EP4225246A1 - Device for supporting a part of a human body - Google Patents
Device for supporting a part of a human bodyInfo
- Publication number
- EP4225246A1 EP4225246A1 EP21801597.2A EP21801597A EP4225246A1 EP 4225246 A1 EP4225246 A1 EP 4225246A1 EP 21801597 A EP21801597 A EP 21801597A EP 4225246 A1 EP4225246 A1 EP 4225246A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- human body
- supporting
- pressure
- cavity
- spacer
- 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.)
- Pending
Links
- 239000004744 fabric Substances 0.000 claims abstract description 34
- 125000006850 spacer group Chemical group 0.000 claims abstract description 24
- 229920001169 thermoplastic Polymers 0.000 claims description 22
- 238000000034 method Methods 0.000 claims description 5
- 230000001105 regulatory effect Effects 0.000 claims description 5
- 230000000087 stabilizing effect Effects 0.000 claims description 4
- 230000035699 permeability Effects 0.000 claims description 3
- 239000004433 Thermoplastic polyurethane Substances 0.000 description 15
- 229920002803 thermoplastic polyurethane Polymers 0.000 description 15
- 208000004210 Pressure Ulcer Diseases 0.000 description 11
- 238000007789 sealing Methods 0.000 description 9
- 206010011985 Decubitus ulcer Diseases 0.000 description 5
- 239000000470 constituent Substances 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 5
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 239000006260 foam Substances 0.000 description 3
- 238000003860 storage Methods 0.000 description 3
- 238000009423 ventilation Methods 0.000 description 3
- 229920000742 Cotton Polymers 0.000 description 2
- 230000006978 adaptation Effects 0.000 description 2
- 230000017074 necrotic cell death Effects 0.000 description 2
- 230000000284 resting effect Effects 0.000 description 2
- 238000002604 ultrasonography Methods 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 208000032544 Cicatrix Diseases 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 210000004197 pelvis Anatomy 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- -1 polypropylene Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000004753 textile Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
- A61G13/1265—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C20/00—Head-, foot- or like rests for beds, sofas or the like
- A47C20/02—Head-, foot- or like rests for beds, sofas or the like of detachable type
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47C—CHAIRS; SOFAS; BEDS
- A47C31/00—Details or accessories for chairs, beds, or the like, not provided for in other groups of this subclass, e.g. upholstery fasteners, mattress protectors, stretching devices for mattress nets
- A47C31/006—Use of three-dimensional fabrics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/121—Head or neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/122—Upper body, e.g. chest
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
- A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
- A61G13/123—Lower body, e.g. pelvis, hip, buttocks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05769—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with inflatable chambers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
- A61G7/05—Parts, details or accessories of beds
- A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
- A61G7/05784—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with ventilating means, e.g. mattress or cushion with ventilating holes or ventilators
Definitions
- the present invention relates to a device for supporting a part of a human body in a stationary position.
- the invention will be more particularly described with reference to the case of patients in a hospital environment when they must keep at least part of their body in an immobile position resting on a support.
- a technique currently used in hospitals consists of the use of foam or gel wedges to improve pressure distribution.
- the inventors have thus set themselves the task of proposing a support device for a part of a human body, whatever it may be, which is simple to implement, whose manufacturing costs are limited and which makes it possible to reduce the risk of appearance of lesions or bedsores.
- a device for supporting a part of a human body consisting of at least a first element forming a pneumatic cavity, said pneumatic cavity comprising a valve, said pneumatic cavity being maintained at a pressure of less than 0.04 bar under load and at least the surface of said at least one first element coming into contact with said part of a human body being covered with a “3D spacer” fabric.
- a load pressure corresponds to the pressure measured when the part of the human body is resting on the support device.
- 3D spacer fabrics are fabrics produced in three dimensions of the "XD Spacer Fabrics” type marketed by the company Baltex or the “3MESH SPACER FABRIC” marketed by the company Muller and which are already used in medical applications. These three-dimensional fabrics have the advantage of ensuring ventilation at the surface of the skin of the human body in contact with the support module. Such fabrics are for example described in the documents US 2018187348, EP 1347087, EP 2408957, WO 2012098130.
- Such “3D spacer” fabrics can be woven or knitted fabrics, consisting of two walls connected to one another by one or more filaments.
- These filaments can be of different types: polyester, polyamide, polypropylene or cotton. These filaments can be used raw but also sized or coated to modify the touch or limit the development of viruses or bacteria. These filaments have a certain resilience which is conferred on them by their diameter greater than 30 microns, preferably greater than 100 microns and with a density and a pattern adapted to support the compression forces; they thus give the “3D spacer” fabric a buckling stress, that is to say a resistance to compression or resistance to buckling of these filaments.
- the “3D spacer” fabric has a buckling stress greater than the inflation pressure of the pneumatic cavity.
- the buckling stress of the fabric is the stress perpendicular to the mean plane of the fabric which places the filaments connecting the two surfaces in buckling. Beyond this constraint, the two surfaces of the fabric come very close together and can no longer fulfill their role of ventilation.
- the mean plane of the fabric corresponds to the surface of the fabric when the latter is laid flat.
- the buckling stress is measured according to the ISO 3386-1 standard.
- the buckling stress of the “3D spacer” fabric is less than 0.2 bar.
- the thickness of the "3D spacer" fabric is less than 10 mm.
- the air permeability of the “3D spacer” fabric is greater than 1000 l/dm 2 xmin under a pressure of 1 mbar.
- the permeability of the fabric is measured according to the ISO 9237 standard.
- the first element of the device for supporting a part of a human body advantageously consists of a sheet of thermoplastic polymer preferably having a modulus of elasticity under tension at 10% elongation less than 20 MPa, said sheet of thermoplastic polymer being folded and heat-sealed at its edges.
- the first element of the device for supporting a part of a human body is advantageously made up of at least two sheets of thermoplastic polymer preferably having a modulus of elasticity under tension at 10% elongation of less than 20 MPa, said at least two sheets of thermoplastic polymer being heat-sealed edge to edge.
- thermoplastic polymer sheets The measurements of moduli of elasticity under tension at 10% elongation are carried out according to the DIN 53504 standard.
- the heat sealing of the thermoplastic polymer sheets can in particular be carried out by ultrasound, conduction or high frequency.
- the sheet or sheets of thermoplastic polymer have a modulus of elasticity under tension at 10% elongation of less than 10 MPa.
- the sheet or sheets of thermoplastic polymer have a thickness of less than 1 mm and more preferably less than 0.5 mm.
- Such a material allows, in known manner, the simple production of an element having a sealed cavity that can be pressurized.
- a particularly suitable material is a thermoplastic polyurethane. It is possible to produce heat seals by bringing the sheet locally to the melting temperature. The rigid properties of the sheet will help to reduce the risk of pressure sores when it comes into contact with the skin.
- the sheet or sheets of thermoplastic polymer which do not come into contact with the skin of the human body are advantageously reinforced.
- This reinforcement can be based on fibers or fabrics and leads to a sheet of thermoplastic polymer that is more rigid than that having a modulus of elasticity under tension at 10% elongation of less than 20 MPa.
- the valve of said first element makes it possible to maintain the pressure under load required under the effect of the weight of the part of the human body which comes to bear, and the possible pressure control during of the use of the device.
- the valve is advantageously positioned to be made accessible in use and not to be able to come into contact with the human body.
- the valve is advantageously still a flap valve to provide the best seal.
- the inflation pressure of the first element is advantageously greater than 0.005 bar under the weight of the human body.
- the inflation of the first element of the device for supporting a part of a human body is advantageously carried out with an inert and/or purified gas to avoid any risk of additional infection in the event of an accident on one modules leading to a leak, in particular during use in the hospital environment.
- the first element is maintained at a pressure less than or equal to 0.03 bar under the weight of a part of the human body.
- the device for supporting a part of the human body comprises a second element supporting the first element, the second element preferably consisting of a deformable structure and preferably comprising means for stabilizing the first element.
- the deformable nature of the structure constituting the second element of the support device for a part of the human body contributes to the patient's comfort and to the reduction of the risk of pressure sores appearing.
- the second element of the device for supporting a part of a human body consists of several superimposable parts.
- the production of a second element in several parts makes it possible first of all to be able to modify the volume and the height of this second element to allow a simple adaptation of the device to the size of the human body which must be supported or more simply to a type position; if for some reason it is necessary to raise the part of the body to be supported, just add one or more parts to obtain the desired dimension.
- the second element of the device for supporting a part of the human body is at least partially made up of a polymer foam having a compressive stiffness of between 5 KPa and 50 Kpa. .
- the compression stiffness is measured according to the ISO 3386/1 standard.
- the second element of the device for supporting a part of the human body consists at least partially of a pneumatic cavity, said cavity of said second element comprising a valve and said cavity said second element being maintained at a pressure of between 0.05 and 1 bar under the weight of the human body.
- the second element of the device for supporting a part of the human body may comprise an element comprising a pneumatic cavity associated with one or more other non-pneumatic elements. It may for example be one of the superimposable elements described above.
- Such a variant can make it possible to create a substantial volume only after the installation of the part of the human body to be supported and thus facilitate this positioning, the pneumatic part not yet being inflated when the human body is positioned and the volume of the second element therefore being reduced in comparison with its volume in use.
- the device for supporting a part of a human body thus described according to the invention makes it possible to support said part of the human body in a desired position by reducing the risk of appearance of bedsores in the areas of contact with the support device.
- the inventors have been able to demonstrate that holding the first element of the support device for a part of a human body at the chosen pressure under load, said first element being covered on its surface coming into contact with the human body of a “3D spacer” fabric reduces the risk of pressure sores appearing.
- the inventors have effectively shown that at such pressures it is possible to support a part of a human body for long periods of time without seeing the appearance of necrosis or scars that are difficult to treat.
- the first element of the device for supporting a part of a human body advantageously consisting of at least one sheet of thermoplastic polymer having a modulus of elasticity under tension at 10% elongation of less than 20 MPa, and preferably less than 10 MPa is achieved in a simple and inexpensive manner.
- this first element of the device for supporting a part of a human body allows obtaining a shape relatively precise. It is possible by heat sealing to define the shape of the first element with such precision that the support device can come to rest on selected areas of the part of the human body in an optimal manner. In fact, the inventors were able to show that they could obtain shapes to bear on the chosen zones of the part of the human body and thus ensure its support at the load pressure indicated below 0.04 bars.
- the device for supporting a part of a human body is made with a second element, it is advantageously possible to separate the functions.
