EP1131028A2 - Dispositif pour recouvrir et proteger une blessure, notamment une plaie, resultant de la mise en place d'une canule veineuse a demeure ou similaire - Google Patents

Dispositif pour recouvrir et proteger une blessure, notamment une plaie, resultant de la mise en place d'une canule veineuse a demeure ou similaire

Info

Publication number
EP1131028A2
EP1131028A2 EP99959267A EP99959267A EP1131028A2 EP 1131028 A2 EP1131028 A2 EP 1131028A2 EP 99959267 A EP99959267 A EP 99959267A EP 99959267 A EP99959267 A EP 99959267A EP 1131028 A2 EP1131028 A2 EP 1131028A2
Authority
EP
European Patent Office
Prior art keywords
shaped
cover
elements
fastening
adhesive
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.)
Withdrawn
Application number
EP99959267A
Other languages
German (de)
English (en)
Inventor
Harald Kübeler
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
Priority claimed from DE29820217U external-priority patent/DE29820217U1/de
Application filed by Individual filed Critical Individual
Publication of EP1131028A2 publication Critical patent/EP1131028A2/fr
Withdrawn legal-status Critical Current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
    • A61F15/00—Auxiliary appliances for wound dressings; Dispensing containers for dressings or bandages
    • A61F15/008—Appliances for wound protecting, e.g. avoiding contact between wound and bandage

