U.S. patent number 3,776,224 [Application Number 05/228,941] was granted by the patent office on 1973-12-04 for dynamic cervical support.
This patent grant is currently assigned to Medical Development Corporation. Invention is credited to Harold A. McFarland.
United States Patent |
3,776,224 |
McFarland |
December 4, 1973 |
DYNAMIC CERVICAL SUPPORT
Abstract
An improved dynamic cervical support supplying constantly
sustained traction to a patient's head, yet insuring essentially
full normal mobility of the head. The shoulder harness of the
device include rigid shoulder straps or arcuate shoulder members
which, though made of rigid material, can be adjusted about points
of attachment to accommodate a variety of shoulder configurements.
The head frame or support itself is of hinged construction and can
be easily altered as to longitudinal dimension for the comfort of
the user. Compression spring means provides the needed traction,
and spring guides and/or mounts maintain ball-and-socket connection
to their mountings, to insure axial deflection of the compression
springs used in an advantageous manner. Larger spring members
journal interior support structure and provide for a degree of
lateral flexibility, as well as offering a restoring force to such
interior support structure. Articulative joints at selected points
in the structure insure wide versatility of use and mobility even
though traction is constantly maintained. A side hinge and hook
construction provide for selective opening and closure of the lower
jaw member of the head frame to the rear head support thereof.
Inventors: |
McFarland; Harold A. (Salt Lake
City, UT) |
Assignee: |
Medical Development Corporation
(Salt Lake City, UT)
|
Family
ID: |
22859182 |
Appl.
No.: |
05/228,941 |
Filed: |
February 24, 1972 |
Current U.S.
Class: |
602/18;
128/DIG.23 |
Current CPC
Class: |
A61F
5/055 (20130101); Y10S 128/23 (20130101) |
Current International
Class: |
A61F
5/04 (20060101); A61F 5/055 (20060101); A61h
001/02 () |
Field of
Search: |
;128/75,DIG.23,87,83,84,88,85 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Kamm; William E.
Assistant Examiner: Yasko; J.
Claims
I claim:
1. A cervical brace including, in combination, a pair of mutually
spaced, downwardly concave, arcuate shoulder members, a cross
brace, means pivot-displacably securing said arcuate shoulder
members to said cross brace, and means releasably fixing the
selected disposition of said arcuate shoulder members relative to
said cross brace, and wherein said cross brace overlaps said
arcuate shoulder members and include askew slotted apertures, said
releasably fixing means comprising attachment means respectively
engaging said cross brace, passing through said askew apertures,
and retentively engaging said arcuate shoulder straps.
2. A cervical brace including, in combination, a head frame, a
shoulder harness, means coupled to said head frame and shoulder
harness for springingly supporting said head frame above said
shoulder harness, said head frame including a jaw support member, a
rear head support, and means adjustably securing said jaw support
member to said rear head support, whereby the length of said head
frame can be adjusted to accommodate a variety of head sizes, and
means hinging said jaw support member to said rear head support,
said hinging means being hinged transversely outwardly relative to
said jaw support member.
3. Structure according to claim 2 wherein said adjustably securing
means comprise opposite-side medial members, at least one of said
rear head support and a respective one of said medial members
including longitudinally spaced apertures, and attachment means
securing said rear head support to said respective medial member at
a selected one of said longitudinally spaced apertures.
4. Structure according to claim 3 wherein one of said rear head
support and a respective one of said medial members includes means
enabling and providing tiltable adjustment of said rear head
support relative to said respective medial member.
5. A cervical brace including, in combination, a head frame, a
shoulder harness, and support means operably disposed between said
head frame and said shoulder harness and comprising a pair of
support structures respectively disposed on opposite sides of said
head frame, each of said support structures comprising a post
journalling said head frame thereto for movement of the latter
about a horizontal axis, first spring means secured to said
shoulder harness and including an upwardly disposed journal boss, a
sleeve journaled in said journal boss and supporting said post, a
cylinder having apertured, lower, spherical ball-and-socket end and
disposed within said sleeve such that the latter may slide thereon,
a ball mount comprising a ball portion nestled in said socket and a
shank protruding downwardly through said apertured end to be
retained proximate said shoulder strap and a traction-producing
compression spring disposed between and engaging said shoulder
harness and said sleeve.
6. A cervical brace including, in combination, a head frame, a
shoulder harness, and support means operably disposed between said
head frame and said shoulder harness and comprising a pair of
support structures respectively disposed on opposite sides of said
head frame, each of said support structures comprising a post
journalling said head frame thereto for movement of the latter
about a horizontal axis, first spring means secured to said
shoulder harness and including an upwardly disposed journal boss, a
sleeve journaled in said journal boss and supporting said post, a
cylinder having an apertured, lower, spherical ball-and-socket end
and disposed within said sleeve such that the latter may slide
thereon, a ball mount comprising a ball portion nestled in said
socket and a shank protruding downwardly through said apertured end
to be retained proximate said shoulder straps, and a
traction-producing spring operatively disposed between said
cylinder and said post.
