U.S. patent number 3,643,656 [Application Number 04/833,355] was granted by the patent office on 1972-02-22 for inflatable surgical cast.
Invention is credited to Richard M. Johnson, Joseph V. Young.
United States Patent |
3,643,656 |
Young , et al. |
February 22, 1972 |
INFLATABLE SURGICAL CAST
Abstract
A water-impervious cast having a rigid tubular outer wall or
shell and a flexible tubular inner wall which form a substantially
cylindrical chamber about a body portion, such as a leg, arm, torso
and the like, to be immobilized by the cast and a foamed-in-place
rigid plastic filling the chamber and causing the inner surfaces of
the flexible wall to contact the body portion and assume the
configuration of the body portion to hold immobile the body
portion. A method of forming a cast about a body portion by forming
a substantially cylindrical chamber about a body portion by forming
a substantially cylindrical chamber about a body portion closed at
both ends and having an inner flexible wall movable into engagement
with the body portion and introducing a foam-producing substance
into the cylindrical chamber to cause it to foam and expand and
move the flexible wall into engagement with and to conform to the
shape of the body portion while the body portion is immobile.
Inventors: |
Young; Joseph V. (Lewisville,
TX), Johnson; Richard M. (Dallas, TX) |
Family
ID: |
25264193 |
Appl.
No.: |
04/833,355 |
Filed: |
June 16, 1969 |
Current U.S.
Class: |
602/13;
128/DIG.20; 602/9; 602/10 |
Current CPC
Class: |
A61F
13/04 (20130101); Y10S 128/20 (20130101) |
Current International
Class: |
A61F
13/04 (20060101); A61f 005/04 () |
Field of
Search: |
;128/90,87,89,83,83.5,DIG.20 ;3/19,20 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
What is claimed and desired to be secured by Letters Patent is:
1. A cast for immobilizing a body portion, said cast including:
chamber means positionable about a body portion providing a
substantially cylindrical chamber closed at both ends, said chamber
means including a nonexpansible substantially tubular outer wall
and an inner flexible wall adapted to move inwardly and away from
said outer wall until its inward movement is limited by a body
portion about which said means is disposed and to conform to the
configuration of the body portion, said outer wall having an open
aperture; and a rigid foamed-in-place closed-cell substance
introduced in fluid state into the chamber through said aperture
filling said chamber and holding said inner wall against outward
movement, said inner wall means comprising a sheet of open-cell
foam substance and a sheet of liquid-impermeable substance disposed
about said sheet of open-cell foam substance, said outer wall means
comprising a pair of opposed substantially semicylindrical rigid
sections and means for rigidly securing said sections to one
another.
2. The cast of claim 1, and flexible cutter means disposed within
said inner wall means and having opposite end portions extending
outwardly of said cast.
3. The cast of claim 2, wherein said outer wall sections are
provided with external flanges, said cutter means being movable
between said flanges to cut through said inner wall means and said
rigid foram substance to permit removal of said cast from a body
portion.
4. The cast of claim 1, wherein said shell sections are adapted to
be disposed about a leg and foot to be immobilized, the outer of
said shell sections having a tubular foot-receiving portion, said
inner wall means extending through said tubular foot portion of
said front shell section and being secured thereto.
5. The cast of claim 4, and a heelpiece rigidly secured to said
shell sections.
6. The cast of claim 5, wherein said heelpiece is provided with a
transversely extending groove, said shell sections having edge
flanges, said flanges of said shell sections being received in said
groove.
7. The cast of claim 6, wherein said heelpiece is provided with a
pair of upwardly extending lugs and said shell sections are
provided with apertures in which said lugs are received.
8. The cast of claim 7, and a flexible cutter member disposed
inwardly of said inner wall and having a middle loop portion
disposed about one of said lugs and between said heelpiece and the
bottom end of one of said shell sections.
9. The cast of claim 8, wherein said inner wall sections are of
open cell polyurethane foam substance.
10. The cast of claim 9, wherein said foam substance in said
chamber is a low-density, freon-blown polyurethrane. polyurethane.
Description
This invention relates to casts for immobilizing body portions.
An object of this invention is to provide a new and improved cast
which can be easily and quickly disposed about a body portion to
immobilize the body portion.
Another object is to provide a cast which is of relatively great
strength, but light in weight.
Still another object is to provide a cast, but whose inner surface
conforms exactly to the contours or configuration of the body
portion which it encloses.
A further object is to provide a cast which permits circulation of
fluids, such as air or liquids, about the body portion enclosed
thereby.
