WO2018117888A1 - Couches-culottes à segment gonflable pour la prévention de la dysplasie de la hanche chez les nouveau-nés - Google Patents

Couches-culottes à segment gonflable pour la prévention de la dysplasie de la hanche chez les nouveau-nés Download PDF

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Publication number
WO2018117888A1
WO2018117888A1 PCT/RS2017/000016 RS2017000016W WO2018117888A1 WO 2018117888 A1 WO2018117888 A1 WO 2018117888A1 RS 2017000016 W RS2017000016 W RS 2017000016W WO 2018117888 A1 WO2018117888 A1 WO 2018117888A1
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WO
WIPO (PCT)
Prior art keywords
panties
suspenders
inflatable segment
buckles
prevention
Prior art date
Application number
PCT/RS2017/000016
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English (en)
Inventor
Ljubomir Georgijevic
Original Assignee
Ljubomir Georgijevic
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 Ljubomir Georgijevic filed Critical Ljubomir Georgijevic
Publication of WO2018117888A1 publication Critical patent/WO2018117888A1/fr

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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/56—Supporting or fastening means
    • A61F13/5622—Supporting or fastening means specially adapted for diapers or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/56—Supporting or fastening means
    • A61F13/64—Straps, belts, ties or endless bands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/84—Accessories, not otherwise provided for, for absorbent pads
    • 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
    • A61F5/30—Pressure-pads
    • A61F5/34—Pressure pads filled with air or liquid