7. In a cervical brace construction including a shoulder harness, a
head frame and mounting means springingly supporting said head
frame above said shoulder harness; an improvement wherein said head
frame comprises a rear head support, a lower jaw support, means
hingedly connecting said lower jaw support on one side thereof to
said rear head support at a corresponding side, and means
releasably retaining the remaining side of said lower jaw support
to the remaining side of said rear head support, said hingedly
connecting means being hinged transversely outwardly relative to
said lower jaw support.
8. Structure according to claim 7 wherein said last mentioned means
comprises hook means releasably interengagable as between said
lower jaw support and said rear head support.
Description
The present invention relates to cervical supports and, more
particularly, to a new and improved cervical support providing a
variety of advantages over other supports known in the field.
The present invention generally relates to cervical supports to be
used to supply traction to the upper spinal column by giving raised
support to the head relative to the shoulders.
While it is quite common to supply a compressive spring-type
traction force to head support structures, difficulty has been
encountered in connection with designing suitable traction
structure for the head which insures full mobility of the head
while yet maintaining the needed traction for all head
orientations.
The present invention provides, on opposite sides of the head frame
supported by the shoulder brace, novel support means comprising an
outer spring, serving to supply both "give" and also a gentle
restoring force in those instances at which the patient has turned
his head either to the right or to the left. Pivot mounts joined
the head frame of the upstanding support so that up-and-down,
back-and-forth movement of the head is facilitated. Importantly,
second spring means disposed interiorly of the first spring
mentioned, is provided for supplying the desired upward tension to
the head frame. Such second spring means enjoy an effective,
articulative mount in the form of a ball-and-socket, articulative
joint relative to the support structure of the shoulder harness. In
this way, new orientation or deflections from the normal vertical
axis of the support structure are provided, this to insure that the
inner spring, generally having a reduced spring constant relative
to the outer spring, may always maintain a straight, axial
positionment, regardless of the turning or deflection of the head.
This maintains spring life and, importantly, insures the
application of normal forces to the head frame whatever its
momentary position. Likewise, the full traction effect of the
springs is maintained since such springs are always normally
applied to the post structures of a head frame, and this along
essentially the entire length of such spring means.
Such a cervical brace, as about to be described in detail, will be
extremely effective in the treatment of patients who may have
become accident victims or who have incurred chronic, degenerative
diseases of the spine and/or neck.
Accordingly, a present object of the present invention is to
provide a new and improved cervical neck brace.
A further object is to provide a cervical neck brace wherein rigid
shoulder members of the shoulder harness thereof may be adjusted to
accommodate a variety of patients as to the slope of their
shoulders.
An additional object is to provide an improved cervical brace
allowing for a wide degree of head freedom, even though traction is
constantly maintained.
A further object is to provide a cervical neck brace having a head
frame of hinged construction.
An additional object is to provide a cervical brace, a head frame
that can be adjusted as to longitudinal dimension.
An additional object is to provide a cervical neck brace wherein a
maximum number of degrees of freedom are enjoyed by the user, and
this throughout constant application of traction.
An additional object is to provide an improved cervical brace which
can be assembled in a minimum of time.
An important object of the invention is to provide a cervical neck
brace having traction-producing spring means which are kept
oriented in a direction essentially normal to the head frame of the
brace whatever disposition the latter may temporarily enjoy due to
patient or other movement.
A further object is to provide a cervical neck brace having
traction producing spring means guided by, extending to, or
terminating in an articulative joint designed such that the spring
means may be kept longitudinally positioned throughout essentially
their entire length, and this normal to the head frame which they
urge upwardly, whatever the temporary or other positionment of the
head frame at any particular time.
The features of the present invention which are believed to be
novel are set forth with particularity in the appended claims.
The present invention, both as to its organization and manner of
operation, together with further objects and advantages thereof,
may best be understood by reference to the following description,
taken in connection with the accompanying drawings in which:
FIG. 1 is a perspective view in reduced scale of the improved
cervical brace of the present invention.
FIG. 1A is a fragmentary rear view of the cross brace structure and
is taken along the line 1A--1A in FIG. 1.
FIG. 2 is an enlarged exploded view of the support structure of the
improved cervical neck brace, the same extending from a shoulder
strap or arcuate shoulder member of a shoulder brace of the device,
upwardly to the head frame of the brace.
FIG. 3 is an assembly view of one-half of the support structure of
the cervical brace of the present invention and is shown in
vertical section.
FIG. 4 is an enlarged, fragmentary detail illustrating the hooking
engagement of the jaw support member of the head support of the
brace to its adjoining structure.
