WO1995031951A1 - Dispositif de fixation externe d'extremites et des zones situees aux extremites du corps et coussin de rembourrage du dispositif - Google Patents

Dispositif de fixation externe d'extremites et des zones situees aux extremites du corps et coussin de rembourrage du dispositif Download PDF

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Publication number
WO1995031951A1
WO1995031951A1 PCT/EP1995/001959 EP9501959W WO9531951A1 WO 1995031951 A1 WO1995031951 A1 WO 1995031951A1 EP 9501959 W EP9501959 W EP 9501959W WO 9531951 A1 WO9531951 A1 WO 9531951A1
Authority
WO
WIPO (PCT)
Prior art keywords
cushion
pillow
fabric
extremity
knitted fabric
Prior art date
Application number
PCT/EP1995/001959
Other languages
German (de)
English (en)
Inventor
Peter Habermeyer
Original Assignee
Peter Habermeyer
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 Peter Habermeyer filed Critical Peter Habermeyer
Priority to EP95922476A priority Critical patent/EP0760642A1/fr
Priority to AU27360/95A priority patent/AU2736095A/en
Publication of WO1995031951A1 publication Critical patent/WO1995031951A1/fr

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Classifications

    • 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. 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
    • A61F5/058—Splints
    • A61F5/05833—Splints rigidified by vacuum evacuation
    • 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
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/04—Plaster of Paris bandages; Other stiffening bandages