Definitions

  • the scope of invention is the field of humane necessities, specifically medical and veterinary science in general, i.e. the field of orthopaedic devices for conservative (non-surgical) treatment of bones or joints.
  • the invention is classified as A61F 5/01 that defines the orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating deformed bones, among others.
  • the invention can be classified as A61F 5/34 that specifically refers to the pressure pads filled with air or liquid, or as A 61F 5/37 defined as restraining devices for the body or for body parts.
  • the lower arms need to be banded around the thighs of a newborn infant in the desired position of abduction and mild flexion, wherein the upper arms should be folded over the shoulders of the newborn infant in the upper part. After bending, we cover the chest of the newborn infant with the cotton band in the upper part. In this case, there is a great danger of a "scissor" phenomenon - when the child tries to straighten the lower extremities, the upper ends are approaching like a scissors around the child's neck.
  • Another similar splint is Fonrosen's splint in the shape of letter "H" and the procedure is identical.
  • Waikert and Niva panties which have the soft and the hard inserts.
  • the disadvantage of these panties is that with expressed dysplasia there is abduction contracture (stiffness of the adductor muscle) and after placing these panties it is necessary to set up an insert with a firm pad, but such a rigid pad is hardly accepted by the child. Due to the pain caused by forced abduction and increased pressure on the inner side of the thigh, the baby cries, refuses food, and loses sleep, after which the parents usually withdraw from the treatment.
  • a similar device is Putti's pillow, with also a rigid insert, but apart from the aforementioned problems of limited spread of the lower extremities, it often moves due to the child's efforts to relieve pain, and consequently, the effect of possible therapy is also lost.
  • the next device is the Hilgen-Reiner steel-ring shaped apparatus that is adjacent to the waist of the child with the lateral outlets attached to the leather pelotas in order to place the lower limbs in the abduction which is now excessive and exceeds the necessary abduction of about 60 degrees from the centre line and also completely fixes both hip joints. It is used with already advanced pathology and childhood age for more than four months, which is contraindicated because it causes osteochondritis (avascular decay of the femur head) compared to 73% of the total number of treated children (world statistics). Pavlik's belts are still in use, but they are also unacceptable to the newborn infant because of toughness. They are applied in children with evident pathology and of several months of age, which also reduces the therapeutic effect.
  • the inflatable segment which according to the project is made of plastic panties, is filled with air by the free estimation of the parent.
  • the inflatable segment which according to the project is made of plastic panties, is filled with air by the free estimation of the parent.
  • all newborn children have a slightly limited abduction (widening of the lower extremities) and in the mother's womb, have never occupied such a position by their lower extremities, in the case of evident dysplasia, there is already an existing contracture (stiffness of the abductor's adductor muscle which, due to the constant involvement in the prevention of migration of the femur head, falls into the muscle fever due to deposited lactic acid in their body).
  • panties linen, preferably cotton
  • panties are anatomically shaped and open (spread form), and they are being closed in the form of panties on the newborn infant.
  • Panties have elastic bands sewed on the edges, for a mild wrapping around the waist and lower extremities.
  • the closing fasteners (clasps) and the buckles for suspenders are attached, and on the wider part, at the ends, the clasps for closing the panties are attached.
  • crossed suspenders are sewed, with a length controller in the middle of the range and with a loop and a buckle at the end.
  • the middle section of the panties on the inner side, there is a pocket with a lid sewed to it, and on the outside, there is a hammed hole for the non-return valve of the inflatable segment to pass through.
  • the inflatable segment is placed inside the pocket and inflated by applying the pump with the pressure gauge, hose, and valve, only when the panties are fixed on the newborn infant.
  • the advantage of this invention is that it solves the technical problem by designing a device which, by mandatory use of panties from the first day after birth to each newborn infant, prevents the development of the shallow socket (dysplasia) and later, depending on the depth of the socket, the developmental anomalies of hips dislocation that occurs after a few weeks or months.
  • the ideal period for the prevention and treatment of already existing dysplasia are the first days and months after birth.
  • a human is not being born with the dislocated hips, but only with the shallow socket. It is a privilege of humans only.
  • the human is born with an insufficiently developed socket of joint for the purpose of holding the upright position and walking due to the change of the pelvic position from the horizontal one at the time of the quadrupedy (four-legged position), to what is now a vertical position in the upright posture.
  • the upper part of the socket in the lying position of the pelvis is the most developed one in all mammals, and even in humans. All mammals begin to walk just a few hours after birth, while the human has about a year to complete the development of hips preparing them for the new ratio of the load.
  • Dysplasia (a shallow hip joint's socket) can be detected in the first 72 hours after birth by the tests performed by the neonatal paediatrician and registered into the "Newborn Birth Sheet". These newborns are prioritized for early treatment. By preventing the development of dysplasia and ensuring the completing of the hip joint sockets' development, we help our newborn children to complete the development of the front-upper part of the socket that is not well-built to take the role of the support of the entire weight in an upright position and during walking. The infants in the period when they start walking (9 to 12 months) must have only one grade - excellent. Some doctors make the assessments easily that the hip is very good or even good, which is not correct.
  • the weight on the head of the femur in an upright position is proportionally the same from birth to old age, i.e. 165.5 kg per square centimetre, in cases of weakly covered heads of the femur bone, the degenerative changes occur due to the increased pressure on the part of the femur head located in the socket and the formation of the hip joint arthrosis of the, which ends with the artificial hip prosthetic surgery sooner or later, depending on the degree of residual dysplasia.
  • Fig. 1 shows the outer side of the panties according to the present invention
  • Fig. 2 shows the inner side of the same panties
  • Fig. 3 shows the cross-section A-B of Fig. 1 and Fig.2
  • Fig.4 shows the panties fitted onto the newborn infant
  • Fig. 5 shows a segment for inflating made of the plastic material with a return valve
  • Fig. 6 shows the pump for filling the air inflatable segment, with a pressure gauge requiredor controlling the gradual filling of the segment with the air.
  • Panties J are anatomically shaped with the regular semi-arc cut-outs on long, lateral sides. Along their front and rear edges, as well as the semi-lateral sides, along the edge, an elastic band 6 is inserted. In the middle part of the panties, on the inner side, a pocket 10 with a lid 11 is made, in which the inflating segment 12a is placed and folded with a lid 11. The non-return valve 12 of the segment 12a is pulled through the vertical hole 7 made on the front part of the panties. At the back straight edge of the panties the suspenders 3 are attached-sewed, crossed with a stitch 4, approximately in their lower third, to the edge of the panties.
  • the suspenders 3 have a sliding regulator 2 placed, approximately in the upper third of their length, and at their ends, have the loop 1, closed with a fastener (clasp) 8, which is used to fasten the suspenders to the clasp 8 on the front side of the panties.
  • a fastener (clasp) 8 which is used to fasten the suspenders to the clasp 8 on the front side of the panties.
  • the pair of clasps 8 for fastening the suspenders 3 are placed and underneath of them six pairs of buckles 5, three on each side of the panties' axis of symmetry.
  • Buckles 5 on the front side of the panties and the buckle 5 on the left and right edges of the back side are used for closing-fastening the panties around infants, with the possibility of adjusting according to size and age.
  • the inflatable segment 12a is made of two parts, with a semi-circular front part in whose centre is the non-return valve 12 and a trapezoidal shaped rear part.
  • the front semi-circular part and the rear trapezoidal part are separated with the permeable barrier 14.
  • the rubber pump 15 is coupled to a pressure gauge 16 whose scale is divided into three fields marked with Roman numerals I, II, and 111.
  • the pump 15 and the pressure gauge 16 are connected via the rubber hose 17 to the valve 18.
  • the valve 18 serves to connect the pump 15 with the non-return valve 12 of the inflatable segment 12a in order to inflate it. Control of the inflating degree of the segment 12a, i.e. the pressure in it, is done through the pressure gauge 16, that is, markers I, II and III on its scale, which predefined the required pressure, so the user cannot make a mistake.
  • the inflatable segment is filled gradually towards the fields marked on the pressure gauge indicated by Roman numerals I, II and III. Fields have unequal surfaces and strictly determine the required air pressure.
  • the level of filling with the air is divided into three phases: the first phase - a two weeks period (marked with Roman numeral I), the second phase also a two weeks period but with increased pressure in relation to the first phase (marked with Roman numeral II) and the third phase (marked with Roman numeral III) that will last as long as the child uses diapers.
  • Panties are made of pure cotton safe from any effects on baby's skin, regardless of being dry or moistened with secretions.
  • the inflatable segment By placing the inflatable segment into the intended pocket and ejecting a non-return valve through the hole on the outer side of the panties, the panties are ready to be put on the infant All buckles are unbuckled and panties are completely open.
  • the infant is wrapped in any type of diaper, linen or disposable (Pampers, Pufies, etc.).Then the panties are closed and the first row of fasteners (clasps) on the sides are used, considering the first line is the first one from the centre line, where the male-female parts of the fasteners are placed, if the infant's size is of the first days after birth.
  • the suspenders are placed and fastened on the buckles on the front-top edge of the panties, intended to receive the suspender.
  • the regulators on the suspenders adjust the desired length according to the size of the infant. After that, the non-return valve of the segment is connected to the pump valve and the air supply begins.
  • the segment is filled with air, in the first two weeks of life until it reaches the end of the first field on the pressure gauge, marked with Roman numeral I.
  • This amount of pressure in this segment is well tolerated by all newborns. Gradually, the possible existing abduction contractures of the lower extremities in the hips, originating intrauterinally, will be overcome.
  • the pressure in the segment will be increased to the second section on the pressure gauge (marked with Roman numeral II) and this pressure will be maintained for the following two weeks.
  • the total mass of each bone in the human body is "recorded" in the central nervous system and it remains unchanged, which in this case means deepening of the hip joint socket and the formation of the marginal parts that are necessary for us, because they are not phylogenetically predicted by birth, but it is left to a human to achieve it independently, during the first year of his/her life, making it the time when a man begins to walk.
  • the material from which the panties with the inflatable segment are made is pure cotton.
  • the inflatable segment is from the "baby foil” which is tested and does not cause allergic reactions, and also is not in contact with the children's skin, but is located in the special pocket with the lid on the inner side of the panties, made of the same material as the panties itself (pure cotton).
  • panties Due to the growth of the child in the first months after birth, there are clasps on the panties to adjust the most suitable size. Suspenders also have a regulator for adjusting the length depending on the child's growth. Panties fill the entire foreseen program for the first months of child's life, by adapting the size of the buckles/fasteners embedded on the sides of the panties.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Undergarments, Swaddling Clothes, Handkerchiefs Or Underwear Materials (AREA)
  • Details Of Garments (AREA)