- the second element provides the volume necessary to position the part of the human body as desired as well as the rigidity to ensure stability.
- the first element whose volume is reduced can be easily maintained at the chosen pressure and carried out with even more precision to rest on the part of the human body at the desired locations.
- the second element is also advantageously provided with means for stabilizing the first element in the desired position and thus makes it possible on the one hand to guarantee the desired supports and on the other hand to guarantee the stability of these supports.
- These means can be directly linked to the shape of the second element which can be provided to receive the first element and prevent its displacement, in particular in the presence of the part of the human body. It is still possible to provide attachment systems between the first and second elements; these may be, for example, systems of the mechanical fastening type using textile hooks and loops, marketed under the "velcro" brand, which are easy to use and allow adjustable positioning, or any other type of fastening such as clips, zips, buttons pressure, . ..
- the low costs for producing the support device according to the invention also allow the provision of devices of different sizes or shapes for better adaptation according to the part of the human body to be supported or even to adapt to the height or build of the human body.
- This choice of sizes of the support device further optimizes the positioning of the support points of the part of the human body to be supported.
- the “3D spacer” fabric is provided to be removable and separable from the first element in order to be able to be properly cleaned and/or changed regularly.
- these covers are designed to be removable so that they can be properly cleaned and/or changed regularly.
- the cover advantageously contributes to stabilizing the two elements together.
- the first element can be made with one or more sheets of thermoplastic polymer.
- the first element can take the form of a cushion, the or both sheets of thermoplastic polymer being heat-sealed at their periphery. Additional heat sealing can also make it possible to create a recess leading to a buoy shape. Heat sealing can be done by ultrasound, conduction or high frequency.
- One or more heat seals can also make it possible to limit the area forming a pneumatic cavity and thus make it possible to reduce or even eliminate bearing areas on the part of the human body supported.
- the first element of the support device for a part of a human body can also take the form of a tube. It can be made with a sheet of thermoplastic polymer heat-sealed along its length to form a tube. Its ends are either heat-sealed to form a carton-like shape, or closed by two additional thermoplastic polymer sheets heat-sealed to seal said ends.
- the device for supporting a part of a human body can be placed on a plate of great rigidity to confer better stability on the support device.
- Such plates are, for example, plates already used in the hospital world marketed under the "KOMACEL" brand.
- the invention as it has just been described, in addition to its advantages in terms of reducing the risk of pressure sores appearing, has several advantages, in particular related to the inflatable nature of the constituent elements of a support device for part of a human body. Indeed, on the one hand, the use of inflatable elements makes it possible to reduce their volumes when they are not used or before use and thus facilitate their storage. Associated with this gain in volume, it becomes possible to store a large number and variety of these elements and thus to have at any time the model best suited to the situation, particularly in terms of variety of shapes.
- a second constituent element of the device for supporting a part of a human body is also an inflatable element
- the invention also proposes a method for supporting a part of a human body implementing the device as it has just been described according to which, in a first step, the cavity of at least a first element of the device for supporting a part of the human body is partially filled with air, in a second step, the part of the human body is placed on said first element and in a third step, the pressure of said cavity of the first element of a device for supporting a part of the human body is regulated at a pressure of less than 0.04 bar.
- the device for supporting a part of the human body comprising a second element forming at least partially a pneumatic cavity
- the pressure of said cavity of the second element of a device for supporting a part of the human body is regulated at a pressure of between 0.05 and 1 bar.
- Figure 1 a schematic representation in perspective of a first embodiment of a support device according to the invention
- Figure 2 a partial schematic representation in section of the support device of Figure 1
- Figure 3 a representation schematic of an example of a constituent part of the support device of figure 1, figure 4, a schematic representation of an example of another constituent part of the support device of figure 1, figure 5, a schematic representation of another embodiment of a constituent part of a support device according to the invention
- FIG. 6 a diagrammatic representation in perspective of a second embodiment of a first element of a support device according to the invention
- FIG. 7 a schematic representation in perspective of a third embodiment of a first element of a support device according to the invention
- FIG. 8 a representation sc hematic in perspective of an embodiment of a support device comprising a first element as shown in Figure 7 and a first embodiment of a second element
- Figure 9 a schematic representation in perspective of a second embodiment of a second element of a support device as represented in figure 8, figure 10, a diagrammatic representation in perspective of a third embodiment of a second element of a support device such as shown in figure 8.
- the support device consists of a first element 1 which has the shape of a cushion. It consists of two sheets of thermoplastic polyurethane 2 and 3, marketed under the name Tuftane TFL-1E having a secant elongation modulus equal to 9.8 MPa at 10% elongation heat-welded to their periphery. These two sheets of thermoplastic polyurethane 2 and 3 are heat-sealed at their periphery to form a cavity 4, visible in figure 2.
- FIG. 2 illustrates a schematic view in partial section of this first element 1 covered on its surface intended to come into contact with the skin with a “3D spacer” fabric 5, marketed under the name Muller Textil T5683.
- This "3D spacer” fabric 5 is held on the outer surface of the thermoplastic polyurethane sheet 2 by a cotton cover 6 which covers the outer surface of the thermoplastic polyurethane sheet 3.
- valve 7 On the underside which is not intended to come into contact with the skin of the human body, is shown a valve 7, visible in Figures 1 and 2, which makes it possible to adjust the pressure of the first element forming a pneumatic cavity.
- Such a support device consisting of a first element 1 in the form of a cushion is more particularly suitable, for example, for supporting a head or part of an arm or else, with well-adapted dimensions, to form a seat covering a seat.
- FIGs 3 and 4 respectively illustrate the two thermoplastic polyurethane sheets 2 and 3.
- the thermoplastic polyurethane sheet 3 intended to form the surface that does not come into contact with the skin has a hole 8 for the valve passage 7.
- thermoplastic polyurethane 2 and 3 are advantageously of the same shape to be easily heat-sealed to each other at their periphery and form the cavity 4.
- Figure 5 illustrates another way of forming a first element 1.
- This is a single thermoplastic polyurethane sheet 9 whose shape has an axis of symmetry 10.
- the thermoplastic polyurethane sheet 9 can be folded along this axis and heat-sealed along its sides to form a cavity.
- the thermoplastic polyurethane sheet 9 is further provided with a hole 11 to allow the passage of a valve.
- FIG. 6 illustrates another type of embodiment of a device for supporting a part of a human body consisting of a first element 12 forming a pneumatic cavity which has the shape of a tube closed at its two ends by heat sealing.
- This tube is made with a sheet of thermoplastic polyurethane marketed under the name Tuftane TFL-1E having a secant elongation modulus equal to 9.8 MPa at 10% elongation.
- Tuftane TFL-1E having a secant elongation modulus equal to 9.8 MPa at 10% elongation.
- This is rolled and heat-welded along its length to form a cylinder, the weld being advantageously made on the inside so as not to create an aggressive relief on the outer surface of the tube forming the pneumatic cavity of this first element.
- the ends 13 of the cylinder are then heat sealed to give the appearance of a carton shape.
- a valve 14 is present to ensure the pressurization of this first element 12 of the support device.
- This first element 12 is still wrapped in a cover or envelope consisting of a “3D spacer fabric” marketed under the name Muller Textil T5683.
- Such a support device consisting of a first element 12 in the form of a tube is more particularly suitable, for example, for supporting part of a leg or an arm.
- Figure 7 illustrates a support device whose first element 15 has a cylindrical shape similar to that of the first element of Figure 6 and which can be made in the same way.
- An additional step during manufacture consists in heat sealing a central zone 16 which is thus flattened to form two parts 17a, 17b which can be folded towards each other to form a V shape.
- the first element 15 of the device retains a passage zone 18 to ensure equalization of the pressures of the parts 17a and 17b.
- a valve 19 is still present to ensure the pressurization of this first element 15 of the support device.
- This first element 15 is still wrapped in a cover or envelope consisting of a “3D spacer” fabric marketed under the name Muller Textil T5683.
- Figure 8 shows a support device consisting of the first element 15 and a second element 20 having a V-shape.
- the second element 20 is made with a foam marketed by the company Recticel under the brand "Situseal" with reference T 46065 having a compression stiffness of between 8 and 12 KPa.
- This second element 20, more rigid, imposes a V-shape on the first element 15, designed to accept it as explained above, when a part of a human body is supported.
- the cover or envelope consisting of a "3D spacer" fabric marketed under the name Muller Textil T5683 could wrap the assembly consisting of the first element 15 and the second element 20.
- the second element 20 represented in FIG. 8 can be replaced by a second inflatable element 20b, as illustrated in FIG. 9.
- This second element 20b is designed to present a shape similar to the second part 20 represented in FIG. 8, once maintained under pressure under the weight of the human body.
- FIG. 9 thus describes a second element 20b having a V shape with two branches 21b and 22b separated by a flattened area 23b.
- Such an inflatable element 20b is easily made with thermoplastic polyurethane sheets by heat-sealing the sheets and adding heat-sealed thermoplastic polyurethane sheets to each of the branches 21b and 22b to form internal walls in the cavity of each of the branches to obtain surfaces relatively flat to receive the first element 15. These heat-sealed walls are put in place before the sealing of each of the branches 21b and 22b by other heat-sealed thermoplastic polyurethane sheets.
- Figure 10 illustrates yet another alternative embodiment similar to that shown in Figure 9.
- the second element 20c is once again an inflatable element whose branches 21c and 22c are made by a succession of beads forming a structure in V intended to receive the first element 15 of the pelvis support.
- Such a beaded structure is easily produced by heat sealing internal walls.
- Achievements such as those of Figures 9 and 10 are particularly practical because they take up little space in storage, since no element is inflated. Furthermore, they allow, as in the case of the embodiment of Figure 8, to provide a large volume if necessary and rigidity to stabilize the support device consisting of the first and second elements, the second element being regulated at a load pressure of between 0.05 and 1 bar. The volume of the first element 15 can thus be reduced to its minimum in order to allow it to properly fit the part of the human body supported with a pressure of less than 0.04 bar under load.
- Tests were carried out with a support device comprising a first element 1 as shown in Figures 1 and 2 and a second element not shown in the figures.
- This second element has a geometry identical to that of the first element and forms a pneumatic cavity.
- This support device is designed to support an arm which comes to rest on the support device. [0087] During their storage, the first and second elements are completely deflated and are completely flat; their size is therefore reduced to a minimum.
- the first element and the second element are partially filled with the inflation gas so as to detach the walls of the pneumatic cavities.
