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WO1995008308A1 - Element de soutien abdominal - Google Patents

Element de soutien abdominal Download PDF

Info

Publication number
WO1995008308A1
WO1995008308A1 PCT/US1993/008919 US9308919W WO9508308A1 WO 1995008308 A1 WO1995008308 A1 WO 1995008308A1 US 9308919 W US9308919 W US 9308919W WO 9508308 A1 WO9508308 A1 WO 9508308A1
Authority
WO
WIPO (PCT)
Prior art keywords
band
support
torso
fabric
location
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US1993/008919
Other languages
English (en)
Inventor
Judy Lee Culp
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to PCT/US1993/008919 priority Critical patent/WO1995008308A1/fr
Priority to AU55362/94A priority patent/AU5536294A/en
Publication of WO1995008308A1 publication Critical patent/WO1995008308A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. long-term immobilising or pressure directing devices for treating broken or deformed bones such as splints, casts or braces
    • A61F5/03—Corsets or bandages for abdomen, teat or breast support, with or without pads

Definitions

  • This invention pertains to abdominal support garments having utility, among other uses, in maintaining an implanted artificial implantable cardiac defibrillator in position in the abdomen of a human.
  • Ventricular tachycardia is an often fatal condition which occurs, usually at random times, when the heart of a person beats at a very, very high rates. It is known to control episodes of ventricular tachycardia by the placement in the body of a person suffering that malady of a device known as an automatic implantable cardiac defibrillator (AICD). AICDs are used to treat numerous cardiac conditions.
  • An AICD is a battery-powered, computer controlled device which has two output leads which are surgically associated with the heart to regulate its beat rate, i.e., function as a so-called
  • An AICD has two further output leads which terminate in paddle-like electrodes which are surgically associated with opposite sides of the heart to enable the AICD to function as a defibrillator when ventricular tachycardia occurs despite the effect of the ACID when operating in its normal or pacemaker mode.
  • the computer aspects of the AICD include circuits for storing data about ventricular tachycardia episodes and for adjusting the manner in which the AICD operates in its pacemaker and defibrillator modes of operation.
  • An ACID is surgically implanted in a patient's abdominal wall; in that location, stored data can be read from the AICD, and suitably programming commands can be sent to the AICD, through the patient's skin tissues.
  • An AICD has a size and shape which roughly approximate the size and shape of a package of regular length cigarettes.
  • the weight of an AICD is not insubstantial. Therefore, persons into whose abdomens AICDs have been implanted routinely wear around their torsos supports which tightly engage the body over the area below which the AICD lies. The support serves to hold the AICD at its desired implanted location and to help to create the pocket in the subcutaneous tissue in which the device is disposed. Movement of the AICD does not, as a rule, interfere with its operation in the body, but does cause trauma, distress and discomfort, often severe, to the wearer of the AICD.
  • That known support is in the form of a strap-like heavy cloth article which has a width of about 12 inches (about 30.5 cm.). That support has a standard length between its ends which is sufficient to enable the support to be wrapped once around the patient's body and to allow the ends to overlap and to be held together by cooperating moieties of a Velcro fastener which are affixed to the opposing surfaces of the overlapped strap ends.
  • the fabric from which that known support is made is inelastic.
  • the effectiveness of that support to perform its intended task is a function of how tightly it is engaged about the patient's body.
  • This invention addresses the need identified above. It does so by providing an abdominal support of enhanced utility to wearers of AICDs.
  • the support is relatively light in weight, and serves the desired function of holding an AICD in place in the body while affording increased freedom and comfort of physical movement to a user of the support.
  • the support breathes, and so feels cooler to a user who encounters reduced incidences of skin trauma and disorder. It is more comfortable to wear and is significantly less apparent under normal apparel of a user.
  • this invention provides an abdominal support which is applicable around a torso for beneficially addressing a selected medical condition.
  • the support comprises a band of elastic, substantially open weave fabric, which band has a width transversely of its girth which is a substantial fraction of the distance on the torso from about the navel to about the lower end of the rib cage.
  • Theband in an unstressed state thereof, has a girth which is a selected amount less than the circumference of the torso at about the navel, which amount is sufficient that, when the band is applied around the torso between about the navel and about the lower end of the rib case, the band applies to the torso a substantially uniform pressure over the area of the torso engaged by the band.
