WO2001072250A1 - Bandage de compression - Google Patents

Bandage de compression Download PDF

Info

Publication number
WO2001072250A1
WO2001072250A1 PCT/GB2001/001212 GB0101212W WO0172250A1 WO 2001072250 A1 WO2001072250 A1 WO 2001072250A1 GB 0101212 W GB0101212 W GB 0101212W WO 0172250 A1 WO0172250 A1 WO 0172250A1
Authority
WO
WIPO (PCT)
Prior art keywords
panel
tabs
limb
around
compression
Prior art date
Application number
PCT/GB2001/001212
Other languages
English (en)
Inventor
Paul Bennett
Ian Douglas Cracknell
Original Assignee
Neopress Limited
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 Neopress Limited filed Critical Neopress Limited
Priority to AU40903/01A priority Critical patent/AU4090301A/en
Publication of WO2001072250A1 publication Critical patent/WO2001072250A1/fr

Links

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
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/08—Elastic stockings; for contracting aneurisms
    • A61F13/085—Openable readjustable

Definitions

  • the invention relates to an elasticated compression support, for use as a compression bandage around an absorbent dressing for the management of venous insufficiency in a patient's limb, particularly the lower leg, and for the control of extra vascular fluid in the treatment of venous ulcers and lymphoedemia .
  • An elasticated compression support described as a compression bandage, for holding an absorbent dressing in compression around a limb is disclosed in our published Patent Application No. O99/36019.
  • the absorbent dressing may be as disclosed in our Patent Application No. PCT/GBOO/00149.
  • the combination, of absorbent dressing and compression support or bandage is superior to the traditional "four- layer bandage" system which is conventionally used in the treatment of venous ulcers.
  • the traditional four-layer bandage system for the lower leg as pioneered by the Charing Cross Hospital, London comprises the following layers: layer 1 : A loose spiral of orthopaedic wool bandage applied without tension.
  • This layer is designed to absorb exudate and redistribute pressure around the ankle, protecting the bony prominences such as the malleoli, tibial crest and dorsum of the foot from excessive pressure.
  • 10 cm wide orthopaedic wool bandages sold under the trade Marks VELBAND or SOFFBAN are suitable.
  • layer 2 A spiral of crepe bandage, preferably of width 10 cm. This layer increases the absorbency of, and smooths, the orthopaedic wool layer (layer 1) . It also preserves the elastic energy of the main compression layer (layer 3 ) .
  • layer 3 A 20 cm elastic conformable compression bandage, such as that sold under the Trade Mark ELSET, would at mid-stretch in a figure-of-eight configuration around the limb, with a 50% overlap. The compression bandage should be applied to provide a mean pressure of 17 mmHg on ankles measuring 18 to 25 cm.
  • layer 4 A 10 cm lightweight, elastic adhesive bandage, such as that sold under the Trade Mark COBAN, wound at mid-stretch around the limb with a 50% overlap.
  • This outer bandage layer should increase the mean pressure to 123 mmHg for ankles measuring 18 to 25 cm. It maintains the underlying three layers in place until removal, and adds durability to the system.
  • the intention of the four-layer bandage system is to create a graduated pressure gradient increasing from the ankle to the knee.
  • the conventional four-layer bandage system requires the services of a skilled nurse for correct application, and even when applied with skill and care relies on a purely subjective assessment by the nurse of the pressure being applied as the compression bandage layer is wound around the limb. Too little pressure makes the treatment less effective or ineffective. Too much pressure is hazardous to the patient as it can cause pressure necrosis. Even a skilled nurse cannot be completely certain that the applied pressure is correct, and the only guidance that is given is that the third and fourth layer bandages should be applied at 50% of their maximum possible stretch.
  • the combination of a compression support or bandage according to O99/36019 over an absorbent dressing according to PCT/GB00/00149 has the advantage that the compression support or bandage at least can be washed and re-used; the intention of those prior proposals was that the limb should be capable of being be dressed by the patient or by an untrained helper; and the pressure can be regulated with- much greater certainty than with the conventional four-layer system.
  • the article has side fastenings which are difficult to apply by the patient working alone. The pressure is uneven around and along the limb.
  • the pressure on the limb tends to be greater in the zone immediately adjacent to the fastenings themselves as opposed to zones diametrically remote from those fastenings. And there is a tendency for rings of higher pressure to alternate with rings of lower pressure along the length of the limb, rather than the support creating a uniform pressure throughout.
  • the desideratum is for a lower pressure at the ankle, and a gradually increasing pressure as one progressed up the calf. That is difficult to achieve with the compression support or bandage of WO99/36019.
  • the invention provides an elastic compression support for an absorbent wound dressing, comprising a panel of air-permeable elasticated material shaped to conform to the shape of a limb to be dressed when placed around the limb, and a line of fastenings for drawing together two long edges of the panel as it is tightened around the limb to provide compression support for an absorbent wound dressing around the limb, characterised in that a tongue is provided, arranged to lie between the two long edges of the panel and the limb as the panel is tightened around the limb; and the fastenings comprise mutually aligned pairs of tapes secured to or tabs integral with the panel along its long edges, arranged so that drawing the tapes or tabs apart in mutually opposite directions causes the panel to be tightened in compression around the limb; and scale markings on the tapes or tabs give a visual indication of the compression applied by each mutually aligned pair of tapes or tabs .
