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EP0445281B1 - Therapeutic and preventive device for giving a set position to lower limbs - Google Patents

Therapeutic and preventive device for giving a set position to lower limbs Download PDF

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Publication number
EP0445281B1
EP0445281B1 EP90914941A EP90914941A EP0445281B1 EP 0445281 B1 EP0445281 B1 EP 0445281B1 EP 90914941 A EP90914941 A EP 90914941A EP 90914941 A EP90914941 A EP 90914941A EP 0445281 B1 EP0445281 B1 EP 0445281B1
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EP
European Patent Office
Prior art keywords
central block
lateral
face
rest
legs
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EP90914941A
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German (de)
French (fr)
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EP0445281A1 (en
Inventor
Michel Gaffe
Pierre Planquois
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • A61G7/065Rests specially adapted therefor
    • A61G7/075Rests specially adapted therefor for the limbs
    • A61G7/0755Rests specially adapted therefor for the limbs for the legs or feet

Definitions

  • the present invention relates to a device intended for allow desired positioning of the lower limbs for people having to observe a position of more or less prolonged supine position.
  • DE-G-8522509 shows support for members lower, L-shaped section, and having a concave curved surface.
  • DE-G-8810361 discloses a support device for lower limbs, consisting of a section block trapezoidal rectangle, and whose bearing face is contact with the subject, has several bands parallel.
  • US 3946451 shows a section block of general shape parrallèlipédique, and comprising a elongated recess and with a U-shaped section capable of receiving a member of a subject.
  • a first object of the invention is therefore to allow a the subject's resting position for a period of extended time while avoiding pressure ulcers on the heel, on the one hand, or to reduce the duration of healing the existing pressure ulcer, on the other hand.
  • a second object of the invention is to make it possible to ensure precise positioning of the lower limbs in specific circumstances requiring, at least temporarily maintaining stable lower limbs in the prone position of the subject at a determined angle.
  • the invention responds to this end, and also allows, avoid muscular tension in retentious gluteal muscles and finally to keep in position osteotomies and bone grafts of the hip or pelvis, for example: Mac osteotomy Murray or Chiari.
  • a third object of the invention is to ensure, by a centripetal tilted position of the lower limbs, a improved venous circulation avoiding further risk of edema of the lower limbs.
  • the latter will be applicable in all circumstances in which it is desirable to ensure a rest comfortable lower limbs of a bedridden subject and especially whenever the subject has undergone trauma at this level, for example in the case of polytraumatized lower limbs; subjects having underwent a point thigh surgery, knee, leg and ankle, including continuous pull-ups, etc ...
  • the invention relates to a device for positioning of the lower limbs of people in supine position as claimed in claim 1.
  • each lateral element comprises, at the proximal end, an inclined plane supporting the hock and back of the thigh.
  • the length is extended in the longitudinal direction. central block beyond the proximal end of the support which is attached to it.
  • each side support is removable and able to support against the face of the central block in the angle formed by the side faces, and has a value adapted to the desired positioning of the lower limbs.
  • FIG. 1 represents a view of the complete device, comprising a central block and two lateral supports.
  • Figure 2 shows the device of Figure 1 on which the subject's legs in place were represented.
  • FIG. 3 represents the central block associated with a lateral support of the right leg.
  • FIG. 4 represents the central block associated with a lateral support of the left leg.
  • Figure 5 shows an isolated support of a member inferior.
  • the device essentially comprises a central block 1, shaped general hexahedral and comprising two lateral faces 2a, 2b, diverging outwards and converging towards the subject.
  • the angle of the two faces 2a and 2b is defined according to the needs and it is thus possible according to the invention to make a set of central blocks of different angles by a function on the one hand of the morphological characteristics of user subjects and secondly depending on the case particulars and the practitioner's recommendations.
  • the central block is preferably made of material synthetic such as a slightly flexible foam and elastically compressible to allow non-contact aggressive; and this block, like the supports described below preferably be coated with an equally flexible material for example forming a synthetic material.
  • the hexahedral block has two horizontal faces, i.e. an upper face 3a and a face lower 3b, resting on the bearing plane of the subject.
  • the block At its outer or distal end the block has a rectangular face and it ends towards the subject with a front face 4 also quadrangular.
  • the block is suitable for receive side supports applied against the cheeks that constitute the lateral faces 2a and 2b.
  • These supports consist of elongated elements also in flexible and compressible material such as synthetic foam with continuous surfacing; and every 5.5 'block is therefore provided with a 6.6' receiving face the leg this face being generally concave in shape and according to Figures 1 to 4, this face can advantageously be provided with a substantially flat part and horizontal 6a extended and bordered outwards by a quarter cylinder concavity 6b.
  • Each 5.5 'lateral support thus constitutes a cradle subject's leg receiver from the constituted area by the rear side of the hock and the rear side of the ankle below the heel.
  • the heel is located outside and the seating plan is constituted by the generally concave face 6 ensuring thus a stable and comfortable rest of the subject.
  • the angle formed by the legs is defined by the angle of the vertical planes corresponding to the cheeks or side faces 2a and 2b; subject's legs held in the cradles of the supports being thus maintained in stable position and thus avoiding any positioning inappropriate likely to be a source of dislocation in subjects in post-operative rest.
  • Each bearing face 6 of the lateral support is furthermore slope from the distal end 7 corresponding to back support from the ankle to the end proximal 8 corresponding to the support of the hock.
  • the support is extended by an inclined plane 9.9 'from hock rest area 8 to reach substantially a level close to the rest plane of the entire system and corresponding to the support plane the subject (for example the bed); the proximal end of the inclined plane 9 ends at the front face 4.
  • This inclined plane constitutes a rest zone for the faces back of the subject's thigh thus ensuring comfortable positioning of all members lower.
  • FIG. 5 represents a variant relating to a support insulated with substantially the same characteristics than previously; this support consisting of a 5 '' element has a 6 'longiform concavity in the general shape of cylinder segment and constituting a resting cradle for the subject's leg which is thus held in a correct positioning; the support thus produced comprises moreover as previously described a declivity since its distal end 7 'to its proximal end 8' and it is extended on the part oriented towards the subject by an inclined plane 9 'for the rest of the rear face of the thigh.
  • the device of the invention ensuring the correct and stable positioning of the lower limbs avoids the risk of dislocation.
  • the elevation of the extremities of the limbs improves the subject's health through better circulation.
  • the device ensures a rest comfortable permanent or momentary of the subjects to keep the bed for an extended period especially in the case people who have been treated in arteriovenous surgery, in the elderly or bedridden frequently or in subjects having to observe a rest position as a result of disorder in the discs and vertebrae.

