This application is a U.S. National Stage application under 35 U.S.C. § 371 of International Application PCT/NL2021/050174 (published as WO 2021/221494 A1), filed Mar. 15, 2021 which claims the benefit of priority to Application NL 2025439, filed Apr. 28, 2020. Benefit of the filing date of these prior applications is hereby claimed. Each of these prior applications is hereby incorporated by reference in its entirety.
The invention generally concerns an assembly, a device, a system and a method for donning a compressive garment.
Compressive garments, also known as compression garments, are known from practice. When worn, compressive garments fit tightly and compress underlying tissue. Such compression can be beneficial in various ways and in various situations. For example, compressive hosiery, in particular compressive stockings, are known for use in the treatment of venous or lymphatic diseases such as deep vein thrombosis.
Due to their tight, compressive fit, the donning of compressive garments is generally difficult, requiring forceful stretching of the garment prior to and during the donning, in order to be able to position the garment appropriately with respect to the relevant body part. In a known method, a user of the garment or an assistant stretches and positions the garment manually. This process is physically demanding, cumbersome, uncomfortable and potentially unsafe.
Efforts have been made to improve the donning of compressive garments. None however have resulted in a satisfactory solution, as evidenced by the fact that manual donning methods are still standard practice, even in relatively affluent settings.
JP2011004875A discloses an auxiliary device for putting on elastic clothes. The device has a pair of divided pieces (half cylindrical bodies) obtained by dividing a tapered hollow cylindrical body (sleeve) whose diameter is made to be gradually smaller toward an end side from a front end side symmetrically around its axis. A mounting device is provided to help stretch the elastic garment towards the auxiliary device by the user operating a drive lever. To subsequently attach the garment to the auxiliary device, the user holds the mouth portion of the elastic garment by hand and pulls down the mouth portion of the elastic garment to the base end of the auxiliary device.
Such manual pulling of a stretched compressive garment is known to require a high degree of strength and dexterity, similar to what is required in a common manual donning method as previously described. Operating such a drive lever requires substantial physical strength as well.
Thus, there remains a need to improve the donning of compressive garments.
An object of the present invention is to provide improved donning of a compressive garment. An object is to provide a donning method, which requires less user strength and/or less user dexterity. An object is to provide a donning method, which is easier, faster, safer, more efficient, more comfortable and/or more versatile. An object is to at least partially solve at least one of the problems mentioned in the background section.
To that end, an aspect of the present disclosure provides an assembly for donning a compressive garment. The assembly comprises a set of ring sections together forming an openable closed ring structure, which extends around a main ring axis. The ring structure comprises a circumferential wall for receiving a stretched compressive garment thereon. The ring structure is configured for resisting radial compression of the circumferential wall by the received garment. At least two of the ring sections are moveable with respect to each other for opening the ring structure. At least one passage is provided in the circumferential wall of the closed ring structure.
A compressive garment can advantageously be positioned, in particular in a stretched state, onto such a ring structure, whereafter the ring structure with the garment thereon can be moved with respect to, e.g. along, a body part of a user, thereby releasing the garment onto the body part for thus donning the compressive garment. For releasing the ring structure from the body part, the ring structure can be opened, in particular by moving at least two ring sections with respect to each other.
The at least one passage advantageously provides access to the garment through the ring structure in a radially outward direction for moving the garment with respect to the ring structure. The garment can thus be stretched (further) radially outwardly while the garment is at least partly positioned on the ring structure. Such stretching can advantageously reduce friction between the garment and the circumferential wall, easing a further positioning, in particular axial displacement, of the garment with respect to the circumferential wall.
The at least one passage can be particularly versatile, enabling various methods of engaging, e.g. stretching, the compressive garment with respect to the ring structure. Preferably the at least one passage thus provides access for at least one engaging member of a device, in particular, a device as described below for stretching and positioning a compressive garment onto the circumferential wall of the ring structure.