Definitions

  • Device for enclosing extremities and extremity areas and pillows as an insert for the device.
  • the invention relates to a pillow with a plurality of small-grained fillings arranged in its interior, which is deformable, vacuum-tight and evacuatable, in particular as an insert in a device for enclosing extremities and extremity areas, in particular for treatment of extremity fractures in the area of the lower leg, thigh, forearm and upper arm, in which at least two shell parts can be braced against one another, which surround the extremity to be enclosed, and in which the cushion and a device are arranged between the shell parts and the extremity for enclosing extremities and extremity areas.
  • DE-A-42 17 061 discloses such a device, described at the outset, for enclosing the fixation of extremities and extremity areas.
  • the air passage openings are combined to form island areas, which means in particular in the area of a calf of a lower leg to be enclosed for improved ventilation of this area of the extremity and for an almost immediate application of this muscle area to the associated area, which is only interrupted by the wall of the pillow Shell part is taken care of.
  • the absence of the filling elements in this island region means that the thermal insulation effect exerted by the filling elements is eliminated in this region and the tendency to sweat in this muscle region is reduced. It also reduces the total volume of the pillow and the size of the pillow in that area. In spite of this configuration of the pillow with air passage openings combined into island areas in special extremity areas, heat build-up, the formation of moisture and good ventilation of the extremity cannot be avoided.
  • Gypsum bandages or their modern variants in the form of plastic bandages are usually applied to treat extremity fractures.
  • the application of such bandages not only requires considerable skill and a corresponding effort for the staff, but often also leads to extremely annoying pressure points for the patient due to edges or protrusions on the inside of the plaster or plastic bandage.
  • the patient After the reduction of the respective franking, the patient is exposed to the painful phase of rewrapping the bandages and waiting for the plaster to set.
  • it is generally necessary to change this plaster or plastic bandage if the limbs in question swell in the course of the fracture treatment. This is also a complex process that is again unpleasant for the patient.
  • WO 92/04880 thus describes a device for closing fixation of extremities and extremities areas is known, which is provided in particular for the treatment of extremity fractures in the area of the lower leg, thigh, forearm and upper arm.
  • This device has at least two shell parts which can be braced against one another and which surround the extremity to be closed.
  • two moldable, vacuum-tight, evacuable cushions provided with at least one valve, in which there are a large number of relatively small, in particular small-sized packing elements.
  • the object of the present invention is to provide a pillow and a device for receiving the pillow as an insert of the type described at the beginning, with which good climatic conditions in the area of the extremity are created when the device is in place, heat build-up avoided and moisture absorption and derivative can be achieved.
  • the pillow comprises a calf part and a foot part and is on the wall surface facing the extremity with a layer having a shape corresponding to the shape of the pillow, made of a flat structure made of a woven, knitted or crocheted fabric, a terry cloth or knitted fabric or one Provided fiber fleece, the pad is fixed or releasably connected to the cushion wall surface.
  • the pillow is formed in one piece with a calf part and a foot part connected to it.
  • the pillow consists of two individual blanks, one of which is the calf part and the other is the foot part.
  • the two blanks forming the calf part and the foot part can also be releasably connected to one another.
  • the pad attached to the pillow has a cutting shape that corresponds to the shape and cut of the pillow in its one-piece embodiment, the pads corresponding to the cut shapes of the calf part and the foot part in the two-part design of the pillow.
  • the pillow is surrounded by a pocket or envelope-shaped covering made of a flat structure made of a woven fabric, knitted fabric, knitted fabric, a terry woven fabric or knitted fabric or a non-woven fabric.
  • This cover is envelope-shaped and provided with a closable insertion opening.
  • a single cover is attached to the pillow, which corresponds to the shape of the pillow.
  • both the calf part and the foot part are each covered with a covering made of a flat structure made of a woven fabric, knitted fabric, knitted fabric, a terry cloth or knitted fabric or a non-woven fabric.
  • the pillow By designing the pillow with a pad or a covering made of a tissue feed improves the wearing comfort of such a device for enclosing fixation of extremities and extremity areas.
  • the fabric cover or cover made of a fabric blank helps to prevent heat build-up. Moisture absorption by the fabric is possible, the moisture being diverted to the outside area with the possibility that the moisture can be dissipated to the outside and evaporate due to the lattice structure of the shell parts of the shell body of the device, since good ventilation is due to This lattice structure of the shell body is guaranteed.
  • the climatic and hygienic conditions are significantly improved by such an inventive design of the pillow.
  • FIG. 1 shows an advantageous, one-piece design of the pillow with a contiguous calf part and a foot part in a top view with a covering made of a fabric section
  • FIG. 1 shows a further embodiment of a two-part pillow with coverings made of fabric sections
  • FIG. 4 is a top view of a one-piece design of the cushion with an envelope-like covering made of a fabric blank
  • FIG. 6 shows a top view of a two-part design of the pillow with envelope-like covers made of fabric sections and
  • FIG. 7 and 8 each show different embodiments of a device consisting of two shell parts in a perspective view.
  • a flat, evacuable cushion is shown, the valve being on the invisible back.
  • the pillow has a plurality of interconnected vacuum-tight regions 200 filled with packing elements, between which webs 210 and islands 220 are formed.
  • the webs 210 and the islands 220 are provided with air passage openings 211, 221.
  • the webs 210 preferably run in a zigzag shape or straight in the direction of the longitudinal extent of the cushion 20.
  • the webs form ventilation channels. Further ventilation channels are formed by negative folds in the pillow which arise during the evacuation of the pillow, so that channels 210 also form between the islands 220 and the webs.
  • an island area 230 is provided which has air passage openings 231.
  • an island area 240 is provided in the cushion 20, which marks the point of contact with the heel and is provided with air passage openings 241.
  • the cushion 20 is arranged in the shell parts of the plinth 100, which are described in more detail below, in such a way that at least the channels formed by the webs 210, but preferably also the islands 220, 230 and 240, have a grid in the area of the openings in the associated one ⁇ structure-containing shell part 120, 130 are located. This ensures the exchange of air between the enclosed body parts and the outside of the device.
  • the cushion 20 has a calf part 21 and a foot part 22.
