Tourniquet cuff with a tightness indicator

• US 8,900,266 B2
• Filed: 08/04/2008
• Issued: 12/02/2014
• Est. Priority Date: 08/29/2007
• Status: Active Grant

• Current Assignee: Zimmer Surgical Incorporated (Zimmer Biomet Holdings, Inc.)
• Original Assignee: Zimmer Surgical Incorporated (Zimmer Biomet Holdings, Inc.)
• Inventors: Heston, Brian K.
• Primary Examiner(s): Erezo, Darwin
• Assistant Examiner(s): SHIPLEY, AMY R
• Application Number:
  US12/185,270
• Publication Number:
  US 20090062843A1
• Time in Patent Office: 2,311 Days
• Field of Search: 606201-204, 606/153, 24/18, 243/00, 243/01, 600/37
• US Class Current: 606/203
• CPC Class Codes: A61B 17/1322 comprising a flexible encircling member A61B17/135 takes precedence
• CPC Class Codes: A61B 17/135 inflatable for measuring blood pressure A61B5/022; inflatable pressure pads A61F5/34
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2090/0807 Indication means
• CPC Class Codes: A61B 90/00 Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges protective face masks A41D13/11; surgeon's or patient's gowns or dresses A41D13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M1/00
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A tourniquet cuff has a body configured for being wrapped around a limb. The body has an unpressurized state and a pressurized state. A securing portion on the body is releasably engageable to the body. The cuff also has an indicator that operates in response to movement of the securing portion for locating where the securing portion engages the body in order to apply a predetermined amount of force sufficient to secure the body to a limb without causing significant venous occlusion at the limb when the body is in the unpressurized stated.

Claims

1. A tourniquet cuff, comprising:

a body configured for being wrapped around a limb, the body having an unpressurized state and a pressurized state and having a securing portion having a first end secured to a main member of the body and a second free end releasably engageable to the body, the main member of the body including a pressurizable bladder;

an elastic member having a first end portion secured to the body at a first location, a second end portion secured to the securing portion at a second location, and an intermediate portion extending along a front face of the securing portion between the first and second end portions that is free to elongate relative to the securing portion by pulling on the second free end of the securing portion; and

the securing portion cooperating with the elastic member to provide an indicator that operates in response to elongation of the elastic member from a first length to a second length greater than the first length for locating where the securing portion is to engage the body in order to apply a predetermined amount of force to the limb with the body in the unpressurized state sufficient to secure the body to the limb without causing significant venous occlusion at the limb.

2. The tourniquet cuff of claim 1, wherein the elastic member has a natural bias against extension, the elastic member configured to extend against the natural bias as the securing portion is being wrapped around a limb for securement to the body.

3. The tourniquet cuff of claim 2, wherein the elastic member has a natural length and a fully extended length and the fully extended length indicates that the securing portion has been sufficiently wrapped around a limb and is to be engaged with the body to secure the body to a limb.

4. The tourniquet cuff of claim 2, wherein the body has a taut state, and wherein the elastic member is configured and disposed on the body to absorb force while the body is pulled into the taut state.

5. The tourniquet cuff of claim 4, wherein the taut state indicates that a sufficient amount of tension is applied to the body and that the second free end of the securing portion should be attached to the body.

6. The tourniquet cuff of claim 4, wherein the body has a proximal end portion for contacting the limb, wherein the taut state comprises the body being generally taut from the proximal end portion to at least the second end portion of the elastic member.

7. The tourniquet cuff of claim 2, wherein the body has a proximal end portion for being placed against the limb and an intermediate portion disposed between the proximal end portion and the securing portion, and wherein the elastic member extends from the intermediate portion to the second free end of the securing portion.

8. The tourniquet cuff of claim 1, wherein the securing portion includes a securing strap extending generally along the elastic member when pulled taut.

9. The tourniquet cuff of claim 8, wherein the elastic member is stretched to a predetermined extension to indicate that the cuff is sufficiently wrapped about the limb.

10. The tourniquet cuff of claim 8, wherein the elastic member is elongated to the second length when the securing strap is generally taut from the main member to the second end portion of the elastic member.

11. The tourniquet cuff of claim 8, wherein the intermediate portion extends generally along the securing strap when the securing strap is in a taut state and is free to move away from the securing strap when the securing strap is in a slackened state.

12. The tourniquet cuff of claim 8, wherein the elastic member is disposed at least partially within the securing strap.

13. The tourniquet cuff of claim 8, wherein the elastic member comprises a plurality of generally parallel extending resiliently extendable members.

