Apparatus and method for continuous passive motion of the lumbar region

    公开(公告)号:US06544203B2

    公开(公告)日:2003-04-08

    申请号:US09757979

    申请日:2001-01-10

    Abstract: Apparatus and method for continuous passive motion back support for a person comprising a fluid-inflatable bag disposed between a static structure and the back of a person, the fluid-inflatable bag including a back-engaging surface cyclically moveable to increase and decrease the distance between the static structure and the back-engaging surface thereby to cycle the lower back through a substantial range of lordosis, a conduit adapted to conduct the fluid between the reservoir or the atmosphere and the fluid-inflatable bag, and programmable circuitry for adjusting a voltage supplied to an electrically-powered pump, whereby fluid flow in the conduit is effected by adjustably operating the electrically-powered pump. Various multiple bag embodiments are disclosed. Also disclosed is an apparatus and method for providing a baseline support pressure during continuous passive motion for the lower back of a person.

    Apparatus and method for monitoring the patency of tubing in a pneumatic
medical device
    43.
    发明授权
    Apparatus and method for monitoring the patency of tubing in a pneumatic medical device 失效
    用于监测气动医疗装置中管道通气的装置和方法

    公开(公告)号:US5681339A

    公开(公告)日:1997-10-28

    申请号:US700582

    申请日:1996-08-12

    CPC classification number: A61H9/0078 A61B17/1355 A61H2201/5074 G01S15/88

    Abstract: Apparatus for monitoring the patency of tubing in a pneumatic medical device including: an inflatable appliance for positioning onto the surface of a limb and adapted to apply pressure to the limb beneath the appliance when inflated with gas; tubing for establishing a pneumatic conduit between the inflatable appliance and a pressure control system. The pressure control system for supplies the tubing with gas at a controlled pressure. The pressure control system includes a pulse generating system for generating a pneumatic pulse at a sensing location in the tubing by producing a variation in the pressure of the gas at the sensing location during a finite time interval. A tubing patency monitoring system is adapted to sense the variation of pneumatic pressure at the sensing location and produce a tubing obstruction signal when the variation of pneumatic pressure sensed after the finite time interval exceeds a reference level.

    Abstract translation: 一种用于监测气动医疗装置中管道通气的装置,包括:用于定位在肢体表面上的适于在用气体充气时对器具下方的肢体施加压力的充气器具; 用于在充气器具和压力控制系统之间建立气动导管的管道。 压力控制系统,用于在受控压力下为管道供气。 压力控制系统包括脉冲发生系统,用于通过在有限的时间间隔期间在感测位置处产生气体压力的变化来在管道中的感测位置产生气动脉冲。 管道通畅监测系统适于在感测位置感测气压的变化,并且当在有限时间间隔之后感测到的气压的变化超过参考水平时,产生管道阻塞信号。

    Tourniquet for sensing and regulation of applied pressure
    44.
    发明授权
    Tourniquet for sensing and regulation of applied pressure 失效
    用于感应和调节施加压力的止血带

    公开(公告)号:US5181522A

    公开(公告)日:1993-01-26

    申请号:US759514

    申请日:1991-09-13

    Inventor: James A. McEwen

    Abstract: A tourniquet system comprising: an inflatable occlusive band for encircling a limb of a subject and for inflating to apply pressure to the encircled limb to occlude blood flow into the limb distal to the band, wherein an inner surface of the band faces the limb; inflation pressure regulation means responsive to a variable inflation pressure regulation signal for regulating the pressure to which the occlusive band is inflated and for producing an inflation pressure signal representative of the pressure to which the band is inflated; applied pressure sensing means located at a predetermined location fixed relative to the band for producing an applied pressure signal representative of the pressure applied by the inflated band to the limb in a direction normal to inner surface of the band at the predetermined location; and pressure-regulating means responsive to the applied pressure signal for producing an inflation pressure regulation signal to maintain the pressure applied by the inflated band to the limb at the predetermined location near a predetermined reference pressure. The tourniquet system may include pressure comparison means for comparing the difference between the pressures represented by the inflation pressure signal and the applied pressure signal and for and generating an alarm signal if the difference exceeds a preassigned limit.

    Abstract translation: 一种止血带系统,包括:用于环绕受试者的肢体的充气闭塞带,并且用于充气以向所述环绕的肢体施加压力以阻塞血液流入所述带的远侧的所述肢体,其中所述带的内表面面向所述肢体; 膨胀压力调节装置响应于可变膨胀压力调节信号,用于调节闭塞带膨胀的压力,并产生代表带膨胀的压力的充气压力信号; 施加的压力感测装置位于相对于所述带固定的预定位置处,用于产生施加的压力信号,所述施加的压力信号表示在所述预定位置处与所述带的内表面垂直的方向上由所述充气带施加到所述肢体的压力; 以及响应于所施加的压力信号的压力调节装置,用于产生充气压力调节信号,以将在所述预定位置附近的所述充气带施加的压力保持在所述肢体附近的预定参考压力。 止血带系统可以包括压力比较装置,用于比较由充气压力信号表示的压力与施加的压力信号之间的差异,并且用于并且如果差值超过预先设定的极限则产生报警信号。

    Tourniquet for regulating applied pressures
    45.
    发明授权
    Tourniquet for regulating applied pressures 失效
    用于调节施加压力的止血带

    公开(公告)号:US5048536A

    公开(公告)日:1991-09-17

    申请号:US388699

    申请日:1989-07-13

    Inventor: James A. McEwen

    Abstract: A tourniquet comprising: (a) an occlusive band for encircling a limb of a subject and for applying pressure to the limb wherein an inner surface of at the band faces the limb; and applied pressure sensing means located at a predetermined position on the inner surface of the band for producing an indication of the pressure applied by the band to the limb near the predetermined location. The applied pressure sensing means is comprised of material having a degree of flexibility and physical dimensions selected so that the sensing means conforms closely to the surface of the occlusive band and does not substantially displace the surface of the limb away from the band surface. The applied pressure sensing means produces an applied pressure signal representative of the pressure applied by the band to the limb near the predetermined location, the occlusive band is responsive to a varible pressure control signal, and pressure-regulating means responsive to the applied pressure signal is included for producing a pressure control signal to maintain the pressure applied by the band to the limb near a predetermined reference pressure.

