U.S. patent number 3,870,038 [Application Number 05/451,460] was granted by the patent office on 1975-03-11 for one-piece seamless hollow resuscitation plaque.
Invention is credited to Dennis Arblaster.
United States Patent |
3,870,038 |
Arblaster |
March 11, 1975 |
ONE-PIECE SEAMLESS HOLLOW RESUSCITATION PLAQUE
Abstract
A resuscitation plaque for use in the emergency treatment of
patients suffering from suffocation, shock and cardiac conditions
comprising a light-weight rigid plaque insertable beneath the head
and chest and providing a firm support therefor while resuscitation
and revival efforts are applied. The plaque is deeply recessed to
receive and support the head in a backwardly and downwardly
inclined position, without restraint against sidewise movement,
whereby the bronchial passages of a patient lie open in a generally
straight path providing free, unobstructed access through the mouth
into the lungs.
Inventors: |
Arblaster; Dennis (Dana Point,
CA) |
Family
ID: |
23792304 |
Appl.
No.: |
05/451,460 |
Filed: |
March 15, 1974 |
Current U.S.
Class: |
601/41;
D24/164 |
Current CPC
Class: |
A61H
31/008 (20130101) |
Current International
Class: |
A61H
31/00 (20060101); A61h 031/00 () |
Field of
Search: |
;128/28,51,67
;9/348 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Attorney, Agent or Firm: Sellers and Brace
Claims
I claim:
1. A one-piece resuscitation plaque for use in treating a patient
suffering from suffocation, shock, cardiac conditions and the like,
said plaque comprising a rigid seamless hollow buoyant shell of
high-strength, rotationally molded thermoplastic material having a
substantially uniform wall thickness, said plaque being elongated
and tapering to a substantially thinner thickness at the forward
end thereof, said plaque being relatively thick at the rear end and
sized to underlie and firmly support the head and back of a spine
patient, the rear end of said plaque having a head-supporting
recess with a continuous head-supporting perimeter shaped to
support the patient's head firmly while tilted rearwardly and
downwardly and with the chest supported rigidly elevated whereby
the bronchial passages of a supine patient lie open in a generally
straight path to provide free unobstructed access through the mouth
and into the lungs of the patient.
2. A resuscitation plaque as defined in claim 1 characterized in
the provision of means thereon laterally of said head seating
opening for detachably supporting bracket means equipped with
resilient means for frictionally gripping and releasably supporting
breathing accessories closely beside the patient's mouth.
3. A resuscitation plaque as defined in claim 2 characterized in
that said means for supporting bracket means comprises an upwardly
diverging tapering socket for seating the complementally shaped
tapered lower end of said bracket means.
4. A resuscitation plaque as defined in claim 3 characterized in
that said plaque is provided with a similar upwardly diverging
tapering socket on either lateral side of said head supporting
opening.
5. A resuscitation plaque as defined in claim 1 characterized in
that said hollow shell includes a plurality of hand grips molded
integral therewith and located at spaced apart intervals along the
periphery of said plaque.
6. A resuscitation plaque as defined in claim 5 characterized in
that said hand grips include one along either lateral side thereof
with the hand grip portion thereof lying spaced substantially
inwardly of the patient-supporting surface of said plaque thereby
permitting the operator to gain a firm hold of the hand grip while
the plaque is resting against the floor or other flat surface.
7. A resuscitation plaque as defined in claim 1 characterized in
that said head supporting recess extends through the rear end
portion of said plaque, said recess having an arcuate forward side
wall which is inclined sharply downwardly and rearwardly, and the
rear end transversely extending arcuate portion of said head
supporting recess being confined substantially to an area closely
adjacent the back surface of said plaque.
8. A resuscitation plaque as defined in claim 1 characterized in
that the bottom of said shell includes ribs extending parallel to
one another and cooperating to resist lateral movement of said
plaque relative to a supporting surface for said plaque, and the
top of said shell being arched downwardly lengthwise thereof.
9. A resuscitation plaque as defined in claim 1 characterized in
that said walls of substantially uniform thickness are translucent
to X-rays whereby the chest of a patient supported thereon may be
X-rayed without need for removing said plaque.
Description
This invention relates to resuscitation equipment and more
particularly to an improved light-weight rigid buoyant plaque
insertable beneath the patient's head and chest to support the
latter rigidly in an elevated position with the head inclined
downwardly and rearwardly while the patient undergoes resuscitation
and revival treatment.
