Accidental choking in the U.S. ranks as the fourth greatest cause of accidental death. The National Safety Council reported that about 95 percent of these tragedies occur at the victim's home. Though anyone at any age could be a victim, being elderly increases the risk and the vast Baby Boomer generation is on the threshold of being at the higher risk age. The Heimlich maneuver of the 1970s is still among the first aid methods used, but all currently used methods of rescuing choking victims are controversial. One problem is that little is known about the reliability of the methods because reports about their success or failure are mainly anecdotal. Without solid evidence backing a best method of assisted rescue, authorities recommend a combination of methods; usually a combination of back blows and abdominal thrusts. Authoritative recommendations for self-rescue are even less definite.
What is generally advised is that a choking victim that can speak and breathe should be encouraged to cough as the best first aid. On the other hand, an individual with a totally blocked airway can't breathe, speak, or call anyone for help. If the latter victim is alone, some authorities advise self-actuated abdominal thrusts onto the backrest of a chair or on the edge of a countertop. But the chances of successfully dislodging a foreign object from the lone victim's airway would be far better if the abdominal thrusts are on an implement that is the right size and shape to efficiently compress the victim's lungs while avoiding injury. Logically, the right size depends on the victim's size, and the right shape should be determined by human anatomy and physiology for efficacy and safety. Moreover, a device for a victim to thrust on should be at a height that accommodates the victim's stature. And logic also suggests that a shock absorbing means is warranted for mediating the thrusts to minimize risk of injury. Finally, the implement must be easy for a layman to understand and use.
The patent records show some attempts to provide a life-saving device for a lone choking victim. Related references known to the present inventor and listed in a related Information Disclosure Statement show devices having a blunt thrust pad for thrusting medially against the victim's abdomen. But the victim's lungs are located laterally in the thorax, not medially. And medial thrusts could compress central thoracic organs against the bony ridge of the spine. Further, none of the prior art blunt thrust pads are sized according to the victim's size.
Embodiments shown and described herein are of more practical anti choking implements. Each serves for self-rescue by a person having an airway completely blocked by food or other foreign object. The embodiments can also be efficiently used by an assistant to aid a choking victim. A first embodiment includes a plurality of thrust pads of a thrust pad pack supportable by a length-adjustable trekking staff having an anti shock feature. In a choking emergency, the combination serves as an anti choking implement at home or in remote settings—indoors or outdoors. The thrust pad pack is comprised of a series of nested thrust pads differing in size and height relative to each other and each thrust pad is selectable to best accommodate the size and stature of the victim. Each thrust pad includes a pair of bilateral elastomeric protuberances for compressing each of a choking victim's lungs, respectively, and to minimize collateral compression of organs in the middle of the chest. Each thrust pad protuberance for a particular pad size is predetermined to be approximately the size of a potential choking victim's fist.
Three table model embodiments also serve for self-rescue or to assist a choking victim. These include a pack of thrust pads that vary in size and height and are supported by a base for resting on a dinner table, desk, or other common furniture. Bilateral handles are attached to the base for use by a lone choking victim or by an assistant. Two of the table models have means for adjusting the position of bilateral protuberances relative to each other.
Three walking cane embodiments are also shown and described wherein each can convert into an anti choking implement. Each cane embodiment includes customary cane features of a length-adjustable staff and handle, but also includes a thrust pad pivotally supported to pivot from a storage position to a deployed position. In the deployed position, the combination facilitates self-rescue of a choking victim. The cane embodiments differ in the method of actuation and/or the position or orientation of the pivot mechanism.
Each nested thrust pad of the thrust pad pack differs in size and height for self-rescue or for assisting rescue of a victim according to the victim's size and stature. And each thrust pad is quickly accessible for self-use. All of the embodiments are especially needed safety devices for people that live alone.
Three of the embodiments are small compact table models and are versatile for use by a rescuer of a choking victim or for self-rescue. Elastomeric protuberances are arranged for being directed bilaterally of the abdomen to compress both lungs simultaneously. The bilateral compression method is more likely to expel a foreign object than by the conventional central (medial) compression method. The logic is that abdominal compression directed bilaterally toward the lungs is more efficacious and avoids or minimizes collateral compression of vital organs in the middle of the chest.
The walking cane embodiments are advantageous for elderly people because they are at greater risk for choking and are more likely to have access to a cane to facilitate walking. Each cane embodiment serves for dealing with a choking emergency at home or when remotely away from home.
