CA2570648A1 - Compression sleeve having air conduit - Google Patents

Compression sleeve having air conduit Download PDF

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Publication number
CA2570648A1
CA2570648A1 CA002570648A CA2570648A CA2570648A1 CA 2570648 A1 CA2570648 A1 CA 2570648A1 CA 002570648 A CA002570648 A CA 002570648A CA 2570648 A CA2570648 A CA 2570648A CA 2570648 A1 CA2570648 A1 CA 2570648A1
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CA
Canada
Prior art keywords
sleeve
recited
compression sleeve
conduit
air
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.)
Granted
Application number
CA002570648A
Other languages
French (fr)
Other versions
CA2570648C (en
Inventor
Ann Meyer
Garth Baker
Mark Vess
Malcolm Bock
Richard Braga
Jesse Denson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
KPR US LLC
Original Assignee
Tyco Healthcare Group LP
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Publication date
Application filed by Tyco Healthcare Group LP filed Critical Tyco Healthcare Group LP
Priority to CA2795316A priority Critical patent/CA2795316A1/en
Priority to CA2795368A priority patent/CA2795368A1/en
Publication of CA2570648A1 publication Critical patent/CA2570648A1/en
Application granted granted Critical
Publication of CA2570648C publication Critical patent/CA2570648C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/135Tourniquets inflatable
    • 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
    • A61F13/06Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • 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
    • A61H2205/12Feet
    • 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
    • A61H2209/00Devices for avoiding blood stagnation, e.g. Deep Vein Thrombosis [DVT] devices

Abstract

A compression sleeve is described as having a first sheet, a second sheet attached to said first sheet and defining at least one inflatable section, and at least one conduit disposed in the at least one of said inflatable sections.

Description

.,...

CtDNTPRf;,SSION SLLEW, HAYING AIR CONllUtT
KAt'KCRt7U"vD

L. 7'Cchtuc:rl Field '!'}ie present clisclnsure re.ateti generally to a compresyiunsleeve for utie in a system rt,u applyiiio contk+,;:"ive force~ ni- pressure to a naticait', limb, s.uch a,r tl7e leg. In particulzr, th = pcesent diselck%ucc MIutes to a cotitprc,tiion cleeve thac niaintfluis Uir flow in thc entire s.ee~e durii-ig cotuprestiion therapy when wr:tpped around thC
litnb of aiz im.;ividual.
2. 1?esccriptiun of itel~t~ t rurnPtv:ssion dcvices for apltlyitlg corrtpressive forces to a seicctcd area of a p:rtiun's a.nntnstiy ar: ge:zerally eniplawci tU iminrovc lilckxl tlow ila the selected arra, t:nniqtcssioti aevices that provide icttermittet9t l.,utses of a conilarassed fluid te.g. air) to inflate- at least ane inflatable charnher in a sit=--ve. are particular ly useful. This cyclic applicatierrt of kryrCSsurc provides a tioti-irrvatiive method uf'prnphylaxis to i-eduCe the incidence of cl::cp veiti thrombosis (DVT), fand the lilcc. Thc.sc cornpressiorc devices find particular u.ye d:cring surgcty on pauents witit high-risk conditionc such a%
ohesity, advanced age, itivlig+iancy. or priur ttirotnhr,embolisr.ci. Fatient;; wla h;tve this ectndition t,ften have .welling (i.s-, ekien7a) und tissue ttie"tlcdown t:i.e. venou. %ta5is ulccrl in the low4r leg.

lii general, corr.rrc~.Siun clevices incl+.zdc asleevz hav:tig ut lettst one Iluid iiutataFile prl,sttre chamber Iaro-reswively arr:mgcd tungitudinally ak,ng thc sleeve. A
pitrssure tiource (e.g. a pi.tnz p) is presvicled for i,tteraaitu:nlly forniing a pressure pulye witl.litti these inftatahie :hannFrers from a source aC pressurized fluid during pc;riodic c,imprcssion cycJcs. The coatpresjic>n sleeves rrovitic a pressure gi-ndicnt alung the patient's iintibs Juring thcse compression ovc1Cs, whiclr proxres,ively de4reascs ftxnm the lower portiun to the tipper portion of ttie limb (i.e. tmm the ank-l4 to the thigh).

Examples of coinprcisiun sleeves are rlisclosui in ii.S. Pitt, Nus. 4,013,069 :wei 4,0:30,48R to HaSty. U.S. Pat. Itiios. 4,029,087 r;itd 5,795,312 to llye. and U,$.1'at. No.
5,626,556 to Tnbler et al., all of which are currently owtieri by Tvco He,alt,ltcare Gtnup, LP
and are incorporated by r:fcrcnce herein in thcir entirrty. Other Lxamples of compression tile.eves are di,t:lc,seri in U.S. P'at-.rtt Nos. 4,696.299 to Gflrdtter et al. and 5.999;204 to L'uia.

When co,riprc5sion tl,crap_y is administered to a patient, the inflatable pressure chamhers of thc c,~w~pression sleeves of the forctuing ciesc:riptio,t ri,ay include trapped air.
'l'rappvrl air change~ the volume of a Charnber, thus reducing the pressurC
grsdient along lhe patient's iirnb during treatincnt. The shape, weight, attd position of a paticnt's limb will C'antribute tu thu sic.r aj,rl riumber of porkcts of air fc,rnied. Aii eEample of cotnpressien tt'eatn:eat irrctlioa iv clircloscd irr U.S. Yat. Nc,. 6,231,532 to Watson et 11., which is currently owtied by Tyco Nettithc:t=-rc Gr-uup. LP, the contents ol' which are hereby incorporated by rePer4nce liere.ui in thcir cntiretv.

