Thermal compress system

• US 5,314,455 A
• Filed: 01/23/1991
• Issued: 05/24/1994
• Est. Priority Date: 01/23/1991
• Status: Expired due to Term

• Current Assignee: DJO LLC (Enovis Corp.)
• Original Assignee: Aircast, Inc. (Enovis Corp.)
• Inventors: McVicker, Henry J., Shelbourne, K. Donald, Johnson, Glenn W. Jr.
• Primary Examiner(s): Graham, Mark S.
• Application Number:
  US07/644,835
• Time in Patent Office: 1,217 Days
• Field of Search: 128/399, 128/400, 128/402, 128/403, 128/82.1, 128/40, 128/24.1, 128/379, 128/380, 128/80 C, 128/DIG. 15, 128/119.1, 128/882, 128/881, 128/892, 62/530, 62/259.3, 165/46
• US Class Current: 607/104
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61F 2007/0042 Knee
• CPC Class Codes: A61F 2007/0274 the walls being reduced to spot connections, e.g. spot welds
• CPC Class Codes: A61F 7/08 Warming pads, pans or mats A61F7/02 takes precedence; Hot-water bottles

Abstract

A thermal compress cuff for treating an injured knee has a fluid impervious chamber of flexible material with an upper transverse portion and depending arms extending from the transverse portion. The transverse portion is adapted to encompass a portion of the limb above the knee and the depending arms are adapted to encompass the limb along the sides of the knee and a portion of the limb below the knee while exposing the patella of the knee. The chamber preferably is divided into inner and outer compartments with thermal fluid received by and contained in the inner compartment for abutting contact with the encompassed portion of the limb. An open-cell urethane foam material is contained in the outer compartment for insulating the underlying inner compartment and for enhancing uniform conformance to the limb. The walls of the inner compartment in the distal area of the arms are restrained from movement away from each other so as to restrict expansion of the inner compartment in the arm distal areas and to cause a greater amount of thermal fluid to remain in the proximal arm area and in the transverse portion to lessen venous constriction in the limb below the knee. A hand-held pump is provided for pressurizing the outer compartment to force the inner compartment with the thermal fluid against the areas of the limb being treated. An elastic strap connects the arms around the limb below the knee to minimize venous constriction.

Claims

1. A thermal compress device adapted to encompass at least a portion of a limb of a person and comprising:

a substantially fluid impervious chamber of flexible material having an upper transverse portion and a pair of spaced arms having distal ends, said arms depending from the upper portion, said upper transverse portion for contacting the general area of only the suprapatella pouch and the depending arms contacting substantially only the respective sides of the knee, said chamber being divided into inner and outer fluid tight compartments, each having an outer wall and a common wall;

means forming part of said chamber for restricting expansion of the inner compartment in the distal area of the arms to cause a greater amount of thermal fluid to remain in the transverse portion area for greater compression and to allow less thermal fluid in the distal area of the arms, for less compression thereby to lessen venous constriction below the knee;

the inner compartment adapted for receiving and containing a thermal fluid of a desired temperature and for abutting contact with the encompassed portion of the person'"'"'s limb;

resilient material in the outer compartment for insulating the underlying inner compartment and for maintaining the shape of the device while permitting conformation of the device to the person'"'"'s limb; and

selectively closable means attached to the outer compartment for permitting pressurized fluid to be introduced therein sufficient to force the inner compartment with its thermal fluid in pressure engagement with the encompassed portion of the human limb.

2. A thermal compress cuff for treating an injured knee of a limb, said cuff comprising:

a fluid impervious chamber formed of flexible material having a transverse portion and a pair of arms having distal ends, said arms depending from the transverse portion, the transverse portion adapted to encompass substantially a portion of the limb above the knee and the depending arms adapted to encompass at least a portion of the limb along the sides of the knee and a portion of the limb below the knee, said arms being separated to expose the patella of the knee;

said chamber being adapted for receiving and containing a thermal fluid for treatment of said knee and for abutting contact with the encompassed portion of the limb;

first means for holding the transverse portion of the chamber in encompassing engagement with substantially only the portion of the limb above the knee so as to allow some constriction of the limb above the knee;

second means for holding the depending arms of the chamber in encompassing engagement with at least a portion of the limb along the sides of and below the knee with the patella being positioned between the depending arms so as to limit constriction of the leg below the knee to an amount less than the constriction above the knee; and

means independent of the first and second holding means associated with said chamber for applying pressure to the fluid in the chamber.

3. A thermal compress cuff as in claim 2 further comprising:

a common wall dividing the chamber into inner and outer compartments;

means coupled to the interior of the inner compartment for supplying a thermal fluid thereto, the inner compartment being adapted for abutting contact with the encompassed portion of the limb; and

a resilient material contained in the outer compartment for insulating the underlying inner compartment and for maintaining the shape of the cuff while permitting conformation of the cuff to the encompassed limb.

4. A cuff as in claim 3 wherein said resilient material is an open-cell urethane foam material.

5. A thermal compress cuff as in claim 3 further including a quick disconnect selectively closable means attached to said outer compartment for permitting pressurized fluid to be introduced therein sufficient to force the inner compartment containing thermal fluid in pressure engagement with the encompassed portion of the human limb.

