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WO2011094883A1 - Vest for therapeutic applications - Google Patents

Vest for therapeutic applications Download PDF

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Publication number
WO2011094883A1
WO2011094883A1 PCT/CH2011/000016 CH2011000016W WO2011094883A1 WO 2011094883 A1 WO2011094883 A1 WO 2011094883A1 CH 2011000016 W CH2011000016 W CH 2011000016W WO 2011094883 A1 WO2011094883 A1 WO 2011094883A1
Authority
WO
WIPO (PCT)
Prior art keywords
vest
vest according
electronic components
therapeutic
membrane
Prior art date
Application number
PCT/CH2011/000016
Other languages
German (de)
French (fr)
Inventor
Anne Koss
Original Assignee
Smp Swiss Medical Products Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Smp Swiss Medical Products Gmbh filed Critical Smp Swiss Medical Products Gmbh
Publication of WO2011094883A1 publication Critical patent/WO2011094883A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N2/00Magnetotherapy
    • A61N2/002Magnetotherapy in combination with another treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/14Bandages or dressings; Absorbent pads specially adapted for the breast or abdomen
    • A61F13/143Thorax bandages or bandaging garments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/007Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0254Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor
    • A61H23/0263Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor using rotating unbalanced masses
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D1/00Garments
    • A41D1/04Vests, jerseys, sweaters or the like
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/12Surgeons' or patients' gowns or dresses
    • A41D13/1236Patients' garments
    • A41D13/1281Patients' garments with incorporated means for medical monitoring
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D2400/00Functions or special features of garments
    • A41D2400/10Heat retention or warming
    • A41D2400/12Heat retention or warming using temperature-controlled means
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D27/00Details of garments or of their making
    • A41D27/02Linings
    • A41D27/04Removable linings
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D27/00Details of garments or of their making
    • A41D27/28Means for ventilation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001Body part
    • A61F2007/0018Trunk or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/007Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
    • A61F2007/0077Details of power supply
    • A61F2007/0084Details of power supply using a solar cell
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02Compresses or poultices for effecting heating or cooling
    • A61F2007/0225Compresses or poultices for effecting heating or cooling connected to the body or a part thereof
    • A61F2007/0233Compresses or poultices for effecting heating or cooling connected to the body or a part thereof connected to or incorporated in clothing or garments
    • A61F2007/0234Compresses or poultices for effecting heating or cooling connected to the body or a part thereof connected to or incorporated in clothing or garments for the upper part of the trunk, e.g. bodice
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/02Characteristics of apparatus not provided for in the preceding codes heated or cooled
    • A61H2201/0207Characteristics of apparatus not provided for in the preceding codes heated or cooled heated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/08Trunk
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N2/00Magnetotherapy
    • A61N2/02Magnetotherapy using magnetic fields produced by coils, including single turn loops or electromagnets

Definitions

  • the invention relates to a vest for therapeutic use by means of oscillation, magnetic signal therapy and heat and other physical signals.
  • Functional pulmonary disorders is usually a reduction in compliance (organic extensibility) and / or increase in the resistance (respiratory
  • Circulatory load accompanied by an oversupply of partially mucous
  • Symptoms include Pneumatic knock compression TheVest® from Hill, USA, and Oxycare's VibraVest from Germany, which uses high-frequency massage motors.
  • the product versions allow the completion of everyday actions, such as putting on and taking off, sitting down and the general mobility or belted
  • Improvement and alleviation should in particular be understood as meaning that a subjective dyspnea of the patients decreases, or the exacerbation of mucosal bronchial secretion is relieved or in the patient
  • the target group are patients of all ages, especially with chronic ones
  • Respiratory diseases such as asthma, bronchitis, cystic fibrosis (CF), other chronic obstructive pulmonary disease (COPD / COLD), other
  • Fibrosis pronounced atelectasis, organ or other dysfunctional conditions of the lung, also and in particular of cardiac origin, as well as with acute and chronic pneumonia, or in the postoperative transplantation state the goal to prevent the same processes in eg bed-rest or inactivity (eg wheelchair-boundness).
  • Patent claim 1 solved.
