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EP0961600A1 - Appareil de maintien de region pelvienne - Google Patents

Appareil de maintien de region pelvienne

Info

Publication number
EP0961600A1
EP0961600A1 EP96938988A EP96938988A EP0961600A1 EP 0961600 A1 EP0961600 A1 EP 0961600A1 EP 96938988 A EP96938988 A EP 96938988A EP 96938988 A EP96938988 A EP 96938988A EP 0961600 A1 EP0961600 A1 EP 0961600A1
Authority
EP
European Patent Office
Prior art keywords
belt
accident
expandable
victim
pelvis
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.)
Withdrawn
Application number
EP96938988A
Other languages
German (de)
English (en)
Inventor
Friedrich Baumgaertel
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.)
Ambu International AS
Original Assignee
Ambu International AS
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 Ambu International AS filed Critical Ambu International AS
Publication of EP0961600A1 publication Critical patent/EP0961600A1/fr
Withdrawn legal-status Critical Current

Links

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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/30Pressure pads
    • A61F5/34Pressure pads filled with air or liquid
    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/02Orthopaedic corsets
    • A61F5/028Braces for providing support to the lower back, e.g. lumbo sacral supports

Definitions

  • the invention relates to a device for stabilising unstable pelvic fracture in victims of accidents.
  • a pelvic fracture occurs in a polytrauma where traffic accidents account for a substantial part thereof.
  • the pelvic fracture co- occurs with thorax or abdominal trauma, spinal column fractures or cranium/brain trauma.
  • the loss of blood in connection with an unstable pelvic fracture constitutes a serious and unresolved problem.
  • the loss of blood is of a substantially venous nature, whereby m particular the haemorrhage from plexus and the fractured bone surface is predominant.
  • m case of an unstable pelvic fracture a loss of blood of about 4 litres or more may occur, which m itself constitutes a serious threat to the life of the patient.
  • pelvic clamp for stabilising the fractured pelvis.
  • This pelvic clamp exerts a lateral pressure via two pins forced into the pelvic sockets.
  • the positive effect on the haemorrhage as a consequence of a stabilisation of the pelvis is uncontested.
  • it represents a substantial drawback of this known device that it is for invasive application only and may thus be used in clinical conditions only.
  • a device is known m the form of a pressure garment which, being positioned around the lower extremities of the body and here exerting its influence, serves to prevent a sinking of the blood into the legs in the event of a circulatory decompensation.
  • the compression affects only on the legs and the abdomen and has no effect on the mechanical stabilisation of the pelvis .
  • the object of the present invention to provide a device for stabilising an unstable pelvic fracture m victims of accidents, which device may also be used m non-clinical conditions, such as e.g. on the site of the accident.
  • a device which is characterised in comprising a belt for fitting around the pelvis/hip region, means in connection with the belt for securing the latter in a tightened state against the victim of accident, and at least two first expandable means so arranged as to press against the victim of accident on the back side of the pelvis opposite the pelvic sockets upon expansion and to further tighten the belt.
  • the device By means of such device it is possible to obtain effective stabilisation of the fractured pelvis and consequently an effective control of venous haemorrhages.
  • the device is easy to handle and is swiftly fitted since only external application is required. Its ability for unsophisticated and swift fitting enables early application thereof, e.g. on the site of the accident, since the device may be operated by the rescuers.
  • This specific use of the system means that other organ systems are influenced only to a minor extent and therefore the device eliminates the need for infusion therapy.
  • At least one outer layer of the device is made of a substantially non- stretchable material.
  • the exertion of pressure becomes unambiguous, especially when using expandable means with a pressure relief valve with a pre-set pressure-relief setting.
  • the expandable means are movably secured to the belt in order to allow adaptation of the device to different body dimensions and shapes.
  • attachment means are conveniently arranged at one side of the belt, said attachment means having such length as to enable them to be inserted between the legs of the victim of accident and secured relative to the belt on the opposite side of the patient since securing means are provided on the belt in addition to the attachment means.
  • a third expandable means is provided on the belt, said means being so arranged that it is urged against the pelvis front of the victim of accident. This provides a further specific stabilisation of the pelvic fracture.
  • the two first and optionally the third, additional expandable means are connected to a source of pressure medium by means of a common pressure medium supply conduit.
  • a common pressure medium supply conduit This makes it possible to simultaneously expand all expandable means connected thereto.
  • the means for securing the belt in its tightened state prior to expansion of the expandable means and the means for securing the expandable means relative to the belt consist of a usual burrlockmg mechanism, also called a hook/loop-mechanism (Velcro®) .
  • Velcro® hook/loop-mechanism
  • other closing and securing mechanisms may be used. Exemplary mechanisms include buttons, snap fasteners, hooks, conventional belt buckles and straps that originate m the expandable means and extend all the way around the belt.
  • the expandable means consist of air- mflatable elastomer bladders provided with a relievable one-way valve.
  • This valve may optionally be provided with a pressure-relief mechanism so as to ensure that only a pre-determined pressure is obtained m the bladder and thus that a pre-determmed maximum pressure is exerted by the device onto the victim of accident.
  • FIGS 1 and IA are top plan views of the device according to the invention.
  • Figure 2 is a side view of the device shown m
  • FIG. 3 illustrates the device shown in Figure
  • Figure 4 is a perspective view of the device with its belt ends m their interconnected state.
  • FIG. 1 schematically illustrates a device according to the invention.
  • the device comprises a belt 1 having at the one side of its one end means 2 which may be caused to co-operate with corresponding means 13 (cf. Figures 2- 4) arranged at the other end and at the opposite side of the belt.
  • two means 3,4 are provided which may be inflated by infusion of air and which preferably consist of rubber bladders provided with a relievable one-way valve and a pressure-relief valve.
  • the pressure relief valve may be integral with the one-way valve. This valve arrangement being a commonly known measure is not shown herein.
  • the expandable means 3, 4 are preferably secured relative to the belt by a common burrlockmg device.
  • the positioning of the expandable means is selected m the relevant situation of use to be such that the belt, when fitted around the hip region/pelvis of a victim of accident, presses against the back of the pelvis and preferably closely to its periphery.
  • a further expandable means 5 is arranged on the belt at such location that it abuts on the patient centrally to the front of the pelvis when fitted onto the victim of accident.
  • Two straps 6, / are secured to the belt at a location at the back side of the patient when fitted onto the victim of accident. At the outermost free ends of the straps 6, 7 the one element 8,9 of a usual burrlockmg mechanism is provided.
  • Figure IA schematically illustrates a hose connection connecting the one expandable means 4 to an inflation pump 14.
  • Such pump mechanism is generally known and is used e.g. in connection with sphygmomanometer equipment.
  • Figures 2 and 3 which schematically illustrate a device according to the invention m a lateral view, show the location of the various elements in a non-expanded state of the expandable elements and an expanded state thereof, respectively.
  • Figure 4 schematically illustrates a device according to the invention when its two belt extremities are connected to each other, where the co-operating locking mechanisms 2,13 are interconnected. In the state shown, the locking devices 8,9 on the straps 6,7 are not connected to the corresponding locking devices 10,11 on the belt.
  • the outer belt layer is preferably made of a non-stretchable material, e.g. a so- called Cordura-web.
  • a non-stretchable material e.g. a so- called Cordura-web.

