WO2006037136A2 - Auflage zum kühlen von patienten ud kühleinrichtung mit einer solchen auflage - Google Patents

Auflage zum kühlen von patienten ud kühleinrichtung mit einer solchen auflage Download PDF

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Publication number
WO2006037136A2
WO2006037136A2 PCT/AT2005/000324 AT2005000324W WO2006037136A2 WO 2006037136 A2 WO2006037136 A2 WO 2006037136A2 AT 2005000324 W AT2005000324 W AT 2005000324W WO 2006037136 A2 WO2006037136 A2 WO 2006037136A2
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WO
WIPO (PCT)
Prior art keywords
cooling
pad according
indicates
elements
cooling pad
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/AT2005/000324
Other languages
German (de)
English (en)
French (fr)
Other versions
WO2006037136A3 (de
Inventor
Wilhelm Behringer
Fritz Sterz
Rudolf Faworka
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
EMCOOLS-EMERGENCY MEDICAL COOLING SYSTEMS AG
Original Assignee
EMCOOLS-EMERGENCY MEDICAL COOLING SYSTEMS AG
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 EMCOOLS-EMERGENCY MEDICAL COOLING SYSTEMS AG filed Critical EMCOOLS-EMERGENCY MEDICAL COOLING SYSTEMS AG
Priority to DK05772177.1T priority Critical patent/DK1793775T3/en
Priority to CA2577939A priority patent/CA2577939C/en
Priority to ES05772177.1T priority patent/ES2584830T3/es
Priority to EP05772177.1A priority patent/EP1793775B8/de
Priority to AU2005291812A priority patent/AU2005291812B2/en
Priority to US11/664,491 priority patent/US20080027523A1/en
Priority to JP2007533816A priority patent/JP2008514312A/ja
Priority to DE202005020597U priority patent/DE202005020597U1/de
Priority to NZ553631A priority patent/NZ553631A/en
Publication of WO2006037136A2 publication Critical patent/WO2006037136A2/de
Publication of WO2006037136A3 publication Critical patent/WO2006037136A3/de
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/10Cooling bags, e.g. ice-bags
    • 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02Compresses or poultices for effecting heating or cooling
    • A61F2007/0282Compresses or poultices for effecting heating or cooling for particular medical treatments or effects
    • A61F2007/0288Compresses or poultices for effecting heating or cooling for particular medical treatments or effects during operations
    • 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
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/10Cooling bags, e.g. ice-bags
    • A61F2007/108Cold packs, i.e. devices to be cooled or frozen in refrigerator or freezing compartment