14. The tourniquet cuff of claim 8, wherein the elastic member is configured to be stretched against a natural bias of the elastic member as the securing strap is pulled generally taut from a slackened state to indicate the predetermined amount of force is applied to the limb.

15. A tourniquet cuff comprising:

a main member configured for being wrapped around a limb and having an unpressurized state and a pressurized state, the main member including a pressurizable fluid tight bladder;

a securing portion including a securing strap having an attachment end portion connected to the main member and a free end portion being releasably engageable to the main member; and

an indicator for indicating that the free end portion has been moved around the limb a sufficient distance for the main member to apply a predetermined amount of force to a limb when the main member is in the unpressurized state for snugly holding the main member on the limb without causing significant venous occlusion at the limb;

wherein the indicator includes at least one resilient member, the securing strap extending between a first end portion of the at least one resilient member to a second end portion of the at least one resilient member, the at least one resilient member being expandable against a natural bias from a first length to a second length greater than the first length as the securing strap is drawn from a slackened state to a taut state without lengthening the securing strap between the first and second end portions of the securing strap; and

wherein the first end portion of the at least one resilient member and the second end portion of the at least one resilient member are directly connected to a front face of the securing strap.

16. The tourniquet cuff of claim 15, wherein the securing strap is configured such that drawing the securing strap to the taut state is indicative that the predetermined amount of force is applied to the limb.

17. The tourniquet cuff of claim 15, wherein the first end portion is connected to the main member, the second end portion is connected to the securing strap, and an intermediate portion between the first and second end portions is unconnected to the securing strap.

18. The tourniquet cuff of claim 15 wherein the at least one resilient member comprises a plurality of generally parallel extending resilient members.

19. A tourniquet cuff comprising:

a body configured to be wrapped around a limb and having an unpressurized state and a pressurized state, the body including a main member and a securing portion having a first end secured to the main member and a second free end releasably engageable to the main member when wrapped around the limb, the main member including a bladder configured to put the body in a pressurized state when the bladder is pressurized;

the securing portion including a securing strap; and

a resilient member including a first end portion and a second end portion, the first end portion of the resilient member secured to a first end portion of a front face of the securing strap and the resilient member extends along the front face to a position where the second end portion of the resilient member is directly secured to a second end portion of the front face of the securing strap, the resilient member having a first length between the first and second end portions of the resilient member in a relaxed state and a second length greater than the first length between the first and second end portions of the resilient member in a tensioned state, the resilient member configured to be drawn into tension from the first length to the second length without lengthening the securing strap between the first and second end portions of the securing strap;

wherein when the second free end of the securing portion is wrapped around the limb and releasably engaged to the main member while the resilient member is tensioned at the second length, the body applies a force to the limb when the body is in the unpressurized state to secure the body to the limb without causing significant venous occlusion at the limb.

20. The tourniquet cuff of claim 19, wherein the securing strap extends from the main member along a first side of the resilient member to the second free end of the securing portion;

wherein the securing strap is in a slackened state when the resilient member is at the first length and the securing strap is in a taut state when the resilient member is at the second length.

21. A tourniquet cuff comprising:

a body configured to be wrapped around a limb and having an unpressurized state and a pressurized state, the body including a main member and a securing portion having a first end secured to the main member and a second free end releasably engageable to the main member when wrapped around the limb, the main member including a bladder and one or more ports configured to receive air to pressurize the bladder;

a resilient member configured to be drawn into tension from a first length to a second predetermined length greater than the first length;

wherein when the second free end of the securing portion is wrapped around the limb and releasably engaged to the main member while the resilient member is tensioned at the second predetermined length, the body applies a predetermined amount of force to the limb when the body is in the unpressurized state to secure the body to the limb without causing significant venous occlusion at the limb;

wherein the securing portion includes a securing strap extending from the main member along a first side of the resilient member to the second free end of the securing portion;

wherein the securing strap is in a slackened state when the resilient member is at the first length and the securing strap is in a taut state when the resilient member is at the second predetermined length;

wherein the resilient member includes a first end portion connected to the securing strap proximate the first end of the securing portion, a second end portion connected to the securing strap proximate the second free end of the securing portion, and an intermediate portion between the first end portion and the second end portion of the resilient member;

wherein the intermediate portion of the resilient member generally extends along the securing strap such the first side of the intermediate portion of the resilient member contacts the securing strap when the resilient member is tensioned to the second predetermined length; and

wherein the intermediate portion of the resilient member is free to move away from the securing strap such that the first side of the intermediate portion of the resilient member moves out of contact with the securing strap when the resilient member is at the first length.