U.S. patent number 3,845,769 [Application Number 05/296,529] was granted by the patent office on 1974-11-05 for therapeutic boot.
Invention is credited to Frank D. Shaw.
United States Patent |
3,845,769 |
Shaw |
November 5, 1974 |
THERAPEUTIC BOOT
Abstract
A limb encircling sleeve or boot is provided wherein a split
sleeve or boot of essentially unyielding material shaped to fit a
limb (leg or arm) is unyieldingly held in position by one or more
bands of interlocking faric material such as Velcro or Scotchmate.
Where a plurality of bands are employed, they are preferably
touching each other and contoured to match the limb configuration.
Means are provided for enabling tightening of the interlocking
fabric. The device is used in the medical treatment of lymphedema
or other circulatory disorders and enables the application of
adjustable uniform or gradient pressure to the encircled limb of
humans and animals.
Inventors: |
Shaw; Frank D. (Rumson,
NJ) |
Family
ID: |
23142398 |
Appl.
No.: |
05/296,529 |
Filed: |
October 11, 1972 |
Current U.S.
Class: |
602/62;
128/DIG.15; 36/50.1 |
Current CPC
Class: |
A61F
5/0111 (20130101); Y10S 128/15 (20130101) |
Current International
Class: |
A61F
5/01 (20060101); A61f 013/00 () |
Field of
Search: |
;128/165,87,89,84,DIG.15,327,170,171,133,335 ;36/7.1,2.5,50
;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: Finken, Esq.; John A.
Claims
I claim:
1. A compressive therapeutic limb-encircling device comprising a
split sleeve of unyielding flexible material shaped to fit the
contour of the limb, a plurality of adjacent bands of mating
interlocking fabric material in abutting, non-overlapping contact
with each other and in tensionable relation with the sleeve on
opposite sides of the split, said bands being spaced along the
length thereof, whereby said sleeve may be compressed and held in
unyielding position by the interlocking of the nap and hook
surfaces of the interlocking fabric material.
2. The device set forth in claim 1 wherein the encircling sleeve is
provided with loop elements adjacent to the split for each band
enabling the application of uniform tension to such bands.
3. The device set forth in claim 1 wherein the bands are contoured
to fit the encircled limb.
4. The device set forth in claim 1 wherein the sleeve is a
boot.
5. The device set forth in claim 1 wherein the interlocking fabric
material is Velcro.
6. The device set forth in claim 2 wherein a single fixed D-ring is
secured to the sleeve for each band.
7. The device set forth in claim 1 wherein a movable D-ring is
provided for each band.
8. The device set forth in claim 1 wherein one end of said band is
apertured to receive the other end portion.
9. The device set forth in claim 1 wherein said bands are removably
positioned along said sleeve.
Description
BACKGROUND OF THE INVENTION
Extremeties or limbs of humans or animals having medical
indications such as, lymphedema, phlebitis, varicose veins,
post-fracture and injury edema, stasis ulcers or other circulatory
disorders requiring pressure and/or supportive therapy have, in the
past, been treated by elastic stockings or sleeves, spirally wound
bandages, such as the "Ace" bandage, or molded thin plaster casts.
Elastic materials such as support stockings, "Ace" bandages, and
the like suffer from the disadvantage of not presenting adjustable
uniform or gradient pressure to the afflicted areas, except in the
cases where an elastic stocking or sleeve is custom-made from
measurements requiring considerable time and skill. In the case of
elastic materials, the pressure and consequently the therapeutic
effects are, by the inherent characteristic of an elastic material,
reduced in proportion to the reduction in size or swelling of the
limb. Thus, the therapeutic values of the elastic stocking or boot
are compromised. Further, if desired therapeutic effects are to be
maintained, the elastic stocking or sleeve must be replaced when
significant size or swelling changes take place. The "Ace"-type
bandage must be unwrapped and rewrapped to obtain changes in
applied pressure. Elastic stockings and "Ace"-type bandages suffer
loss of elasticity due to repeated stretching, attack of body
chemicals and frequent washings. Unyielding sleeves, such as, thin
casts of bandage impregnated with materials which harden on drying
or on exposure to air such as "Gelucast" and plaster casts have
serious disadvantages of chaffing, irritation, irremovability,
unadjustability, and lack of ventilation. Such unyielding casts are
used in indications, such as, advanced lymphedema and those
requiring supportive as well as pressure therapy.
The device of the present invention permits the application of
adjustable uniform or gradient pressure to the afflicted area and
may readily be adapted to acceptable style standards.
SUMMARY OF THE INVENTION
It is an object of this invention to provide an essentially
unyielding limb-encircling device for therapeutic purposes, such as
a sleeve or boot, which enables the application of adjustable
uniform or gradient pressure to the limb.
Another object of the invention is to provide a therapeutic sleeve
or boot which does not require for its construction a large number
of measurements requiring considerable skill and time.
Another object of the invention is to provide a device for
application of pressure to the limb which does not require
replacement due to inherent pressure reduction if the therapeutic
effects of applied pressure reduces the size or swelling of the
limb.
Another object of the invention is to provide a device for the
application of pressure to the limb which will not require frequent
replacement due to change in limb size or loss of elasticity of the
material. An elastic stocking or "Ace"-type bandage worn and washed
daily seldom retains satisfactory therapeutic effect longer than 6
months, and may last only 1 month, depending on the oil, salt,
alkaline, or acid nature of the wearer's skin.
It is a further object of this invention to provide such a
therapeutic device which has an aesthetic appearance.
Another object of this invention is to provide such a therapeutic
device which may be rapidly and easily applied to the limb and
removed from the limb; and, which enables rapid and simple
adjustment of the applied pressure to various portions of the limb.
The device further is readily molded to the contours and diameters
of various portions of the limb.