Persons suffering a cardiac arrest are frequently in bed and the
time available for revival is so critically short that it is
impractical to consider moving the patient off the bed mattress.
This is true despite the fact that the presence of the soft
mattress greatly impairs efforts to apply artifical respiration
techniques. Additionally, it is most difficult to support the neck
in an elevated position with the head tilted backwardly and
downwardly thereby affording a straight open air-way to the lungs
through the mouth and trachea. Likewise persons suffering from
suffocation and shock have similar needs not adequately and
satisfactorily satisfied by prior devices.
In view of the foregoing and other shortcomings of prior practice,
there is provided by this invention a simple light-weight hollow
rigid plaque readily inserted beneath the patient's back and
effective to hold the chest elevated and providing a firm rigid
spinal support while allowing the patient's head to incline sharply
downwardly and rearwardly into a stabilizing recess formed
centrally of the rear end portion of the plaque. The plaque is
rotationally molded from high strength plastic material and has
pronounced buoyancy. Accordingly, it is readily used by life saving
personnel in rescue operations. Thus it is readily floated by the
lifesaver to a swimmer in distress. Upon arrival the plaque is
placed beneath the swimmer's back to support his head and chest out
of the water while being floated back to shore where it continues
to serve useful purposes during revival of the swimmer.
Accordingly, it is a primary object of the present invention to
provide an improved resuscitation plaque for use in the treatment
and movement of patients in distress.
Another object of the invention is the provision of a wide area
long rigid light-weight buoyant plaque for supporting a patient's
chest elevated and having provision allowing the head to incline
downwardly and rearwardly without need for sandbags and other head
positioning expedients.
Another object of the invention is the provision of a hollow rigid
seamless plaque which is buoyant and usable to rescue a swimmer in
distress and having provision for supporting the head with the
trachea providing a straight unobstructed air-way to the lungs
through the mouth during revival efforts.
Another object of the invention is the provision of a resuscitation
plaque having a deep recess for the patient's head and so designed
as to permit lateral movement of the head to allow for projectile
vomiting without risk of aspiration back into the patient's
lungs.
Another object of the invention is the provision of an improved
resuscitation plaque readily passing X-rays and having provision
for supporting a detachable bracket for breathing accessories and
the like.
These and other more specific objects will appear upon reading the
following specification and claims and upon considering in
connection therewith the attached drawing to which they relate.
Referring now to the drawing in which a preferred embodiment of the
invention is illustrated:
FIG. 1 is a perspective view showing a patient supported on the
invention plaque with the mouth piece of an intermittent positive
pressure breathing apparatus connected to his mouth and firmly
supported by the plaque;
FIG. 2 is a top plan view of the plaque per se;
FIG. 3 is a cross-sectional view through the plaque along line 3--3
on FIG. 2;
FIG. 4 is a cross-sectional view on an enlarged scale taken along
the broken line 4--4 on FIG. 2; and
FIG. 5 is a side elevational view, partly in section and partly
diagrammatic, showing a patient in position for treatment with his
trachea open and lying in a straight horizontal plane.
The invention resuscitation plaque, designated generally 10,
comprises a seamless hollow shell rotationally molded in one piece
from high strength plastic composition. Various thermoplastic
compositions well known to those in the plastic art may be used.
One suitable material cited by way of example is high density
linear polyethylene powder desirably ground to a fineness of 28 to
35 mesh. A suitable quantity of this material is charged into the
plaque mold which is then closed and mounted in a conventional
rotary molding apparatus designed to rotate the mold both about its
horizontal and vertical axes to tumble and distribute the plastic
material while being heated. The mold is rotated 2 to 12
revolutions per minute for 15-30 minutes depending upon the
quantity of charge placed in the mold cavity. During this period
the mold is held at a suitable curing temperature for the
particular thermoplastic employed as, for example,
400.degree.-600.degree.F. The mold is then subjected to cooling in
accordance with customary practice and opened to release the
finished hollow shell having substantially uniform wall thicknesses
throughout and translucent to X-rays.
Plaque 10 is sufficiently wide to underlie the patient's shoulders
and sufficiently long to support the back and the spinal column in
the manner best shown in FIG. 5 with the rear end of the plaque
underlying the patient's head. The forward end portion 12 of the
plaque tapers downwardly and forwardly to a relatively thin edge
adjacent the lower end of the patient's spine. The rear end portion
13 of the plaque is relatively thick to support the shoulders and
upper back of the patient in an elevated position to facilitate
artificial respiration operations. The upper transverse surface 14
of the plaque is dished or of slightly concave configuration as is
best shown in FIG. 3.