    Abstract translation: 止血带,其包括:(a)用于环绕受试者的肢体并用于对所述肢体施加压力的闭塞带,其中所述带的内表面面向所述肢体; 并施加位于带的内表面上的预定位置处的压力感测装置,用于产生由该带施加到肢体附近的预定位置的压力的指示。 所施加的压力感测装置包括具有选择的一定程度的柔性和物理尺寸的材料,使得感测装置紧密地符合闭塞带的表面,并且基本上不使离开带表面的肢体表面移位。 所施加的压力感测装置产生一个施加的压力信号,该压力信号表示由该带施加到靠近预定位置的肢体的压力,闭塞带响应于可变压力控制信号,并且响应所施加的压力信号的压力调节装置 包括用于产生压力控制信号,以将由带子施加的肢体压力保持在预定的参考压力附近。

    Device for applying compressive pressures against a patient's limb
    46.
    发明授权
    Device for applying compressive pressures against a patient's limb 失效
    用于对患者肢体施加压缩压力的装置

    公开(公告)号:US5007411A

    公开(公告)日:1991-04-16

    申请号:US336984

    申请日:1989-04-12

    Applicant: John F. Dye

    Inventor: John F. Dye

    CPC classification number: A61H9/0078 A61H2201/5074

    Abstract: A device for applying compressive pressures against a patient's limb having a sleeve for applying pressure against a length of a patient's limb, with the sleeve having a plurality of chambers arranged longitudinally along the sleeve. The device intermittently inflates the chambers, and intermittently connects the chambers to an exhaust system during which a base static pressure is established in the chambers.

    Adaptive pneumatic tourniquet
    47.
    发明授权
    Adaptive pneumatic tourniquet 失效
    自适应气动止血带

    公开(公告)号:US4479494A

    公开(公告)日:1984-10-30

    申请号:US337152

    申请日:1982-01-05

    Inventor: James A. McEwen

    CPC classification number: A61B5/02141 A61B17/1355 A61B5/022 A61H2201/5074

    Abstract: A pneumatic tourniquet for maintaining occluded or restricted blood flow into a patient's limb includes an inflatable cuff, a pressurizing mechanism for pressurizing the cuff, a pressure relief mechanism for depressurizing the cuff, a blook pressure sensing mechanism for sensing the patient's systolic blood pressure and for producing a blood pressure output signal representative thereof, and a pressure regulator mechanism responsive to the blood pressure output signal for selectably activating the pressurizing mechanism and the pressure relief mechanism to maintain a substantially constant pressure difference between the cuff pressure and the patient's systolic blood pressure.Thus, the cuff pressure may be varied "adaptively" in response to changes in the patient's intra-operative systolic blood pressure to pressurize the cuff close to the minimum level required to maintain a bloodless surgical field, thereby minimizing the risk of patient injury due to over-pressurization of the cuff.

    Abstract translation: 用于保持患者肢体的血液流入的气动止血带包括可膨胀的袖带,用于对袖带加压的加压机构,用于使袖带减压的压力释放机构,用于感测患者的收缩压的血压检测机构, 产生代表其的血压输出信号,以及响应于血压输出信号的压力调节器机构,用于可选择地启动加压机构和压力释放机构,以保持袖带压力和患者的收缩压之间的基本恒定的压力差。 因此,袖带压力可以响应于患者的术中收缩压的变化“自适应地”变化,以将袖带加压接近维持无血管外科手术领域所需的最小水平,从而最小化由于 袖带过压。

    Apparatus for pneumatically controlling a dynamic pressure wave device
    48.
    发明授权
    Apparatus for pneumatically controlling a dynamic pressure wave device 失效
    用于气动控制动压波装置的装置

    公开(公告)号:US4408599A

    公开(公告)日:1983-10-11

    申请号:US289489

    申请日:1981-08-03

    CPC classification number: A61H9/0078 A61H2201/5074

    Abstract: A source of pressurized gas is attached to a dynamic pressure wave appliance. The pneumatic control circuit connects the source of pressurized gas to a first chamber of the appliance. When the pressure in the first chamber reaches a first predetermined level, a valve seals the first chamber and connects the source so as to inflate a second chamber about the first. When the pressure in the second chamber reaches a second predetermined level, a valve permits the first chamber to deflate while continuing to connect the second chamber for inflation. A valve for sealing the inflated sleeve discontinues the inflation of the sleeve when the pressure therein reaches a third predetermined level. The sequence of operation of the pneumatic control circuit will cause a suitable dynamic pressure wave appliance to apply a pressure to a human or animal extremity which begins at the most distant end and travels up the extremity in the nature of a pressure wave.

    Abstract translation: 加压气体源连接到动态压力波装置。 气动控制回路将加压气体源连接到器具的第一腔室。 当第一室中的压力达到第一预定水平时,阀密封第一室并连接源,以使围绕第一室的第二室膨胀。 当第二室中的压力达到第二预定水平时,阀允许第一室放气,同时继续连接第二室以进行充气。 用于密封充气套筒的阀当其中的压力达到第三预定水平时,中断套筒的膨胀。 气动控制电路的操作顺序将使合适的动态压力波形器具向人或动物末端施加压力,该压力波在最远的一端开始,并在压力波的性质上向上移动。

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