Pressurizing cuff

• US 4,605,010 A
• Filed: 05/17/1984
• Issued: 08/12/1986
• Est. Priority Date: 05/17/1984
• Status: Expired due to Term

• Current Assignee: Zimmer Orthopaedic Surgical Products (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Western Clinical Engineering Ltd.
• Inventors: McEwen, James A.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US06/611,083
• Time in Patent Office: 817 Days
• Field of Search: 128/686, 128/672, 128/677, 128/678-685, 128/327
• US Class Current: 600/499
• CPC Class Codes: A61B 17/135 inflatable for measuring blood pressure A61B5/022; inflatable pressure pads A61F5/34
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/107 Measuring physical dimensions, e.g. size of the entire body or parts thereof
• CPC Class Codes: A61B 5/1079 using optical or photographic means
• CPC Class Codes: A61B 5/6831 Straps, bands or harnesses
• CPC Class Codes: A61F 5/34 Pressure pads filled with air or liquid valves specially adapted for medical use A61M39/00; connection of valves to inflatable elastic bodies B60C29/00; valves per se F16K

Abstract

A cuff which is useful for accurately, reliably and remotely determining the circumference of a limb which the cuff encircles. The cuff comprises a laminate consisting of a low-impedance conductor that does not vary significantly as a result of bending or flexing, and a high-impedance electrically conductive strip which is in electrical contact with the low-impedance conductor along its length, and which is comprised of a material that is sufficiently flexible to remain in electrical contact with the low-impedance conductor along its length while the conductor is bent or flexed; an electrically conductive contact; and, an elongated strip of flexible material to which the laminate and electrically conductive contact are attached, such that a voltage-dividing circuit may be formed when the cuff encircles the limb, the ratio of voltages being relative to the circumference of the limb and being insensitive to the impedance between the laminate and the electrically conductive contact.

Claims

1. A cuff for encircling a human limb, comprising in combination:

(a) an inflatable bladder capable of completely encircling the limb;

(b) a stiffener which causes the bladder when encircling the limb to inflate inwardly;

(c) bladder-securing means for securing the bladder around the limb; and

(d) stiffener-securing means for securing the stiffener around the limb independently of the bladder-securing means such that the bladder remains encircling the limb if either the bladder-securing means of the stiffener-securing means becomes ineffective.

2. A cuff as defined in claim 1 wherein the stiffener-securing means comprises a pivoting connector.

3. A cuff as defined in claim 2 wherein the pivoting connector is adapted to enable the bladder and the stiffener to conform closely to a range of tapered or cylindrical limbs.

4. A cuff which is useful for accurately, reliably and remotely determining the circumference of a limb which the cuff encircles, comprising:

(a) a laminate consisting of

(i) a low-impedance conductor comprised of a material which has an impedance that does not vary significantly as a result of bending or flexing; and

(ii) a high-impedance electrically conductive strip which is in electrical contact with the low-impedance conductor along its length, and which is comprised of a material that is sufficiently flexible to remain in electrical contact with the low impedance-conductor along its length while the conductor is bent or flexed;

(b) an electrically conductive contact; and

(c) an elongated strip of flexible material to which the laminate and electrically conductive contact are attached, such that a voltage-dividing circuit may be formed when the cuff encircles the limb, the ratio of voltages being relative to the circumference of the limb and being insensitive to the impedance between the laminate and the electrically conductive contact.

5. A cuff as defined in claim 4 including means for determining remotely the snugness of the cuff which encircles the limb.

6. A cuff as defined in claim 5 wherein the means for determining the snugness of the cuff encircling the limb comprises a pressure transducer.

7. A cuff as defined in claim 6 wherein the pressure transducer consists of carbon impregnated thermoplastic foam with electrically conducting contacts.

8. A cuff as defined in claim 7 wherein the contacts are connected to apparatus which can determine the variable resistance of the foam as a function of snugness of the cuff.

9. A cuff as defined in claim 4 including means for determining remotely the taper of the limb encircled by the cuff.

10. A cuff as defined in claim 9 wherein the means for remotely determining the taper of the limb encircled by the cuff comprises a potentiometer forming part of a pivoting connector used to secure the cuff about the limb.

11. A cuff as defined in claim 9 wherein the means for remotely determining the taper of the limb encircled by the cuff comprises graduations marked on a surface of the cuff in a manner such that the meeting angle of the two ends of the cuff encircling the limb is visible.

12. A cuff as defined in claim 4 including means for identifying remotely the physical characteristics of the cuff.

13. A cuff as defined in claim 4 including means for applying pressure to the limb.

14. A cuff as defined in claim 4 wherein the low-impedance conductor is nichrome wire.

15. A cuff as defined in claim 4 wherein the high-impedance conductor comprises an electrically conductive thermoplastic substance.

16. A cuff as defined in claim 15 wherein the high-impedance conductor comprises a carbon impregnated electrically conductive thermoplastic substance.

17. A cuff as defined in claim 15 wherein the high-impedance conductor is a substance available under the trade mark VELOSTAT.

18. A cuff as defined in claim 4 wherein means for remotely determining the circumference of a limb are included and the means determines the circumference of the limb by calculating the ratio of the voltages in the voltage divider circuit.