US3783859A - Novel external circulatory assist device - Google Patents
Novel external circulatory assist device Download PDFInfo
- Publication number
- US3783859A US3783859A US00297250A US3783859DA US3783859A US 3783859 A US3783859 A US 3783859A US 00297250 A US00297250 A US 00297250A US 3783859D A US3783859D A US 3783859DA US 3783859 A US3783859 A US 3783859A
- Authority
- US
- United States
- Prior art keywords
- liquid
- shells
- lift
- bladder
- limb
- 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.)
- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H9/00—Pneumatic or hydraulic massage
- A61H9/005—Pneumatic massage
- A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H31/00—Artificial respiration or heart stimulation, e.g. heart massage
- A61H31/004—Heart stimulation
- A61H31/006—Power driven
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/12—Driving means
- A61H2201/1238—Driving means with hydraulic or pneumatic drive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL 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
- A61H2205/00—Devices for specific parts of the body
- A61H2205/10—Leg
Definitions
- ABSTRACT Novel external pressure circulatory assist apparatus utilizing movement of a shell portion of a limbenclosing housing as a mechanical means for applying the requisite cyclic pressure to the limbs of a patient being treated.
- the prior art devices usually achieved pressure by having liquid pressure cycled by a pump means attached to a liquid reservoir surrounding the legs of a patient being treated.
- a pump means attached to a liquid reservoir surrounding the legs of a patient being treated.
- apparatus has been developed whereby a mechanical platen rises and falls while in contact with a constrained leg-enclosing, reservoir, thereby causing the pressure in the reservoir to cycle.
- This older apparatus is highly satisfactory in some circumstances but, as the therapeutic value of external assist'apparatus becomes more apparent for various types of therapy the known apparatus has been found to be heavier. than is convenient for handling and portability.
- Another object of the invention is to provide a means to achieve the simultaneous and synchronous action of two leg units with a minimum of mechanical apparatus.
- a further object of the invention is to utilize necessary superstructure of an external circulatory assist apparatus to serve the dual function of housing and pressurizing a liquid bladder.
- Another object of the invention is to provide a pressurizing means having sufficient displacement capacity to provide suitable treatment for patients with a wide variety of limb sizes and without having to change water capacity of the pressurized, liquid-containing bladder wrapped about the limbs.
- leg housing members as the means byvwhich mechanical pressure is applied to liquid-filled blankets wrapped about the legs.
- FIG. 1 is a view of a patient positioned for treatment in the apparatus of the invention.
- F IG. 2 is a view similar to FIG. 1 excepting the apparatus is shown in'an open position, i.e., a position wherein a relatively low pressure or no pressure is exerted by the housing apparatus on the legs of the patient.
- FIG. 3 is an elevation of the actuating mechanism with the housing in the FIG. 1 position.
- FIG. 4 is an elevation of the actuating mechanism with the housing in the open, i.e., the FIG. 2, position.
- Apparatus 10 is placed on a table 12 and comprises a base plate 14 on which is mounted leghousing 16 comprising two leg-holding chambers 18.
- Each chamber 18 consists of an upper shell 20 and a lower shell 22.
- Lower shells 22 are fixed to base plate 14.
- Upper shells 20, however, are pivotally mounted onto the outer sides of shells 22 by quick-connecting fastening means 24.
- the upper shell and lower shell are approximately coextensive with the legs of the patient.
- FIGS. 3 and 4 show the means by which the. pivotallymounted shells 20 are moved.
- Upper shells 20 are attached to generally triangular plates 26 which extend inwardly from the patients limbs. Triangular plates 26, when in the downward position shown in FIG. 3, act as lever means for applying pressure to bladders 28 which encircle the legs of the patient. Plates 26 are integral with upper shells 20 and, as a consequence, pivot on the pin members 30 of quick-connecting fastening means 32. Pin members 30 are mounted on brackets 34 and fastened to lower shells 22. The-pins extend laterally into receptacles in brackets 36 which are mounted on upper shells 20.