  • the panel of air-permeable elasticated material used in the support of ' the invention may be a panel of air-permeable neoprene microperforated rubber, covered on both faces by knitted, woven or non-woven stretchable material .
  • the faced neoprene rubber used in the construction of divers' wet-suits is suitable.
  • the material can be chosen to have a desirable modulus of elasticity.
  • the panel is made up from three or more pieces of material butt-jointed and edge-sewn together. The shaping of the individual pieces enables the made-up panel to have a three-dimensional shape which is better able to' conform to the shape of a human limb than would be a single-piece panel.
  • the panel pieces forming and lying directly alongside the two long edges of the panel to have a higher modulus of elasticity than the remainder of the panel. It has been found that in the above preferred embodiment of the invention, as each pair of mutually aligned tapes or tabs is tightened, the above construction provides a far more even pressure distribution circumferentially around the limb than if that circumference were made up exclusively of material with the same stretch characteristic. In the compression support or bandage of O99/36019 the use of a single material, and therefore a single stretch characteristic, around the limb was found to create increased pressure in the vicinity of the line of fastenings than elsewhere around the circumference of the limb. The use, in the above described preferred embodiment of the invention, of short-stretch material adjacent the fastenings and long-stretch material around the back of the panel creates a significantly more uniform pressure distribution.
  • the tapes or tabs are arranged in mutually aligned pairs along the long edges of the panel . That is to say, each tape or tab on one long edge is aligned with its counterpart tape or tab on the other long edge.
  • the tape or tab configuration to enable the tapes or tabs to be drawn apart in mutually opposite directions as the panel is tightened in compression around the limb may comprise a slit in one tape or tab of each pair, though which the other tape or tab may pass; or it may comprise a buckle through which the two tapes or tabs of the pair are drawn and turned back on themselves so that by pulling their outer or distal ends apart the inner ends of the tapes or tabs are drawn together.
  • the tapes or tabs are preferably held in their tightened condition by hook-and-pile fastenings.
  • Open hooks formed on the distal end of each tape or tab may be embedded in a pile fabric of the panel. That pile fabric may be a patch of suitable fabric sewn onto the fabric of the panel, or it may be a characteristic of the panel material itself.
  • a suitable hook-and-pile fastening system is that sold under the Trade Mark VELCRO.
  • An alternative means for holding the tapes or tabs in their tightened condition, when the tapes or tabs of each pair pass through a buckle and are turned back on themselves, is a frictional anchorage in the buckle itself .
  • the markings on the tapes or tabs creating the visual indication of a scale of compression may, when the tapes or tabs are passed through buckles and folded back on themselves, be a series of equally spaced markings on each tape or tab or on one tape or tab only of each pair.
  • the user draws the tapes or tabs through the buckles until the panel is drawn closely around the limb, and then observes the markings as increasing pressure is applied by drawing the tapes or tabs further apart.
  • the particular treatment regime for that patient may call for an increase in pressure of one, or two, or three more markings on each tape or tab to be drawn through the buckle before the panel exerts the optimum compression.
  • the treatment regime may call for a different number of markings to be drawn through the different buckles after initial close positioning, as the fastenings are progressively tightened from the ankle to the knee. In that way a desired pressure gradient can be established from the ankle to the knee. If the mutual spacing between the markings on tapes or tabs near the ankle is different from that on tabs near the knee, then it may be possible to draw the same number of markings through the buckles at all fastenings distributed along the limb, while still achieving the same desired pressure gradient.
  • the compression support of the invention may be washed and reused, in conjunction with a dressing which as disclosed in PCT/GB00/00149 itself may be washed and reused. This is a significant advantage over the once-only use of bandages in the four-layer .bandaging system discussed above .
  • the internal tongue acts in part to cushion the user's limb against being rubbed or bruised by the fastenings and in particular by buckles incorporated into the fastenings. More significantly, it provides a surface over which the two long edges of the panel can slide during tightening of the fastenings, without causing ruckling of the absorbent dressing.
  • the tongue itself is stiff, or is reinforced by astiffening panel, to prevent it from becoming ruckled or bunched together between the two long edges of the panel as the fastenings are tightened.
  • the tongue is also preferably provided with a smooth or shiny outer surface to facilitate such sliding. If three bar buckles are used, then the tapes or tabs may be passed around the outer bars of the buckles and folded back on themselves, and the middle bar may be anchored to the tongue .
  • Figure 1 is a perspective view of an elasticated compression support according to the invention, for a lower leg dressing;
  • Figure 2A is a detail of a buckle fastening of Figure 1;
  • Figure 2B is a detail of an alternative buckle fastening using a three-bar buckle;
  • Figure 2C is a detail of a non-buckle fastening as used at the foot portion of Figure 1;
  • Figure 3 is a plan view of the tongue of Figure 1.