An important object is to provide a cast which has an outer rigid
substantially cylindrical shell or wall formed of two connectable
sections in which a body portion such as a leg, arm or the like,
may be positioned, the shell having such internal configuration at
substantially all locations as to permit the outer shell to be
spaced from and out of contact with the body portion, an internal
wall formed of a flexible means which is movable inwardly into
engagement with the body portion and connectable at its opposite
ends to the outer shell to form therewith a substantially
cylindrical chamber, and a foamed-in-place substance filling the
cylindrical chamber and causing the inner flexible means to conform
to the shape of the body portion positioned in the case and engage
the body portion.
Another object is to provide a cast wherein a flexible cutting
member as disposed within the cast and is usable to cut through the
cast when it is desired to remove the cast.
Still another object is to provide a cast formed of a substance
which permits the X-raying of the body portion while the cast is in
place on the body portion.
Still another object is to provide a cast wherein the inner wall is
formed of a resilient open-celled or porous substance to permit
circulation of fluids about the body portion in the cast.
Additional objects and advantages of the invention will be readily
apparent from the reading of the following description of a device
constructed in accordance with the invention, and reference to the
accompanying drawings thereof, wherein:
FIG. 1 is a side view of a cast embodying the invention adapted for
use on a leg and showing the cast in place on the leg;
FIG. 2 is a sectional view taken on line 2--2 of FIG. 1, the
thicknesses of the components forming the inner flexible wall being
exaggerated for clarity of illustration;
FIG. 3 is a sectional view taken on line 3--3 of FIG. 2, the
thicknesses of the components forming the inner flexible wall being
exaggerated for clarity of illustration;
FIG. 4 is a perspective exploded view of all components of the cast
except the foamed-in-place plastic substance;
FIG. 5 is a perspective view of the flexible inner wall;
FIG. 6 is a fragmentary enlarged perspective view showing the
manner in which a cast-cutting wire is connected to a heelpiece of
the cast; and,
FIG. 7 is a view of a cast embodying the invention adapted for use
on the forearm and showing the cast in place on the forearm.
Referring now to FIGS. 1 through 6 of the drawings, the cast 10
embodying the invention for use on the leg and foot includes a
rigid outer wall or shell 11 formed of two sections 12 and 13. The
rear shell section 12 has a substantially semicylindrical wall 14
which is provided at its bottom end with a downward protuberance 15
provided with an aperture 16 in which is receivable the lug 17 of a
heelpiece 18. The heelpiece may be formed of a somewhat resilient
plastic substance reinforced by a metal reinforcing member 19
embedded therein.
The left edge of the wall 14 of the shell is provided with an
outwardly extending flange 20 and similarly the right edge of the
cylindrical wall is provided with an outwardly extending flange 21.
The bottom ends of the flanges 20 and 21 are spaced to provide a
downwardly opening slot 22 for a purpose to be described.
The front shell section 13 similarly has a cylindrical wall 25 and
a tubular foot-receiving portion 26. The left-hand edge of the
cylindrical wall has an outwardly extending flange 27 and its
right-hand edge has an outwardly extending flange 28. The bottom
portion of the front shell section is provided with a downward
protuberance 29a having an aperture 30 in which is receivable the
front lug 32 of the heelpiece 18. The lowermost substantially
horizontally extending portions of the edge flanges of the two
shell sections are receivable in the vertical upwardly opening
recess 33 of the heelpiece. The bottom ends of the flanges 27 and
28 are spaced to provide a downwardly opening slot 29 which is
aligned with the slot 22 when the heelpiece is positioned on the
two shell sections with its lugs extending through the apertures 16
and 30.
The two shell sections 12 and 13 may be secured to one another by
any suitable means such as a strip of adhesive tape or by clamp
strips 34 and 35 which are adapted to resiliently extend about the
aligned flanges 20 and 27, and 21 and 28, respectively, of the two
shell sections. The two shell sections are also held together by
the heelpiece 18 since the lower ends of the flanges of the two
shell sections are received in the groove or recess 33 of the
heelpiece and the lugs 17 and 32 of the heelpiece are received in
the apertures 16 and 30 of the sections 12 and 13,
respectively.
The two shell sections are formed of a rigid plastic substance,
such as acrylonitrile-butadiene-styrene, polycarbonate or
high-impact polystyrene, which is relatively lightweigt, water
impervious and strong.
The cast includes an inner substantially tubular flexible wall 40
comprising two sheet sections 41 and 42 formed of an open-cell foam
substance, such as polyurethane commercially available under the
mark "Scott Foam" which because of its open-cell structure permits
passage of fluids therethrough. For example, the sheets may be
one-eighth inch thick and have 80 pores per linear inch.