The accompanying drawings in combination with the description herewith illustrate features of embodiments. Like reference numerals refer to the same parts. The drawings are not necessarily to scale.
Trekking Staff
Staff 18 includes an outer aluminum tube 19 and an inner aluminum tube 15 slidably supported in tube 19 in order to telescope, thereby enabling staff 18 to be adjustable in length. A conventional telescope locking means is provided including a locking button 25. The button is spring-urged to pass through a user-selected hole of a row of selectable holes along outer tube 19. Thus, button 25 locks the staff at a selectable length. In a choking emergency, a lower end portion of staff 18 serves for being placed adjacent whatever surface a choking user stands on. Bilateral cross handles 20A and 20B include soft elastomeric cushions enclosing short aluminum tubes, respectively. The aluminum tube in each handle has a concave end portion welded to tube 19. An axial handle 33 includes a soft elastomeric cushion surrounding tube 19 wherein handle 33 perpendicularly adjoins cross handles 20A and 20B for benefits explained in the “Operation of the First Embodiment” section below.
Shock absorber 22 includes an elongate aluminum housing 24 enclosing a helical compression spring 26. A bottom end of housing 24 is capped by an aluminum cap welded thereon to retain spring 26. A carbide spike 30 threadedly mated to a threaded aperture in the cap projects distally of shock absorber 22 for gripping rough terrain. A detachably connectable rubber tip 32, molded to cover a bottom end portion of shock absorber 22 and its carbide spike 30, serves for gripping paved surfaces. An upper end portion of housing 24 defines a concentric aperture that receives tube 15 for sliding longitudinally within housing 24. A stop pin 28 passes through tube 15 and rests on spring 26. Thus, when implement 14 is upright, spring 26 movably supports all the weight of implement 14 above shock absorber 22 plus any user weight imposed on implement 14.
A snow web called a snow basket (not shown) may be detachably connected to the distal end of shock absorber 22 to prevent or minimize sinking in mud or snow.
Thrust Pad Pack
Thrust pad pack 16 is intended for attachment to an upper end portion of staff 18 when the staff is not being used for trekking. Being comprised of a plurality or series of thrust pads, pad pack 16 includes a first blunt thrust pad 34, a second blunt thrust pad 36, and a third blunt thrust pad 38. Second pad 36 is generally bigger and taller than pad 34 and is detachably connectable to pad 34. Pad 36 extends axially beyond pad 34 when connected thereto. Thus, pad 36 serves a bigger and taller user (choking victim) than one intended for being served by pad 34. Third thrust pad 38 is generally bigger and taller than pad 36 and is detachably connectable to pad 36. Pad 38 extends axially beyond pad 36 when connected thereto. Thus, pad 38 serves a bigger and taller user than one intended for being served by pad 36.
A label 35 is adhered to each pad for displaying a diagram similar to
As mentioned, pad 36 is larger than pad 34 and pad 38 is larger than pad 36, but all are interiorly hollow and structurally similar to pad 34 except that the two largest pads have no mounting flange. Second pad 36 and third pad 38 detachably receive a preceding smaller pad by snugly enclosing the preceding smaller pad and detachably adhering thereto by slight compression of the resilient cushion of the preceding smaller pad.
The Size and Shape of the Thrust Pads Matter
The human diaphragm is muscular and shaped like a pair of hollow juxtaposed domes when relaxed. When contracting, the diaphragm tends to flatten. When relaxing, the diaphragm moves upward to enable the lungs to expel their contained gases. The two dome-like portions of the diaphragm fit conformingly under concave bottom sides of the two lungs, respectively. Therefore, to be efficient, a thrust pad must be of a size and shape that will press upper abdominal tissues bilaterally and expeditiously against the underside of the diaphragm.
An adjuster 17 comprised of an elongate plastic cylinder having circular knobbed end portions 39 is normally stored in an upper end portion of the funnel-shaped slot. The cylindrical portion of adjuster 17 is wider in diameter than most of the slot width. Thus, by pushing the adjuster to move progressively downward within and along slot 37, the lobes and their protuberances move progressively further apart as indicated in
Hence, the thrust pads are configured for efficient expulsion of lung gases from both lungs for dislodging the foreign object causing the choking. And each thrust pad of pad pack 16 differs in size and height or tallness relative to the other thrust pads to rescue individuals according to their physical size and stature.