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nursing (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Slide Fasteners, Snap Fasteners, And Hook Fasteners (AREA)
  • Polishing Bodies And Polishing Tools (AREA)
  • Crushing And Pulverization Processes (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

PCT No. PCT/FR90/00687 Sec. 371 Date Jul. 2, 1991 Sec. 102(e) Date Jul. 2, 1991 PCT Filed Sep. 25, 1990 PCT Pub. No. WO91/04000 PCT Pub. Date Apr. 4, 1991.A device for giving a set position to the lower limbs of persons required to remain in a supine position for an extended period, comprises a central block (1) which is provided with two side support surfaces (2a and 2b) for the legs of the person. The two surfaces are arranged according to two vertical planes which converge on the subject and define the angle at which his lower limbs are to be set. At least one of said side support surfaces of the central block is associated with at least one side support (5, 5') to allow the corresponding leg to rest. This support may be placed against the surface of the central block and comprises an upward-facing surface (6) with a concave profile which ensures a comfortable and stable position of the leg.

Description

La présente invention concerne un dispositif destiné à permettre un positionnement voulu des membres inférieurs pour des personnes devant observer une position de décubitus dorsal plus ou moins prolongé.The present invention relates to a device intended for allow desired positioning of the lower limbs for people having to observe a position of more or less prolonged supine position.

On sait que les personnes qui doivent rester de longues heures couchées sur le dos, sont sujet à des escarres notamment sur les parties du corps qui restent en contact permanent avec la surface de repos; on a proposé des matelas pneumatiques comportant des cellules internes, alternativement mises sous pression, de façon à faire ainsi alterner les parties du corps en position d'appui; toutefois, cette méthode est peu efficace dans le cas où la formation d'escarres au niveau des talons, étant donné le caractère très ponctuel et permanent de la position de repos occupée par cette partie du corps, le sujet étant allongé sur le dos.We know that people who have to stay long hours lying on the back, are prone to bedsores especially on the parts of the body that remain in contact permanent with the rest surface; we have proposed air mattresses with internal cells, alternately pressurized, so as to make thus alternate the parts of the body in the support position; however, this method is not very effective in the case where the formation of pressure sores in the heels, given the very punctual and permanent nature of the position of rest occupied by this part of the body, the subject being lying on the back.

