U.S. patent number 3,759,256 [Application Number 05/218,213] was granted by the patent office on 1973-09-18 for splint for immobilization of the mandible.
Invention is credited to Joseph E. O'Malley.
United States Patent |
3,759,256 |
O'Malley |
September 18, 1973 |
SPLINT FOR IMMOBILIZATION OF THE MANDIBLE
Abstract
A simplified splint for precise immobilization of the mandible
or lower jawbone in mandibular injuries having a main or supporting
harness of a single piece of material with a chin support and an
occiput engaging support connected by curved portions passing over
the ears on either side of the patient's head. A top-of-the-head
strap connects the curved portions of the supporting harness
together with a quick connect Velcro connection and a pair of
posterior straps connect the occiput engaging portion and the chin
support portion of the supporting harness together below the ears,
each strap having a quick connect Velcro connection so that a
splint is provided which may be rapidly placed on a patient without
interference with the patient's ears and forehead.
Inventors: |
O'Malley; Joseph E. (Orlando,
FL) |
Family
ID: |
22814201 |
Appl.
No.: |
05/218,213 |
Filed: |
January 17, 1972 |
Current U.S.
Class: |
602/17 |
Current CPC
Class: |
A61F
13/122 (20130101) |
Current International
Class: |
A61F
13/12 (20060101); A61f 005/04 () |
Field of
Search: |
;128/89,75,164,163,76,DIG.15,83,87 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
|
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|
|
389,777 |
|
Aug 1922 |
|
DD |
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577,276 |
|
Mar 1932 |
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DD |
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Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Claims
I claim:
1. Splint for immobilization of the mandible, comprising in
combination:
a. one-piece supporting harness having a chin support and an
occiput engaging support, said supporting harness being curved to
pass over each ear of a patient to connect the chin support and the
occiput engaging support on both sides of a patient's head;
b. top-of-the-headstrap means being attached to said support
harness on each side thereof on the portion curved to pass over a
patient's ears, said strap means having a quick attaching means for
attaching said strap means over the crown of the head when said
harness is on a patient and being adapted to pull the patient's
chin anteriosuperiorly and bring the teeth into occlusion;
c. a pair of posterior straps connected to the occiput engaging
support portion of said supporting harness and having quick
attaching means for attaching each said posterior strap to the chin
support portion of said supporting harness, said posterior straps
being adapted to pass below said patient's ears; whereby a
patient's mandible is supported with his ears and forehead being
undisturbed; and
d. said top-of-the-head strap means quick attaching means having a
Velcro connection formed between two portions of the strap.
2. The apparatus in accordance with claim 1 in which each said
posterior strap quick attaching means includes a Velcro connection
for attaching each strap on one side of the patient's mandible near
the chin portion of said supporting harness.
3. The apparatus in accordance with claim 2 in which said
supporting harness, head strap means and posterior straps are made
of nylon tricot.
Description
BACKGROUND OF THE INVENTION
The present invention relates to splints for mandibular injuries
and especially to such splints which may be used for prompt
treatment while providing precise immobilization of the mandible.
In mandibular injuries prompt treatment may be necessary to assure
a clear airway. In many instances this can be accomplished by
holding the mandible forward until actual operative treatment can
be undertaken. In most cases of mandibular fracture, either recent
ingestion of food or beverages or concomitant injuries rule out
general anesthesia for intermaxillary wiring or other operative
repair for several hours or days. One common type of available
bandage provides a beneficial dressing for some mandibular injuries
and helps to stabilize a fractured jaw, to minimize further damage,
and to allow the patient to swallow more easily. This prior art
bandage referred to as the Barton bandage, adds to the comfort of
the patient and holds a sterile dressing on soft tissue wounds or a
pressure pack, if needed, to control bleeding. However, there are
important drawbacks to this type of dressing especially when an
inebriated patient is being treated and this kind of injury is
commonly sustained by inebriated patients. One difficulty is in the
application of the bandage especially in cases where cervical
injury is suspected, and that during application, slippage of the
bandage frequently occurs and it usually requires reapplication
almost daily. In addition, undue pressure may result on the
forehead and frequently on the ears which seem to manage to become
incorporated in the dressings. The problems are even more severe in
cases of children and young adults.
It is accordingly one object of the present invention to provide a
mandibular immobilization splint without the disadvantages of the
Barton bandage and which may be easily washable and adapted for
patients of all different size heads and chins and which may be
easily applied or removed, such as for shaving by male patients, or
for changing dressings on soft tissue. It is another advantage of
the present invention to provide a splint which may be applied in
seconds without undue manipulation of the head or neck thus
avoiding possible further injury.
Other prior art bandages for supporting the lower jaw may be seen
in U.S. Pat. No. 84,965 which illustrates a sanitary brace to keep
the mouth closed during sleep, and in U.S. Pat. No. 106,091, which
illustrates an apparatus for the treatment of a fracture of the
lower jawbone, adapted to hold the jawbone from the top of the
head; and in U.S. Pat. No. 2,507,617, which illustrates a jaw or
chin support for holding the lower jaw in its upper or closed
position in cases of jaw fracture, as does U.S. Pat. No. 1,110,772.
