WO2004078068A2 - Custom-moldable wrist splint - Google Patents
Custom-moldable wrist splint Download PDFInfo
- Publication number
- WO2004078068A2 WO2004078068A2 PCT/US2004/006497 US2004006497W WO2004078068A2 WO 2004078068 A2 WO2004078068 A2 WO 2004078068A2 US 2004006497 W US2004006497 W US 2004006497W WO 2004078068 A2 WO2004078068 A2 WO 2004078068A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- wrist
- splint
- hand
- splints
- strap
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/058—Splints
- A61F5/05841—Splints for the limbs
- A61F5/05858—Splints for the limbs for the arms
- A61F5/05866—Splints for the limbs for the arms for wrists, hands, fingers or thumbs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
- A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
- A61F5/0118—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers
Definitions
- This invention relates generally to the field of orthopedic medicine and more specifically to a custom-moldable wrist splint and a method for using such a splint to relieve and treat the symptoms of carpal tunnel syndrome.
- Carpal tunnel syndrome occurs as a result of chronic irritation to the median nerve.
- the median nerve and the tendons that connect the muscles of the forearm to the fingers of the hand pass through the carpal tunnel.
- the carpal tunnel is a passageway defined by the eight carpal bones of the wrist and the transverse carpal ligament, which interconnects the hook of the hamate and the tubercle of the trapezium.
- Carpal tunnel syndrome results when the median nerve becomes constricted within the carpal tunnel, usually by the swelling of the tendons. Such constriction pushes the median nerve against the transverse carpal ligament located directly above the nerve.
- the median nerve relays sensation from the palm of the hand and fingers.
- Prior art splints often include a soft component to place near the skin and a hard, shell-like outer cover.
- the soft component is intended not only to cushion against the injured anatomy, but also to accommodate itself to the varying configurations of differing sized and shaped anatomy of patients.
- Other splints are glove-like in design and are provided with bendable plastic or metal stays that are bent to maintain the hand and wrist in a desired position.
- thermosetting materials are constructed of or include thermosetting materials. Such materials are first heated and then formed to the hand and wrist while the materials are still warm. Splints formed from thermosetting materials cannot be used without a heat source, and the splints are susceptible to over-or-underheating. In addition, body heat can soften or at least increase the flexibility of the splint, which decreases the effectiveness of the protection offered by the splint.
- the present invention overcomes the disadvantages of prior art splints by providing a splint that can be applied to the hand and wrist in such a way as to achieve
- the invention utilizes a moisture-curable resin which results in a very rigid splint that holds the shape into which it has been molded. No heat is required. A source of water is the only additional material necessary to harden the splint. Atmospheric moisture alone will cure the splint into its hardened position in a relatively short period of time; however, the resin in or on the splint will typically be activated by immersing the splint in water.
- the splint is inexpensive, easy to fabricate, easy to fit and comfortable to wear. Since the splint has a single shape and size, hospitals, clinics, emergency care facilities and other health care providers can easily and inexpensively maintain a necessary inventory of splints.
- the splints of the present invention are utilized in pairs. Two of the splints are custom-fitted to the affected hand and wrist — one on the dorsal aspect and one on the volar aspect thereof — to achieve a true four-point fixation of the injury. Unlike other splints which are utilized in pairs, the splints of the present invention feature a unique shape that accommodates and enables movement of the thumb and associated carpometacarpal joint while simultaneously providing enhanced support to the heads of the second through fourth metacarpals and metacarpophalangeal joints associated therewith. This provides greater support to the injured area and reduces the extent of residual movement of the hand and wrist.
- the wrist splint assembly includes a first splint for being positioned against and formed to the volar aspect of the hand and wrist, and a second splint for being positioned against and formed to the dorsal aspect of the hand and wrist.
- Each of the first and second splints defines a concave side edge extending inwardly toward the longitudinal axis of the splint for permitting ease of movement of the thumb and associated carpometacarpal joint of the hand against
- Each of the first and second splints also includes an inner cushion layer for being placed on and conformed to the shape of the hand and wrist, and an initially flexible intermediate layer overlying the inner cushion.
