Medical compression devices and methods

• US 7,896,825 B2
• Filed: 06/14/2006
• Issued: 03/01/2011
• Est. Priority Date: 06/17/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: BridgePoint Medical, Inc. (Boston Scientific Corporation)
• Inventors: Kugler, Chad J., Atkinson, Robert E.
• Primary Examiner(s): Thanh; Loan
• Assistant Examiner(s): SKORUPA, VALERIE LYNN
• Application Number:
  US11/452,291
• Publication Number:
  US 20060287621A1
• Time in Patent Office: 1,721 Days
• Field of Search: 601 6- 11, 601148-152, 602/13, 604313-316, 606201-203
• US Class Current: 601/151
• CPC Class Codes: A61H 2205/06 Arms
• CPC Class Codes: A61H 2205/10 Leg
• CPC Class Codes: A61H 9/0078 with intermittent or alternately inflated bladders or cuffs mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776

Abstract

Devices and methods for compressing a patient'"'"'s limb or limbs (e.g., legs or arms) for treating or preventing ailments due to compromised venous or lymphatic circulation of the limb. Exemplary embodiments include, but are not limited to, sub-atmospheric compression, micro-pneumatic compression, and active fabric compression devices and methods.

Claims

1. A device for providing a compression force to a patient'"'"'s body comprising:

a covering configured to cover a portion of a patient'"'"'s body, the covering having an outside surface and an inside surface configured to define a first space between the covering and the portion of the patient'"'"'s body;

a sealing band provided proximate an end portion of the covering and configured to provide a fluid tight seal between the covering and the portion of the patient'"'"'s body;

a vacuum source configured to be in fluid communication with the first space so that the application of a vacuum pressure to the first space results in compression of the portion of the patient'"'"'s body; and

a diffusion element located within an aperture of an innermost layer of the covering and configured to be between the vacuum source and the first space and between the outside surface and the first space.

2. The device of claim 1, wherein the innermost layer of the covering comprises an inner absorbable layer, and an outermost layer of the covering comprises an elastic material.

3. The device of claim 1, wherein connective tubing is configured to provide fluid communication between the vacuum source and the first space.

4. The device of claim 3, wherein the tubing is disposed between an inner surface and an outer surface of the sealing band, the tubing being parallel to the outside surface of the covering at the location where it is disposed between the inner and outer surface.

5. The device of claim 1, wherein the covering is comprised of a fluid impermeable material.

6. The device of claim 1, further comprising a pressure sensor and feedback circuit configured to regulate the amount of vacuum applied.

7. The device of claim 1, wherein the vacuum source is configured to apply a vacuum-pressure of about 10-30 mmHG to the first space.

8. The device of claim 1, wherein the vacuum source is configured to apply a vacuum pressure of about 120 mmHG or greater to the first space.

9. The device of claim 1, wherein the vacuum source is configured to vent to atmospheric pressure to provide intermittent compression.

10. The device of claim 1, wherein the vacuum source is configured to apply positive pressure between vacuum cycles to provide ventilation to the portion of the patient'"'"'s body.

11. The device of claim 1, further comprising vent holes in the covering, the vent holes configured to be in fluid communication with the first space.

12. The device of claim 1, wherein the covering comprises a garment configured to cover a patient'"'"'s limb, the garment having a closed end portion and an open end portion.

13. The device of claim 1, wherein the covering comprises a tubular garment configured to cover a patient'"'"'s limb, the garment having a first opening at one end portion and a second opening at a second end portion.

14. The device of claim 13, wherein the sealing band is provided proximate the first opening, and a second sealing band is provided proximate the second opening, thereby defining the first space between the two sealing bands.

15. The device of claim 1, further comprising a second sealing band provided along an intermediate portion of the covering and configured to provide a second fluid tight seal between the covering and the portion of the patient'"'"'s body such that a second space distinct from the first space is defined between the covering and the portion of the patient'"'"'s body.

16. The device of claim 15, wherein the vacuum source is in fluid communication with the second space.

17. The device of claim 1, wherein the covering comprises a garment configured to cover a patient'"'"'s foot, hand, arm, leg, knee, thigh, waist, or any combination thereof.