  • Figure 1 illustrates an elasticated compression support according to the invention for supporting a wound dressing around the lower leg and foot of a patient.
  • a panel 1 is shaped and contoured to conform to the shape of the lower leg of the patient by forming it from three panel pieces, 2, 3 and 4 which are edge-butted and oversewn together to avoid the creation of bulky seams.
  • Each panel piece is made from fabric-faced microperforated neoprene and is therefore both elastic and air-permeable.
  • the panel pieces 2 and 3 which lie along the shin and front leg of the patient, are made from a short-stretch microperforated neoprene the front face of which is covered with a pile fabric providing a continuous anchorage for a hook-and-pile fastener.
  • the panel piece 4 which lies at the back of the calf and continues under the foot, is made of a long-stretch microperforated neoprene with a lower modulus of elasticity.
  • the panel 1 is tailored to a typical patient's leg size and shape. It is envisaged that the invention would be available in a range of standardized sizes, to fit closely around the limbs of a range of patients. Alternatively it would be possible to have the panel 1 custom-made for a more accurate fit .
  • Each fastening comprises a buckle 7 which in use lies between the two facing long edges of the panel 1 and is protected from chafing contact with the patient's shin by a tingue 8.
  • Each fastening 5 further comprises two mutually aligned tapes 9 each secured to one long edge of the panel 1.
  • the buckle is not anchored to the tongue 8 but is simply held between the two tapes 9. It is illustrated in Figure 2A as being threaded through one tape on the left hand of the Figure but not through the identical tape on the right hand side. In use however both tapes are threaded through the buckle 7 and folded back on themselves as illustrated in Figure 1.
  • Distal portions 10 of the tapes 9 are provided, on their inner surfaces as viewed in Figure 2A, with the hook components of a hook-and-pile fastening, so that after pulling the tapes in mutually opposite directions to tension the panel 1 around the lower limb, they can be anchored under tension by simply pressing the hook fastenings against the pile of the panel pieces 2 and 3.
  • FIG. 1 Marked on the outwardly facing side of the tapes 9 is a series of scale markings 11. It will be readily appreciated from Figure 1 how, after the tapes 9 have been pulled apart just sufficient to draw the panel 1 around the patient's calf and to close it around the calf without applying pressure, the tapes can be pulled further while counting the number of scale markings 11 passing through the buckle 7. If the person applying the compression support counts a predetermined number of markings passing through the buckle, then it will known that a predetermined and repeatable degree of tension will have been established in the panel 1 at the level of that particular fastening 5, so that the individual fastenings 5 can be reliably and reproducibly fastened to a predetermined regime of compression around the patient's lower limb.
  • FIG 2B shows an alternative fastening 5, utilising a three-bar buckle 7'.
  • the three-bar buckle 7 ' is secured to the front of a tongue 8 so as to lie in use between the two long edges of the panel 1.
  • Each fastening 5 comprises a tape 9 secured to one long edge of the panel 1.
  • the tapes 9 are shown in Figure 2B as being withdrawn from the buckle 7 ' , but in use pass around the outer bars of the buckle 7' so that the distal ends 10 of the tapes 9 can be pulled in mutually opposite directions.
  • the tapes 9 are arranged in pairs down the long edges of the panel 1, each pair of tapes 9 being mutually aligned so that in use they are passed through the opposite outer bars of the same buckle 7'.
  • the fastening of Figure 2B is the same as that of Figure 2A.
  • each fastening 6 comprises two tapes 12 and 13, arranged in mutual alignment and fastened one to panel piece 2 and one to the panel piece 3 of the panel 1.
  • the tapes 12 and 13 are however elastic tapes, for reasons which will be described below.
  • the tape 12 is broader than the tape 13, and is anchored to the panel piece 2 at extremities only of its width so as to create a slit 14 through which the tape 13 can pass.
  • the tape 13 is threaded through the slit 14, and the tapes 12 and 13 are then pulled in mutually opposite directions until the panel 1 is drawn closely around the foot of the patient without exerting tension. Thereafter the tension on the tapes 12 and 13 can be increased until a predetermined number of markings 11 on the tape 13 have been pulled through the slit 14, at which stage a predetermined tension has been applied to the tapes, generating a predetermined compression on the foot of the patient.
  • the tapes 12 and 13 are elastic tapes because they must expand to allow the patient's foot to spread as the patient stands and walks.
  • Figure 3 illustrates the tongue 8 which is placed on the inside of the panel 1 beneath the buckles 7.
  • the tongue 8 is anchored at the toe end by a double web 16 of tape the underside of which carries open hook components of a hook-and-pile fastening.
  • the pile component of the fastening is provided by the outer covering of the panel pieces 2 and 3.
  • the material of the tongue 8 is preferably microperforated neoprene, with a panel 17 of non-stretch foam cushion material along the front leg portion to lie under the buckles 7. If three-bar buckles are used, then these may be secured to the tongue 8 as illustrated in Figure 2B. Alternatively if the two-bar buckles of Figure 2B are used the simple tongue 8 of Figure 3 is appropriate, and the buckles are held solely by the tapes 9.
  • the compression support of the invention can be applied easily and to a consistent predefined applied pressure by a patient, with the pulling apart of the pairs of tapes of the individual fasteners being a particularly simple, comfortable and reliable method of creating the desired degree of compression which is clearly discernible from the graduated markings on the fastening tapes.

