WO1993007838A1 - Device for externally fixing and/or extending and adjusting the upper dorsal vertebral column and the cervical vertebral column while at the same time fixing the head - Google Patents

Device for externally fixing and/or extending and adjusting the upper dorsal vertebral column and the cervical vertebral column while at the same time fixing the head Download PDF

Info

Publication number
WO1993007838A1
WO1993007838A1 PCT/EP1992/002349 EP9202349W WO9307838A1 WO 1993007838 A1 WO1993007838 A1 WO 1993007838A1 EP 9202349 W EP9202349 W EP 9202349W WO 9307838 A1 WO9307838 A1 WO 9307838A1
Authority
WO
WIPO (PCT)
Prior art keywords
screw
characterized
bearing
strut
head
Prior art date
Application number
PCT/EP1992/002349
Other languages
German (de)
French (fr)
Inventor
Hassan Mohajer
Original Assignee
Hassan Mohajer
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
Priority to DE9112709U priority Critical patent/DE9112709U1/de
Priority to DEG9112709.2U priority
Application filed by Hassan Mohajer filed Critical Hassan Mohajer
Publication of WO1993007838A1 publication Critical patent/WO1993007838A1/en

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

Abstract

A device for externally fixing and/or extending and adjusting the upper dorsal vertebral column and cervical vertebral column, while at the same time fixing the head, has a holding device (10) that encloses the upper part of the body and that bears on linking braces (14; 114; 214) a ring (29) for fixing the head. The linking braces (14; 114; 214) are linked to the holding device (10) by means of a support bearing (13) and are linked to a transversal beam (22) that links the linking braces (14; 114; 214) in pairs by means of a fastening bearing (20; 121; 218). The transversal beam (22) is in turn linked to the fastening ring (29) by a fastening bearing (30). In order to improve such a device so that it is as comfortable as possible to wear and as easy to fix and adjust as possible, the linking braces (14; 114; 214) are spring-mounted on at least one of the support (13) or fastening bearings (20; 121; 218) and/or the linking braces (14; 114; 214) are inherently elastic in the vertical direction.

Description

"Apparatus for the external fixation and / or extension and adjustment of the upper Brustui rbe LsauLe and Ha Lswi rbe Lsäu le under simultaneous fixation of the head"

field of use

An apparatus for the external fixation and / or expression rate tension and adjustment of the upper Brustwi rbe Lsäu Le and the Halswi rbelsäule under simultaneous fixation of the head can be used anywhere where acute chro¬ niche or degenerative diseases immobilization of the head, of the cervical spine and the upper Brust¬ wi Show rbelsäule.

The invention relates to an apparatus for the external fixation and / or extension and adjustment of the upper Brustwi rbelsäule and cervical spine, with simultaneous fixing of the head and assumes an upper body enclosing holding device carrying the Kopftei l for attachment via connecting struts.

State of the art

Such devices in different versions are rbelsäulenfrakturen for Wi, scoliosis, arthritis and other damage to the Wi rbelsäule suitable. Such a "device of the aforementioned type is known from the document DE 87 05 922.3 1). 1 The apparatus described therein consists of a substructure, which surrounds the rib cage and bears a support mounting on the chest side of two support bearings and on the back, wherein on connecting struts a head ring is worn and fixing bearing, at which the Befest supply elements for fixing the head are located. supporting and fixing bearings are formed as Kugel¬ joints, which can be detected with screws. in this apparatus, however, it is disadvantageous that the distance is not variable between Befestigungs¬ storage and support bearing according Hontage, that is resilient so that, for example forces which act on the body of the patient, directly spine to the neck or the head to be transmitted. in addition, the adjustment of the apparatus requires a lot of time and effort to every nook and strut lengths are accurate. we also d in such devices, which exert a constant pressure on the shoulders, observed that paralysis of the arms occur "

The measures proposed in the documents US 2,820,455, US 4,194,501, US 4,620,530 and DE 33 02 078 C2 devices that are very similar in structure, also have all these disadvantages.

In the documents DE-0S 29 21 015 US 2,807,260 and US 2,904,040 similar VOI are also directions for supporting the head suggested, but not enclose a part as described in US 2,807,260 the upper body firm and the head just below the chin and in the neck support.

Here various damping devices are indeed already known, but not inventive subject of the mentioned documents ensures a secure hold of the head, it can rather be moved within certain limits, that is tilted and rotated.

Object, Solution, Advantages

The invention is therefore based on the object to provide a device of the type mentioned, the xation greatest possible comfort and ease Fi¬ and ensures adjustment, but a perfect immobilization of the head must be guaranteed gewähr¬ and wherein as many as possible with the same embodiment of the device medical conditions to be treated.