- the intermediate layer is a substrate impregnated with a moisture-curable resin that hardens upon curing to form a rigid structure of the substrate that retains a shape into which it is molded during curing for maintaining the flexible inner cushion layer in a conforming shape against the hand and wrist.
- Each of the first and second splints also includes a flexible outer layer overlying the intermediate layer and attached to the inner cushion layer for enclosing the intermediate layer for forming the inner layer, intermediate layer and outer layer into a single, integrated splint structure.
- the wrist splint assembly also includes a support for retaining the first and second splints in position on the hand and wrist during use of the splint assembly.
- the support is an elongate strap having an outer surface and first and second ends.
- the first end of the strap is releasably attached to a complementary fastener attached to a preselected one of the outer layers of the first and second splints.
- the second end of the strap is releasably attached to the outer surface of the strap, thereby permitting the strap to encircle the wrist for securing the first and second splints against the hand and wrist.
- the support also includes a second elongate strap having an outer surface and first and second ends.
- the first end of the second strap is releasably attached to a complementary second fastener attached to a preselected one of the outer layers of the first and second splints.
- the second end of the second strap is releasably attached to the outer surface of the second strap, thereby permitting the second strap to encircle the wrist for securing the first and second splints against the hand and wrist.
- the support also a third elongate strap having an outer surface and first and second ends.
- the first end of the third strap is releasably attached to a complementary third fastener attached to a preselected one of the outer layers of the first and second splints.
- the second end of the third strap is releasably attached to the outer surface of the third strap, thereby permitting the third strap to encircle the hand for securing the first and second splints against the hand and wrist.
- the fastener, second fastener, and third fastener are patches of hooked material.
- the outer surface of the strap, second strap and third strap are formed from looped material.
- the support includes a plurality of elongate straps releasably attached to a plurality of complementary fasteners attached to the outer layer of the splint for permitting the straps to encircle and hold the splint in place against the wearer's hand and wrist while being worn.
- each of the straps includes a patch of looped material attached to an end of the strap for cooperating with a complementary outer surface of the strap for holding the first and second splints in place against the hand and wrist while being worn.
- the wrist splint assembly includes a moisture-proof pouch in which the first and second splints are maintained in a flexible condition in a moisture-free environment until the pouch is opened immediately prior to applying one of the splints to the hand and wrist.
- the outer moisture-proof pouch is formed of a laminated structure having at least one layer of plastic film and at least one layer of aluminum foil bonded to the plastic film.
- the substrate includes a plurality of overlaid thicknesses of fiberglass.
- the plurality of thicknesses of fiberglass includes at least five thicknesses and no more than seven thicknesses.
- a wrist splint product for being custom-fitted to a hand and wrist to be supported.
- the wrist splint product includes first and second splints.
- Each of the first and second splints defines a concave side edge extending inwardly toward the longitudinal axis of the splint for permitting enhanced movement of the thumb and associated carpometacarpal joint of the hand.
- Each splint is formed of a fabric impregnated with a moisture-curable resin that hardens upon curing to form a rigid structure of the fabric that retains a defined shape into which the fabric is molded during curing.
- the splint product also includes first and second inner storage pouches constructed of a plastic film having moisture-transmission retarding properties, one of the first or second splints being sealed in respective ones of the first and second storage pouches, and a single, outer moisture-proof protective pouch within which the first and second splints and respective first and second inner storage pouches are sealed in the absence of moisture until the first and second splints are to be molded to the body part to be protected.
- the outer moisture-proof protective pouch is formed of a laminated structure having at least one layer of plastic film and at least one layer of aluminum foil bonded to the plastic film.
- the plastic film has a thickness of 2 mils and the aluminum foil layer has a thickness of 0.5 mils.
- the outer moisture-proof protective pouch includes a laminated layer of nylon film.
- Each of the first and second splints includes a multi-layered protective pad positioned in flexible condition in a moisture-impervious storage package and sealed therein against entry of moisture until use.
