WO2013048233A1 - Dispositif d'immobilisation pelvienne - Google Patents

Dispositif d'immobilisation pelvienne Download PDF

Info

Publication number
WO2013048233A1
WO2013048233A1 PCT/MY2012/000255 MY2012000255W WO2013048233A1 WO 2013048233 A1 WO2013048233 A1 WO 2013048233A1 MY 2012000255 W MY2012000255 W MY 2012000255W WO 2013048233 A1 WO2013048233 A1 WO 2013048233A1
Authority
WO
WIPO (PCT)
Prior art keywords
pelvic
immobilizer
binder
patient
thigh
Prior art date
Application number
PCT/MY2012/000255
Other languages
English (en)
Inventor
Ismail MOHD SAIBOON
Balakrishnain MUNIANDY
Original Assignee
Universiti Kebangsaan Malaysia
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 Universiti Kebangsaan Malaysia filed Critical Universiti Kebangsaan Malaysia
Publication of WO2013048233A1 publication Critical patent/WO2013048233A1/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
    • 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
    • A61F5/0193—Apparatus specially adapted for treating hip dislocation; Abduction splints

Definitions

  • the present invention relates to a pelvic immobilizer for immobilizing the pelvis in cases of traumatic disorders.
  • pelvic fracture occurs, the patient may often also be suffering from serious injury to other parts of the body, including fractures of the spinal column, long bone fracture of lower limbs (femurs and tibias-fibulas), each of which may be associated with serious or life-threatening blood loss and soft tissue damage.
  • US 6240923 discloses a pelvic fracture immobilizer consisting of a wide band of firm material such as canvas and a plurality of straps, each having a ratcheting buckle. Compressive force is applied by wrapping the band around the affected area and closing and tightening the dynamic buckles.
  • 09719658 discloses a device for stabilizing unstable pelvic fractures comprising a belt for fitting around the pelvis of a subject, means in connection with the belt for securing it in a tightened state against the victim of accident, and at least two first expandable means arranged so as to press against the posterior side of the pelvic ring opposite the pelvic sockets upon expansion and to further tighten the belt.
  • the device is positioned to encircle the hips of a patient with a bladder positioned over each of the patient's hip bones.
  • the belt is fastened in place by means of a clasp, and a pump is used to selectively inflate each of the bladders [7]
  • Other known pelvic binders currently available in the market often come in one size.
  • pelvic binder can only be used once as the pelvic binder is often cut in order to gain access during the operation procedure of external fixation and often discarded after the operation procedure ended.
  • This type of pelvic binder is for one time usage and it is non-reusable. Therefore, the use of such pelvic binder would be non-cost effective for larger number of cases.
  • the current available binder can be used to bind the pelvis but an additional splint need to be applied for other long bone lower limb fracture, which is a hassle for paramedic to use in pre-hospital.
  • the above cited prior art devices and method can also hinder the external fixation while patient is still on it.
  • a pelvic immobilizer comprising; a binder for enclosing the pelvic area of a patient, wherein the binder (12) having two ends, a plurality of fastener connected to the front part of the binder, characterized in that; the binder is equipped with an opening.
  • the provision of the opening is advantageous as it provide access to the patient pelvic area for the entry point during orthopedic external fixation.
  • a separable-portion is provided on the binder near the opening.
  • splitting the separable-portion produces two free ends movable for exposing more abdomino-pelvic area thus enabling surgical procedure while patient is still wearing the pelvic immobilizer for maintaining tamponade effect around the patient's pelvic area.
  • both free ends include a fastening means.
  • one free end is attachable to a receiving portion on the binder.
  • a thigh holder project from the binder for holding the thigh.
  • the thigh holder is fitted with a fastening means.
  • the thigh holder is having an L shape, wherein upon wrapping the
  • a lower piece for holding the limb is attachable to the thigh holder.
  • the lower piece is provided with a plurality of straps.
  • a back sleeve is provided on the pelvic immobilizer for slotting pressure measurement apparatus that is connectable to a pressure monitoring device.
  • the back sleeve (24) is slotted with a readily inflatable means
  • the inflatable means may be made of plastic or rubber having a gas input, gas is supplied through the gas input to inflate the inflatable means.
  • gas is supplied through the gas input to inflate the inflatable means.
  • the provision of the inflatable means is advantageous for pressure adjustment around the patient pelvic area.
  • the fastening means is Velcro
  • the pelvic immobilizer is made of Polyurethane.
  • polyurethane is advantageous as it is radiolucent and skin-friendly.
  • Figure 1 illustrates open view of pelvic immobilizer and lower piece.
  • Figure 2 illustrates pelvic immobilizer and lower piece in use.
  • Figure 3 illustrates pocket and fillet of the pelvic immobilizer.
  • Figure 4 illustrates the schematic diagram with background x-ray of a patient utilising the pelvic binder indicating the position of the pelvic bond.
  • Figure 5 illustrates the utilization of the separable portion of the pelvic immobilizer providing wider exposed area for surgical procedure.
  • Figure 6 illustrates x-ray view of a dead patient body also known as a cadaver (a) while on pelvic immobilizer and (b) while on external fixator.
  • a pelvic immobilizer 10 comprising a binder (12) for enclosing the pelvic area of a patient, wherein the binder (12) having two ends, a plurality of fastener (16, 18) connected to the front part of the binder (12), wherein the binder (12) is equipped with an opening (20).
