WO2024013513A1 - Procédé d'alimentation d'un patient avec une sonde nasogastrique à l'aide d'une intervention restrictive et chaise pour l'intervention - Google Patents

Procédé d'alimentation d'un patient avec une sonde nasogastrique à l'aide d'une intervention restrictive et chaise pour l'intervention Download PDF

Info

Publication number
WO2024013513A1
WO2024013513A1 PCT/GB2023/051853 GB2023051853W WO2024013513A1 WO 2024013513 A1 WO2024013513 A1 WO 2024013513A1 GB 2023051853 W GB2023051853 W GB 2023051853W WO 2024013513 A1 WO2024013513 A1 WO 2024013513A1
Authority
WO
WIPO (PCT)
Prior art keywords
support portion
patient
chair
thigh
intervention
Prior art date
Application number
PCT/GB2023/051853
Other languages
English (en)
Inventor
Louis Bell
Original Assignee
Tees, Esk And Wear Valleys Nhs Foundation Trust
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 Tees, Esk And Wear Valleys Nhs Foundation Trust filed Critical Tees, Esk And Wear Valleys Nhs Foundation Trust
Publication of WO2024013513A1 publication Critical patent/WO2024013513A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G15/00—Operating chairs; Dental chairs; Accessories specially adapted therefor, e.g. work stands
    • A61G15/10—Parts, details or accessories
    • A61G15/12—Rests specially adapted therefor, e.g. for the head or feet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A61G5/124—Rests specially adapted therefor, e.g. for the head or the feet for pelvis or buttocks
    • 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
    • A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A61G5/122—Rests specially adapted therefor, e.g. for the head or the feet for the back
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00—Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10—Parts, details or accessories
    • A61G5/12—Rests specially adapted therefor, e.g. for the head or the feet
    • A61G5/127—Rests specially adapted therefor, e.g. for the head or the feet for lower legs

