Patent Application
20250082492
The present invention relates to a post-natal gluteal orthosis.
The postulate that governs all reasoning relating to the physiology of the perineum is that of vertical pressure from the abdomen and the earth's gravity. These combined pressures are supported by the perineal floor. This postulate is considered as without any justification. But no post-natal orthosis could be described on the basis of this postulate. The inventor developed a new postulate according to which the perineum supports horizontal pressures and displacements. This postulate is developed under the term «vectorial perineology»: http.//www.perineologie-vectorielle.com.
Known devices are vertical. However, any vertical pressure perpendicular to its direction has the effect of distending the perineal floor. Nearly 40% of women who give birth have scarring in the wrong position.
The aim of the present invention is to develop a device for supporting the gluteal muscles which pushes forward the perineum dis-tensioned, making it possible to develop horizontal pressure on the perineum to ensure its closure by allowing the osteo ligamentary, muscular and fibrous ensemblement to be held in place during the healing period. Another aim of the invention is to straighten out all the internal osseous, ligamentary and muscular spacing that accompanies the healing process.
The perineum and the whole of the small pelvis must adapt to the moment of birth.
To this end, the invention relates to a post-natal gluteal orthosis comprising:
The brace used in this invention maintains the patient in the healing position by compressing the perineal tissues. The pressure indirectly constricts and compresses the perineum. This facilitates the healing of ruptured tissues and fractured edges.
According to the invention, the belt consists of a rear part in the form of a loop in one plane, connected on each side by a respective intermediate part, these intermediate parts being curved downwards and symmetrical to join the front part at the level of the pubis below the waist the abdomen; these parts curve downwards and then upwards to form a basket handle when joined together.
The belt and the sub-abdominal sheathing help to push upwards the Core of the small pelvis (Core according to J PILATE).
Another feature of the orthosis is that it includes a pad that is associated with each support device and is removably and adjustably attached to it in the area around the intersection of the two support devices.
The two adjustable pads are positioned in the space between the two ischial tuberosities and the tip of the coccyx. Each support device exerts a horizontal forward thrust on the tissues via the two pads.
According to the invention, each of the two holding devices is directed medial to the trochanteric masses, crossing behind the pelvic opening and then forward.
Another feature of the triangular piece is that it is made of an elastic fabric.
Another feature is the elasticity of the triangular part.
Another feature the axis is oriented so that elasticity is mainly in the transverse direction and low in the longitudinal direction.
In another feature, the adjustable hooking device is a buckle through which the end of the strap passes, this buckle being fixed or secured to the fixing point in the front part of the belt.
The present invention will be described in greater detail below with the aid of an example of an orthosis shown in the figures in which:
According to
The brace 100 consists of a belt 1 used for support by the patient which the orthosis is attached to the subject. The belt 1 carries, in symmetrical positions relative to a median line YY, two holding devices 2 oriented in the longitudinal direction, which is substantially the median direction YY. This direction intersects the transverse direction represented by the belt 1 and is in particular perpendicular.
As the two holding devices 2 are symmetrical, the description will be limited to one of them. In order to simplify the description and not to clutter it up unnecessarily with complex references, the holding devices 2 have numerical references supplemented by a suffix a or b, 4 which will only be used to explain the crossing of the attachment of the two holding devices 2a, 2b.
The retaining device 2 consists of a triangular part 21 fixed to the belt 1 at its base and tapering in the opposite direction by a tapered part 22 connected to a strap 23 terminated by an adjustable hooking device 24.
The holding device 2 can be made in a single piece from of a fabric which is elastic in the transverse direction and which is not necessarily perpendicular to the direction of the belt. The tapered part 22 can retain a certain elasticity, which is substantially unidirectional, whereas the strap 23 is preferably ineradicable or very slightly elastic. The strap 23 ends in an adjustable attachment element 24, such as a micro-gripping segment, enabling the overall length of each holding device 2 to be adjusted.
The belt 1 carrying the two retaining devices 2 is an adjustable belt with two assembly ends 11, not shown in detail, corresponding to the front parts 2A, 2B of the belt.
The belt 1 is preferably formed by a reinforcement 13 such as a band of polycarbonate integrated into the body of the belt. As the band is not integral with the end buckles 11, the belt retains a certain elasticity of its own.
Preferably, the belt 1 of the device is reinforced along the entire length of the belt along the back three quarters of its circumference by the band of soft, flexible material under the iliac crests, but strong vertically, for example a thin sheet of polycarbonate. This prevents the belt from bending.
Adjustment of the length of the belt 1 is illustrated by the two connecting elements at the ends 11 of the belt.
Close to the ends, the belt 1 has two attachment points 12 for receiving see the ends 24 of the strips 23 after crosswise positioning of the straps of the brace 100.
The holding devices 2a, b are crossed diagonally to direct the forces exerted by the triangular parts 21a, 21b.
The triangular part 21 itself has a non-symmetrical shape, the inner side 211 being relatively straight or slightly curved and the outer side 212 being highly curved to create the contour of the enclosing shape.