On connait par DE-G-8619753, un dispositif de positionnement des membres inférieurs de personnes en position de décubitus dorsal, comportant un bloc central apte à être positionné sur le plan de repos entre les jambes du sujet et présentant deux faces latérales d'appui pour les jambes, disposées selon des plans verticaux convergeants vers le sujet suivant un angle de positionnement desdits membres, le dispositif comportant en outre deux supports latéraux chacun pour le repos d'une jambe et positionné contre une face correspondante du bloc, avec une face concave orientée vers le haut.We know by DE-G-8619753, a device for positioning of the lower limbs of people in supine position with a central block able to be positioned on the rest plane between the subject's legs with two lateral faces leg support, arranged according to plans vertical converging towards the subject at an angle of positioning of said members, the device comprising additionally two lateral supports each for rest one leg and positioned against a corresponding face of the block, with a concave face facing upwards.

Par ailleurs, DE-G-8522509 montre un support pour membres inférieurs, à section en forme de L, et comportant une surface courbe concave.In addition, DE-G-8522509 shows support for members lower, L-shaped section, and having a concave curved surface.

DE-G-8810361 révèle un dispositif d'appui pour les membres inférieurs, consitué d'un bloc à section trapézoïdal rectangle, et dont la face d'appui est de contact avec le sujet, comporte plusieurs bandes parallèles.DE-G-8810361 discloses a support device for lower limbs, consisting of a section block trapezoidal rectangle, and whose bearing face is contact with the subject, has several bands parallel.

US 3946451, montre un bloc à section de forme générale parrallèlipédique, et comportant un évidement longiforme et à section en forme de U apte à recevoir un membre d'un sujet.US 3946451, shows a section block of general shape parrallèlipédique, and comprising a elongated recess and with a U-shaped section capable of receiving a member of a subject.

Un premier objet de l'invention est donc de permettre une position de repos couchée du sujet pendant une période de temps prolongée tout en évitant la formation d'escarres au niveau du talon, d'une part, ou de réduire la durée de la guérison de l'escarre existant, d'autre part.A first object of the invention is therefore to allow a the subject's resting position for a period of extended time while avoiding pressure ulcers on the heel, on the one hand, or to reduce the duration of healing the existing pressure ulcer, on the other hand.

Un second objet de l'invention vis à permettre d'assurer un positionnement précis des membres inférieurs dans des circonstances spécifiques exigeant, au moins temporairement, le maintien stable des membres inférieurs en position couchée du sujet selon un angle déterminé. A second object of the invention is to make it possible to ensure precise positioning of the lower limbs in specific circumstances requiring, at least temporarily maintaining stable lower limbs in the prone position of the subject at a determined angle.

Tel est le cas notamment des sujets ayant subi une opération aboutissant à la mise en place au niveau de la hanche d'une prothèse; dans tous les cas où les sujets ont subi une opération de la hanche par arthroplastie totale ou partielle, il est souhaitable, afin d'éviter une luxation postopératoire, d'assurer le positionnement et le maintien selon un angle précis des membres inférieurs.This is particularly the case for subjects who have undergone operation leading to the establishment at the level of the hip of a prosthesis; in all cases where the subjects have undergone hip replacement surgery total or partial, it is desirable, in order to avoid postoperative dislocation, ensuring positioning and maintaining the limbs at a precise angle lower.

L'invention répond à cette fin, et permet par ailleurs, d'éviter les tensions musculaires des retentes des muscles fessiers et enfin pour maintenir en position convenable les ostéotomies et greffes osseuses de la hanche ou du bassin, par exemple : ostéotomie de Mac Murray ou de Chiari.The invention responds to this end, and also allows, avoid muscular tension in retentious gluteal muscles and finally to keep in position osteotomies and bone grafts of the hip or pelvis, for example: Mac osteotomy Murray or Chiari.

Un troisième objet de l'invention est d'assurer, par une position inclinée centripète des membres inférieurs, une circulation veineuse améliorée évitant par ailleurs des risques d'oedème des membres inférieurs.A third object of the invention is to ensure, by a centripetal tilted position of the lower limbs, a improved venous circulation avoiding further risk of edema of the lower limbs.

