Pediatric patients with femur fractures and severe hip dysplasia typically undergo surgery or reduction procedures and require Spica casts to stabilize their hips post-operatively. Spica casts immobilize the hip in a flexed and abducted position and the knees in a flexed position to facilitate proper healing of the hip joint and the surrounding bones and tendons. However, due to the casts' wide hip angle and straightened back, these children cannot fit into most traditional car seats. This places a significant burden on the patients' families, not only during the hospital discharge process, but also during their day-to-day travel.
Spica casts typically begin near the chest and extend down to either the feet or knees and the casts can immobilize either both legs or only one. There is a wide variety in the forms of Spica casts because how the child is casted depends on the type and location of the orthopedic injury as well as their size and body type. Most car seat options for these patients fail to accommodate the many casting forms that are possible. Commonly, children in Spica casts are shifted forwards in current car seat options so that their immobile, flexed knees can hang over the edge of the seat. However, this leaves a large space between the back of the cast and the seat back. Additionally, this positioning forces the head to be flexed forward, compromising the child's airway. This can be addressed by placing additional padding under the child to fill in the gap behind them and straighten the angle between their thoracic and cervical spine. However, most car seat companies prohibit the use of additional padding because the additional padding and car seat combination has not been crash-tested and may pose safety risks for the child.
Adjustable vehicular safety seats are described herein. In one aspect, a child vehicular safety seat can include a seat back adapted and configured to support a child's back; and a pommel extending substantially perpendicular from adjacent to the seat back, such that the child's perineum is supported by the pommel while the child's legs hang on either side of the pommel.
This aspect can include a variety of embodiments. In one embodiment, the pommel is fixedly attached to the seat back. In another embodiment, the child vehicular safety seat can further include a pair of adjustable supports, one on each side of the pommel. In some cases, the pair of adjustable supports are movable substantially parallel to an axis defined by the pommel. In some cases, the pair of adjustable supports are movable independently. In some cases, the pair of adjustable supports are movable in tandem.
In another embodiment, the child vehicular safety seat can further include a pair of side-protection wings, each of the pair of side-protection wings coupled to an opposing side of the seat back. In some cases, the pair of side-protection wings is rotatably coupled to the seat back.
For a fuller understanding of the nature and desired objects of the present invention, reference is made to the following detailed description taken in conjunction with the accompanying drawing figures wherein like reference characters denote corresponding parts throughout the several views.
The instant invention is most clearly understood with reference to the following definitions.
As used herein, the singular form “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise.
Unless specifically stated or obvious from context, as used herein, the term “about” is understood as within a range of normal tolerance in the art, for example within 2 standard deviations of the mean. “About” can be understood as within 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1%, 0.5%, 0.1%, 0.05%, or 0.01% of the stated value. Unless otherwise clear from context, all numerical values provided herein are modified by the term about.
As used in the specification and claims, the terms “comprises,” “comprising,” “containing,” “having,” and the like can have the meaning ascribed to them in U.S. patent law and can mean “includes,” “including,” and the like.
Unless specifically stated or obvious from context, the term “or,” as used herein, is understood to be inclusive.
Ranges provided herein are understood to be shorthand for all of the values within the range. For example, a range of 1 to 50 is understood to include any number, combination of numbers, or sub-range from the group consisting 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, or 50 (as well as fractions thereof unless the context clearly dictates otherwise).
The present disclosure relates to an adaptable vehicular safety seat that is adaptable for pediatric patients immobilized in any variation or size of Spica cast. The modular, adjustable car seat can position the occupant in an upright position by allowing the casted legs to straddle the pommel-shaped seat base. The straddling position can avoid the need to shift the child forward in the seat, thereby preventing the formation of a gap behind the patient's back and excessive flexion of the patient's cervical spine. The safety seat can include a pommel-shaped base, an extendable seat back, and extendable support padding to adjust to various Spica casting configurations.
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Although preferred embodiments of the invention have been described using specific terms, such description is for illustrative purposes only, and it is to be understood that changes and variations may be made without departing from the spirit or scope of the following claims.
The entire contents of all patents, published patent applications, and other references cited herein are hereby expressly incorporated herein in their entireties by reference.
This application claims the benefit of priority under 35 U.S.C. § 119(e) to U.S. Provisional Patent Application Ser. No. 63/091,104, filed Oct. 13, 2020. The entire content of this application is hereby incorporated by reference herein.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/071811 | 10/11/2021 | WO |
Number | Date | Country | |
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63091104 | Oct 2020 | US |