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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)
  • Materials For Medical Uses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

La présente invention concerne un support de compression élastique, destiné à un pansement de plaie absorbant, qui comprend un panneau (1), constitué d'un matériau élastique, perméable à l'air et formé de façon à prendre la forme d'un membre devant être pansé lorsqu'il est placé autour de celui-ci, ainsi qu'une série de fixations (5), permettant de tirer l'un vers l'autre deux bords longs du panneau (1) lorsque celui-ci est serré autour du membre, afin d'assurer un support de compression. Ces fixations (5) comprennent des paires de bandes (9) ou de pattes, qui sont mutuellement alignées et fixées au panneau (1) ou intégrées au panneau (1), le long de ses bords longs. Ces fixations sont conçues de façon que l'éloignement par traction des bandes ou des pattes dans des directions mutuellement opposées provoque le serrage du panneau (1) en compression autour du membre. Des repères (11) situés sur les bandes (9) ou sur les pattes donnent une indication visuelle de la compression qui est appliquée par chaque paire de bandes ou de pattes mutuellement alignée.
PCT/GB2001/001212 2000-03-29 2001-03-21 Bandage de compression WO2001072250A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU40903/01A AU4090301A (en) 2000-03-29 2001-03-21 Compression bandage

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0007579A GB0007579D0 (en) 2000-03-29 2000-03-29 Compression bandage
GB0007579.6 2000-03-29

Publications (1)

Publication Number Publication Date
WO2001072250A1 true WO2001072250A1 (fr) 2001-10-04

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ID=9888634

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2001/001212 WO2001072250A1 (fr) 2000-03-29 2001-03-21 Bandage de compression

Country Status (3)

Country Link
AU (1) AU4090301A (fr)
GB (1) GB0007579D0 (fr)
WO (1) WO2001072250A1 (fr)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2138140A3 (fr) * 2008-06-25 2011-03-09 Abolgh Hechmat Manchette de compression adaptable circulairement et segmentairement
WO2014132127A1 (fr) 2013-02-27 2014-09-04 3M Innovative Properties Company Dispositif de compression
WO2014160572A1 (fr) 2013-03-27 2014-10-02 3M Innovative Properties Company Dispositif de compression
WO2016003790A1 (fr) 2014-06-30 2016-01-07 3M Innovative Properties Company Systèmes de compression
CN105324095A (zh) * 2013-09-26 2016-02-10 3M创新有限公司 压迫装置
EP2981236A1 (fr) * 2013-04-05 2016-02-10 Cizeta Medicali France Nouveau bandeau de compression
WO2016048827A1 (fr) 2014-09-23 2016-03-31 3M Innovative Properties Company Dispositif de compression
US10028896B2 (en) 2014-06-26 2018-07-24 3M Innovative Properties Company Skin treatment composition
CN109223308A (zh) * 2018-09-26 2019-01-18 上海交通大学医学院附属第九人民医院 一种新型的医用弹力绷带