SUMMAR'Y' The present disclosutc is dirrrtert towards a compression sleeve li,r r,laplyixtg compressive forces or pre:,,ure tc- r, sclcctcd portioii of a paticnt's anatrnitiy. The compression sleeve incluries a slccvc h;rving a p]urality of iz.ti'latable sectlons ;uld at Icaat one conduit dislx,.ed within one of the plurality of inflatable sections. A
plurnlity ot' lurriens ic provided for opi;r;ilively connecting tltc:,leeve to a caitroller having a source of ixes,Liri:cocl ll.uid (e.g. air). The cotllpressi n wieeve fut'thcr includes hook :and loop feattirc>
attached tilereti fur ,ectiring the compressio,t sleeve to the selCcted porliun at the patient's ariatc-mv.

>

Tn onc c.nibodimcnt, the coinpressicm ,1eeve imrltule; a sleeve for applying cor.tpECSt~iv. furces or pressure t.o a patient's limb (e.g. a leg). The sletrve includes ('ir.t and secor.d sheete defining a l)luWliiy uf inf]atahle ,4ections or chambers, aittl at least one air coriciuit disposed within rhe plurality of inflatshlr ,ections, '1'hc 1'irvt and sccontt sheets arc 1'ixedly joined hv radio frequcncy (RF) welding, or by ot11CT suitable 1r-Vthod5, alortg their corresponding pcrimetcrs, thzrehy clcfiniug a plur:Llity of inflatable sections thc,rt;brtween.
The secottd layer provides the tittac.l,rncut surface for the ltiwl: and loop feauired.

The piurnlity of inCl<<t;xble soction,e is mnfigumd for receivitig curd rst.aining a lrrec4urized fluial (C, air:) fratn a pres4urirr.'d 1'luid reutrce for cxcrtirii; compressive fnrccs or pres,ure= tt) a portion of the ptttietu's lc~C during sttccessive prestiure applying c:ycles.

The air eonduit is configurecl and adapted for ereuting a passage 10r facilitating the t7ow of the pressurizcd air in the plurality of iiulatable sr;c:tious or chambers during Coiitpression tt,rrapy. When thc pressurized air is ietroduced into eaclt iiiilaiable sectiotr, the passage created by tltc air cunduit between the first and second sheets improves the inFlatior~ ch.,r~tct~rislics uf each inflaritl-Ae scctiun. Moreover, th4 air conduit, during doflatioa ai'the compression sleevc, channels the pressurizLd air towards dte t'lnid source, thereby iniprovin,g the rcntoval o1'the nressuriz+r:=d aic- attd tninimixing the for-utatiun of random potkets of ptvssurirvc3 air.

Other 1'e3ture:+ of the prese,7tly disclnsed cont.prewaiun sleeve will brcome appn,crit frunt thc 10lluwing detaitc.d dcscription, taken in coctiunction with the ;ucompartying drwvings that illustrate, by way ot' exnmplc, the presently disclosecl compressiorr sleeve.
3 L1RII1 ' 1E '.qORiPTION OF'i'1 1F:1)RAWINGS

Tlte features of the presently disclosed comprescion slccve will hecomr= rnnre readily apparent by referring to t'::: Iolluwing detaileii description of ernbxliinciiLs, which arc desdrihed hcrc.inbclc.w wioh reference to the drawings. wheretn:

F(G. 1 is a plan view of a rotnpreS,iun .r=leeve, ur accordance witit the pre.etit (livclestrre;

t-lVS. 2A-213 are plan atitl cr+:+ss-sectional views, ruspectively, of a firsi emTiodimont of an air concirait in accordamcc with the presetu disclu,%ure;

F'ICi. 2C i; a ctoss-sectional view trrkciy along iine 2-2 in FIG. i, illustrating the ttir cauduit uf FTG. 2A prisitiocied witheu ttte inl7atahie sections of the comqressloIl sleevC;
FICS. 3A-3B are plieu1 and crctss-sectional vicws, respectively, of asecond etriE-ociiinent oE the air c;onduil in accordnncC with the preset Jisel.usure;

J,'1G. 3C is a cro,s-sectional view taY.en along linc 2-2 in )rTCT. 1, illustrating the air conduit of FIG. 3A positioricd within the inflatahlL stY:tions of the c.ompresston slccve;
FIIa S. 4A-4E3 are plan and c.rer~s-scc.tiutial views, respcctively, of yet aLiulher r.inbuditrre.nt a,i't:he air conduit in accorclar-cL with the preset disclosurc;

FTG. 4C is a croy.-swtional view tnken along line 2-2 in FIG. 1, illustrating the air conduit of FIG. =tA po:;itiuned with;rt thr. inflatablc sectiotis of the comrrvssion ,leeve;
FIGS. 5A-513 are plan tuid cross-sectional vie.ws. respectively, of yet another erttlkitiirrient of the air canduit irt accordance wi,th tit4 preset disclosure;

FIG, 'iC is a ctoxs-sectiottal view taken along line 2-2 in FIG. I.
illustcating the -tir couduit ul' 1"'IG. 5A positioned witliin thc. inl1;at;rble sectiosts o1" the conlpression slccv;,;
FIGS. 6A-6R ;rre lalan and cross-tier:t.it}7a1 views, rvspectively, uf yet anotlict emhaciimGrtt of the air conduit irr accordattc.c, with the preset disc:losure;
4 FIG. OC ia a cros5-.Stciionul view takGn ttlvng line 2-4 in FIG. I.
illustrating the air cun:iuit of Ctt3. 6A positioned within the intlatahle cections of the compressiun sleeve:
Flir';, 7.ra-713 arc plxn and crosS-sectroiial viCws, respectivcly, of yet another ernbodiment ril the air conduit in accordalWe with the presct :lisclttiaurc;