18. The device of claim 1, wherein the diffusion element comprises open cell foam.

19. The device of claim 1, wherein the diffusion element comprises a different material than a material of the inner surface.

20. The device of claim 1, wherein the diffusion element comprises a different material than a material of the innermost layer.

21. A method for providing compression forces to a patient'"'"'s body comprising:

covering a portion of a patient'"'"'s body with a covering such that a first space is defined between the covering and the portion of the patient'"'"'s body, wherein the covering includes a diffusion element located within an aperture of an innermost layer of the covering, between a vacuum source and the first space, and between an outside surface of the covering and the first space;

providing a seal between the covering and the covered portion of the patient'"'"'s body; and

applying a vacuum pressure to the first space resulting in compression of the portion of the patient'"'"'s body.

22. The method of claim 21, further comprising venting the first space to atmospheric pressure to provide intermittent compression.

23. The method of claim 21, further comprising applying positive pressure between vacuum cycles to provide ventilation to the portion of the patient'"'"'s body.

24. The method of claim 21, further comprising adjusting the amount of vacuum applied based on a response of a pressure sensor and feedback circuit.

25. The method of claim 21, wherein the seal is formed by providing a sealing band proximate an end portion of the covering such that the sealing band provides a fluid tight seal between the covering and the portion of the patient'"'"'s body.

26. The method of claim 25, further comprising a second sealing band provided along an intermediate portion of the covering and configured to provide a second fluid tight seal between the covering and the portion of the patient'"'"'s body such that a second space distinct from the first space is defined between the covering and the portion of the patient'"'"'s body.

27. The method of claim 21, wherein the innermost layer of the covering comprises an inner absorbable layer, and an outermost layer of the covering comprises an elastic material.

28. The method of claim 21, wherein the covering comprises a tubular garment configured to cover a patient'"'"'s limb, the garment having a first opening at one end portion and a second opening at a second end portion and wherein a sealing band is provided proximate the first opening, and a second sealing band is provided proximate the second opening, thereby defining the first space between the two sealing bands.

29. The method of claim 21, wherein the diffusion element comprises open cell foam.

30. The method of claim 21, wherein the vacuum pressure is applied from a tube disposed through the seal and parallel to the outside surface of the covering.

31. The method of claim 21, wherein the covering includes vent holes configured to be in fluid communication with the first space.

32. A device for providing a compression force to a patient'"'"'s body comprising:

a covering configured to cover a portion of a patient'"'"'s body, the covering having an innermost layer of absorbable material and an outermost layer of elastic material, the covering further having an outside surface and an inside surface configured to define a first space between the covering and the portion of the patient'"'"'s body;

a sealing band provided proximate an end portion of the covering and configured to provide a fluid tight seal between the covering and the portion of the patient'"'"'s body;

a vacuum source configured to be in fluid communication with the first space so that the application of a vacuum pressure to the first space results in compression of the portion of the patient'"'"'s body, wherein connective tubing is configured to provide fluid communication between the vacuum source and the first space, the tubing being disposed between an inner surface and an outer surface of the sealing band, the tubing being parallel to the outside surface of the covering at the location where it is disposed between the inner and outer surfaces;

vent holes in the covering, the vent holes configured to be in fluid communication with the first space so that the application of the vacuum pressure to the first space provides ventilation to the portion of the patient'"'"'s body; and

a diffusion element located within an aperture of the innermost layer of the covering and configured to be between the vacuum source and the first space and between the outside surface and the first space.

33. A device for providing a compression force to a patient'"'"'s body comprising:

a covering configured to cover a portion of a patient'"'"'s body, the covering having an outside surface and an inside surface configured to define a first space between the covering and the portion of the patient'"'"'s body;

a sealing band provided proximate an end portion of the covering and configured to provide a fluid tight seal between the covering and the portion of the patient'"'"'s body;

a vacuum source configured to be in fluid communication with the first space so that the application of a vacuum pressure to the first space results in compression of the portion of the patient'"'"'s body;

vent holes in the covering, the vent holes configured to be in fluid communication with the first space so that the application of the vacuum pressure to the first space provides ventilation to the portion of the patient'"'"'s body; and

a diffusion element located within an aperture of the innermost layer of the covering and configured to be between the vacuum source and the first space and between the outside surface and the first space.