Definitions

  • the invention relates to a support for cooling at least parts of the body of patients, with at least onede ⁇ a liquid-containing cooling element for resting on the body or body part, which cooling element is cooled before use below freezing.
  • the invention relates to a device for cooling zu ⁇ least of parts of the body of patients, with at least one cooling pad and a cooling device described above.
  • the present invention relates in particular to the cooling of cardiac arrest or stroke patients. Nevertheless, an application is also possible in patients after brain trauma, spinal cord trauma or septic shock. Finally, the subject cooling pad can also be used to cool injuries, sprains, etc. Finally, the subject cooling pad can also be used for cooling products, for example foods or the like.
  • hypothermia is the most advanced medical concept for the prevention or alleviation of post-reunification syndrome. Many studies show a pronounced positive effect of hypothermia on specific ischemic conditions, especially after cardiac arrest. In contrast to uncontrolled hypothermia, therapeutic hypothermia, as used for cardiac and neuro-surgery or for resuscitation after a cardiac arrest, requires controlled conditions. In therapeutic hypothermia different degrees of cooling are defined:
  • Mild hypothermia should be initiated as soon as possible after successful resuscitation.
  • another use of hypothermia is shown to be promising in animal experiments, namely the very rapid induction of deep hypothermia already in cardiac arrest, in order to prevent the patient from suffering from hypothermia To transport protection of cooling to the hospital, and only in the hospital under controlled conditions to revive ("suspended animation").
  • this concept must first be proven in animal experiments.
  • Rapidly induced hypothermic cooling which prevents the mechanism of cellular destruction, is not limited to cardiac arrest victims.
  • Other possible indications in which the lowering of the body temperature has proven favorable are, for example, myocardial infarction, apoplexy, brain trauma, spinal cord injuries or septic shock.
  • non-invasive cooling devices are not able to cool the patient rapidly since the low temperature must be transported through skin and muscle and these systems only partially and not over the entire Kör ⁇ perober Assembly act.
  • existing devices are very large, difficult and complicated to handle and require a relatively long preparation time.
  • the available devices usually require a permanent electrical supply, which is not available, for example, in an emergency vehicle.
  • US 2002/0193852 A1 describes a lightweight portable system for heating or cooling patients, comprising a device for providing a liquid cooling medium and a device through which the cooling medium flows to deliver the cold conveyed by the cooling medium to the patient.
  • the dispensing device is arranged around the patient, leaving the patient's face blank.
  • the bag-shaped delivery device contains spacer elements, between which cavities for guiding the cooling medium are formed.
  • the cooled or heated liquid is flowed in and discharged on the opposite side.
  • the device described is due to the high amount of liquid required very voluminous and heavy.
  • only relatively low cooling rates can be achieved with this method.
  • the head of the patient is insufficiently flowed around by the cooling liquid and therefore insufficiently cooled.
  • by the sheath of the Patients on these no examination or therapy such as heart massage are performed.
  • the present invention seeks to provide a support for cooling zu ⁇ least of parts of the body of patients, especially with cardiac arrest of the type specified above, with the fastest possible cooling rates can be achieved without the patient can be damaged by too low temperatures.
  • the cooling pad should be as small and light as possible, so that use outside the hospital, for example, in emergency vehicles but also outside this facility is possible.
  • the cooling pad should be able to be used by not specially removable ⁇ trained personnel.
  • the cooling pad should be as inexpensive to produce, so that it can also be used as a disposable product.
  • Another object of the present invention is to provide an above-mentioned device for cooling at least parts of the body of patients, with at least one above-mentioned cooling pad and a cooling device, with the fastest possible cooling rates can be achieved and which is as small and lightweight ,
  • the cooling device should be as independent as possible from external electrical supply be applicable, so that use outside hospitals or ambulances is possible.
  • the first object according to the invention is achieved in that within the cooling element, a material which is thermally highly conductive in comparison with the cooling liquid is contained for receiving the cooling liquid.
  • a material which is thermally highly conductive in comparison with the cooling liquid is contained for receiving the cooling liquid.
