WO2004105676A1 - Botte angiologique avec chambre pneumatique plantaire pour la production d'impulsions de pression - Google Patents

Botte angiologique avec chambre pneumatique plantaire pour la production d'impulsions de pression Download PDF

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Publication number
WO2004105676A1
WO2004105676A1 PCT/MX2003/000045 MX0300045W WO2004105676A1 WO 2004105676 A1 WO2004105676 A1 WO 2004105676A1 MX 0300045 W MX0300045 W MX 0300045W WO 2004105676 A1 WO2004105676 A1 WO 2004105676A1
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WO
WIPO (PCT)
Prior art keywords
compression
boot
angiological
plantar
leg
Prior art date
Application number
PCT/MX2003/000045
Other languages
English (en)
Spanish (es)
Inventor
J. Magdiel Trinidad Vasquez
Original Assignee
Trinidad Vasquez J Magdiel
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 Trinidad Vasquez J Magdiel filed Critical Trinidad Vasquez J Magdiel
Priority to AU2003228128A priority Critical patent/AU2003228128A1/en
Priority to PCT/MX2003/000045 priority patent/WO2004105676A1/fr
Publication of WO2004105676A1 publication Critical patent/WO2004105676A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/10—Leg

Definitions

  • Blood from the lower extremities returns to the heart through a system of deep veins (intramuscular) and another of superficial veins (subcutaneous), interconnected by perforating veins (they pierce the curiosity of the leg).
  • deep veins intramuscular
  • subcutaneous subcutaneous
  • perforating veins they pierce the curiosity of the leg.
  • These two systems have one-way valves that direct blood flow to the heart, which, when closed, prevent blood from flowing back into the calf veins; likewise, communicating or perforating veins have valves that direct blood from the superficial venous system to the deep system.
  • the blood that circulates in the veins of the lower extremity returns to the heart driven mainly by the force of the patient's weight when he steps, that is, the blood that comes from the sole of the foot passes to the veins of the calf with the impulse of the footfall of the patient, there the blood receives a second impulse and is sent to the veins of the thigh, finally the contracture of the thigh propels the blood towards the abdomen.
  • the force of the blood opens the valves of the aforementioned veins, allowing it to flow to the heart, and that with the same force and weight, the blood closes the valves that, as said, are unidirectional, avoiding so blood reflux occurs.
  • venous blood normally returns from the prefixed parts of the body to the heart, by the "venous pump” system that involves numerous factors: the venous tone itself, the presence of efficient venous valves, pumping through the sole plantar venous of the foot, the contraction of the calf muscles, the propulsion force of the systolic ejection, the aspiration force of the right atrium, diaphragmatic movements and the proximity of arterial pulsations; all these mechanisms together form the venous pump of returned.
  • lymphatic edema Prior art For the treatment of venous insufficiency such as venous edema or lymphatic edema, the most common is to combine compression systems with different therapeutic methods such as manual lymphatic drainage, which is a combination of drainage maneuvers away from edema areas.
  • none of the known devices for the treatment of venous insufficiency determines or quantifies the value of the pressure that the patient receives at the time of its application; likewise, as the elastic fiber loses strength, the pressure it provides is less than that initially administered, consequently there is a loss of the therapeutic effect, that is, loss of the initial compression energy, having the need to use a second or more garments compression as required.
  • venous pump The blood of the patient who is standing or walking, with the impulse of the muscular contracture flows to the heart, this natural system of the organism is called "venous pump", however, due to the force of gravity, said blood tends reflux, which is naturally prevented if the vein valves are closed permanently.
  • venous pump due to the force of gravity, said blood tends reflux, which is naturally prevented if the vein valves are closed permanently.
  • Stagnation produces venous hypertension forming edema due to venous insufficiency, the leg veins dilate and become varicose, blood and plasma flow, the tissues become they inflame, cause fatigue and eventually venous ulceration.
  • lymphatic insufficiency causes Venous edema, which can be compensated by the lymphatic system, however, once the capillary ultrafiltrate exceeds the maximum capacity of this "security system", it will be observed lymphatic insufficiency, this is characterized by disability. from the lymphatic system to drain excess proteins and lymph, resulting in lymphatic edema.
  • mpos heel shock, middle position and impulse
  • these three times of the position phase originate the pulses of pressure energy (air) that will be directed to the compression chambers provided by this invention, which is also described later in the swing phase, which is when the foot does not touch the floor and the weight of the body is carried by the opposite extremity, the compression is released in the chambers described below; is phase begins when the thick toe leaves the floor and ends when the swing of the leg is suspended in the forward motion.
  • the present invention is capable of generating pressure energy by means of a plantar pneumatic chamber to generate air pulses and provide sufficient compression energy to improve the operation of "venous pumping" and facilitate blood return to the heart, as well as to determine that This pressure and compression can be quantified and graduated according to the degree of the patient's injury, and can be provided constantly by means of the accessories that compose it.
  • This invention presents the realization of an angiological boot, which has a pressure energy impulse generation system (air) by means of a pneumatic chamber provided in its plantar area and a compression energy system for the ankle area and calf in the lower extremity of the patient suffering from lymphatic or arterial venous insufficiency, said compression can be quantified and graduated according to the degree of injury.
  • a pressure energy impulse generation system air
  • a pneumatic chamber provided in its plantar area
  • FIGURE 1. It is a front view of the interior part of the angiological boot totally open in its design modality in one piece with cross-holding extensions, where the compression chambers that have contact with the patient's leg can be seen. , as well as the air supply valves connected to the pneumatic chamber provided in the sole of the boot.
  • FIGURE 2. Is a front view in relation to figure 1, where the angiological boot is placed on the leg using its support extensions, as well as, graduating and quantifying the compression force by means of a dynamometer.
  • FIGURE 3.- It is a front view in relation to figure 1, where the angiological boot is shown, compressing the patient's leg.