  • the advantage of the invention is that, while eliminating the execution deficiencies of existing on the market products, in addition to the
  • Fig 1 vest for therapeutic applications
  • Fig 2 Structure thorax
  • Fig. 3 Detail view of Fig. 1 - Westenform notion
  • Fig. 4 Detail view of Fig. 1 - Structure of the west membrane
  • Fig. 5 Detail view of Fig. 1 - recess Mediastinum
  • Fig. 6 Detail view of Fig. 1 - Access engine removal
  • Fig. 7 Detail view of Fig. 1 - back of the vest
  • Fig. 8 Detail view of Fig. 1 - Pulse generator positioning
  • Fig. 9 Detail view of Fig. 1 - Pulse propagation
  • FIG. 10 Cross-section of the thorax wall / neuralgia cause
  • Fig. 1 Detail view of Fig. 1 - scheme signal transmission
  • FIG. 12 detailed view of FIG. 1 - cutout of bony structures.
  • Fig. 13 Detail view of Fig. 1 - risk area of the thoracic spine
  • Fig. 14 Detail view of Fig. 1 - Positioning heating elements
  • Fig. 15 Detail view of Fig. 1 - Magnetspulenpositionierung
  • FIG. 16 detailed view of FIG. 1 - systemically inherent risk areas
  • FIG. 17 Detail view of Fig. 1 - placement of supply elements
  • Fig. 1 shows the vest for therapeutic applications.
  • the vest is characterized by one-piece or by in the spine area (1) by means of Velcro, snaps, ⁇ senschnürung or other types of connection options, multi-part design, shoulder side with a detachable connection, characterized by a med.
  • Emergency necessary quick release (2) such as Velcro or snaps starting and ending at the level of the lung base (32), laterally by possible
  • Zipper (7) snaps or other releasable attachment possibility connected to the center chuck (20), characterized by located between the center chuck and outer skin (21) and designed by eyelets or similar possibilities ventilation ducts (8) and the inclusion of electronic components, such as oscillating Pulse generator (9), magnetic signal coils (10), heating units (1 1) and optionally control (30) and supply (14), as well as the molded middle membranes (22) and possible pads (12) and protectors (28) to reduce the pressure sensitivity (16), and further located in the frontal, frontolateral, or Latera I Scheme, alternatively by externally accessible (37) inside pockets (29, 30) designed
  • electronic components such as oscillating Pulse generator (9), magnetic signal coils (10), heating units (1 1) and optionally control (30) and supply (14), as well as the molded middle membranes (22) and possible pads (12) and protectors (28) to reduce the pressure sensitivity (16), and further located in the frontal, frontolateral, or Latera I Scheme, alternatively by externally accessible (37) inside pockets (29, 30) designed
  • Storage options characterized by fastening devices for latching, sliding or hanging the hand control units and the

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

The therapeutic vest predominantly treats respiratory tract diseases and makes it easier to cough up viscous mucus by means of targeted application of synchronous, cyclic oscillation by pulse generators (9). The therapeutic vest improves blood circulation and increases the lymph flow by means of integrated magnetic signal coils (10). Additionally integrated heat application allows the oxygen availability to be increased significantly. Pulse sources and transmitting membranes arranged in consideration of anatomical and physiological aspects enable balanced signal dosing and suitability for children. The therapeutic vest is comfortable to wear due to ventilated climatic membranes (8) and easy to clean. A further developed energy supply enables one to spend one's days flexibly and independently at home and enables mobility in professional therapeutic use. Special incorporated enclosures allow the system to be removed quickly in an emergency, while holes and extra padding protect sensitive bone projections and reduce the influence of electronic induction and a tracking module allows the therapeutic vest to be found in an emergency.

Description

Weste für therapeutische Anwendungen  Vest for therapeutic applications
Die Erfindung betrifft eine Weste für therapeutische Anwendung mittels Oszillation, Magnetsignaltherapie und Wärme sowie anderweitigen, physikalischen Signalen. The invention relates to a vest for therapeutic use by means of oscillation, magnetic signal therapy and heat and other physical signals.
Funktionellen Lungenstörungen liegt meistens eine Verringerung der Compliance (organische Dehnbarkeit) und/oder Erhöhung der Restistance (respiratorischer Functional pulmonary disorders is usually a reduction in compliance (organic extensibility) and / or increase in the resistance (respiratory
Widerstand) zugrunde. Unabhängig deren Ursachen, führt dies -insbesondere bei chronischen Zuständen- zu ausgeprägter Krankheitssymptomatik, wie kurzatmiger Dyspnoe mit erheblich gesteigerter Anstrengung beim Atmen sowie erheblicher Resistance). Regardless of their causes, this leads - especially in chronic conditions - to marked disease symptoms, such as shortness of dyspnea with significantly increased effort while breathing and considerable
Kreislaufbelastung, begleitet von einem Überangebot an teilw. mukösem Circulatory load, accompanied by an oversupply of partially mucous
Bronchialsekret und folgender Hypoxie des Gesamtorganismus. Bronchial secretions and subsequent hypoxia of the whole organism.