- Each of the first and second splints defines a concave side edge extending inwardly toward the longitudinal axis of the splint for permitting ease of movement of the thumb and associated carpometacarpal joint of the hand against which the splint is positioned, and includes an inner cushion layer for being placed on and conformed to the shape of the hand and wrist and an initially flexible intermediate layer overlying the inner cushion layer.
- the intermediate layer includes a substrate impregnated with a moisture-curable resin that hardens upon curing to form a rigid structure of the substrate that retains a shape into which it is molded during curing for maintaining the flexible inner cushion layer in a conforming shape against the hand and wrist.
- Each of the first and second splints also includes a flexible outer layer overlying the intermediate layer and attached to the inner cushion layer for enclosing the intermediate layer for forming the inner layer, intermediate layer and outer layer into a single, integrated splint structure.
- a support is carried by the first and second splints for retaining the first and second splints in position on the hand and wrist during use of said wrist splint.
- the method also includes the steps of removing a preselected one of
- Page 8 the first and second splints from the storage package, exposing the splint to moisture in an amount sufficient to activate the moisture-curable resin, placing the splint against the hand and wrist, and exerting pressure on the splint for a sufficient period of time for the pad to harden, whereby the pad hardens into a rigid, supporting shape custom-fitted to the hand and wrist.
- Figure 1 is a perspective view of a wrist splint assembly according to a preferred embodiment of the invention.
- Figure 2 is an environmental perspective view of the wrist splint assembly according to Figure 1 secured to the left hand and wrist of a wearer;
- Figure 3 is an environmental perspective view of the dorsal aspect of the wearer's left hand and wrist with the wrist splint assembly secured thereto;
- Figure 4 is an environmental perspective view of the wrist splint assembly according to Figure 1 secured to the volar aspect of the right hand and wrist of a wearer;
- Figure 5 is an environmental perspective view of a single wrist splint and support according to a preferred embodiment of the invention secured to the volar aspect of a wearer's left hand;
- Figure 6 is a perspective view of the outer side of a splint according to a preferred embodiment of the invention.
- Figure 7 is a perspective view of the inner side of a splint according to Figure 6;
- Figure 8 is a perspective view of a splint according to Figure 6, with parts broken away and with the intermediate layer exposed for clarity;
- Figure 9 is a perspective view of a wrist splint product according to a preferred embodiment of the invention.
- Figure 10 is an exploded perspective view of a wrist splint product showing the outer moisture-proof packaging within which the splints are stored, and inner moisture- retardant packages within which the splints are also contained according to an alternative embodiment of the invention;
- Figure 11 is a perspective view illustrating a preferred method of opening the outer moisture-proof packaging
- Figure 12 is an environmental perspective view of a splint according to a preferred embodiment of the invention being immersed in water to initiate curing of the moisture-curable resin;
- Figure 13 is an environmental perspective view of splints secured to the left hand and wrist and overwrapped with an elastic bandage
- Figure 14 is an environmental perspective view of a single splint secured to the left hand and wrist and overwrapped with an elastic bandage.
- a wrist splint assembly according to one preferred embodiment of the invention is illustrated in Figure 1 and shown generally at reference numeral 10.
- the splint assembly 10 includes two splints 11 and 12 which, as described more fully below with reference to Figures 10 through 13, are custom- molded to fit against the dorsal and volar aspects of the hand and wrist of a wearer.
- the splints 11 and 12 are held in place by a strap assembly 15.
- the splints 11 and 12 include upper end portions 16 and 17, which are integrally formed with respective elongate lower end portions 18 and 19.
- the upper end portions 16 and 17 are wider than the lower end portions 18 and 19, and define rounded, convex side edges 20 and 21 , respectively. As is shown in Figures 2 and 3, the increased width and rounded side edges 20 and 21 permit the respective upper end portions 16 and 17 to extend across and support the second through fourth metacarpals of a hand positioned between the splints 11 and 12. [0052] Referring again to Figure 1, the lower end portions 18 and 19 and upper end portions 16 and 17 of the splints 11 and 12 are interconnected by respective side edges 22 and 23. Side edges 22 and 23 are connected to and integrally formed with rounded side edges 20 and 21 , respectively.