- the arm is placed on the support device and each of the first and second pneumatic elements is brought to and maintained at the desired support pressure.
Landscapes
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Nursing (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Neurosurgery (AREA)
- Otolaryngology (AREA)
- Invalid Beds And Related Equipment (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Mattresses And Other Support Structures For Chairs And Beds (AREA)
- Manipulator (AREA)
Abstract
The invention relates to a device for supporting a part of a human body. According to the invention, the device consists of a first element forming a pneumatic cavity comprising a valve, said pneumatic cavity being maintained at a pressure less than 0.04 bar under load and at least the surface of the at least one first element coming into contact with the part of a human body is covered with a "3D spacer" fabric.
Description
DISPOSITIF DE SOUTIEN D’UNE PARTIE D’UN CORPS HUMAIN DEVICE FOR SUPPORTING PART OF A HUMAN BODY
[0001] La présente invention concerne un dispositif permettant de soutenir une partie d’un corps humain dans une position immobile. Bien que non limitée à ce type d’applications, l’invention sera plus particulièrement décrite en référence au cas de malades en milieu hospitalier lorsque ceux-ci doivent conserver au moins une partie de leur corps dans une positon immobile en appui sur un support. The present invention relates to a device for supporting a part of a human body in a stationary position. Although not limited to this type of application, the invention will be more particularly described with reference to the case of patients in a hospital environment when they must keep at least part of their body in an immobile position resting on a support.
[0002] D’autres types d’applications sont par exemple des assises pour des personnes devant rester immobilisées de longs moments sur des fauteuils ou encore par exemple des assises pour fauteuil roulant. [0002] Other types of applications are, for example, seats for people who have to remain immobilized for long periods of time on armchairs or even, for example, seats for wheelchairs.
[0003] Dans de nombreuses situations, les patients hospitalisés qu’ils soient en chambre ou bien en salle d’opération doivent rester allongés sans bouger. Quelle que soit la qualité du matelas, il apparait que les pressions exercées par le poids du patient entre les os et les zones d’appui sur la peau et les chairs conduisent à des nécroses ou escarres. [0003] In many situations, hospitalized patients, whether they are in a room or in the operating room, must remain lying down without moving. Whatever the quality of the mattress, it appears that the pressures exerted by the weight of the patient between the bones and the areas of support on the skin and the flesh lead to necrosis or bedsores.
[0004] De tels désagréments peuvent effectivement être observés après des chirurgies de plusieurs heures lorsque le patient doit être maintenu dans une position sur quelques points d’appui. Ces désagréments peuvent également apparaître chez des patients qui sont hospitalisés pendant de longues durées. [0004] Such inconveniences can actually be observed after surgeries lasting several hours when the patient must be held in a position on a few support points. These inconveniences can also appear in patients who are hospitalized for long periods.
[0005] Une technique actuellement utilisée dans les hôpitaux consiste en l’utilisation de cales en mousse ou en gel pour améliorer la répartition des pressions. [0005] A technique currently used in hospitals consists of the use of foam or gel wedges to improve pressure distribution.
[0006] Il s’avère que ces dispositifs sont encombrants à stocker et peuvent conduire tout de même à des escarres du fait des pressions qui s’exercent sur la peau et la chair. [0006] It turns out that these devices are cumbersome to store and can still lead to bedsores due to the pressure exerted on the skin and flesh.
[0007] Le document US 2009056030 décrit un matelas pour lit d’hôpital associé à un système de circulation d’air permettant de venir ventiler la surface de la peau du malade allongé dans le lit pour diminuer les risques d’escarres, en évacuant la chaleur et l’humidité. Il s’agit d’un dispositif complexe et onéreux. [0007] The document US 2009056030 describes a mattress for a hospital bed associated with an air circulation system making it possible to ventilate the surface of the skin of the patient lying in bed to reduce the risk of bedsores, by evacuating the heat and humidity. This is a complex and expensive device.
[0008] Le document US 2017065473 décrit un système plus économique de cale gonflable, pour soutenir un patient, dont le gonflage varie régulièrement et qui prévoit également de ventiler la surface de la peau.
[0009] Ce dernier système s’il est plus économique n’est pas jugé suffisant pour éviter les risques de formation d’escarres et reste limité à certains usages. [0008] Document US 2017065473 describes a more economical inflatable wedge system, to support a patient, whose inflation varies regularly and which also provides for ventilating the surface of the skin. [0009] Although the latter system is more economical, it is not considered sufficient to avoid the risk of bedsores forming and remains limited to certain uses.
[0010] Les inventeurs se sont ainsi donnés pour mission de proposer un dispositif de soutien d’une partie d’un corps humain, quelle qu’elle soit, simple de mise en œuvre, dont les coûts de fabrication sont limités et permettant de diminuer le risque d’apparition de lésions ou escarres. [0010] The inventors have thus set themselves the task of proposing a support device for a part of a human body, whatever it may be, which is simple to implement, whose manufacturing costs are limited and which makes it possible to reduce the risk of appearance of lesions or bedsores.
[0011] Ce but a été atteint selon l’invention par un dispositif de soutien d’une partie d’un corps humain, ledit dispositif étant constitué d’au moins un premier élément formant une cavité pneumatique, ladite cavité pneumatique comportant une valve, ladite cavité pneumatique étant maintenue à une pression inférieure à 0,04 bar en charge et au moins la surface dudit au moins un premier élément venant au contact de ladite partie d’un corps humain étant recouverte d’un tissu « spacer 3D ». This object has been achieved according to the invention by a device for supporting a part of a human body, said device consisting of at least a first element forming a pneumatic cavity, said pneumatic cavity comprising a valve, said pneumatic cavity being maintained at a pressure of less than 0.04 bar under load and at least the surface of said at least one first element coming into contact with said part of a human body being covered with a “3D spacer” fabric.
[0012] Au sens de l’invention, une pression en charge correspond à la pression mesurée lorsque la partie du corps humain est en appui sur le dispositif de soutien. [0012] Within the meaning of the invention, a load pressure corresponds to the pressure measured when the part of the human body is resting on the support device.
[0013] Au sens de l’invention, des tissus « spacer 3D » sont des tissus réalisés en trois dimensions du type « XD Spacer Fabrics » commercialisés par la société Baltex ou les ‘’3MESH SPACER FABRIC” commercialisés la société Muller et qui sont déjà utilisés dans des applications médicales. Ces tissus en trois dimensions présentent l’avantage d’assurer une ventilation à la surface de la peau du corps humain au contact du module de support. De tels tissus sont par exemple décrits dans les documents US 2018187348, EP 1347087, EP 2408957, WO 2012098130. [0013] Within the meaning of the invention, "3D spacer" fabrics are fabrics produced in three dimensions of the "XD Spacer Fabrics" type marketed by the company Baltex or the "3MESH SPACER FABRIC" marketed by the company Muller and which are already used in medical applications. These three-dimensional fabrics have the advantage of ensuring ventilation at the surface of the skin of the human body in contact with the support module. Such fabrics are for example described in the documents US 2018187348, EP 1347087, EP 2408957, WO 2012098130.
[0014] De tels tissus « spacer 3D » peuvent être des tissus tissés ou tricotés, constituées de deux parois reliées l’une à l’autre par un ou plusieurs filaments. Ces filaments peuvent être de différentes natures : polyester, polyamide, polypropylène ou coton. Ces filaments peuvent être utilisés de façon brute mais aussi ensimés ou enduits pour modifier le toucher ou limiter le développement de virus ou de bactéries. Ces filaments ont une certaine résilience qui leur est conférée par leur diamètre supérieur à 30 microns, préférentiellement supérieur à 100 microns et avec une densité et un motif adapté pour soutenir les efforts de compression ; ils confèrent ainsi au tissu « spacer 3D » une contrainte de flambement, c’est-à-dire une résistance à la compression ou résistance au flambement de ces filaments.
[0015] Avantageusement le tissu « spacer 3D » présente une contrainte de flambement supérieure à la pression de gonflage de la cavité pneumatique. [0014] Such “3D spacer” fabrics can be woven or knitted fabrics, consisting of two walls connected to one another by one or more filaments. These filaments can be of different types: polyester, polyamide, polypropylene or cotton. These filaments can be used raw but also sized or coated to modify the touch or limit the development of viruses or bacteria. These filaments have a certain resilience which is conferred on them by their diameter greater than 30 microns, preferably greater than 100 microns and with a density and a pattern adapted to support the compression forces; they thus give the “3D spacer” fabric a buckling stress, that is to say a resistance to compression or resistance to buckling of these filaments. [0015] Advantageously, the “3D spacer” fabric has a buckling stress greater than the inflation pressure of the pneumatic cavity.
[0016] Au sens de l’invention, la contrainte de flambement du tissu, est la contrainte perpendiculaire au plan moyen du tissu qui met les filaments reliant les deux surfaces en flambement. Au-delà de cette contrainte, les deux surfaces du tissu se rapprochent fortement et ne peuvent plus assurer leur rôle de ventilation. [0016] Within the meaning of the invention, the buckling stress of the fabric is the stress perpendicular to the mean plane of the fabric which places the filaments connecting the two surfaces in buckling. Beyond this constraint, the two surfaces of the fabric come very close together and can no longer fulfill their role of ventilation.
[0017] Le plan moyen du tissu correspond à la surface du tissu lorsque celui-ci est mis à plat. [0017] The mean plane of the fabric corresponds to the surface of the fabric when the latter is laid flat.
[0018] La contrainte de flambement est mesurée selon la norme ISO 3386-1. [0018] The buckling stress is measured according to the ISO 3386-1 standard.
[0019] Avantageusement encore, la contrainte de flambement du tissu « spacer 3D » est inférieure à 0.2 bar. [0019] Also advantageously, the buckling stress of the “3D spacer” fabric is less than 0.2 bar.
[0020] De telles contraintes de flambement permettent d’associer la ventilation de la peau du corps humain et le confort de soutien. [0020] Such buckling stresses make it possible to combine the ventilation of the skin of the human body and the comfort of support.
[0021] Selon un mode de réalisation préféré de l’invention, l’épaisseur du tissu « spacer 3D » est inférieur à 10 mm. According to a preferred embodiment of the invention, the thickness of the "3D spacer" fabric is less than 10 mm.
[0022] De préférence selon l’invention, la perméabilité à l’air du tissu « spacer 3D » est supérieure à 1000 l/dm2xmin sous une pression de 1 mbar. Preferably according to the invention, the air permeability of the “3D spacer” fabric is greater than 1000 l/dm 2 xmin under a pressure of 1 mbar.
