Chest brace to prevent collapse of a chest wall and method of using same

• US 6,951,546 B2
• Filed: 01/16/2003
• Issued: 10/04/2005
• Est. Priority Date: 11/21/1995
• Status: Expired due to Fees

• Current Assignee: Penn State Research Foundation, Respironics Incorporated
• Original Assignee: Penn State Research Foundation, Respironics Incorporated
• Inventors: Scarberry, Eugene N., Matula, Jerome Jr., Busch, Lance, Palmer, Charles
• Primary Examiner(s): DEMILLE, DANTON D
• Application Number:
  US10/342,482
• Publication Number:
  US 20030100850A1
• Time in Patent Office: 992 Days
• Field of Search: 601 41- 44, 601/152, 128/202, 128/12, 602/19, 602/20
• US Class Current: 601/44
• CPC Class Codes: A61F 5/03 Corsets or bandages for abdomen, teat or breast support, with or without pads trusses A61F5/24, pressure-pads A61F5/30; brassieres A41C3/00
• CPC Class Codes: A61H 2031/002 fixed on the chest by adhesives
• CPC Class Codes: A61H 31/00 Artificial respiration or heart stimulation, e.g. heart massage artificial respiration by treatment with gas or air, e.g. mouth-to-mouth respiration A61M16/00; applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers A61N1/36 ; teaching or training models, demonstration models for medical purposes G09B23/288
• CPC Class Codes: A61H 31/006 Power driven
• CPC Class Codes: A61H 31/007 Manual driven
• CPC Class Codes: A61H 31/008 Supine patient supports or bases, e.g. improving air-way access to the lungs
• CPC Class Codes: Y10S 601/06 Artificial respiration conforming to shape of torso

Abstract

A chest brace and method of using same that prevents the chest wall from buckling inwards during patient breathing by providing a distending force on the patient'"'"'s thorax. The chest brace also restores the normal anterior-to-posterior chest dimensions by providing a distending force in this direction. The chest brace includes an anterior member adapted to overly a patient'"'"'s chest. An adhesive mechanism secures the anterior member to a surface of such a patient. A support structure is coupled to the anterior member such that, in use, the support structure imparts a force on the anterior member in a manner so as to distend a thorax of such a patient.

Claims

1. A chest brace comprising:

an anterior member adapted to overlie a patient'"'"'s chest;

an adhesive mechanism adapted to operatively couple the anterior member to a surface of such a patient;

supporting means for supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which the chest of such a patient is in a non-collapsed position, and for allowing expansion of such a patient'"'"'s chest beyond a second distance from the fixed reference point by enabling the anterior member to move with the patient responsive to expansion of such a patient'"'"'s chest beyond the second distance; and

locking means, associated with the supporting means, for preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles, thereby preventing collapse of such a patient'"'"'s chest over the plurality of respiratory cycles.

2. The chest brace according to claim 1, wherein the adhesive mechanism is a hydrogel adhesive applied to a surface of the anterior member.

3. The chest brace according to claim 1, further comprising:

a chest plate adapted to adhere to a surface of the patient via the adhesive mechanism; and

coupling means for securing the chest plate to the anterior member.

4. The chest brace according to claim 3, wherein the adhesive mechanism is a hydrogel adhesive applied to a surface of the chest plate, and wherein the chest plate includes a channel defined therethrough such that a solvent can be injected to the hydrogel via the channel.

5. The chest brace according to claim 3, wherein the coupling means includes:

a stem provided on a surface of the chest plate; and

a channel defined in the anterior member so as to selectively receive the stem for engaging the chest plate to the anterior member.

6. The chest brace according to claim 3, further comprising:

a posterior member adapted to overlie a patient'"'"'s back; and

wherein the locking means comprises at least one mechanical linkage coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member in a ratchet-like fashion, and wherein a portion of the posterior member defines the fixed reference point.

7. The chest brace according to claim 3, wherein the supporting means comprises:

a shield adapted to overly the patient, and wherein the shield and such a patient are supported by a common surface that defines the fixed reference point; and

coupling means for securing the anterior member to the shield.