The wall section 41 has a longitudinal body portion 43 provided at
its upper end with the oppositely extending tabs 44 and 45 and a
foot portion 47 which extends angularly from the lower end of the
perpendicular portion and is provided with oppositely extending
tabs 48 and 49 at its outer end portion.
The wall section 41 also has a downwardly extending tab 51 which is
adapted to extend downwardly (see FIG. 3) through the aperture
provided by the aligned slots 22 and 29 of the shell sections 12
and 13, respectively. The inner surfaces of the inner wall section
41 are provided with layers 54 and 55 of a suitable
pressure-sensitive adhesive so that the sections 41 and 42 may be
secured to one another along their opposite side portions.
The inner wall section 42 being identical in structure to the inner
wall section 41, its various portions have been provided with the
same reference numerals, to which a subscript "a," has been added
as the corresponding portions of the inner wall portion 41.
A cutter or cast stripper member 57 is secured to the inner
surfaces of the inner wall sections 41 and 42 by means of adhesive
strips 58 and 58a, respectively. The cutting member 57 may be a
stainless steel cable. The middle portion of the cutting member 57
extends downwardly of the lower ends of the bottom tabs 51 and 51a
and is formed into a loop which is positionable about the lug 32 of
the heelpiece. The opposite end portions 59 and 59a of the cutter
member extend outwardly through apertures in the inner wall
portions 41 and 42, respectively, and may be formed into loops as
is illustrated in FIGS. 1, 3 and 5.
The inner wall may also include a sheet 62 of a plastic substance,
such as is commercially available under the name "Saran Wrap,"
which may be wrapped about the sections 41 and 42 after they have
been placed about the leg of the wearer. Alternatively, the sheet
62 may be in the form of two sections, not shown, of the same
configurations as the sections 41 and 42 and be bonded thereto
prior to the placement of the sections 41 and 42 about the leg. The
impermeable sheet 62 is used to prevent a foaming liquid, as will
be explained below, from coming into contact with the leg of the
wearer.
The cast may include, FIG. 3 and 4, a heel support or block 64
which may be used to hold the heel and the rear outer wall shell
section 12 in proper spaced relation to the leg of the wearer
during the forming of the cast. The heel support may be made of
polyurethane foam.
In use, a woven stocking 65 may be placed about the foot and lower
leg of the leg which is to be immobilized by the cast 10. The rear
layers 55 of adhesive on the inner surfaces of the two sections
then secure the rear and bottom portions of the inner wall sections
41 and 42 to one another and these two sections are then placed
about the leg. The forward portions of the sheets are then secured
to one another by the front layers 54 of adhesive on the inner
surfaces, as illustrated in FIG. 5. The impermeable sheet 62 is
then wrapped about the inner wall sections 41 and 42 to form a
liquidtight covering therefor with the sections 41 and 42 held in
somewhat loose engagement with the leg and foot. If the sheet is in
the form of two sections bonded to the sections 41 and 42, the
impermeable sheet obviously is disposed about the leg at the same
time as the sections 41 and 42. The sheet 62 is wrapped around the
tabs 51 and 51a or is perforated to permit them to pass downwardly
thereof. The two tabs 51 and 51a which are now secured to one
another, as illustrated in FIG. 6 and extend downwardly through the
aperture formed by the aligned slots 22 and 30 of the shell
sections 12 and 13 of the outer wall.
The rear shell section 12 is then disposed as illustrated in FIG.
3, about the rear portions of the leg, heel and foot of the wearer
while the heel support prevents the heel from engaging the rear
shell section 12. The bottom edges of the flanges 20 and 21 are
inserted in the recess 33 of the heel while the heelpiece lug 17 is
positioned in the aperture 16.
The middle loop portion 58 of the cutting member is disposed about
the lug 32 of the heelpiece and the front shell portion 13 is
placed over the foot of the wearer and the bottom portions of its
flanges 27 and 28 are inserted into the recess 33 of the heelpiece.
The lug 32 is received in the aperture 30.
The loop 58 as illustrated in FIGS. 3 and 6 is then held against
displacement off the heelpiece lug 32 by the bottom inner portion
of the front shell section 13.
The two rigid shell sections 12 and 13 are then secured to one
another by the clamp strips 34 and 35 or alternatively by surgical
adhesive tape and the like.
The upper portions of the tubular inner wall formed by the inner
wall sections 41 and 42 defined by the broken lines 66 and 67, FIG.