Definitions

  • an edge section connecting the fastening device to the cover section is provided.
  • the edge piece By means of the edge piece, the height of the arrangement of the cover piece above the body surface can advantageously be determined and adapted to the respective application.
  • folds or folded areas can be provided in the edge section and / or in the transition areas of the individual sections or to the fastening device.
  • FIG. 1 shows a sectional side view of a first embodiment of a device according to the invention, which is provided with incisions,
  • FIG. 2 shows a top view of the device according to FIG. 1,
  • FIG. 5 shows a third embodiment of a device according to the invention in the form of a tunnel-shaped cover part with viewing openings in a perspective view
  • FIG. 6 shows a perspective view of a device according to the invention with a tunnel-shaped cover part with shaped elements and viewing opening
  • FIG. 8 shows a perspective view of a further embodiment of a device according to the invention with incisions
  • FIG. 9 shows a perspective view of another embodiment of a device according to the invention with bellows-like cover section
  • FIG. 11 shows a perspective view of a further embodiment of a device according to the invention with a double bracket-shaped cover part
  • FIG. 12 shows a perspective view of a further embodiment of a device according to the invention with a plurality of bow-shaped cover sections connected to one another,
  • FIG. 15 shows a perspective view of two pieces of cover parts which are joined one above the other and have plate-shaped projections which are pivotally connected to one another in the center,
  • FIG. 16 shows a perspective view of a further embodiment of a device according to the invention with a strip-shaped cover part with openings in the longitudinal direction
  • FIG. 17 shows a perspective view of a further embodiment of a device according to the invention with a plurality of strip-shaped cover sections according to FIG. 16 which are pivotally connected to one another
  • FIG. 19 shows a perspective view of another embodiment of a strip-shaped cover part of a device according to the invention.
  • FIG. 20 shows a perspective view of a plurality of strip-shaped cover sections which are joined together and provided with connecting means with slot-shaped openings and which are arranged at an angle to one another,
  • FIG. 22 shows a perspective view of another embodiment of the strip-shaped cover part according to FIG. 21,
  • FIG. 23 shows a perspective view of a further embodiment of the strip-shaped cover part according to FIG. 21,
  • FIG. 26 perspective views of another embodiment of the carrier rail according to FIG. 25 with different surfaces
  • FIG. 29 shows a perspective view of a further embodiment of cover parts according to the invention in the form of a bracket for combination with a fixator
  • FIG. 33 shows a sectional view of the support rod according to FIG. 32
  • 34 a, b, c are perspective views and a sectional view of two further embodiments of a device according to the invention with two longitudinal elements and a cover section connecting these two to one another,
  • Figure 35 is a perspective view and a sectional view of a first embodiment of a device for deflecting a hose, in particular a medical hose for
  • FIG. 37 is a perspective view of a further embodiment of the device for deflecting a hose
  • FIG. 38 shows a further embodiment of a device according to the invention for deflecting a hose with an external hose in a perspective view
  • FIG. 39 is a bottom view of the device according to FIG. 38
  • FIG. 40 shows a perspective view of a fastening device for fastening the device according to FIGS. 38 and 39 on the body surface
  • FIG. 41 shows a perspective view of a further embodiment of a device according to the invention for deflecting a hose
  • FIG. 42 shows a bottom view of the device according to FIG. 41
  • FIG. 43 shows a perspective view of a fastening device for the device according to FIGS. 41 and 42 for fastening it on the body surface and
  • FIG. 44 shows a perspective view of an alternative fastening device for the device for deflecting a hose, shown in the preceding figures, for fastening it on a body surface.
  • FIG. 1 shows a side view of a perspective view of a first embodiment of a device 1 according to the invention.
  • the device is arranged over a curved body surface 2. It has a covering part 10 and a fastening device 20 for fastening the device 1 on the body surface 2.
  • the fastening device projects beyond the outer extent of the cover part 10.
  • the cover section and the fastening device are connected via an edge section 30 connecting the two parts to one another.
  • the length of the edge piece 30 is decisive for how far the top 11 of a cover piece 10 is from the body surface 2 is removed.
  • the choice of the length or height of the edge part above the body surface 2 can also be used to adapt to wounds or injuries, in particular burn blisters, which may protrude particularly strongly outwards over the body surface 2.
  • the cover section 10 is provided with incisions 12.
  • incisions 12 instead of the incisions, grooves can also be provided, which are in particular V-shaped.
  • the covering part 10 can expand more in the area of its surface 11, that is, form a larger area than in the area of the fastening device 20.
  • the reverse is also the creation of an at least partially smaller surface in the area of the surface 11 of the cover part piece is possible in comparison to the surface in the area of the fastening device 20.
  • the device 1 can be divided into different parts in the area of the incisions, so that the incisions can also be formed in the area of the fastening device 20 at least in the form of predetermined breaking or tearing points.
  • the fastening device 20 preferably has an adhesive or adhesive layer provided with a removable protective film.
  • the incisions 12 are arranged transversely to the longitudinal extent of the device.
  • the device can even be applied to body surfaces which are strongly curved with a small radius, such as an arm, in particular even in the area of a child's wrist.
  • the relatively high rigidity of the cover part piece 10 is retained as such. This further enables protection against impact and further injury to the area to be protected.
  • the device provided with the incisions is bent, it fans out in this area of the piece of cover part. Instead of the cuts, another segmentation of the cover part piece can achieve this effect.
  • FIGS. 3 and 4 it is advantageously possible to obtain the entire device from a blank by folding.
  • a blank is shown in top view in FIG.
  • the fastening devices 20 are also integrated into the blank. All elements are separated from one another by folds and / or perforations 15, 16, 22, which means that the device can also be adapted to the conditions on the body surface by only partially unfolding the device along the folds.
  • the folds or perforations 15 of the foldable elements are preferably arranged essentially parallel to the web-shaped elements. The position of the folds 16 determines the height or the distance of the upper side 11 from the injury.
  • a plurality of folds aligned parallel to one another can be provided in order to be able to adapt to higher injuries such as blisters, as indicated in the case of the two left web-shaped elements 14 or edge sections 30.
  • a cut from one with perforations or is particularly preferred Folded roll material is made, only as many web-shaped and foldable elements 13, 14 can be separated from the roll material as are required to cover the respective injury.
  • the moldable web-shaped elements 14 are arranged essentially parallel to one another. However, they can also be aligned with one another in some other way. For example, curved incisions which, when the device is bent, sometimes leave larger gaps between them have proven to be advantageous for post-medication, e.g. by means of a spatula or the like.
  • the fastening devices which are delimited from the web-shaped elements 14 by the folds 22, are preferably provided on their underside 21 with an adhesive and / or adhesive.
  • adhesive strips in particular roller plasters, can also be provided on the folded surfaces of the fastening devices.
  • the tunnel-shaped covering part is formed as a shell from a plastic or a suitable other material, which has flexibility to be able to bend it and at the same time stiffness in order to remain in the arched position, wherein it preferably has a resetting effect if it is removed from a set position, for example if it is temporarily removed from the body surface. After opening the device, it can later resume its original or impressed shape.
  • a material which is suitable for medical purposes and is in particular transparent or translucent is preferably used.
  • viewing openings 19 are provided which, when using a piece of tunnel-shaped covering part which is otherwise made of an opaque material, are transparent or have a are covered with a transparent material.
  • the covering can be provided permanently on the viewing openings or can be removed from them, for example in order to provide the wound with subsequent medication.