8. The chest brace according to claim 7, wherein the coupling means comprises a suspension line coupled between the chest plate and the shield such that the locking means is defined by a non-stretchable nature of the suspension line.

9. The chest brace according to claim 1, further comprising:

a posterior member adapted to overlie a patient'"'"'s back, wherein a portion of the posterior member defines the fixed reference point;

and wherein the supporting means includes;

a first support member coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member; and

a second support member coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member.

10. The chest brace according to claim 1, wherein the supporting means comprises:

a first base element coupled to a first portion of the anterior member; and

a second base element coupled to a second portion of the anterior member, and wherein the first base element, the second base element, and such a patient are supported by a common surface that defines the fixed reference point.

11. The chest brace according to claim 10, wherein a height of the first base element and the second base element are adjustable to control a height at which the anterior member is spaced apart from a bottom of the first and the second base elements.

12. The chest brace according to claim 1, wherein the supporting means comprises:

a posterior member adapted to overlie a patient'"'"'s back, wherein a portion of the posterior member defines the fixed reference point; and

wherein the locking means comprises at least one mechanical linkage coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member in a ratchet-like fashion.

13. The chest brace according to claim 12, further comprising:

a back plate adapted to adhere to a surface of a patient; and

coupling means for securing the back plate to the posterior member.

14. The chest brace according to claim 1, wherein the anterior member is a chest plate secured directly to a surface of a patient, and wherein the supporting means comprises:

a shield adapted to overly a patient, and wherein the shield and such a patient are supported by a common surface that defines the fixed reference point; and

coupling means for securing the chest plate to the shield.

15. The chest brace according to claim 14, wherein the coupling means comprises a suspension a line coupled between the chest plate and the shield such that the locking means is defined by a non-stretchable nature of the suspension line.

16. A method of preventing collapse of a chest of a patient during spontaneous respiration, comprising:

adhesively securing an anterior member to a patient'"'"'s chest;

supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which the chest of such a patient is in a non-collapsed position;

allowing expansion of such a patient'"'"'s chest beyond a second distance from the fixed reference point by enabling the anterior member to move with the patient responsive to expansion of such a patient'"'"'s chest beyond the second distance; and

preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles.

17. The method according to claim 16, wherein adhesively securing the anterior member to the patient'"'"'s chest comprises:

adhering a chest plate to an anterior surface of such a patient; and

securing the chest plate to the anterior member.

18. The method according to claim 17, further comprising releasing the chest plate from a surface of such a patient by injecting a solvent between the chest plate and such a surface of the patient via a channel defined in the chest plate.

19. The method according to claim 16, wherein supporting the anterior member at least a first distance from a fixed reference point includes:

providing a posterior member adapted to overlie such a patient'"'"'s back;

coupling the posterior member to the anterior member via a mechanical linkage; and

moving the anterior member relative to the posterior member in a ratchet-like fashion using the mechanical linkage.

20. The method according to claim 19, further comprising:

adhering a back plate a posterior surface of such a patient; and

securing the back plate to the posterior member.

21. A chest brace comprising:

an anterior member having a first side and a second side, wherein the anterior member is adapted to overlie a patient'"'"'s chest such that the first side is proximate a first side of such a patient and the second side is proximate a second side of such a patient;

a first adhesive mechanism adapted to operatively secure the anterior member to a surface of such a patient;

a posterior member having a first side and a second side, wherein the posterior member is adapted to overlie a patient'"'"'s back such that the first side is proximate the first side of such a patient and the second side is proximate the second side of such a patient;

a first mechanical linkage coupling the first side of the posterior member to the first side of the anterior member such that the anterior member is maintained at least at a first distance relative to the posterior member during use of the chest brace by such a patient, and wherein the first distance is a distance sufficient to prevent collapse of such a patient'"'"'s thorax during inspiration, and for allowing expansion of such a patient'"'"'s chest beyond a second distance from the posterior member by enabling the anterior member to move with the patient responsive to expansion of such a patient'"'"'s chest beyond the second distance; and

a second mechanical linkage coupling the second side of the posterior member to the second side of the anterior member such that the anterior member is maintained at least at the first distance relative to the posterior member during use of the chest brace by such a patient, and for allowing expansion of such a patient'"'"'s chest beyond the second distance from the posterior member by enabling the anterior member to move with the patient responsive to expansion of such a patient'"'"'s chest beyond the second distance.

