RS20090330A - Diagnostic - therapeutic device for home and ambulatory or stationary treatment of diabetic and smoker’s foot - Google Patents

Abstract

Invention herewith described refers to the diagnostic - therapeutic device for home and ambulatory or stationary treatment of diabetic and smoker’s foot. The invention belongs to the field of the medical apparatus and devices for home treatment and rehabilitation and for ambulatory diagnosis and stationary treatment and rehabilitation of peripheral angiopathy of foot (A 61 H 9/00; A 61 B 5/02; A 61 G 10/02).The technical problem of the design of the device for home treatment and rehabilitation, and ambulatory diagnostic and stationary treatment and rehabilitation of the peripheral blood vessels of feet described as diabetic and smoker's foot, which besides the therapy and rehabilitation can be used in the diagnostic purposes and to monitor the therapy and rehabilitation effects, is solved. The dimensions of the device are such that it can be easily carried around. The essence of this invention is the design of the prismatic shaped mini-baro chamber (1) with a pneumatic cuff (3) at the front part having the central circular opening (2) for pulling the foot or hand through it. The cuff (3) is connected with the hand pump or the compressor (4) and manometer-display (5). Pressure in the chamber (1) is obtained from +0.20 kPa to -0.20 kPa through the hand pump - compressor (6), and controlled by the manometer (7) and a vacuum meter (8). At the rear of the chamber (1) there is an opening (9) pulled into the chamber (1), the pulse receptor or the cuff for a finger (10) on the cable pipe (11) whose other end, outside the chamber (1), is connected with the ECG printer (12) for the purpose of performing digital plethysmography or morpho oscillography and printing the pulse curve (13). Inside the chamber (1) there is set the 12 V heating pad (14) for obtaining the therapeutic indicated heat and placing feet or hands to be treated. On the side of the chamber (1) there is a hole (15) through which is inside the chamber (1) pulled the hose (16) and connected to the steel bottle of O2 (17) for admitting O2 into the chamber for the therapy of pregangrenous and gangrenous state.

Description

DIAGNOSTIC TOAPT. TSKT APPARATUS FOR HOME AND OUTPATIENTS

TREATMENT Dl JABETTGK T SMOKER'S FOOT.

FIELD OF TECHNOLOGY TO WHICH THE INVENTION RELATES

The technical field to which the invention relates is medical devices

and edited, whereby the subject invention specifically relates to a diagnostic therapeutic device for home and outpatient treatment of diabetic and smoker's foot, which serves both for home treatment and rehabilitation, as well as for outpatient treatment, in order to perform therapeutic rehabilitation and diagnostic procedures for peripheral angiopathy caused by the disease. arteries of the feet, known as "DIABETIC" or "SMOKING" feet, but also other etiological diseases of the arteries of the feet.

According to the International Classification of Patents (IPC), the subject of the invention is designated by the basic classification symbol A 61 H 9/00, which defines apparatus for physical therapy, for example, apparatus for stimulating parts of the body through pneumatic or hydraulic massage, and by the secondary classification symbols: A 61 B 5/02, which refer to mems or recording instruments for blood flow, and A 6l G 10/02, which are designated pneumatic chambers, i.e. chambers with artificial climate and means for maintaining the desired temperature and pressure,

TECHNICAL PROBLEM

The technical problem solved by the subject invention consists of

in the following: how to construct a diagnostic therapeutic apparatus for home and outpatient treatment of arthariopathy of the feet called "DIABETIC" and "PUEA" foot, received by slightly increased and slightly decreased atmospheric pressure inside the chamber of the apparatus, which is similar to a "SLIPPER", at a certain temperature, length of time and position of the foot in the apparatus, which is primarily intended for home - individual treatment conditions, i.e. self-medication, where the device must be

that it is distinguished by its simple construction, that it is harmless, that it is small in size, that it can be easily transported, with simple handling, that it enables the application of the foot up to above the ankles, low production and sales price, and that it can also be used for outpatient - stationary diagnosis, treatment and rehabilitation of peripheral angiopathies of the feet in health institutions, with additional diagnostic - therapeutic devices, such as?pulse receptor, digital cuff, EKG - printer, oscillograph bottle with 0^ and others.