- the side edges 22 and 23 curve inwardly relative to the respective longitudinal axes of the splints 11 and 12 to define concave areas 24 and 25.
- the concave areas 24 and 25 are positioned adjacent the respective upper end portions 16 and 17, and collectively define an open space within which the carpometacarpal joint ("CM") and associated anatomy of the wearer's thumb "T" may freely move.
- CM carpometacarpal joint
- the strap assembly 15 includes a narrow strap 26 and two wide straps 27 and 28.
- Each strap 26, 27 and 28 is preferably formed from a length of knitted or woven material having two surfaces formed from loose, fibrous coverings 30 and 31 (fibrous covering 31 is shown in Fig. 2).
- a patch of fibrous material 32, 33 and 34 is connected to one end of each strap 26, 27 and 28, respectively, and patches of hooked material 35, 36 and 37 are attached to the respective opposite ends of the straps 26, 27 and 28.
- each of the straps 26, 27 and 28 are wrapped around the wearer's forearm and over splint 11 , which releasably attaches the fibrous covering 30 on each strap 26, 27 and 28 to a respective one of three identically-shaped patches of hooked material 39 positioned on splint 12 (see Fig. 1).
- the straps 26, 27 and 28 are wrapped around the wearer's forearm again, and the patches of hooked material 35, 36 and 37 are releasably attached to the fibrous covering 31 of the respective straps 25, 26 and 27. This positions the patches of hooked material 35, 36 and 37. in overlying relation to the fibrous patches 32, 33 and 34, respectively.
- the straps 26, 27 and 28 may be wrapped in any suitable manner around the splints 11 and 12. However, the straps 26, 27 and 28 are preferably oriented around the splints 11 and 12 so that the strap 26 encircles the respective upper end portions 13 and 14 and straps 27 and 28 encircle the respective lower end portions 15 and 16. This ensures that a true four-point fixation of the injury is achieved and maintained.
- splint assembly 10 is shown in Figures 2 and 3 being worn on the left hand with the splint 11 positioned against the volar aspect, and the splint 12 positioned against the dorsal aspect of the hand and wrist, the splints 11 and 12 may be interchanged and worn on the opposite hand.
- Figure 4 shows the splint assembly 10 worn on the right hand, with splint 12 positioned on the volar aspect and splint 11 positioned on the dorsal aspect of the hand and wrist.
- the splints 11 and 12 are chiral objects: they are mirror images of and cannot be superposed upon each other.
- each splint 11 and 12 may be custom- molded to be worn on the volar aspect of the wearer's left hand (Figs. 2 & 3) or the dorsal aspect of the wearer's right hand (Fig. 4).
- the splint 12 may be custom-molded and worn on the dorsal aspect of the wearer's left hand (Figs. 2 & 3) or the volar aspect of the wearer's right hand (Fig. 4). loose] Although Figures 2 through 4 illustrate the splints 11 and 12 being worn simultaneously with the affected hand and wrist positioned therebetween, the splints 11 and 12 do not have to be worn in pairs.
- Figure 5 shows a single splint 11 positioned against the volar aspect of a wearer's left hand and held in place by the strap assembly 15.
- FIG. 6 shows the materials used to construct the splints 11 and 12 .
- Figure 6 shows the splint 11 prior to being custom-fitted against a wearer's hand.
- the splint 11 includes an outer layer 40 formed from a fabric casing to which the three patches of hook-and- loop material 38 are sewn.
- the outer layer 40 is preferably formed from polyester sheeting.
- the splint 11 also includes a flexible inner cushion layer 41.
- Inner cushion layer 41 is preferably a laminated one-eighth inch, four pound EVA (ethylene vinyl acetate) micro-perf closed cell foam.
- the EVA is flexible enough to bend easily with the other components of the splint 11.
- the inner cushion layer 41 is placed closest to the body member to be protected, and provides a comfortable surface next to the skin.