Aus der Begleittachykardie und dem meist schon chronischen Hypertonus, resultiert nicht selten schnelle Überlastung mit Erschöpfungszuständen, der sog. Exazerbation. Die Betroffenen befinden sich vielfach in einem allgemein reduzierten From the accompanying tachycardia and the mostly chronic hypertension, not infrequently results in rapid overload with exhaustion, the so-called exacerbation. The affected are often in a generally reduced
Gesundheitszustand und neigen häufig prozessbedingt zum leichten Schwitzen. Health condition and often tend process-related to slight sweating.
Die zwei derzeitig am Markt verfügbaren Produkte zur Behandlung solcher The two products currently available on the market to treat such
Symptomatiken sind die mittels pneumatischer Klopfkompression arbeitende TheVest® von Hill Rom aus den USA, sowie die mittels Massagemotoren im Hochfrequenzbereich arbeitende VibraVest von Oxycare aus Deutschland. Symptoms include Pneumatic knock compression TheVest® from Hill, USA, and Oxycare's VibraVest from Germany, which uses high-frequency massage motors.
Die auf dem Markt sich befindlichen Produkte sind nur vage entwickelt und The products on the market are only vaguely developed and
berücksichtigen die anatomischen und physiologischen Aspekte des Patienten, bzw. der Erkrankung nicht. Neben unzureichender Berücksichtigung sämtlicher anatomischer und physiologischer Grundlagen, bleiben neben der Behinderung in Lebensqualität der Patienten insbesondere deren durch die Krankheit verursachten, gesundheitlichen Hauptprobleme, unberücksichtigt. do not take into account the anatomical and physiological aspects of the patient or the disease. In addition to insufficient consideration of all anatomical and physiological foundations, apart from the disability in the quality of life of patients, in particular their major health problems caused by the disease are not considered.
So lassen die Produktausführungen das Vollziehen alltäglicher Handlungen, wie An- und Ausziehen, Hinsetzen und die Allgemeinbeweglichkeit oder angegurtetes  Thus, the product versions allow the completion of everyday actions, such as putting on and taking off, sitting down and the general mobility or belted
Autofahren, bauartbedingt nur unter erheblicher Anstrengung und Einschränkung im Komfort, bzw. gar nicht zu. Eine Therapiedurchführung bei akzeptabler Mobilität innerhalb der Gesellschaft ist mit derzeitigen Produkten nicht möglich. Auch sind mit derzeitigen Produkten die Besonderheiten von Herzschrittmacherpatienten hinsichtlich Driving, due to the design only under considerable effort and restriction in comfort, or not at all. A therapy with acceptable mobility within the society is not possible with current products. Also, with current products, the peculiarities of pacemaker patients regarding
BESTÄTIGUNGSKOPIE Tragekomfort und elektronisch-induktiver Empfindlichkeit oder solche, postoperativer Patienten nicht berücksichtigt. CONFIRMATION COPY Comfort and electronic-inductive sensitivity or those postoperative patients not considered.
Therapiedurchführungen mit derzeitig verfügbaren Produkten wirken laut und werden als unangenehm oder durch ungezielte Massageapplikation, unpräzise berichtet. Ferner ist die Intensität, hochfrequent vibrierender Manipulation insbesondere für Kinder, medizinisch als häufig nicht ausreichend dosierbar zu sehen. Diese bauartbedingte, lokal zu intensiv applizierte Massage birgt das Risiko von Parästhesien und Neuralgien (z.B. Intercostalneuralgie (Fig.10)) durch massive Überreizung in sich, ohne dass anderenorts von einer ausreichenden Effektivität ausgegangen werden kann. Therapeutic procedures with currently available products are loud and are reported as being uncomfortable or by untargeted massage application, imprecise. Furthermore, the intensity, high-frequency vibrating manipulation, especially for children, medically seen as often not sufficiently dosed. This locally induced, locally applied massage carries the risk of paresthesia and neuralgia (e.g., intercostal neuralgia (Figure 10)) due to massive overstimulation without sufficient efficacy elsewhere.