- Lower shells 22 are rigidly positioned on base plate 12 and connected to one another by lower bracing plates 38 which extend between the two lower shells.
- base plate 14 carries mechanical actuator means 40 operably connected to pivot plates 26 upwardly and downwardly in response to the action of a hydraulic cylinder 42.
- Hydraulic cylinder 42 is mounted on base plate 14 by means of mounting bracket 44.
- a piston 46 is connected to the cylinder, thence to two bell-cranks 48 and 48a, mounted on brackets 50 and 50a respectively, through operating rods 52 and 54.
- bellcranks 48 and 48a When the bellcranks are rotated clockwise by a leftward movement of piston 46, they cause the downward movement of lift rods 57 and, consequently, the downward movement of plates 26 until they assume the position illustrated in FIGS. I and 3.
- bellcranks 48 and 48a are rotated clockwise by a rightward movement of piston 46, they cause the simultaneous upward movement of lift rods 57 and the upward movement of plates 26 to assume the positionillustrated in FIGS. 2 and 4.
- Lift rods 57 are connected to lift assemblies 56.
- Each lift assembly comprises a removable locking pin 58 which connects two pivot blocks 62.
- Each pivot block 62 is connected to a pivot block retainer 64 by a pivot block shaft 66.
- Pivot block retainer members 64 are attached directly to plates 26.
- lift assembly 56 it will be seen that lift rods 57 are pushed upwardly to bear against locking pins 58 and cause the lifting of pivot blocks 62.
- Simultaneously shafts 66 rise, and allow the pivoting of, pivot block retainers 64 which are directly connected to plates 26. This movement is reversed on the downward movement of the lift rods and an alternating pressure action is achieved by the device.
- the generally hoop-shaped leg compartments tend to withstand and dissipate stresses with substantially no change in their shape. This allows a more predictable control of the pressurizing cycle.
- the vertical thrust necessary to operate the opening and closing of the leg compartments is largely dissipated through horizontal force vectors exerted on brackets 44 and 50a.
- this force is largely counterbalanced by the tensile strength of base plate 14 and this factor contributes substantially to the dimensional stability of the apparatus in opposing vertical distortion during operation.
- the liquid containing bladders are formed of a non-distensible material and fastened to the leg unit shell members to minimize any lateral movement of the bladders along the leg.
- an external circulatory assist apparatus comprising a liquid-containing bladder means adapted to be positioned around a patients limbs within a limb housing, the improvement wherein said housing comprises two limb-holding chambers, each said chamber comprising an upper shell portion and a lower shell portion and each said chamber adapted to be approximately coextensive with the limb enclosed therein, means for alternately moving said upper shells with respect to said lower shells to simultaneously increase and decrease the pressure exerted on said liquid containing bladder means in each chamber.
- said mechanical means comprises a hydraulic piston adapted to drive two spaced, vertically reciprocating lift rods into contact with said mechanical means, said lift rods being driven by driving means so mounted as to dissipate the opposing forces thereof as tensile forces normal to the direction of lift and along a base plate on which said mechanical means is mounted.