STATE OF THE ART

As is known from statistical data, that in overall morbidity, i.e. of all kinds of diseases, of the population of most countries in the world, including ours, the leading place is occupied by diseases of the heart and blood vessels. What is the situation with mortality, i.e. mortality. In this group of diseases, diseases of blood vessels and arteries, especially of the legs, have a significant place, which most often start from the feet with small arteries. Among them, the disease known as "DIABETIC FOOT" stands out, which arose as a frequent complication of DIABETES MELLITUS, i.e. SUGAR DISEASES and "SMOKER'S FOOT" in long-term)* and regular smokers. Their early diagnosis is quite insufficient, and when the disease becomes manifest, it is often too late. Treatment and rehabilitation methods are numerous and varied. In addition to the others, treatment with positive and negative pressure in devices in which entire limbs are retracted, separately or simultaneously, is also in use. These are devices of the type "VACUSAC", "VA3TTR0N", "EXTREMITER" and others. They are large in size and mostly fixed - stationed in special rooms and expensive. It is especially important that they work with a very high pressure, even 170 mmF. This squeezes out all the blood from the treated limb, which is found in other parts of the body and suddenly raises the blood pressure. In case of any lesion of arterial blood vessels, there is a risk of rupture or other types of bleeding.

Devices according to this invention, considering the large number of diseased blood vessels of the feet, which are long-term and chronic in nature, and almost always end in gangrene and amputation of the part of the foot or lower leg, small, light, simpler, easily applicable, portable and relatively cheap devices have been constructed, so to speak, "HOME" devices for individual or self-therapy under the supervision of a doctor, but also for ambulatory - stationary use with the use of additional devices and accessories. Thus, in addition to the therapeutic rehabilitation effects, it is also possible to diagnose with the method of baroplethysmography, and to monitor the effects of both baro therapy and any other applied method<

DISCLOSURE OF THE ESSENCE OF THE INVENTION

The construction solution of the device, according to this invention in the form of a small baro chamber, similar to a "SLIPPER - SLIPPER", made it possible to achieve the appropriate values of positive and negative pressure inside the chamber of the device and thereby achieve vasodilatation (expansion of blood vessels) of the feet or compression of the same and thereby achieve a better tissue supply with blood and better tissue nutrition, as well as easier drainage of venous blood and metabolic products from the diseased tissue. Namely, alternating vasodilatation and compression (expansion and contraction of the walls of blood vessels) achieves harmless and effective "GYMNASTICS" of the blood vessels of the feet, which restores and improves the function of blood vessels and capillaries on the peripheral parts of the feet. At the same time, it is also possible to heat the diseased foot with an eco thermophor at 12 V, 20 W and 1.5 A, as well as the application of 0^ in the chamber, especially in anaerobic conditions and the insertion of magnetic the sole of the foot.

This applies, not only to "DIABETIC HI SMOKER'S FOOT", but also to a wide range of diseases of the peripheral arteries of the foot, diabetic polyneuropathy, degenerative and arthritic changes, post-traumatic and operative conditions of the foot and ankle joint, etc., which is attached to the device in the form of operating instructions and a list of indications and contraindications for the use of this device.

All applied parameters are set digitally, through the built-in electronic elements with the device.

In addition to the treatment of changes in the foot, changes in the hands can also be treated, such as Revno type, digiti morti, vibration diseases, tunnel syndrome.

DEVICE FUNCTION

Diagnostic therapy device for home and outpatient treatment of DT.JA3ETT.ČK0K T SHOOTER'S FOOT, its function is realized in the way that, inside a prismatic-shaped chamber like a slipper for the foot, through its opening and the cuff, the foot itself is pulled up to above the ankle joint or the hand up to above the wrist. By blowing air into the cuff, it hermetically seals the opening around parts of the leg or arm. Through special openings and elastic hoses, an increased or decreased pressure inside the chamber is achieved within the limits of 0 to -- i- 20 k Pa, or + 70 mm Hg, whereby the pressure is regulated and controlled by vacuum meters and manometers, i.e. on the display by an electronic device installed in the control part of the device. In the chamber, with the help of the built-in: electric thermophores at 12 V, 20 W and 1.5 A, it is possible to achieve T°, which is medically indicated, which achieves additional therapeutic effects, and it can be adjusted and maintained by the thermostat. Ogiz can also be applied to the chamber with a suitable steel bottle and hose, with regulated pressure. This is especially true for the treatment of pre-gangrenous and gangrenous conditions and open wounds, especially if they are anaerobic infections. In health institutions, especially angiological institutions, under conditions of appropriate compression and decorapression and temperature, it is also possible to apply digital plethysmography methods in order to assess the condition and function of small peripheral blood vessels and their response to certain provocateurs and stimulatory-inhibitory attacks, which can be achieved by registering and analyzing the pulse curve. With this new method of baro plethysmography, in addition to observing the condition and function of the walls of small blood vessels, it is also possible to monitor the effects of applied baro therapy and any other applied therapy.