Definitions

  • the present invention relates to a chair, to a method for feeding a patient and to an intervention used in this method .
  • the invention relates particularly, but not exclusively, to a chair used to feed a patient through a nasogastric tube where a restrictive intervention is required .
  • Nasogastric tube feeding is the practice of passing a narrow tube down a patient ' s nasal cavity, through the oesophagus and into the patient ' s stomach . This ensures vital nutrients and medicines can be adequately administered through the tube to the patient directly into their stomach .
  • This method is mainly used when a patient is having di f ficulty swallowing or unable to eat or drink . Even in non-resistive patients the natural reflex caused by a tube being inserted into a patient ' s nasal passage and throat can cause the patient discomfort and distress .
  • Preferred embodiments of the present invention seek to overcome or alleviate the above-described disadvantages of the prior art .
  • a restrictive intervention chair comprising : an inclined back support portion; a thigh support portion less than perpendicular to said back support portion .
  • the inclined back support allows the member of staff to insert the nasogastric tube at an angle making insertion of the tube easier.
  • the chair may further comprise a calf support portion.
  • the calf support portion reduces movement in the patient's calves, by lifting their calves and reducing the power in the quad muscles. This also lowers the ability of the patient to kick out decreasing a potential risk-of-inj ury to any members of staff.
  • the thigh support portion is between 70° and 30°, preferably between 60° and 40° and ideally at substantially 50° relative to the back support portion.
  • the back support portion is between 70° and 30°, preferably between 60° and 40° and ideally at substantially 50°.
  • Having the torso angled at 50° is the preferred angle from a nasogastric tube to be inserted easily through the nasal cavity and into the stomach.
  • there is a gap is located between said back support portion and said thigh support portion .
  • the chair further comprises at least one leg .
  • the chair further comprises a thigh support extension portion .
  • the thigh support extension portion is used for patients who have longer legs .
  • the cal f support is moveable relative to said thigh support portion .
  • Having the cal f support moveable allows adequate placement of the cal f support for patients with longer or shorter legs .
  • a method of restrictive intervention for a patient comprising positioning the patient on a chair wherein, the patient ' s back is resting on an inclined back support portion and their thighs are resting on a thigh support portion such that the patient ' s knees are above their hips and that the angle between the patient ' s thighs and spine is less than perpendicular .
  • the patient ' s buttocks are unsupported .
  • the back support portion is inclined between 70 ° and 30 ° , preferably inclined between 60 ° and 40 ° and ideally inclined and 50 ° relative to the ground .
  • the method may further comprise a restrictive intervention with said patient by holding their arms ; and moving the patient relative to said chair such that said chair engages the back of the patient ' s knees .
  • a method of feeding a patient comprising : intervening with a patient according to the method set out above ; inserting a nasogastric tube ; and feeding the patient through said nasogastric tube .
  • Figure 1 is a perspective view of a restrictive intervention chair of a first embodiment of the present invention
  • Figure 2 is a perspective view of the back of the chair of figure 1 ;
  • Figure 3 is a side view of the chair of figure 1 ;
  • Figure 4a and Figure 4b are side and perspective views of a portion of the chair of figure 1 ;
  • Figure 5 is a side view of another portion of the chair of figure 1 ;
  • Figure 6 is a side view of a person sitting in a chair of the present invention .
  • a restrictive intervention chair 10 includes a back support portion 12 , a thigh support portion 14 and a cal f support portion 16 .
  • the back support portion 12 includes a first surface 18 , a second surface 20 and a headrest portion 22 .
  • the first surface 18 is located at the front of the back support portion 12 , where a patient would rest their back, whereas the second surface 20 is located at the back of the back support portion 12 .
  • the first surface 18 is wide enough to accommodate a patient ' s back and arms when they are resting on the back support portion 12 , whilst the headrest 22 is where the patient ' s head would lie .
  • a foam layer (not shown) , located adj acent the first surface 18 and a structural wooden board (not shown) adj acent the second surface 20 .
  • the second surface 20 is also connected to a series of support bars that supports the back support portion 12 and secures it in an inclined position .
  • a main support bar 24 is located longitudinally along the midline of the second surface 20 .
  • This main support bar 24 has a plurality of laterally placed support bars that intersect perpendicularly .
  • the first lateral support bar 26 is situated adj acent the head rest 22 and the second lateral support bar 28 is situated near the base of the back support portion 12 , adj acent the floor .
  • a bolt 30 At each end of the first and second lateral bars is a bolt 30 . These bolts 30 are used to secure the support bars to the back support portion 12 by drilling into the wooden board located within .
  • first leg support bar 32 At the intersection of the first main bar 24 and the first lateral bar 26 is located a first leg support bar 32 . This extends from the intersection to a first floor support bar 34 , located on the floor . A second leg 36 support bar also extends from the intersection of the main support bar and the second lateral support bar 28 towards the first floor support bar 34 . To maintain the incline of the back support portion 12 the first leg support bar 32 is longer in length than the second leg support bar 36 . Both the first and second surface of the back support portion 12 is covered in a coating of industrial standard Dartex® .
  • the thigh support portion 14 is located in line with the back support portion 12 with a gap therebetween .
  • the thigh support portion 14 is inclined relative to the back support portion and includes a third surface 38 and a fourth surface 40 .
  • the third surface 38 is where the patient ' s thighs are supported when they are positioned in the chair 10 .
  • a foam layer (not shown) , located adj acent the third surface 38 and a structural wooden board (not shown) adj acent the fourth surface 40 .
  • the fourth surface 40 also has a metal plate 42 attached via bolts 30 and a third leg bar 44 extending from the bottom of the metal plate towards the first floor support bar 34 .