  • the viewing openings can also remain open if the particular application of the device so requires.
  • the body shape and / or the size of the injury to be covered is adjusted by moving the second fastening device into the desired position and, for example, also gluing it to the body surface the opposite side of the injury next to this.
  • the curvature of the tunnel-shaped cover part can be adjusted stronger or weaker. It subsequently covers the injury. Depending on the material used, its thickness and any structure, the curvature shows a stiffening effect for the tunnel-shaped cover section.
  • stiffening elements such as fibers or threads made of e.g. Metal or other formable stiffening material.
  • the fastening devices and the tunnel-shaped cover section are made in one piece and made from a blank.
  • the dimensions of the cut are, for example, 5x5 cm up to 40x60 cm, whereby, depending on the choice of material, smaller or larger cuts can of course also be produced and used. Width dimensions of 1 to 4 cm are sufficient for the fastening device in order to obtain a good fastening on the body surface.
  • the tunnel-shaped cover section shown in FIG. 6 is provided with elements 18 that stiffen and / or form or pre-form the curvature. hen.
  • elements 18 that stiffen and / or form or pre-form the curvature. hen.
  • the number and position along the cover section 17 of the elements 18 to be provided is advantageously selected depending on the respective application. Instead of providing individual elements 18 inserted into or connected to the material of the tunnel-shaped cover section, this material itself can also be partially stiffened or in some areas, in particular while maintaining deformability in this area as well.
  • a Velcro-like felt or hook layer is provided on one fastening device 20.
  • This can cooperate, for example, with an appropriately trained additional element such as a band or a bandage. Wrap a band or bandage around the device, e.g. on one arm the area of the arm not enclosed by the device.
  • folded elements 13 are also provided in the film-like areas between two elements 18 and in the two end areas 3, 4 of the device.
  • Stiffer elements 18 are preferably used in this variant, since the folded elements 13 give less stability than the curvature of the film-like element in FIGS. 5 and 6.
  • the folded elements 13 give less stability than the curvature of the film-like element in FIGS. 5 and 6.
  • an even better adaptation to the body shape is possible and possible to change direction with longer wounds.
  • the device with a tunnel-shaped cover section is particularly suitable for use with a venous cannula on one hand for temporarily connecting the patient to a drip, catheter or the like.
  • the intravenous cannula thus remains against accidental Pulling out or moving the cannula protected, which provides protection for the veins.
  • FIG. 1 Another embodiment of the device provided with incisions 12 according to FIG. 1 is shown in FIG.
  • the incisions are made wider than shown in Fig.l, making it easier to care for the covered wound from the outside in particular.
  • the device can consist of a plastic material, acrylic, latex, rubber or another flexible and at the same time rigid material which is in particular transparent or translucent.
  • the web-like elements remaining between the incisions and covering the wound are preferably stiff or stiffened.
  • the width of the protruding fastening device 20 is preferably selected depending on the location of the injury and the conditions there on the body surface and can, for example, are between 1 and 8 cm.
  • the width of the web-shaped elements between the incisions 12 is also selected depending on the stiffness or flexibility to be achieved of the device for adapting to the body shape and surface and can e.g. are between 0.5 and 5 cm.
  • the height of the edge part piece 30 is chosen depending on the injury to be covered and can e.g. are between 1 and 3 cm, the material thickness of the cover part and fastening device and edge part in the case of smaller areas to be bridged, preferably at lower values, e.g. about 0.2 mm to about 1.5 cm than is the case with larger areas to be bridged, e.g. if the length of the injury has to be bridged 2 to 30 cm.
  • the embodiment shown in FIG. 9, in contrast to the one shown in FIG. 8, has film-like elements 40 between the web-shaped elements 14, as a result of which the appearance of the cover part 1 becomes bellows-like.
  • the film-like elements are inserted between the web-shaped elements so that stretching and folding of the Cover part 1 piece is easily possible.
  • the film-like elements can be formed as a coherent, in particular one-piece element or as individual elements. They are preferably provided on the outside of the web-shaped elements, it also being possible to provide them on the inside of the web-shaped elements. They can either be attached to the web-shaped elements or rest on them as a separate element.
  • the film-like element can also rest on the covering part only in a partial area.
  • the film-like element 40 has a protruding edge region 41 which can be placed on the fastening device.
  • a detachable or fixed connection between the edge region 41 and the fastening device 20 can take place, or the edge region only adheres directly to this or the surrounding body surface, the film-like element at least partially protruding beyond the outer edge of the fastening device.
  • the edge region 41 can be pulled off at any time without the device itself having to be removed.
  • the film-like or the film-like element can also consist of a relatively thin, diffusion-open material, in particular provided with openings and / or antibacterial material.
  • film-like elements it is advantageously possible to create a dry, moist or partially moist wound environment, depending on the degree of air permeability. As long as the film-like element is completely impermeable to air, e.g. a moist wound environment can be created.
  • FIGS. 11 and 12 show further embodiments of the device 1 according to the invention, which are provided with pieces in the form of a bow-shaped cover.
  • FIG. 11 shows a double bow-shaped cover section 51, the double bow-shaped cover section having a curvature under which a wound can be positioned.
  • the device has essentially an elongated plaster-like shape and is provided with two tab-shaped fastening devices 23. The tab-shaped fastening devices are fastened in the region of connecting webs 52 between the two brackets of the cover part or are connected to the latter.
  • a similar structure is also shown in the embodiment according to FIG. 12, in which the connecting webs 52 are however arranged between the individual bow-shaped elements 50 in such a way that the fastening devices 23 are alternately attached to the connecting webs 52.
  • a separation of two bow-shaped elements 50 arranged next to one another is preferably also possible in the region of the connecting webs, in particular a half connecting web being arranged on each bow-shaped element 50.
  • a connection can be made by means of the tab-shaped fastening devices, for example by turning over the connecting webs.
  • any length of a chain formed from the bow-shaped elements 50 as shown in FIG. 12, can be formed according to the length of the wound.
  • Suitable materials for the bow-shaped elements 50 are a plastic that is flexible and stiff at the same time or another suitably designed material.
  • the bow-shaped elements can also be formed from a combination of several materials, for example to produce a flexible stiffness also from a spring tension wire which is sheathed with a flexible plastic and / or a hose material, in particular a hose made of rubber material or soft plastic. Diameters of the wire from 0.2 mm to 3 mm and a thickness of the sheath from 5 mm to 15 mm are sufficient.
  • the individual bow-shaped elements can be provided, for example, at a distance of 1 to 8 cm.
  • the tab-shaped fastening devices 23 preferably have the same width as the connecting webs and can in particular have a length of 2 to 10 cm.
  • the dimensions of the fastening devices should also be selected for specific applications, the device being positioned firmly on the body surface by the fastening devices and remaining there in a stationary manner even when the respective body part provided with the device is moved, preferably until the wound has completely healed.
  • Both the bow-shaped elements and the connecting webs can have any cross section, in particular a round or angular one. However, they can also be essentially flat or oval, as shown in the embodiment in FIG.
  • the embodiment shown there is particularly suitable for covering an injury to a finger, since the bow-shaped element 50 provided is narrow and can be deformed as desired and can therefore be adapted to any length of a finger.
  • the provision of a flat, bow-shaped element means that the corresponding wound on a finger is very well covered due to its relatively small lateral extension.