FIG. 4A is a fragmentary enlarged detail illustrating the hinged
connection between the jaw support member of the head frame and its
adjoining structure such that the chin area of the head structure
may be opened and closed to accommodate the user.
FIG. 5 is an enlarged, fragmentary perspective view of an optional
medial portion of a representative, arcuate shoulder member that
can be utilized in mounting the traction support structure to the
shoulder brace.
FIG. 6 is a fragmentary view, shown in reduced scale and in
section, of an alternate form of the invention wherein the
articulative joint of the traction spring is disposed remote from
the spring end proper.
In FIG. 1 the cervical brace of the present invention is shown to
include the shoulder harness 10. Shoulder harness 10 includes
downwardly concave, arcuate shoulder members 11 and 12 which are
joined together by cross brace 13 secured thereto as by welding,
riveting releasable attachments, and so forth. If desired
Allen-type screws 15 may be used as pivot screws for joining the
arcuate shoulder members to cross brace 13. In such event, slotted
apertures 16 and 17 may be provided to accommodate adjustment
screws 18. These latter thread into the respective arcuate shoulder
member 11 in threaded apertures (not shown). Thus, the slotted
apertures 16 and 17 provide for an adjustment such that the
respective arcuate shoulder member 11 may be pivoted about pivot
screws 15, this to accommodate a variety of slop-configurements of
shoulders of the user.
In the embodiment shown in FIG. 1, each of the arcuate shoulder
members advantageously includes a medial portion that can be raised
as indicated and, in any event, includes threaded apertures A, see
FIG. 2, for receiving Allen screws B. The latter are employed to
secure to respective medial portion 19 a base member 20.
Accordingly, machine screws or Allen screws pass through apertures
21 to threadedly engage the apertures A of medial portion 19. Base
member 20 includes an open access aperture 22 contiguous with an
undercut shoulder 23. The enlarged base groove 24, in effect,
suitably serves as a seat for receiving the lower turn 25 of
upstanding spring 26. Thus, on assembly, the base member 20 is
first installed upon medial portion 19; subsequently the spring 26
is advanced so that the lower turn 25 is snapped into, and is
thereby received by the groove or seat 24.
Spring 26 receives at its outer extremity 27 a boss 28, the latter
including a head 29 of tapered configurement and a tapered shank
30. An interior bore 31 is provided the boss 28, and the latter
receives sleeve 32. Sleeve 32 includes one or more outer peripheral
groove 33, providing a seat for snap ring 34, see FIG. 3. Sleeve 32
is reciprocatingly journaled within boss 28, as shown in FIG. 3,
and includes upper, transverse, threaded wall aperture 35 receiving
set screw 36. Set screw 36 also threads through bushing 37 which is
pressed into sleeve 32 and engages and vertically positions post
38. The bottom edge of bushing 37 serves as a stop abutment for the
upper edge of tubular member 45 as, for example, when the user
raises his shoulders to produce a positive traction effect.
An artulative ball-and-socket joint at 39 takes the form of a
spherical mount member 40, the latter including ball 41 and
depending threaded stem 42. The threaded stem engages a mounting
nut 43 and is either disengaged from or threaded into aperture
44.
Tubular member 45 is journaled within sleeve 32 and includes a
spherically configured base 46 provided with aperture 47. Aperture
47 receives the turned-down shank area 48 of artulated spherical
member 40.
Spring 50 engages at its opposite ends, respectively, the lower end
51 of tubular member 32 and also upper surface 53 of the
representative, arcuate-shoulder-member medial portion 19.
Post 38 includes an upper boss portion 52, provided with a
transverse aperture 53. The same includes a spherically configured
portion 54 which cooperates with the ball end 55 of articulative
pivot screw 56. The ball end or head 55 may, if desired, simply be
spherically configured at X to correspond with the spherical
configurement of the interior of the aperture 53 at this point (y).
Shank 56 is threaded at 57 and threads into aperture 58 of jaw
support member 59.
Spacer 60 likewise includes a threaded aperture at 61 and
preferably includes an outer tapered end 62. If desired, an
aperture tapered area 63 may likewise be provided to accommodate
the outwardly extending end 62 of the spacer or bushing previously
referred to.
In FIG. 1 it is seen that the jaw support member 59 and the rear
head support 64 are joined together, either directly or by the
inclusion of medial adjoining members 86 and 78. This may be
accomplished by incorporation of machine pivot screws 66 and
adjustment screws 67. In this connection, slotted apertures 68 may
be provided in the members 86 and 86'. Additionally, a plurality of
apertures 70 may be additionally provided in these members, as well
as corresponding threaded apertures 70A in the opposite sides of
rear head support 64 to serve for the threaded reception of pivot
screw 66. Accordingly, by combination of pivot screw apertures, as
at 70, the over-all longitudinal length of the composited head
support 72 may be made adjustable. Correspondingly, the provision
of adjustment screws on 67 on opposite sides of the device enable a
tilting of the jaw support member relative to the rear head support
64. Accordingly, a variety of head configurements, that is jaw
extension and angulation relative to the lower rear of the skull
may be accommodated.
