U.S. patent number 3,756,239 [Application Number 05/135,583] was granted by the patent office on 1973-09-04 for inflatable tourniquet.
This patent grant is currently assigned to Orthopedic Equipment Company, Inc.. Invention is credited to J. Walter Smythe.
United States Patent |
3,756,239 |
Smythe |
September 4, 1973 |
INFLATABLE TOURNIQUET
Abstract
An inflatable tourniquet including an elongated flexible tube
which encircles a limb of a patient and which has an inlet opening
therein for the introduction of fluid into the tube to cause its
inflation. The inlet opening in the tube is defined by a fitting
which protrudes radially outwardly from the limb-encircling tube. A
flexible retaining strap having a plurality of longitudinally
spaced holes therethrough is provided. The strap extends around the
limb, overlapping the limb-encircling tube, and is secured about
the tube by having the fitting projecting through selected holes in
the strap so that upon inflation of the tube the strap will remain
securely wrapped about the limb.
Inventors: |
Smythe; J. Walter (Mentone,
IN) |
Assignee: |
Orthopedic Equipment Company,
Inc. (Bourbon, IN)
|
Family
ID: |
22468721 |
Appl.
No.: |
05/135,583 |
Filed: |
April 20, 1971 |
Current U.S.
Class: |
606/202;
600/499 |
Current CPC
Class: |
A61B
17/135 (20130101) |
Current International
Class: |
A61B
17/135 (20060101); A61B 17/12 (20060101); A61b
017/12 () |
Field of
Search: |
;128/87,155,157,165,169,325,327,DIG.20,2.5C,2.5R,2.5V,2.5G |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Howell; Kyle L.
Claims
What I claim is:
1. In a tourniquet comprising an elongated flattened flexible tube
having first and second opposed side walls each defined by
longitudinal side and transverse end margins, said side walls being
joined at the side and end margins thereof to define an inflatable
fluid-retaining envelope between the side walls, said tube being of
sufficient length to encircle a limb of a patient with said second
tube side wall being adapted to be positioned against said limb, a
fitting means carried by said first tube side wall between its side
margins and projecting outwardly from the first side wall, said
fitting means defining an inlet opening in said envelope for the
introduction of fluid into the envelope to inflate the same, a
flexible retaining strap having a plurality of spaced holes
therein, said holes extending longitudinally along said strap, said
strap overlying said second tube side wall with said fitting means
projecting through a first of said holes in said strap, said strap
including a section having a plurality of said holes therein, said
strap section extending longitudinally from one end of said tube
and overlapping said strap at said one hole with said fitting means
interlockingly projecting through a second of said holes in said
strap section, said strap being of sufficient length between said
first and second strap holes to extend around said limb and overlap
said tube when said tube is encircled about the limb.
2. The tourniquet of claim 1 wherein said fitting means is located
adjacent one end margin of said first tube side wall, an exterior
wall part secured to said tube and overlying said first tube side
wall at said fitting means, said wall part extending from one side
margin to the other side margin of said first tube side wall and
being spaced from the first side wall between the side margins
thereof to define a loop means in conjunction with the first side
wall, said wall part having an opening therein, said fitting means
projecting through said opening, said strap fitting slidably
between said wall part and first tube side wall and within said
loop means, said fitting means projecting through said first strap
hole and side wall part hole to retain said strap within said loop
means.
Description
SUMMARY OF THE INVENTION
This invention relates to a tourniquet and has specific application
to an inflatable tourniquet which is of simple and reliable
operation.
The inflatable tourniquet of this invention includes an elongated
flexible tube having the ends thereof closed. The tube encircles a
limb of the patient and has an inlet opening therein through which
fluid can be introduced into the tube to inflate the same. The
inlet opening of the tube is defined by a fitting which protrudes
radially outwardly from the limb-encircling tube. A flexible
retaining strap having a plurality of longitudinally spaced holes
encircles the patient's limb and overlaps the limb-encircling tube.
The fitting projects through selected holes in the strap and serves
to secure the strap about the limb so that, as the tube is inflated
and expands against the strap, the strap will restrict outward
expansion of the tube.
The tourniquet of this invention may be formed of flexible
thermoplastic material which enables the tourniquet to be
sterilized and to be placed as close to the surgical area as
desired without the need for the usual drapings and other
protective sheet material. Once the tourniquet has been used it may
be re-sterilized, if desired, or disposed of. The tourniquet, by
being securable about the limb of a patient through the use of a
single strap, can be quickly applied to the limb of the patient.
The single retaining strap so securely positions the inflatable
tube about the patient's limb that tie-down strings and similar
auxiliary tourniquet securement means need not be used to ensure
that the strap will not become unwrapped during use of the
tourniquet.
Accordingly, it is an object of this invention to provide an
inflatable tourniquet which is of economical construction and which
can be quickly applied in an operative position about the limb of a
patient.
Another object of this invention is to provide an inflatable
tourniquet which can be quickly applied to a limb of a patient and
which is of reliable, safe operation.
Still another object of this invention is to provide an inflatable
tourniquet which can be applied to a limb of a patient to provide
controlled constriction of the blood vessels and artery of the limb
without the necessity of utilizing tie-down strings to prevent the
tourniquet from becoming unwrapped from about the limb.
Other objects of this invention will become apparent upon a reading
of the invention's description.
BRIEF DESCRIPTION OF THE DRAWINGS
A preferred embodiment of this invention has been chosen for
purposes of illustration and description wherein:
FIG. 1 is a perspective view of the tourniquet of this invention
shown applied to the leg of a patient.
FIG. 2 is a side view of the tourniquet of FIG. 1 shown in its
extended form.