  • the bow-shaped element is preferably formed from a flexible plastic strip, it also being possible to use any other material which produces flexible rigidity, such as, for example, also a material mixture such as a rubber or rubber mixture.
  • the material thickness can preferably be selected in the range from 1 to 15 mm, the width of the bow-shaped element between 1 and 20 cm and the length between 2 and 50 cm.
  • V-shaped fastening devices 23 are provided at both ends of the bow-shaped element for fastening the device.
  • the fastening devices could also be strip-shaped, flat, in particular round or oval or otherwise multi-part or multi-part.
  • the fastening devices therefore preferably have adhesive surfaces with a size of 1 to 20 cm 2 .
  • stiffening elements 53 are inserted into the bow-shaped element 50 according to FIG. 13, which are preferably deformable, such as in particular metal wires or a metal braid or similar materials, which enable the bow-shaped element to be flexible as well as its stiffening.
  • FIGS. 14 and 15 show further embodiments of the device according to the invention.
  • the individual cover sections 54 protrude in the form of a plate in their central region.
  • the individual cover parts are pivotally connected to one another by a connecting means 60.
  • the connecting means are peg-shaped, and they engage in corresponding openings 56 in the edge region 57 of the plate-shaped projections 55.
  • the openings 56 can be designed as elongated holes, as a result of which the protection of the injury is retained, but the mobility of the device is additionally increased. Tighter curve radii are also possible.
  • FIG. 15 Another possibility of connecting two cover sections provided with a plate-shaped projection 55 is shown in FIG. 15, the opening 56 being provided there in the central region 58 of the two cover sections 54.
  • a peg-shaped or pin-shaped connecting means 60 can be inserted into the two openings 56, as a result of which the two cover sections lying one above the other can be pivoted as desired, in particular in order to align the position of the fastening devices 20 in such a way that a secure fastening on the body surface around the wound to be treated is possible becomes.
  • the dimensions and shape of the cover sections provided with a plate-shaped projection 55 are preferably selected as a function of the respective application. Since the embodiment shown in FIG.
  • the individual fastening devices can either be glued individually to the body surface or fastened there, or, for example, by means of an elongated adhesive strip which extends over the entire length of the device.
  • the chain-like design variants are also particularly suitable for large abdominal scars, since optimal adaptation to the body shape is also advantageously possible there, while allowing mobility for the patient.
  • the fastening device 20 is essentially round or oval, the middle part 24 of the fastening device being made of a soft plastic or rubber or a similar soft adhesive material, whereas the outer edge region 25 is made with a Adhesive, in particular a protective film is provided.
  • a plurality of strip-shaped cover sections are connected to one another via connecting means with slot-shaped openings. The protruding end regions can be cut off or cut off after the device has been installed or attached to the body surface.
  • the embodiment of the connecting means in FIG. 20 is button-shaped, any shape of the connecting means 61 being possible as long as a slit-shaped opening is provided for receiving the end or end region of an adjacent cover part.
  • connection means can also be pivotably arranged on a cover part, in particular two.
  • connection of two such cover sections with connection means provided at both ends would be possible by only an essentially flat strip-shaped cover section 73, which neither has an edge section nor a fastening device.
  • the cover sections shown in the previous figures can have lengths up to, for example, 70 cm and widths up to 10 cm, and the edge sections can even be up to 15 cm long, as a result of which a height difference between the fastening device plane and the top of the strip-shaped cover part of approximately 15 cm can be adjusted. If necessary, on the one hand, much smaller dimensions of the covering parts can be provided, and also much larger ones.
  • the strip-shaped cover parts shown in FIG. 20 are particularly well suited for use with a fixator.
  • lengths of 5 to 15 cm, widths of 0.5 to 3 cm and a thickness of the material of the covering parts of 0.3 to 3 mm have proven to be particularly advantageous.
  • the fixator rods When used with a fixator, the fixator rods can be inserted between two adjacent cover sections arranged at an angle to one another. Subsequently, it is advantageously possible to place a bandage over the device fanned out in this way, thereby further protecting the injury. It is essential to apply a bandage or plaster over the device. additionally possible in all embodiments, in particular also in those shown in FIGS. 16 to 19.
  • FIGS. 21 to 33 When using the device according to the invention together with a fixator, as shown in FIGS. 21 to 33, it is possible, by adding an additional bandage around the device according to the invention, on the one hand to prevent the injuries caused by the installation of the fixator against the penetration of pathogens from the outside to protect and also to enable visual protection for the patient himself and against the eyes of third parties.
  • FIG. 21 again shows a strip-shaped cover section, as can already be seen in FIGS. 16 to 18.
  • FIG. 23 showing an embodiment of the strip-shaped cover part in which fastening devices and edge sections are provided on both sides of the cover part and a recess 77 in the central region rod 80 of a fixator which rises essentially vertically from the body surface.
  • a disk element 81 provided with a slot opening 82 is arranged.
  • the fixator rod 80 it is mounted in the body, in particular in the bone of an arm of a patient.
  • the disk element 81 subsequently lies on the body surface.
  • a hood element 83 is arranged which has a projecting partial area 84.
  • it is provided with a through opening 85 for attachment to the fixator rod 80 and optionally with an additional slot-shaped opening 86 for other attachment to the fixator.
  • an end piece of a bandage 5 is shown in FIG.
  • the disk element 81 is first placed over the installation site.
  • a strip-shaped cover part is fastened above this through an opening or, as shown in FIG. 23, with the recess 77 around the fixator rod, on the body surface.
  • the distance that the upper side of the covering part 1 should have from the body surface can be adapted to the respective situation, in particular by changing the kinks between the covering section, edge section and fastening device.
  • folds and perforations 31 in particular can be provided in this area.
  • the cover parts can also be severed in the area of the openings 71, in particular the remaining hole section, which is similar to a recess, can be placed around the fixator rod.
  • shorter cover sections can be produced in this way in order to be able to adapt to the respective local conditions at the injury site to be supplied.
  • the disc element 81 Before covering with a bandage of the cover sections arranged around the fixator rod, which are pivotally connected to one another in particular by means of pins or other connecting means are, the disc element 81 can be additionally fixed on the body surface, in particular by means of roller plasters.
  • the dressing 5, which preferably consists of an elastic textile or plastic film material, is subsequently arranged around the device according to the invention.
  • the bandage preferably consists of two parts which are guided in parallel and are connected to one another around the fixation rod, in particular by means of a Velcro fastener.
  • both dressing parts can also be connected to one another by gluing.
  • the bandage is tightened and tensioned over the device according to the invention on the side of the body or body part to be connected, which faces away from the fixator and the device according to the invention.
  • An additional fixation can also be carried out on this side, for example by gluing using a roller adhesive button.
  • the dressing is preferably given an antiseptic treatment.
  • the hood element 83 is supported along the fixator rod 80 on the upper side of the cover part located on the fixator rod. This is preferably done before the bandage is applied, the projecting portion 84 being an additional safeguard for the respective covering section arranged around the fixator rod.
  • the hood element 83 can be placed on the bandage after the bandage has been applied, and in particular the disc element 81 can also be placed on the top of the cover part to apply the bandage, in order to enlarge the area for supporting the bandage or the film there and also to enlarge the area To be provided for the later pressure absorption when installing the hood element.
  • the through opening 85 of the hood element 83 preferably has a diameter such that, after being added to the fixator rod, there is an essentially hermetic seal against, for example seeping germs in the rain is produced.