- the inner cushion layer 41 includes a plurality of spaced-apart ventilation holes 41 A.
- the ventilation holes 41 A allow wafer to quickly pass though the cushion layer 41 to rapidly penetrate the splint 11 during the curing process.
- the holes 41 A also promote improved airflow and cooling of the splint 11 during wear.
- the splint 11 also includes an initially flexible intermediate layer 43.
- Intermediate layer 43 is sandwiched between the outer layer 40 and the inner cushion layer 41.
- the intermediate layer 43 is preferably formed from fiberglass fabric layers 43A through 43F, each of which is impregnated with a moisture- curable resin that hardens upon curing to form a rigid structure that retains the shape of the hand and wrist onto which the splint 11 has been molded.
- the intermediate layer 43 preferably includes three to seven fabric layers.
- the embodiment of the invention shown in Figures 6 through 8 includes six layers.
- intermediate layer 43 Other materials which may be suitable for forming the intermediate layer 43 include materials formed from a composition of aluminum oxide, silicone oxide and boron oxide and sold under the name NEXTEL 440 by Thermostatic Industries, Inc.
- NEXTEL 440 by Thermostatic Industries, Inc.
- Each of the fiberglass fabric layers 43A through 43F are impregnated or coated with a moisture-curable resin such as the polyisocyanate resin which is described in full in U.S. Patent No. 4,770,299.
- the resin is synthesized using a reactive system that remains stable when maintained in substantially moisture-free conditions, yet hardens upon exposure to sufficient moisture to form a rigid, self-supporting structure.
- Atypical formulation of the reactive system is as follows:
- Alternate embodiments of the invention may employ an intermediate layer 43 formed from a single substrate layer, particularly if materials other than fiberglass are used.
- One preferred alternative material from which the intermediate Iayer43 may be formed is a single ply sheet of random-laid noncontinuous polyester nonwoven fabric that incorporates a styrene-soluble binder filled with plastic microspheres to 60 percent
- FIRET COREMAT XM FIRET COREMAT XM
- Baltek FIRET COREMAT XM
- This fabric is available in 2mm, 3mm and 4mm thicknesses.
- Other grades, such as the products sold under the trademarks FIRET COREMAT XX and FIRET COREMAT XW may also be used. These grades are filled with plastic microspheres to 50 percent by volume.
- Other products which may be suitable for use include a low density, nonwoven continuous strand fabric such as that sold under the trademark BALTEKMAT T-2000. This product has characteristics which are generally similar to FIRET COREMAT products, but is generally not available in small quantities. As noted above, only a single thickness of any one of these alternative substrate materials may be necessary.
- Another alternative substrate material is a fabric woven or knitted from polypropylene yarns. Such fabric is somewhat more flexible than fiberglass fabric after hardening, and offers some cost savings during production of the splints 11 and 12.
- the individual fiberglass fabric layers 43A through 43F are preferably die-cut to shape.
- each of the fabric layers 43A through 43F preferably have the same width
- the layers 43A through 43F may alternatively have varying widths.
- the degree of overlap and non-overlap resulting from the differing widths provides a variable thickness across the intermediate layer 43 after curing, with a relatively thick predetermined area where increased rigidity is desired and a relatively thin area where increased flexibility is desired.
- the manner of varying the widths of the fabric layers 43A through 43F is described in detail in Applicant's prior U.S. Pat. No. 5,755,678.
- the outer layer 40 and the inner cushion layer 41 are joined around the perimeter by a seam 45 to enclosed the intermediate layers 43A through 43F between the outer layer 40 and cushion layer 41.
- the outer layer 40 and cushion layer 41 are preferably sewn together using an overedge or serging seam.
- the outer layer 40 and cushion layer 41 have thermoplastic properties, the outer layer 40 and cushion layer 41 may alternatively be bonded together around the edge using radio-frequency (“RF") welding.
- RF welding is a particularly efficient method of bonding because it permits tight corners and curves to be formed in the splint 11 , some of which are difficult to form using conventional sewing techniques.