Abstract
Description
Claims (6)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US29725072A | 1972-10-13 | 1972-10-13 |
Publications (1)
Publication Number | Publication Date |
---|---|
US3783859A true US3783859A (en) | 1974-01-08 |
Family
ID=23145499
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00297250A Expired - Lifetime US3783859A (en) | 1972-10-13 | 1972-10-13 | Novel external circulatory assist device |
Country Status (1)
Country | Link |
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US (1) | US3783859A (en) |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3865102A (en) * | 1973-06-13 | 1975-02-11 | Hemodyne Inc | External cardiac assist apparatus |
DE2937360A1 (en) * | 1979-09-15 | 1981-04-02 | Dietrich 2100 Hamburg Schmidt | Massage instrument for circulation trouble - comprises two hollow cylindrical components sealed by sleeves to human limbs |
US4738249A (en) * | 1985-03-01 | 1988-04-19 | The Procter & Gamble Company | Method and apparatus for augmenting blood circulation |
US5027797A (en) * | 1989-10-12 | 1991-07-02 | Horace Bullard | Apparatus for the movement of blood by external pressure |
US5762618A (en) * | 1995-06-14 | 1998-06-09 | Kabushiki Kaisha Fuji Iryoki | Chair-type air massage device |
US5792082A (en) * | 1995-06-14 | 1998-08-11 | Kabushiki Kaisha Fuji Iryoki | Chair-type air massage device |
US20020107461A1 (en) * | 2000-11-10 | 2002-08-08 | Hui John C.K. | High efficiency external counterpulsation apparatus and method for controlling same |
US20030009119A1 (en) * | 2001-03-23 | 2003-01-09 | Kamm Roger D. | Method and apparatus for stimulating angiogenesis and wound healing by use of external compression |
US6572621B1 (en) | 1992-05-07 | 2003-06-03 | Vasomedical, Inc. | High efficiency external counterpulsation apparatus and method for controlling same |
US6620116B2 (en) | 2000-12-08 | 2003-09-16 | Michael P. Lewis | External counterpulsation unit |
US20030233118A1 (en) * | 2002-06-13 | 2003-12-18 | Hui John C. K. | Method for treating congestive heart failure using external counterpulsation |
US20050070755A1 (en) * | 1993-05-06 | 2005-03-31 | Zhensheng Zheng | High efficiency external counterpulsation method |
US20060058715A1 (en) * | 2004-09-14 | 2006-03-16 | Hui John C | External counterpulsation device with multiple processors |
US7048702B2 (en) | 2002-06-13 | 2006-05-23 | Vasomedical, Inc. | External counterpulsation and method for minimizing end diastolic pressure |
US20070272250A1 (en) * | 2006-05-24 | 2007-11-29 | Michael Paul Lewis | External pulsation treatment apparatus |
US20090177130A1 (en) * | 2007-12-07 | 2009-07-09 | Wegher-Thompson Seth M | Deep pressure methods, apparatus and systems for autism therapy and other therapies |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3303841A (en) * | 1964-06-18 | 1967-02-14 | Dennis Clarence | Process and apparatus for pressurizing lower extremities of a patient during ventricular diastole |
US3403673A (en) * | 1965-07-14 | 1968-10-01 | Welton Whann R | Means and method for stimulating arterial and venous blood flow |
US3654919A (en) * | 1970-11-25 | 1972-04-11 | Medical Innovations Inc | Process and apparatus for synchronous assisting of blood circulation |
-
1972
- 1972-10-13 US US00297250A patent/US3783859A/en not_active Expired - Lifetime
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3303841A (en) * | 1964-06-18 | 1967-02-14 | Dennis Clarence | Process and apparatus for pressurizing lower extremities of a patient during ventricular diastole |
US3403673A (en) * | 1965-07-14 | 1968-10-01 | Welton Whann R | Means and method for stimulating arterial and venous blood flow |
US3654919A (en) * | 1970-11-25 | 1972-04-11 | Medical Innovations Inc | Process and apparatus for synchronous assisting of blood circulation |
Cited By (24)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3865102A (en) * | 1973-06-13 | 1975-02-11 | Hemodyne Inc | External cardiac assist apparatus |
DE2937360A1 (en) * | 1979-09-15 | 1981-04-02 | Dietrich 2100 Hamburg Schmidt | Massage instrument for circulation trouble - comprises two hollow cylindrical components sealed by sleeves to human limbs |