Abstract

L'invention concerne des culottes à segment gonflable pour la prévention de la dysplasie de la hanche chez les nouveau-nés. La culotte (J) est de forme anatomique avec des découpes semi-arquées régulières sur les côtés longs latéraux. Le long du bord des bords avant et arrière des culottes (J), ainsi que dans les côtés semi-latéraux, une bande élastique (6) est insérée. Dans la partie médiane, dans le côté intérieur de la culotte (J), la poche (10) avec le recouvrement (11) est réalisée et le segment gonflable (12a) y est placé, sa valve anti-retour (12) est tirée à travers le trou vertical (7) réalisé à l'avant de la culotte (J). Au niveau du bord droit arrière des culottes (J) sont placées les bretelles (3) croisées avec la couture (4). Les bretelles (3) ont un régulateur coulissant (2) et la boucle (1) au niveau des extrémités avec le fermoir (8). Sur le bord supérieur avant des culottes (J), une paire de fermoirs (8) sont positionnés pour fixer les bretelles (3) et en dessous de ceux-ci, il y a six paires de boucles (5), trois de chaque côté de l'axe de symétrie, tandis que sur l'arrière, la gauche et la droite des bretelles (3), conjointement avec un bord latéral, deux paires de boucles (5) sont placées, et une paire de boucles (5) est placée à côté de l'autre bord latéral. Cette demande de brevet comporte deux revendications dépendantes supplémentaires.
PCT/RS2017/000016 2016-12-19 2017-12-18 Couches-culottes à segment gonflable pour la prévention de la dysplasie de la hanche chez les nouveau-nés WO2018117888A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
RSP-2016/1146 2016-12-19
RS20161146A RS57988B1 (sr) 2016-12-19 2016-12-19 Pamučne gaćice sa segmentom za naduvavanje za prevenciju razvoja displazije kukova kod novorođenčadi