Enfin et selon un objet plus général de l'invention, cette dernière sera applicable à toutes les circonstances dans laquelle il est souhaitable d'assurer un repos confortable des membres inférieurs d'un sujet alité et plus spécialement chaque fois que le sujet aura subi des traumatismes à ce niveau, par exemple dans le cas de polytraumatisés des membres inférieurs; les sujets ayant subi une opération de chirurgie ponctuelle de la cuisse, du genou, de la jambe et de la cheville, y compris les tractions continues, etc... Finally and according to a more general object of the invention, the latter will be applicable in all circumstances in which it is desirable to ensure a rest comfortable lower limbs of a bedridden subject and especially whenever the subject has undergone trauma at this level, for example in the case of polytraumatized lower limbs; subjects having underwent a point thigh surgery, knee, leg and ankle, including continuous pull-ups, etc ...

A cet effet, l'invention concerne un dispositif de positionnement des membres inférieurs de personnes en position de décubitus dorsal, selon la revendication 1.To this end, the invention relates to a device for positioning of the lower limbs of people in supine position as claimed in claim 1.

Plus spécialement, chaque élément latéral comporte, à l'extrémité proximale, un plan incliné supportant le jarret et la face arrière de la cuisse.More specifically, each lateral element comprises, at the proximal end, an inclined plane supporting the hock and back of the thigh.

De préférence, on prolonge, dans le sens longitudinal, le bloc central au-delà de l'extrémité proximale du support qui lui est accolé.Preferably, the length is extended in the longitudinal direction. central block beyond the proximal end of the support which is attached to it.

Selon une autre forme de réalisation de l'invention, chaque support latéral est amovible et apte à s'appuyer contre la face du bloc central dans l'angle formé par les faces latérales, et présente une valeur adaptée au positionnement souhaité des membres inférieurs.According to another embodiment of the invention, each side support is removable and able to support against the face of the central block in the angle formed by the side faces, and has a value adapted to the desired positioning of the lower limbs.

D'autres caractéristiques et avantages de l'invention ressortiront de la description qui suit et qui est donnée en rapport avec des formes de réalisation représentées à titre d'exemple non limitatif.Other characteristics and advantages of the invention will emerge from the description which follows and which is given related to embodiments shown in by way of nonlimiting example.

La figure 1 représente une vue du dispositif complet, comportant un bloc central et deux supports latéraux.FIG. 1 represents a view of the complete device, comprising a central block and two lateral supports.

La figure 2 représente le dispositif de la figure 1 sur lequel les jambes du sujet en place, ont été représentées.Figure 2 shows the device of Figure 1 on which the subject's legs in place were represented.

La figure 3 représente le bloc central associé à un support latéral de la jambe droite. FIG. 3 represents the central block associated with a lateral support of the right leg.

La figure 4 représente le bloc central associé à un support latéral de la jambe gauche.FIG. 4 represents the central block associated with a lateral support of the left leg.

La figure 5 représente un support isolé d'un membre inférieur.Figure 5 shows an isolated support of a member inferior.

Selon l'ensemble des figures, on voit que le dispositif comporte essentiellement un bloc central 1, de forme générale hexaédrique et comportant deux faces latérales 2a, 2b, divergentes vers l'extérieur et convergentes vers le sujet. According to all of the figures, it can be seen that the device essentially comprises a central block 1, shaped general hexahedral and comprising two lateral faces 2a, 2b, diverging outwards and converging towards the subject.

L'angle des deux faces 2a et 2b est défini en fonction des besoins et il es ainsi possible selon l'invention de réaliser un jeu de blocs centraux d'angles différents en fonction d'une part des caractéristiques morphologiques des sujets utilisateurs et d'autre part en fonction des cas particuliers et des recommandations du praticien.The angle of the two faces 2a and 2b is defined according to the needs and it is thus possible according to the invention to make a set of central blocks of different angles by a function on the one hand of the morphological characteristics of user subjects and secondly depending on the case particulars and the practitioner's recommendations.

Le bloc central est de préférence réalisé en matériau synthétique tel qu'une mousse légèrement souple et élastiquement compressible pour permettre un contact non agressif ; et ce bloc, comme les supports décrits ci-après seront de préférence revêtus d'un matériau également souple formant par exemple une matière synthétique.The central block is preferably made of material synthetic such as a slightly flexible foam and elastically compressible to allow non-contact aggressive; and this block, like the supports described below preferably be coated with an equally flexible material for example forming a synthetic material.

