WO2017053406A1 - Clampage de cordon différé et accessoire de lit ou de réanimation simple - Google Patents

Clampage de cordon différé et accessoire de lit ou de réanimation simple Download PDF

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Publication number
WO2017053406A1
WO2017053406A1 PCT/US2016/052855 US2016052855W WO2017053406A1 WO 2017053406 A1 WO2017053406 A1 WO 2017053406A1 US 2016052855 W US2016052855 W US 2016052855W WO 2017053406 A1 WO2017053406 A1 WO 2017053406A1
Authority
WO
WIPO (PCT)
Prior art keywords
platform
newborn
detachable
support
cord
Prior art date
Application number
PCT/US2016/052855
Other languages
English (en)
Inventor
Doug F. SCHWANDT
Henry C. LEE
Jules P. SHERMAN
Original Assignee
The Board Of Trustees Of The Leland Stanford Junior University
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 The Board Of Trustees Of The Leland Stanford Junior University filed Critical The Board Of Trustees Of The Leland Stanford Junior University
Publication of WO2017053406A1 publication Critical patent/WO2017053406A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/105Portable, foldable or collapsible tables, e.g. for surgery or treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/101Clamping means for connecting accessories to the operating table
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G11/00Baby-incubators; Couveuses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2210/00Devices for specific treatment or diagnosis
    • A61G2210/90Devices for specific treatment or diagnosis for heating

Definitions

  • the present invention relates generally to newborn baby delivery platforms. More particularly, the invention relates to a safe, sterile surface to effectively delay cord clamping and perform a simple resuscitation with a Continuous Positive Airway Pressure (CPAP) mask for babies born via C-section.
  • CPAP Continuous Positive Airway Pressure
  • delayed umbilical cord clamping generally the umbilical cord is not clamped or cut until 3-5 minutes after birth when pulsations have ceased, or until after the placenta is delivered. Delayed cord clamping provides a necessary blood volume for the transition to life outside the womb for the baby.
  • Delayed cord clamping is becoming the "standard of care" in labor and delivery, however one disadvantage is the generally short length of the baby's cord inhibits delayed cord clamping during a C-Section birth. What is needed is an inexpensive and more effective method to offer delayed cord clamping to infants born in the OR.
  • a delayed cord-clamping surface includes a newborn platform having a recessed surface configured to receive a chemical warming mattress, where the chemical warming mattress includes a conformable surface, where the newborn platform includes a detachable platform support that is configured to position the newborn platform proximal to a surgical region of a C-section patient, where the newborn platform is configured to support a newborn baby while an umbilical cord remains connected between the newborn and the C-section patient for draining from a placenta, where the newborn platform is configured to fitably mount with a warming table when the newborn platform is in a detached state from the detachable platform support.
  • the detachable platform support includes vertical supports detachably connected to the newborn platform, where the vertical supports are configured for positioning outside a lower body region of the C-section patient.
  • the detachable platform support includes an articulating arm connected to a structure selected from the group consisting of a surgical bed, a moveable cart, and a ceiling.
  • the detachable platform includes a connection element for detachably connecting to the newborn platform selected from the group consisting of friction mounting, indexed male-female mounting, and magnetic mounting.
  • the newborn platform includes handles, where the hands include recesses in a sidewall of the newborn platform, or protrusions in the sidewall of the newborn platform.
  • FIG. 1A show examples of the newborn platform and warming table (1A) attached to the detachable platform support, (IB) the newborn platform in a detached state, and (1C) the connection of the newborn platform with the detachable platform support, according to different embodiments of the invention.
  • FIG. 1 shows a schematic view of a C-section patient having the newborn platform position near the surgical region, where the umbilical cord remains attached to the placenta for draining before delayed clamping, according to one embodiment of the invention.
  • FIG. 1 shows one embodiment of the newborn platform and detachable platform support, according to the current invention.
  • FIG. 1 show a (4A) side view, front view (4B), and top view (4C) of the newborn platform and detachable platform support, according to one embodiment the current invention.
  • FIG. 1 shows a perspective bottom view of a newborn platform in a detached state from the detachable platform support, according to one embodiment of the invention.
  • FIGs. 7A-7B show perspective top views of a newborn platform having (7 A) vertical supports disposed to be capable of surrounding a C-section patient lower body portion, (7B) lap supported platform according to one embodiment of the invention.
  • FIG. 8 shows the newborn platform connected to a detachable platform support that is suspended from a ceiling, according to one embodiment of the invention.
  • the current invention provides a solution for facilitating delayed cord clamping and simple resuscitations in the OR during a C-Section birth.
  • the invention sits or is positioned directly on or near a mom's lap below the surgical region, or wound site, so that when a baby is born he/she is easily transferred to the surface for 1-2 minutes while all blood transfers to the baby before cutting the cord. Since the average umbilical cord is 50cm long, using a table that rolls up next to the OR bed often is not optimal as some cords cannot reach an adjacent table (approx. 30%).
  • the surface has the density needed to perform CPAP resuscitations in addition to delayed cord clamping.
  • the invention has a depression to house a chemical warming mattress that comes loaded inside a sterile paper "pillowcase” for fast and easy set up in the OR. These two items are "loaded” in a sterile paper pillowcase (sheet) and placed over the mom just below the site of the wound. Having close proximity to the wound is important so that any cord can reach without being affected.
  • the current invention addresses hospital's desire to offer optimal care in the OR during a C-section birth.
  • the chemical warming mattress has two functions a) to keep the baby warm and avoid hypothermia while the cord blood is draining (1 min.) b) to keep the baby secure since the warming mattress acts like a waterbed mattress— depressing down where the baby is laying.
  • the invention is made from recyclable materials so that the entire unit may be disposed of after surgery.
  • FIGs. 1A-1C show examples of the newborn platform and warming table, where FIG. 1A shows the newborn platform attached to the detachable platform support, which is represented as a moveable cart positioned adjacent to a surgical bed. Also shown is a newborn placed on the newborn platform.
  • FIG. IB shows the newborn platform in a detached state from the articulating arm of the detachable platform support and positioned for placement in the mount of the warming table.
  • FIG. 1C shows a perspective top view of the connection of the newborn platform with the detachable platform support, where the connection can be frictional fit, indexed male-female fitting, magnetic mounting or any combination thereof.
  • FIG. 1A shows the newborn platform attached to the detachable platform support, which is represented as a moveable cart positioned adjacent to a surgical bed. Also shown is a newborn placed on the newborn platform.
  • FIG. IB shows the newborn platform in a detached state from the articulating arm of the detachable platform support and positioned for placement in the mount of the warming table.
  • FIG. 2 shows a schematic view of one embodiment of a C-section patient having the newborn platform position near the surgical region, where the umbilical cord remains attached to the placenta for draining before delayed clamping.
  • the newborn platform is shown supported by the articulating arm of the detachable platform support.
  • FIG. 3 shows one embodiment of the newborn platform and detachable platform support, where the newborn platform is configured to attach to the detachable platform support according to frictional fit, indexed male-female fitting, magnetic mounting or any combination thereof, according to the current invention.
  • FIGs. 4A-4C show a further embodiment of the invention, where FIG. 4A shows a side view of the detachable platform support slideably connected to the surgical bed for positioning.
  • FIG. 4A shows a side view of the detachable platform support slideably connected to the surgical bed for positioning.
  • FIG. 4B shows a front view of the detachable platform support slideably connected to the surgical bed for positioning.
  • FIG. 4C shows a top view of the newborn platform and detachable platform support, where further shown is the articulating arm of the detachable platform support mechanism connected to the newborn platform, according to one embodiment the current invention.
  • FIG. 5 shows a perspective bottom view of a newborn platform in a detached state from the detachable platform support.
  • the newborn platform is shown configured to attach to the detachable platform support according to frictional fit, indexed male-female fitting, magnetic mounting or any combination thereof, according to the current invention.
  • FIGs. 6A-6B show a newborn platform having a recessed surface configured to receive the chemical warming mattress, wherein the chemical warming mattress is a conformable surface that adapts to the shape of the recessed surface.
  • FIG. 6A further shows the newborn platform having recessed handles
  • FIG. 6B shows the newborn platform having protruding handles, according to embodiments of the current invention.
  • FIG. 7A shows a perspective top view of a newborn platform having the chemical warming mattress recessed surface and vertical supports disposed to be capable of surrounding a C- section patient lower body portion, according to one embodiment of the invention.
  • FIG. 7B shows a perspective top view of a newborn platform that is configured to rest on a mother's lap.
  • FIG. 8 shows the newborn platform connected to a detachable platform support that is suspended from a ceiling, according to one embodiment of the invention.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