In an embodiment, the at least one passage comprises a plurality passages which are, preferably equally, circumferentially spaced in the circumferential wall of the closed ring structure for allowing compressive garment engaging members of a device for stretching and positioning a compressive garment to extend at least partly radially outwardly through the passages in the circumferential wall for engaging the compressive garment.
In an embodiment, the assembly is configured to be used with a device for stretching and positioning a compressive garment, wherein the device is configured for receiving the ring structure thereon, and for releasing the ring structure therefrom in an axial direction with respect to the main ring axis of the ring structure. In this embodiment, the device may comprise at least one engaging member which is configured for engaging at least part of the compressive garment and for moving at least the engaged part of the garment with respect to the circumferential wall of the assembly. Thereby, the at least one engaging member is moveable between a radially retracted position and a radially extended position and the at least one passage which is provided in the circumferential wall of the closed ring structure is arranged and configured such that, in the extended position, the engaging member at least partly extends radially outwardly through the at least one passage of the circumferential wall. In the retracted position the engaging member extends less or not through the passage.
A further aspect of the present disclosure provides a device for stretching and positioning a compressive garment onto the circumferential wall of the ring structure of the above-described assembly for donning a compressive garment. The device is configured for receiving the ring structure thereon, and for releasing the ring structure therefrom in an axial direction with respect to the main ring axis of the ring structure.
The device comprises at least one engaging member which is configured for engaging at least part of the compressive garment and for moving at least the engaged part of the garment with respect to the circumferential wall.
The at least one engaging member is moveable between a radially retracted position and a radially extended position. In the extended position the engaging member at least partly extends radially outwardly through the at least one passage of the circumferential wall. In the retracted position the engaging member extends less or not through the passage.
Such a device can greatly reduce the manual effort and dexterity required to position a compressive garment onto the ring structure. In the extended position, the at least one engaging member can advantageously engage the garment, in particular in the area of the at least one passage. The at least one engaging member can thus engage the garment preferably both radially outwardly, thus reducing friction between garment and ring structure, and axially, thus positioning the garment further onto the ring structure.
In the retracted position, the ring structure with the stretched garment thereon can easily be removed from the device for subsequent donning of the garment.
A further aspect provides an auxiliary positioning device. The auxiliary positioning device comprises a ring body extending around a central axis of the auxiliary positioning device for receiving an at least partially rolled up compressive garment in a substantially non-stretched configuration. The auxiliary positioning device further comprises a plurality of circumferentially distributed fingers extending substantially axially from said ring body, said fingers being radially inwardly biased to a radially inwardly moved position and configured to be moveable radially outwardly to a radially outwardly moved position when a radially outwardly directed force component is exerted on the respective fingers.
With such an auxiliary positioning device, a compressive garment can be easily applied onto the device and subsequently on the assembly of the system. First, the compressive garment is positioned in a non-stretched condition on the auxiliary positioning device. Subsequently, by pushing the auxiliary positioning device on the axial end of the device, transfer of the compressive garment from the auxiliary positioning device to the device of the present disclosure and subsequently to the assembly of the present disclosure is made very easy and reliable for the user.
A further aspect provides a system for donning a compressive garment, the system comprising the assembly and the device as described above.
Such a system can provide the above-mentioned advantages, thereby enabling a particularly advantageous method of donning a compressive garment as described below.
A further aspect provides a method of donning a compressive garment. The method comprises: providing the above—described system for donning a compressive garment; receiving, on the device, the closed ring structure formed by the set of ring sections of the assembly; engaging at least part of the compressive garment with the at least one engaging member of the device; and stretching, by the device, at least part of the compressive garment radially outwardly with respect to the main ring axis.
Such a method can provide the above-mentioned advantages, wherein a compressive garment can be donned easily, in particular without requiring a high degree of strength and dexterity.
Further advantageous elaborations of the invention are provided by the features of the dependent claims, as will be explained further in the detailed description.
