U.S. patent number 3,785,371 [Application Number 05/275,143] was granted by the patent office on 1974-01-15 for elbow sleeve.
This patent grant is currently assigned to Surgical Appliance Industries, Inc.. Invention is credited to Hector E. Lewis.
United States Patent |
3,785,371 |
Lewis |
January 15, 1974 |
ELBOW SLEEVE
Abstract
A surgical device including a tubular, elastic sleeve configured
to snugly embrace the elbow region of the wearer and a portion of
the forearm and upper arm extending therefrom, a pair of hinges
secured to opposite sides of the sleeve with the hinge pins of each
lying along an imaginary line defining the bending axis of the
elbow, a first strap lying exteriorly of the sleeve along the elbow
crease and secured at its opposite ends to the hinges for
restricting the pinned portions of the hinges from moving
rearwardly away from the elbow crease when the elbow is bent, and a
second strap encircling the upper and lower portions of the sleeve
above and below the elbow which is configured in the form of a
"figure-8" to facilitate, with the wearer's other hand, adjustably
restricting the elbow against straightening motion beyond a
selectively variable bent position.
Inventors: |
Lewis; Hector E. (Cincinnati,
OH) |
Assignee: |
Surgical Appliance Industries,
Inc. (Cincinnati, OH)
|
Family
ID: |
23051039 |
Appl.
No.: |
05/275,143 |
Filed: |
July 26, 1972 |
Current U.S.
Class: |
602/20 |
Current CPC
Class: |
A61F
5/0118 (20130101) |
Current International
Class: |
A61F
5/01 (20060101); A61f 005/10 () |
Field of
Search: |
;128/77,80,165
;2/22 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Yasko; J.
Attorney, Agent or Firm: Wood, Herron & Evans
Claims
What is claimed is:
1. A surgical device comprising:
a tubular elastic sleeve configured to snguly embrace the joint
region of a wearer's limb and adjacent sections of the upper limb
and lower limb extending therefrom, said sleeve having a region
thereof adapted to be creased when the limb is bent at the
joint,
a pair of hinges secured to opposite sides of said sleeve, each
hinge pivoting at a point along an imaginary line coincident with
the bending axis of the joint,
A first strap disposed exteriorly of said sleeve overlying said
crease, said first strap being connected at spaced points to said
hinges adjacent said hinge pivoting points to restrict said hinge
pivoting points from moving away from said crease to a position off
said imaginary line, and
a second unitary strap configured in the general form of a figure-8
and having upper and lower loop-shaped sections slidingly
encircling said sleeve upper limb and lower limb sections adjacent
said joint, respectively, and a single necked section between said
upper and lower loop-shaped sections and overlying said crease
outwardly of said first strap and unrestrained by said sleeve at
said crease, to facilitate adjustably restricting the limb against
further straightening in selectively variable angular positions
with the degree of angulation correlated to the effective length of
said second strap.
2. The device of claim 1 wherein said strap in the region of said
joint crease is criss-crossed to form said necked section.
3. The device of claim 1 further including a ring slidingly
engaging two adjacent, non-crossing sections of said strap
overlying said joint crease to effectively form said necked section
without criss-crossing said strap.
Description
This invention relates to elbow sleeves, and more particularly to
an improved elbow sleeve of the hinged type having means to
restrict the elbow against straightening motion beyond a
preselected adjustably variable bent position.
Elbow sleeves have heretofore been used for alleviating a condition
known as "tennis elbow" in which the elbow joint becomes sore due
to inflammation occasioned by repeated impact transmitted to the
elbow joint. This condition is prevalent among participants of
tennis, carpenters, and the like where the elbow is subject to
repeated shock. In severe cases of tennis elbow, it is desirable to
positively limit bending of the elbow to movement only along the
natural bending axis of the elbow joint, and for this purpose elbow
sleeves are often provided with hinges secured to the elbow sleeve
on the opposite sides thereof.