Selon les figures 1 à 4, le bloc hexaédrique comporte deux faces horizontales soit une face supérieure 3a et une face inférieure 3b, reposant sur le plan porteur du sujet.According to Figures 1 to 4, the hexahedral block has two horizontal faces, i.e. an upper face 3a and a face lower 3b, resting on the bearing plane of the subject.

Ces deux faces horizontales sont réunies par les faces latérales d'appui 2a et 2b précédemment décrites.These two horizontal faces are joined by the faces lateral support 2a and 2b previously described.

A son extrémité extérieure ou distale le bloc comporte une face rectangulaire et il se termine vers le sujet par une face frontale 4 également quadrangulaire.At its outer or distal end the block has a rectangular face and it ends towards the subject with a front face 4 also quadrangular.

Comme on le voit sur les figures 1 et 2 le bloc est apte à recevoir des supports latéraux appliqués contre les joues que constituent les faces latérales 2a et 2b.As seen in Figures 1 and 2 the block is suitable for receive side supports applied against the cheeks that constitute the lateral faces 2a and 2b.

Ces supports sont constitués d'éléments longiformes également en matériau souple et compressible tel qu'une mousse synthétique avec un surfaçage continu ; et chaque bloc 5,5' est donc prévu avec une face 6,6' de réception de la jambe cette face étant de forme générale concave et selon les figures 1 à 4, cette face peut avantageusement être prévue avec une partie sensiblement plane et horizontale 6a prolongée et bordée vers l'extérieur par une concavité en quart de cylindre 6b.These supports consist of elongated elements also in flexible and compressible material such as synthetic foam with continuous surfacing; and every 5.5 'block is therefore provided with a 6.6' receiving face the leg this face being generally concave in shape and according to Figures 1 to 4, this face can advantageously be provided with a substantially flat part and horizontal 6a extended and bordered outwards by a quarter cylinder concavity 6b.

Ainsi chaque support latéral 5,5' constitue un berceau récepteur de la jambe du sujet depuis la zone constituée par la face arrière du jarret et la face arrière de la cheville en-deçà du talon.Each 5.5 'lateral support thus constitutes a cradle subject's leg receiver from the constituted area by the rear side of the hock and the rear side of the ankle below the heel.

De la sorte et comme on le voit sur la figure 1 le talon se trouve disposé à l'extérieur et le plan de repos est constitué par la face de forme générale concave 6 assurant ainsi un repos stable et confortable du sujet.In this way and as seen in Figure 1 the heel is is located outside and the seating plan is constituted by the generally concave face 6 ensuring thus a stable and comfortable rest of the subject.

Par ailleurs l'angle formé par les jambes est défini par l'angle des plans verticaux correspondant aux joues ou faces latérales 2a et 2b ; les jambes du sujet maintenues dans les berceaux des supports étant ainsi maintenues en position stable et en évitant ainsi tout positionnement inapproprié susceptible d'être une source de luxation chez les sujets en repos post-opératoire.Furthermore, the angle formed by the legs is defined by the angle of the vertical planes corresponding to the cheeks or side faces 2a and 2b; subject's legs held in the cradles of the supports being thus maintained in stable position and thus avoiding any positioning inappropriate likely to be a source of dislocation in subjects in post-operative rest.

On voit par ailleurs sur les figures 1 à 4 que les supports latéraux 5,5' sont prévus légèrement plus courts que le bloc central de sorte que le positionnement correct du pied est ainsi assuré, le pied pouvant reposer librement à l'extérieur du support 5,5' en étant toutefois empêché d'effectuer une rotation vers l'intérieur par les faces latérales du bloc 2a et 2b.We also see in Figures 1 to 4 that the supports 5.5 'sides are provided slightly shorter than the central block so that the correct positioning of the foot is thus ensured, the foot being able to rest freely at the outside of the 5.5 'support, however being prevented rotate inward through the faces side of block 2a and 2b.

Chaque face d'appui 6 du support latéral est en outre en déclivité depuis l'extrémité distale 7 correspondant à l'appui arrière de la cheville jusqu'à l'extrémité proximale 8 correspondant à l'appui du jarret.Each bearing face 6 of the lateral support is furthermore slope from the distal end 7 corresponding to back support from the ankle to the end proximal 8 corresponding to the support of the hock.