In the following, the invention will be explained further using exemplary embodiments and drawings. The drawings are schematic and merely show examples. In the drawings, similar or corresponding elements have been provided with similar or corresponding reference signs. In the drawings:
The assembly 2 comprises a set of ring sections 6, 6′ together forming an openable closed ring structure 8 (see
In the context of the present disclosure, a ring structure can be in the form of a hollow substantially cylindrical and/or frusto-conical structure. However, no part of the ring structure needs to be strictly cylindrical or conical or circular. A ring structure can have one or more non-curved, e.g. flat and/or angular, sections. In the present context, a closed ring structure provides a substantially continuous structure along the entire circumference of the ring, thus without any circumferential end. However, such a continuous structure need not be continuous in any one plane. Among other options, a closed ring structure can thus comprise a structure, which meanders and/or zigzags with respect to the ring's axial and/or radial direction while providing a structurally continuous circumferential path.
The ring structure 8 is configured for resisting radial compression of the circumferential wall 10 by the received garment 4. Such a compression resistive configuration can be realized in various ways. For example, the ring structure 8 or part thereof can be made from a substantially stiff material, for example, a hard plastic. As another example, the circumferential wall 10 can be provided with one or more flanges, ribs and/or similar reinforcement structures, e.g. extending circumferentially. Such a flange 46 has been indicated in
As shown e.g. in
At least one passage 12a, 12b (see
In an embodiment, the at least one passage 12a, 12b comprises at least one first passage 12a defined by an axial indentation in an axial edge 14 of the circumferential wall 10.
Such a first passage 12a advantageously enables actuation, in particular radially outward actuation, of the garment 4 in the area of the axial edge 14, in particular for positioning the garment 4 or part thereof axially onto the circumferential wall 10 from a position at a distance therefrom.
In an embodiment, the at least one passage 12a, 12b comprises at least one second passage 12b defined by an opening through the circumferential wall 10.
Such a second passage 12b advantageously enables actuation, in particular radially outward actuation, of the garment 4 along the circumferential wall 10, i.e. between different positions along the wall 10, for example for distributing the garment 4 or part thereof across the axial length of the circumferential wall 10.
In an embodiment, see e.g.
Such a configuration enables a closed ring structure 8 to be formed by the circumferential wall 10 while enabling garment actuation substantially along the axial length of the circumferential wall 10.
In an embodiment, the at least one first passage 12a comprises a plurality of first passages 12a, wherein the at least one second passage 12b comprises a plurality of second passages 12b, wherein the first and second passages 12a, 12b are arranged alternatingly along the circumferential direction of the ring structure 8.
Such a configuration enables a substantially homogeneous actuation of the garment 4 along the circumferential wall 8.
In an embodiment, the ring structure 8 comprises one or more hinges 16, 16′ for hinging two or more of the ring sections 6, 6′ with respect to each other, wherein the two or more ring sections 6, 6′ are separable from each other at the hinges 16, 16′ for opening the ring structure 8.
Such hinges 16, 16′ have been indicated in
In an embodiment, with reference to
Such a configuration enables easier release of the garment 4 from the ring structure 8, in particular during and/or after donning the garment 4, wherein such release subsequently enables opening of the ring structure 8 as shown in
In an embodiment, at least one of the ring sections 6, 6′ is provided with one or more connectors, for example cams 18, 18′ and/or magnets, for interfacing with another one of the ring sections 6, 6′ for resisting relative movement thereof in at least one of a radial direction and an axial direction.
Such a configuration enables the formation of a robust openable ring structure 8 which in particular resists radial compression. The cams 18, 18′ may provide a snap connection, for example. It should be noted that the connectors shown as cams 18, 18′ in
In an embodiment, at least two of the ring sections 6, 6′ are each provided with a respective handle 20, 20′ for moving the ring sections 6, 6′ with respect to each other, wherein the handles 20, 20′ are radially and axially spaced apart from the circumferential wall 10. Preferably, the handles 20, 20′ are distributed substantially evenly along the circumference of the ring structure 8.