  • the calf part 21 is connected to the foot part 22; the calf part 21 and the foot part 22 then form the pillow cut (FIG. 1).
  • the pillow consists of two individual blanks 20b, 20c, of which the blank 20b forms the calf part 21 and the blank 20c forms the foot part 22.
  • the second embodiment of the cushion 20 there is also the possibility of releasably connecting the two blanks 20b, 20c forming the calf part 21 and the foot part 22 to one another.
  • a button connection or a connection in the manner of the Velcro fastener can be used as the connecting means.
  • the calf part 21 consists of an approximately rectangular cut with conically tapering or beveled edge regions 21a, 21b extending towards the foot part 22.
  • the foot part 22 is formed by two inclined, approximately rectangular sections 22a, 22b and an approximately rectangular central section 22c connecting both sections 22a, 22b.
  • the cut forming the calf part 21 adjoins the central part 22c of the cut for the foot part 22 (FIGS. 1 and 3).
  • the cushion 20 has on its wall surface 20a facing the extremity a support 30 made of a flat structure made of a woven, knitted or crocheted fabric, a terry cloth or knitted fabric or a non-woven fabric, this support 30 being fixed or detachable with the cushion wall surface 20a connected is.
  • the support 30 has a cut shape which corresponds to the shape of the cut of the one-piece cushion 20 (FIGS. 1 and 2).
  • the blank 20b forming the calf part 21 and the blank 20c forming the foot part 22 are each provided with a support 30 ', SO'', these supports also being made of the same material as the fabric support 30 .
  • the fabric overlay 30 is fastened by means of an adhesive. If cleaning of the tissue pad 30 is required, it must be cleaned together with the entire pillow.
  • the fabric support 30 or 30 ', 30 is releasably attached to the wall surface 20a of the cushion 20 or to the wall surfaces of the blanks 20b, 20c in the two-part configuration of the cushion 20, the support is by means of a push-button connection, a button connection or by means of a Velcro connection held on the wall surface of the cushion.
  • An attachment can also be carried out by means of an adhesive, the adhesive then being designed such that it can be detached and fastened several times.
  • the pillow 20 is surrounded by a pocket-shaped or sleeve-shaped covering 40 made of a flat structure made of a woven, knitted or crocheted fabric, a terry cloth or knitted fabric or a nonwoven fabric.
  • a cover 40 * ", 40" which is designed in accordance with the cover 40.
  • the fabric covers 40, 40 ′′, 40 ′′ are envelope-shaped and provided with a closable insertion opening on the side (FIG. 6).
  • FIGS. 7 and 8 A device for enclosing extremities is shown in FIGS. 7 and 8 as a shell body 100 for the foot / lower leg area of a patient.
  • the shell body 100 consists of two shell parts which can be braced against one another, namely a rear shell part 120 and a front shell part 130, both shell parts 120, 130 being approximately L-shaped.
  • Each shell part 120 or 130 consists of a shaft 121 or 131 and a foot part 122 or 132, the foot parts 122, 132 of the two shell parts being connected to one another by their shafts 121, 131 via lateral swivel joints 125, 135 , so that the foot parts 122, 132 can be pivoted to the shafts 121, 131 about pivot axes 125a, 135a.
  • Both the shell parts 120, 130 and their swivel joints 125, 135 are expediently made of plastic.
  • the foot parts 122, 132 and the shafts 121, 131 of the two shell bodies are designed to be open on one side in the form of a shell, so that a receptacle for the foot and the lower leg is created in the rear shell part 120.
  • the front shell body 130 is designed in the same way, so that it can be placed with its shaft 131 and its foot part 132 on the shaft 121 and the foot part 122 of the rear shell part 120.
  • an outsole 123 is provided, the outer shape of which is adapted to the rolling movement of the foot when walking.
  • the outsole 123 is designed as a cradle or provided with a walking lug 124.
  • the foot parts 122, 123 and the shafts 121, 131 of the two shell parts 120, 130 of the shell body 110 are designed in the shape of a shell in the direction of the foot and the lower leg, the design being such that the front shell part 130 is in the rear shell part 120 can be used in such a way that the side wall sections of the rear shell part 120 overlap sections of the side wall sections of the shell part 130.
  • Both the shell part 120 and the shell part 130 have an approximately semicircular cross section, so that when the shell parts are placed one on top of the other, the side wall sections of the two shell parts 120, 130 overlap.
  • the shell parts 120, 130 have a certain elasticity, the elasticity of the side walls of the two shell parts 120, 130 expediently increasing from their central regions of the shaft parts to their front free edges of each shell part .
  • the shell parts 120 and 130 have a (closely meshed) lattice structure than is caused by the ribs 111, 112.
  • the longitudinal ribs are designated by 111 and the transverse ribs by 112, the Shaft parts 121 and 131 of the rear part 120 and of the front part 130 each have a continuous longitudinal rib purple and 112a, which are more stable than the transverse ribs 112 and the other longitudinal ribs.
  • the transition area is made wider or larger in diameter.
  • transverse ribs 112 including inclined ribs no fixed contours are required as long as the required inherent rigidity and strength or bending strength of the shell parts is achieved.
  • the essential idea of the invention is based on the fact that material can be saved considerably by means of a lattice or rib-shaped design, and that the air supply is also improved.
  • At least one gap 114 is variable in width so that the shaft part of the patient's calf can be adapted.
  • the cushion 20 described above is arranged between the two mutually clampable shell parts 120, 130 and the extremity, which is provided with a valve and consists of a bladder in which a multiplicity of fillers movable relative to one another is provided.
  • the cushion 20, which can be placed tightly and appropriately on the limb section to be treated, is evacuated in the course of a short period of time during the evacuation.
  • the shape created during the application process is hard and dimensionally stable, so that, in conjunction with the hard shell parts, a very firm sleeve is formed, which is well modeled on the respective extremity and which cannot produce any pressure points in the area of the skin, since there is no radial afterward when this structure is consolidated internal pressure is created and no edges or protrusions can be formed on the inside.
  • a movement in the ankle of the patient can be prevented by setting the angle of inclination of the shaft part with respect to the foot part about the pivot axis 125 or 135.
  • This fixed angle can be selected as a function of the injury to be treated within the entire adjustable swivel angle range.
  • the determination of a certain angle is carried out by means of appropriately designed adjusting devices, wherein in the rear shaft part 120 an angle specification for setting an angle of 90 ° or 120 ° between the foot part 122 and the shaft 121 by means of one not shown in the drawing ⁇ angle adapter can be made.
  • the front shell part 130 is provided with an angle adjustment device 190, by means of which the foot part 132 to the shaft 131 is set in a predetermined manner Angular position can be locked, this angular position corresponding to that angular position of the foot part 122 to the shaft 121 of the rear shell part 122.