[0023] La perméabilité du tissu est mesurée selon la norme ISO 9237. [0023] The permeability of the fabric is measured according to the ISO 9237 standard.
[0024] Selon une première variante de réalisation de l’invention, le premier élément du dispositif de soutien d’une partie d’un corps humain est avantageusement constitué d’une feuille de polymère thermoplastique présentant de préférence un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa, ladite feuille de polymère thermoplastique étant pliée et thermosoudée sur ses bords. According to a first variant embodiment of the invention, the first element of the device for supporting a part of a human body advantageously consists of a sheet of thermoplastic polymer preferably having a modulus of elasticity under tension at 10% elongation less than 20 MPa, said sheet of thermoplastic polymer being folded and heat-sealed at its edges.
[0025] Selon une deuxième variante de réalisation de l’invention, le premier élément du dispositif de soutien d’une partie d’un corps humain est avantageusement constitué d’au moins deux feuilles de polymère thermoplastique présentant de préférence un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa, lesdites au moins deux feuilles de polymère thermoplastique étant thermosoudées bords à bords. According to a second variant embodiment of the invention, the first element of the device for supporting a part of a human body is advantageously made up of at least two sheets of thermoplastic polymer preferably having a modulus of elasticity under tension at 10% elongation of less than 20 MPa, said at least two sheets of thermoplastic polymer being heat-sealed edge to edge.
[0026] Les mesures de modules d’élasticité sous tension à 10% d’allongement sont réalisées selon la norme DIN 53504.
[0027] Le thermosoudage des feuilles de polymère thermoplastique peut notamment être réalisé par ultrason, conduction ou haute fréquence. [0026] The measurements of moduli of elasticity under tension at 10% elongation are carried out according to the DIN 53504 standard. The heat sealing of the thermoplastic polymer sheets can in particular be carried out by ultrasound, conduction or high frequency.
[0028] De préférence, la ou les feuilles de polymère thermoplastique présentent un module d’élasticité sous tension à 10% d’allongement inférieur à 10 MPa. Preferably, the sheet or sheets of thermoplastic polymer have a modulus of elasticity under tension at 10% elongation of less than 10 MPa.
[0029] De préférence encore, la ou les feuilles de polymère thermoplastique présentent une épaisseur inférieure à 1 mm et de préférence encore inférieure à 0.5 mm. [0029] More preferably, the sheet or sheets of thermoplastic polymer have a thickness of less than 1 mm and more preferably less than 0.5 mm.
[0030] Un tel matériau permet, de manière connue, la réalisation simple d’un élément présentant une cavité étanche pouvant être mise sous pression. Un matériau particulièrement adapté est un polyuréthane thermoplastique. Il est possible de réaliser des thermosoudures en portant localement la feuille à température de fusion. Les propriétés de rigidité de la feuille vont permettre de contribuer à diminuer les risques d’escarres lorsque celle-ci est au contact de la peau. [0030] Such a material allows, in known manner, the simple production of an element having a sealed cavity that can be pressurized. A particularly suitable material is a thermoplastic polyurethane. It is possible to produce heat seals by bringing the sheet locally to the melting temperature. The rigid properties of the sheet will help to reduce the risk of pressure sores when it comes into contact with the skin.
[0031] Lorsque le premier élément est constitué d’au moins deux feuilles de polymère thermoplastique, la ou les feuilles de polymère thermoplastique qui ne viennent pas au contact de la peau du corps humain sont avantageusement renforcées. Ce renforcement peut être à base de fibres ou de tissus et conduit à une feuille de polymère thermoplastique plus rigide que celle présentant un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa. [0031] When the first element consists of at least two sheets of thermoplastic polymer, the sheet or sheets of thermoplastic polymer which do not come into contact with the skin of the human body are advantageously reinforced. This reinforcement can be based on fibers or fabrics and leads to a sheet of thermoplastic polymer that is more rigid than that having a modulus of elasticity under tension at 10% elongation of less than 20 MPa.
[0032] Selon l’invention, la valve dudit premier élément permet d’assurer le maintien à la pression en charge requise sous l’effet du poids de la partie du corps humain qui vient en appui, et l’éventuel contrôle de pression lors de l’utilisation du dispositif. According to the invention, the valve of said first element makes it possible to maintain the pressure under load required under the effect of the weight of the part of the human body which comes to bear, and the possible pressure control during of the use of the device.
[0033] La valve est avantageusement positionnée pour être rendue accessible en utilisation et pour ne pas pouvoir venir au contact du corps humain. The valve is advantageously positioned to be made accessible in use and not to be able to come into contact with the human body.
[0034] La valve est avantageusement encore une valve à clapet pour assurer au mieux l’étanchéité. [0034] The valve is advantageously still a flap valve to provide the best seal.
[0035] La pression de gonflage du premier élément est avantageusement supérieure à 0,005 bar sous le poids du corps humain. The inflation pressure of the first element is advantageously greater than 0.005 bar under the weight of the human body.
[0036] Le gonflage du premier élément du dispositif de soutien d’une partie d’un corps humain est avantageusement réalisé avec un gaz inerte et/ou purifié pour éviter tout risque d’infection supplémentaire en cas d’un accident sur l’un des modules conduisant à une fuite, notamment lors d’utilisation dans le milieu hospitalier.
[0037] De préférence selon l’invention, le premier élément est maintenu à une pression inférieure ou égale à 0,03 bar sous le poids d’une partie du corps humain. [0036] The inflation of the first element of the device for supporting a part of a human body is advantageously carried out with an inert and/or purified gas to avoid any risk of additional infection in the event of an accident on one modules leading to a leak, in particular during use in the hospital environment. Preferably according to the invention, the first element is maintained at a pressure less than or equal to 0.03 bar under the weight of a part of the human body.
[0038] Selon une variante de réalisation de l’invention, le dispositif de soutien d’une partie du corps humain comporte un deuxième élément supportant le premier élément, le deuxième élément étant de préférence constitué d’une structure déformable et comportant de préférence des moyens pour stabiliser le premier élément. According to a variant embodiment of the invention, the device for supporting a part of the human body comprises a second element supporting the first element, the second element preferably consisting of a deformable structure and preferably comprising means for stabilizing the first element.
[0039] Le caractère déformable de la structure constituant le deuxième élément du dispositif de soutien d’une partie du corps humain contribue au confort du patient et à la diminution du risque d’apparition d’escarres. The deformable nature of the structure constituting the second element of the support device for a part of the human body contributes to the patient's comfort and to the reduction of the risk of pressure sores appearing.
[0040] Avantageusement selon l’invention, le deuxième élément du dispositif de soutien d’une partie d’un corps humain est constitué de plusieurs parties superposables. La réalisation d’un deuxième élément en plusieurs parties permet tout d’abord de pouvoir modifier le volume et la hauteur de ce deuxième élément pour permettre une adaptation simple du dispositif à la taille du corps humain qui doit être supporté ou plus simplement à un type de position ; si pour une raison il est nécessaire de surélever la partie du corps à soutenir il suffit d’ajouter une ou plusieurs parties pour obtenir la dimension souhaitée. [0040] Advantageously according to the invention, the second element of the device for supporting a part of a human body consists of several superimposable parts. The production of a second element in several parts makes it possible first of all to be able to modify the volume and the height of this second element to allow a simple adaptation of the device to the size of the human body which must be supported or more simply to a type position; if for some reason it is necessary to raise the part of the body to be supported, just add one or more parts to obtain the desired dimension.
[0041] Selon un premier mode de réalisation de l’invention, le deuxième élément du dispositif de soutien d’une partie du corps humain est au moins partiellement constitué d’une mousse polymère présentant une rigidité de compression comprise entre 5 KPa et 50 Kpa. According to a first embodiment of the invention, the second element of the device for supporting a part of the human body is at least partially made up of a polymer foam having a compressive stiffness of between 5 KPa and 50 Kpa. .
[0042] La rigidité de compression est mesurée selon la norme ISO 3386/1. [0042] The compression stiffness is measured according to the ISO 3386/1 standard.
[0043] Selon un mode de réalisation préféré de l’invention, le deuxième élément du dispositif de soutien d’une partie du corps humain est au moins partiellement constitué d’une cavité pneumatique, ladite cavité dudit deuxième élément comportant une valve et ladite cavité dudit deuxième élément étant maintenue à une pression comprise entre 0.05 et 1 bar sous le poids du corps humain. According to a preferred embodiment of the invention, the second element of the device for supporting a part of the human body consists at least partially of a pneumatic cavity, said cavity of said second element comprising a valve and said cavity said second element being maintained at a pressure of between 0.05 and 1 bar under the weight of the human body.
[0044] Selon d’autres modes de réalisation de l’invention, le deuxième élément du dispositif de soutien d’une partie du corps humain peut comporter un élément comportant une cavité pneumatique associée à un ou plusieurs autres éléments non pneumatiques. Il peut par exemple s’agir d’un des éléments superposables décrits précédemment. Une telle variante peut permettre de créer un volume conséquent qu’après la mise en place de la
partie du corps humain à soutenir et ainsi faciliter cette mise en place, la partie pneumatique n’étant pas encore gonflée lorsque le corps humain est positionné et le volume du deuxième élément étant donc réduit en comparaison de son volume en utilisation. According to other embodiments of the invention, the second element of the device for supporting a part of the human body may comprise an element comprising a pneumatic cavity associated with one or more other non-pneumatic elements. It may for example be one of the superimposable elements described above. Such a variant can make it possible to create a substantial volume only after the installation of the part of the human body to be supported and thus facilitate this positioning, the pneumatic part not yet being inflated when the human body is positioned and the volume of the second element therefore being reduced in comparison with its volume in use.
[0045] Le dispositif de soutien d’une partie d’un corps humain ainsi décrit selon l’invention permet de soutenir ladite partie du corps humain dans une position souhaitée en diminuant le risque d’apparition d’escarres dans les zones de contact avec le dispositif de soutien. The device for supporting a part of a human body thus described according to the invention makes it possible to support said part of the human body in a desired position by reducing the risk of appearance of bedsores in the areas of contact with the support device.
[0046] Les inventeurs ont su mettre en évidence que le maintien à la pression en charge choisie du premier élément du dispositif de soutien d’une partie d’un corps humain, ledit premier élément étant recouvert sur sa surface venant au contact du corps humain d’un tissu « spacer 3D » diminue le risque d’apparition d’escarres. [0046] The inventors have been able to demonstrate that holding the first element of the support device for a part of a human body at the chosen pressure under load, said first element being covered on its surface coming into contact with the human body of a “3D spacer” fabric reduces the risk of pressure sores appearing.