US4738249A (en) * | 1985-03-01 | 1988-04-19 | The Procter & Gamble Company | Method and apparatus for augmenting blood circulation |
WO1992019206A1 (en) * | 1989-10-12 | 1992-11-12 | Horace Bullard | Apparatus and method for movement of blood |
US5027797A (en) * | 1989-10-12 | 1991-07-02 | Horace Bullard | Apparatus for the movement of blood by external pressure |
US6572621B1 (en) | 1992-05-07 | 2003-06-03 | Vasomedical, Inc. | High efficiency external counterpulsation apparatus and method for controlling same |
US20050070755A1 (en) * | 1993-05-06 | 2005-03-31 | Zhensheng Zheng | High efficiency external counterpulsation method |
US5762618A (en) * | 1995-06-14 | 1998-06-09 | Kabushiki Kaisha Fuji Iryoki | Chair-type air massage device |
US5792082A (en) * | 1995-06-14 | 1998-08-11 | Kabushiki Kaisha Fuji Iryoki | Chair-type air massage device |
US7314478B2 (en) | 2000-11-10 | 2008-01-01 | Vasomedical, Inc. | High efficiency external counterpulsation apparatus and method for controlling same |
US20020107461A1 (en) * | 2000-11-10 | 2002-08-08 | Hui John C.K. | High efficiency external counterpulsation apparatus and method for controlling same |
US6589267B1 (en) | 2000-11-10 | 2003-07-08 | Vasomedical, Inc. | High efficiency external counterpulsation apparatus and method for controlling same |
US20050131456A1 (en) * | 2000-11-10 | 2005-06-16 | Hui John C.K. | High efficiency external counterpulsation apparatus and method for controlling same |
US6962599B2 (en) | 2000-11-10 | 2005-11-08 | Vasomedical, Inc. | High efficiency external counterpulsation apparatus and method for controlling same |
US6620116B2 (en) | 2000-12-08 | 2003-09-16 | Michael P. Lewis | External counterpulsation unit |
US20030009119A1 (en) * | 2001-03-23 | 2003-01-09 | Kamm Roger D. | Method and apparatus for stimulating angiogenesis and wound healing by use of external compression |
US20030233118A1 (en) * | 2002-06-13 | 2003-12-18 | Hui John C. K. | Method for treating congestive heart failure using external counterpulsation |
US7048702B2 (en) | 2002-06-13 | 2006-05-23 | Vasomedical, Inc. | External counterpulsation and method for minimizing end diastolic pressure |
US20060058717A1 (en) * | 2004-09-14 | 2006-03-16 | Hui John C K | External counterpulsation device having a curvilinear bed |
US20060058716A1 (en) * | 2004-09-14 | 2006-03-16 | Hui John C K | Unitary external counterpulsation device |
US20060058715A1 (en) * | 2004-09-14 | 2006-03-16 | Hui John C | External counterpulsation device with multiple processors |
US20070272250A1 (en) * | 2006-05-24 | 2007-11-29 | Michael Paul Lewis | External pulsation treatment apparatus |
US7981066B2 (en) | 2006-05-24 | 2011-07-19 | Michael Paul Lewis | External pulsation treatment apparatus |
US20090177130A1 (en) * | 2007-12-07 | 2009-07-09 | Wegher-Thompson Seth M | Deep pressure methods, apparatus and systems for autism therapy and other therapies |
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Legal Events
Date | Code | Title | Description |
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AS | Assignment |
Owner name: INTERMEDICS CARDIASSIST, INC., 240 TARPON INN VILL Free format text: ASSIGNMENT OF ASSIGNORS INTEREST.;ASSIGNOR:CARDIASSIST CORPORATION;REEL/FRAME:004015/0042 Effective date: 19820528 |
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AS | Assignment |
Owner name: BRAZOSPORT BANK OF TEXAS Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: FIRST FREEPORT NATIONAL BANK Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: TRUST COMPANY BANK Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: FIRST NATIONAL BANK OF CHICAGO, THE Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: CHASE MANHATTAN BANK, N.A., THE Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIA Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 Owner name: CITIBANK, N.A., AS AGENT Free format text: SECURITY INTEREST;ASSIGNORS:INTERMEDICS, INC.;INTERMEDICS CARDIASSIST, INC.;INTERMEDICS INTRAOCULAR, INC.;AND OTHERS;REEL/FRAME:004303/0077 Effective date: 19840726 |
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