BRIEF DESCRIPTION OF THE DRAFT IMAGE

In order to better understand the invention, as well as to show how the invention can be realized in practice, a draft is attached, which refers to a diagnostic therapeutic device for home and outpatient treatment of diabetic and smoker's foot. - Figure 1 shows the appearance of the apparatus for the treatment of angiopathy in diabetic and smokers' feet, as well as hand angiopathy, where the image is shown in an oblique projection.

DETAILED DESCRIPTION OF THE INVENTION

As can be seen from Figure 1, the diagnostic therapeutic apparatus for home and outpatient treatment of diabetic and smoking feet, according to this invention, consists of a small baro chamber of a prismatic structure made of Plexiglas with a horizontal vertical nose shape, similar to a deep "slipper-slipper" 1. of appropriate dimensions and volume, into which, by passing through a circular opening 2. the foot is placed up to above the ankles. The circular opening 2. which is located on the front, that is, the upper part of the chamber 1. is an integral part of the pneumatic one

cuffs 3. which can be inflated with a mini-compressor from the control device or a manual pump 4. to a certain pressure and controlled by a manometer 5. or the display of the control part. This pressure must be so much that the pneumatic elastic cuff 3. intimately clings to the upper part of the foot above the ankles and thus closes the hermetic part of the retractor foot in the chamber 1. to be treated.

On the right side of chamber 1, a tube-hose connected to pump 6 or a mini-compressor from the control device is installed, which is

in connection with the internal space of chamber 1. so that the chamber can achieve overpressure or underpressure in relation to atmospheric pressure. In the sBftop with a pump-compressor 6. are a manometer-display<r> for controlling the overpressure value and a vacuum meter 8. for controlling the underpressure value. It has already been emphasized that the pressure values in chamber 1 range from +0.20 kPa to -020 kPa, which is considered to represent the optimal pressure limits.

In the rear part of the prismatic chamber 1, and towards the foot, there is an opening 9. through which a cable-hose for a pulse receptor or a digital cuff 10. is passed inside the chamber 1. while the other end of this cable-hose 11. is connected to an ECG recorder 12. for registering the pulse curve 13. A thermophoric pad 14. is placed inside the chamber 1. at 12 V, in order to achieve the therapeutically indicated temperature, and on which the foot rests] of the leg that is the subject of examination-treatment.

On the side part of the chamber 1. there is an opening 15. through which a hose 16. is passed inside the chamber 1. which is connected to. with a bottle of 0^• rG-th insertion of 0^ into chamber 1., in order to treat pre-gangrenous and gangrenous and open wounds, especially of anaerobic etiology.

The assembly of the chamber 1. is fixed from below on the mounting base 18. (which can also be mounted on the side of the chamber 1. which is towards the sole of the foot,

depending on whether the treatment is performed in a lying or sitting position)

The handling elements, as well as the corresponding devices for setting the treatment program, are given to the additional electronic part made by the device manufacturer,

WAYS OF APPARATUS FUHKCTONIZATION

The method of functioning of the diagnostic therapeutic device for home and outpatient treatment of diabetic and smoker's foot, according to this invention, is very simple, especially in its therapeutic rehabilitation part. First of all, only the foot is inserted into chamber 1 of the apparatus, through opening 2, up to above the ankles or hands up to above the wrist, which are de facto diseased, because the disease mainly affects the foot or hand. The treated part of the limb in the chamber, 1, occupies completely

normal anatomical-physiological position, and the patient is placed in a sitting or lying position. The team achieved complete relaxation of the patient, without straining and fibrillation of the musculature. In order to achieve the necessary sealing and contact of the extremity with the pneumatic cuff 3,

air is pumped into its interior with an electronic (or manual) pump 4, to a level that ensures good sealing, but does not interfere with blood circulation, which is controlled by a special manometer 5, or a display

Since the goal of the therapeutic rehabilitation treatment is alternating vasodilatation and vasocompression, i.e. "AEROGTM1A.STIKA" of blood vessels, positive or negative pressure of appropriate values is created in the appropriate period of time, depending on the indications. Therefore, depending on the indications, air is pumped into the chamber 1 of the apparatus, the pressure of which is controlled by the pressure gauge 7 and the vacuum gauge 8, or by the display, using the electronic pump from the control device or the hand pump 6. This actually achieves "AIR." or "AEROGYMHASTICS" of blood vessels, which consists in alternating vasodilation and vasocompression-constriction, analogous to the exposure of parts of the limbs to increased or decreased pressure.