[0047] Les inventeurs ont effectivement montré qu’à de telles pressions il était possible de soutenir une partie d’un corps humain pendant de longues durées sans voir apparaitre de nécroses ou escarres difficilement soignables. The inventors have effectively shown that at such pressures it is possible to support a part of a human body for long periods of time without seeing the appearance of necrosis or scars that are difficult to treat.
[0048] La présence d’un tissu « spacer 3D », présentant avantageusement des caractéristiques telles que celles décrites précédemment, au contact de la peau de la partie du corps soutenue permet en outre une évacuation de l’humidité et de la chaleur et contribue à préserver ainsi la peau qui vient au contact du dispositif de soutien. [0048] The presence of a "3D spacer" fabric, advantageously having characteristics such as those described above, in contact with the skin of the supported part of the body also allows moisture and heat to be evacuated and contributes thus preserving the skin which comes into contact with the support device.
[0049] Le premier élément du dispositif de soutien d’une partie d’un corps humain étant avantageusement constitué d’au moins une feuille de polymère thermoplastique présentant un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa, et de préférence inférieur à 10 MPa est réalisé de manière simple et peu onéreuse. The first element of the device for supporting a part of a human body advantageously consisting of at least one sheet of thermoplastic polymer having a modulus of elasticity under tension at 10% elongation of less than 20 MPa, and preferably less than 10 MPa is achieved in a simple and inexpensive manner.
[0050] Le choix de ce matériau mince et déformable permet de venir épouser la partie du corps humain soutenue et donc d’optimiser la surface de contact entre le premier élément et la partie du corps humain. La faible pression de gonflage du premier élément, avantageusement réalisé avec une ou plusieurs feuilles de polymère thermoplastique conduit en outre à une pression de contact sur la partie du corps humain supportée la plus homogène possible. [0050] The choice of this thin and deformable material makes it possible to marry the supported part of the human body and therefore to optimize the contact surface between the first element and the part of the human body. The low inflation pressure of the first element, advantageously made with one or more sheets of thermoplastic polymer, also leads to a contact pressure on the part of the human body supported that is as homogeneous as possible.
[0051] En outre, la réalisation en matériau thermosoudable de ce premier élément du dispositif de soutien d’une partie d’un corps humain autorise l’obtention de forme
relativement précise. Il est possible par thermosoudage de définir la forme du premier élément avec une précision telle, que le dispositif de soutien peut venir en appui sur des zones choisies de la partie du corps humain de manière optimale. En effet, les inventeurs ont su montrer qu’ils pouvaient obtenir des formes pour prendre appui sur les zones choisies de la partie du corps humain et ainsi assurer son soutien à la pression en charge indiquée inférieure à 0,04 bars. [0051] In addition, the production of heat-sealable material of this first element of the device for supporting a part of a human body allows obtaining a shape relatively precise. It is possible by heat sealing to define the shape of the first element with such precision that the support device can come to rest on selected areas of the part of the human body in an optimal manner. In fact, the inventors were able to show that they could obtain shapes to bear on the chosen zones of the part of the human body and thus ensure its support at the load pressure indicated below 0.04 bars.
[0052] Par ailleurs, lorsque la réalisation du dispositif de soutien d’une partie d’un corps humain se fait avec un deuxième élément, il est avantageusement possible de séparer les fonctions. D’une part, le deuxième élément apporte le volume nécessaire pour positionner la partie du corps humain comme souhaité ainsi que la rigidité pour assurer la stabilité. D’autre part, le premier élément dont le volume est réduit peut être facilement maintenu à la pression choisie et réalisé avec encore plus de précision pour prendre appui sur la partie du corps humain aux emplacements souhaités. [0052] Moreover, when the device for supporting a part of a human body is made with a second element, it is advantageously possible to separate the functions. On the one hand, the second element provides the volume necessary to position the part of the human body as desired as well as the rigidity to ensure stability. On the other hand, the first element whose volume is reduced can be easily maintained at the chosen pressure and carried out with even more precision to rest on the part of the human body at the desired locations.
[0053] Le deuxième élément est encore avantageusement pourvu de moyens pour stabiliser le premier élément dans la position souhaitée et permet ainsi d’une part de garantir les appuis souhaités et d’autre part de garantir la stabilité de ces appuis. Ces moyens peuvent être directement liés à la forme du deuxième élément qui peut être prévu pour recevoir le premier élément et empêcher son déplacement, notamment en présence de la partie du corps humain. Il est encore possible de prévoir des systèmes d’ accroche entre les premier et deuxième éléments ; il peut s’agir par exemple de systèmes du type fixations mécaniques par crochets et boucles textile, commercialisés sous la marque « velcro » qui sont simples d’utilisation et permettent un positionnement réglable ou tout autre type de fixations tels que clips, zip, boutons pression, . .. The second element is also advantageously provided with means for stabilizing the first element in the desired position and thus makes it possible on the one hand to guarantee the desired supports and on the other hand to guarantee the stability of these supports. These means can be directly linked to the shape of the second element which can be provided to receive the first element and prevent its displacement, in particular in the presence of the part of the human body. It is still possible to provide attachment systems between the first and second elements; these may be, for example, systems of the mechanical fastening type using textile hooks and loops, marketed under the "velcro" brand, which are easy to use and allow adjustable positioning, or any other type of fastening such as clips, zips, buttons pressure, . ..
[0054] Les faibles coûts pour la réalisation du dispositif de soutien selon l’invention autorisent encore la mise à disposition de dispositifs de différentes tailles ou formes pour une meilleure adaptation selon la partie du corps humain à soutenir ou bien encore pour s’adapter à la taille ou la corpulence du corps humain. Ce choix de tailles du dispositif de soutien permet encore d’optimiser le positionnement des points d’appui de la partie du corps humain à soutenir. The low costs for producing the support device according to the invention also allow the provision of devices of different sizes or shapes for better adaptation according to the part of the human body to be supported or even to adapt to the height or build of the human body. This choice of sizes of the support device further optimizes the positioning of the support points of the part of the human body to be supported.
[0055] Selon une variante de réalisation de l’invention, le tissu « spacer 3D » est prévu amovible et séparable du premier élément pour pouvoir être correctement nettoyé et/ou changé régulièrement.
[0056] Il est encore possible de prévoir une housse réalisée avec le tissu « spacer 3D » enveloppant la totalité du premier élément formant la cavité pneumatique et destiné à venir au contact de la partie du corps humain ou bien encore dans le cas de la présence du deuxième élément, une housse enveloppant l’intégralité du dispositif de soutien. Dans tous les cas ces housses sont prévues amovibles pour pouvoir être correctement nettoyées et/ou changées régulièrement. Dans le cas d’une housse qui enveloppe les premier et deuxième éléments du dispositif de soutien, la housse contribue avantageusement à stabiliser les deux éléments ensemble. According to a variant embodiment of the invention, the “3D spacer” fabric is provided to be removable and separable from the first element in order to be able to be properly cleaned and/or changed regularly. [0056] It is still possible to provide a cover made with the “3D spacer” fabric enveloping the entire first element forming the pneumatic cavity and intended to come into contact with the part of the human body or even in the case of the presence of the second element, a cover enveloping the entire support device. In all cases, these covers are designed to be removable so that they can be properly cleaned and/or changed regularly. In the case of a cover which envelops the first and second elements of the support device, the cover advantageously contributes to stabilizing the two elements together.
[0057] Comme expliqué précédemment, le premier élément peut être réalisé avec une ou plusieurs feuilles de polymère thermoplastique. As explained above, the first element can be made with one or more sheets of thermoplastic polymer.
[0058] Dans le cas d’une feuille de polymère thermoplastique que l’on plie ou bien dans le cas de deux feuilles de polymère thermoplastique, le premier élément peut prendre la forme d’un coussin la ou les deux feuilles de polymère thermoplastiques étant thermosoudées à leur périphérie. Un thermosoudage complémentaire peut également permettre de créer un évidement conduisant à une forme de bouée. Le thermosoudage peut être réalisé par ultrason, conduction ou haute fréquence. In the case of a sheet of thermoplastic polymer which is folded or else in the case of two sheets of thermoplastic polymer, the first element can take the form of a cushion, the or both sheets of thermoplastic polymer being heat-sealed at their periphery. Additional heat sealing can also make it possible to create a recess leading to a buoy shape. Heat sealing can be done by ultrasound, conduction or high frequency.
[0059] Une ou plusieurs thermosoudures peuvent encore permettre de limiter la zone formant une cavité pneumatique et ainsi permettre de diminuer voire supprimer des zones d’appui sur la partie du corps humain soutenue. [0059] One or more heat seals can also make it possible to limit the area forming a pneumatic cavity and thus make it possible to reduce or even eliminate bearing areas on the part of the human body supported.
[0060] Le premier élément du dispositif de soutien d’une partie d’un corps humain peut encore prendre la forme d’un tube. Il peut être réalisé avec une feuille de polymère thermoplastique thermosoudée sur sa longueur pour former un tube. Ses extrémités sont soit thermosoudées pour former une forme de type berlingot, soit fermées par deux feuilles de polymère thermoplastique supplémentaires thermosoudées pour obturer lesdites extrémités. [0060] The first element of the support device for a part of a human body can also take the form of a tube. It can be made with a sheet of thermoplastic polymer heat-sealed along its length to form a tube. Its ends are either heat-sealed to form a carton-like shape, or closed by two additional thermoplastic polymer sheets heat-sealed to seal said ends.
[0061] Selon d’autres variantes de réalisation de l’invention, le dispositif de soutien d’une partie d’un corps humain peut être mis en place sur une plaque de grande rigidité pour conférer une meilleure stabilité au dispositif de soutien. According to other variant embodiments of the invention, the device for supporting a part of a human body can be placed on a plate of great rigidity to confer better stability on the support device.
[0062] De telles plaques sont par exemple des plaques déjà utilisées dans le monde hospitalier commercialisées sous la marque « KOMACEL ».
