Patent Application
20090234263
The present invention relates to support devices.
Many objects requiring transport benefit from immobilisation in a secure manner in order to reduce the chances of damage occurring to the object concerned. Existing forms of support device include the use of polystyrene, or other foam material, blocks, and the use of airbags. However, such devices have limitations, particularly when irregularly shaped objects are considered. Airbags are able to conform to the shape of the object, but are not able to carry tensile loads, and are, therefore, unsuitable for many applications.
In particular, immobilisation of patients having suspected spinal injuries is not served well by existing support devices.
The aim of spinal immobilisation is to stabilise the spine of a patient by restricting mobility, and in so doing prevent exacerbation of spinal cord injury during extrication, resuscitation, transportation, and evaluation of such a trauma patient with suspected spinal instability.
The most widely practiced method of cervical immobilisation is the use of a flat cervical collar. Such collars are essentially flat sections which are wrapped around the neck of a patient to form a tubular support section between the patient's head and neck. The flat sections are typically pre-shaped so as to follow generally the shape of the shoulders and head of the patient.
However, there are a number of problems associated with existing designs of flat packed collar.
Typically, the supporting edges are thin, for example, less than 5 mm thick. This means there can be high pressure at the support interface. Medical problems associated with long-term exposure to high pressures are well documented. However, of greater concern to the majority of collar wearers (who have not sustained a spinal injury but are being immobilised as a precautionary measure), is the increase of intracranial pressure which can be detrimental in the prognosis of head and brain injuries.
The existing designs are available only in a limited range of fixed sizes. This means that the fit (that is, the interface at the supporting edges) of the collar and, therefore, the level of immobilisation provided are rarely optimised. Typically three sizes are provided to cover one unit of the population (infant to adult). However, despite there being three sizes available, the current range does not accommodate all patient variations to an acceptable level. Variations include neck sizes (circumferences, heights and postures), head shapes and chin profiles.
The sizes offered by existing designs of collar are determined on the basis of neck height. Variations in neck circumference are accommodated in present designs by an adjustable fastener, which increases the size of the collar or support tube. One problem with this design of support device is that varying the circumference of the collar, or support tube, causes misalignment of the orientation of the pre-formed supporting edges.
When conforming the flat packed collars to the patient it is being done against the shape memory of the material from which the collar is made. This makes the application process unnecessarily awkward and increases the chance of potentially dangerous patient disturbances.
In addition, existing collars are uncomfortable, because the patient is fitted to the collar as opposed to the collar being fitted to the patient. The support mechanism is rigid, fixed in shape and geometry and, therefore, unable to adapt to the shape and form of the patient. Patients often describe the sensation of the collar digging in certain areas and observations of patients have recognised a phenomenon nicknamed the “fidget factor”; fidgeting within the collar to relieve or alter interface pressures and their positions. This fidgeting may exacerbate any existing injuries.
Accordingly, it is desirable to provide a support device which overcomes the disadvantages of the previously considered devices, and which provides additional benefits.
According to one aspect of the present invention, there is provided a support device comprising a first flexible bag which defines a first volume, a second flexible bag which defines a second volume, and which is located within the first volume, a filler material which is located between the first and second bags within in the first volume, means for enabling inflation of the second flexible bag, and means for enabling evacuation of the first flexible bag.
Such a support device may further comprise a protective shell which carries the first and second flexible bags.
In one example, the filler material is provided by a plurality of spheres. The spheres may be of substantially solid polystyrene, or may be provided by hollow polystyrene balls.
The means for enabling inflation of the second flexible bag may enable such inflation using pressurised gas. Alternatively, the means for enabling inflation of the second flexible bag may enable such inflation using pressurised fluid. Alternatively, the means for enabling inflation of the second flexible bag may enable such inflation using foam.
According to another aspect of the present invention, there is provided a patient support device comprising at least one such support device. Such a patient support device may comprise a first part including a first such support device, and a second part including a second such support device.
The first and second parts may be releasably engageable with one another, or may be flexibly engaged with one another.
According to another aspect of the present invention, there is provided a method of supporting a part of a patient, the method comprising the steps of locating a support device embodying the present invention around a part of the patient to be supported, inflating the second flexible bag to a predetermined pressure, and evacuating the first flexible bag.
According to another aspect of the present invention, there is provided a support device comprising a first support structure which is conformable to an object to be supported, and a second support structure which has an activated state in which the second support structure substantially locks the first support structure into a conformed shape, and supports tensile loading on the support device, and an inactivated state in which the first support structure is able to conform to an object.