I"I(',. 7C. is a crocls-scctiunal view takcn, tttotig line 2-2 in FIG. 1, illustratiitg, the air conduit oi F'iCi. 7A l-m.,itioncd within the il;,i]at.able sections of the conipresyion sleeve:
FIG. 7D i4 a ftotit clc.vatiunal view of the compressive sleeve shuwing a liticar vaici acros5 rht~ sleeve;

ri+;$. 8A-Y}3 are frlan ant{ 4ross-aoclitmtll views, -cslx ctively, of yet anuther crntxxlirnent of the air conduit iu ucct>rdan4e wirh thc~ preset disclosure;

FIG. $C is a ctuss-,ectional view taken ak7Ytb line 2-2 in HG. 1, illttstrating the air couduit <yl~ FIG. t;A pcrsitioncd witltin the inflatahlz scA~t.icins of the compression sleevr:;
FTCT. 9 is a lllrtn vi4w of the cotnpres,ioa slcvve i!lustratinb yc~t another embodiment of the air critztluit in a4~ccrrd;uxce vti=ith the prr._cnt disclosure; and FIG3. lUA-Ii are, crnss-sectiouat views of nnothzr urtUcx3iment of tltc.
ct>mpressior, sle.eve iPlustrati.ng various textures uf an inner surfacc or f'irnr artd sCcond ,heets in accordance. with the pccscrit disclosure.

IJE1.'iULF,ll 1?F.RIPT'IQN

l;rferring iuow to the urawing tigurev, in whictt like referetrcc riumerals icicntify identical or cotrespondinl# eletnents, vsirious cmbudiMents o: thc prcs-ently disclu:,ed cot:ipression,leeve will now he desoribc.il in detaiI. The compre,,sian sleevc of the preseitt disclosure is similat to the compression sleeve discla;;ed in U,S. Patc-ut Nos. 5,626,556 to Tofaler et. a1.. tind 5,7'.75,:~ 12 to Dyc, hcuh of which at'e currently uwned hy Tyco LlralthCarc GrotiP, I.P and are incorporated by rofCr,tWe herein in thQir entirety.

. ,:.,.. CA 02570648 2006-12-08 W',th in1tiF11 rCfCiGnCk: tc, FIf,, 1. a cott.yprcrsicrrt slccve in accc>rdante with the present disclosvrc ts illustr.itecl and is clcsikrrated generally as cumpression sleeve 10. C.crmpressioti tilceve L(i is sdapteci ior uw in a svstem for applying conipressive forces or pressure to a portiort of a}:atierrt't, limhc cuch as. l'or ex:rmple, tltc legc.
Cornpiz.=stiion alccve 10 includcs first or esuter sheet 12 and :;c cond or inner sheet 14 c+>nncctGd by a pktrality of laterally rxcenciing senlirtg ti:ics ] ti and longitudinally extendirto stitling l itu:..s 18 connccting the ertd:
cf latetal scatitrg lines iti. First and wand shcet5 12, 14 arc adapted as iniicr itupervicre.rs sl,eets. for placement aga.i.ctst ttte person's l.imb~. Seating line, 16, 18 may he lurmed by r.raliu frequency (RF) wcicling. etc. Morr.over, sealing liniN 16.
J>i dcfine a pltrrallty uf lc,ngitudinally ctisposrd inFl;ttttble scctiurts or chanrbcrr 211n, 20b, and 20c whtch iu-c capable n1'rerainitrà a prctiwuri7ed rliud such a,~, Fa,r example, :iir, in order to cxrrt cOmp.ressiw fotccs to the patient's limb:y during S11eCC5sive pressLue-3pplying CytleS.

tirst .rllaer 127 may, tor exatnple, crauiprise a tiuitahla ficxible polytncric material such as. for exflmplc+, pulyvinyt Chloridc ll'vC) on thc orcle.r of 5-lll rttil. tbick. Secund sheet 14 will preferably comprisc a sirnilar pnlyriicric tnate.riat (i.c. 5-10 ntit PVC) having a :rna-wovrai material, tiuch as pulyester. lantutated tu the inner surface that i3 placed against thL litnb, therehy in4rreasinc the camfocr of dtc wearer. Eaett inflatablo secticfn 20a, 2Ub, anct 20c may rnclt:dc at least one +4ave-;lraped bordcr 22. Wheti irtl'latahle;eetions 2t)tr.
20b, attd 20c abut ctine anothct. wave-shaped bortier 22 detu2cs a plurality of un-inflatable "cycs", as ilhj;trr,tcd in 1-'IG. 1.

[ri aldr3,tiun, cumnressinn sic,c,va 10 includc; a plur;tlity of lwuk and loop !u~tcnct~s fcar atU;rhing the s?eeve alMut tiie patient's lirnii. Hook and loryp fasteiaers iricltidc a set ol' spaced strip.ti ?4a,141b, and 2=1L, suc.h as ioop cnuterir,l positio,ietl rm t'int sheet 12. Strips 2=1a, 24h, and 24c extend later,lly at t!te inflatable scctiun. 20s,1,0b. and 20c.;urd cooperate - ~ - - CA 02570648 2006-12-08 with a set of spa4cd hi,i7k nlarerials 26t+, 26b, and 26c disposed on se4ottil slteet 14 fr~t.
relea,a#aly fstitenirYg slc.:.ve. 10 tu the leg.

tiN'hcii contpression sleeve l.0 is attached rcr the paticut's limb5, each inflatable sccttvti 20w, 2t}b, and 20c is oric:nted ir. 3 direction that iti xuh5tanttally r_r;-nsvcrse to a longitudinal nxis of tltc patient's linZb. Tl-tat is. cc>misrr,ssion sleeve 10 c,itircles thr leg.