[0063] L’invention telle qu’elle vient d’être décrite, outre ses avantages quant à la diminution du risque d’apparition d’escarres, présente plusieurs avantages notamment liés au caractère gonflable des éléments constitutifs d’un dispositif de soutien d’une partie d’un corps humain. En effet, d’une part, l’utilisation d’éléments gonflables permet de diminuer leurs volumes lorsqu’ils ne sont pas utilisés ou avant utilisation et ainsi faciliter leur stockage. Associé à ce gain de volume, il devient possible de stocker un nombre et une variété importants de ces éléments et ainsi de disposer à tout moment du modèle le mieux adapté à la situation, notamment en termes de variété de formes. D’autre part, lorsqu’un deuxième élément constitutif du dispositif de soutien d’une partie d’un corps humain est également un élément gonflable, outre les avantages précités, il devient possible pour les opérateurs de diminuer le volume de ce deuxième élément dont l’une des fonctions est notamment d’apporter du volume, et ainsi faciliter les manipulations d’une partie d’un corps humain. Ceci est particulièrement important pour des patients pour lesquels il est régulièrement nécessaire de déplacer la partie supportée ; la diminution du volume de la deuxième qui est la plus volumineuse permet de faciliter une telle opération. [0062] Such plates are, for example, plates already used in the hospital world marketed under the "KOMACEL" brand. [0063] The invention as it has just been described, in addition to its advantages in terms of reducing the risk of pressure sores appearing, has several advantages, in particular related to the inflatable nature of the constituent elements of a support device for part of a human body. Indeed, on the one hand, the use of inflatable elements makes it possible to reduce their volumes when they are not used or before use and thus facilitate their storage. Associated with this gain in volume, it becomes possible to store a large number and variety of these elements and thus to have at any time the model best suited to the situation, particularly in terms of variety of shapes. On the other hand, when a second constituent element of the device for supporting a part of a human body is also an inflatable element, in addition to the aforementioned advantages, it becomes possible for the operators to reduce the volume of this second element one of the functions is in particular to provide volume, and thus facilitate manipulation of a part of a human body. This is particularly important for patients for whom it is regularly necessary to move the supported part; reducing the volume of the second, which is the most voluminous, facilitates such an operation.
[0064] L’invention propose encore un procédé pour soutenir une partie d’un corps humain mettant en œuvre le dispositif tel qu’il vient d’être décrit selon lequel, dans une première étape la cavité d’au moins un premier élément du dispositif de soutien d’une partie du corps humain est partiellement remplie d’air, dans une deuxième étape, la partie du corps humain est disposée sur ledit premier élément et dans une troisième étape, la pression de ladite cavité du premier élément d’un dispositif de soutien d’une partie du corps humain est régulée à une pression inférieure à 0,04 bar. [0064] The invention also proposes a method for supporting a part of a human body implementing the device as it has just been described according to which, in a first step, the cavity of at least a first element of the device for supporting a part of the human body is partially filled with air, in a second step, the part of the human body is placed on said first element and in a third step, the pressure of said cavity of the first element of a device for supporting a part of the human body is regulated at a pressure of less than 0.04 bar.
[0065] Selon une variante avantageuse de l’invention, le dispositif de soutien d’une partie du corps humain comportant un deuxième élément formant au moins partiellement une cavité pneumatique, dans une quatrième étape du procédé pour soutenir une partie d’un corps humain, la pression de ladite cavité du deuxième élément d’un dispositif de soutien d’une partie du corps humain est régulée à une pression comprise entre 0.05 et 1 bar. According to an advantageous variant of the invention, the device for supporting a part of the human body comprising a second element forming at least partially a pneumatic cavity, in a fourth step of the method for supporting a part of a human body , the pressure of said cavity of the second element of a device for supporting a part of the human body is regulated at a pressure of between 0.05 and 1 bar.
[0066] D’ autres détails et caractéristiques avantageux de l’invention ressortiront ci- après de la description des exemples de réalisation de l’invention en référence aux figures 1 à 10 qui représentent :
figure 1, une représentation schématique en perspective d’un premier mode de réalisation d’un dispositif de soutien conforme à l’invention, figure 2, une représentation schématique partielle en coupe du dispositif de soutien de la figure 1 , figure 3, une représentation schématique d’un exemple d’une partie constitutive du dispositif de soutien de la figure 1 , figure 4, une représentation schématique d’un exemple d’une autre partie constitutive du dispositif de soutien de la figure 1 , figure 5, une représentation schématique d’un autre exemple de réalisation d’une partie constitutive d’un dispositif de soutien conforme à l’invention, figure 6, une représentation schématique en perspective d’un deuxième mode de réalisation d’un premier élément d’un dispositif de soutien conforme à l’invention, figure 7, une représentation schématique en perspective d’un troisième mode de réalisation d’un premier élément d’un dispositif de soutien conforme à l’invention, figure 8, une représentation schématique en perspective d’un mode de réalisation d’un dispositif de soutien comportant un premier élément tel que représenté sur la figure 7 et un premier mode de réalisation d’un deuxième élément, figure 9, une représentation schématique en perspective d’un deuxième mode de réalisation d’un deuxième élément d’un dispositif de soutien tel que représenté sur la figure 8, figure 10, une représentation schématique en perspective d’un troisième mode de réalisation d’un deuxième élément d’un dispositif de soutien tel que représenté sur la figure 8. Other advantageous details and characteristics of the invention will emerge below from the description of the embodiments of the invention with reference to Figures 1 to 10 which represent: Figure 1, a schematic representation in perspective of a first embodiment of a support device according to the invention, Figure 2, a partial schematic representation in section of the support device of Figure 1, Figure 3, a representation schematic of an example of a constituent part of the support device of figure 1, figure 4, a schematic representation of an example of another constituent part of the support device of figure 1, figure 5, a schematic representation of another embodiment of a constituent part of a support device according to the invention, FIG. 6, a diagrammatic representation in perspective of a second embodiment of a first element of a support device according to the invention, FIG. 7, a schematic representation in perspective of a third embodiment of a first element of a support device according to the invention, FIG. 8, a representation sc hematic in perspective of an embodiment of a support device comprising a first element as shown in Figure 7 and a first embodiment of a second element, Figure 9, a schematic representation in perspective of a second embodiment of a second element of a support device as represented in figure 8, figure 10, a diagrammatic representation in perspective of a third embodiment of a second element of a support device such as shown in figure 8.
[0067] Les figures ne sont pas représentées à l’échelle pour en simplifier la compréhension. The figures are not shown to scale to simplify understanding.
[0068] Sur la figure 1, le dispositif de soutien est constitué d’un premier élément 1 qui présente la forme d’un coussin. Il est constitué de deux feuilles de polyuréthane thermoplastique 2 et 3, commercialisées sous le nom Tuftane TFL-1E présentant un module d’élongation sécant égal à 9.8 MPa à 10% d’élongation thermosoudées à leur
périphérie. Ces deux feuilles de polyuréthane thermoplastique 2 et 3 sont thermosoudées à leur périphérie pour former une cavité 4, visible sur la figure 2. In Figure 1, the support device consists of a first element 1 which has the shape of a cushion. It consists of two sheets of thermoplastic polyurethane 2 and 3, marketed under the name Tuftane TFL-1E having a secant elongation modulus equal to 9.8 MPa at 10% elongation heat-welded to their periphery. These two sheets of thermoplastic polyurethane 2 and 3 are heat-sealed at their periphery to form a cavity 4, visible in figure 2.
La figure 2 illustre une vue schématique en coupe partielle de ce premier élément 1 recouvert sur sa surface destinée à venir au contact de la peau d’un tissu « spacer 3D » 5, commercialisé sous l’appellation Muller Textil T5683. Ce tissu « spacer 3D » 5 est maintenu sur la surface extérieure de la feuille de polyuréthane thermoplastique 2 par une housse en coton 6 qui couvre la surface extérieure de la feuille de polyuréthane thermoplastique 3. FIG. 2 illustrates a schematic view in partial section of this first element 1 covered on its surface intended to come into contact with the skin with a “3D spacer” fabric 5, marketed under the name Muller Textil T5683. This "3D spacer" fabric 5 is held on the outer surface of the thermoplastic polyurethane sheet 2 by a cotton cover 6 which covers the outer surface of the thermoplastic polyurethane sheet 3.
[0069] Sur la face inférieure qui n’est pas destinée à venir au contact de la peau du corps humain, est représentée une valve 7, visible sur les figures 1 et 2, qui permet d’ajuster la pression du premier élément formant une cavité pneumatique. On the underside which is not intended to come into contact with the skin of the human body, is shown a valve 7, visible in Figures 1 and 2, which makes it possible to adjust the pressure of the first element forming a pneumatic cavity.
[0070] Un tel dispositif de soutien constitué d’un premier élément 1 en forme de coussin est plus particulièrement adapté par exemple au soutien d’une tête ou bien d’une partie d’un bras ou bien, avec des dimensions bien adaptées, pour constituer une assise venant recouvrir un siège. Such a support device consisting of a first element 1 in the form of a cushion is more particularly suitable, for example, for supporting a head or part of an arm or else, with well-adapted dimensions, to form a seat covering a seat.
[0071] Les figures 3 et 4 illustrent respectivement les deux feuilles de polyuréthane thermoplastique 2 et 3. Sur la figure 4, la feuille de polyuréthane thermoplastique 3 destinée à former la surface ne venant pas au contact de la peau présente un trou 8 pour le passage de la valve 7. [0071] Figures 3 and 4 respectively illustrate the two thermoplastic polyurethane sheets 2 and 3. In Figure 4, the thermoplastic polyurethane sheet 3 intended to form the surface that does not come into contact with the skin has a hole 8 for the valve passage 7.
[0072] Pour former le premier élément 1, ces deux feuilles de polyuréthane thermoplastique 2 et 3 sont avantageusement de même forme pour être facilement thermosoudées l’une à l’autre à leur périphérie et former la cavité 4. To form the first element 1, these two sheets of thermoplastic polyurethane 2 and 3 are advantageously of the same shape to be easily heat-sealed to each other at their periphery and form the cavity 4.
[0073] La figure 5 illustre un autre moyen de former un premier élément 1. Il s’agit d’une unique feuille de polyuréthane thermoplastique 9 dont la forme présente un axe de symétrie 10. La feuille de polyuréthane thermoplastique 9 peut être pliée selon cet axe et thermosoudée selon ses côtés pour former une cavité. La feuille de polyuréthane thermoplastique 9 est encore prévue avec un trou 11 pour permettre le passage d’une valve. [0073] Figure 5 illustrates another way of forming a first element 1. This is a single thermoplastic polyurethane sheet 9 whose shape has an axis of symmetry 10. The thermoplastic polyurethane sheet 9 can be folded along this axis and heat-sealed along its sides to form a cavity. The thermoplastic polyurethane sheet 9 is further provided with a hole 11 to allow the passage of a valve.