  • a separable-portion (28) is provided on the binder (10) near the opening (20), wherein splitting the separable-portion (28) produces two free ends (28a and 28b) movable for exposing more abdomino-pelvic area thus enabling surgical procedure while patient is still wearing the pelvic immobilizer for maintaining tamponade effect around the patient's pelvic area.
  • Both free ends (28a and 28b) include a fastening means (26).
  • the one free end (28b) is attachable to a receiving portion (30) on the binder (10).
  • Athigh holder (14) project from the binder (12) for holding the thigh wherein the thigh holder (14) is fitted with a fastening means (26), wherein the fastening means is preferably Velcro tM for quick and easy fastening.
  • the thigh holder (14) is having an L shape, wherein upon wrapping the patient thigh forming another opening (22) accessible for surgical procedure such as angioem- bolization and/or bladder catheterization.
  • the pelvic immobilizer (10) bind pelvic during pelvic injuries and also allow emergency lifesaving procedural like angioem- bolization.
  • the pelvic immobolizer (10) of the present invention also provide access to the patient pelvic area and allows orthopedic surgical external fixation to progress while the pelvic immobilizer ( 10) is on the patient.
  • the pelvic immobilizer (10) may include lower piece (50) attachable to the thigh holder (14) of the pelvic immobilizer (10), the lower piece (50) function to splint the fractured lower limb and also for traction.
  • the lower piece (50) is attachable to the thigh holder (14) using Velcro.
  • the lower piece (50) is preferably covering and holding the lower limb and maybe provided with a plurality of straps. Velcro is provided at the end of the straps (52).
  • the strap (52a) at the very end of the lower piece (50) may be folded in a manner to hold the patient feet within an opening (54).
  • the lower piece (50) is also provided by a vertical pocket (55) where a ruler like thermoplastic plate is inserted to prevent bending.
  • Figure 3 illustrates the vertical pocket (55) and fillet (27) of the pelvic immobilizer (10).
  • the pelvic immobilizer (10) comprises a plurality of fasteners (16, 18). Whereas during surgical procedure, one fastener (16) maybe remove to allow for operational procedure and another fastener (18) is maintain for maintaining compression thus prevent sudden loss of tamponade effect in the pelvis which may cause death.
  • the fasteners (16, 18) is a snap-fit belt.
  • FIG 4 illustrates a schematic diagram superimpose on pelvic and lower limb radiograph of a patient utilising the pelvic immobilizer (10) indicating the position of the pelvic bone.
  • Splitting the separable-portion (28) produces two free ends (28a and 28b) movable for exposing more abdomino-pelvic area as illustrated in Figure 5.
  • the wider abdomino-pelvic area enables surgical procedure while patient is still wearing the pelvic immobilizer (10) for maintaining tamponade effect around the patient's pelvic area.
  • Both free ends (28a and 28b) include a fastening means (26).
  • the one free end (28a) is attachable to a receiving portion (30) on the binder (12).
  • the pelvic immobilizer (10) is also radiolucent as shown in the cadaveric study (a study conducted on a dead patient body).
  • the cadaver was secured with the pelvic immobilizer (10) of the present invention.
  • X-ray of the cadaver utilising the pelvic immobilizer (10) is captured using a portable X-ray apparatus before the orthopedic surgical external fixation procedure.
  • the pelvic bone (PB) can be clearly seen as illustrated in the X-ray view of the cadaver in the studies as illustrated in Figure 6a. Also can be seen in Figure 6a are the shadow of the fastener (16, 18) and the thigh holder (14).
  • the cadaver then undergoes the orthopedic surgical external fixation procedure while the pelvic immobilizer (10) is on the cadaver.
  • Access to the cadaver abdomino-pelvic area is through the opening (20) and the function of the separable portion (28) near the opening (20) by splitting the separable-portion (28) to produce two free ends (28a and 28b) movable for exposing more abdomino-pelvic area thus enabling surgical procedure while the cadaver is still on the pelvic immobilizer for maintaining of tamponade effect around the cadaver's pelvic area.
  • the fastener (18) was then disconnected and X-ray view of the cadaver pelvis was captured again using the portable Xray device as illustrated in Figure 6b.
  • Figures 6a-b also illustrates the gap or distance between the diathesis.
  • a back sleeve (24) is positioned at a back part of the binder (10) provides space for slotting pressure measurement apparatus that is connectable to a pressure monitoring device.
  • the back sleeve (24) may also include a readily inflatable means, wherein the inflatable means may be made of plastic or rubber having a gas input which function to adjust the pressure on the patient pelvic area. Gas is supplied through the gas input to inflate the inflatable means for pressure measurement and monitoring around the patient pelvic area. It also provides cushion effect for relief of pressure effect on the skin of sacrum and coccyx.
  • an independent and separate belt (32) may also be provided, wherein the belt (32) has color marking which function to indicate the suitable size of the pelvic immobilizer (10) and may be used for holding of bind the lower limbs together during transport.
  • the plurality of fastener (16, 18) maybe selected from zippers, snaps, buttons, hooks, adhesives or any combination thereof are contemplated as possible front fastener (16, 18), yet female and male snap fit is preferred.
  • the fastener (16, 18) is made of radiolucent materials.
  • the material for the pelvic immobilizer (10) is preferably selected from a material that has a cooling effect, slightly stretchable, skin friendly, washable and durable.
  • the most preferred material is polyurethane (PU) or leather.