  • the combination according to the invention of the use of a cooling liquid, in particular of water, which is contained in a material with comparatively good thermal conductivity, enables the desired rapid cooling rates to be achieved.
  • the heat capacity of the cooling overlay is correspondingly large in order to achieve the cooling of the body or of the body part of the patient.
  • the heat of fusion of ice which is the heat that absorbs the ice to become liquid, is utilized for the cooling of the body.
  • the material with the good thermal conductivity prevents an insulating water layer from forming, which prevents further cooling of the body or body part of the patient.
  • cooling pad is particularly simple and can therefore be carried out by untrained personnel, and for carrying out examinations or therapies (such as cardiac massage), the edition can also be lifted samezei ⁇ term.
  • a false indication with the cooling pad according to the invention is also unlikely, since the cooling pad is produced by the combination according to the invention a good thermal conductivity and high heat capacity can not cause damage to the skin and also less easily to the internal organs.
  • the cooling overlay can be of different sizes and thicknesses.
  • the thermally highly conductive material may be formed by Metall ⁇ wool of a metal or a metal alloy with good thermal conductivity, for example, aluminum, copper or steel.
  • the metal wool is surrounded in each cooling element by a corresponding envelope and impregnated with thede65 ⁇ speed. After cooling the cooling pad, for example in a freezer, the liquid cooling medium which penetrates the metal wool, assumes a solid state.
  • the per se poor thermal conductivity of the cooling liquid is improved by the metal wool and thus a rapid heat or cold transition from the cooling pad to the body and thus a rapid reduction of the temperature at the Hautober ⁇ surface reaches the melting temperature of the cooling liquid. If the melting temperature of the cooling liquid is not substantially below 0 ° C., no skin burns are to be feared.
  • metal foam of a metal or a metal alloy with high thermal conductivity, for example aluminum, copper or steel.
  • Metal foam is a material made of metal, which has a particularly low weight and high mechanical stability.
  • flowability with a liquid is possible and a large inner surface is provided.
  • the metal foam is preferably open-pored, so that as much cooling liquid can be absorbed.
  • graphite As a thermally highly conductive material. Graphite has a higher thermal conductivity compared to the above-mentioned metals and is also lighter. Furthermore, this material is also cheaper and biologically unbe ⁇ thinking. In this case, graphite can also be used in the form of so-called blown graphites. Graphite has a tremendous absorption capacity of liquid. For example, with Graphite filled volumes can be filled up to 90% with water. As a result, this material is particularly suitable for the application of the invention.
  • the cooling fluid is formed by water. Since water has a melting point of 0 0 C, it can not come to temperatures below 0 0 C on the skin and thus not to burns of the skin. In this case, ultrapure water is preferably used. Also, the heat of fusion is relatively high for water at 335 kJ / kg. The heat of fusion is the heat that the ice absorbs to become liquid.
  • cooling elements are advantageously arranged on a flexible base. Assuming a suitable choice of the dimension for the cooling elements, this achieves optimum adaptation of the cooling support to the different surfaces of the body parts to be cooled.
  • the flexible base is preferably made of latex ge forms.
  • This material made of natural rubber is particularly easy to process, relatively cheap and has an enormous elasticity.
  • the material is um ⁇ world compatible and rotting and keeps the low temperatures of.
  • the flexible pad can also be made of silicone. This material is particularly flexible and elastic, so that the cooling pad can be easily applied to the skin.
  • a heat-insulating layer is provided for the arrangement between the cooling elements or the base and the body or body part.
  • the heat-insulating layer may be attached directly to the cooling pad or made in one piece with it. In order to prevent the backing from tearing, this may include an ironing layer, for example of a woven fabric.
  • the at least one cooling element is preferably formed substantially cuboid.
  • a heat insulation can be arranged on the side facing away from the body of zu ⁇ least one cooling element.
  • Such insulation can be achieved by various materials having poor thermal conductivity, which are easy to process.
  • a reflection layer may be arranged on the side of the at least one cooling element facing away from the body, so that heating of the cooling support, for example by solar radiation, is avoided or reduced.
  • the cooling elements may be formed as the base of latex. This material is, as already mentioned above, particularly easy to process, relatively cheap and has good Dehnungsfä ⁇ ability.