  • this invention provides a method for holding a subcutaneously implanted device at a desired location within a torso.
  • the method includes the step of applying to the exterior of the torso, at the location of the device within the torso and over a zone of the torso circumferentially about that location, a substantially uniform pressure which is adequate to hold the device at that location.
  • the pressure is applied by encircling the torso, including over such zone, by a band of substantially open weave elastic fabric.
  • the band has an unstressed girth which is a selected amount less than the circumference of the torso at the location of the device within the torso.
  • FIG. 1 is a fragmentary front view of the waist area of a person wearing a preferred embodiment of the abdominal support according to this invention
  • FIG. 2 is a perspective view of the support shown in FIG. 1;
  • FIG. 3 is an enlarged fragmentary vertical cross-section view of the support showing an internal stay
  • FIG. 4 is a cross-section view taken along line 4-4 in FIG. 3;
  • FIG. 5 is a greatly enlarged fragmentary horizontal cross-sectional view of the principal seam of the tubular support shown in FIG. 2;
  • FIG. 6 is a fragmentary vertical cross-section view of the support of FIG. 2 at the lower end of its principal seam; and FIG. 7 is a fragmentary, partially schematic depiction of an open-ended embodiment of the support which is useful with certain patients.
  • a presently preferred abdominal support 10 is a tubular fabric article of manufacture which has its dimensions defmed in relation to a waist size lying within a relatively narrow range of human waist sizes.
  • Support 10 is not a universally sized, or a "one size fits all,” article of manufacture. The support is crafted to serve its intended purpose when used by a person who has a circumference around the abdominal portion 12 of his torso 13 which lies within a range of circumferences. A larger or a smaller person would use a larger or a smaller style of the support.
  • Support 10 is provided in the form of a band 15 of substantially open weave fabric 16 which is elastic in all directions within (i.e., parallel to) its surface.
  • the band has a width between opposite edges 17 and 18 which is a major portion of the distance on torso 13 from about navel 19 to about the lower end 20 of the rib cage.
  • the band has a girth (i.e., effective circumference) in an unstressed state of the support which is a selected amount less then median value of abdominal circumferences, or waist sizes, of persons for which the support is sized.
  • Band 15 preferably is defined by a single piece of fabric 16 of suitable length but having a width about twice the width of band 15, which piece of fabric is folded about substantially its lengthwise center so that the band is defined by outer and inner layers (plies) 22 and 23 of the fabric; see FIGs. 3-6. If one assumes that the lengthwise fold of fabric 16 forms a top edge 17 of band 15, the bottom edge 18 of the band is formed by a hem 24.
  • the hem can be formed in any suitable way, as by extending the outer layer 22 around and up over the lower edge of the inner layer as shown at 26 in FIG. 3 and 6.
  • An elastic facing strip 27 can be affixed to the margin portion of outer layer 22 which overlies the lower edge of inner layer 23 by stitching 28 along the opposite edges of strip 27 through layers 22 and 23 in the bottom hem portion of the band. Stitching 28 must be defined so that it does not interfere with, but instead accommodates and follows, the elastic expansion and contraction of fabric layers 22 and 23 and of strip 27 of the hem as the support is put on, taken off, and worn by a user.
  • Support 10 is in the form of a closed loop of fabric 16. It has a transverse seam 30 (see FIGs. 2 and 5) at which the ends of the fabric which are transverse to edges 17 and 18 are inelastically stitched together, as represented at 31 in FIG. 5, in a known manner. Seam 30 preferably is defined before the fabric piece is folded to form edges 17 and 18. Seam 30 is finished on the inside of the band by a length 32 of the elastic facing strip material which is elastically stitched, as at 33, to the double layered band in the same manner as facing strip is secured along the inner surface of hem 24. End portions 34 of the facing strip 32 extend around and a short distance from the adjacent band edge along the outer face of the band and are secured by whip stitches as represented at 35 in FIG. 6.
  • a plurality of stay elements 40 extend transversely of the band from edge to edge of the band at spaced locations along the girth of the support band.
  • the stays 40 are resilient inelastic elements which preferably are made of polypropylene or some other suitable synthetic resin material.
  • the stays may be about 1/4 inch (6.35 mm.) wide.
  • each stay 40 is encased in a woven cotton sheath 41 via which the stay can be stitched, as at 42, to the inner face of that portion of fabric 16 which forms the outer layer 22 of the double layer band 15.
  • Support 10 most usually is worn with seam 30 aligned along me spine of the user. It has been found to be advantageous to use four stays 40 in support 10, and to locate the stays in the support so that, when the support is worn, there are two stays at the front of the support at locations approximately aligned with the breasts of the user.