- the intermediate cushion layer 43 may alternatively be enclosed between the outer layer 40 and the cushion layer 41 using ultrasonic sealing or other suitable adhesives.
- the splint product 50 includes an outer moisture-impervious foil and laminated pouch 51.
- the pouch 51 is the outermost protective enclosure within which wrist splints according to the present invention are sealed in the absence of moisture.
- the laminate structure of the outer pouch 51 may be formed from any suitable moisture-impervious materials; however, the pouch 51 is preferably formed from a 0.5 mil foil sheet sandwiched between two layers of low density polyethylene film. Each layer of polyethylene film has a thickness of 2.0 mils.
- the pouch 51 may optionally include an outer layer of laminated 60 gauge bi- axially oriented nylon film. When properly sealed, the laminate structure of the pouch 51 will prevent moisture intrusion indefinitely.
- the pouch 51 contains two inner, moisture-retardant pouches 52 and 53 in which respective splints 54 and 55 are sealed.
- the splints 54 and 55 are constructed from the same materials and include the same components as splints 11 and 12, respectively. Although they may be constructed from any suitable moisture-retardant materials, the
- inner pouches 52 and 53 are preferably constructed from 1.5 mil low density polyethylene. Low density polyethylene having thicknesses of up to 4.0 mils may also be used.
- the pouches 52 and 53 are sufficiently thin and porous that moisture will penetrate therethrough; however, such penetration is significantly retarded as compared to that which occurs as a result of direct exposure to atmospheric humidity so that any curing of the splints 54 and 55 that does occur happens at a greatly reduced rate.
- the splints 54 and 55 are sealed within the moisture-free environment of the respective inner pouches 52 and 53 immediately prior to being sealed within the outer pouch 51. Sealing the inner pouches 14 and 15 in the pouch 11 in this manner gives the splints 54 and 55 an indefinite shelf life.
- the outer pouch 51 is cut open using scissors or a knife and the inner moisture retardant pouches 52 and 53 are removed.
- One of the pouches 52 or 53 is opened, and the other pouch 52 or 53 is left sealed. This greatly retards penetration of moisture into the unexposed splint 55 or 54 while the exposed splint 54 or 55, respectively, is being custom-molded to either the dorsal or volar aspect of a hand and wrist.
- the splint 54 is immersed in water "W" to activate the curing process. After it has been immersed, the splint 54 is removed from the water and excess moisture is squeezed from the splint 14, for example, by rolling the splint 54 in a towel (not shown). Alternatively, the splint 54 may be sprayed with water from a spray bottle, or allowed to harden gradually by exposure to atmospheric moisture. The wet splint 54 is then applied to either the dorsal or volar aspect of the hand and wrist to be supported. The pouch 53 is then opened, and this process is repeated with respect to splint 55.
- the hand and wrist are overwrapped with an elastic bandage "B".
- Figure 13 shows the splints 54 and 55 positioned against the respective volar and dorsal aspects of the hand and wrist and overwrapped by the elastic bandage "B" for simultaneous curing, the splints 54 and 55 may alternatively be custom-molded one at a time.
- the splint 54 may be applied to either the volar aspect of the left hand or the dorsal aspect of the right hand.
- splint 55 may be applied to either the volarl aspect of the right hand or the dorsal aspect of the left hand.
- one or both of the splints 54 and 55 may be applied to the appropriate aspects of the affected hand.
- both splints 54 and 55 are applied to the affected hand in the manner described above with reference to Figures 10 through13.
- Figure 14 shows the splint 54 being custom- molded to the volar aspect of the right hand and wrist. Regardless of the manner or order in which the splints 54 and 55 are cured, the patient must be advised not to attempt to flex or articulate the hand or wrist during the period of splint hardening.
- the elastic bandage "B" remains wrapped in the position shown for at least a sufficient period of time for the splints 54 and 55 to completely harden into the proper conformation on the hand and wrist.
- the elastic bandage may be used continuously or intermittently, or the splints 54 and 55 may be worn after hardening without the elastic bandage "B".