[0074] La figure 6 illustre un autre type de réalisation d’un dispositif de soutien d’une partie d’un corps humain constitué d’un premier élément 12 formant une cavité pneumatique qui présente une forme de tube fermé à ses deux extrémités par thermosoudage.
[0075] Ce tube est réalisé avec une feuille de polyuréthane thermoplastique commercialisées sous le nom Tuftane TFL-1E présentant un module d’élongation sécant égal à 9.8 MPa à 10% d’élongation. Celle-ci est roulée et thermosoudée sur sa longueur pour former un cylindre, la soudure étant avantageusement réalisée à l’intérieur pour ne pas créer un relief agressif sur la surface extérieure du tube formant la cavité pneumatique de ce premier élément. Les extrémités 13 du cylindre sont ensuite thermosoudées pour donner l’aspect d’une forme de berlingot. Une valve 14 est présente pour assurer la mise en pression de ce premier élément 12 du dispositif de soutien. [0074] FIG. 6 illustrates another type of embodiment of a device for supporting a part of a human body consisting of a first element 12 forming a pneumatic cavity which has the shape of a tube closed at its two ends by heat sealing. This tube is made with a sheet of thermoplastic polyurethane marketed under the name Tuftane TFL-1E having a secant elongation modulus equal to 9.8 MPa at 10% elongation. This is rolled and heat-welded along its length to form a cylinder, the weld being advantageously made on the inside so as not to create an aggressive relief on the outer surface of the tube forming the pneumatic cavity of this first element. The ends 13 of the cylinder are then heat sealed to give the appearance of a carton shape. A valve 14 is present to ensure the pressurization of this first element 12 of the support device.
[0076] Ce premier élément 12 est encore enveloppé dans une housse ou enveloppe constituée d’un « tissu spacer 3D » commercialisé sous l’appellation Muller Textil T5683. This first element 12 is still wrapped in a cover or envelope consisting of a “3D spacer fabric” marketed under the name Muller Textil T5683.
[0077] Un tel dispositif de soutien constitué d’un premier élément 12 en forme de tube est plus particulièrement adapté par exemple au soutien d’une partie d’une jambe ou d’un bras. Such a support device consisting of a first element 12 in the form of a tube is more particularly suitable, for example, for supporting part of a leg or an arm.
[0078] La figure 7 illustre un dispositif de soutien dont le premier élément 15 présente une forme cylindrique semblable à celle du premier élément de la figure 6 et qui peut être réalisé de la même façon. Une étape supplémentaire lors de la fabrication consiste à thermosouder une zone centrale 16 qui est ainsi aplatie pour former deux parties 17a, 17b qui pourront être pliées l’une vers l’autre pour former une forme en V. Dans sa partie centrale, le premier élément 15 du dispositif conserve une zone de passage 18 pour assurer un équilibrage des pressions des parties 17a et 17b. Une valve 19 est encore présente pour assurer la mise en pression de ce premier élément 15 du dispositif de soutien. Figure 7 illustrates a support device whose first element 15 has a cylindrical shape similar to that of the first element of Figure 6 and which can be made in the same way. An additional step during manufacture consists in heat sealing a central zone 16 which is thus flattened to form two parts 17a, 17b which can be folded towards each other to form a V shape. In its central part, the first element 15 of the device retains a passage zone 18 to ensure equalization of the pressures of the parts 17a and 17b. A valve 19 is still present to ensure the pressurization of this first element 15 of the support device.
[0079] Ce premier élément 15 est encore enveloppé dans une housse ou enveloppe constituée d’un tissu « spacer 3D » commercialisé sous l’appellation Muller Textil T5683. This first element 15 is still wrapped in a cover or envelope consisting of a “3D spacer” fabric marketed under the name Muller Textil T5683.
[0080] La figure 8 représente un dispositif de soutien constitué du premier élément 15 et d’un deuxième élément 20 présentant une forme en V. Le deuxième élément 20 est réalisé avec une mousse commercialisée par la société Recticel sous la marque « Situseal » avec la référence T 46065 présentant une rigidité de compression comprise entre 8 et 12 KPa. Ce deuxième élément 20, plus rigide, impose une forme en V au premier élément 15, prévu pour l’accepter comme expliqué précédemment, dès lors qu’une partie d’un corps humain est mis en appui. [0080] Figure 8 shows a support device consisting of the first element 15 and a second element 20 having a V-shape. The second element 20 is made with a foam marketed by the company Recticel under the brand "Situseal" with reference T 46065 having a compression stiffness of between 8 and 12 KPa. This second element 20, more rigid, imposes a V-shape on the first element 15, designed to accept it as explained above, when a part of a human body is supported.
[0081] Selon une variante de réalisation de l’invention, la housse ou enveloppe constituée d’un tissu « spacer 3D » commercialisé sous l’appellation Muller Textil T5683
pourrait envelopper l’ensemble constitué du premier élément 15 et du deuxième élément 20. According to a variant embodiment of the invention, the cover or envelope consisting of a "3D spacer" fabric marketed under the name Muller Textil T5683 could wrap the assembly consisting of the first element 15 and the second element 20.
[0082] Selon une variante préférée de réalisation de l’invention, le deuxième élément 20 représentée sur la figure 8 peut se voir substitué un deuxième élément 20b gonflable, tel qu’illustré sur la figure 9. Ce deuxième élément 20b est conçu pour présenter une forme semblable à la deuxième partie 20 représentée sur la figure 8, une fois maintenue à pression sous le poids du corps humain. La figure 9 décrit ainsi un deuxième élément 20b présentant une forme en V avec deux branches 21b et 22b séparée par une zone aplatie 23b. Un tel élément gonflable 20b est facilement réalisable avec des feuilles de polyuréthane thermoplastique en thermosoudant les feuilles et en ajoutant dans chacune des branches 21b et 22b des feuilles de polyuréthane thermoplastique thermosoudées pour former des parois internes dans la cavité de chacune des branches pour obtenir des surfaces relativement planes pour recevoir le premier élément 15. Ces parois thermosoudées sont mises en place avant l’obturation de chacune des branches 21b et 22b par d’autres feuilles de polyuréthane thermoplastique thermosoudées. According to a preferred variant embodiment of the invention, the second element 20 represented in FIG. 8 can be replaced by a second inflatable element 20b, as illustrated in FIG. 9. This second element 20b is designed to present a shape similar to the second part 20 represented in FIG. 8, once maintained under pressure under the weight of the human body. FIG. 9 thus describes a second element 20b having a V shape with two branches 21b and 22b separated by a flattened area 23b. Such an inflatable element 20b is easily made with thermoplastic polyurethane sheets by heat-sealing the sheets and adding heat-sealed thermoplastic polyurethane sheets to each of the branches 21b and 22b to form internal walls in the cavity of each of the branches to obtain surfaces relatively flat to receive the first element 15. These heat-sealed walls are put in place before the sealing of each of the branches 21b and 22b by other heat-sealed thermoplastic polyurethane sheets.
[0083] La figure 10 illustre encore une autre variante de réalisation semblable à celle représentée sur la figure 9. Le deuxième élément 20c est une nouvelle fois un élément gonflable dont les branches 21c et 22c sont réalisées par une succession de bourrelets formant une structure en V destinée à recevoir le premier élément 15 du support de bassin. Une telle structure en bourrelets est facilement réalisée en thermosoudant des parois internes. [0083] Figure 10 illustrates yet another alternative embodiment similar to that shown in Figure 9. The second element 20c is once again an inflatable element whose branches 21c and 22c are made by a succession of beads forming a structure in V intended to receive the first element 15 of the pelvis support. Such a beaded structure is easily produced by heat sealing internal walls.
[0084] Des réalisations telles que celles des figures 9 et 10 sont particulièrement pratiques car peu encombrantes en stockage, aucun élément n’étant gonflé. Par ailleurs, elles permettent, comme dans le cas de la réalisation de la figure 8, d’apporter un grand volume si cela est nécessaire et de la rigidité pour stabiliser le dispositif de soutien constitué des premier et deuxième éléments, le deuxième élément étant régulé à une pression en charge comprise entre 0.05 et 1 bar. Le volume du premier élément 15 peut ainsi être réduit à son minimum pour permettre de bien épouser la partie du corps humain soutenue avec une pression inférieure à 0,04 bar en charge. [0084] Achievements such as those of Figures 9 and 10 are particularly practical because they take up little space in storage, since no element is inflated. Furthermore, they allow, as in the case of the embodiment of Figure 8, to provide a large volume if necessary and rigidity to stabilize the support device consisting of the first and second elements, the second element being regulated at a load pressure of between 0.05 and 1 bar. The volume of the first element 15 can thus be reduced to its minimum in order to allow it to properly fit the part of the human body supported with a pressure of less than 0.04 bar under load.
[0085] Des essais ont été réalisés avec un dispositif de soutien comportant un premier élément 1 tel que représenté sur les figures 1 et 2 et un deuxième élément non représenté
sur les figures. Ce deuxième élément présente une géométrie identique à celle du premier élément et forme une cavité pneumatique. [0085] Tests were carried out with a support device comprising a first element 1 as shown in Figures 1 and 2 and a second element not shown in the figures. This second element has a geometry identical to that of the first element and forms a pneumatic cavity.
[0086] Ce dispositif de soutien est prévu pour supporter un bras qui vient en repos sur le dispositif de soutien. [0087] Lors de leur stockage, les premier et deuxième éléments sont totalement dégonflés et sont totalement plats ; leur encombrement est donc réduit au minimum. This support device is designed to support an arm which comes to rest on the support device. [0087] During their storage, the first and second elements are completely deflated and are completely flat; their size is therefore reduced to a minimum.
[0088] Avant la mise en place du bras, le premier élément et le deuxième élément sont partiellement remplis du gaz de gonflage de façon à décoller les parois des cavités pneumatiques. [0089] Le bras est mis en place sur le dispositif de soutien et chacun des premier et deuxième éléments pneumatiques est amené et maintenu à la pression de soutien souhaitée. [0088] Before the positioning of the arm, the first element and the second element are partially filled with the inflation gas so as to detach the walls of the pneumatic cavities. The arm is placed on the support device and each of the first and second pneumatic elements is brought to and maintained at the desired support pressure.