  • the hood element is therefore preferably made of a relatively soft material which nestles particularly well and tightly in the area of the through opening to the fixator rod.
  • a soft plastic or rubber can be used, in particular with the addition of a further seal, in particular a lip seal.
  • the hood element can be connected to the bandage either by providing a Velcro fastener or by gluing, the projecting portion also being used to compensate for protrusions in the bandage material at locations one above the other.
  • FIG. 1 A fixator provided in this way with a bandage or a cuff as a bandage together with the device according to the invention is shown in FIG.
  • a transverse fixator rod 87 is additionally attached to the fixator.
  • FIG. 25 shows an alternative embodiment of a cover part piece in the form of a carrier rail 90 which can be fastened to a plurality of fixator rods 80.
  • the connection to the fixator rods takes place via a clamp fastening device 91.
  • This can be adjusted on the one hand along the carrier rail 90 and on the other hand along the fixator rods 80.
  • the clamp fastening device other fastenings can also be selected, such as, for example, screwing them into the fixator rods provided with an internal thread provided openings.
  • additional fixation devices surrounding the fixator rods can be provided, into which corresponding devices of the support rail can engage or can act on the latter.
  • a connection to the fixator rods via clip devices 92 is provided.
  • hook elements 93 are also provided for hanging the carrier rail on a transverse fixator rod 87.
  • An additional rod can also be provided on which the support rail can be hung. Either the fixation rod 87 or a corresponding additional clamping rod is preferably also used to fasten the clip devices 92. If a fixator bandage carrier basket, bandage carrier bracket or a carrier shell is provided as in FIG. 28, the carrier rail can also be fastened to it.
  • the surface 94 of the carrier rail can either be provided with a Velcro device 95 or adhesive surfaces 96.
  • a bandage is then attached to this and, as already described above, applied to the body part, in particular an arm 7.
  • the bandage can be applied parallel to the fixator over the patient's body part, fixed on the support rail and at a predetermined distance from the body surface in the area of the fixator, ie injuries. This makes it much easier and faster to connect fixator patients. In addition, wound control is much easier, as already explained above.
  • the carrier rail is formed in one piece with the fixator rod 87. It is important to ensure that the fastening points 88 on the fixator rods 80 ensure a non-slip fit of the carrier rail plus the transverse fixator rod.
  • the support rail can in this case be flat or curved or provided with curves, in order to be adapted to a certain extent, in particular to the shape of the body.
  • a partial area of the carrier rail is also provided, which has neither a Velcro device nor an adhesive surface. Instead of a Velcro device and adhesive surfaces, other adhesives such as hooks or the like can also be used.
  • the bandage used is preferably provided with a corresponding Velcro device and / or adhesive surface and / or adhesive surface and / or hook or the like and / or untreated.
  • the carrier rail can have a width of, for example, 0.5 to 10 cm, the thickness of the rail essentially corresponding to the required fixator rod thickness, which can be a few millimeters. In the area where only the bandage rests on the carrier rail, it can have a thickness of a few tenths of a millimeter.
  • FIG. 27 shows further fastening options for a carrier rail according to FIG. 25.
  • the carrier rail can be supported from below by a relatively short bandage carrier rod or holding rod 97, which can preferably be arranged in the direction of the carrier rail width.
  • the holding rod 97 can be connected to the fixator rod 80 by clamping or screwing.
  • a holding plate 98 can also be provided, which is preferably also clamped to the fixator rod.
  • the holding rod and holding plate can have lengths or diameters of up to 20 cm, the material thickness in particular being between 0.2 and 10 mm. In certain applications, however, other dimensions can also prove to be advantageous.
  • the embodiment according to FIG. 29 has bracket elements fastened to the fixator rods 87, which at least partially surround the body part 7 provided with the fixator.
  • the bracket elements 106 are therefore made up of a bow-shaped section 107 and an essentially straight section 108.
  • the straight section 108 is fastened to the fixator rods 87 and is connected to the bow-shaped device via a joint device 109 Section connected.
  • the straight sections 108 are alternately fastened to the fixator rods 87 between the fixator rods 80.
  • the choice of the radius of the bow-shaped part piece 107 is preferably chosen depending on the body part to be protected, in particular the extremity to be protected, the bow-shaped part piece being attached to the fixator at a distance of in particular a few millimeters to centimeters from the body surface.
  • the radius of the bow-shaped sections is then set by means of the joint device, the bow-shaped sections preferably not completely enclosing the body part for this purpose.
  • one of the support rails according to FIG. 25 can additionally be attached to the fixator.
  • the bracket elements in particular have a material thickness of 3 to 15 mm and are preferably made of metal or another hard and rigid material.
  • FIG. 30 shows the application of a bandage 5 by attaching its Velcro device or adhesive layer to the surface of the carrier rail.
  • the bandage itself or the carrier rail or the fixator can be provided with other, in particular mechanical, devices for fastening the bandage to the fixator or the carrier rail.
  • Hook-shaped elements can preferably be provided on the bandage, which can be suspended in the carrier rail surface and / or the fixator directly without providing the carrier rail, in particular in the rod 87. This also results in a distance or a distance above the injury caused by the fixator Distance created to protect them.
  • FIG. 31 An alternative variant of a bandage is shown in FIG. 31.
  • the bandage according to this embodiment is provided with a gathering device 6 at one end.
  • this end can be drawn around an arm or leg, for example, and thereby closed up to the surface of the body.
  • the gathering device can also be incorporated at intervals in the area of the total extent of the bandage in order to be adaptable to different arm and leg lengths, for example in children and adults. This makes it possible to gather the bandage accordingly and thereby shorten it. As a result, one and the same bandage can be used for a large number of people, thereby saving costs for additional embodiments.
  • the bandage is cut off in each case in the area of the gathering device, as a result of which a gathering device provided at one end of the dressing is subsequently present.
  • the bandage is provided on the upper side of the edge region added to the carrier rail 90 with an adhesive strip 96 provided with a protective film.
  • FIG. 110 Another embodiment of a covering device for use in a fixator is shown in FIG. Instead of the one in the previous
  • the support rail and support shell shown in the figures is now provided with a support rod 110, which consists of a flexible and in particular flexible material. Due to its flexibility and flexibility, it can also be arranged without interruption on the fixator, for example, in the area of the elbow.
  • the support rod is preferably fastened to the fixator at a short distance from the body surface, in particular by means of clamping devices, screw connections or detachable other devices.
  • it has an adhesive layer on its surface, as can be seen in the sectional view as a schematic diagram on the carrier rod 110.
  • the adhesive layer 111 can be either a Velcro layer or an adhesive layer or another adhesive coating.
  • the flexible support rod itself preferably consists of a plastic and / or metal and / or rubber material which is at least partially encased by the adhesive layer.
  • a steel wire or braid similar to flexible shafts or hoses, can be used, in particular with a diameter of the support rod of 3 mm to 4 cm.
  • the length of the support rod preferably depends on the length of the fixator or his fixator rods 87. Instead of providing a flexible material, the flexibility can also be achieved by incisions or grooves or an external toothing of the rod and / or a partial weakening of the material of the rod .
  • the bandage is applied as already described above.
  • the carrier rod can also be provided as a replacement for at least one of the fixator rods 87.
  • FIGS. 34 a and b show a further embodiment of a device according to the invention, in which the edge sections and fastening devices are formed in one piece in the form of two longitudinal elements 120. Both longitudinal elements are provided with guide grooves 121 in the longitudinal direction in the area of the edge sections. Sub-areas of the cover part are arranged within the guide grooves.