Abstract
Description
Claims
Priority Applications (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP04717360A EP1601318B1 (en) | 2003-03-05 | 2004-03-04 | Custom-moldable wrist splint |
MXPA05009427A MXPA05009427A (en) | 2003-03-05 | 2004-03-04 | Custom-moldable wrist splint. |
CA002514758A CA2514758C (en) | 2003-03-05 | 2004-03-04 | Custom-moldable wrist splint |
DK04717360.4T DK1601318T3 (en) | 2003-03-05 | 2004-03-04 | Individually moldable wrist rail |
AT04717360T ATE555758T1 (en) | 2003-03-05 | 2004-03-04 | INDIVIDUALLY MOLDABLE WRIST SPLINT |
ES04717360T ES2387303T3 (en) | 2003-03-05 | 2004-03-04 | Custom moldable wrist clamp |
JP2005518887A JP4314438B2 (en) | 2003-03-05 | 2004-03-04 | Individually molded wrist splint |
AU2004218344A AU2004218344B2 (en) | 2003-03-05 | 2004-03-04 | Custom-moldable wrist splint |
NO20054582A NO20054582L (en) | 2003-03-05 | 2005-10-05 | Patient-adapted wrist rail |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/379,934 | 2003-03-05 | ||
US10/379,934 US6835182B2 (en) | 2003-03-05 | 2003-03-05 | Custom-moldable wrist splint |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2004078068A2 true WO2004078068A2 (en) | 2004-09-16 |
WO2004078068A3 WO2004078068A3 (en) | 2005-02-03 |
Family
ID=32926787
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2004/006497 WO2004078068A2 (en) | 2003-03-05 | 2004-03-04 | Custom-moldable wrist splint |
Country Status (12)
Country | Link |
---|---|
US (1) | US6835182B2 (en) |
EP (1) | EP1601318B1 (en) |
JP (1) | JP4314438B2 (en) |
AT (1) | ATE555758T1 (en) |
AU (1) | AU2004218344B2 (en) |
CA (1) | CA2514758C (en) |
DK (1) | DK1601318T3 (en) |
ES (1) | ES2387303T3 (en) |
MX (1) | MXPA05009427A (en) |
NO (1) | NO20054582L (en) |
WO (1) | WO2004078068A2 (en) |
ZA (1) | ZA200507062B (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2009513262A (en) * | 2005-10-27 | 2009-04-02 | ディージェイオー,エルエルシー | Fracture brace |
RU193320U1 (en) * | 2019-02-04 | 2019-10-23 | Общество С Ограниченной Ответственностью "Айэмти" | ORTHESIS FOR IMMOBILIZATION OF THE WRIST |
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KR100424398B1 (en) * | 2002-03-26 | 2004-03-25 | 조영국 | A wrist regulation implement for bowling |
US7096544B2 (en) * | 2003-04-12 | 2006-08-29 | Kevin Timothy Lusardi | Wrap-it |
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JP2009513262A (en) * | 2005-10-27 | 2009-04-02 | ディージェイオー,エルエルシー | Fracture brace |
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CA2514758A1 (en) | 2004-09-16 |
JP4314438B2 (en) | 2009-08-19 |
AU2004218344A1 (en) | 2004-09-16 |
CA2514758C (en) | 2009-07-07 |
ZA200507062B (en) | 2007-03-28 |
MXPA05009427A (en) | 2005-11-23 |
NO20054582L (en) | 2005-10-05 |
US6835182B2 (en) | 2004-12-28 |
DK1601318T3 (en) | 2012-08-06 |
EP1601318A4 (en) | 2009-09-16 |
EP1601318B1 (en) | 2012-05-02 |
ES2387303T3 (en) | 2012-09-20 |
ATE555758T1 (en) | 2012-05-15 |
EP1601318A2 (en) | 2005-12-07 |
US20040176714A1 (en) | 2004-09-09 |
WO2004078068A3 (en) | 2005-02-03 |
JP2006514863A (en) | 2006-05-18 |
AU2004218344B2 (en) | 2006-08-03 |
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