Such handles enable easy handling of the assembly, for example for forming, positioning, hinging and/or opening the ring structure 8.
Such spacing structures 42 can advantageously help prevent that part of the garment 4 is inadvertently moved radially inwardly of the circumferential wall 10, thereby getting stuck in between the ring structure 8 and the device 22.
Optionally, the edge of the circumferential wall 10 of the ring structure 8 of the assembly 2 may have a structure, which has a higher friction coefficient relative to the friction coefficient of the outer surface of the circumferential wall 10. This may prevent that the compressive garment 4 slips off the circumferential wall 10 during the transfer of the compressive garment 4 onto the circumferential wall 10. The higher friction coefficient may, for example, be achieved by a roughened local surface structure or by an added layer of material at the edge, e.g. an edge provided with a silicone layer.
The device 22 is configured for receiving the ring structure 8 thereon, and for releasing the ring structure 8 therefrom in an axial direction with respect to the main ring axis R of the ring structure 8.
The device 22 comprises at least one engaging member 24a, 24b (see e.g.
The at least one engaging member 24a, 24b is moveable between a radially retracted position and a radially extended position, wherein in the extended position the engaging member 24a, 24b at least partly extends radially outwardly through the at least one passage 12a, 12b of the circumferential wall 10 (
The drawings show the at least one engaging member 24a, 24b in the radially extended position. With reference to
In an embodiment, with reference to
The at least one engaging member 24a, 24b can thus be moved between the extended position and the retracted position while being drivable for engaging the garment 4, at least drivable in the extended position. In
In an embodiment, with continued reference to
Such one or more wheels 24a can advantageously stretch and/or position the garment 4 radially outwardly and axially onto the circumferential wall 10, thereby in particular passing an edge 14 of the wall. For engagement with the garment 4, the wheel surface is preferably configured to resist tangential movement of the garment 4 with respect to the wheel surface. To that end, the wheel surface is preferably configured to induce friction with the garment 4, for example through a suitable wheel surface structure and/or material.
In an embodiment, see for example
In an embodiment, the at least one engaging member 24a, 24b comprises one or more worm gears 24b for engaging at least part of the compressive garment 4 at a respective worm gear surface, the one or more worm gears 24b each being rotatably drivable about a respective worm gear axis G (an example of which is shown in
Such a worm gear 24b can advantageously transport at least part of the garment 4 in a substantially axial direction along an outer surface of the circumferential wall 10, thereby distributing the garment over the wall 10. Such distribution enables a relatively large part of the garment 4 to be positioned onto the ring structure 8 for particularly easy subsequent donning of the garment 4. The worm gear 24b may be substantially cylindrical in shape. In an advantageous elaboration (not shown), the worm gears 24b are tapered along the worm gear axis G, extending from a wider end at the side of the wheels 24a to a narrower opposite end.
In an embodiment, the one or more worm gears 24b are arranged for extending through the at least one second passage 12b when the at least one worm gear 24b is in the extended position.
In an embodiment, in axial direction the one or more wheels 24a at least partially overlap with the one or more worm gears 24b for transferring at least a part of the compressive garment 4 in axial direction from the one or more wheels 24a to the one or more worm gears 24b.
An axially substantially continuous garment actuation can thus advantageously be realized with benefit from the above described advantages provided by each of the one or more wheels 24a and the one or more worm gears 24b.
In an embodiment, the device 22 comprises a driving means 26 for driving the one or more wheels 24a and the one or more worm gears 24b such that during operation a circumferential wheel speed of the one or more wheels 24a exceeds an axial transport speed of the one or more worm gears 24b.
It has been found that good overall engagement of the garment 4 with respect to the ring structure 8 can be realized in this way. Without wishing to be bound by theory, it is believed that this is at least partly associated with creases and/or pleats thus being formed in the garment, in particular in or at an area of axial overlap between the wheels 24a and the worm gears 24b. Such creases and/or pleats can subsequently be transported along the worm gears 24b, thus providing a substantially homogeneous axial distribution of the garment 4 along the circumferential wall 10.