C.oltlprcstiitln Rlc.eve iU inctudc5 an elirngsrt'ed oycrtin_R 2$. oxteaadir,g througit what wouitl he the knee region 30 when tlie ;ieevc is crnployed to apply cotnpressive. forces or Prevst-lt: to t114 1lrttb. opening 28 'r,ei.ttg clefined by peripltetc-tl edges 32 extcricting around the optiwtg. In additiott, t.lie Kt:.}eC rl.giurt 30 has elongated ci.rt-ours ot op4nings 31a aitd 31 b being deftned by pcriphe.ri-I side edges 33a and 33h, respec=tivcly, C'nmpressioti s?eevc lU is pmvided with , sc;t cs!' lurnens 341, 34b aitd 34c having a cont,ect.or 36 for operably cot]u2cCti[ig lumens 141, 34b aatd 34c to u controllcr (not shcnvn) hnlitzg a sc,ttrcc ol' prc:.:,.uriied fluid (4.g. air).

Witla cuntinued reference to FIG. I. comprecsion aleeve 10 further includes a piurality of air conduits 38 disposed within ut least oiie (rf inflatable Sections 20a. 20b. or 20c. Air cortdtrit 38 is adapted for ereAtitlg a paõagc for facilitating thC
flow of the pressutizci.l air in the at lenst one i.nflatuble tiection 20a. 20b, or 20c wtlen ctrnipreysion therapy i~,heing administered. Eacl, air conduit A facilitates Iliu flow of the pressttriaed air within inflflrablc scctSc}as ?t_l;t, 2t1h, or 20c by separating titrst atid second streets 12 flnd 14 when compresiiost stcev4 lfi is in a clcflated state. Although air 4onduit :3R
is showit u.ti a lirrear structLire in the various tigures. air conduit 38 may be shaped to follow an arc that ,tthstantiflily correspunds to the arc defined hv inrlatable se::ticens 20aõ
2Ub, ur?Uc {se:.

1"IG_ 1) Air conduit 38 tiiay he fornted frocst extruded PVC. It is envisiuned that each air conduit 38 n1ay br +:c,n,~tructc.d ta fit the shulre of ottie.r llexihle slxves and foot cuffx such as thtrxr. uti ~il~l~l., frual xenda.li"s rra&ct catuiug H-4693VT "Vasct,lar nerary Producis."

Lt usc, c:c,rn;re54iort slocvc 10. iu accur1lanCC with the presew Clisclosure.
ic amfigr;recj co apl.riy 4UTnpressive tcrrces to a patient'41eg. C:nrapression slecvc W. is flo9ititytud abottt tkte lc;g of n paticnt, wherein hnok matc.ri:rlN 26a, 26b, and 26c are configured tt7r engaeing loop rn:rlerials 24a, 24b, anci 24c. Aftcr pluc.emcnt of ccrrnl--ressiurl sleeve 10 about a leg of the parient ulil cc,rmecting ccrtuprertiicrn rlccvc 10 to pr-essurtied i?uicl KOurce vii cotuiecUot= 36, ttie crntrr+licr (not shown) m:ty tl,en be actuatcd for supply-ing rxesstErized air to comprr,nion sleeve 10 and init.iotiitg corupres,ion rtic.rxpy. Thus, thc c:untruller intermirr.ently inflatcs inflat0le gections 20a, 20b, and 20c.
sequentrally cluring periodic compressiott cve:.ics and defines a prestiure gradient pt'ofilc.

Air cozduit 38 inhibits the formatlori of randoni pocke:t. c.yf air tn caLh Of thC.
ietllatable secr.ions. 'W'hen thc pressuriied ,iir is introducztt into c=ll itillutablc. 5ection 20. a, 21h, and 20c., the passagc created hy thc at azast onr nir conduit 38 located between first and sccotid s!Yee*.s 12, 14, improves thc iitflcttion Charac.tcristics of each i,>.!]atable eection Tn ktevices chat do not iiieluilc at ieast one air conrluit 3$, as inflntable se.cti.ons 20a, 20h, or 20c detlate, i=irst nntl second sheets 12, 1.4 collapsc: and may forut random pockets of presstuized air. 'C hesc. puc.ket, randomly redirect aticUctr re.strict the flow of the pressuri7ed fluiii through the inflatable sections 2Ua, 20h, or 20c, thctt:by cihrtructittg the reumoval of t.he l,ressurized fluid.

kty positioning air condi+it 38 within inflntal,ic sections 20fl, 20b, or 20c.
a passage is created lur f auilitt,ting thL: flow of firessttri=red fluitl in each of the inllatnble sccticros 20a, 20b, or 20c. CtefYation b4tween succescivc icillittian cycles occurs by retuatutg the air in in.flatubie scctinns 20a. 20h, and 2()i:. lu ihe controller or l;r another vcrtt (not yhowt)), as is knoNvn iu tlt-: art. Air conduit 38 cffectively ci~.an,neis the presst-rized air towtircis lumen 34a, 34h, or 34c, thus ri;ininiicinS the fo -niatiun of random pocket.;, of pressuri7.ed air in each utFl,itabie section Zi-n, 20b, or 20c. In aticlitioti. ;air conduit 38 channels dic pressuriaci3 fi air toiA ards 1u+n'rr+ 34a, 34b, or 34c thereby impr-oviilg thc rernc-val ratc of the pressuriz&l ais und minimiziiig thk: t'0rtrtation of random poc:'etti of prevsurizccl air thrt,tigltout :osupressiou slcet=e 10.