  • FIGURE 4.- It is a side view in relation to the previous figure, where the angiological boot is shown as compressing the leg and foot of the patient.
  • FIGURE 5.- Is a front view of the interior part of the angiological boot fully open in its design modality with adjustable semi-rigid bands, where the compression chambers that contact the patient's leg, as well as the valves can be seen. of air supply connected to the pneumatic chamber provided in the plantar area of the boot.
  • FIGURE 6.- Is a front view in relation to figure 5, where the angiological boot is shown as it is passing the adjustable semi-rigid bands through the anchor hooks, as well as, graduating and quantifying the compression force by means of a dynamometer.
  • Figure 7 is a front view in relation to Figure 5, which shows' as the boot is closed compressing the patient's leg using the anchoring hooks.
  • FIGURE 8.- It is a side view in relation to the previous figure, where the angiological boot is shown as compressing the leg and foot of the patient.
  • the present invention consists of an angiological boot (see Figures 1 and 5) whose main functions are, first of all, the generation of pressure impulses by means of a pneumatic chamber (1) provided in its plantar area taking advantage of "human locomotion" or walk as an energy source, and secondly, direct said pressure impulses towards the compression chambers (2 and 3) provided on the inside of the boot that has contact with the patient's leg, precisely exerting compression energy on the ankle and calf area;
  • the angiological boot has two design modalities, one consists of its one-piece design with cross-holding extensions (4) (see figures 1, 2, 3 4), and the other modality consists of its design of adjustable semi-rigid bands (5) (see figures 5, 6, 7 and 8);
  • the angiological boot is made up of a pneumatic chamber provided in the plantar area (1), which is divided into two sections
  • the angiological boot in its one-piece design modality (see figure 1), made with non-elastic material so that it does not lose compression force, has support extensions (4), which cross-close on the leg of the patient (see figure 2) covering the ankle and calf area completely and firmly (see figure 3 and 4), thus exerting initial compression on it.
  • This compression can be graduated and quantified by means of a dynamometer (9) (see figure 2), depending on the severity that venous insufficiency requires.
  • adjustable semi-rigid bands (5) of the angiological boot As for the modality of design of adjustable semi-rigid bands (5) of the angiological boot (see figure 5), it consists of the integration of a series of individual bands (5) of non-elastic material so that they do not lose compression force, with a length according to the perimeter of the leg (see figure 6), which are joined in a line of common origin by means of anchor rectangles (10) arranged in series, the center of which is divided into two slits (a and b), in the smallest slit (a) is born the adjustable band (5), it passes through the integration bands (11), hugging the end and then, passing through the largest slit (b) of the anchoring rectangle, thus closing the circle said band joining itself by means of the sailboat (see figures 7 and 8), the integration bands (11) are movable and can be in variable number of 3 or 4 depending on the thickness of the leg; they are distinguished in a vertical position, placed around the perimeter of the leg according to the site to be compressed
  • the holding extensions (4) are passed in crossed shape around the ankle and calf, in this way, the boot adjusts to the entire perimeter of the external area of the limb (see figures 3 and 4), performing the compression force required according to the degree of disease, this compression can be graduated and quantified by means of a dynamometer (9) (see figure 2) when adjusting the extensions on the patient's leg.
  • adjustable semi-rigid bands (5) of the angiological boot In the case of its modality of design of adjustable semi-rigid bands (5) of the angiological boot (see figure 5), its application consists in that, once placed on the foot and leg, the adjustable bands (5) are positioned to the limb contour passing the tips through the major slits (b) of the anchoring rectangles (10), they are pulled by means of a dynamometer (9) hooked in a perforation provided at the tip of all the bands (see figure 6 ), traveling and adjusting the perimeter of the leg until reaching the required limit and thus generating the desired and graduated compression force (see figures 7 and 8), immediately, the contact site with the rectangle of origin is marked on the bands, This mechanic is repeated in all the adjustable bands (5) and can be started from the proximal adjustable band to the distal or vice versa adjustable band, with the aim of completing the compression force in the entire outer area of the leg.
  • the graduated and quantified pressure impulses are generated, which originate through the pneumatic chamber ( 1) provided in the plantar area of the boot (see figures 1, 2, 5 and 6), for this, air is previously supplied through the feeder valves (8), concentrating in the two subchambers or sections (6 and 7).
  • the angiological boot self-generates impulses of pressure continuously and constantly taking advantage of the "locomotion" or walk as an energy source, in order to direct said pressure impulses generating constant, graduated and quantified compression energy in the patient's limb, the duration of which depends on the duration of the footfall, magnitude of the patient's weight and the volume of air contained in the pneumatic chamber (1).
  • the pressure pulses generated by the pneumatic chamber (1) can be directed to the different extremities of the patient's body to generate compression force therein;
  • Said pressure and compression force pulses can be of the following forms and methods according to the extremity or extremities where the compression is channeled, which are:
  • IPSILATERAL COMPRESSION It is generated when the angiological boot is placed on the same limb that suffers from venous insufficiency.
  • ASSISTED COMPRESSION It is generated when an angiological boot is placed on a relative and the pneumatic plantar chamber (1) is connected to another boot placed on the patient's leg when he is at rest or cannot walk, thus, the relative generates the pressure impulses directing them to the boot placed on the patient's leg and thus generating the compression energy in it.
  • DISTANT COMPRESSION It is when the angiological boot is used on an upper limb or arm of the patient, connected to one or two boots placed on the same person, in this way the boot or boots generate pressure impulses to be directed to the chambers compression (2 and 3) that have contact with the arm.
  • this invention can be used as a compression garment, but with the advantages and novelties already mentioned, being that the compression can be graduated and quantified according to medical indication.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