So each triangular piece 21a, 21b has a wide bow attached to the side of the waistband. It runs towards the trochanteric mas-sifs, to come to rest in front of the ischial tuberosities. At the level of the perineum, the fabric narrows to form a strap 23.
This strap crosses the strap coming from the opposite side. As shown, the strap joins the front circumference of the belt 1. The length of the strap can be adjusted so that its tension can be adjusted.
The fabric of the triangular pieces 21a, 21b has a double elasticity. It is wide perpendicular to the direction of the straps 23 so as to encompass each buttock mass. The elasticity is low along the length of the triangular part, so that its tension can be adjusted.
The distance of the holding devices 2a, 2b from the median line YY in the transverse direction depends on the anatomical characteristics of the subject.
At the front (
According to
In order not to complicate the presentation of this embodiment, the references used in the description and the claims will not be repeated not completed by the suffixes (a) and (b) that these numerical references bear in
The brace 100′ consists of a belt 1 which, in positions symmetrical with respect to the median plane PM, two holding devices 2′ oriented in a crossed position. The two holding devices 2′ are symmetrical, so the description will be limited to one of them, using the same alphanumeric reference conventions as in the first embodiment.
Each holding device 2′ consists of a triangular or triangular-like part 21 with curved sides. Part 21′ is fixed by its base 210′ to the belt 1′. This part 21 tapers overall to a tapered part 22′, which is continued by a narrower part 22′, which is continued by a narrower part 22′, which is continued by a narrower part 22′ 23′. The triangular part has elasticity in the transverse direction which, as in the first embodiment, is not necessarily the direction perpendicular to the direction of the belt or perpendicular to the median plane PM.
The tapered part 22′ can retain a certain elasticity in one direction, whereas the strap 23′ which continues the tapered part 22′ is preferably inextensible or only slightly elastic.
The strap 23′ passes through an attachment element of the fixing point front 12′. This attachment point allows the buckle 121 to pivot to adapt to the orientation imposed on the layout of the holding device 2′ and in particular the strap 23′ by the morphology of the subject.
The attachment point 12′ preferably comprises a loop 121 in through which the strap 23′ is passed and locked in an adjustable manner. This buckle 121 is, for example, a strap buckle, cam buckle, slide buckle or self-locking buckle, connected to the attachment point 12′ of the belt 1′.
The end of the strap 23′ is advantageously provided with a hooking surface such as a micro-scratch surface to hold the end to the belt.
As in the first embodiment, the belt 1 can be reinforced for strength, with a reinforcement that does not extend to the ends where the belt closes, so as to retain a certain elasticity.
At the back and over two-thirds of its circumference, the 1′ belt is reinforced by a vertically rigid but horizontally flexible material, for example a thin sheet of polycarbonate, inserted into the fabric folded around it.
At the front 1′AV, the ends 11 are preferably fitted with elements fastening or hooking devices, such as micro-grips, enabling the belt to be adjusted or adapted to the waistline, while retaining the belt function, i.e. supporting the tensioned holding devices 2′.
The particular three-dimensional shape of the belt 1 is shown in
According to the perspective view and the explanations previously given, the attachment points 12′ are located at the front and in positions in some way diametrically opposed to the rear fixings 14′ of the parts 21′ of each holding device 2′ so as to have a diagonal layout of the two holding devices 2′.
Beyond part 21′, at the tapered part 22′, each dis the positive holding device 2′ receives a pad 3′ detachably connected to the holding device 2′ to be located in the region surrounding the intersection of the two holding devices 2′ when they are worn by the subject.
These elongated pads 3′ preferably have detachable fastening elements on the underside, such as adhesive or micro-gripping surfaces, so that they can be attached in a removable and adjustable manner to each holding device 2′.
The positioning of the pads 3′ and the adjustment of the tension of the support dis-positives 2′ at the level of the straps 23′ passing through the plates allow the orthosis to be adapted to all morphologies for exerting the thrust as previously explained.
The loop-shaped fastening devices 121 form part of the fastening points 12′. However, it is also possible, as is generally the case, for the end of the strap 23′ to befitted with an adjustable hooking device which connects or hooks to the attachment point 12′ carried by the front part of the respective AV belt.
The rear 1′AR part of the belt is worn over the under of the iliac crests of the bony pelvis.
The belt 1′ thus creates efforts to bring together and maintain the amplified bone joints, reducing sacroiliac joint distension and a sheathing that lifts the heart from the pelvic organs (Pilate core) by a hypopressive sheathing with a reduction in the pressure on the pubic joint distortions and support for the abdomen through the sheathing effect.
The belt 1 is stiffened in the vertical direction to retain its three-dimensional shape when buckled and tensioned.
The criss-cross arrangement of the two holding devices 2 and their use in tension helps to maintain the three-dimensional shape of the 1′ frame.
| Number | Date | Country | Kind |
|---|---|---|---|
| FR2200148 | Jan 2022 | FR | national |
| FR2212223 | Nov 2022 | FR | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/FR2022/052316 | 12/12/2022 | WO |