FIG. 3 illustrates that a hinge pin or hinge pin ears at 75 may be
provided through the ear 76 and 77 of the medial member 78 joining
the rear head support 64 to the forward jaw support member 59. Of
course, the hinge pin 75 may simply take the form of upper and
lower pivot extensions C and D of jaw support member 59. For ease
of assembly, there may be provided an insert member 78 secured to
upper flange 79 of machine screw 80 and provided with a hook type
end 81, not shown, which encompasses the raised tab or pivot 75,
see FIG. 3.
Medial portion 86 includes an inwardly turned end 87 provided with
slot 88. The latter receives the neck 89 of head portion 90 of the
jaw support member 59, see FIG. 4.
Rather than include the upstanding medial portion as at 19 on each
side of the device, the device may include simply turned tabs 90
joined to the respective arcuate shoulder members 11 and 12 in a
manner indicated in FIG. 5. The structure of FIG. 5 has some
advantages in that the mount 19A, corresponding to medial portion
19, may be bent upwardly and downwardly along the axis E so as to
accommodate patients having different shoulder and neck
structures.
FIG. 6 illustrates that, rather than include the exterior spring
50, an interior spring 91 may be utilized. In the latter event, an
interior shoulder 92 serves as a seat for spring 91, whereas the
upper portion at 93 of the spring may engage post 38 or its collar
37, see FIG. 6.
As to operation, a number of advantages may be seen in connection
with the structure as described. Flexibility of the shoulder
harness is insured through the use of the pivot screws 18 and slots
17, this so that the shoulder strap or arcuate shoulder members may
be tilted laterally such that the most comfortable position for the
wearer may be assured. Note that such adjustments take place about
the longitudinal axes of pivot screws 15 which, in part, secure
cross brace 13 to the shoulder straps or arcuate shoulder members
of the harness.
In the five piece construction of the head support or frame,
namely, by virtue of the jaw support member 59, rear head support
64, and the side medial joining support members 86 and 78, the
longitudinal dimension of the over-all head support may be adjusted
in accordance with the head contour of the user. Accordingly,
different ones of the adjustment holes as seen in FIG. 1 and
identified in FIG. 2 have been utilized. Further, the jaw support
member 59 may be tilted upwardly or downwardly relative to rear
head support 64, simply by the use of the slotted holes at 58, in
FIG. 2, with the tightening of screw 67.
Of prime importance is the inclusion of a tubular base member as at
45 in FIG. 3 which form an articulative ball-and-socket joint with
the ball member 40. This provides for a free displacement or
tilting of the axis F of each side support for the head support 72,
this so that the head may be rotated freely back-and-forth and also
adjusted from side-to-side. Accordingly, a maximum of movement is
enjoyed without detering the upward traction provided as by the
opposite springs 50. Note is to be had that springs 26 merely serve
to provide a restoring force to the head support after the head,
from its tilt position, is returned by the patient to forward
orientation. It is the action of compression springs 91, in FIG. 6,
or springs 50, in FIG. 3, which provide the upper tension or upward
force of the neck region of the spinal column. Springs 26, on
opposite sides of the user, merely generally orient the head
support 72 upwardly above the brace, and provide flexibility when
the user turns his head to the right or to the left; additionally,
such springs supply a gentle restoring force for the patient when
his head is to be returned to the normal position. The
ball-and-socket joint proximate ball 40, in FIG. 3, provides both
for axial position of the spring 50, as well as facilitates a
deflection of the axis at spring 26 along essentially its entire
length in accordance with the movement by the patient of his
head.
Accordingly, what has been provided is a new and useful cervical
brace support which offers adjustment features as to the shoulder
harness thereof in connection with the back, shoulder and neck
configurements of the individual patients, this for their maximum
comfort while wearing the brace. Upper tension is applied by
springs 50 whose longitudinal axes are deflectivle in accordance
with the desires of the user through his head movement and as
facilitated by the ball-and-socket joints at the base of the side
support structures proximate ball 41. Up and down tilting of the
head is accomplished with a journal proximate areas 53 and 55 in
FIG. 3. The length adjustment is facilitated by intermediate
members as before described and a hinged hook construction supplies
needed releasible engagement of the head support proper.
While particular embodiments of the present invention have been
shown and described, it will be obvious to those skilled in the art
that changes and modifications may be made without departing from
this invention in its broader aspects and, therefore, the aim in
the appended claims is to cover all such changes and modifications
as fall within the true spirit and scope of this invention.
* * * * *