6. A thermal cuff as in claim 3 further including means in said compartment for restricting expansion of the inner compartment in the distal area of the arms to cause a greater amount of thermal fluid to remain in the transverse portion of the cuff and to allow less thermal fluid in the distal area of the arms.

7. A thermal cuff as in claim 2 wherein said first means for holding the transverse portion of the flexible material forming the chamber in encompassing engagement with the portion of the limb above the knee comprises:

an elongated inelastic strap attached to one end of the transverse portion of the flexible material for passing under the limb above the knee; and

means for releasably receiving the elongated inelastic strap in a fastening relationship to hold the transverse portion of the flexible material in engagement with the limb above the knee and to enable the elongated inelastic strap to be properly positioned under the limb above the knee.

8. A thermal compress cuff as in claim 6 wherein the means for restricting expansion of the chamber in the distal area of the arms comprises means in the distal area of each arm coupling walls of the inner compartment to each other in at least one location to limit the distance the inner compartment walls can move apart.

9. A thermal compress device as in claim 8 wherein the inner compartment walls are attached to each other by a single tether strip in at least one location to permit restricted expansion of the inner compartment walls in the area of the tether.

10. A thermal compress device as in claim 8 wherein the inner compartment walls are attached to and touching each other at a single spot, as by spot welding, to prevent any expansion of the inner compartment walls in the area of the spot weld.

11. A thermal compress device as in claim 3 further comprising gauge means coupled to the interior of the outer compartment for indicating the fluid pressure in the compartment.

12. A thermal compress cuff as in claim 11 wherein said gauge means comprises:

a housing communicating with the interior of said outer compartment;

a bellows inserted in said housing; and

resilient means coupled to said bellows for holding said bellows within said housing with no pressure in said outer compartment such that a pressure increase in said outer compartment causes said bellows to move out of said housing against the pressure of the resilient means to represent an increase of pressure in said outer compartment.

13. A thermal compress cuff as in claim 12 further comprising reference points marked on said bellows to give an indication of the pressure inside said outer compartment.

14. A device for treating an injured knee of a human limb comprising:

a therapeutic cold and compression applying means including a cuff-like device having a liquid-tight chamber with inner and outer walls and formed with a transverse portion and first and second spaced hollow dependent arms having distal ends, the transverse portion being intended for contact with the general area of only the suprapatella pouch and the first and second hollow arms extending generally along and in contact with the respective sides of the knee;

means for attaching the cold and compression applying means to the knee;

means for applying a pressurized fluid to the cuff-like device; and

means coupled to the compression applying means for limiting the compression applied to the general area alongside and below the knee and no compression behind the knee thereby limiting venous constriction below the knee while simultaneously enabling a different level of compression to be applied to the general area of the suprapatella pouch and independent of the means for attaching the cold and compression applying means to the knee.

15. A device as in claim 14 wherein the means for limiting compression to the areas generally alongside the knee further comprises:

means for restricting expansion of the hollow arms, thereby allowing full compression to be applied by the transverse portion to the general area of the suprapatella pouch and limited compression to be applied by the depending arms to the general area along each side of the knee, in order to lessen venous constriction below the knee.

16. A device as in claim 15 wherein the means for allowing limited compression to be applied to the area generally alongside of the knee comprises;

means in the distal area of each of the arms coupling the inner and outer walls to each other in at least one location to limit the expansion of the arms by limiting the distance the inner and outer chamber walls can move apart when fluid is inserted therein.

17. A device as in claim 16 wherein the means coupling the arm walls together comprises a single tether strip in at least one location coupling the inner and outer walls together to provide restricted expansion of the chamber formed in the arms in the area of the tether strip.

18. A device as in claim 16 wherein the means coupling the arm walls together comprises at least one spot welded area attaching the inner and outer walls together to prevent any expansion of the chamber formed in the arms in the area of the spot weld.

19. A device as in claim 14 further comprising:

a container for holding a liquid; and

means coupling liquid in the container to the liquid tight chamber such that when the container is elevated above the knee, the chamber is inflated with the liquid and compression is supplied to the knee in an amount depending on the level of elevation of the container above the knee and when the container is lowered below the knee, the liquid in the chamber is returned to the container for recooling so as to form a closed system for recirculating the liquid.

20. A device as in claim 14, further comprising:

a middle wall in the chamber for separating the chamber into inner and outer compartments each in a liquid tight relationship;

means coupled to the inner compartment for enabling liquid to be introduced therein for applying cold only to the general suprapatella area and the areas generally alongside the knee; and

means coupled to the outer compartment for permitting a fluid to be introduced in the compartment sufficient to force the inner compartment with its liquid in pressure engagement with the general suprapatella area and the area generally alongside the knee.

21. A device as in claim 20 further comprising pump means coupled to the outer compartment for providing pressurized fluid to the outer compartment.