Such a support device may further comprise means for activating the second support structure from the inactivated state to the activated state.
Such a support device may further comprise means for conforming the first support structure to an object.
The means for conforming the first support structure to an object may comprise means for inflating the first support structure.
The means for activating the second support structure may include means for evacuating the second support structure.
The principles of the present invention will now described with reference to a cervical support collar for immobilising a patient having suspected spinal injury. It will be readily appreciated that these principles can be embodied by support devices that are used to support other objects, particularly object of irregular shape.
The first and second bags 2 and 6 are preferably of a tear resistant flexible membrane approximately 0.25 mm thick, and may be formed using laser, or radio frequency (RF), welding techniques. Preferably, the protective shell is of a semi-rigid polymer material and is preferably approximately 2 mm in thickness.
In order to support the object 13, the second bag 6 is inflated. Such inflation can be achieved using a pressurised gas supply, preferably air. Alternatively, a liquid, suspension, emulsion or gel could be used to increase the volume of the second bag 6. Inflating the second bag 6 causes the support device 1 to conform to the shape of the object 13. The first bag 2 and the filler material 10 contained therein are thereby also formed to the shape of the object 13.
After the second bag 6 has been inflated to a desired pressure (for example, approximately 1 to 32 psi, approximately 6.8 kPa to 220 kPa), the first bag is evacuated in order to create at least a partial vacuum in the first enclosed volume 3. Creating such a partial vacuum causes the filler material 10 to be held firmly in place in the conformed shape by the first and second bags 2 and 6. In such a configuration, the support device holds the object 13 substantially rigidly. The evacuated first bag 2 provides the rigidity for the support device 1, and the second bag 6 provides additional support and the conformity of shape.
The inflation of the first bag 2 and the evacuation of the second bag 6 can be performed by any appropriate means.
It will be readily appreciated that a support device embodying the present invention may be provided by any number of dual bag elements.
The rear part 30 of the neck support collar comprises a rear protector shell 32 which carries a first bag 33, a second bag 34 and filler material 35 located between the first and second bags 33 and 34. An inflation valve 36 is provided to enable inflation of the second bag 33, and an evacuation valve 37 is provided in order to enable the second bag 34 to be evacuated.
The front and rear protector shells 22 and 32 are preferably preformed in broadly curved shapes for fitting around a patient's neck. The protector shells 22 and 32 may be provided in a flat configuration and bent into shape when used. In one example, the inflation of the second bag causes the protector shells to curve into an appropriate shape.
The front and rear parts 20 and 30 of the neck support device shown in
In order to support the head and neck of a patient, the rear part 30 is slid in behind the neck, and the front part 20 is then attached to the rear part 30 using the attachment fasteners 28 and 38. The rear inflation bag 34 is then inflated. After inflation, the rear vacuum bag 33 is evacuated. The inflation and evacuation procedure is carried out for the front inflation bag 24 and front vacuum bag 23 respectively.
The multi-part design of support device enables the device to provide support even if one of the parts is removed, for example to enable to a patient's airway.
In this way, a rigid support device can be provided around the neck of the patient, both to the front and to the rear of the patient. The device is straightforward to fit to the patient, and provides substantially increased immobilisation over previously considered designs. This immobilisation is provided because the inflation bags conform the support device to the exact shape of the patient's neck, and the filler material and vacuum bag provide a substantially rigid structure conformed to that shape.
The filler material may be provided by a large number of small (approximately 2 mm in diameter) polystyrene beads. Such beads could be solid or hollow.
One possible disadvantage of the use of polystyrene beads is that the beads may not be evenly distributed throughout the first bag. Accordingly,
Although the present invention has been described primarily in connection with neck support devices, it will be readily appreciated that the principles of the invention, namely the use of an inflation bag in combination with a vacuum bag and filler material, can be applied to supporting any part of a patient. For example, an appropriately sized device could be used to immobilise fractured limbs and joints.
A particular advantage of a support device embodying the present invention is that a single device can be used for a range of patient sizes.
Furthermore, it will be readily appreciated that such a device could be used to support any object that requires substantially rigid support. Embodiments of the present invention are particularly suited to the support of variable or unevenly shaped objects.
| Number | Date | Country | Kind |
|---|---|---|---|
| 0607955.2 | Apr 2006 | GB | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/GB2007/001448 | 4/20/2007 | WO | 00 | 1/29/2009 |