To achieve the object, there is provided Ver¬ bond sst vines storage embody resiliently vertically between support and Befestigungs¬ in itself, it being possible for it is possible to mitigate the connecting struts at one of the supporting or confining layer Befest i r or to make connecting struts resilient per se. For suspension Spi can ralf edern, gas springs and / or any compressible or flexible materials are used. An additional use of Sto߬ absorbers "is also possible.

The upper body encloses substructure consists of a front and back plate of a light and stable len material, such as plastic, plywood or other suitable material which does not cause skin irritation, which is particularly suitable for patients with sensitive skin, be¬ stand and body shapes are modeled. Both parts are straps and buckles and releasably connected together, wherein in each case a belt runs over each shoulder and at least one belt or shutter is mounted on each side, to an optimum tight fit gewährle costs. The length of the straps is adjustable ind vidually. On the chest and back plate are two Stütz¬ bearings that are connected to the connecting rods via a respective clamping connection. The braces are attached to the angled one end to the 90th The abge¬ angled member is inserted in de clamping connection and may be fixed by a screw of the invention Klemmverb e as required. In this non-fixed connecting strut is movable in the viewing direction and the opposite direction. The struts themselves are resilient, made wherein EMBODIMENTS several Aus¬. The resilient connection of supporting and fixing bearing has the advantage that vibrations of the body such as during fen Lau¬ and driving directly on the head and fluidized to be transmitted, which is on the one hand uncomfortable for the patient and on the other hand, the fixed pillar or . beein¬ adversely ruh ggestellten body parts. Moreover, results in a considerable greater freedom of movement, as for example, the entire device is not lifted during the lifting of the arms and thus the cervical spine is stretched, only the base and the head may be left by the spring travel at the same point with the mounting ring. By the suspension no constant unrelenting pressure on the shoulder area is also longer exists, so that it can not come to any Lähmungs¬ or numbness in the extremities. In addition, the Ha L swi rbe Ibe is I're not be¬ overloaded, so that in complete relaxation of the damaged areas better He is given i Lung trend. The individually ei n ste l Lba ren spring pressure, it is also possible to optimally adapt the device to the Krankheitsbi ld or the carrier.

By using four verb i ndungs ​​st vines is ensured that, when radiography of the spine is not covered by a strut.

Because of the material of the substructure, it is gewähr¬ ensure that there is no interference by the weight of the device. It is therefore bevor¬ zugterweise plastic or plywood for ausge¬ selected, the plywood is particularly suitable for very haut¬ sensitive patients. It can also be any other material that is lightweight, stable l and not skin irritating.

The most important for the patient ADVANTAGES le exist in the shortened treatment time, the shortened recovery and the possibility during Be¬ action to largely normal comply with the daily Erforder¬ nissen.

It is particularly ADVANTAGES lhaft that the neck and back muscles relaxed and does not degenerate during therapy and that due to the easy but firm execution beating not impaired ng in the inventive device.

Further advantageous embodiments of the invention are characterized in the subclaims.

Brief Description of Drawings

Ausfü rungsbeisp ele of the invention are explained below with reference to the drawings. Show it

F i g. 1, the oblique view of a device according to the invention,

F i g. 2, the Schrägans cht an inventive

Device according to another form Ausführungs¬,

F i g. 3, the Schr goose maybe an inventive

Dev ce according to a third Ausführungs¬ form,

F i g. 4 is a partially sectioned view of a resilient Verbtndungsstrebe the apparatus of Figure 3,

F i g. 5 is a partially sectioned view of a resilient connecting strut after a Aus¬ guide of the apparatus according to gur F 2. F i g. 6, the representation of two connecting struts, which are connected by a cross brace.

F i g. 7, the tei lweise sectional view of two connecting struts, which are connected by means of a längen¬ adjustable transverse strut.