De la sorte les jambes du sujet sont maintenues en position inclinée, position souhaitable pour favoriser la circulation veineuse. In this way the subject's legs are kept in position inclined, desirable position to promote circulation venous.

Vers le centre le support se prolonge par un plan incliné 9,9' partant de la zone 8 de repos du jarret pour rejoindre sensiblement un niveau proche du plan de repos de l'ensemble du dispositif et correspondant au plan d'appui du sujet (par exemple le lit) ; l'extrémité proximale du plan incliné 9 se termine au niveau de la face frontale 4.Towards the center the support is extended by an inclined plane 9.9 'from hock rest area 8 to reach substantially a level close to the rest plane of the entire system and corresponding to the support plane the subject (for example the bed); the proximal end of the inclined plane 9 ends at the front face 4.

Ce plan incliné constitue une zone de repos pour les faces arrières de la cuisse du sujet en assurant ainsi un positionnement confortable de l'ensemble des membres inférieurs.This inclined plane constitutes a rest zone for the faces back of the subject's thigh thus ensuring comfortable positioning of all members lower.

La figure 5 représente une variante concernant un support isolé présentant sensiblement les mêmes caractéristiques que précédemment ; ce support constitué d'un élément 5'' comporte une concavité longiforme 6' en forme générale de segment de cylindre et constituant un berceau de repos pour la jambe du sujet laquelle est ainsi maintenue selon un positionnement correct ; le support ainsi réalisé comporte par ailleurs comme précédemment décrit une déclivité depuis son extrémité distale 7' jusqu'à son extrémité proximale 8' et il est prolongé sur la partie orientée vers le sujet par un plan incliné 9' pour le repos de la face arrière de la cuisse.FIG. 5 represents a variant relating to a support insulated with substantially the same characteristics than previously; this support consisting of a 5 '' element has a 6 'longiform concavity in the general shape of cylinder segment and constituting a resting cradle for the subject's leg which is thus held in a correct positioning; the support thus produced comprises moreover as previously described a declivity since its distal end 7 'to its proximal end 8' and it is extended on the part oriented towards the subject by an inclined plane 9 'for the rest of the rear face of the thigh.

Les expériences et expérimentations auxquelles il a été procédé par les demandeurs ont permis de constater l'intérêt et les avantages du dispositif ainsi décrits.The experiences and experiments he has been the applicants have established the interest and the advantages of the device thus described.

Et comme on l'a indiqué il permet de réduire voire de faire disparaítre et en toute hypothèse de prévenir dans une large mesure les escarres du talon chez les personnes alitées ou grabataires.And as mentioned, it allows to reduce or even to do disappear and in any event to prevent in a large extent heel sores in people bedridden or bedridden.

Dans le cas d'opérés de la hanche avec artroplastie totale ou partielle, le dispositif de l'invention assurant le positionnement correct et stable des membres inférieurs évite les risques de luxation.In the case of hip operations with total arthroplasty or partial, the device of the invention ensuring the correct and stable positioning of the lower limbs avoids the risk of dislocation.

La surélévation des extrémités terminales des membres permet d'améliorer la santé du sujet par une meilleure circulation.The elevation of the extremities of the limbs improves the subject's health through better circulation.

D'une façon générale le dispositif assure un repos confortable permanent ou momentané des sujets devant garder le lit pendant une période prolongée notamment dans le cas de personnes ayant été traitées en chirurgie artérioveineuse, chez les personnes âgées ou alitées de façon fréquente ou chez les sujets devant observer une position de repos par suite de désordre au niveau des disques et vertèbres.Generally the device ensures a rest comfortable permanent or momentary of the subjects to keep the bed for an extended period especially in the case people who have been treated in arteriovenous surgery, in the elderly or bedridden frequently or in subjects having to observe a rest position as a result of disorder in the discs and vertebrae.