With refereiice to '1GS_ 2r~-?C. one cntbc7,diment of ait cemcluit 38 is iliu.trat.ed aud is desigriat~;d ~,cuLrallw cri . c~~nd~.trt 38A. Air condtut 38A includCS a plurality of ridges or ribs 40 extruciing upwards frotn abutie membcr iF2, Batie mcmbcr 42 iti fldhcwivelv fa,:tencj to second shcct 14 ot first ,};eet 12 of itttlatable sections 20tt, 20b, or 20c, and ribs 40 arc in rcic.aseiblc cuntact with the first shcel 1--' or second shcc;t 14 of the .iuiflatable sectiun 20a, as ilfustrated in I'It:-. 2C. Th.c pltirality of rins 40 iric.lucles q ceiiter citt 40a. middle rihs, .lc)b, and truter ribs 40c tftat will be discusscd in detail hereinbelow.

With pw=ticultirreierence to FIG. 23, the i'tci,glu+,1'ribs 40 is at a n,i,rlimurn at the outer edgPs of base membcr 42 an(l inrogressively itwreases towards the center of the liasc rnember 4'~ st+th that cerltcr rib 40a has tlse~ greatest hei~,ht of ribs Q. B-4e member has a thic:k;nc:ss fruni about 19 rn;ls to about 39 mils. In orte embcxliniettt, center rib has a height i'ratn ahoLit 65 niils to .ibuul 85 mils, middl4 rib; 40h huve a Itr:ight from about 43 mils tk) aFictut 63 mils, 2utc1 uU;er rib.s have a lici~;ht I'rcrm about 29 ,nils to about 49 mils. Further .~till, cr_nter rib has a width ftont about 50 mils to about 70 mils, while middlc actd outer ribs 40b unti 40c. have, a width of ubuut 40 mils to about 60 miis. "1'heretore, air conduit 38 lr:~c a low profilc and. iat cornbiriutic,n wirh fir5t and Secnnd shcrts 12, 14, d4fines a low pruPile compreswion,iLevr 10, Morcovcr, adjacent. mi.cidic and outer i-rbs 40h and 40c.
respectively, are spacc:d ap;.tiri defining troughs 44 therebetwe:n. Troughs 44 iluidly couple t',e opposin~ cuds of air condtrit :ibA arui are configurr:d (or c.httiuitc.ling the prc5suri4cd air withtn i.nflataL=lc sci:tic>nr, 20,1, 24b, or 20c tawsard4 luuterõ 3411. 34b, or 34c. In use. wneri tltc. pressurired air is introduced into ini9atablc sections 20a, 20b, and 20c, the passagu c:revted hy ribs 40 in air cunduit 18A improves the inflation charact.eri4tics of inflatable wections 2()a, 20b. or 20c. During deE7atiou, trou&i 44 chatnnel the pressuriued air towarci~;
lumetis 34a, 34b, or 34k, cfte~ctiveiy impre+ving tlte removal of tlie pressurized air and minimizing the form:ttion of randoni pockets of pressurized air.

With referen.ce to )rl(i5. 3A, 33 and 3C. a second embodiment of air conduit 38, in = acc,circi;ance with the preserit disclosure, is illurtrai:ed and is dzsigrinted generally as Liir condtut 38b. As he,,t iltristrated in FiG. 3R, air conduit 3813 inciudes a pk:i.tality of raxrdcirrily placed pins or lcuobs 46 ext.eiidiug upward fi-oui a base meir7ber 48. Base mcrnber 48 ir fastcnui tu second sheet 14 or fit;st sheet 12 of intlal;tbie aectiorrs 200 20b. or 20c and pins 46 ;m in releaaahie cont$ct with first shect 12 or second sheet 14 of at lc:a:it ane of tnfl3table sections 20a, 20b, or 20c, ai illustrate<i in FIG. 3C, Thus, air conduit 3813 effectively separateti firvt and second shc;etn 12 and 14 wlien compression siccve 10 is in a deTlatcd wtate. The passage crc:ated by the plurality of Tiins 46 irnproves tttc ittflation cliarar 1eristics of inflatable seciicins 20a. 2.0b, or 20e- During detlation, pins 46 charinel the 17ressurizcd air towards luineus 34u, 34b. or 34c, cffe.ctively improving the removal of the pressurized air and minintizuig lhe formation of random pockcts of rressurized air.