Each of these patents, however, utilizes the forehead in the
support of the chin and generally provides a circular bandage for
fitting on the head with additional straps over the head and
attached to the chin support. Finally, U.S. Pat. No. 2,827,896
illustrates a head halter for use in traction devices during
cervical traction and engages all of the bottom of the head from
the chin around the back of the head, then connects with a snap
fastener to a traction line.
The present invention, on the other hand, is directed towards
maintaining a splint away from the forehead and away from the ears
of the patient and to provide one splint which can be very rapidly
connected to a patient without undue manipulation of the head or
neck and without having to make adjustments in the device for the
patient.
SUMMARY OF THE INVENTION
The present invention relates to splints for the immobilization of
the mandible and has a one-piece harness having a chin support on
one portion thereof and an occiput engaging support on another
portion thereof. The supporting harness fits over the head and
engages the chin and the occiput and is curved along the side of
the head over the ears. A strap is made to pass over the crown or
top of the head for attaching the two curved portions passing over
the ears together and are rapidly connected with a Velcro
connection so as to pull the patient's chin anteriosuperiorly and
bring the teeth into occlusion. Then a pair of posterior straps
connect the occiput engaging support portion with the chin support
portion of the supporting harness by means of Velcro connections,
with the straps passing under the ears. The harness is made out of
nylon tricot that may be washable and requires only two sizes, one
pediatric and one in adult sizes .
BRIEF DESCRIPTION OF THE DRAWINGS
Other objects, features and advantages of this invention will be
apparent from a study of the written description and the drawings
in which
FIG. 1 is a perspective view of a splint in accordance with the
present invention;
FIG. 2 is a perspective view of the splint in accordance with FIG.
1 placed on the head of a patient; and
FIG. 3 is a perspective view as seen more from the rear of the
patient showing the embodiment in accordance with FIGS. 1 and
2.
DESCRIPTION OF THE PREFERRED EMBODIMENT
The present invention deals with a machine-washable reusable jaw
splint which can be manufactured in nylon tricot with Velcro
closures and which has soft padding thereon with slight inherent
stretch for use in mandibular injuries for the precise
immobilization of the mandible. The splint may be slipped over the
chin and occiput and a Velcro strap closed over the top of the head
to pull the chin anteriosuperiorly and bring the teeth into
occlusion. A posterior Velcro strap is then fastened on each side
of the mandible and attached near the chin with the ears and
forehead remaining undisturbed.
As seen in FIG. 1, a splint 10 is illustrated having a single
harness piece 11 which includes a chin support 12 and an occiput
engaging support 13 on the opposite end of the harness 11 from the
chin support 12 and adapted to fit over the occiput of the
patient's head. The chin support is adapted to fit over the chin of
a patient and the two are connected in a complete encircling
harness 11 having curved portions 14 and producing an arcuate
surface 15 adapted to fit over a patient's ears. The harness 11 may
be made of nylon tricot with a soft padding to provide a very
slight inherent stretch and also for holding saline or other wet
dressings when needed. A head strap 16 is formed in two parts, each
side attached to the harness 11 at 17 and 18 and may be connected
or disconnected from each other at the Velcro connection 20 which
can be easily connected to fit different heads in accordance with
where the two surfaces are brought together. This top-of-the-head
or crown strap 16 provides the chin support 12 with the necessary
support for bringing the patient's teeth into occlusion and a pair
of posterior straps 21 are connected to the occiput engaging
portion 13 of the harness 11 at 22 and have Velcro connections 23
for connecting each strap 21 to the chin support section 12 on
either side of the mandible of the patient's head.
FIGS. 2 and 3 illustrate the harness as in FIG. 1 on a patient's
head, each having the chin support 12 and the harness 11 placed on
the chin of a patient's head 24. The patient 24 has a chin 25 and
occiput 26, nape of his neck 27 and the crown on top of his head 28
along with his ear 31 illustrated to show the connection of the
splint 10 for holding the mandible or lower jawbone 32 in position.
The harness 11 has the curved portion 14 and the occiput engaging
portion 13 engaging the patient's occiput 26 and has the straps 21
connected by connection 22 and removably connected by connection 23
to hold the harness 11 chin support 12 in position. The crown strap
16 is removably connected at 20, and fixedly connected to either
side at 17 and 18 (FIG. 1). In operation the main harness 11 is
slipped over the patient's 24 head with the chin cup portion 12
over the chin 25 of the patient 24 and the occiput engaging portion
13 over the occiput 26 with the curved portion 14 passing over the
ears. The strap 16 is then connected simply by pressing the Velcro
members together for the necessary fit and support of the chin 25.
The posterior straps 21 are then fastened by the Velcro connection
23 to fit the particular patient to give the necessary support.
It should be clear at this point that a new jaw splint is presented
which is especially advantageous for the immediate emergency
immobilization of a fractured mandible but which may be used in
non-emergency situations. Accordingly, this invention is not to be
construed as limited to the particular forms disclosed herein since
these are to be regarded as illustrative rather than
restrictive.
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