2 (fr) * 2000-06-02 2001-12-06 Graffinity Pharmaceuticals Ag Surface permettant l'immobilisation de ligants
WO2010020745A1 (fr) * 2008-08-16 2010-02-25 Leslie Loong Zee Support de coussin

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4182322A (en) * 1978-08-04 1980-01-08 Miller Larry C Head harness device
WO1981001513A1 (fr) * 1979-11-27 1981-06-11 R Bashaw Immobilisateur cervical
US4571757A (en) * 1984-07-10 1986-02-25 Zolecki Donald L Head restraining device for cervical support brace

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4182322A (en) * 1978-08-04 1980-01-08 Miller Larry C Head harness device
WO1981001513A1 (fr) * 1979-11-27 1981-06-11 R Bashaw Immobilisateur cervical
US4571757A (en) * 1984-07-10 1986-02-25 Zolecki Donald L Head restraining device for cervical support brace

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001092883A2 (fr) * 2000-06-02 2001-12-06 Graffinity Pharmaceuticals Ag Surface permettant l'immobilisation de ligants
WO2001092883A3 (fr) * 2000-06-02 2002-08-08 Graffinity Pharm Design Gmbh Surface permettant l'immobilisation de ligants
US7955638B2 (en) 2000-06-02 2011-06-07 Graffinity Pharmaceuticals Ag Surface for the immobilization of ligands
WO2010020745A1 (fr) * 2008-08-16 2010-02-25 Leslie Loong Zee Support de coussin

Also Published As

Publication number Publication date
AU4343589A (en) 1990-06-12

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