22. The chest brace according to claim 21, further comprising a chest plate adapted to be secured directly to a surface of a patient, and a first coupling member that couples the chest plate to the anterior member.

23. The chest brace according to claim 22, further comprising a back plate adapted to adhere to a surface of a patient, and coupling means for securing the back plate to the posterior member.

24. The chest brace according to claim 21, further comprising a back plate adapted to adhere to a surface of a patient, and coupling means for securing the back plate to the posterior member.

25. The chest brace according to claim 21, further comprising a second adhesive mechanism adapted to operatively secure the posterior member to a surface of such a patient.

26. A chest brace comprising:

(a) an anterior member adapted to overlie a patient'"'"'s chest;

(b) a chest plate adapted to adhere to a surface of a patient

(c) an adhesive mechanism adapted to operatively couple the chest plate to a surface of such a patient;

(d) coupling means for securing the chest plate to the anterior member, wherein the coupling means includes;

(1) a stem provided on a surface of the chest plate, and

(2) a channel defined in the anterior member so as to selectively receive the stem for engaging the chest plate to the anterior member;

(e) supporting means for supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which a chest of such a patient is in a non-collapsed position; and

(f) locking means, associated with the supporting means, for preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles, thereby preventing collapse of such a patient'"'"'s chest over the plurality of respiratory cycles.

27. A chest brace comprising:

an anterior member adapted to overlie a patient'"'"'s chest;

a chest plate adapted to adhere to a surface of a patient

an adhesive mechanism adapted to operatively couple the chest plate to a surface of such a patient;

coupling means for securing the chest plate to the anterior member;

supporting means for supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which a chest of such a patient is in a non-collapsed position;

locking means, associated with the supporting means, for preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles, thereby preventing collapse of such a patient'"'"'s chest over the plurality of respiratory cycles; and

a posterior member adapted to overlie a patient'"'"'s back, wherein the locking means comprises at least one mechanical linkage coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member in a ratchet-like fashion, and wherein a portion of the posterior member defines the fixed reference point.

28. A chest brace comprising:

an anterior member adapted to overlie a patient'"'"'s chest;

an adhesive mechanism adapted to operatively couple the anterior member to a surface of such a patient;

supporting means for supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which a chest of such a patient is in a non-collapsed position, wherein the supporting means comprises a posterior member adapted to overlie a patient'"'"'s back, and wherein a portion of the posterior member defines the fixed reference point; and

locking means, associated with the supporting means, for preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles, thereby preventing collapse of such a patient'"'"'s chest over the plurality of respiratory cycles, and where the locking means comprises at least one mechanical linkage coupling the posterior member to the anterior member such that the anterior member is selectively moveable relative to the posterior member in a ratchet-like fashion.

29. A method of providing support for a thorax of a patient, comprising:

(a) adhesively securing an anterior member to a patient'"'"'s chest;

(b) supporting the anterior member at least a first distance from a fixed reference point during use of the chest brace over a plurality of respiratory cycles of such a patient, wherein the first distance corresponds to a distance in which a chest of such a patient is in a non-collapsed position, and wherein supporting the anterior member at least a first distance from a fixed reference point includes;

(1) providing a posterior member adapted to overlie such a patient'"'"'s back,

(2) coupling the posterior member to the anterior member via a mechanical linkage, and

(3) moving the anterior member relative to the posterior member in a ratchet-like fashion using the mechanical linkage; and

(c) preventing the anterior member from moving closer than the first distance from the fixed reference point over the plurality of respiratory cycles.