Therapeutic effects are especially<p>achieved by heating the chamber to the therapeutically indicated temperature using a thermophor at 12 V, 20 W, 1.5 A, which is connected to a safety transformer, which is plugged into the 220 V power supply network as needed. In severe cases of diabetic or smoker's foot and pre-gangrenous or gangrenous conditions, 0^ from bottle 17 is applied, but with a positive pressure of 30-40 mm Hg. In addition to the therapeutic-rehabilitation effects and function in healthcare institutions, the subject of the invention can also serve for a diagnostic function and purpose. Namely, with this device, using the aforementioned pulse receptors or cuffs, connected by a cable hose 11, it is possible to register pulse curves 13 on the recorder - EKG 12, and monitor the behavior and condition of small blood vessels under conditions without compression (basal at normal atmospheric pressure), as well as under conditions of increased or decreased atmospheric pressure in the chamber 1, and at a certain temperature (normal or elevated). That is, it is possible to perform bar.ro plethysmography or morphoscillography at the level of the toes or hands, under changed bari and thermal conditions, which gives an insight into the state and function of small blood vessels, where pathological changes occur first and most often. Using this device can achieve a long-term therapeutic effect and recovery, improve the function and condition of blood vessels, and delay the time for eventual foot amputation. It is important to point out that even the modest effects of revascularization and reactivation of collaterals, if not the creation of new collaterals, go a long way in helping to achieve the stated expectations.

The industrial production of the subject invention is possible in all those factories and companies that deal with the production of products-apparatus made of plastic materials and the installation of electronic and measuring devices.

The application of this invention is intended, above all, for individual, i.e. home treatment and recovery of diseased foot arteries, known in medicine as "DIABETIC" and "SMOKER'S" foot, but also for outpatient treatment of the same conditions, as well as for the purpose of diagnosis and monitoring the effects of applied baro or any other therapy.

In addition to treating diabetic and smoker's feet, they can be treated

and other disorders and conditions at the level of the feet and hands, which are advanced.

Claims (4)

1. Diagnostic therapy device for home and outpatient treatment of diabetic and smoker's foot, MARKED BY TIME, what is consta? ruisan in a prismatic shape, similar to a deep "slipper-slipper" and represents a mini-baro chamber (1) with transparent, Plexiglas walls, that on the front part of the baro chamber there is a pneumatic cuff (3) with a central circular opening (2) for passing the patient's foot or hand, while the pneumatic cuff (3) is connected to an electro-magnetic pump (4) and a manometer-display (5), that the electro-magmatic pump (6) achieves positive or negative pressure inside the chamber (l), which is controlled by a manometer (7 and 8), which is on the rear part of the chamber (1) through an opening (9) a pulse receptor cable (10?) for digital plethysmography that is connected outside the chamber (11) to an ECG recorder (12) which registers the pulse curve (13) and which is placed inside the chamber (1) with a heating pad (14) for heating the feet or hands and air in the chamber (1), which is a hose (16) passed through a special opening (15) for 0, which is inserted into the chamber (1) from a steel bottle (rj, where the assembly of the chamber (1) is fixed on the mounting base (13). 2. Diagnostic therapeutic device for home and outpatient treatment of diabetic and smoking foot, DESIGNATED BY TIME, and according to claim 1, which is a baro chamber of such dimensions that the foot can be inserted into it up to above the ankles or the hands up to above the wrist and which is a vacuum-compressive chamber (1) in which positive and negative pressure programmed by electronics is achieved cyclically or individually in a special device. 3. Diagnostic and therapeutic device for home and outpatient treatment of diabetic and smoker's foot according to requirement 1, SPECIFIED TIME, which values of positive and negative pressure and the entire treatment program is carried out by means of electronic devices and an electropneumatic pump located in the control part of the device, on the upper part of which is installed a keyboard with displays for setting the program, which is connected to the electronics of the control part of the device. 4. Diagnostic therapeutic apparatus for home and outpatient treatment of diabetic patients; and the smoker's foot according to claim 1, DESIGNATED BY TIME, which is a mini baro chamber (1) with the listed elements connected by plastic hoses and appropriate cables to the control part of the built-in electronics and other connected devices.