Im Rahmen der pneumatisch arbeitenden Kompressionsanwendung werden hingegen innertherapeutisch zusätzliche Durchblutungs- und Volumenreduktion des Brustkorbes mit einhergehender, partieller Reduktion der Mikrozirkulation sogar eher begünstigt. In the context of the pneumatically operated compression application, however, additional intraoperative blood circulation and volume reduction of the thorax with accompanying, partial reduction of the microcirculation are even more favorable.
Die Endausführungen beider Produkte in balonartig an Schwimmwesten erinnernden, auftragendem Weichkunststoff oder versteiftem Polyestergewebe fördern die The final versions of both products in balonartig reminiscent of life vests, applying soft plastic or stiffened polyester fabric promote the
bestehende Transpirationsneigung oder die Entwicklung von z.B. allergisch bedingten Dermatosen erheblich. existing transpiration tendency or the development of e.g. allergic dermatoses significantly.
Weder auf Förderung der Mikrozirkulation noch auf Wärmeerhalt oder Klimaausgleich nehmen derzeitig verfügbare Produkte Rücksicht. Der effektive Therapienutzen der bestehenden Produkte ist somit als inakzeptabel anzusehen.  Neither promotion of microcirculation nor heat preservation or climate equalization take currently available products into consideration. The effective benefit of existing products should therefore be considered unacceptable.
Die erfindungsgemäße Weiterentwicklung verspricht bei therapeutischer Anwendung Besserung und Linderung einer akuten und/oder chronischen Dysfunktion der betroffenen Organsysteme. Besserung und Linderung sind insbesondere so zu verstehen, dass eine subjektive Dyspnoe der Patienten abnimmt, bzw. das Abhusten von mukösem Bronchialsekret erleichtert wird oder aber sich beim Patienten The further development according to the invention promises, with therapeutic application, improvement and alleviation of acute and / or chronic dysfunction of the affected organ systems. Improvement and alleviation should in particular be understood as meaning that a subjective dyspnea of the patients decreases, or the exacerbation of mucosal bronchial secretion is relieved or in the patient
zunehmendes Wohlgefühl unter dem geringst möglichen Risiko von Nebenwirkungen bei gleichzeitig höchster Therapieeffizienz einstellt. Increasing well-being with the lowest possible risk of side effects while at the same time setting the highest therapeutic efficiency.
Die Zielgruppe sind Patienten jeden Alters insbesondere mit chronischen The target group are patients of all ages, especially with chronic ones
Atemwegserkrankungen, wie Asthma, Bronchitis, Mukoviszidose (CF), weiteren chronisch obstruktiven Atemwegserkrankungen (COPD/COLD), anderweitigen Respiratory diseases such as asthma, bronchitis, cystic fibrosis (CF), other chronic obstructive pulmonary disease (COPD / COLD), other
Fibrosen, ausgeprägten Atelektasen, im postoperativen Transplantationszustand betreffender Organe oder sonstigen dysfunktionellen Zuständen der Lunge, auch und insbesondere kardialer Genese, sowie mit akuten und chronischen Pneumonien oder dem Ziel zur Prävention gleicher Prozesse bei z.B. Bettlägerigkeit oder Inaktivität (durch z.B. Rollstuhlgebundenheit). Fibrosis, pronounced atelectasis, organ or other dysfunctional conditions of the lung, also and in particular of cardiac origin, as well as with acute and chronic pneumonia, or in the postoperative transplantation state the goal to prevent the same processes in eg bed-rest or inactivity (eg wheelchair-boundness).
Die Aufgabe der erfindungsgemäßen Neuerung wird durch die Merkmale des The object of the innovation according to the invention is characterized by the features of
Patentanspruchs 1 gelöst. Patent claim 1 solved.
Erfindungsgemäße und vorteilhafte Weiterentwicklungen ergeben sich aus den Inventive and advantageous developments emerge from the
Patentansprüchen. Der Vorteil der Erfindung besteht darin, dass unter Behebung der Ausführungsdefizite von am Markt existierenden Produkten, neben der Claims. The advantage of the invention is that, while eliminating the execution deficiencies of existing on the market products, in addition to the
alltagsgebräuchlichen Ausführung des Systems, eine medizinisch notwendige Therapie unter anatomisch-physiologischen Gesichtspunkten exakt und zielgerichtet unter der Berücksichtigung umfangreicher Komplementärbehandlungen bei gleichzeitig bester Annehmbarkeit und höchster Effektivität an Patienten unterschiedlichster Everyday customary execution of the system, a medically necessary therapy under anatomic-physiological aspects exactly and purposefully under the consideration of extensive complementary treatments with at the same time best acceptability and highest effectiveness at patients most different
Voraussetzungen angewandt werden kann. Conditions can be applied.