  • the cooling elements can also be formed of silicone. As already mentioned above, this material has particularly high flexibility and elasticity.
  • a plate made of a material having a particularly high thermal conductivity so as to promote the transition of the cold to the patient. It can be a metal plate.
  • the pad may be formed at least at the locations below the cooling elements with a smaller thickness in order to create an optimum heat transfer.
  • cooling pad may be at the at least one cooling element or the base element be provided for connection with other cooling elements or documents.
  • a plurality of cooling elements can be modularly arranged in rows and connected to one another. The size and shape of the resulting cooling pad is adapted to the particular application.
  • the connecting elements may be formed by zippers.
  • an element for fixing to the patient for example a belt with a quick-release fastener, such as a hook-and-loop fastener, can be provided on the at least one cooling element or the pad. If this fixing element is fastened directly to the cooling support, it is certainly achieved that the fixing element is at hand in the case of use. This is of particular importance when used in cardiac arrest patients, since rescue measures must be carried out particularly quickly here.
  • an adhesive layer can also be arranged on the body-facing surface of the cooling element.
  • a cover sheet which is disposed over the adhesive layer is peeled off, and then the cooling pad is adhered to the skin of the patient.
  • skin-compatible adhesives are preferably used.
  • the adhesive layer can be applied at least to parts of the underside of the cooling support, for example in the liquid state, and then covered with a corresponding film. It is also possible to attach the adhesive layer in the form of double-sided adhesive tapes to the body-facing side of the cooling pad.
  • the cooling support can be separated particularly easily and preferably without tools and adapted to the corresponding requirements of the size.
  • sensors for measuring the temperature of the patient may be provided.
  • these sensors which also with a corresponding electronics and can be connected to corresponding acoustic or visual output devices, it is possible, for example, to monitor the temperatures at the skin surface and to take certain steps based on the determined temperature values.
  • the monitoring of the temperature in the region close to the core of the body is particularly important, since spielnem in the case of cooling of the heart muscle under 30 0 C, in turn, there is the danger of cardiac arrest.
  • the cooling elements can be arranged in the form of a cover or a sleeping bag.
  • the shape of a headgear can also be chosen.
  • the size of thede ⁇ elements must be adjusted accordingly. For a headgear smaller cooling radii smaller cooling elements are used as for a ceiling to achieve smaller radii.
  • cooling elements in the form of hoses for receiving the arms or legs of the patient.
  • cooling elements can be arranged in the form of a mitten or a stocking for use, for example, sprains of the hands or feet.
  • a coding preferably a color coding
  • the doctor or paramedic quickly select the appropriate cooling pad and apply.
  • the second object of the invention is achieved by an above-genann ⁇ th device, wherein the cooling device is designed to cool the cooling cover to temperatures below 0 0 C. It is only crucial to freeze the cooling liquid in order to utilize for the cooling process, the heat of fusion, which is absorbed when the cooling liquid passes from the frozen to the liquid state. Cooling down below the freezing point brings only a small amount for the overall balance.
  • the cooling device can be formed by an electrically drivenméaggre ⁇ gat in the manner of a freezer.
  • the cooling device is formed by a Peltier element.
  • the cooling unit requires no external power source and is formed only by a passive container with a thermal insulation for receiving the cooling pad.
  • the cooling pad is first cooled in a freezer and then stored for a certain time in said passive container with the thermal insulation.
  • a thermal insulation of the container made of evacuated silica is particularly efficient.
  • the company Wacker offers under the name WDS ® , thermal insulation foils of silica, which have excellent insulating properties.
  • the cooling device is integrated in a Pati ⁇ duck lie.
  • the cooling pad is always ready to hand and can be applied quickly, so that in cardiac Standstill patients a higher chance of survival can be achieved.
  • At least one sensor for measuring the temperature is provided.
  • a der ⁇ like sensor which can ver ⁇ with an evaluation unit and possibly an acoustic and / or visual output unit ver ⁇ , it is possible to document the temperature, for example in the refrigerator and certain measures are taken, for example, when exceeding a certain temperature ,
  • cooling support and cooling device according to the invention can be used not only in humans, but theoretically also in animals.
  • Figure 1 is a schematic view of a patient with cooling pads arranged thereon.