Detai profiled DESCRIPTION OF THE INVENTION AND BEST WAY FOR CARRYING OUT THE INVENTION

The device 100 illustrated in Figure 1 does not include ei¬ nen base 10 which consists of a backrest and a Brust¬ plate 11, which are interconnected such that they firmly enclose the body and Schultergur e 12 directed towards the ground by forces can be moved. On the Brust¬ or back plate 11 are located approximately at the level of the clavicle right and left of the spine, the support bearing 13 for the connecting struts 14. The support bearings 13 are Trained arcs as a clamping device, the clamping can be changed via a screw 15th The connecting struts 14 are bent by 90 in the lower Tei l 16th This angled Tei l 17 is inserted in the horizontal direction in the support bearing 13, so that the connection struts 14 senk¬ stand straight up. At height of the Ver¬ be binding aim of guide sleeves 18 in a clamped connection 19 of the confining Befest i L age rs 20 is fixed. This Befest i confining bearing 20 is constructed such that a second clamping connection 21, which is movably connected to the first clamping connection 19, so that the terminal connections 19 and 21 in the viewing direction and in the opposite direction versc are wenkbar, a cross-member 22 with the connecting struts 14 of a body half is connected. The Befest gungs¬ bearing 20 can be set such ein¬ via a screw 23 that no change in angle between Quer¬ strut 22 and joining strut 14 is possible. The same effect is achieved by a second cross member 24 'which connects the connecting struts 14 of a structure-borne half to each other. Thus, making elected that the head is always held in its fixed position and can be tilted in any direction. This purpose, the cross member 24 'of two halves 24'a and 24'b, which are interconnected via a screw member 36th The halves 24'a and 24 * b of the transverse strut 24 1 are provided with a right-hand or left-hand threads 37 and 37 to 1, each of which corresponds with an internal thread 38 or 38 'of the screw body 36 so that by turning the screw element, the length L increased or ver¬ kleinert ng.

The screw body 36 is on both sides in each case by a lock nut 36a, 36b on the right - or. Left-hand thread 37 and 37 of the halves 1 24'a and 24'b of the transverse strut 24 'screw arranged ange¬ are secured.

Further embodiments of the second transverse strut s nd n Fig.6 and Fig.7 shown. In Figure 6, the second cross member 24 is fixedly or detachably connected with two connecting struts.

Fig. 7 shows a second cross-member 35 via zu¬ additional Befest i confining position r 32 are fixed lement 33, the bindungse a Ver¬, has, on the Befest i confining bearing 32 wi rd the second cross member 35 between two connecting struts 14 connected to a structure-borne half. The cross member may optionally be in all execution ormen additionally used for reinforcement (Fig. 2 and 3), or also as the sole stiffening.

Preferably, the attachment is briefly provided above the shoulder of the patient; as shown. It may be depending on the position ch also zweckdi s i 11, the cross member 35 carry bent so that it is adapted to the shoulder. In another be¬ vorzugten embodiment, a compound of the connecting struts about the Befest i confining bearings 20 is possible.

In order nevertheless to achieve a vertical movement, the connection strut 14 from a Spiral¬ spring 25 which is placed around a rod 26 which is guided by the guide sleeve 18th The rod 26 is provided with a thread 31, so that the spring force can be varied over a screwable thrust bearing 28, the screw wobe thrust bearing 28 with a nut 34 is countered. In order to fix the head to the apparatus 100, a be¬ known per se head ring 29 is fixed via clamping connections 30 to the cross member 22nd The apparatus 200 shown in Figure 2 differs only in the way of the connecting struts 114 and the spring force adjustment, and 24, the lack of cross brace Here there are the connecting rods 114 of two interlocking telescoping tubes 115 and 116, the n Figure 5 are shown geschn kill. In both tubes, a coil spring T17 is inserted, wherein in the region of the tube 115 and the bottom of the tube 116 lfe a Führungsh sets einge¬ in the spiral spring 117 118. In the upper part of the tube 116 is an internal thread 119 into which the iderlager 120 can be screwed and thus the spring strength vari¬ ated. In order to prevent un-intent chtigtes adjustment, the internal thread 119 and the abutment 120 is executed selbst¬ retardant. The tube 116 is fixed about the fixed supply Be¬ storage 121st The lower part 122 of the tube 115 is angled at right angles and is likewise if supported by the support bearing. 13 Again, a reinforcement with the cross-member 35 of FIG. 7 is possible, as also shown.

Also in Figure 3, an embodiment of the apparatus is shown in which the verb ndungsstreben 214 (Fig.4) are deviating running of Fig.1. Again, the connecting struts 214 of a half of the body with a Querstre * 7 be fixed to each other by 35 FIG.. The resilient effect is here also by two interlocking telescoping struts er¬ ranges 215 and 216, "through which a coil spring is set 217, which finds its abutment in the mounting bearing 218 and a screwable end support 219th The screw thrust bearing 219 is screwed onto the tube 215 . the with an external thread 220 is provided and is fixed in the support bearing 13. Due to the rotation of the screw-counter bearing 219 on the external thread 220 has a Höhenverste l is achieved Lung so that the Feder¬ length is increased or decreased. in addition, the screw abutment 219 countered with a nut 221st