One of the difficulties with hinged elbow sleeves is that as the
arm is bent through varying angles, the hinges tend to move
relative to the sleeve such that the hinge pins no longer lie along
the natural bending axis of the elbow. This not only gives rise to
discomfort, but degrades the utility of the restrictive support
provided by the hinges.
Under certain conditions of elbow sleeve use, it is desirable to
positively restrict the elbow against straightening motion beyond a
given bent position. Advantageously, the means provided to
facilitate restricting the elbow should be capable of adjustment
single-handedly by the wearer. Since a wearer is unable to
manipulate the sleeve restricting means with the hand of the arm
about which elbow the sleeve is placed, e.g., the right hand, due
to the inability of reaching it with such hand, the restricting
means, if to be adjusted by the wearer alone when in place on the
elbow, must be such that it can be adjusted with one hand, in this
case, his left hand.
It has been an object of this invention to provide a hinged elbow
sleeve of the positional restricting type which maintains the hinge
pins in position along the natural bending axis of the elbow as the
elbow is bent through different angular positions, and which
permits the wearer to adjustably restrict the elbow against motion
beyond a preselected limit without assistance when the sleeve is in
place on his elbow.
This objective has been accomplished in accordance with the
principles of this invention by providing an elbow sleeve of the
type having hinges on opposite sides thereof with the combination
of a first strap located along the elbow crease which is secured at
its opposite ends to the pinned sections of the hinges to
effectively maintain the hinge pins along the desired natural
bending axis of the elbow irrespective of the degree to which the
elbow is bent, and a second strap encircling the upper and lower
portions of the sleeve above and below the elbow which is
configured in the form of a "figure-8" and which, when a buckle is
provided in the general area of the elbow crease, permits the
wearer to single-handedly adjust and restrict the elbow against
straightening beyond a desired angular position.
These and other advantages and objectives of the invention will
become more readily apparent from a detailed description of the
invention in which:
FIG. 1 is a side perspective view of the sleeve of this
invention;
FIG. 2 is a front perspective view of the sleeve of this
invention;
FIG. 3 is a side perspective view of the sleeve of this invention
showing the manner in which the angular position is adjusted with
one hand, and
FIG. 4 is a front perspective view of a modified form of this
invention showing an alternate form of "figure-8" adjusting
strap.
With reference to FIGS. 1, 2, and 3, the preferred embodiment of
this invention is seen to include an elongated, tubular elastic
sleeve 10. The length of the sleeve 10 is selected such that the
lower and upper portions 11 and 12 thereof cover portions of the
forearm 8 and the upper arm 9 extending from the wearer's elbow.
The diameter of the sleeve 10 is selected such that the sleeve
snugly embraces the wearer's elbow and adjacent portions of the
forearm 8 and upper arm 9 when positioned in place about the user's
elbow. Preferably, the elastic sleeve 10 is fabricated of one-way
stretch material, namely, stretchable in a circumferential
direction, although it may be fabricated of two-way stretch
material if desired so as to also stretch in a longitudinal
direction.
The sleeve 10 is provided with a pair of identical hinges located
on opposite sides of the sleeve, only one hinge 14 of which is
shown. The hinge 14 includes upper and lower elongated bars 14-1
and 14-2, preferably fabricated of rigid material such as metal,
which are connected for pivotal motion by a pin 14-3. Elongated
hinge members 14-1 and 14-2 are secured in place by upper and lower
sheaths 16 and 17 sewn to the exterior of the sleeve 10 at
positions surrounding the upper arm 9 and forearm 8, and are
disposed in a direction generally parallel to the longitudinal axis
of the sleeve.