Pad pack 16 is detached from staff 18 when the latter is used for trekking. When trekking, staff 18 not only provides balance on rough terrain but also lessens weight on the user's legs. The result is less leg fatigue, faster traveling, and more endurance. The cross handles and axial handle combination enables a variety of gripping options so the user can frequently change the way he or she grips the staff. This prevents or minimizes fatigue on muscles of the hand and forearm.
Being mostly hollow, the thrust pad pack is light-weight and may be carried in the user's back pack. Mealtime, however, poses a choking risk, especially for those that are middle-aged or older and/or wear dentures. Thus, the pad pack should be attached to the trekking staff before meals begin.
Ninety-five percent of choking tragedies occur in homes. Therefore, all household members should know how to use the implement from printed instructions provided with the purchase. Implement 14 ought to be stored, ready to use, in a broom closet or other convenient place in or near the kitchen or dining room. No time should be wasted to make length adjustments to the staff during an actual choking emergency. Therefore, the length of the staff should be preset for rescuing the shortest potential user in the household that might be home alone at the time of such an emergency. Taller users will have taller thrust pads to use. A small user will be best served by the SMALL thrust pad which is shorter in height than the other thrust pads.
A medium size user will use the MEDIUM thrust pad molded to be higher (taller) than the previous one; and a large user will use the LARGE thrust pad which is molded to be higher (taller) than the previous pad. To be more precise, the width of the outermost thrust pad may be preset with adjuster 17 if warranted by the chest size of the largest potential user in the household. Printed Instructions will be provided to explain how to pre-adjust the thrust pad using adjuster 17 accordingly.
In an emergency, a lone user can use implement 14 as shown in
In another scenario, if an assistant is available and a conscious choking victim wants help, the assistant can use the implement to do the thrusting. The assistant can position himself or herself behind the victim while gripping both cross-handles. The assistant can then place the top of the appropriate size pad (concave edge toward the victim) just above the victim's navel and apply pad thrusts bilaterally of the abdomen at an upward angle toward the victim's lungs.
Bilateral cross handles 54A and 54B include soft elastomeric cushions surrounding aluminum tubes having concave end portions welded to the housing of shock absorber 22A. A ring 51, attached by conventional swivel means to cross handle 54A, serves for hang-storing implement 21. Flange 52 of base 50 includes a bottom face 56 for interfacing with whatever surface implement 21 rests on. For slip resistance, face 56 is the bottom surface of a soft rubber pad 49 that defines an array of parallel linear grooves to enhance slip resistance. Pad 49 is adhered with glue to form a bottom portion of flange 52. The latter is angled such that all thrust pads of pad pack 16 tilt at a few degrees from vertical to be in operative upright positions. As indicated in
Pad 108 includes two symmetrical bilateral lobes 108A and 108B having partially rounded protuberances 108C and 108D, respectively, that are spaced from each other and facing approximately in parallel directions for compressing the victim's two lungs, respectively. Lobes 108A and 108B and their protuberances are fixedly connected by an integrally molded bridge 107. The pad lobes are interiorly hollow and mostly oval or elliptical-shaped in horizontal cross-section. Dome-shaped elastomer cushions 108E and 108F form moderately soft cap portions of the protuberances, respectively. Grooves 21 traverse the caps to enhance slip resistance on an abdomen. Aside from the cushioned caps, the walls of the pad are comprised of semi-rigid thermoplastic. The major elliptical axes of horizon cross-sections of lobes 108A and 108B are parallel to each other.
The two dome-shaped and spaced protuberances conform to the concave undersides of the human diaphragm end portions, respectively, under human lungs. Each pad protuberance profile, in a top view thereof, is shaped approximately like the moon-phase shape of human lung cross-sections. The rounded side of each thrust pad protuberance faces laterally of the thrust pad, just as the rounded side of each human lung faces laterally in the thorax (chest). Hence, the protuberances are shaped to maximize efficiency in expulsion of lung gases when compressing the underside of the lungs.