In an embodiment, the one or more wheels 24a comprises a plurality of wheels 24a, wherein the one or more worm gears 24b comprises a plurality of worm gears 24b, wherein the wheels 24a and worm gears 24b are arranged alternatingly along the circumferential direction of the ring structure 8.
The garment 4 can thus be engaged and transported substantially homogeneously with respect to the ring structure's 8 circumference.
In an embodiment, the number of wheels 24a of the plurality of wheels 24a is in the range of four to eight, preferably six, wherein the number of worm gears 24b of the plurality of worm gears 24b is the same as the number of wheels 24a or one more or one less.
Good results have been obtained with such a configuration, while providing a relatively simple device structure.
In an embodiment, the device 22 is provided with a tapered, e.g. conical, shape towards a garment receiving axial end 28 thereof (see e.g.
In an embodiment, as shown in
Such hooks 44 may be movable between a retracted position as shown in
In an embodiment, the device 22 is provided with one or more motors 30 for driving the at least one engaging member 24a, 24b. Alternatively or additionally, the at least one engaging member 24a may be hand driven, e.g. using and lever and/or a winch, and/or be powered otherwise.
In an embodiment, the at least one engaging member 24a, 24b is lockable in its extended position and subsequently unlockable therefrom.
Such a configuration can be realized in various ways, wherein such locking enables robust positioning of the at least engaging member 24a, 24b with respect to the ring structure 8. Such locking and unlocking may be combined with, e.g. be coupled to, a locking of the spring-loaded hooks 44 as described above, wherein preferably the hooks 44 are locked in their retracted position when the at least one engaging member 24a, 24b is unlocked, thus being movable to its retracted position. Various locking features as described above are preferably user-operable, for example via a user interaction element, e.g. a button, arranged at the axial end 28 of the device 22. The button may be axially movable or alternatively be rotatable. Instead of a button at the axial end 28 of the device 22, the user interaction element may alternatively be positioned near the bottom of the device and e.g. be embodied as a rotatable ring with a handle to be engaged by a user.
In an embodiment, as shown in
Such clamping can make it easier to position the garment 4 onto a body part BP, in particular by preventing release of a relatively large part of the garment 4 at once. Such clamping can be provided in various ways, for example by a constricted opening 40 in which the ring structure 8 with garment 4 can be positioned.
In an embodiment, the system further comprises the compressive garment 4, wherein the compressive garment 4 is stretchable from a less stretched circumference which is small compared to a respective circumference of the circumferential wall 10 of the ring structure 8, to a more stretched circumference which is at least equal to the circumference of the circumferential wall 10.
Such compressive garments are known from practice in many varieties and can advantageously be used as part of such a system 32.
In an embodiment, the system further comprises a guiding means 36 (see
Such guiding means 36 can be positioned in the direction G towards the axial end 28 of the device for pushing the garment 4 radially outwards towards engagement with the wheels 24a, in particular in a circumferentially substantially homogeneous manner. It should be noted that the further ring structure 38 of the guiding means 36 does not have to be embodied as a closed ring structure as shown in
Instead of being pivotally connected to the ring 50, the fingers 52 may alternatively be flexible so that they may flex from a radially inwardly moved position to a radially outwardly moved position when a radially outwardly directed force is exerted on the finger tips.
In an embodiment, the number of fingers 52 may be at least three. Preferably, the number of fingers 52 corresponds to the number of wheels 12a and the number of worm gears 12b of the device.