La présente invention concerne une surface de clampage de cordon différé qui comprend une plateforme pour nouveau-né ayant une surface encastrée conçue pour recevoir un matelas chauffant chimique, le matelas chauffant chimique comprenant une surface adaptable, la plateforme pour nouveau-né comprenant un support de plate-forme amovible qui est conçu pour positionner la plate-forme pour nouveau-né à proximité d'une région chirurgicale d'une patiente césarisée, ladite plateforme pour nouveau-né étant conçue pour supporter un bébé nouveau-né alors que le cordon ombilical reste relié entre le nouveau-né et la patiente césarisée pour le drainage d'un placenta, la plate-forme pour nouveau-né étant conçue pour être montée de manière ajustable avec une table chauffante lorsque la plate-forme pour nouveau-né est dans un état détaché du support de plate-forme amovible.
PCT/US2016/052855 2015-09-25 2016-09-21 Clampage de cordon différé et accessoire de lit ou de réanimation simple WO2017053406A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201562232969P 2015-09-25 2015-09-25
US62/232,969 2015-09-25

Publications (1)

Publication Number Publication Date
WO2017053406A1 true WO2017053406A1 (fr) 2017-03-30

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2016/052855 WO2017053406A1 (fr) 2015-09-25 2016-09-21 Clampage de cordon différé et accessoire de lit ou de réanimation simple

Country Status (1)