Landscapes

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

Abstract

La présente invention concerne un dispositif d'immobilisation pelvienne (10) destiné à immobiliser le bassin en cas de troubles traumatiques. Ledit dispositif d'immobilisation pelvienne (10) comprend un élément d'attache (12) permettant d'encercler la zone pelvienne d'un patient, ledit élément d'attache (12) possédant deux extrémités et une pluralité de fixations (16,18) reliées à la partie antérieure de l'élément d'attache (12). Ledit élément d'attache (12) est pourvu d'une ouverture (20). Le dispositif d'immobilisation pelvienne (10) est avantageux car il fournit un accès à la zone pelvienne du patient et permet une fixation externe chirurgicale orthopédique pour la progression tandis que le dispositif d'immobilisation pelvienne (10) se trouve sur le patient.
PCT/MY2012/000255 2011-09-27 2012-09-26 Dispositif d'immobilisation pelvienne WO2013048233A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
MYPI2011004592 2011-09-27
MYPI2011004592 2011-09-27

Publications (1)

Publication Number Publication Date
WO2013048233A1 true WO2013048233A1 (fr) 2013-04-04

Family

ID=47996050

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/MY2012/000255 WO2013048233A1 (fr) 2011-09-27 2012-09-26 Dispositif d'immobilisation pelvienne

Country Status (1)