La présente invention concerne une botte angiologique comprenant un système de production d'impulsions d'énergie de pression (air) moyennant une chambre pneumatique située dans la zone plantaire de la botte, utilisant la « locomotion » ou la marche comme source d'énergie, ainsi qu'une chambre de compression pour la zone de la cheville et du mollet. Cette botte est conçue pour être chaussée par un patient souffrant d'une insuffisance veineuse, lymphatique ou artérielle. La compression obtenue peut être quantifiée et adaptée au type de lésion. L'invention comprend deux modes de réalisation. Le premier mode de réalisation est constitué d'une seule pièce comportant des moyens de fixation croisée et le second mode de réalisation est constitué d'une série de bandes semi-rigides réglables.
PCT/MX2003/000045 2003-05-28 2003-05-28 Botte angiologique avec chambre pneumatique plantaire pour la production d'impulsions de pression WO2004105676A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2003228128A AU2003228128A1 (en) 2003-05-28 2003-05-28 Angiological boot comprising pneumatic plantar chamber for the generation of pressure pulses
PCT/MX2003/000045 WO2004105676A1 (fr) 2003-05-28 2003-05-28 Botte angiologique avec chambre pneumatique plantaire pour la production d'impulsions de pression

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/MX2003/000045 WO2004105676A1 (fr) 2003-05-28 2003-05-28 Botte angiologique avec chambre pneumatique plantaire pour la production d'impulsions de pression

Publications (1)

Publication Number Publication Date
WO2004105676A1 true WO2004105676A1 (fr) 2004-12-09