  • the third leg bar 44 lies parallel with the inclined thigh support portion 14 until it reaches the bottom of the thigh support portion . At this point the bar bends such that it is perpendicular with the first floor support bar 34 , creating a stable and strong support for the thigh support portion 14 . Both the third and fourth surface of the thigh support portion are covered in a coating of industrial standard Dartex® .
  • the cal f support portion 16 includes a fi fth surface 46 and sixth surface 48 .
  • a foam layer (not shown) , located adj acent the fi fth surface 46 and a structural wooden board (not shown) adj acent the sixth surface 48 .
  • the sixth surface 48 also has a third lateral support bar bolted to it and a fourth leg support bar extending from the middle of the third lateral support bar 50 towards a second floor support bar 52 .
  • This cal f support portion is also inclined relative to the floor and the thigh support portion 14 . Both the fi fth and sixth surface of the cal f support portion are covered in a coating of industrial standard Dartex® .
  • the first and second floor support bars , 34 and 52 are located at the base of the chair and engage the floor .
  • the first floor support bar 34 further includes a first pair of feet and second pair of feet extending from therein, further reinforcing the stability of the chair 10 .
  • the first pair of feet 54 are located at the end of the first floor support bar 34 adj acent the back support portion 12 .
  • One end of each foot is connected to the first floor support bar 34 and extend at an angle greater than 90 ° away from the first floor support bar 34 , whilst the other end of each foot has a wheel 55 situated thereon .
  • the second pair of feet 56 are located distal the first pair of feet 54 adj acent the thigh support portion 14 with one end of each foot perpendicularly connected to the first floor support bar 34 and the other end having a plastic end cap attached .
  • the second floor support bar 52 also includes a third pair of feet 58 located at the end of the second floor support bar adj acent the fi fth surface of the cal f support .
  • One end of each foot being perpendicularly connected to the second floor support bar 52 and the other end of each foot having a plastic end cap attached .
  • a handlebar 60 is connected in the middle , between the third pair of feet.
  • the chair 10 can be li fted from the front at the third pair of feet 58 using the handlebar 60 . Once li fted the chair 10 can be rolled on its wheels ( located on the first pair feet 54 ) using a 'wheelbarrow' like motion, making it easier to move the chair when required .
  • the back support portion 12 is inclined by angle A relative to the ground between 70 ° and 30 ° , preferably between 60 ° and 40 ° and ideally at 50 ° .
  • the patient ' s torso is angled in such a way that insertion of the nasogastric tube is easier and more comfortable .
  • the thigh support portion 14 is also incline by angle B between 70 ° and 30 ° , preferably between 60 ° and 40 ° and ideally at 50 ° relative to the back support portion 12 .
  • FIG. 3 also shows the height H from the bottom of the thigh support portion to the ground is 290 mm . It is required to have the back support portion 12 close to the ground to allow a patient to be lifted easily into the chair 10 . It should also be noted that the angle between the thigh support portion and the cal f support portion is at an angle C 40 ° . This acute angle places the knees below 90 ° when the patient is sat in the chair 10 with their calves resting on the cal f support 16 .
  • the thigh support portion 14 further includes a thigh extension portion 62 .
  • the thigh extension portion includes a foam insert at the front end wooden board (not shown) at the back .
  • the thigh extension portion 62 is a removable extension and when in place is located at the top of the thigh support portion 14 , where the back of the patient ' s knees are positioned when seated .
  • the metal plate 42 located on the fourth surface 40 of the thigh support portion 14 further includes a first recess (not shown) for receiving an insert 66 .
  • the insert 66 is located on the back of the thigh extension portion 62 and extends further than the base of the extension portion to align with the first recess .
  • the insert 66 is slotted into the first recess 64 positioning the extension on top of the thigh support portion, resulting in a lengthened thigh support portion .
  • a first extender portion 68 and a second extender portion 70 are located between the thigh support portion 14 and the cal f support portion 16 .
  • the first extender portion 68 is connected to the back of the second leg support bar 34 adj acent the fourth surface 40 of the thigh support portion 14 and includes a second recess (not shown) that matches the shape of the second extender portion 70 . With the length of the second recess being slightly longer than the length of the second extender portion 68 .
  • the second extender portion 70 is connected to the back of the third leg support bar 44 adj acent the sixth surface 48 of the cal f support portion 16 .
  • the second extender portion 68 is the same shape as the second recess and therefore can slot into and out of the second recess , permitted by a sliding motion .
  • Inside the first and second extension portions is a plurality of sprung loaded pins (not shown) . These allow speci fic positions of the extension portions to be secured and reduce movement once the patient is seated on the chair . I f the distance between the cal f support portion 116 and the thigh support portion 14 needs to be decreased the second extender portion 70 can be positioned further into the second recess and secured with the sprung loaded pin, bringing the cal f support portion 16 closer to the thigh support portion 14 .
  • a patient will initially be stood with their back facing the front of the chair 10 , with the fi fth surface 46 of the cal f support portion 16 facing towards the back of their knees .
  • the length of their legs are taken into account such that i f their thighs are long the thigh extension portion 62 is added to the thigh support portion 14 and i f their calves are long the second extender portion is moved further from the thigh support portion 14 .
  • two members of staf f will each hold an arm of the patient and reverse the patient towards the cal f and thigh support portions .
  • the angle of the patient ' s torso is ideally at 50 ° to the ground, enabling easier insertion of the tube , whilst the angle between their spine and thighs is also around 45 ° . Their calves are also supported at an acute angle 40 ° .
  • attachment of the thigh extender portion could be achieved by using a hinge mechanism between the thigh support portion and the thigh extender portion .