  • the cover piece 125 has appropriately designed edge thickenings 122 for engaging in the guide grooves 121.
  • the remaining covering part can either be formed as a substantially flat, sheet-like element made of a flexible material.
  • a thick film can also be provided, which makes it possible to move the cover section within the guide grooves and even pull it completely out of the guide grooves for wound treatment. Instead of a flat film, as shown in FIG.
  • web-like elements 123 with flexible regions 124 inserted between them can also be provided, in particular in the form of a thin flexible film or a film-like element.
  • the web-shaped elements 123 and the film-like elements 124 can be designed as already described in the previous figures, that is to say also with foldable elements, the advantages of adaptability to any body shape being mentioned also being obtained in particular.
  • the longitudinal elements 120 are also made of an elastic or flexible material, in particular plastic, acrylic, rubber and / or rubber mixture. As can be seen from the cross section in FIG. 34 a, they are made narrower in the area of the edge sections than in the support area on the body surface 2 in the area of the fastening devices 126.
  • the covering part can in particular be offered as rolls, the respective length being cut depending on the wound to be treated.
  • an additional cover film or a similar element that represents further protection such as, for example, a roller plaster adapted to the size or a bandage, can be arranged via this embodiment of the device according to the invention and either on the longitudinal elements or attached to the body surface.
  • the longitudinal elements have, for example, a height of 2 to 6 cm with an intended width of the fastening device of 1 to 5 cm. Depending on the application, however, completely different dimensions can also be useful.
  • FIG. 34 c shows a perspective view of an alternative embodiment with two longitudinal elements 120.
  • the longitudinal elements are provided with incisions 127 and / or are provided as individual segments in order to allow good flexibility for adaptation to the body shape on which the device is applied.
  • this flexibility makes it possible for the user to move with the attached device without this restricting mobility.
  • the device can also be adapted to any wound course, even a very curvy one. A complete separation of the individual segments is also possible in order to achieve an even better adjustment.
  • the longitudinal elements are covered with a layer that enables detachability, e.g. a Velcro layer.
  • Detachably web-shaped elements 128 with foil-like elements 129 inserted therebetween or with a film layer that is attached to the web-shaped elements can be attached to them.
  • the web-shaped elements are attached to the longitudinal elements at such a distance from one another that the film layer is undulated with an elasticity between them. As a result, bending of the longitudinal elements is not hindered by the film-like elements.
  • the web-shaped elements with their adhesive or Velcro layer are advantageously not attached to the body surface.
  • FIG. 35 shows an additional device in the form of a device for deflecting a hose, in particular a medical hose, shown, which can be used in particular in connection with the tunnel-shaped cover part 17, as shown in Figures 5 to 7.
  • a device for deflecting a hose in particular a medical hose, shown, which can be used in particular in connection with the tunnel-shaped cover part 17, as shown in Figures 5 to 7.
  • the problem with the provision of indwelling vein cannulas is that they can be pulled out of the puncture site, in particular in the case of catheters connected to them, when the patient's arm is moved. It has therefore proven to be advantageous to provide the deflection device as an additional device which is gentle on the vein in connection with the tunnel-shaped cover part.
  • the deflection device can prevent a supply hose from kinking.
  • the deflection device 130 in its first embodiment consists of a turntable element 131 on which a dome-shaped housing 132 is attached.
  • the dome-shaped housing is provided with two openings 133, at least one opening being provided with a device for locking the hose which is passed through.
  • the locking device has a conically tapering opening and, in the interior of the dome-shaped housing, a screwable element 161, in particular a rotating spindle for engaging the hose 160.
  • the provision of a conically tapering opening has the further advantage that the hose can be inserted better as a result.
  • the dome-shaped housing is rotatably fastened on the turntable element, in particular via a pin or a similar device not shown in FIG. 35.
  • the rotary tenter can, for example, consist of a thin or thicker film, which is provided on its underside with an adhesive and / or adhesive in order to be attached to the body surface.
  • the hose By locking the hose in the deflection device, strain relief and at the same time fixing the hose to the patient's arm is made possible. Between the tunnel-shaped covering part and the deflection device, the hose can therefore be fixed on the Position the top of the patient's arm. For example, when using indwelling cannulas in children, it can also be advantageous to design the tunnel-shaped cover section so long that it covers the hose over its entire length, in particular up to the deflection device for the hose.
  • FIG. 36 shows another embodiment of a deflection device which is designed, in particular, to be attached to the hand, that is to say, to be stored underneath a tunnel-shaped covering part 17, as shown in FIGS. 5 to 7.
  • the deflection device is essentially semicircular and consists of an essentially flat arch element 135, which is provided with several elevations 136 on the side pointing inwards towards the arch center.
  • two elevations 136 are provided so that they can receive the hose to be deflected between them and hold it by clamping.
  • Three pairs of such elevations are arranged here, the elevation pairs being provided at the ends of the arch element and in the central region thereof.
  • a right-angled element or any other angle element or a corresponding deflection can also be provided.
  • the height and material thickness of the arch element are selected depending on the tube thickness and can be, for example, a height of 0.5 to 5 cm and a material thickness of Have walls between 0.5 mm and 1.5 cm with a diameter of the arch element of 2 to 10 cm.
  • FIGS. 37 to 44 An embodiment of the deflection device according to FIGS. 37 to 44 can be provided preferably in the area of the elbow joint.
  • the embodiment shown in FIGS. 37, 41, 42 and 44 has two housing parts 137, 138, each of which is provided with an opening 139.
  • the two housing parts are rotatably supported relative to one another, in particular by providing a central pin. They can be fixed in their position by a locking device 140, which is also provided and penetrates the two housing parts in the middle.
  • the locking device 140 in the form of a compression screw connection ends in the fastening device 141 that can be attached to the body surface.
  • the fastening device is preferably relatively thin and flexible, in particular in the form of a tab or film, and preferably with an adhesive surface on its side facing away from the deflection device Mistake.
  • the two housing parts 137 and 138 are connected to one another in the interior such that the adjustment of any angle of the two openings 139 to one another is possible without any problems, in particular also because the two housing parts pivot at an angle of 0 to 360 ° around the locking device 140 to let.
  • the access to the deflection device and the outlet thereof can therefore be selected independently of one another, which also enables correct hose deflection in a confined space.
  • any adjustment of the angle between the inlet and outlet tubing enables the tubing, in particular the catheter, to be fixed in a manner which is gentle on the veins, which in particular by correct guidance of the tubing, by an adapted position of the opening into which it goes into the deflection device Tearing out the tube and injuries to the veins can advantageously be prevented.
  • the deflection devices shown in FIGS. 41 to 44 each have the same advantages as the deflection devices already described.
  • the difference from the deflection device according to FIG. 37 is that the locking device 140 is provided in a depression 142 in the surface of the one housing part 137.
  • the housing part 138 is not firmly connected to the fastening device 141, but is detachable.
  • the releasability arises from the two interacting clip or button elements 143 shown in FIGS. 42 and 43 and the corresponding associated opening 144. Since the button element 143 is provided with external teeth, this is also the opening 144 on its inside .
  • bow-shaped element double bow-shaped cover section connecting web stiffening element cover section with plate-shaped projection plate-shaped projection opening edge area middle area