The rear end portion of the plaque is provided with a deep opening
or recess 15 for receiving the patient's head and specially
designed to cradle the head in a hyperextended position illustrated
in FIG. 5 thereby automatically providing a straight open and
unobstructed air-way through the patient's mouth and trachea into
the lungs.
Recess 15 is substantially wider transversely of the plaque than
lengthwise thereof and generally elliptical in contour. The forward
transverse edge 16 of recess 15 is inclined steeply downwardly and
rearwardly to receive the patient's head. The rearmost edge portion
of recess 15 is generally tubular in cross-section as indicated at
17 in FIG. 5. The lower transverse side of tubular member 17 is
generally flush with the bottom wall of plaque 10 whereas its upper
transverse side arches upwardly and merges with the transverse end
portions of recess 15 as is best shown in FIG. 2. When the head is
in a hyperextended position, as it is in FIG. 5, the crown rests
against tubular member 17 with the rear of the head bearing against
inclined arched surface 16.
Under other conditions of use the head need not be supported in the
hyperextended position as, for example, when using an intermittent
positive pressure breathing device such as that indicated generally
at 20 in FIG. 1. Of importance is the fact that the elliptical
shape of recess 15 permits the head to rotate laterally to one side
or the other to avoid aspiration in the event of vomiting.
The opposite lateral sides of plaque 10 are preferably provided
with hand grips 22, the outer sides of which lie generally flush
with the adjacent sidewalls of the plaque. It will be noted from
FIGS. 3 and 5 that these hand grips are spaced above the lower
surface 24 of the plaque sufficiently as not to interfere with
grasping the hand grips if the plaque happens to be supported on
the pavement or other flat surface. It will be understood that the
plaque is readily usable as a temporary stretcher with two
attendants facing one another along the opposite sides of the
patient with one hand of each on a hand grip and the other hand
beneath the patient's legs.
Plaque 10 is also preferably provided with an upright tapering
opening 25 adjacent either rear corner of the plaque. One or both
of these openings is used to seat an accessory-supporting bracket
designated generally at 26. As there shown, bracket 26 is provided
with a mounting member 27 at its lower end tapered complementally
to opening 25 and firmly seating the bracket in an upright
position. The upper end of the bracket comprises a resilient
twisted wire support 28 having been bent to provide a plurality of
resilient notches 29,30,31 of different widths and sized to receive
and grip tubing or accessories of different sizes. As shown in FIG.
1, the tubular main body of any well-known intermittent positive
pressure breathing apparatus 20 is firmly seated and gripped within
notch 29. This apparatus is of a well-known type and its details
are described in my U.S. Pat. No. 3,603,313, granted Sept. 7, 1971.
The mouthpiece 33 of that equipment is shown seated in the
patient's mouth and secured in place as by a strip of adhesive tape
34.
The opening 36 through the forward end of the plaque is useful in
hanging the plaque from a hook or bracket when the plaque is not in
use. It should also be pointed out that the bottom wall of the
plaque is provided with a plurality of longitudinally extending
ribs 37 (FIG. 3) which strengthen the plaque and grip a supporting
surface and resist lateral displacement.
The seamless construction of plaque 10 in a thin-walled completely
sealed and hollow configuration renders the plaque highly buoyant.
Because of this, lifesavers find that the plaque is most valuable.
It is easily floated to a swimmer in distress and then installed
beneath the swimmer's head and back. The deep recess for the head
and the concave upper surface serve to hold the plaque in place
beneath the swimmer while being returned to the shore line by the
lifesaver. The assistance thereby provided calms and reassures the
person in distress and very substantially reduces the effort
required by the lifesaver in the rescue operation. Once the rescued
swimmer is ashore he is already in position and beneficially
supported for the application of artificial respiration.
While the particular one-piece seamless hollow resuscitation plaque
herein shown and disclosed in detail is fully capable of attaining
the objects and providing the advantages hereinbefore stated, it is
to be understood that it is merely illustrative of the presently
preferred embodiment of the invention and that no limitations are
intended to the detail of construction or design herein shown other
than as defined in the appended claims.
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