A compressive garment 4 may, as shown in
In an embodiment, the auxiliary positioning device 48 may have a marking on it. The marking is intended to indicate in which rotational position the free border 4a of the compressive garment 4 should be positioned on the auxiliary positioning device 48, namely such that a heel area of the compressive garment 4 is aligned with that marking. The ring structure 8 of the assembly 2 may also have a marking, which indicates to the user how the auxiliary positioning device 48 must be rotatively positioned relative to the ring structure 8. When positioning the marking of the auxiliary positioning device 48 adjacent the marking on the ring structure 8 before transferring the compressive garment 4 from the auxiliary positioning device 48 on the ring structure 8, it is accomplished that, after transfer of the compressive garment 4 on the ring structure 8 of the assembly 2, the heel area of the compressive garment 4 is correctly positioned relative to the handles 20, 20′ of the assembly 2. This correct positioning of the compressive garment 4 on the assembly 2 has the benefit that, during inserting of the leg into the compressive garment 4 with the heel area at the right position relative to the leg, the handles 20, 20′ of the assembly 2 will be at the lateral sides of the leg which facilitates the insertion of the leg into the compressive garment 4 and facilitates the opening of the ring structure 8 after insertion of the leg into the compressive garment 4.
In an embodiment of the device 22, of which an example is shown in
In an embodiment, of which an example is shown in
In fact, the auxiliary positioning device 48 may be used with an embodiment of the device 22 which does not have spring-loaded hooks 44. An example of such an embodiment is shown in
In
In an embodiment, the device 22 may have a sensor, e.g. a switch, which is actuated by placement of the assembly 2 on the device 22. The device may be configured such that the motor 30 can only be switched on when the sensor is in the actuated state. When no assembly 2 is placed on the device 22, the sensor is not actuated and even if a user tries to switch on the motor 30 of the device 22, it will have no effect. This avoids that a compressive garment 4 is inadvertently placed on the device 22 instead of on the ring structure 8 of the assembly 2 as desired.
In the exemplary embodiment shown in
It is clear that this is just one example of the many possibilities to drive the wheels 24a and worm gears 24b. Instead of the planetary gear type construction shown in the example of
With reference to the above description regarding the system 32, an exemplary method of donning a compressive garment comprises: providing the system 32; receiving, on the device 22, the closed ring structure 8 formed by the set of ring sections 6, 6′ of the assembly 2; engaging at least part of the compressive garment 4 with the at least one engaging member 24a, 24b of the device 22; and stretching, by the device 22, at least part of the compressive garment 4 radially outwardly with respect to the main ring axis R.
In an embodiment, the method further comprises transporting, by the device 22, a stretched part of the compressive garment 4 axially along the circumferential wall 10 of the ring structure 8.
In an embodiment, the method further comprises: releasing the ring structure 8 with the stretched compressive garment 4 thereon from the device 22; moving a body part BP axially through the ring structure 8 (see
In an advantageous elaboration, releasing the ring structure 8 with the stretched garment 4 thereon from the device 22 comprises driving the wheels 24a in a driving direction such that a wheel surface part at the circumferential wall 10 is moved towards the device's axial end 28, which is preferably a reversed direction compared to a wheel driving direction for positioning the garment 4 onto the wall 10. It has been found that release of the ring structure 8 can be made easier in this way.
In an embodiment, the method further comprises: prior to opening the ring structure 8, hinging (see
In an embodiment, releasing the ring structure 8 from the device 22 comprises retracting the at least one engaging member 24a, 24b of the device 22 radially inwardly.
In an embodiment, the method further comprises: assembling the closed ring structure 8 from the set of ring sections 6, 6′.
While the invention has been explained using exemplary embodiments and drawings, it will be appreciated that these do not limit the scope of the invention, which scope is provided by the claims. Many variations, combinations, and extensions are possible, as will be appreciated by the skilled person. Examples thereof have been provided throughout the description.
Number | Date | Country | Kind |
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2025439 | Apr 2020 | NL | national |
Filing Document | Filing Date | Country | Kind |
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PCT/NL2021/050174 | 3/15/2021 | WO |
Publishing Document | Publishing Date | Country | Kind |
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WO2021/221494 | 11/4/2021 | WO | A |
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Entry |
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International Search Report and Written Opinion -PCT/NL2021/050174—mailing date Apr. 11, 2021. |
Number | Date | Country | |
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20230172378 A1 | Jun 2023 | US |