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WO2018117888A1 true WO2018117888A1 (fr) 2018-06-28

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RS (1) RS57988B1 (fr)
WO (1) WO2018117888A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110338809A (zh) * 2019-07-24 2019-10-18 浙江工业大学 一种婴儿髋关节姿态捕捉器
WO2023084555A1 (fr) * 2021-11-10 2023-05-19 Baby Life Couches pour bébé contenant une ceinture thérapeutique (de soutien) et un support en éponge

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
YU92079A (en) 1979-04-18 1983-04-30 Esref Karaikovic Abduction apparatus for hips, with a regulator
YU76082A (en) 1981-04-07 1985-03-20 Bock Otto Prosthesis applied in the treatment of injured and dislocated hip joints
YU137483A (en) 1983-06-23 1987-10-31 Anton Jozic Abducting walking device for curing congenital residual hip displacement
EP0277261A1 (fr) * 1987-01-26 1988-08-10 INTEC Advanced Computerized Systems Medical Ltd. Lange orthopédique
US5040525A (en) * 1989-12-04 1991-08-20 Ljubomir Georgijevic Undergarment device for treating hip displacement and dislocation
WO2001066050A1 (fr) * 2000-03-08 2001-09-13 BÍBA, Ladislav Appui d'abduction permettant de maintenir les jambes d'un enfant dans une position correcte
WO2005009306A2 (fr) * 2003-07-29 2005-02-03 Ljubomir Georgijevic Culottes a segment gonflable
RS49823B (sr) 2003-07-29 2008-08-07 Ljubomir Georgijević Gaćice sa segmentom za naduvavanje za lečenje urodjenih anomalija kukova kod novorodjenčadi
DE202013102630U1 (de) * 2012-06-19 2013-07-05 Zdenek MORÁVEK Abduktionshose für Kinder

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
YU92079A (en) 1979-04-18 1983-04-30 Esref Karaikovic Abduction apparatus for hips, with a regulator
YU76082A (en) 1981-04-07 1985-03-20 Bock Otto Prosthesis applied in the treatment of injured and dislocated hip joints
YU137483A (en) 1983-06-23 1987-10-31 Anton Jozic Abducting walking device for curing congenital residual hip displacement
EP0277261A1 (fr) * 1987-01-26 1988-08-10 INTEC Advanced Computerized Systems Medical Ltd. Lange orthopédique
US5040525A (en) * 1989-12-04 1991-08-20 Ljubomir Georgijevic Undergarment device for treating hip displacement and dislocation
WO2001066050A1 (fr) * 2000-03-08 2001-09-13 BÍBA, Ladislav Appui d'abduction permettant de maintenir les jambes d'un enfant dans une position correcte
WO2005009306A2 (fr) * 2003-07-29 2005-02-03 Ljubomir Georgijevic Culottes a segment gonflable
RS49823B (sr) 2003-07-29 2008-08-07 Ljubomir Georgijević Gaćice sa segmentom za naduvavanje za lečenje urodjenih anomalija kukova kod novorodjenčadi
DE202013102630U1 (de) * 2012-06-19 2013-07-05 Zdenek MORÁVEK Abduktionshose für Kinder

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110338809A (zh) * 2019-07-24 2019-10-18 浙江工业大学 一种婴儿髋关节姿态捕捉器
WO2023084555A1 (fr) * 2021-11-10 2023-05-19 Baby Life Couches pour bébé contenant une ceinture thérapeutique (de soutien) et un support en éponge

Also Published As

Publication number Publication date
RS20161146A1 (sr) 2018-06-29
RS57988B1 (sr) 2019-01-31

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