Country Link
WO (1) WO2013048233A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114533393A (zh) * 2022-02-18 2022-05-27 遵义医科大学附属医院 一种髋关节离断术后残端加压包扎带

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6494853B1 (en) * 1999-07-13 2002-12-17 Orthoscharer & Co. Di Paolo Rossi & Co. Hip support
JP2003061994A (ja) * 2001-08-30 2003-03-04 Japan Science & Technology Corp 高機能胸腰部コルセット
KR20040103300A (ko) * 2003-09-29 2004-12-08 엠에스메디텍 개방형 척추측만증보조기
US20080004555A1 (en) * 2004-03-10 2008-01-03 R & D Supports Immobilizing and Supporting Inflatable Splint Apparatus
US7473235B2 (en) * 2000-12-05 2009-01-06 Orthomerica Products, Inc. Lightweight modular adjustable prophylactic hip orthosis
KR20090032497A (ko) * 2007-09-28 2009-04-01 인제대학교 산학협력단 지능형 척추변형 교정기

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6494853B1 (en) * 1999-07-13 2002-12-17 Orthoscharer & Co. Di Paolo Rossi & Co. Hip support
US7473235B2 (en) * 2000-12-05 2009-01-06 Orthomerica Products, Inc. Lightweight modular adjustable prophylactic hip orthosis
JP2003061994A (ja) * 2001-08-30 2003-03-04 Japan Science & Technology Corp 高機能胸腰部コルセット
KR20040103300A (ko) * 2003-09-29 2004-12-08 엠에스메디텍 개방형 척추측만증보조기
US20080004555A1 (en) * 2004-03-10 2008-01-03 R & D Supports Immobilizing and Supporting Inflatable Splint Apparatus
KR20090032497A (ko) * 2007-09-28 2009-04-01 인제대학교 산학협력단 지능형 척추변형 교정기

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114533393A (zh) * 2022-02-18 2022-05-27 遵义医科大学附属医院 一种髋关节离断术后残端加压包扎带
CN114533393B (zh) * 2022-02-18 2023-09-12 遵义医科大学附属医院 一种髋关节离断术后残端加压包扎带

Similar Documents

Publication Publication Date Title
US8926536B2 (en) Device and method for control of hemorrhage
US9427238B2 (en) Device for control of hemorrhage including stabilized point pressure device
US5027833A (en) Extrication and spinal restraint device
US9028435B2 (en) Device and method for control of hemorrhage
US7166083B2 (en) Knee-ankle-foot positioning kit
US20030176825A1 (en) Adjustable, elastic fixation device
EP1059900A1 (fr) Ceinture de soutien pour operations de sauvetage et individus invalides
US9615956B2 (en) Orthopedic clavicle brace
US7008389B2 (en) Apparatus and method for stabilizing pelvic ring disruption
EP0376950A1 (fr) Procede d'eclissage, eclisse et sangle
US9308111B1 (en) Orthopedic brace and method of use
US20120101418A1 (en) Semi-rigid compression splint for application of three-dimensional force
JP2006506133A (ja) 骨盤部補強装具
WO2014028248A1 (fr) Dispositif pour traumatisme pelvien
US20070073207A1 (en) Ankle brace with mechanical advantage closure system
US20110105970A1 (en) Anatomical support braces and methods
WO2013048233A1 (fr) Dispositif d'immobilisation pelvienne
JP2017158941A (ja) ハイブリッド型体幹装具
CN212261710U (zh) 一种具有改善患者固定效果的创伤骨折固定装置
WO2011070438A2 (fr) Dispositif médical destiné à immobiliser un membre
US8562552B1 (en) Emergency quick splint
CN209032785U (zh) 一种可调膝关节矫形固定器
US20180280181A1 (en) Fixing device of waist
Auerbach et al. The Reel Splint: experience with a new traction splint apparatus in the prehospital setting
CN216876872U (zh) 胫骨平台骨折用转运护具

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 12835076

Country of ref document: EP

Kind code of ref document: A1

WWE Wipo information: entry into national phase

Ref document number: 12014500597

Country of ref document: PH

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 12835076

Country of ref document: EP

Kind code of ref document: A1