Die Erfindung wird anhand eines Ausführungsbeispiels, welches in den Zeichnungen dargestellt ist, näher erläutert. Es zeigt: The invention will be explained in more detail with reference to an embodiment which is illustrated in the drawings. It shows:
Fig 1 : Weste für therapeutische Anwendungen Fig 1: vest for therapeutic applications
Fig 2: Aufbau Thorax  Fig 2: Structure thorax
Fig 3: Detailansicht von Fig. 1 - Westenformgebung  Fig. 3: Detail view of Fig. 1 - Westenformgebung
Fig 4: Detailansicht von Fig. 1 - Aufbau der Westenmembran  Fig. 4: Detail view of Fig. 1 - Structure of the west membrane
Fig 5: Detailansicht von Fig. 1 - Aussparung Mediastinum  Fig. 5: Detail view of Fig. 1 - recess Mediastinum
Fig 6: Detailansicht von Fig. 1 - Zugangsmöglichkeit Motorentnahme  Fig. 6: Detail view of Fig. 1 - Access engine removal
Fig 7: Detailansicht von Fig. 1 - Rückseite der Weste  Fig. 7: Detail view of Fig. 1 - back of the vest
Fig 8: Detailansicht von Fig. 1 - Impulsgeberpositionierung  Fig. 8: Detail view of Fig. 1 - Pulse generator positioning
Fig 9: Detailansicht von Fig. 1 - Impulsverbreitung  Fig. 9: Detail view of Fig. 1 - Pulse propagation
Fig 10: Querschnitt Thoraxwand/ Neuralgieursache  FIG. 10: Cross-section of the thorax wall / neuralgia cause
Fig 1 1 : Detailansicht von Fig. 1 - Schema Signalübertragung  Fig. 1: Detail view of Fig. 1 - scheme signal transmission
Fig 12: Detailansicht von Fig. 1 - Aussparung knöcherner Strukturen  FIG. 12: detailed view of FIG. 1 - cutout of bony structures. FIG
Fig 13: Detailansicht von Fig. 1 - Risikobereich Brustwirbelsäule  Fig. 13: Detail view of Fig. 1 - risk area of the thoracic spine
Fig 14: Detailansicht von Fig. 1 - Positionierung Heizelemente  Fig. 14: Detail view of Fig. 1 - Positioning heating elements
Fig 15: Detailansicht von Fig. 1 - Magnetspulenpositionierung  Fig. 15: Detail view of Fig. 1 - Magnetspulenpositionierung
Fig 16: Detailansicht von Fig. 1 - systemimmanente Risikobereiche  FIG. 16: detailed view of FIG. 1 - systemically inherent risk areas
Fig 17: Detailansicht von Fig. 1 - Platzierung Versorgungselemente Fig. 1 zeigt die Weste für therapeutische Anwendungen. Die Weste ist gekennzeichnet durch einteilige- oder durch im Wirbelsäulenbereich (1) mittels Klett, Druckknöpfen, Ösenschnürung oder andersartigen Verbindungsmöglichkeiten, mehrteilig gefertigte Ausführung, schulterseits mit einer lösbaren Verbindung, gekennzeichnet durch einen für med. Notfälle notwendigen Schnellverschluß (2), wie Klett oder Druckknöfe beginnend und endend in Höhe der Lungenbasis (32), seitlich durch mögliche Fig. 17: Detail view of Fig. 1 - placement of supply elements Fig. 1 shows the vest for therapeutic applications. The vest is characterized by one-piece or by in the spine area (1) by means of Velcro, snaps, Ösenschnürung or other types of connection options, multi-part design, shoulder side with a detachable connection, characterized by a med. Emergency necessary quick release (2), such as Velcro or snaps starting and ending at the level of the lung base (32), laterally by possible
Ösenschnürung oder Klett, bzw. sonstiger Verbindungsart, an den Körper Ösenschnürung or Velcro, or other connection, to the body
anpassungsfähiger Einstellmöglichkeit, wie Stretchband, versehen (3), im adaptable adjustment, such as stretch band, provided (3), im
Frontalbereich mit Knöpfen, Druckknöpfen, Klett, Ösen- oder Haken, bzw. Schnappgurt oder Reißverschluß ausgestatteter Verschluß- und Einstellmöglichkeit (4) versehen, mit mehrschichtigem Wand- und Futteraufbau (5), gekennzeichnet durch das Bestehen aus diffusionsoffenem Innenfutter (6) -der wechselbaren Innenweste-, durch Frontal area with buttons, press studs, Velcro, eyelet or hook, or snap belt or zipper equipped closure and adjustment (4) provided with multi-layer wall and lining structure (5), characterized by the existence of diffusion-open inner lining (6) -der interchangeable interior vest, through