  • FIG. 2 shows a section through the patient along the section line II - II from FIG. 1;
  • FIG. 3 is a plan view of a cooling element of a cooling pad
  • FIG. 4 shows a section along the section line IV-IV through the cooling element according to FIG. 3;
  • FIG. 5 shows a section through a part of a cooling pad on an enlarged scale.
  • FIG. 6 is a plan view of a cooling pad constructed of a plurality of elements
  • Fig. 7 shows a section through a cooling device for cooling a cooling pad and 8 shows the temperature profiles on the skin and below the skin from an animal experiment.
  • Fig. 1 shows a schematic plan view of a patient
  • cooling supports 2 consist of at least one cooling element 3, which will be explained in more detail below.
  • the cooling supports 2 may be formed flat or as a hose.
  • the cooling pads 2 are particularly quick and easy to use and prevent due to the features of the invention Abküh ⁇ treatment of the skin to low temperatures and thus the emergence of burns. On the other hand, it is possible by the cooling pads 2, quickly lower the body temperature and crizspiels ⁇ , in the case of cardiac arrest to increase the chances of survival and the chances of complete recovery.
  • Fig. 2 shows a section along the section line II-II through the patient 1 according to FIG. 1.
  • tubular cooling supports 2 are arranged around the thorax and the arms.
  • the cooling pads 2 can be constructed flat and placed around the body or body part of the patient 1 around and fixed. In cardiac arrest patients, it is essential to cover the chest area, the back area for protecting the spinal cord and the head area for protecting the brain with the cooling pads 2.
  • the cooling pads 2 are preferably made of a plurality of cooling elements 3, which are arranged on a flexible pad 4, for example made of latex. Of course, instead of using a pad 4, the cooling elements 3 may also be connected to each other.
  • FIG. 3 shows a plan view of a cooling element 3, which has, for example, a cuboid shape.
  • the cooling element 3 consists of a sheath 5 which is made of cold-resistant, stretchable plastic, for example latex or also silicone.
  • the envelope 5 is connected to a contact plate 6, which preferably consists of thermally conductive material, such as, for example, metal or thermally conductive plastic.
  • NATURALLY The cover 5 and the contact plate 6 can also be produced in one piece. Latex is particularly suitable because it is very easy to process. In addition, this mate rial is environmentally friendly and can withstand the low temperatures without the properties are deteriorated.
  • Indium ⁇ element 3 is a thermally highly conductive material 7, in which the cooling liquid 8 is embedded.
  • the thermally highly conductive material 7, which may be formed for example by metal wool, a metal foam or graphite, the thermal conductivity is increased, and thus the cold of the cooling liquid 8 transported faster to the surface of the body of the patient 1 Pa ⁇ .
  • a heat insulation 9 can be arranged on the side of the cooling element 3 facing away from the body of the patient 1.
  • a reflection layer 10 for preventing heating, for example by solar radiation may also be provided on the thermal insulation 9.
  • This reflection layer 10 can be produced, for example, by applying a mixture of latex with aluminum particles, which are simply sprayed onto the cooling support 2.
  • the cooling element 3 or an arrangement of several cooling elements 3 on a base 4 is placed on the respective body region of the patient 1. Due to the good thermal conductivity of the material 8 within the cooling element 3, there is a rapid cooling of the skin surface of the patient 1 and thus also a relatively rapid lowering of the core temperature of the patient 1.
  • FIG. 5 shows a sectional view through part of a cooling support 2, in which the cooling elements 3 are arranged on a flexible support 4.
  • the cooling elements 3 are not cuboid but arranged in the form of truncated pyramids, which brings about easier manufacturability and better stability.
  • the cooling elements 3 can also be produced in one piece with the flexible base 4.
  • Inside thede ⁇ elements 3 is the thermally highly conductive material 8 and the cooling liquid 7.
  • the pad 4 in the region of the cooling elements 3 is preferably of smaller thickness than the üb ⁇ rigen Areas executed. It is equally possible, of course the side of the cooling elements 3 facing the body of the patient 1, a contact plate 6 (see Fig. 4) to arrange.
  • a heat-insulating layer 11 can be arranged between the cooling overlay 2 and the skin surface of the patient 1 in order to prevent too rapid hypothermia of the skin of the patient 1 below certain temperature values.
  • a sensor 12 may be provided, which is either loosely placed on the skin of the patient 1 or glued or in the heat-insulating layer 11 or in the pad 4 of the cooling pad 2 is arranged.
  • the temperature sensor 12 is connected to a corresponding evaluation electronics and possibly an acoustic or visual output unit in order to be able to indicate to the doctor or paramedic the respective temperature on the skin.