Thrust pad 104 and thrust pad 106 are structured like pad 108 but are smaller wherein the two hollow lobes 106A and 106B of pad 106 are detachably received and nested within the two hollow lobes of pad 108, respectively. Both lobes of pad 106 are fixedly connected by an integrally molded bridge 105. Both lobes 104A and 104B of pad 104 are detachably received and nested within the hollow lobes of pad 106, respectively, wherein the two lobes of pad 104 are fixedly connected by an integrally molded bridge 103. Second pad 106 is generally bigger and taller than pad 104 and is detachably connectable to pad 104 by mutual attraction of a pair of permanently magnetic gaskets 112A and 112B. Gasket 112A is fixedly glued to the bottom edge of pad 106 and gasket 112B is fixedly glued to a rigid plastic molded base 109. Pad 106 serves a bigger and taller user or choking victim than one intended for being served by pad 104. Third thrust pad 108 is generally bigger and taller than pad 106 and is detachably connectable to pad 106 by mutual attraction of a pair of permanently magnetic gaskets 114A and 114B. Gasket 114A is fixedly glued to the bottom edge of pad 108 and the gasket 114B is fixedly glued to base 109. Pad 108 serves a bigger and taller user than one intended for being served by pad 106. Reminder labels (not shown) showing how implement 100 is used are adhered to the thrust pads, respectively, in the same manner as described above for the first two embodiments.
Pad 104 is fixedly attached to base 109. The latter includes two pairs of handle brackets 110 integrally molded to form opposite end portions of base 109, respectively. The bracket pairs fixedly support soft rubber handles 111, respectively, by means of metal shafts 113 that pass through apertures in the brackets and handles. Handles 111 are parallel to each other. Except for the handles and brackets, base 109 and pad 108 have identical profiles in the top view of implement 100 (
In addition to the elastomer cushions, air trapped in the pads by the magnetic gaskets also helps to cushion thrusting as the thrust pads resiliently yield a bit vertically by puffing out a bit laterally during thrusting. The magnetic attraction of the gaskets can be overcome by a choking victim or an assistant thereof if one or two thrust pads must be lifted off of implement 100 during an emergency.
Anti chocking implement 21 or 100 can be used while resting on a tabletop for self-rescue of a choking victim or as a compact portable model for use by a rescue assistant of a choking victim in a modified Heimlich maneuver.
In a choking emergency when the victim is alone, implement 21 or 100 can be supported on a desk, chair armrest, end table, or kitchen tabletop as in
If an available assistant is familiar with the use of the implement and a choking victim wants help from the assistant, the assistant can position himself or herself behind the victim while gripping a handle in each hand, respectively. The assistant can then place the top of the pad of the appropriate size just above the victim's navel and apply pad thrusts at an upward angle toward the victim's lungs. If the victim is a swimmer that inhaled water, the assistant (such as a life guard) would be positioned in front of the reclined victim.
The two lobes are fixed with adhesive to oppositely movable sections 154A and 154B, respectively, of an elongate length-adjustable base 154 such that the lobes are movable relative to each other. Base 154 is comprised of a pair of spaced parallel telescoping tube sets arranged such that the narrowest diameter tubes support lobe 152A and widest diameter tubes support lobe 152B. Thus, when the tube sets telescope, the lobes move relative to each other for aligning the protuberances with a potential choking victim's lungs, respectively. Two handles 157 are fixed between the tube sets at opposite end portions of base 154, respectively, to enable implement 150 to be handled and controlled by a choking victim or by an assistant.
Protuberances 152C and 1520 form permanent caps for thrusting the abdomen of a relatively small choking victim. For serving bigger victims, the protuberances have larger detachable ancillary caps or protuberances that fit on top of the permanent caps. As indicated in the figures, protuberance 152D is normally detachably capped by a medium-size moderately soft elastomer protuberance or cap 151. The latter is shaped like a hollow dome and fits over and around the smaller protuberance to serve a medium-size user. From a top view, cap 151 is moon-phase shaped like human lung cross sections. And cap 151 is normally detachably capped by a large-size moderately soft elastomer protuberance or cap 153. The latter is shaped like a hollow dome and fits over and around cap 151 to serve a large-size user. From a top view, cap 153 is moon-phase shaped like human lung cross sections. Duplicates of caps 151 and 153 normally cover protuberance 152C in the same order as those covering protuberance 152D. Thus, the permanent caps and the detachable caps combined with the lobes form three nested selectable thrust pads for rescuing small-size, medium-size, or large-size victims, respectively. Removal of one or more detachable caps may be preferred according to the size of the choking victim.
Base section 154A includes a calibrated scale 44 (scale numbering not shown) and base 154 includes a spring-button lock set 160 (
Elderly people are at increased risk of choking and many elderly people use a walking cane. Hence,
An elastomeric thrust pad 67 is supported on a U-shaped frame 68 formed by bending an aluminum bar. Thrust pad 67 includes protuberances 67A and 67B spaced from each other and facing in approximately parallel directions. An intermediate portion of frame 68 is fixedly imbedded in pad 67. An end portion of frame 68 is welded to the end of a mini-pipe 69 which is slidably and rotatably supported in tube 62. An opposite end portion of frame 68 defines an aperture receiving tube 62 so that frame 68 is slidably and rotatably supported on tube 62. A pull handle 70 is attached by a machine screw to frame 68.