With referenco to FT(",S. 4A-4C, auotlrer emroditnci-t of riir conduit 38 is illustrat.ed znd i5 c.tesiGnatcl genernlly 1s air conduit 3RC, Air conduit 38C liiclude, at lcust one inflatable elongated sheath 49 positioned within ac leutit one of int7arnblc s,:ctions 20a, 20b.
or 20c. The at lcast onz elongated shctuti 49 is adhesivcly fastened to second shoct 14 or Cir.st sheet 12 attd is in releusable c.uulact with E;rst shert 12 oi=
see.oiid.cheet .14, as illustratrd by FIG. =F(:. In an alteriiativc c.rrtbudiment, thc slit.at:h r lay be RF
welded to an inside surface of second slicc.t 14 or first.heet 12. fn this particular emboditncnt, nir conduit 38C
ii,rrn5 a circumterential bubble passageway, as illt.istratcd in FtC,}. 4C, 'I'he at least one elongated sheattt 49 mny bc fornned frcin, a fparn material wtterein r.he foarn material dnes not cc,llapse. undcr the- luaci ot'T.he leg, thus maintaininl; a separatian between fil-,t :,nd 1(f second sheets 12 aitcl 14. Tn trsc, whett the: pre,surizcd air N i,7tt'otluced into 41l111tahle scctioais 20a, 20h, 1nd 21k, the circunifercittial bubble passageway formed by air eonduit.
38C im;nove.s tlic trtfl:ttion charactc=ristics of inflntAble. sections 20a, 20h, or 20c, i7uring cieflation, tt:e at least Me. ciu0gat.ed sheath 49 channels the pressurized air towarcis lumens 34a, 34h, or 34c, cf'trctively iniprovi.ng the removal o!' the pre.ssurized air wtd ntininiizittg the formatioit trl' random po4ketti crl' Pressurizeil air. Tn addition, elo:igated Sheath 49 may also bL Irn4itioncd on tlie outer stattace, ol'tirst and sc.c.und sheets ] 2 and 14 for prc-viding a riuicl support struCture ctf the slc::vc. for receiving tlte leg. Altcrn:-tively, a sep3rate leg suppon ntay be provit3ed to keep the linil., rairccl nf.,f the bcd surface, With reference to F'Tf;S. 5A, 5S ;u,d 5C, yet anot}ter embodittient of air cortdiiit 38 is iilustrated aiul is designated eencralfy w, air cotiduit 38D. Air c;_or:xiuit 38D is similar to air couduit 38A and will only be dixcusscd in dctaii t.o tiic cxtertt neccssary to identil'y clifferenCes in consttuCtiun utid npcralion. 11ii- cotuduit 38D iitc.lucles A
senli-rigid '"I" bcam having a wc,t+ 50 and two flfliigc portions 52 di5liosed on either end of web 50, Air conduit 38I) is pu5itionaci within at least one of iaflatahle sectiou.y 2()a, 20b, or 20C in a inanner illustrated in FtG, SC 1'ttr separating, tirst and second aheets 12 and 14, tlius preventing sleeve 10 froni collapsing uadct the weight of tlit: p:-tient's leg. In addition. a plurality of openitig, 54 ix disposed oin, wch 50 for facilitating comrttunication through4ut inflatable sccticm, 20a, 20b, or 20v, In u,:;r, when the pressurized air i4 isitruduced into inflatable vectioms 20a, 20b, or 20c, ttic plurality of ofx,nittgs 54 disposc.d on web S() improves the utt7ation charact.eristics of inllatahie sections 20a, 20b, or 20c, Ducilig deflatton, the sc,tti-rigid "i" heatn of air conduit 381D channels the pressurired air towards lurncns 34a, ;34b, or 34c, effectively auptoving the removal uf the pressurir.ed air;tnd r'nit1inii6ing the furmatiotl of randotn poti,ket,r of rressurizecl air.

lt . . ..,,,. , With rcfcrcnce to FIGS. 6A-6C, yet auother ernhMicitc=nl ul air condui<t 38 is illuatrated and is designared gc.ncraliy as 3ir conduit 38E. Air cr-nduit 38E
is similar to air conduit MA wid will only be discussed in detail to rhe extent nacewscary to iclcntify dit:ferenres in ~On.tnaction and opcration. Air conduit 38E includGs a plurality oC
lougitudinul corrugated extru5iuct, 56 fttrachcd to bawc 58. C.oIrugated extruaiun5 56 For;ii a pissagewny fot air tu 17asr therethrough. It is tnviriotied that cnrrugztcJ
extrusions 56 will permit air to inliitrate ittto ic7Ctatable sections 20a. 20b, or 20c. In uye, when the pressurized air iq inrr.oduc.cc] iutu inflatable ce4rious 20a, 20b and 2i)c, the corrugated extrusions 56 impruvcs tlie iziflation chJrftctcriaties ,,F inflatable scctiuns 20a, 20b, or 2tk_ Duriuig 1,11ation, the corrugated cxtn.Lsiuns chnn.nel tlic pressutixed air towurds itttiu;ns 34a, 34b, nr34c. effectively impmtiirtg the removal of tl-ic pre=suriztd air anct triinituizing the for.tiation of raõdarn Exxkcts ot pt-essurmed air.

With referc;:c.i' tu t~TGS= 7A-7C, yct anulher emhr.tditnci.rl of air t:oriduit :3$ is illustrated and :t~ clesignated generttlly rts air conduit 38F. Air conduit 38F is similar to air conduit 38A and will only lie discu.wecl in detail to the extent neces,ury to idcntify diff=erer:ces in constrntction ,and rrperatirn7. Air cortduit 38F i.ttclucleti a tiaso portion 60 hivir<g a central lotieitudinai channel C:'?, as itlutitrAtcd in FIG. 711. 1!t this particular enibodu7ictit, air concieit 38F is installcd withitl iilflattible sections 20a, 20b, or 20c sttch tdaat channel 0:2 foritts , passagew=ay rherc.tllt'uugh. 13ase portiun 60 and cliannel 62 ntay be inflatflblc: or, alttrnalively, may be RFwelded onro first and second sherts 12, 14. They may trbu be reinfiirceil with an iuidition:illay~-r of PVC sheet to fo; m a more ri#,icl cc.-ndr.aat.
In use, when the pressuriiccl air is in.troduccd into itiflatablc s;:clictns 20a, ,''.Ub, ttitii 20c;, central lnngitt:dirt.il ch:uuicl 62 im}arovcs the inlluiiotl chttraCterictic;s of intlatablc sertions 20a, 20b, cit 20k. During dcfltttiutt, lungitudinal channet 62 ciitc.s;.ts the Irretistirized air . . . . ..,,.. .;,,.õ... _ .,. . i . . .. .. ... .. ..., . . . . . ... ... ...
.

towards luii:cuti 34v, 34b, or 34c. cffcctively itnproving ti-e removal of the pressuriz:ed air ancl minin,i7ing the forr:ttution of randoni pockcls ut pressurized ttir.