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN211244075U (zh) * 2019-06-03 2020-08-14 曾令员 一种压力量化标记的弹力装置

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3845769A (en) * 1972-10-11 1974-11-05 F Shaw Therapeutic boot
US3856008A (en) * 1970-12-16 1974-12-24 Jobst Institute Elastic garment for imposing pressure on underlying body regions
DE8604243U1 (de) * 1986-02-18 1986-07-17 Bauerfeind GmbH, 47906 Kempen Verschluß für Gurte u.dgl.
FR2683144A1 (fr) * 1991-10-30 1993-05-07 Richard Freres Sa Attelle de membre inferieur.
US5254122A (en) * 1992-07-23 1993-10-19 Shaw Frank D Longitudinally extending splicing band for body or limb encircling therapeutic device
DE4440776A1 (de) * 1994-07-14 1996-01-18 Medifan Inst Fuer Angewandte N Anti-Schock-Hose für medizinische Anwendung
US5918602A (en) * 1996-06-04 1999-07-06 Circaid Medical Products, Inc. Therapeutic compression garment
WO1999036019A1 (fr) * 1998-01-20 1999-07-22 Neopress Limited Pansement compressif

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3856008A (en) * 1970-12-16 1974-12-24 Jobst Institute Elastic garment for imposing pressure on underlying body regions
US3845769A (en) * 1972-10-11 1974-11-05 F Shaw Therapeutic boot
DE8604243U1 (de) * 1986-02-18 1986-07-17 Bauerfeind GmbH, 47906 Kempen Verschluß für Gurte u.dgl.
FR2683144A1 (fr) * 1991-10-30 1993-05-07 Richard Freres Sa Attelle de membre inferieur.
US5254122A (en) * 1992-07-23 1993-10-19 Shaw Frank D Longitudinally extending splicing band for body or limb encircling therapeutic device
DE4440776A1 (de) * 1994-07-14 1996-01-18 Medifan Inst Fuer Angewandte N Anti-Schock-Hose für medizinische Anwendung
US5918602A (en) * 1996-06-04 1999-07-06 Circaid Medical Products, Inc. Therapeutic compression garment
WO1999036019A1 (fr) * 1998-01-20 1999-07-22 Neopress Limited Pansement compressif

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2138140A3 (fr) * 2008-06-25 2011-03-09 Abolgh Hechmat Manchette de compression adaptable circulairement et segmentairement
WO2014132127A1 (fr) 2013-02-27 2014-09-04 3M Innovative Properties Company Dispositif de compression
AU2014222382B2 (en) * 2013-02-27 2016-11-24 3M Innovative Properties Company Compression device
JP2016521150A (ja) * 2013-03-27 2016-07-21 スリーエム イノベイティブ プロパティズ カンパニー 圧迫装置
US10058457B2 (en) 2013-03-27 2018-08-28 3M Innovative Properties Company Compression device
US11007087B2 (en) 2013-03-27 2021-05-18 3M Innovative Properties Company Compression device
CN105263451A (zh) * 2013-03-27 2016-01-20 3M创新有限公司 压迫装置
AU2014241717B2 (en) * 2013-03-27 2016-12-01 3M Innovative Properties Company Compression device
WO2014160572A1 (fr) 2013-03-27 2014-10-02 3M Innovative Properties Company Dispositif de compression
EP2981236A1 (fr) * 2013-04-05 2016-02-10 Cizeta Medicali France Nouveau bandeau de compression
CN105324095B (zh) * 2013-09-26 2019-11-22 3M创新有限公司 压迫装置
CN105324095A (zh) * 2013-09-26 2016-02-10 3M创新有限公司 压迫装置
US10028896B2 (en) 2014-06-26 2018-07-24 3M Innovative Properties Company Skin treatment composition
WO2016003790A1 (fr) 2014-06-30 2016-01-07 3M Innovative Properties Company Systèmes de compression
WO2016048827A1 (fr) 2014-09-23 2016-03-31 3M Innovative Properties Company Dispositif de compression
US20170273830A1 (en) * 2014-09-23 2017-09-28 3M Innovative Properties Company Compression device
US11278453B2 (en) 2014-09-23 2022-03-22 3M Innovative Properties Company Compression device
CN109223308A (zh) * 2018-09-26 2019-01-18 上海交通大学医学院附属第九人民医院 一种新型的医用弹力绷带

Also Published As

Publication number Publication date
AU4090301A (en) 2001-10-08
GB0007579D0 (en) 2000-05-17

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