Landscapes

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

Abstract

L'invention concerne une chaise d'intervention restrictive. La chaise comprend une partie de support de dos inclinée et une partie de support de cuisses inférieure à la perpendiculaire à la partie de support de dos. Il y a également une partie de support de mollets. Un patient est manœuvré vers l'arrière en direction de la chaise de telle sorte que l'arrière de leurs genoux viennent en prise avec la partie de support mollets et ils sont ensuite abaissés dans la chaise, amenant leurs hanches à être positionnées avec les genoux selon un angle aigu.
PCT/GB2023/051853 2022-07-14 2023-07-14 Procédé d'alimentation d'un patient avec une sonde nasogastrique à l'aide d'une intervention restrictive et chaise pour l'intervention WO2024013513A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB2210369.1A GB2620623A (en) 2022-07-14 2022-07-14 A method for feeding a patient with a nasogastric tube using a restrictive intervention and a chair for the intervention
GB2210369.1 2022-07-14

Publications (1)

Publication Number Publication Date
WO2024013513A1 true WO2024013513A1 (fr) 2024-01-18

Family

ID=84540285

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2023/051853 WO2024013513A1 (fr) 2022-07-14 2023-07-14 Procédé d'alimentation d'un patient avec une sonde nasogastrique à l'aide d'une intervention restrictive et chaise pour l'intervention

Country Status (2)

Country Link
GB (1) GB2620623A (fr)
WO (1) WO2024013513A1 (fr)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6213923B1 (en) * 1999-03-30 2001-04-10 Cape Hatteras Management Limited Back exercise device
ITVI20110118A1 (it) * 2011-05-06 2012-11-07 Francesco Panciera Struttura snodata da utilizzare per la realizzazione di poltrone, sedie, sedili, carrozzelle per disabili ed altri prodotti consimili.

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5401078A (en) * 1992-06-03 1995-03-28 Oakworks, Inc. Adjustable therapy chair
US6698831B2 (en) * 2000-07-20 2004-03-02 John T. Lloyd Adjustable chair
US9433546B2 (en) * 2006-09-14 2016-09-06 Ascion, Llc Dual motion deck-on-deck bed frame
KR101224447B1 (ko) * 2011-02-25 2013-01-21 이정기 틸팅기능을 구비한 전동식 의료용침대

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6213923B1 (en) * 1999-03-30 2001-04-10 Cape Hatteras Management Limited Back exercise device
ITVI20110118A1 (it) * 2011-05-06 2012-11-07 Francesco Panciera Struttura snodata da utilizzare per la realizzazione di poltrone, sedie, sedili, carrozzelle per disabili ed altri prodotti consimili.

Also Published As

Publication number Publication date
GB2620623A (en) 2024-01-17
GB202210369D0 (en) 2022-08-31

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