  • the other two stays preferably are placed in die support so that they lie about directly behind the front stays in that portion of the support which extends across the user's back.
  • Fabric 16 is a relatively open-weave elastic fabric.
  • Fabrics which have been found suitable for use in support 10 comprise from about 70 to about 74 percent nylon and the balance comprised of Lycra filaments.
  • a fabric comprises of 72 percent Antron fiber and 29 percent Lycra also is satisfactory in the construction of a support according to this invention.
  • the tubular support 10 has sufficient elasticity that it can be put on by a user by pulling it upwardly past the user's hips to its intended place of use on the user's torso. Most usually that place is that portion of the torso which extends from about the waist or navel to about the lower end of the rib cage.
  • the support when so worn, covers the location at which an AICD, for example, may be subcutaneously implanted in the user's abdomen, and a zone of the body which surrounds that location.
  • the support When so applied, the support is stretched to an effective girth which is greater than the girth of the support in an unstretched or relaxed state.
  • the support When worn, the support applies substantially uniform pressure to the skin covered by it, which pressure is sufficient in magnitude to effectively hold the AICD at its desired location in the body so that the tissue around the AICD is kept from sagging under the weight of the device. That level of pressure is not uncomfortable to the user of the support.
  • this invention also provides a non-tubular support 45 in which the seam 30 of the support 10 is replaced by cooperating pressure actuatable fastener moieties 46 and 47. Except for the manner in which the seam 30 of support 10 is replaced by fastener moieties 46 and 47 in support 10, and except for the piece of fabric 16 from which support 45 is made being slightly longer than the piece of fabric from which the support 10 is made, supports 10 and 45 are otherwise essentially the same in construction and in operation.
  • the double-layer construction of fabric 16 has opposite end edges 48 and 49 which are suitably hemmed or finished.
  • the end margin of the band for support 45 adjacent end edge 48 has a first fastener moiety 46 secured to its inner face along the extent of that marking between band edges 17 and 18.
  • the second fastener moiety 47 which cooperates with the first moiety, is affixed to the outer layer 22 of the band in modestly spaced relation to its other end edge 49 and also extends from edge to edge of the band.
  • a short tab 50 of the band extends beyond moiety 47 to end edge 49.
  • the first moiety 46 preferably is a strip of Velcro pile or loop material
  • the second moiety 47 preferably is a strip of Velcro hook material.
  • Support 45 is used by fiilly mating fastener moieties 46 and 47 to establish the equivalent of seam 30 of support 10, namely, a support of known dimensions useful by persons having abdominal girths within a relatively narrow range of girths for which a given support 45 is intended.
  • Velcro fasteners are preferred because of their ease of use, ready launderability, ease of installation in initial manufacture of the support, and not because such fasteners are positionally adjustable. While snaps, zippers or hook-and-eye fasteners could be used in support 45 at and adjacent its ends 48 and 49, Velcro fasteners are preferred for the reasons given.
  • Tab 50 adjacent inner end 49 of support 45, protects the skin of a user of ⁇ e support in the event that Velcro fastener moieties are not fully mated, but are partially mated, during use of the support.
  • support 45 can be identical to support 10. Therefore, subject to the exceptions noted, the foregoing description of support 10 can serve as a description of support 45.
  • a support according to the present invention because it can be made of relatively sheer and relatively open weave fabric, is both more comfortable to wear and less apparent to others when worn than is a support of the kind contrasted above as the typical prior art support.
  • the present support because it is made of an open weave fabric, breathes so that a user's skin can be relatively dry. The support is not perceived by a wearer to be hot or uncomfortable.
  • the relatively thin nature of the support's elastic fabric results in a support which is not bulky or thick to interfere with the users outer apparel or to make the user appear fat or chubby.
  • the support is not readily discernible by others when worn under normal apparel.
  • the elastic nature of the support enables and encourages a user to lead as normal and as active a life as possible, and it does not make uncomfortable or hinder a user having an implanted AICD from observing important exercise activities. While the supports provided by this invention have been described with reference to a user having an implanted AICD, that has been done for purpose of example.
  • a support according to this invention can be used to advantage by persons having abdominal disfunction or disease such as dialysis, ileostomy and colostomy patients among others, or by ambulatory and other patients recovering from various surgical procedures of the abdomen.