22. A device as in claim 14 wherein the first and second hollow arms are separated by a triangular shaped open area in the distal end portion and a substantially rectangular area terminating in a semi-circular end at the transverse portion, so as to enable the profile of the cuff-like device to be changed as the knee flexes and to allow more complete conformation of the cuff to the associated knee.

23. A device as in claim 20 further including a syphon system associated with the inner compartment for permitting transfer of the liquid to and from the inner compartment without removing the device from the knee.

24. A device as in claim 14, further comprising:

a middle wall in the chamber for separating the chamber into inner and outer compartments each in a liquid tight relationship;

means coupled to the inner compartment for enabling the liquid to be introduced therein for applying cold only to the general suprapatella area and the areas generally alongside the knee;

means coupled to the outer compartment for permitting a fluid to be introduced in the compartment sufficient to force the inner compartment with its liquid in pressure engagement with the general suprapatella area and the area generally alongside the knee; and

a syphon system associated with the inner compartment for permitting transfer of the liquid to and from the inner compartment without removing the device from the knee, said syphon system comprising a Y-shaped tube extending from an outer end of the inner compartment of one arm to an outer end of the inner compartment of the other of the arms to carry liquid to and receive liquid from outer ends of the arms, a fill opening in the inner compartment, and a connecting tube coupled to the Y-shaped tube and to the fill opening for transfer of fluid to and from the inner compartment through the fill opening.

25. A device for treating an injured knee of a human limb comprising:

a therapeutic cold and compression applying means including a cuff-like device having a liquid-tight chamber with inner and outer walls and formed with a transverse portion and first and second spaced hollow dependent arms, the transverse portion being intended for contact with the general area of only the suprapatella pouch and the first and second hollow arms extending generally along and in contact with the respective sides of the knee;

means for attaching the cold and compression applying means to the knee, said attaching means comprising

(a) a first adjustable inelastic strap attached to one side of the chamber transverse portion and extending to another side of the chamber transverse portion and adapted to be positioned under the leg and above the knee to allow constriction of the leg above the knee;

(b) a second adjustable elastic strap attached to an outer edge of one of the arms and extending to an outer edge of the other arm and adapted to be positioned under the leg and below the knee to limit constriction of the leg below the knee to an amount less than the constriction above the knee; and

(c) a third adjustable strap attached to an inner edge of one of the arms and extending to an inner edge of the other arm and adapted to be positioned over the leg and below the knee;

means for applying a pressurized fluid to the cuff-like device; and

means coupled to the compression applying means for limiting the compression applied to the general area alongside and below the knee and no compression behind the knee thereby limiting venous constriction below the knee while simultaneously enabling a different level of compression to be applied to the general area of the suprapatella pouch and independent of the means for attaching the cold and compression applying means to the knee.

26. A device as in claim 25 further comprising means for inflating and expanding the chamber so as to apply a first compression to the general area of the suprapatella pouch and a second, less compression, to the general area along each side of and below the knee and substantially no pressure behind the knee.

27. A device as in claim 25 wherein at least one of the second and third adjustable straps includes at least a portion that is elastic, thereby to lessen venous constriction of the device below the knee.

28. A thermal compress cuff for treating an injured knee of a limb, said cuff comprising:

a fluid impervious chamber formed of flexible material and having a transverse portion and a pair of arms having distal ends, said arms depending from the transverse portion, the transverse portion adapted to encompass substantially only a portion of the limb above the knee and the depending arms adapted to encompass at least a portion of the limb along the sides of the knee and a portion of the limb below the knee, said arms being separated to expose the patella of the knee;

said chamber being adapted for receiving and containing a thermal fluid for treatment of said knee and for abutting contact with the encompassed portion of the limb;

first means for holding the transverse portion of the chamber in encompassing engagement with substantially only the portion of the limb above the knee so as to allow some constriction of the limb above the knee;

second means for holding the depending arms of the chamber in encompassing engagement with at least a portion of the limb along the sides of and below the knee with the patella being positioned between the depending arms so as to limit constriction of the leg below the knee to an amount less than the constriction above the knee, said second means comprising

(a) a length of strap material attached to and extending transversely inwardly from an inner edge of the distal end of one of the arms and having a length sufficient to pass over the limb below the knee to be releasably secured to the other arm to hold the depending arms in spaced relationship along the sides of and below the knee,

(b) an elongated elastic strap attached to and extending transversely from an outer edge of the distal end of one of the arms for passing under the limb below the knee,

(c) means on the distal end of the other one of said arms for releasably receiving the elongated elastic strap in a fastening relationship as it passed under the limb and below the knee for holding the depending arms snugly against the encompassed area of the limb; and

means independent of the first and second holding means associated with said chamber for applying pressure to the fluid in the chamber.

29. A thermal pressure cuff as in claim 28 wherein the depending arms are separated by a generally triangular shaped area in the distal end portion thereof and a substantially rectangular area extending from the generally triangular shaped area and terminating in a semicircular end at the transverse portion of the cuff so as to enable the cuff to continue to conform substantially to the knee as the knee flexes and so as to allow more complete conformation of the cuff to the limb, and to accommodate limbs of varying sizes.