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WO (1) WO2004105676A1 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2004108A4 (fr) * 2006-04-11 2016-09-28 Thermotek Inc Procede et systeme pour une therapie thermique et par compression concernant la prevention de la thrombose veineuse profonde
US9616210B2 (en) 2003-07-18 2017-04-11 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US9669233B2 (en) 2013-11-11 2017-06-06 Thermotek, Inc. Method and system for wound care
US9877864B2 (en) 1998-06-08 2018-01-30 Thermotek, Inc. Compression sequenced thermal therapy system
US9950148B2 (en) 2006-05-09 2018-04-24 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US10016583B2 (en) 2013-03-11 2018-07-10 Thermotek, Inc. Wound care and infusion method and system utilizing a thermally-treated therapeutic agent
US10149927B2 (en) 2012-04-24 2018-12-11 Thermotek, Inc. Method and system for therapeutic use of ultra-violet light
US10300180B1 (en) 2013-03-11 2019-05-28 Thermotek, Inc. Wound care and infusion method and system utilizing a therapeutic agent
US10512587B2 (en) 2011-07-27 2019-12-24 Thermotek, Inc. Method and apparatus for scalp thermal treatment
US10765785B2 (en) 2004-07-19 2020-09-08 Thermotek, Inc. Wound care and infusion method and system utilizing a therapeutic agent

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2430651A1 (de) * 1974-06-26 1976-01-15 Dieter W Liedtke Fuss-massagevorrichtung
EP0039629A1 (fr) * 1980-04-25 1981-11-11 Claude Georges Jacquot Dispositif de massage ambulatoire opéré par les variations de la pression d'un fluide localisées aux emplacements du corps traités
US5139475A (en) * 1990-08-14 1992-08-18 Francis Robicsek Medical appliance for treating venous insufficiency
GB2263405A (en) * 1992-01-16 1993-07-28 Maher Asad Hamzeh Ambulatory pneumatic compression device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2430651A1 (de) * 1974-06-26 1976-01-15 Dieter W Liedtke Fuss-massagevorrichtung
EP0039629A1 (fr) * 1980-04-25 1981-11-11 Claude Georges Jacquot Dispositif de massage ambulatoire opéré par les variations de la pression d'un fluide localisées aux emplacements du corps traités
US5139475A (en) * 1990-08-14 1992-08-18 Francis Robicsek Medical appliance for treating venous insufficiency
GB2263405A (en) * 1992-01-16 1993-07-28 Maher Asad Hamzeh Ambulatory pneumatic compression device

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9877864B2 (en) 1998-06-08 2018-01-30 Thermotek, Inc. Compression sequenced thermal therapy system
US10507131B2 (en) 1998-06-08 2019-12-17 Thermotek, Inc. Method and system for thermal and compression therapy relative to the prevention of deep vein thrombosis
US10507140B2 (en) 2003-07-18 2019-12-17 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US9616210B2 (en) 2003-07-18 2017-04-11 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US10765785B2 (en) 2004-07-19 2020-09-08 Thermotek, Inc. Wound care and infusion method and system utilizing a therapeutic agent
EP2004108A4 (fr) * 2006-04-11 2016-09-28 Thermotek Inc Procede et systeme pour une therapie thermique et par compression concernant la prevention de la thrombose veineuse profonde
US9950148B2 (en) 2006-05-09 2018-04-24 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US10507311B2 (en) 2006-05-09 2019-12-17 Thermotek, Inc. Wound care method and system with one or both of vacuum-light therapy and thermally augmented oxygenation
US10512587B2 (en) 2011-07-27 2019-12-24 Thermotek, Inc. Method and apparatus for scalp thermal treatment
US10149927B2 (en) 2012-04-24 2018-12-11 Thermotek, Inc. Method and system for therapeutic use of ultra-violet light
US10016583B2 (en) 2013-03-11 2018-07-10 Thermotek, Inc. Wound care and infusion method and system utilizing a thermally-treated therapeutic agent
US10300180B1 (en) 2013-03-11 2019-05-28 Thermotek, Inc. Wound care and infusion method and system utilizing a therapeutic agent
US10918843B2 (en) 2013-03-11 2021-02-16 Thermotek, Inc. Wound care and infusion method and system utilizing a thermally-treated therapeutic agent
US9669233B2 (en) 2013-11-11 2017-06-06 Thermotek, Inc. Method and system for wound care
US10272258B2 (en) 2013-11-11 2019-04-30 Thermotek, Inc. Method and system for wound care

Also Published As

Publication number Publication date
AU2003228128A1 (en) 2005-01-21

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