Country Link
WO (1) WO2017053406A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020198228A1 (fr) * 2019-03-25 2020-10-01 Western Connecticut Health Network, Inc. Appareil d'extension de support de matelas chauffant de bébé et procédé d'utilisation
EP3397229B1 (fr) 2015-12-31 2020-10-14 Academisch Ziekenhuis Leiden h.o.d.n. LUMC Dispositif de support d'un nouveau-né et dispositif de réanimation
JP2020534048A (ja) * 2017-09-14 2020-11-26 ザ ユニバーシティ オブ ノース カロライナ アット チャペル ヒルThe University Of North Carolina At Chapel Hill バシネット
CN113995618A (zh) * 2021-12-07 2022-02-01 郑州大学第三附属医院(河南省妇幼保健院) 一种新生儿延迟脐带结扎的智能复苏平台
US11344463B2 (en) 2019-02-25 2022-05-31 Children's National Medical Center Delayed cord clamping system

Citations (11)

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US4757811A (en) * 1986-11-07 1988-07-19 Clark Gerald W Infant restraining device
US5048136A (en) * 1990-10-03 1991-09-17 Brigham & Women's Hospital Infant support
US5162038A (en) * 1989-12-04 1992-11-10 Hill-Rom Company Infant warmer open bed
US5453077A (en) * 1993-12-17 1995-09-26 Hill-Rom Company, Inc. Infant thermal support device
EP0790050A2 (fr) * 1996-02-19 1997-08-20 FISHER & PAYKEL LIMITED Chauffage pour bébés
US6761682B2 (en) * 1993-12-17 2004-07-13 Hill-Rom Services, Inc. Patient thermal support device
US20110113555A1 (en) * 2009-11-18 2011-05-19 Smith Richard A Apparatus to facilitate the transfer of patients between support platforms
US8590075B1 (en) * 2009-06-09 2013-11-26 Ibrahim H. Amjad Mattress assembly for newborn infants
US20140128725A1 (en) * 2012-11-08 2014-05-08 Aspect Imaging Ltd. Neonate's incubator and mri docking-station
US8719978B2 (en) * 2012-02-29 2014-05-13 Siemens Aktiengesellschaft Patient support apparatus and medical imaging apparatus comprising the patient support apparatus
US20140364722A1 (en) * 2012-02-02 2014-12-11 Children's Hospital Medical Center MRI Transfer Table Assembly

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4757811A (en) * 1986-11-07 1988-07-19 Clark Gerald W Infant restraining device
US5162038A (en) * 1989-12-04 1992-11-10 Hill-Rom Company Infant warmer open bed
US5048136A (en) * 1990-10-03 1991-09-17 Brigham & Women's Hospital Infant support
US5453077A (en) * 1993-12-17 1995-09-26 Hill-Rom Company, Inc. Infant thermal support device
US6761682B2 (en) * 1993-12-17 2004-07-13 Hill-Rom Services, Inc. Patient thermal support device
EP0790050A2 (fr) * 1996-02-19 1997-08-20 FISHER & PAYKEL LIMITED Chauffage pour bébés
US8590075B1 (en) * 2009-06-09 2013-11-26 Ibrahim H. Amjad Mattress assembly for newborn infants
US20110113555A1 (en) * 2009-11-18 2011-05-19 Smith Richard A Apparatus to facilitate the transfer of patients between support platforms
US20140364722A1 (en) * 2012-02-02 2014-12-11 Children's Hospital Medical Center MRI Transfer Table Assembly
US8719978B2 (en) * 2012-02-29 2014-05-13 Siemens Aktiengesellschaft Patient support apparatus and medical imaging apparatus comprising the patient support apparatus
US20140128725A1 (en) * 2012-11-08 2014-05-08 Aspect Imaging Ltd. Neonate's incubator and mri docking-station

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3397229B1 (fr) 2015-12-31 2020-10-14 Academisch Ziekenhuis Leiden h.o.d.n. LUMC Dispositif de support d'un nouveau-né et dispositif de réanimation
JP2020534048A (ja) * 2017-09-14 2020-11-26 ザ ユニバーシティ オブ ノース カロライナ アット チャペル ヒルThe University Of North Carolina At Chapel Hill バシネット
EP3675692A4 (fr) * 2017-09-14 2021-04-28 The University of North Carolina at Chapel Hill Berceau
US11116330B2 (en) 2017-09-14 2021-09-14 The University Of North Carolina At Chapel Hill Bassinet
JP7235395B2 (ja) 2017-09-14 2023-03-08 ザ ユニバーシティ オブ ノース カロライナ アット チャペル ヒル バシネット
US11344463B2 (en) 2019-02-25 2022-05-31 Children's National Medical Center Delayed cord clamping system
WO2020198228A1 (fr) * 2019-03-25 2020-10-01 Western Connecticut Health Network, Inc. Appareil d'extension de support de matelas chauffant de bébé et procédé d'utilisation
CN113995618A (zh) * 2021-12-07 2022-02-01 郑州大学第三附属医院(河南省妇幼保健院) 一种新生儿延迟脐带结扎的智能复苏平台
CN113995618B (zh) * 2021-12-07 2023-06-16 郑州大学第三附属医院(河南省妇幼保健院) 一种新生儿延迟脐带结扎的智能复苏平台

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