Landscapes

  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention se rapporte à un élément de soutien élastique tubulaire (10) pouvant être porté autour de la partie abdominale (12) du torse (13) par une personne souffrant de dysfonctionnement ou de troubles abdominaux et nécessitant le soutien des organes ou tissus abdominaux, ou par une personne porteuse d'un défibrillateur cardiaque implantable automatique (DCIA) qui a été implanté dans l'abdomen de celle-ci par voie sous-cutanée. L'élément de soutien recouvre la surface de l'implant ou de toute autre surface abdominale concernée. L'élément de soutien est une bande (15) de tissu élastique à dessin d'ajourage dont les extrémités sont soit raccordées de façon permanente (30), soit raccordables de manière libérable (46, 47), selon le mode d'application de l'élément de soutien autour du torse.
PCT/US1993/008919 1993-09-20 1993-09-20 Element de soutien abdominal Ceased WO1995008308A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/US1993/008919 WO1995008308A1 (fr) 1993-09-20 1993-09-20 Element de soutien abdominal
AU55362/94A AU5536294A (en) 1993-09-20 1993-09-20 Abdominal support

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US1993/008919 WO1995008308A1 (fr) 1993-09-20 1993-09-20 Element de soutien abdominal

Publications (1)

Publication Number Publication Date
WO1995008308A1 true WO1995008308A1 (fr) 1995-03-30

Family

ID=22236979

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1993/008919 Ceased WO1995008308A1 (fr) 1993-09-20 1993-09-20 Element de soutien abdominal

Country Status (2)

Country Link
AU (1) AU5536294A (fr)
WO (1) WO1995008308A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2453925A (en) * 2007-10-02 2009-04-29 Progressive Sports Technologies Training garment
WO2013103472A1 (fr) * 2012-01-06 2013-07-11 Hathorn James P Procédé et appareil de tension compressive pour coloscopie
US10441222B2 (en) 2012-01-06 2019-10-15 Colowrap, Llc Endoscopy band with sigmoid support apparatus
US10624808B2 (en) 2012-01-06 2020-04-21 Colowrap, Llc Method and apparatus for enhanced visualization during endoscopy
US12390386B2 (en) 2012-01-06 2025-08-19 ColoWrap, LLC. Endoscopy band with visual indicator to assist placement

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3013561A (en) * 1960-02-29 1961-12-19 H G Entpr Surgical support
US3307535A (en) * 1963-10-28 1967-03-07 Mor Loc Mfg Co Orthopedic appliance
US3399669A (en) * 1966-09-28 1968-09-03 Kaplan David Body binder

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3013561A (en) * 1960-02-29 1961-12-19 H G Entpr Surgical support
US3307535A (en) * 1963-10-28 1967-03-07 Mor Loc Mfg Co Orthopedic appliance
US3399669A (en) * 1966-09-28 1968-09-03 Kaplan David Body binder

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2453925A (en) * 2007-10-02 2009-04-29 Progressive Sports Technologies Training garment
GB2453925B (en) * 2007-10-02 2012-06-20 Progressive Sports Technologies Ltd Training garment
US8312566B2 (en) 2007-10-02 2012-11-20 Progressive Sports Technologies Training garment
WO2013103472A1 (fr) * 2012-01-06 2013-07-11 Hathorn James P Procédé et appareil de tension compressive pour coloscopie
US9724225B2 (en) 2012-01-06 2017-08-08 Colowrap, Llc Method and apparatus for tensile colonoscopy compression
US10441222B2 (en) 2012-01-06 2019-10-15 Colowrap, Llc Endoscopy band with sigmoid support apparatus
US10596025B2 (en) 2012-01-06 2020-03-24 Colowrap, Llc Method and apparatus for tensile colonoscopy compression
US10624808B2 (en) 2012-01-06 2020-04-21 Colowrap, Llc Method and apparatus for enhanced visualization during endoscopy
US11701286B2 (en) 2012-01-06 2023-07-18 Colowrap, Llc Endoscopy band with sigmoid support apparatus
US12390386B2 (en) 2012-01-06 2025-08-19 ColoWrap, LLC. Endoscopy band with visual indicator to assist placement

Also Published As

Publication number Publication date
AU5536294A (en) 1995-04-10

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