FIG. 3 is an enlarged detailed view of that portion of the
tourniquet encircled by broken line 3 in FIG. 2, with portions
thereof broken away to better illustrate the construction of the
tourniquet.
FIG. 4 is a sectional view taken along line 4--4 of FIG. 2.
FIG. 5 is a perspective view of the tourniquet in its wrapped
form.
DESCRIPTION OF THE PREFERRED EMBODIMENT
The preferred embodiment illustrated is not intended to be
exhaustive or to limit the invention to the precise form disclosed.
It is chosen and described in order to best explain the principles
of the invention and its application and practical use to thereby
enable others skilled in the art to best utilize the invention.
The tourniquet of this invention includes an elongated flexible
tube 10 having side walls 12 and 14. Tube 10 is closed at the ends
so as to be of a fluid-tight construction and may be formed in one
integral piece or of two confronting pieces which are bonded
together along their circumferential margins. A tubular fitting 16,
which is fully described in commonly owned application Ser. No.
787,123, filed Dec. 26, 1968, now U.S. Pat. No. 3,587,584, is
secured to side wall 12 of the tube and defines a fluid inlet
opening 18 into the tube. Fitting 16 is adapted to releasably
receive a suitable complementary fitting 19 which is connected to a
conduit 20 through which a pressurized fluid, such as freon or air,
can be introduced into tube 10 to cause its expansion. Fitting 16
is located adjacent one end 21 of tube 10 and is preferably
centered between the side edges of side wall 12.
Covering the outer surface of side wall 12 is a wall part 22 which
preferably extends the full length of tube 10 and which is bonded
to side wall 12 along its side edges so as to define a slip or
passage 24 extending the length of tube 10 between side wall 12 and
wall part 22. If desired, wall part 22 may also be bonded to side
wall 12 across the opposite end 26 of the tube. As best illustrated
in FIG. 4, fitting 16 projects outwardly from side wall 12 and
protrudes through opening 23 in wall part 22. Tube 10 and wall part
22 are preferably formed of a thermoplastic synthetic resin
material having a low gas permeability, such as polyethylene,
polypropylene or nylon. Fitting 16 is preferably of a stiff
construction and may be formed of a synthetic material such as
polyethylene.
A retaining strap 28 is secured to tube 10. Strap 28, which may be
formed of a thermoplastic synthetic resin material, possesses
sufficient flexibility to enable the strap to be wrapped about a
limb of the patient, as illustrated in FIG. 1, but is preferably
otherwise unyielding, such as when placed in tension. A plurality
of longitudinally spaced holes 30 are formed in one end portion 32
of the strap. The opposite end portion 34 of the strap is inserted
into passage 24 between side wall 12 and wall part 22 and
preferably extends to end 26 of the tube. One of the longitudinally
spaced holes 30 in the strap registers with opening 23 in wall part
22. Fitting 16 protrudes through registering hole 30 in the strap
and opening 23 in the wall part and serves to connect strap 28 and
tube 10.
To use this invention, the tourniquet is positioned at the desired
location on a limb 29 of a patient with side wall 14 of tube 10 at
end 26 thereof being placed against the limb. The tourniquet is
then wrapped snugly about the limb, first with tube 10 encircling
the limb and then with strap 28 encircling the limb and overlapping
the tube. The width of strap 28 generally equals the width of the
inflatable portions of tube side walls 12 and 14, as best shown in
FIG. 4, so as to prevent the overlapped tube from expanding to any
great extent around the side edges of the strap during its
inflation. End portion 32 of the strap is of a sufficient length to
extend around the limb and completely overlap limb-encircling tube
10. Holes 30 in end portion 32 of the strap preferably are equally
spaced apart and extend the full length of the strap end portion.
After end portion 32 of the strap encircles the limb and is
positioned so as to overlap limb-encircling tube 10, the free end
part of strap end portion 32 is positioned against the adjacent
underlying outer surface of wall part 22 with fitting 16 protruding
through one of the holes 30, designated hole 30', in the free end
part, as illustrated in FIGS. 1 and 5. Holes 30 in strap end
portion 32 are spaced sufficiently close together, such as 1/2 inch
apart, so as to enable one such hole in the strap free end part to
receive fitting 16 with the strap being held snugly wrapped about
the limb. Conduit 20 is then connected to fitting 16 and
pressurized fluid introduced into tube 10 to cause its
inflation.
As tube 10 is inflated, strap 28 is prevented from unwrapping by
reason of having fitting 16 inserted through two of its holes 30
which are separated by a section of strap which encircles the limb.
Fitting 16 is preferably of a sufficient length so as to ensure
that the free end of the strap does not become disconnected from
the fitting prior to and during the introduction of pressurized
fluid into the tube. Once pressurized fluid is introduced into the
tube, fitting 16 and the marginal portions of strap holes 30
through which the fitting projects firmly lock to prevent the strap
from unwrapping. By designing the tourniquet with end portion 34 of
the strap extending the full length and essentially across the
width of tube side wall 14, the tube is provided with a rigid
backing which causes the tube to expand inwardly against the limb
and thus provide controlled constriction of the blood vessels and
artery of the limb. To release the tourniquet from the limb, the
pressure within tube 10 need only be relieved and conduit 20
disconnected from fitting 16. The user of the tourniquet can then
disengage the free end of strap end portion 32 from fitting 16 and
unwrap the tourniquet.
It is to be understood that the invention is not to be limited to
the details herein given but may be modified within the scope of
the appended claims. Also it is to be understood that in the
preferred embodiment above described strap 28 is not bonded to tube
10, fitting 16, or wall part 22, but is connected to the tube by
being inserted into passage 24 between the tube and wall part with
the fitting projecting through a hole 30.
* * * * *