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  • Health & Medical Sciences (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)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

Un coussin déformable, étanche au vide et dans lequel on peut faire le vide contient une pluralité de petits grains de remplissage mobiles les uns par rapport aux autres. Ce coussin sert notamment à rembourrer un dispositif de fixation externe d'extrémités et de zones du corps situées aux extrémités, notamment pour le traitement de fractures des extrémités dans la zone des jambes, des cuisses, des bras et des avant-bras. Le dispositif comprend au moins deux coques serrables l'une contre l'autre qui entourent l'extrémité à immobiliser. Le coussin (20), qui comprend une partie mollet (21) et une partie pied (22), est placé entre les deux coques et l'extrémité du corps. La surface (20a) du coussin qui fait face à l'extrémité est pourvue d'un revêtement (30) de forme correspondante à la forme du coussin (20) en un tissu tissé, à mailles ou tricoté, en un tissu tissé ou tricoté éponge ou en un non-tissé. Le revêtement (30) est relié à la surface (20a) du coussin de manière fixe ou amovible.
PCT/EP1995/001959 1994-05-25 1995-05-23 Dispositif de fixation externe d'extremites et des zones situees aux extremites du corps et coussin de rembourrage du dispositif WO1995031951A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP95922476A EP0760642A1 (fr) 1994-05-25 1995-05-23 Dispositif de fixation externe d'extremites et des zones situees aux extremites du corps et coussin de rembourrage du dispositif
AU27360/95A AU2736095A (en) 1994-05-25 1995-05-23 Device for the external fixation of extremities and extremity zones and pad for lining the device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19949408537 DE9408537U1 (de) 1994-05-25 1994-05-25 Evakuierbares Kissen mit Füllkörpern als Einlage in einer Vorrichtung zur umschließenden Fixierung von Extremitäten
DEG9408537.4U 1994-05-25