Claims

claims
, Device for the external fixation and / or Exten¬ sion of the upper thoracic and cervical siule (10> is under simultaneous fixation of the head, the device consisting of a body enclosing the upper holding that strive on Verbindungs¬ (14; 114; 214) a buildin supply ring (29) for fixation of the head wears, the Ver¬ connection struts (14; 114; 214) via a support bearing C13) on the holding device (10) and a Be¬ fixing bearing (20; 121; 218) at a cross brace (22), each having two connecting struts (14; 114; 214), and the cross strut (22) on Be¬ fastening ring (29) via a mounting bearing (30) are articulated respectively, characterized in that the connecting struts ( 14; 114; 214) (on at least one of the support 13) or Befest supply shelf (20; 121; 218) are cushioned and / or that the connecting struts (14; 114; 214) are located in senk¬ made quite springy.
Device according to claim 1, characterized in that each connecting strut (14) of a rod (26), which is jacketed with a helical spring (25), wherein the coupling flange (20) of the head ring
(29) a guide sleeve (18) is fixed in which the
Rod (26) is movably supported and that the spiral spring (25) is screwed between the guide sleeve (18) and a screwable end support (28) winds on a Außenge¬ (31) of the rod (26) ein¬ set i st.
Device according to claim 1, characterized in that each connecting strut (114) consists of two telescoping cash tubes (115, 116), wherein in the tubes (115, 116) a coil spring (117) is inserted and the pipe (116) in the pipe (115) is inserted and wherein the coil spring (117) ederum is provided as a guide in the region of the tube (115) with a rod (118), and that the tube (116) has an internal thread
(119) possesses, in which an abutment screwable
(120) is screwed and that the spring force can be varied by turning the screw-abutment (120), said spring (117) between the screw-member (120) and the base (115 ") of the tube (115) is inserted.
Device according to claim 1, characterized in that each connecting strut (214) consists of two into one another te Leskopi erba ren tubes (215, 216), said tube (216) is inserted into the tube (215) and a spring ( 217), both tubes (215, sheathed 216) and that the spring between the Be¬ fixed igungs bearing (218) and a screwable Gegen¬ bearing (219) is inserted, said screw thrust bearing (219) (on an external thread 220) of the tube (215) sits, and that the spring force can be adjusted by rotating the screw-thrust bearing (219) on the thread (220).
5. Device according to one of claims 2 or 4, characterized in that the screw abutment (28; 219) with a nut (34; 221) is countered.
6. The device according to claim 3, characterized in that the internal thread (119) and the screw Wi¬ derlager (120) are self-locking.
7. Device according to one of claims 2, 4, 5 or 6, characterized in that two connecting struts (14; 214) mit¬ each other by a transverse strut (24) are connected, so that the transverse strut (24) and connecting struts (14 ; 214) are not relative to one another, wherein the connection leads in one piece or detachably ausge¬ is.
8. Device according to one of claims 2, 3, 4, 5 or 6, characterized HNET gekennzei that a transverse strut (24 1) comprises two halves (24'a) and (24'b), which (via a screw body 36 ) are connected together, and in that the halves (24'a, 24 * b) are respectively a right-hand or left-hand thread (37, 37 ') bear the (each with an internal thread 38, 38' correspond) of the screw body (36) wherein the screw member from both sides with in each case a nut (36a, 36b) can be secured. 9. An apparatus (according to any one of claims 2, 3, 4, 5 or 6, characterized in that two connecting struts (14) interconnected by a cross member (35) are connected, wherein the intersection points of transverse strut (35) and Ver¬ bond strut 14) or the rod (26) having a fixed to confining bearing (32) are connected, which is adjusted by means of the screw (33) and fixed so that the transverse strut (35) and connecting strut (14) are not relative to each other.
10. A device according to any preceding arrival sprüc he, characterized in that the holding device (10) of a lightweight rigid material such as plywood, plastic or other suitable material which does not cause skin irritation.
PCT/EP1992/002349 1991-10-12 1992-10-12 Device for externally fixing and/or extending and adjusting the upper dorsal vertebral column and the cervical vertebral column while at the same time fixing the head WO1993007838A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
DE9112709U DE9112709U1 (en) 1991-10-12 1991-10-12
DEG9112709.2U 1991-10-12

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19924293554 DE4293554D2 (en) 1991-10-12 1992-10-12 Device for the external fixation and / or extension and adjustment of the upper thoracic and cervical spine, with simultaneous fixing of the head

Publications (1)

Publication Number Publication Date
WO1993007838A1 true WO1993007838A1 (en) 1993-04-29

Family

ID=6872187

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1992/002349 WO1993007838A1 (en) 1991-10-12 1992-10-12 Device for externally fixing and/or extending and adjusting the upper dorsal vertebral column and the cervical vertebral column while at the same time fixing the head