[0090] Les pressions déterminées dans ce cas de figure pour un soutien optimum permettant de diminuer les risques d’apparition d’escarres et assurant un soutien pneumatique sont les suivantes : [0091] Les pressions sont données dans le tableau suivant pour chacun des éléments du dispositif de soutien :
[0090] The pressures determined in this case for optimum support to reduce the risk of pressure sores appearing and providing pneumatic support are as follows: [0091] The pressures are given in the following table for each of the elements of the support device:
Claims
REVENDICATIONS
1 - Dispositif de soutien d’une partie d’un corps humain caractérisé en ce que ledit dispositif est constitué d’un premier élément (1) formant une cavité pneumatique (4), en ce que ladite cavité pneumatique (4) comporte une valve (7), en ce que ladite cavité pneumatique (4) est maintenue à une pression inférieure à 0,04 bar en charge et en ce qu’au moins la surface dudit au moins un premier élément (1) venant au contact de ladite partie d’un corps humain est recouverte d’un tissu « spacer 3D » (5). 1 - Device for supporting a part of a human body characterized in that said device consists of a first element (1) forming a pneumatic cavity (4), in that said pneumatic cavity (4) comprises a valve (7), in that said pneumatic cavity (4) is maintained at a pressure of less than 0.04 bar under load and in that at least the surface of said at least one first element (1) coming into contact with said part of a human body is covered with a "3D spacer" fabric (5).
2- Dispositif de soutien d’une partie d’un corps humain, selon la revendication 1, caractérisé en ce que la contrainte de flambement du tissu « spacer 3D » (5) est supérieure à la pression de gonflage de la cavité pneumatique (4). 2- Device for supporting a part of a human body, according to claim 1, characterized in that the buckling stress of the "3D spacer" tissue (5) is greater than the inflation pressure of the pneumatic cavity (4 ).
3- Dispositif de soutien d’une partie d’un corps humain, selon la revendication 2, caractérisé en ce que la contrainte de flambement du tissu « spacer 3D » (5) est inférieure à 0.2 bar. 3- Device for supporting a part of a human body, according to claim 2, characterized in that the buckling stress of the "3D spacer" fabric (5) is less than 0.2 bar.
4- Dispositif de soutien d’une partie d’un corps humain, selon l’une des revendications 1 à 3, caractérisé en ce que l’épaisseur du tissu « spacer 3D » (5) est inférieure à 10 mm. 4- Support device for a part of a human body, according to one of claims 1 to 3, characterized in that the thickness of the fabric "3D spacer" (5) is less than 10 mm.
5- Dispositif de soutien d’une partie d’un corps humain, selon l’une des revendications 1 à 4, caractérisé en ce que la perméabilité du tissu « spacer 3D » (4) est supérieure à 1000 l/dm2xmin sous une pression de 1 mbar. 5- Device for supporting a part of a human body, according to one of claims 1 to 4, characterized in that the permeability of the "3D spacer" tissue (4) is greater than 1000 l/dm 2 xmin under a pressure of 1 mbar.
6- Dispositif de soutien d’une partie d’un corps humain selon l’une des revendications 1 à 5, caractérisé en ce que ledit premier élément (1, 12) est constitué d’une feuille de polymère thermoplastique présentant de préférence un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa et en ce que ladite feuille de polymère thermoplastique est pliée et soudée sur ses bords. 6- Device for supporting a part of a human body according to one of claims 1 to 5, characterized in that said first element (1, 12) consists of a sheet of thermoplastic polymer preferably having a modulus of elasticity under tension at 10% elongation of less than 20 MPa and in that said sheet of thermoplastic polymer is folded and welded at its edges.
7- Dispositif de soutien d’une partie d’un corps humain selon l’une des revendications 1 à 5, caractérisé en ce que ledit premier élément (1,) est constitué d’au moins deux feuilles de polymère thermoplastique (2, 3) présentant de préférence un module d’élasticité sous tension à 10% d’allongement inférieur à 20 MPa et en ce que lesdites au moins deux feuilles de polymère thermoplastique sont soudées bords à bords. 7- Device for supporting a part of a human body according to one of claims 1 to 5, characterized in that said first element (1,) consists of at least two sheets of thermoplastic polymer (2, 3 ) preferably having a modulus of elasticity under tension at 10% elongation of less than 20 MPa and in that said at least two sheets of thermoplastic polymer are welded edge to edge.
8- Dispositif de soutien d’une partie d’un corps humain selon l’une des revendications précédentes, caractérisé en ce qu’il comporte au moins un deuxième élément (20, 20b, 20c),
en ce que ledit au moins un deuxième élément (20, 20b, 20c) est constitué d’une structure déformable et en ce que ledit au moins un deuxième élément (20, 20b, 20c) comporte des moyens pour stabiliser le premier élément (1, 12, 15). 8- Device for supporting a part of a human body according to one of the preceding claims, characterized in that it comprises at least one second element (20, 20b, 20c), in that said at least one second element (20, 20b, 20c) consists of a deformable structure and in that said at least one second element (20, 20b, 20c) comprises means for stabilizing the first element (1 , 12, 15).
9- Dispositif de soutien d’une partie d’un corps humain selon la revendication 8, caractérisé en ce que ledit deuxième élément (20b, 20c) est au moins partiellement constituée d’une cavité, en ce que ladite cavité dudit deuxième élément (20b, 20c) comporte une valve et en ce que ladite cavité dudit deuxième élément (20b, 20c) est maintenue à une pression comprise entre 0.05 et 1 bar en charge. 9- Device for supporting a part of a human body according to claim 8, characterized in that said second element (20b, 20c) is at least partially constituted by a cavity, in that said cavity of said second element ( 20b, 20c) comprises a valve and in that said cavity of said second element (20b, 20c) is maintained at a pressure of between 0.05 and 1 bar under load.
10 - Procédé pour soutenir une partie d’un corps humain mettant en œuvre le dispositif tel que décrit selon l’une des revendications 1 à 9, caractérisé en ce que dans une première étape la cavité (4) d’au moins un premier élément (1, 12, 15) d’un dispositif de soutien d’une partie du corps humain est partiellement remplie d’air, en ce que, dans une deuxième étape, la partie du corps humain est disposée sur ledit premier élément (1, 12, 15) et en ce que, dans une troisième étape, la pression de ladite cavité (4) du premier élément (1, 12, 15) d’un dispositif de soutien d’une partie du corps humain est régulée à une pression inférieure à 0,04 bar. 10 - Method for supporting a part of a human body implementing the device as described according to one of claims 1 to 9, characterized in that in a first step the cavity (4) of at least a first element (1, 12, 15) of a device for supporting a part of the human body is partially filled with air, in that, in a second step, the part of the human body is placed on said first element (1, 12, 15) and in that, in a third step, the pressure of said cavity (4) of the first element (1, 12, 15) of a device for supporting a part of the human body is regulated to a pressure less than 0.04 bar.
11 - Procédé pour soutenir une partie d’un corps humain selon la revendication 10, le dispositif de soutien d’une partie du corps humain comportant un deuxième élément (20b, 20c) formant au moins partiellement une cavité pneumatique, caractérisé en ce que, dans une quatrième étape, la pression de ladite cavité du deuxième élément (20b, 20c) d’un dispositif de soutien d’une partie du corps humain est régulée à une pression comprise entre 0.05 et 1 bar.
11 - Process for supporting a part of a human body according to claim 10, the device for supporting a part of the human body comprising a second element (20b, 20c) forming at least partially a pneumatic cavity, characterized in that, in a fourth step, the pressure of said cavity of the second element (20b, 20c) of a device for supporting a part of the human body is regulated to a pressure of between 0.05 and 1 bar.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR2010419A FR3114966B1 (en) | 2020-10-12 | 2020-10-12 | Device for supporting a part of a human body |
PCT/FR2021/051750 WO2022079376A1 (en) | 2020-10-12 | 2021-10-08 | Device for supporting a part of a human body |
Publications (1)
Publication Number | Publication Date |
---|---|
EP4225246A1 true EP4225246A1 (en) | 2023-08-16 |
Family
ID=74668926
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP21801597.2A Pending EP4225246A1 (en) | 2020-10-12 | 2021-10-08 | Device for supporting a part of a human body |
Country Status (5)
Country | Link |
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US (1) | US20230372177A1 (en) |
EP (1) | EP4225246A1 (en) |
CA (1) | CA3191234A1 (en) |
FR (1) | FR3114966B1 (en) |
WO (1) | WO2022079376A1 (en) |
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Publication number | Priority date | Publication date | Assignee | Title |
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US11633317B2 (en) * | 2019-10-24 | 2023-04-25 | Christina Marie Whipple | Comfort therapy |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BE1014721A5 (en) | 2002-03-22 | 2004-03-02 | Wiele Michel Van De Nv | AND METHOD FOR loom weaving fabrics with pile loops. |
DE602005027786D1 (en) * | 2004-10-06 | 2011-06-16 | Hill Rom Services Inc | Device for improving an air flow under a patient |
US20090056030A1 (en) | 2007-09-04 | 2009-03-05 | Ipm, Llc | Mattress cover for convalescing patient |
SE534293C2 (en) | 2009-03-16 | 2011-06-28 | Siw Eriksson | Multilayer Textiles |
WO2012098130A1 (en) | 2011-01-17 | 2012-07-26 | Vds Weaving Nv | A tridimensional woven fabric, an integrated permeate channel membrane comprising said fabric and uses thereof |
US20140101861A1 (en) * | 2012-10-15 | 2014-04-17 | Kap Medical, Inc. | Patient support appratus and method |
US20170065473A1 (en) | 2015-03-24 | 2017-03-09 | James R. Scott | Patient Inflatable Positioners and Positioner Bags |
DE102016125881B3 (en) | 2016-12-29 | 2018-03-29 | Müller Textil GmbH | Spacer fabric, composite material formed with the spacer fabric, and use of the composite material |
-
2020
- 2020-10-12 FR FR2010419A patent/FR3114966B1/en active Active
-
2021
- 2021-10-08 WO PCT/FR2021/051750 patent/WO2022079376A1/en unknown
- 2021-10-08 US US18/031,436 patent/US20230372177A1/en active Pending
- 2021-10-08 EP EP21801597.2A patent/EP4225246A1/en active Pending
- 2021-10-08 CA CA3191234A patent/CA3191234A1/en active Pending
Also Published As
Publication number | Publication date |
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US20230372177A1 (en) | 2023-11-23 |
WO2022079376A1 (en) | 2022-04-21 |
FR3114966B1 (en) | 2022-11-11 |
FR3114966A1 (en) | 2022-04-15 |
CA3191234A1 (en) | 2022-04-21 |
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