Publications (1)

Publication Number Publication Date
WO1995031951A1 true WO1995031951A1 (fr) 1995-11-30

Family

ID=6909051

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1995/001959 WO1995031951A1 (fr) 1994-05-25 1995-05-23 Dispositif de fixation externe d'extremites et des zones situees aux extremites du corps et coussin de rembourrage du dispositif

Country Status (4)

Country Link
EP (1) EP0760642A1 (fr)
AU (1) AU2736095A (fr)
DE (1) DE9408537U1 (fr)
WO (1) WO1995031951A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2319963A (en) * 1996-12-05 1998-06-10 Michael Joseph Anthony Parr An anatomical restraint
WO2004066892A1 (fr) * 2003-01-28 2004-08-12 Oped Ag Insert d'orthese
WO2006066951A2 (fr) * 2004-12-22 2006-06-29 Oped Ag Systeme de prothese
US7285104B2 (en) 2003-01-28 2007-10-23 Oped Ag Orthotic device for the ankle joint

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19708945A1 (de) * 1997-03-05 1998-09-10 Marion Mohr Teilbare Vakuum-Beinschiene mit integrierter Repositionsmechanik
DE10163706B4 (de) * 2001-12-21 2006-09-21 Oped Ag Schalenanordnung zur fixierenden Aufnahme eines Unterschenkels
US7094212B2 (en) * 2002-10-11 2006-08-22 Ossur Hf Rigid dressing

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2694395A (en) * 1951-05-10 1954-11-16 William J Brown Pneumatic pressure garment
US3580248A (en) * 1968-12-02 1971-05-25 Leighton W Larson Bivalved cast
US3955565A (en) * 1973-12-05 1976-05-11 Johnson Jr Glenn W Orthopedic apparatus
US5080089A (en) * 1990-09-05 1992-01-14 Breg, Inc. Therapeutic apparatus applying compression and a nonambient temperature fluid
WO1993024081A1 (fr) * 1992-05-22 1993-12-09 Peter Habermeyer Dispositif de fixation externe d'extremites de corps
DE9317421U1 (de) * 1993-05-21 1994-02-03 Habermeyer Peter Vorrichtung zur umschließenden Fixierung von Extremitäten und Extremitätenbereichen

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2694395A (en) * 1951-05-10 1954-11-16 William J Brown Pneumatic pressure garment
US3580248A (en) * 1968-12-02 1971-05-25 Leighton W Larson Bivalved cast
US3955565A (en) * 1973-12-05 1976-05-11 Johnson Jr Glenn W Orthopedic apparatus
US5080089A (en) * 1990-09-05 1992-01-14 Breg, Inc. Therapeutic apparatus applying compression and a nonambient temperature fluid
WO1993024081A1 (fr) * 1992-05-22 1993-12-09 Peter Habermeyer Dispositif de fixation externe d'extremites de corps
DE9317421U1 (de) * 1993-05-21 1994-02-03 Habermeyer Peter Vorrichtung zur umschließenden Fixierung von Extremitäten und Extremitätenbereichen

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2319963A (en) * 1996-12-05 1998-06-10 Michael Joseph Anthony Parr An anatomical restraint
WO2004066892A1 (fr) * 2003-01-28 2004-08-12 Oped Ag Insert d'orthese
JP2006515782A (ja) * 2003-01-28 2006-06-08 オーペーエーデー アー・ゲー 矯正用インレー
US7285104B2 (en) 2003-01-28 2007-10-23 Oped Ag Orthotic device for the ankle joint
CN100344270C (zh) * 2003-01-28 2007-10-24 奥佩特股份公司 矫正嵌入物
WO2006066951A2 (fr) * 2004-12-22 2006-06-29 Oped Ag Systeme de prothese
WO2006066951A3 (fr) * 2004-12-22 2006-09-14 Oped Ag Systeme de prothese

Also Published As

Publication number Publication date
AU2736095A (en) 1995-12-18
EP0760642A1 (fr) 1997-03-12
DE9408537U1 (de) 1994-09-01

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