Country Status (3)

Country Link
AU (1) AU2786392A (en)
DE (2) DE9112709U1 (en)
WO (1) WO1993007838A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1563813A2 (en) * 2004-01-13 2005-08-17 Spine Works, LLC Cervical orthosis
CN105105908A (en) * 2015-09-14 2015-12-02 重庆医科大学附属永川医院 Neck brace

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2807260A (en) * 1956-01-26 1957-09-24 Orthopedic Equipment Co Cervical brace
US2820455A (en) * 1953-12-28 1958-01-21 Newton J Hall Neck brace
US3177869A (en) * 1961-11-03 1965-04-13 William L Bartels Cervical neck brace
US3669102A (en) * 1969-06-09 1972-06-13 Norman M Harris Orthopedic traction apparatus
US4194501A (en) * 1978-07-31 1980-03-25 Watt Russell A First aid splint for cervical spine injuries
DE3302078A1 (en) * 1983-01-22 1984-07-26 Orthomed Chirurgische Instr Gm Spinal appliance

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2904040A (en) * 1958-08-11 1959-09-15 Randall H Hale Cervical brace
US4245627A (en) * 1976-04-30 1981-01-20 Jean Mignard Orthopaedic apparatus for spinal treatment
DE8705922U1 (en) * 1987-04-21 1988-06-01 Mecron Medizinische Produkte Gmbh, 1000 Berlin, De

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2820455A (en) * 1953-12-28 1958-01-21 Newton J Hall Neck brace
US2807260A (en) * 1956-01-26 1957-09-24 Orthopedic Equipment Co Cervical brace
US3177869A (en) * 1961-11-03 1965-04-13 William L Bartels Cervical neck brace
US3669102A (en) * 1969-06-09 1972-06-13 Norman M Harris Orthopedic traction apparatus
US4194501A (en) * 1978-07-31 1980-03-25 Watt Russell A First aid splint for cervical spine injuries
DE3302078A1 (en) * 1983-01-22 1984-07-26 Orthomed Chirurgische Instr Gm Spinal appliance

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1563813A2 (en) * 2004-01-13 2005-08-17 Spine Works, LLC Cervical orthosis
EP1563813A3 (en) * 2004-01-13 2005-11-02 Spine Works, LLC Cervical orthosis
CN105105908A (en) * 2015-09-14 2015-12-02 重庆医科大学附属永川医院 Neck brace

Also Published As

Publication number Publication date
DE9112709U1 (en) 1991-12-19
DE4293554D2 (en) 1995-05-11
AU2786392A (en) 1993-05-21

Similar Documents

Publication Publication Date Title
US3420230A (en) Back brace
US3359976A (en) Portable device for maintaining the back of a vertebral body in traction
US3977397A (en) Surgical compression-distraction instrument
US6413232B1 (en) Orthopedic knee brace having an adjustable knee pad support
US4144880A (en) Orthopedic table
US6921376B2 (en) Cervical brace
AU596106B2 (en) Pevic tilt seat
US2327671A (en) Walker mechanism for invalids
US3167068A (en) Upright lumbo-sacral traction system
US4748994A (en) Reversible walker device
US3957262A (en) Head supporting and immobilizing device
US5620412A (en) Hip abduction system
US6267741B1 (en) Cervical thoracic orthosis
US4691696A (en) Lumbar spinal brace
US5967613A (en) Wheelchair support and attachment system
RU2203119C2 (en) Device for restoring equilibrium of human body
US8038635B2 (en) Forward head posture correction collar
EP0735847B1 (en) Derotating orthotic devices for the correction of scoliotic deformities
US20080177326A1 (en) Orthosis to correct spinal deformities
US2904040A (en) Cervical brace
US4366813A (en) Knee brace
US4285336A (en) Scoliosis orthotic system
US5012798A (en) Orthesis for the tridimensional reduction of scolioses
Ivanenko et al. Neck muscle vibration makes walking humans accelerate in the direction of gaze
EP0589663A1 (en) Humeral fracture brace

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AT AU BB BG BR CA CH CS DE DK ES FI GB HU JP KP KR LK LU MG MN MW NL NO PL RO RU SD SE US

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL SE BF BJ CF CG CI CM GA GN ML MR SN TD TG

NENP Non-entry into the national phase in:

Ref country code: CA

REF Corresponds to

Ref document number: 4293554

Country of ref document: DE

Date of ref document: 19950511

WWE Wipo information: entry into national phase

Ref document number: 4293554

Country of ref document: DE

122 Ep: pct application non-entry in european phase