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (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)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention concerne un dispositif (1) pour recouvrir et protéger une blessure, notamment une plaie, résultant de la mise en place d'une canule veineuse à demeure ou similaire (1), en maintenant une distance par rapport à cette ladite blessure. Ce dispositif comprend une unité de fixation (20) destinée à être fixée sur la surface corporelle (2) entourant la blessure (2) et un élément de recouvrement (10) s'étendant au-dessus de la blessure (10). Ce dispositif est pourvu d'au moins un élément permettant de l'adapter à la forme du corps.
EP99959267A 1998-10-31 1999-10-30 Dispositif pour recouvrir et proteger une blessure, notamment une plaie, resultant de la mise en place d'une canule veineuse a demeure ou similaire Withdrawn EP1131028A2 (fr)

Applications Claiming Priority (37)

Application Number Priority Date Filing Date Title
DE29819481U 1998-10-31
DE29819481 1998-10-31
DE29820217U DE29820217U1 (de) 1998-10-31 1998-11-12 Distanzhülle für den berührungsfreien Schutz von Wunden
DE29820217U 1998-11-12
DE19922892 1999-05-19
DE19922892A DE19922892A1 (de) 1998-10-31 1999-05-19 Distanzhülle für den berührungsfreien Schutz von Wunden
DE29910825 1999-06-23
DE29910825U 1999-06-23
DE29912113U 1999-07-15
DE29912113 1999-07-15
DE29913710U 1999-08-06
DE29913710 1999-08-06
DE29914797 1999-08-24
DE29914798U 1999-08-24
DE29914797U 1999-08-24
DE29914798 1999-08-24
DE29915142U 1999-08-30
DE29915143U 1999-08-30
DE29915142 1999-08-30
DE29915143 1999-08-30
DE29915441 1999-09-02
DE29915441U 1999-09-02
DE29915599U 1999-09-06
DE29915599 1999-09-06
DE29915991 1999-09-13
DE29915991U 1999-09-13
DE29917385U 1999-10-05
DE29917385 1999-10-05
DE29918037U 1999-10-12
DE29918037 1999-10-12
DE29918042 1999-10-12
DE29918034U 1999-10-12
DE29918041U 1999-10-12
DE29918034 1999-10-12
DE29918041 1999-10-12
DE29918042U 1999-10-12
PCT/EP1999/008304 WO2000025717A2 (fr) 1998-10-31 1999-10-30 Dispositif pour recouvrir et proteger une blessure, notamment une plaie, resultant de la mise en place d'une canule veineuse a demeure ou similaire