  • at least parts of the body of the patient 1 facing side of the cooling pad 2 with an adhesive layer may be provided to allow a better connection with the skin surface of the patient 1.
  • FIG. 6 shows a plan view of two cooling supports 2, each consisting of four cooling elements 3, which are equipped with connecting elements 13, for example zippers.
  • a suitable cooling pad 2 can be created from a plurality of modules.
  • the cooling pad 2 can also be provided with cuts 22, perforations or the like. These prevent the emergence of an insulating air cushion between the skin surface of Pati ⁇ duck 1 and the cooling pad 2 and increase the other hand, the Fle ⁇ xibility of the cooling pad 2.
  • the cuts 22 can be made easily and quickly, for example, after production of the cooling pad 2 by punching.
  • the cooling support 2 can be separated more easily, preferably without tools, in the region of such cuts 22 or perforations, and thus the cooling support 2 can be adapted to the particular circumstances of the size.
  • FIG. 7 shows a sectional view through a cooling device 14 for cooling the described cooling supports 2 or for protecting the already cooled cooling supports 2 before heating.
  • the cooling device 14 is preferably designed for cooling the cooling support 2 to temperatures below 0 ° C., or below the freezing point of this cooling fluid 8, and includes a cooling unit 15, which is connected to an electrical supply 16.
  • the cooling device 14 may also be formed by a passive container 21 with a town ⁇ insulation 17 for receiving the cooling pad 2. If a suitable heat insulation 17 is selected, an already cooled cooling pad 2 can be stored for several days without the supply of electrical energy.
  • a sensor 18 for measuring the temperature can be provided, which can be connected to an evaluation unit 19 and possibly an acoustic and / or visual output unit 20. As a result, the readiness of the cooling pad 2 can be monitored.
  • cooling device 14 is integrated in a patient couch.
  • the cooling pads 2 can be used very quickly, which is particularly important in the case of cardiac arrest of the patient 1 (not shown).
  • Fig. 8 shows the course of the temperature T H to the skin surface and the body temperature T ⁇ at a depth of 27.5 mm under the skin of a test animal upon application of a erfindungseffle hit cooling cover 2 in an animal experiment.
  • pigs weighing 75-95 kg were provided with cooling supports 2 according to the invention.
  • the cooling elements 3 ent ⁇ held pure water, which was embedded in aluminum chips.
  • the cooling pad is placed on the test animal, whereupon the skin temperature T 11 drops to 0 ° C. within a few seconds. A further lowering of the temperature below 0 0 C is due to the use of water as liquidde ⁇ 7 is not possible. Thus, there may be no frostbite on the skin of the experimental animal.
  • the cooling device 1 according to the invention and the dispensing device 4 according to the invention enable a particularly rapid cooling of patients, in particular with cardiac arrest also away from hospitals or the like facilities, whereby the chance of survival can be increased and the risk of cerebral damage can be reduced.
  • the device may also be used in other cases where mild or higher hypothermia is beneficial.
  • the table below shows the values or ranges of values for the specific heat capacity c, the thermal conductivity ⁇ and the density p for some materials.
  • Aluminum and graphite have approximately the same properties in terms of thermal conductivity ⁇ . With regard to weight and volume with respect to the specific heat capacity c, graphite has advantages over aluminum. Water has a very poor thermal conductivity ⁇ . If, for example, the water is mixed with 10% by volume of aluminum or graphite, the thermal conductivity ⁇ increases by approximately 20 times. Thus, the poor thermal conductivity of the water is bridged by the introduction of the cooling liquid, in particular of water, in a material with very good thermal conductivity ⁇ . The heat capacity of c ice is not significantly affected by the relatively small volume of aluminum, graphite or copper. Thus, the heat capacity c of the ice is combined with the heat conductivity ⁇ of aluminum, graphite, copper or the like. By freezing the water to -5 0 C to -2O 0 C creates a heat-absorbing capacity of about 10-40 kJ / kg to reach the desired temperature of 0 0 C at the skin surface.
  • the specific heat capacity c of human tissue can be assumed to be 4 kJ / kg. ° C.
  • a skin temperature of 35 0 C a Cyprus ideafä ⁇ resulting ability of 140 kJ / kg, that is 3-14 times greater than the réelleauf ⁇ increased ability of the cooling mat. It is therefore not possible that the cooling pad causes frostbite on the skin.
  • the cooling pad causes frostbite on the skin.
  • the cooling effect occurs due to the heat of fusion of ice.
  • the present invention prevents the construction of an insulating layer and thus achieves effective cooling.
  • the cooling pad can also be used for cooling products, for example foods or the like.