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

Appareil d'immobilisation d'une fracture pelvienne instable chez les victimes d'accidents. L'appareil se compose d'une ceinture (1) entourant la région pelvienne de la victime, d'un dispositif (2, 13) solidarisé à la ceinture (1) et permettant de serrer celle-ci sur le patient, et au moins deux premiers dispositifs extensibles (3, 4) conçus de manière à être plaqués contre le patient, sur la partie postérieure du pelvis, du côté opposé aux cavités articulaires pelviennes au moment de l'extension, et de manière à augmenter le serrage de la ceinture (1).
EP96938988A 1995-11-27 1996-11-27 Appareil de maintien de region pelvienne Withdrawn EP0961600A1 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DK134195A DK172660B1 (da) 1995-11-27 1995-11-27 Indretning til stabilisering af instabil bækkenfraktur ved uheldsofre
DK134195 1995-11-27
PCT/DK1996/000495 WO1997019658A1 (fr) 1995-11-27 1996-11-27 Appareil de maintien de region pelvienne

Publications (1)

Publication Number Publication Date
EP0961600A1 true EP0961600A1 (fr) 1999-12-08

Family

ID=8103790

Family Applications (1)

Application Number Title Priority Date Filing Date
EP96938988A Withdrawn EP0961600A1 (fr) 1995-11-27 1996-11-27 Appareil de maintien de region pelvienne

Country Status (4)

Country Link
EP (1) EP0961600A1 (fr)
AU (1) AU7621996A (fr)
DK (1) DK172660B1 (fr)
WO (1) WO1997019658A1 (fr)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9814837D0 (en) * 1998-07-08 1998-09-09 Langley E & D Ltd A pelvis support
WO2000045756A1 (fr) * 1999-02-08 2000-08-10 Peter Francois Malan Dispositif de stabilisation d'un bassin fracture
DE10029447A1 (de) * 2000-02-23 2001-08-30 Boesl Medizintechnik Gmbh Manschette
US6626856B2 (en) * 2000-05-19 2003-09-30 The Research Foundation Of State University Of New York Semi-rigid pelvic compression splint for trauma
GB2376893A (en) * 2001-06-29 2002-12-31 Michael Anthony Lavelle Pelvic compression strap
KR100822375B1 (ko) 2007-03-23 2008-04-16 주식회사 에이치비티 골반 교정용 보조기
GB0901595D0 (en) 2009-01-31 2009-03-11 Lewis Simon Improvements in pelvic support
CN110251291B (zh) * 2019-05-31 2022-07-01 常州市武进人民医院 一种固定防脱腹带

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4099524A (en) * 1975-11-05 1978-07-11 Zimmer, U.S.A. Inc. Sacro-lumbar support belt
US4178923A (en) * 1977-09-23 1979-12-18 Curlee James D Therapeutic corset
US5407422A (en) * 1994-10-04 1995-04-18 Sharon C. Hanson Pelvic belt

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO9719658A1 *

Also Published As

Publication number Publication date
AU7621996A (en) 1997-06-19
WO1997019658A1 (fr) 1997-06-05
DK172660B1 (da) 1999-05-03
DK134195A (da) 1997-05-28

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