U.S. patent number 3,783,859 [Application Number 05/297,250] was granted by the patent office on 1974-01-08 for novel external circulatory assist device.
This patent grant is currently assigned to Medical Innovations, Inc.. Invention is credited to John M. Colman, Nubar D. Hagopian, Harold S. Sauer.
United States Patent |
3,783,859 |
Sauer , et al. |
January 8, 1974 |
NOVEL EXTERNAL CIRCULATORY ASSIST DEVICE
Abstract
Novel external pressure circulatory assist apparatus utilizing
movement of a shell portion of a limb-enclosing housing as a
mechanical means for applying the requisite cyclic pressure to the
limbs of a patient being treated.
Inventors: |
Sauer; Harold S. (Carlisle,
MA), Hagopian; Nubar D. (Waltham, MA), Colman; John
M. (Lexington, MA) |
Assignee: |
Medical Innovations, Inc.
(Waltham, MA)
|
Family
ID: |
23145499 |
Appl.
No.: |
05/297,250 |
Filed: |
October 13, 1972 |
Current U.S.
Class: |
601/152 |
Current CPC
Class: |
A61H
9/0078 (20130101); A61H 31/006 (20130101); A61H
2201/1238 (20130101); A61H 2205/10 (20130101) |
Current International
Class: |
A61H
23/04 (20060101); A61H 31/00 (20060101); A61h
001/00 () |
Field of
Search: |
;128/24R,64,25R,60,25B |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Attorney, Agent or Firm: Robert A. Cesari et al.
Claims
What is claimed is:
1. In an external circulatory assist apparatus comprising a
liquid-containing bladder means adapted to be positioned around a
patient's limbs within a limb housing, the improvement wherein said
housing comprises two limb-holding chambers, each said chamber
comprising an upper shell portion and a lower shell portion and
each said chamber adapted to be approximately coextensive with the
limb enclosed therein, means for alternately moving said upper
shells with respect to said lower shells to simultaneously increase
and decrease the pressure exerted on said liquid containing bladder
means in each chamber.
2. Apparatus as defined in claim 1 wherein said upper shells and
lower shells are hinged together along the outer edges thereof,
wherein said lower shells are stationary and each said upper shell
is attached to a mechanical lift means to alternately push and pull
said upper shells into compressing and decompressing relationship
to said bladder means.
3. Apparatus as defined in claim 2 wherein said mechanical means
comprises a hydraulic piston adapted to drive two spaced,
vertically reciprocating lift rods into contact with said
mechanical means, said lift rods being driven by driving means so
mounted as to dissipate the opposing forces thereof as tensile
forces normal to the direction of lift and along a base plate on
which said mechanical means is mounted.
4. Apparatus as defined in claim 1 wherein said bladder means is
fully enclosed and comprises no operable connection with an
exterior source of liquid.
5. Apparatus as defined in claim 2 wherein said bladder means is
fully enclosed and comprises no operable connection with an
exterior source of liquid.
6. Apparatus as defined in claim 3 wherein said bladder means is
fully enclosed and comprises no operable connection with an
exterior source of liquid.
Description
BACKGROUND OF THE INVENTION
This invention relates to apparatus for assisting blood circulation
by applying external pressure to the body. Such processes are
generally known and are disclosed in, for example, U.S. Pat. No.
3,303,841 to Dennis and U.S. Pat. No. 3,654,919 to Birtwell.
As indicated in the Birtwell patent, the prior art devices usually
achieved pressure by having liquid pressure cycled by a pump means
attached to a liquid reservoir surrounding the legs of a patient
being treated. More recently, apparatus has been developed whereby
a mechanical platen rises and falls while in contact with a
constrained leg-enclosing reservoir, thereby causing the pressure
in the reservoir to cycle. This older apparatus is highly
satisfactory in some circumstances but, as the therapeutic value of
external assist apparatus becomes more apparent for various types
of therapy, the known apparatus has been found to be heavier than
is convenient for handling and portability.
SUMMARY OF THE INVENTION
Therefor it is an object of the invention to provide a lightweight
limb-housing unit for use in external circulatory assist
processes.
Another object of the invention is to provide a means to achieve
the simultaneous and synchronous action of two leg units with a
minimum of mechanical apparatus.
A further object of the invention is to utilize necessary
superstructure of an external circulatory assist apparatus to serve
the dual function of housing and pressurizing a liquid bladder.
Another object of the invention is to provide a pressurizing means
having sufficient displacement capacity to provide suitable
treatment for patients with a wide variety of limb sizes and
without having to change water capacity of the pressurized,
liquid-containing bladder wrapped about the limbs.
Other objects of the invention will be obvious to those skilled in
the art on reading this application.
The above objects have been substantially achieved by using leg
housing members as the means by which mechanical pressure is
applied to liquid-filled blankets wrapped about the legs.