The device comprises a split sleeve or boot of essentially
unyielding flexible material such as leather or a plastic coated
fabric or the like, generally shaped to fit the limb. One or more
adjacent bands of interlocking fabric material are provided along
the length of the sleeve for compressing the sleeve about the limb
with the desired amount of pressure. When the interlocking nap and
hook fabric material are engaged in position, it is unyielding, but
may readily be pulled apart to adjust the pressure.
The flesh of a limb or extremities is an essentially fluid or
plastic body. The application of band tightening force establishes
sustainable fluid pressure within the limb areas encompassed by the
sleeve or boot. In the case of lymphedema, the accumulation of
lymphatic fluids and consequent swelling is inhibited thereby.
Movement of muscles within the encased limb increases and decreases
this preestablished pressure thereby resulting in promotion of
circulation and fluid removal from the blood lymphatic system. The
principle of the present invention may be applied to arm encircling
sleeves and also adapted for use on animals, such as horses.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a front elevation view of a boot embodying the present
invention.
FIG. 2 is a side elevation view of a boot of FIG. 1.
FIG. 3 is a partial cross-section view of an alternative form of
the invention.
FIG. 4 is a partial front view of a further modification of a boot
embodying the invention.
FIG. 5 is a partial front view of a further modification of a boot
embodying the invention.
FIG. 6 is a perspective view of one of the bands of the embodiment
of FIG. 5.
DESCRIPTION OF THE INVENTION
In the drawings, 11 indicates a boot suitably made of essentially
unyielding material such as leather or a plastic coated fabric or
the like. The boot 11 is split at 12 for substantially the entire
length of the boot for the application of pressure to the limb.
Adjacent to the split there are secured a plurality of bands 14 of
interlocking nap material such as Velcro or Scotchmate. The bands
may be secured to the boot adhesively or by stitching. The bands 14
are secured to the boot on one side of the split 12. As illustrated
in FIG. 3, a plurality of D-rings 15 are suitably fastened to the
boot 11 at the other side of the split 12, made of metal or other
rigid material. The bands or tabs 14 are looped through the D-rings
15 and doubled back on themselves with the application of the
desired tension and the interlocking nap and hook faces are pressed
together.
In the embodiment of FIGS. 3 and 4, the rings or loops 15 are
preferably staggered as they are necessarily wider than the
adjacent bands 16 and would interfere with or overlap each other
unless staggered.
The tabs or bands 14 are preferably touching each other to prevent
"ridging" of the flesh between adjacent bands. If the bands were
spaced apart, the flesh would bulge between the spaced bands, which
is undesirable.
In the embodiment of FIGS. 1 and 2, tabls 14 of interlocking hook
material are secured to one side of the split 12 of the boot 11 and
a strip 16 of interlocking nap material is secured to the boot at
the other side of the split. The nap material may be secured
adhesively or by stitching. The tab 14 is then tensioned and
interlocked with the strip 16 to apply the desired pressure to the
limb. As best shown in FIGS. 1 and 2, the bands 14 are alternately
positioned on the right and left of the split so as to prevent
rotation of the boot around the limb.
FIG. 4 shows a further embodiment of the invention wherein the
split sleeve 11 is provided with interlocking nap material surface
16 on both sides of the split. The tabs 14, with mating
interlocking hook surfaces, are threaded through a rigid ring 15
and doubled back with the desired tension to apply pressure to the
encircled limb. This arrangement provides for tightening using both
hands or either hand, and for staggering the D-rings as desired
since they are movable. In using both hands the bands are
simultaneously pulled with equal force in opposite directions and
on down to engage the interlocking nap and hook fabrics. For one
hand tightening, one band is looped back and its interlocking nap
and hook fabrics are engaged without tension and positioning the
D-ring as desired; then the other band is pulled tight and on down
to engage the nap and hook fabrics.
In the embodiments of FIGS. 3 and 4, the bands 16, when looped back
through the D-rings 15, have their nap surfaces toward each other.
The hooked surface closure tab 14 of band 16 may either be
permanently attached to the end of the band 16 or preferably it may
be removable, having hook surfaces on opposite sides of its
opposite ends. The removable closure tab offers the advantage that
a boot or sleeve may be made without exact limb contour
measurements, overlength bands being employed which are easily cut
to proper length by the user before affixing the removable closure
tabs, and the further advantage that where reduction in size or
swelling of the limb is effected by the boot or sleeve, the closure
tab may simply be removed, the band shortened, and the closure tab
reaffixed thereto.
FIGS. 5 and 6 show a further preferred embodiment wherein the bands
14 are provided with a section 18 of reduced width at one end, and
a corresponding opening, or slot 17, adjacent to the other end of
the band whereby the end portion 18 is inserted through the opening
and the hook surface on the back of the end tabs are interlocked
with the surface nap fabric of the band. Tightening and closure of
the band 14 is effected by inserting the reduced section 18 through
the slot 17 and simultaneously pulling the ends in opposite
directions to apply desired tightening force and the tab ends are
then pressed down so that the hook surface under their ends engage
the nap surface.
The hook material on the back of the nap surfaced band 14 of FIG. 6
may be omitted, and closure effected by two removable end closure
tabs, each being a single piece of hook surfaced material and
affixed by mating of its hook surface with the nap surface of its
band end, and having the same advantages as the removable closure
tabs described for the embodiments of FIGS. 3 and 4.
The embodiment shown in FIG. 6 the bands 14 may be separate and
need not be fastened to the boot or sleeve. Bands 14 of FIGS. 1-6
may not be continuous around the back of the boot or sleeve,
depending on whether or not a rear separation to secure better fit
is indicated.
A sleeve or boot may employ a single band where there is no
significant change in longitudinal limb diameter under the width of
the band.
* * * * *