Altcrnatively. first and sec:ond sher.'ts 12. 14 n;fl}, be RF welded, having a pre-f;,bricuted feature, whcrciri a iinear void 64 across the steeve is Pc,rrned, as illu,trated in F1C;.
7L), h] this partic:t.tlar ernbadimEnt, litie:u void 64 ditects ttie nres5urized air towards lumen 34;,, 34h, and 34c for ijtipt'oving Lhe removal of tlte pretivurizcd air and minimizing the formntion of mndona poLket.,; (7f pressurfced air.

witlt reference tci FIGS. 8A, 813 and 8C, yet iwother ernhodiiru:.nt of ni.r couduit. 38 is illustrated and is dcsip ,natt,d generally as air conduit 380. Air coruluit 3$G is sirnilfir to air Condttit 38C: (FIGS. 4A, 413 and 4C) atid will only be discussed in detail to the extent ttcc,essary to identify differeuces in cunstntctiori and operation. Air con<luit 3$G inclllde5 9t least one elongated sheath 49A having aõ ;txi:il aperture 66 (FIG. RR) and a plural ity oi' tre,rtsvcrse opzniuigs 68 (FIG. 8A). Axial apertrne 66 dttd transvetse openings 68 p::rmit nir to disperse across the fnU loiiRth ot'compresviatt si"ve 10. The at least one elorig3te.I
sheath 49A nlay U:. Ewsitiuned within inflataErle sections 20a, 20b. or?Uc, adhesively fastcriud to sc.c.ond sheet 14 or the firsf 4heet [2 and in t cteuxuble coatact wittt first sheet 12 or secnnd sheet 14, as illtistratccl in TTG. 8C:. In use, whcn the pressurized air is introduCed into inf'lat7hle sections 20a, 20h, and 20c, axial aperturC, 6b and transvcrse openinp,s 68 cif the at lca.st atic clangated sheath 49A improve.5 thc iitflation chnracteristics of inElza:,hle sections 20a. 20h, or 20c, During detlation, exial .tpertt?re 66 charrnels the. prtstiurized nir towards lumejis 34a, 30. trr34c, effectively irnproving the rcmnv1l Of thc pretisUrized air ;tnd miiairrtiLing the frnmation of r-aruiom pockets of presstirized air.

Uther rrieihcxis of tacilitatisig ttte flow of pressuri/ed air within in#7atuble tieetions 20a, 20h, and ?Oe arc e.nvisicme<i. For cxaTttple, cnmpres,ion sleeve lt? may he nannuftmured to include a chltuu;l 70 for sliding a support mentber 72 therethrough, as . '1 ... . . . .... . ......< ..... ...... . ..... . .. . .. .... ...... . . .
-i1iUStrated in FiG. 9, for providing a rigid suppor-,tructuro to compressioit sleeve l(1, 'l'lius, suppc-s't rrrernher 72 will rigiclly suppott the weight of the leg, Altarrtatively. settlirrg lines 16 (FTC',, I) rnr;y bc. :>tralegicaily placed olong first and SeGoitd rheets. 12, 14 ferr f3cilitating tire pzssage, uf air. Mareaver, ir-flatahle tiections 20a. 20h, :ind 20c inay he fillcd with styr.enc foam pellets for additig stntctural rigiditv attil still rermitting the flow of pressuri7c.d dir throughout lnllat:rhle Seerions 20a, 20b, urrd 20e, In addition, a plurality of connectors 36 ina,y be xtrategicrrlly ir7staliea tltruughout the cumpre::sion slccve tor suplylying inflatablc secrions 20a, 20b, and 20c with pressurized air frotu a plurality of point'.
Ukewiso, the plurality uf cvnneetors 36 can uc actuated to deflatc, a chamber to minimize air pockets.
Moreover, the, atrextgth ol'tlie sleeve material iiiay he increascd in order to allow for increased burst strcnth, lermitting niore pressure attd volume to raise ihe large limb. For exauiplc, lirtit and second shects 12, 14 may bc foi7 ed from a rigid material to prevent intlata,ble soctions 20a, 20h, un(i 2(k. frorr- collarsing uncler the werght of a large lirrrb.
vtoroov,~.r. during manufncture of compression slc4ve 10, a plurality tif pascageways may be erttbrassed along the surface of first and seconil sheets 12, 14.

With reforcnce ti) FirS. IOA and lOB, Fir4t and sccorid shccts 12. 14 may ittclude n design or fc.ature wherein the textui-C Oi' ihe sleeve imprcjve.r= the fl,ow of air. For examlile, particular textures may be provideci on an inside sur('ace of fic.[ and second sheets .12, 14, as shown in FIGS. IOA arid 1013, -;uch that they never coll<tpse fully, thus facilitating the passagC af die jArSsurized air. 'i'he texture may be t:uminar.ed or ,rrsy forni part of first aud accUad sheeLC 12 and 14. Iir use. when the presSurizP.d air is iutrudut.ed itutu inflatable sections <;,'[-a, 20b, wid 20c, the texture on the inside surtace of first and sec4nd sheets 12 und 14 improves the tiillati(rn characteristics o(* inflatable sections Ua, 20h, and 20c.
DLiruig dcflatiern, the tcxt4u-es oit tlte inside aurface nti first uittl yecond shcets 12 and 14 atitiisr in chmuiclnig the pressurizcd air cowards lutncris 34a, 34b, atrd 34c, effectively . .. ...,... . i .. . .. . . . .. . ... . ,.......... . _ . .

in]pfoYirl# ti1E removal t1.f thu prCSyurize(11iTand ttlilllltr,i'6iIIg the toTiliatiott of ran(~~,~rii gMkrtti of pressurized air. One Skilled in ;hc. aTi will rerngn:zc oiher fluidc besides air c.an he usc-d withoul departing fmm tiic scope oi the inventiuu.