To insure that the pivot pins 14-3 of the hinges, which are located
on opposite sides of the sleeve 10, remain disposed along an
imaginary line coincident with the normal bending axis of the elbow
as the elbow is bent through varying angular position, a
hinge-retaining strap 19 is provided. The strap 19, which
preferably is inelastic, is located exteriorly of the sleeve 10
overlying the elbow crease. The retaining strap 19 terminates at
its opposite ends in loops which surround their respectively
associated elongated hinge members 14-1 and 14-2 in a region of the
pin 14-3. The length of the retaining strap 19 measured in a
direction parallel to the elbow crease is selected such that the
hinge pins 14-3 of the hinges 14 located on opposite sides of the
elbow sleeve 10 are restrained against movement off the imaginary
line defining the bending axis of the elbow. As the elbow bends,
there is a tendency for the pivot pins 14-3 of the hinges 14 to
move rearwardly, that is, away from the elbow crease in the
direction of arrow 18. The restraining strap 19, the ends of which
encircle the pinned portion of the hinges 14, restrains the pinned
portion of the hinges against such undesirable rearward motion off
the elbow bending axis. Stated differently, the restraining strap
19 insures that, as the elbow bends, the pivot pins 14-3 of the
hinges remain coincident with the imaginary line defining the
normal bending axis of the elbow.
The surgical device of this invention also includes a restricting
strap 20 in the form of a single, elongated, inelastic strap having
opposite ends 21 and 22 which are adapted to be adjustably secured
to each other by a suitable buckle fastener 23. The strap 20 has an
intermediate section 25 which overlies the elbow crease in an
angled disposition with respect to engaged strap ends 21 and 22.
The strap 20 also includes an upper rear section 26 disposed to
slidably engage the rear of the upper arm 9. Rear strap section 26
connects to strap end 21 and to the upper end of intermediate strap
section 25. Strap 20 also includes a lower rear section 27 which
slidably encircles the rear of the forearm 8, connecting the strap
end 22 and the lower end of the intermediate strap section 25. The
upper portions of strap sections 21 and 25 slidably engage slotted
loops 28 and 29 formed in opposite sides of the upper sheaths 16,
while the lower ends of strap sections 25 and 22 slidably engage
slotted loops 30 and 31 formed in opposite sides of lower sheaths
17. Loops 28, 29, 30 and 31 maintain the various sections of the
strap 20 with which they are engaged in the desired longitudinal
position with respect to the longitudinal sleeve axis.
Alternatively, and to enhance the restricting action of strap 20,
the strap may be threaded through the set of loops 28', 29', 30'
and 31'. Strap section 26, the upper portion of strap 25, and the
inner portion of strap 21 effectively form a first, upper loop
encircling the upper arm 9 while strap sections 27 and 22 and the
lower portion of strap 25 effectively form a second, lower loop
encircling the forearm 8. Between these two loops, the strap 20 is
criss-crossed to form a necked region.
In operation, the sleeve 10 is positioned to encircle the wearer's
elbow with the hinges 14 adjacent the inner and outer portion
thereof and the retaining strap 19 overlying the elbow crease such
that the hinge pivot pins 14-3 are disposed along an imaginary line
coincident with the normal bending axis of the elbow. The elbow is
then bent to the desired angle and the strap ends 21 and 22 secured
with respect to each other by the buckle 23 such that the strap 20
is maintained in a taut position. With the strap so secured, the
elbow is effectively restricted against straightening motion beyond
the angular position it occupies when the strap 20 is secured. The
degree of angulation, beyond which the elbow cannot bend in a
direction to straighten it, when the strap 20 is secured is
correlated to the effective length of the strap 20, i.e., the strap
length between buckle 23 and the point on section 21 wherein it
engages the buckle, with the angulation decreasing as this
effective length decreases and vice versa.
In accordance with an alternative form of the invention depicted in
FIG. 4, the figure-8 configuration for the strap 20, and in
particular the necked portion between the upper and lower loop
sections 26 and 27, is obtained without criss-crossing the
intermediate strap section 25 and the buckled strap end sections 21
and 22. Instead, intermediate strap section 25 and buckled strap
end sections 21 and 22 are passed through a ring 35 with respect to
which they slidably engage. The ring 35 permits the strap 20 to be
effectively necked to form a "figure-8" without actually
criss-crossing the intermediate strap section 25 and the buckled
strap end sections 21 and 22.
* * * * *