Reißverschluß (7), Druckknöpfe oder anderweitige lösbare Anhaftungsmöglichkeit mit dem Mittelfutter (20) verbunden, gekennzeichnet durch die sich zwischen Mittelfutter und Außenhaut (21) befindlichen und durch Ösen oder ähnliche Möglichkeiten gestalteten Lüftungskanäle (8) sowie die Aufnahme der elektronischen Bauteile, wie oszillierende Impulsgeber (9), Magnetsignalspulen (10), Heizeinheiten (1 1 ) und ggf. Steuerung (30) samt Versorgung (14), sowie den geformten Mittlermembranen (22) und möglichen Polstern (12) und Protektoren (28) zur Reduktion der Druckempfindlichkeit (16), sowie weiter sich im Frontal-, Frontolateral-, oder Latera Ibereich befindlichen, alternativ durch von Außen zugängliche (37) Innentaschen (29, 30) gestaltete Zipper (7), snaps or other releasable attachment possibility connected to the center chuck (20), characterized by located between the center chuck and outer skin (21) and designed by eyelets or similar possibilities ventilation ducts (8) and the inclusion of electronic components, such as oscillating Pulse generator (9), magnetic signal coils (10), heating units (1 1) and optionally control (30) and supply (14), as well as the molded middle membranes (22) and possible pads (12) and protectors (28) to reduce the pressure sensitivity (16), and further located in the frontal, frontolateral, or Latera Ibereich, alternatively by externally accessible (37) inside pockets (29, 30) designed
Aufbewahrungsmöglichkeiten, gekennzeichnet durch Befestigungsvorrichtungen zum Einklinken-, schieben oder hängen der Handsteuerungseinheiten sowie der Storage options, characterized by fastening devices for latching, sliding or hanging the hand control units and the
Akkumulatoren (13) bzw. der Solarversorgung (24) und mgl. Kabellage (14). Accumulators (13) or the solar supply (24) and mgl. Cable layer (14).

Claims

Patentansprüche claims
1.Weste zur Therapieanwendung bei Atemwegserkrankungen, gekennzeichnet dadurch, das durch die Integration von Impulsgebern mittels Oszillations (9)- und Magnetsignalen (10) oder anderweitigen physikalischen Signalen Symptom lindernd wirkende Impulse (36) durch elektronische (30) und mechanische Regulierung (22) gezielt appliziert werden können, sowie elektronisch ansteuerbaren Wärmeelementen (1 1 ), die der Durchblutungsförderung und Klimaregulierung dienen, sowie 1.West for the treatment of respiratory diseases, characterized by the (36) by the integration of pulse generators by means of oscillation (9) - and magnetic signals (10) or other physical signals symptom alleviating impulses by electronic (30) and mechanical regulation (22) can be selectively applied, as well as electronically controllable heat elements (1 1), which are used to promote circulation and climate regulation, and
bauartbedingten Aussparungen (15, 25) oder Unterpolsterung elektronischer Bauteile (28) in erregungs- und druckempfindlichen Bereichen und unabhängiger design-based recesses (15, 25) or padding of electronic components (28) in excitation and pressure sensitive areas and independent
Energieversorgung (13, 24) sowie der Möglichkeit durch zusätzliche, technisch gelöste Konfigurationsmöglichkeit das Therapiesystem dem Träger anzupassen (23) sowie weiter dadurch gekennzeichnet, dass die Anordnung der Bauteile den anatomischen und physiologisch aktuellen Medizinkenntnissen (34) entspricht und durch Energy supply (13, 24) and the possibility of additional, technically solved configuration possibility to adapt the therapy system to the carrier (23) and further characterized in that the arrangement of the components to the anatomical and physiologically current medical knowledge (34) and by
konstruktionsbedingten Schichtaufbau (5) einen angenehmen Tragekomfort mit Schweiß- und Klimaregulation (19) besitzt sowie gute hygienische Pflegeeigenschaften vorweist und durch technische Lösungen die Möglichkeit schafft, das Therapiesystem durch leichte, von außen zugängliche Handhabung (37) steuern und bedienen zu können, sowie es bei medizinischer Notwendigkeit rasch entfernen zu können (2) oder dem Träger zu ermöglichen, mittels Ausstattungsdetails eines Ortungssystems (29) gezielt aufgefunden zu werden. construction-related layer structure (5) has a comfortable fit with welding and climate regulation (19) and good hygienic care features and technical solutions provides the ability to control the therapy system by easy, externally accessible handling (37) and can, as well to be able to rapidly remove medical need (2) or to allow the wearer to be targeted by means of equipment details of a positioning system (29).
2. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass die Ausführung aus flexiblen Material in mind. dreischichtigem Aufbau (5) eine mittels Reißverschluss (7), Druckknöpfen oder ähnlichem Anhaftungsmaterial heraustrennbare, aus einer diffusionsoffenen Membran (6) bestehende Innenweste zur Klimaregulation (19) und Feuchtigkeitstransport nach Außen vorweist, wobei deren benachbarte, gefütterte und partiell gepolsterte Mittelmembran (20) in Zusammenhang mit der gefütterten und partiell gepolsterten Außenmembran (21 ) die eigentliche Weste zur Aufnahme der elektronischen Bauteile, wie Steuerung, oszillierenden Impulsgeber (9) mitsamt Mittlermembran (22), Magnetsignalspulen (10) und Heizelementen (11) sowie deren gesamte elektronische Versorgungsstruktur (14), verbunden mittels aus Ösen oder ähnlichen Möglichkeiten ausgeführten Lüftungskanälen (8) darstellt, wobei die mittlere Membran aus feuchtigkeitsdichtem, pflegeleichten und die Außenmembran aus feuchtigkeitsdichtem und gleichsam pflegeleichtem und desinfizierbarem Material besteht, darstellt. 2. vest according to claim 1, characterized in that the execution of flexible material in mind. Dreischichtigem structure (5) by means of a zipper (7), snaps or similar attachment material herausschennbare from a vapor-permeable membrane (6) existing inner vest for climate regulation (19) and moisture transport to the outside, with its adjacent, padded and partially padded central membrane (20) in connection with the padded and partially padded outer membrane (21) the actual vest for receiving the electronic components, such as control, oscillating pulse generator (9) together with the middle membrane ( 22), magnetic signal coils (10) and heating elements (11) and their entire electronic supply structure (14), connected by means of eyelets or similar possibilities running ventilation ducts (8), wherein the middle membrane of moisture-proof, easy-care and the outer membrane of moisture-proof and, as it were, easy-care and disinfectable material.
3. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sich im Bereich der Schultern beidseits von vorne im liegenden Zustand zugängliche Öffnungsmöglichkeit durch Klett oder ähnliche über die gesamte Schulterbreite zu öffnende, bestehende und schnell lösbare Verbindung darstellt (2). 3. vest according to claim 1, characterized in that in the region of the shoulders on both sides of the front in the horizontal state accessible opening possibility by Velcro or similar over the entire shoulder width to open, existing and rapidly releasable connection is (2).
4. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sich im Bereich des vorderen, rechts oberen gelegenen Westenbereichs eine von Innen und sich unterhalb der Innenweste befindliche und versiegelte Zugangsmöglichkeit zu den sich dort befindlichen elektronischen Bauteilen darstellt (23). 4. vest according to claim 1, characterized in that in the area of the front, upper right west area located from inside and below the inner vest and sealed access to the electronic components located there (23).
5. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass die eingearbeiteten Signalgeber zyklischer Oszillation (9) elektronisch angesteuert und reguliert sind sowie synchrone Impulse im medizinischen Niederfrequenzbereich abgeben (36). 5. vest according to claim 1, characterized in that the incorporated signal generator cyclic oscillation (9) are electronically controlled and regulated as well as deliver synchronous pulses in the medical low frequency range (36).
6. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie ein oder mehrere Heizelemente herkömmlicher Wickeldrahtausführung, Carbonausführung oder 6. vest according to claim 1, characterized in that it comprises one or more heating elements conventional winding wire, carbon or
Infrarotausführung beinhaltet (11). Infrared version includes (11).
7. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie eine der menschlichen funktionellen Anatomie angepasste Grundform (34) besitzt, derart ausgearbeitet, dass sie die unteren Atemwege ab der Bronchialgabelung (31 ) beidseits bis zum Zwerchfell zwischen Basis (32) und Spitze (33), im hinteren Teil nach unten erweitert, äußerlich abdeckt. 7. vest according to claim 1, characterized in that it has a human functional anatomy adapted basic shape (34), designed so that they the lower airways from the bronchial crotch (31) on both sides to the diaphragm between the base (32) and tip (33 ), in the rear part extended downward, externally covering.
8. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie über eine 8. vest according to claim 1, characterized in that it has a
Aussparung elektronischer Bauteile im Mediastinalbereich (Mittelfellraum) verfügt (15). Recess of electronic components in the mediastinal area (mid-pelvic space) has (15).
9. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sich die Impulsgeber zur Abgabe der Oszillationsimpulse (36) auf definiert geformten Mittlermembranen befinden (22, 35). 9. vest according to claim 1, characterized in that the pulse generator for delivering the oscillation pulses (36) are on defined shaped mid-membranes (22, 35).
10. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie eine oder mehrere Magnetsignalspulen oder Magnetsignalgeber, gleich welcher Form, beinhaltet (10). 10. vest according to claim 1, characterized in that it contains one or more magnetic signal coils or magnetic signal transmitter, of whatever form, (10).
1 1. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass die 1 1. vest according to claim 1, characterized in that the
Akkumulatoreneinheit (13) über eine Solareinheit (24) gespeist werden kann Accumulator unit (13) via a solar unit (24) can be fed
12. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie über Aussparung elektronischer Bauteile im Bereich prominenter Körperstrukturen, wie Wirbelsäule oder Schulterblätter verfügt (25). 12. vest according to claim 1, characterized in that it has recess of electronic components in the area of prominent body structures, such as spine or shoulder blades (25).
13. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass der mehrschichtige Wandaufbau über Klima regulierende Lüftungskanäle verfügt (8). 13. vest according to claim 1, characterized in that the multi-layered wall structure has climate-regulating ventilation ducts (8).
14. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie über eine heraustrennbare, aus einer diffusionsoffenen Membran bestehenden und Klima regulierenden (19) Innenweste verfügt (6, 7). 14. Vest according to claim 1, characterized in that it has a detachable, consisting of a vapor-permeable membrane and climate regulating (19) vest has (6, 7).
15. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass die eingearbeiteten, elektronischen Bauteile nach physiologischen Gesichtspunkten gemäß der 15. vest according to claim 1, characterized in that the incorporated, electronic components according to physiological aspects according to
menschlichen, funktionellen Anatomie anhand der Lungenlappen sowie human, functional anatomy based on the lung lobes as well
Lungensegmente ausgerichtet sind (26). Lung segments are aligned (26).
16. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie im Bereich prominenter Körperstrukturen, insbesondere der Schulterblätter über zusätzliche Protektoren verfügt (12). 16. vest according to claim 1, characterized in that it has in the area of prominent body structures, in particular the shoulder blades on additional protectors (12).
17. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie im Bereich der Wirbelsäule über zusätzliche Druckentlastung durch Materialunterbrechung verfügt (1 , 27). 17. vest according to claim 1, characterized in that it has in the region of the spine on additional pressure relief by material interruption (1, 27).
18. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass rückseitig gelegene Bauteile ein zusätzlich als Liegeschutz fungierende Abpolsterung aufweisen (28). 18. A vest according to claim 1, characterized in that components located at the rear have an additional padding acting as a Lieprotection (28).
19. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie eine Auffindefunktion mittels eingearbeiteter Ortungselektronik und 19. vest according to claim 1, characterized in that it has a detection function by means of incorporated location electronics and
Positionierungsbestimmung beinhaltet (29). Positioning determination includes (29).
20. Weste nach Patentanspruch 1 dadurch gekennzeichnet, dass sie im vorderen Bekleidungsteil über von außen (29, 30) oder innen zugänglich gemachte Hohlräume zur Aufnahme der von außen bedienbaren Steuerelemente (37) verfügt. 20. vest according to claim 1, characterized in that it has in the front garment on the outside (29, 30) or inside made accessible cavities for receiving the externally operable controls (37).
PCT/CH2011/000016 2010-02-04 2011-02-04 Vest for therapeutic applications WO2011094883A1 (en)

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CH1272010A CH702660A2 (en) 2010-02-04 2010-02-04 Vest for therapeutic use by oscillation, magnetic signal therapy and heat and otherwise, physical signals.

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