A tab 71 projects radially from the outer surface of mini-pipe 69 and is receivable in a narrow longitudinal open-ended slot in a distal end portion of tube 62 to retain pad 67 in a stored position. The phantom image of
Since no time should be wasted adjusting the length of the cane staff during a choking emergency, the staff length should be preset such that thrust pad 67 in the deployed position is just above the user's naval. Normally, pad 67 will be in the stored position. But, in a choking emergency, pulling on pull knob 70 instantly deploys thrust pad 67 to the deployed position. Then operation of implement 60 is similar to that of implement 14 except that cane handle 61 (or staff 65) is used to hold implement 60 during thrusting instead of cross handles.
Some people prefer a walking cane having a crooked or curved handle. Therefore,
Handle 76 is padded by a foam cushion 79 for hand comfort when implement 75 is used simply as a walking cane. But in a choking emergency, padded handle 76 can function as a thrust pad for self-rescue of a small user such as a petite female. In addition, an elastomeric thrust pad 80 can pivot to cover cushion 79 for self-rescue of a larger choking user. Thrust pad 80 is molded to define an elongate open cavity such that pad 80 conforms and fits onto handle cushion 79 when pad 80 is in a deployed position.
Thrust pad 80 is resiliently flexible and can be stretched into a linear shape for being stored in a linear storage position (phantom image in
In a choking emergency, a larger than petite user need only flip pad 80 from the storage position to the deployed position which takes a fraction of a second. Then, cane model B can be used as described above for cane model A.
A seventh embodiment or implement 90, shown in
In a choking emergency, a user need only flip pad 93 from the storage position to the deployed position which takes a fraction of a second. Then, cane model C can be used as described above for cane model A. As in all of the cane embodiments, the thrust pad in the deployed position is located longitudinally beyond the staff and further therefrom than the handle. And as in all the cane embodiments, the thrust pad in the deployed position forms a top end portion of the respective cane sufficiently broad and convex to enable compression of a choking user's abdomen to rapidly expel lung gases and likely dislodge whatever causes choking.
Additional Uses and Applications:
All solid-food eaters and swimmers are at risk for accidental choking. The bilateral thrust pads of all of the embodiments include two protuberances spaced from each other and facing approximately in parallel directions. When the thrust pad engages the abdomen of a choking victim, the protuberances can be directed toward the victim's lungs, respectively. Both lungs can be efficiently compressed for clearing the victim's airway.
The self-rescue trekking staff and cane staffs provide anti-choking aids for walkers when dining at home or when dining away from home. The anti choking cane implements are especially handy for cane users because they tend to keep their canes close by. The thrust pad pack described for the trekking staff could alternatively be mounted on other handy telescoping household staffs such as the handle of a telescoping floor cleaning implement. Being at a higher risk for choking, elderly people including the Baby Boomers will be safer near an accessible self-rescue anti choking implement.
While the description above is of specific embodiments, these are not intended to be limited in scope to the embodiments shown and described, but rather as some useful examples. Each of these embodiments can give rise to various models and other embodiments. Combinations of features other than those shown can be contemplated. For example, features of the table models could be added to the trekking staff or cane embodiments or vice versa. Thus, the scope of the embodiments should be determined by the appended claims and their legal equivalents rather than by the examples given.
The benefits of provisional patent application 62/708,358, filed 2017 Dec. 6 by the present inventor are claimed for this application.
Number | Name | Date | Kind |
---|---|---|---|
1091310 | Dunn | Mar 1914 | A |
4059099 | Davis | Nov 1977 | A |
4164216 | Person | Aug 1979 | A |
4182317 | Ash | Jan 1980 | A |
5722987 | Witbeck | Mar 1998 | A |
6725863 | Karpel | Apr 2004 | B2 |
20020156405 | Karpel | Oct 2002 | A1 |
20080004551 | Goodell | Jan 2008 | A1 |
20080223376 | Delaplane et al. | Sep 2008 | A1 |
20120035515 | Ng | Feb 2012 | A1 |
Number | Date | Country | |
---|---|---|---|
62708358 | Dec 2017 | US |