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Thermal Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
PCT/AT2005/000324 2004-10-01 2005-08-11 Auflage zum kühlen von patienten ud kühleinrichtung mit einer solchen auflage Ceased WO2006037136A2 (de)

Priority Applications (9)

Application Number Priority Date Filing Date Title
DK05772177.1T DK1793775T3 (en) 2004-10-01 2005-08-11 COATING FOR COOLING PATIENTS AND COOLING DEVICE INCLUDING SUCH A COVERING
CA2577939A CA2577939C (en) 2004-10-01 2005-08-11 Cover for cooling patients and cooling device comprising a cover of this type
ES05772177.1T ES2584830T3 (es) 2004-10-01 2005-08-11 Soporte para enfriar pacientes y dispositivo de enfriamiento con un soporte de este tipo
EP05772177.1A EP1793775B8 (de) 2004-10-01 2005-08-11 Auflage zum kühlen von patienten und kühleinrichtung mit einer solchen auflage
AU2005291812A AU2005291812B2 (en) 2004-10-01 2005-08-11 Cover for cooling patients and cooling device comprising a cover of this type
US11/664,491 US20080027523A1 (en) 2004-10-01 2005-08-11 Cover for Cooling a Patient and Cooling Device Comprising Such a Cover
JP2007533816A JP2008514312A (ja) 2004-10-01 2005-08-11 患者を冷却するためのカバーおよびこの種のカバーを有する冷却装置
DE202005020597U DE202005020597U1 (de) 2004-10-01 2005-08-11 Auflage zum Kühlen von Patienten und Kühleinrichtung mit einer solchen Auflage
NZ553631A NZ553631A (en) 2004-10-01 2005-08-11 Cover for cooling patients and cooling device comprising a cover of this type

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ATA1643/2004 2004-10-01
AT0164304A AT414094B (de) 2004-10-01 2004-10-01 Auflage zum kühlen von patienten und kühleinrichtung mit einer solchen auflage

Publications (2)

Publication Number Publication Date
WO2006037136A2 true WO2006037136A2 (de) 2006-04-13
WO2006037136A3 WO2006037136A3 (de) 2006-09-08

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WO2015110881A3 (ar) * 2013-12-25 2015-11-12 فيصل المغاير، جهاز لتنظيم درجه الحرارة الطبيعيه في جسم الانسان

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WO2008040533A1 (de) 2006-10-04 2008-04-10 Emcools-Emergency Medical Cooling Systems Ag Vorrichtung zum temperieren des körpers eines patienten
WO2015110881A3 (ar) * 2013-12-25 2015-11-12 فيصل المغاير، جهاز لتنظيم درجه الحرارة الطبيعيه في جسم الانسان

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EP1793775A2 (de) 2007-06-13
CA2577939C (en) 2013-10-22
PL1793775T3 (pl) 2016-10-31
ES2584830T3 (es) 2016-09-29
CN101031263A (zh) 2007-09-05
NZ553631A (en) 2009-08-28
WO2006037136A3 (de) 2006-09-08
CN100420429C (zh) 2008-09-24
EP1793775B1 (de) 2016-04-27
EP1793775B8 (de) 2016-10-12
AU2005291812A1 (en) 2006-04-13
CA2577939A1 (en) 2006-04-13
JP2008514312A (ja) 2008-05-08
DE202005020597U1 (de) 2006-04-20
DK1793775T3 (en) 2016-08-15
US20080027523A1 (en) 2008-01-31
AU2005291812B2 (en) 2011-05-26
AT414094B (de) 2006-09-15
ZA200701857B (en) 2009-02-25
ATA16432004A (de) 2005-12-15

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