ILLUSTRATIVE EMBODIMENT OF THE INVENTION
In this application and accompanying drawings there is shown and
described a preferred embodiment of the invention and suggested
various alternatives and modifications thereof, but it is to be
understood that these are not intended to be exhaustive and that
other changes and modifications can be made within the scope of the
invention. These suggestions are selected and included for purposes
of illustration in order that others skilled in the art will more
fully understand the invention and the principles thereof and will
be able to modify it in a variety of forms, each as may be best
suited in the condition of a particular case.
IN THE DRAWINGS
FIG. 1 is a view of a patient positioned for treatment in the
apparatus of the invention.
FIG. 2 is a view similar to FIG. 1 excepting the apparatus is shown
in an "open" position, i.e., a position wherein a relatively low
pressure or no pressure is exerted by the housing apparatus on the
legs of the patient.
FIG. 3 is an elevation of the actuating mechanism with the housing
in the FIG. 1 position.
FIG. 4 is an elevation of the actuating mechanism with the housing
in the open, i.e., the FIG. 2, position.
Referring to FIG. 1, it is seen that a patient is placed with his
legs, from upper thigh to ankles, in an external pressure
circulatory assist apparatus 10. Apparatus 10 is placed on a table
12 and comprises a base plate 14 on which is mounted leg housing 16
comprising two leg-holding chambers 18. Each chamber 18 consists of
an upper shell 20 and a lower shell 22. Lower shells 22 are fixed
to base plate 14. Upper shells 20, however, are pivotally mounted
onto the outer sides of shells 22 by quick-connecting fastening
means 24. The upper shell and lower shell are approximately
coextensive with the legs of the patient.
FIGS. 3 and 4 show the means by which the pivotally-mounted shells
20 are moved.
Upper shells 20 are attached to generally triangular plates 26
which extend inwardly from the patient's limbs. Triangular plates
26, when in the downward position shown in FIG. 3, act as lever
means for applying pressure to bladders 28 which encircle the legs
of the patient. Plates 26 are integral with upper shells 20 and, as
a consequence, pivot on the pin members 30 of quick-connecting
fastening means 32. Pin members 30 are mounted on brackets 34 and
fastened to lower shells 22. The pins extend laterally into
receptacles in brackets 36 which are mounted on upper shells
20.
Lower shells 22 are rigidly positioned on base plate 12 and
connected to one another by lower bracing plates 38 which extend
between the two lower shells.
Referring to FIGS. 4 and 5, it is seen that base plate 14 carries
mechanical actuator means 40 operably connected to pivot plates 26
upwardly and downwardly in response to the action of a hydraulic
cylinder 42. Hydraulic cylinder 42 is mounted on base plate 14 by
means of mounting bracket 44. A piston 46 is connected to the
cylinder, thence to two bell-cranks 48 and 48a, mounted on brackets
50 and 50a respectively, through operating rods 52 and 54. When the
bellcranks are rotated clockwise by a leftward movement of piston
46, they cause the downward movement of lift rods 57 and,
consequently, the downward movement of plates 26 until they assume
the position illustrated in FIGS. 1 and 3. Conversely, when
bellcranks 48 and 48a are rotated clockwise by a rightward movement
of piston 46, they cause the simultaneous upward movement of lift
rods 57 and the upward movement of plates 26 to assume the position
illustrated in FIGS. 2 and 4.
Lift rods 57 are connected to lift assemblies 56. Each lift
assembly comprises a removable locking pin 58 which connects two
pivot blocks 62. Each pivot block 62 is connected to a pivot block
retainer 64 by a pivot block shaft 66. Pivot block retainer members
64 are attached directly to plates 26. In operation of lift
assembly 56, it will be seen that lift rods 57 are pushed upwardly
to bear against locking pins 58 and cause the lifting of pivot
blocks 62. Simultaneously shafts 66 rise, and allow the pivoting
of, pivot block retainers 64 which are directly connected to plates
26. This movement is reversed on the downward movement of the lift
rods and an alternating pressure action is achieved by the device.
In this action the generally hoop-shaped leg compartments tend to
withstand and dissipate stresses with substantially no change in
their shape. This allows a more predictable control of the
pressurizing cycle. Moreover, the vertical thrust necessary to
operate the opening and closing of the leg compartments is largely
dissipated through horizontal force vectors exerted on brackets 44
and 50a. Thus this force is largely counterbalanced by the tensile
strength of base plate 14 and this factor contributes substantially
to the dimensional stability of the apparatus in opposing vertical
distortion during operation.
The liquid containing bladders, as is known in the art, are formed
of a non-distensible material and fastened to the leg unit shell
members to minimize any lateral movement of the bladders along the
leg.
It is also to be understood that the following claims are intended
to cover all of the generic and specific features of the invention
herein described and all statements of the scope of the invention
which might be said to fall therebetween.
* * * * *