Claims (8)

  1. Device for positioning the lower limbs of persons in dorsal decubitus position, comprising:
    on the one hand, a central block (1) adapted to be positioned between the subject's legs and presenting two lateral faces (2A and 2B) for supporting the legs, disposed in vertical planes converging towards the subject at an angle of positioning of said limbs, and
    on the other hand, two lateral elements (5, 5') disposed on either side of the central block and defining, each with the corresponding lateral face of the block, a comfortable rest volume for the leg,
    characterized in that each lateral element, constituted by a longiform cushion each provided for the rest of one of the legs, being adapted to be positioned against the face of the central block which corresponds to it, and comprising an upwardly oriented face (6) of concave profile, is at the level of the distal end shorter, in its longitudinal direction, than the central block, so as to clear the heel outside the support, while avoiding a rotation of the foot towards the inside, thanks to the support procured by the lateral faces (2A, 2B) of the central block.
  2. Device according to Claim 1, characterized in that each lateral element (5, 5') comprises, at the proximal end, an inclined plane (9, 9') supporting the back of the knee and the rear face of the thigh.
  3. Device according to Claim 1 or 2, characterized in that the central block (1) is extended in the longitudinal direction beyond the proximal end of the lateral element (5, 5') which is joined thereto.
  4. Device according to one of the preceding Claims, characterized in that an inclined flat portion (6A) oriented upwardly from each face (6) mentioned above, joins the divergent face (2A, 2B) of the central block (1) and is extended outwardly by the profile (6B) in the form of a quarter cylinder.
  5. Device according to one of the preceding Claims, characterized in that the concave face (6) of each lateral element (5, 5') presents a slope from its distal end for rest of the ankle towards the proximal portion for rest of the back of the knee.
  6. Device according to one of the preceding Claims, characterized in that the central block (1) and the lateral elements (5, 5') are made of elastically compresssible, semi-rigid material of alveolar structure.
  7. Device for positioning the lower limbs of persons in dorsal decubitus position, according to one of the preceding Claims, characterized in that each lateral support (5, 5') is removable and adapted to bear against the face of the central block (1) in the angle formed by the lateral faces (2A, 2B), and presents a value adapted to the desired positioning of the lower limbs.
  8. Device for positioning the lower limbs of persons in dorsal decubitus position, comprising:
    a central block (1) adapted to be positioned between the subject's legs and presenting two lateral faces (2A and 2B) for supporting the legs, disposed in vertical planes converging towards the subject at an angle of positioning of said limbs, and
    at least one of said lateral faces of the central unit being associated with the lateral element, defining a comfortable rest volume for the corresponding leg,
    characterized in that each lateral element, constituted by a longiform cushion each provided for the rest of one of the legs, being adapted to be positioned against that face of the central block which corresponds thereto, and comprising an upwardly oriented face (6) of concave profile, is at the level of the distal end shorter, in its longitudinal direction, than the central block, so as to clear the heel outside the support, while avoiding a rotation of the foot towards the inside, thanks to the bearing procured by the lateral faces (2A, 2B) of the central block.
EP90914941A 1989-09-25 1990-09-25 Therapeutic and preventive device for giving a set position to lower limbs Expired - Lifetime EP0445281B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR8912519A FR2652261B1 (en) 1989-09-25 1989-09-25 DEVICE WITH A PREVENTIVE AND THERAPEUTIC PURPOSE BASED ON A DETERMINED POSITIONING OF THE LOWER LIMBS.
FR8912519 1989-09-25
PCT/FR1990/000687 WO1991004000A1 (en) 1989-09-25 1990-09-25 Therapeutic and preventive device for giving a set position to lower limbs

Publications (2)

Publication Number Publication Date
EP0445281A1 EP0445281A1 (en) 1991-09-11
EP0445281B1 true EP0445281B1 (en) 1998-08-26

Family

ID=9385790

Family Applications (1)

Application Number Title Priority Date Filing Date
EP90914941A Expired - Lifetime EP0445281B1 (en) 1989-09-25 1990-09-25 Therapeutic and preventive device for giving a set position to lower limbs

Country Status (8)

Country Link
US (1) US5134739A (en)
EP (1) EP0445281B1 (en)
AT (1) ATE170074T1 (en)
AU (1) AU6526890A (en)
DE (1) DE69032596T2 (en)
FR (1) FR2652261B1 (en)
HU (1) HUT58993A (en)
WO (1) WO1991004000A1 (en)

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Also Published As

Publication number Publication date
ATE170074T1 (en) 1998-09-15
HUT58993A (en) 1992-04-28
WO1991004000A1 (en) 1991-04-04
FR2652261B1 (en) 1994-05-20
US5134739A (en) 1992-08-04
HU907495D0 (en) 1991-10-28
AU6526890A (en) 1991-04-18
DE69032596D1 (en) 1998-10-01
FR2652261A1 (en) 1991-03-29
EP0445281A1 (en) 1991-09-11
DE69032596T2 (en) 1999-05-12

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