Publications (1)

Publication Number Publication Date
EP1131028A2 true EP1131028A2 (fr) 2001-09-12

Family

ID=27586077

Family Applications (1)

Application Number Title Priority Date Filing Date
EP99959267A Withdrawn EP1131028A2 (fr) 1998-10-31 1999-10-30 Dispositif pour recouvrir et proteger une blessure, notamment une plaie, resultant de la mise en place d'une canule veineuse a demeure ou similaire

Country Status (2)

Country Link
EP (1) EP1131028A2 (fr)
WO (1) WO2000025717A2 (fr)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6648911B1 (en) * 2000-11-20 2003-11-18 Avantec Vascular Corporation Method and device for the treatment of vulnerable tissue site
WO2016067015A1 (fr) * 2014-10-29 2016-05-06 John Stuart Chipperfield Protège-plaie
EA202091381A1 (ru) * 2017-12-20 2020-08-24 Фармадом С.Р.Л. Жесткий или полужесткий защитный элемент для покрытия ран
USD1079953S1 (en) 2022-08-24 2025-06-17 The Stewart-Ponitz Group, LLC Incision nerve protector

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Publication number Priority date Publication date Assignee Title
FR880198A (fr) * 1942-03-13 1943-03-16 Dispositif pour protection des plaies
FR1104098A (fr) * 1954-04-27 1955-11-16 écran de protection pour plaies et blessures
US3503392A (en) * 1967-10-17 1970-03-31 Harriet Howes Beeman Dressing support
DE2535760A1 (de) * 1974-12-05 1976-06-10 Warnecke Tuwa Plastik Vorrichtung zur versorgung von wunden
US3976066A (en) * 1975-04-28 1976-08-24 Mccartney James S Skin protective device
US4000737A (en) * 1975-10-14 1977-01-04 Horn Clifford V Surgical incision shield
US4134399A (en) * 1977-06-13 1979-01-16 Alfred Halderson Skin protective device
US4399816A (en) 1980-03-17 1983-08-23 Spangler George M Wound protector with transparent cover
US4667666A (en) 1986-04-18 1987-05-26 Alice Fryslie Protective bandaging device
US4905681A (en) * 1987-11-02 1990-03-06 The Glascock Family Trust Skin guard apparatus
US4972829A (en) * 1988-11-23 1990-11-27 Knerr Richard P Air cure bandage
US5101837A (en) * 1990-05-18 1992-04-07 Denis Perrin Bandage elevation device
US5562107A (en) 1995-09-27 1996-10-08 Hollister Incorporated Reclosable wound cover

Non-Patent Citations (1)

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Title
See references of WO0025717A2 *

Also Published As

Publication number Publication date
WO2000025717A3 (fr) 2000-08-24
WO2000025717A2 (fr) 2000-05-11

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