It will he uncic.rstc,od that. nume.rous niociifications and chungev in fortii arid detail n1tly be alad4 ta the erncodiments of thc present disolosute. i'c,r e:catrtple, it is coauctriplateci that nurneraw, other configurat,ori, oi'the condtut may he u$ctl, mLd the mntcrial of the sleet=r Fn:i!or cc,nduit rnay bc relecred froru ciumemuc nintcr-iab. other tliin thoxe spccificaily disclosed. Therefox=c, tlie above de.4riptiun shotild not be cnns*riied as limiting, but merely as exeiiiplificationy of the varl,aus orrrbadirnents,

Claims (5)

1. A compression sleeve, comprising;
a first sheet;

a second sheet attached to said first sheet and defining at least one inflatable section;
and at least one conduit in the at least one of said inflatable section.
2. The compression sleeve as recited in claim 1, further comprising;

a connector for connecting the lumen to a source of pressurized fluid; and a plurality of fasteners comprising hook and loop fastener components adapted for securing the sleeve about a portion of a patient's body.
3. The compression sleeve as recited in claim 1, wherein the at least one conduit is fastened to one of the first or second sheets.
4. The compression sleeve as recited in claim l, wherein the at least one conduit includes a base member and a plurality of ridges attached to a first surface of the base member.
5. The compression sleeve as recited in claim 4, wherein the height of the plurality of ridges is at a minimum at an outer edge of the base member and at a maximum at a central portion of the base.

b. The compression sleeve as recited in claim 4, wherein adjacent ridges are spaced apart defining a trough therebetween, 7. The compression sleeve as recited in claim 1, wherein the at least one conduit is formed from a Polyvinyl chloride.

8. The compression sleeve as recited in claim 1, wherein the at least one conduit includes a base member and a plurality of pins attached to a first surface of the base member.

9. The compression sleeve as recited in claim 1, wherein the at least one conduit includes an inflatable elongated sheath.

10. The compression sleeve as recited in claim 9, wherein the elongated sheath is formed from semi-rigid foam.

11. The compression sleeve as recited in claim 9, wherein the elongated sheath includes a plurality of openings transversely positioned therethrough.

12. The compression sleeve as recited in claim 1, wherein the at least one conduit includes a beam having a web portion and two flange portions disposed on both ends of the web portion.

13. The compression sleeve as recited in claim 12, wherein the web portion includes a plurality of openings.

14. The compression sleeve as recited in claim l, wherein the at least one conduit includes a base member defining a central longitudinal channel therethrough.

15. The compression sleeve as recited in claim 1, wherein the at least one conduit includes a plurality of longitudinal corrugated extrusions.

16. The compression sleeve as recited in claim 1, wherein the at least one conduit includes a plurality of longitudinal tubes.

17. The compression sleeve as recited in claim 1, wherein the at least one conduit includes a plurality of styrene foam pellets positioned within the plurality of inflatable sections.

18. The compression sleeve as recited in claim 5, wherein a central rib has a height between 70 mils and 80 mils, thereby defining a low profile compression-sleeve.

19. A method for applying pressure to portion of a patient's body, comprising the steps of:

attaching a sleeve to the portion of the patient's body, the sleeve including a first sheet, a second sheet attached to said first sheet and defining, at least one inflatable section.
and at least one conduit disposed in the at least one inflatable section;

connecting a lumen to a source of pressurized fluid, wherein- the lumen is attached to the plurality of inflatable sections;

inflating the sleeve to a pressure, wherein the at least one conduit creates a passage for facilitating the flow of the pressurized fluid; and deflating the sleeve, wherein a portion of the at least one conduit channels pressurized fluid towards the lumen.

20. The method of applying pressure according to claim 19, wherein the at least one inflatable section is oriented in a direction-that is substantially transverse to a longitudinal axis of the limb.

21. The method of applying pressure according to claim 19, wherein the, sleeve further comprises a plurality of fasteners comprising hook and loop fastener components adapted for securing the sleeve to about a patient's body.

22. The method of applying pressure according to claim 19, wherein the at least one conduit is fastened to one of the first or second sheet...

23. The method of applying pressure according to claim 19, wherein the at least one conduit includes a base member and a plurality of ridges attached to a first surface of the base.

23. The method of applying pressure according to claim 19, wherein the sleeve is formed from polyvinyl chloride.
CA2570648A 2005-12-12 2006-12-08 Compression sleeve having air conduit Expired - Fee Related CA2570648C (en)

Priority Applications (2)

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CA2795316A CA2795316A1 (en) 2005-12-12 2006-12-08 Compression sleeve having air conduit
CA2795368A CA2795368A1 (en) 2005-12-12 2006-12-08 Compression sleeve having air conduit

Applications Claiming Priority (2)

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US11/299,488 US7442175B2 (en) 2005-12-12 2005-12-12 Compression sleeve having air conduit
US11/299,488 2005-12-12

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CA2795316A Abandoned CA2795316A1 (en) 2005-12-12 2006-12-08 Compression sleeve having air conduit

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