5, which now extend upwardly of the top edges of semicylindrical
wall portions 14 and 25 of the shell sections 12 and 13,
respectively, are folded downwardly over the shell sections as
illustrated in FIGS. 1 and 3. A strip of adhesive tape 69 is then
wrapped about the folded-down portions and lapped over the shell
sections to secure the folded-down portions to the shell sections
and close the upper end of the chamber 70 formed by and between the
inner and outer walls.
The portions of the inner wall sections 41 and 42 extending
forwardly of the lines 72 and 73 extend forwardly of the front edge
of the tubular foot portion 26 of the shell section 13 and are
similarly folded back thereon, as illustrated in FIG. 3, to close
the bottom end of the tubular chamber and secured to the foot
portion by an adhesive tape 74.
The leg is then supported in a horizontal position and a liquid
mixture of polyurethane, freon and a catalyst, the freon being in
solution in the polyurethane or the catalyst, is poured in the
chamber 70 through an aperture 75 in the front shell section in
sufficient quantity that as the freon vaporizes, the freon-blown
polyurethane foam 76 will fill the tubular chamber and cause the
flexible inner wall to move inwardly at all locations therealong to
expand the tubular chamber and to conform to the shape of the leg
and foot. When the chamber is fully expanded any excess foam
produced therein will flow out through the aperture 75 so that the
body portion is not compressed or placed under pressure at any
location. The foamed-in-place polyurethane forms a rigid
closed-cell foam when it sets or hardens.
The leg is now held notionless relative to the outer wall for a
period of time which is relatively short, for example,
approximately 5 minutes, until the substance 76 hardens or sets.
The polyurethane bonds to the shell sections 12 and 15 and to the
inner wall sections 41 and 42 as it hardens.
The inner surfaces of the cast now conform exactly to the
configuration of the leg and foot enclosed by the cast and, at the
same time, immobilize the leg.
The thickness of the inner wall sections 41 and 42 and of the
impermeable sheet 62 have been exaggerated in FIGS. 2 and 3 for
clarity of presentation. The inner wall sections may, for example,
be one-eighth of an inch thick while the sheet 62 may be five
ten-thousandths of an inch thick.
The stocking 65 and the inner wall sections 41 and 42, which are of
an open-cell foam substance, permit air to circulate to some extent
through the cast and about the leg encased thereby. In addition, if
desired, liquids may be allowed to flow through the cast and about
the leg through the inner wall sections 41 and 42 and the stocking
65 to wash the leg or to apply medications thereto. The foam
substance 76, however, which fills the chamber is not permeable to
liquids.
Since the substance 76 and the shell sections 41 and 42 are not
liquid permeable, even if the cast is submerged in a liquid, no
appreciable amount of liquid will be absorbed thereby. In addition,
the various substances of which the various components of the cast
are formed are not water soluble so that the cast may be washed and
desired liquids circulated through the cast and about the leg.
It will now be seen that the cast 10 embodying the invention
comprises a tubular chamber means formed, for example, of the two
inner wall sections 41 and 42 and the outer wall shell sections 12
and 13 which provides a substantially cylindrical chamber which is
closed at both ends.
It will further be seen that the chamber means includes a
nonexpansible outer wall formed by the rigid channel members 12 and
13 and a flexible inner wall, formed of the inner wall sections 41
and 42, which is movable inwardly toward the body portion until its
inward movement is limited by the body portion which the cast
encloses and the inner wall conforms to the configuration of the
body portion.
It will further be seen that the inner wall is moved inwardly to
engage and to conform to the outer surfaces of the body portion
when a liquid is introduced into such chamber and such liquid foams
and expands to fill such tubular chamber and move the inner wall
sections inwardly.
It will also be seen that the flexible inner wall may include a
liquid-impermeable sheet 62 disposed about the inner wall sections
41 and 43 to prevent the liquid introduced into the chamber from
contacting the leg itself.
It will further be seen that the method of making a cast on a body
portion, such as a leg, includes disposing a substantially tubular
chamber means formed of such elements as the outer wall and the
inner flexible wall 40, and introducing a foam-forming liquid into
the chamber to fill the chamber and cause the inner wall to move
inwardly until its inward movement is limited by the body portion,
and holding the cast and the body portion against movement relative
to one another until the produced foam hardens or becomes
rigid.
It will be apparent that the cast is of very lightweight and that
it may be washed or subjected to liquids unlike the usual heavy
liquid-absorbing and liquid-soluble plaster cast, and that is
permits flow of liquids between the leg and the cast which may be
desired if medication or washing of the skin is required or
desirable.
The foregoing description of the invention is explanatory only, and
changes in the details of the construction illustrated may be made
by those skilled in the art, within the scope of the appended
claims, without departing from the spirit of the invention.
* * * * *