CN105326597A - Cervical immobilization collar with arterial cooling elements and methods of using the same - Google Patents
Cervical immobilization collar with arterial cooling elements and methods of using the same Download PDFInfo
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- CN105326597A CN105326597A CN201510666221.7A CN201510666221A CN105326597A CN 105326597 A CN105326597 A CN 105326597A CN 201510666221 A CN201510666221 A CN 201510666221A CN 105326597 A CN105326597 A CN 105326597A
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- cooling element
- cooling
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- coolant
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
- A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
- A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
- A61F5/055—Cervical collars
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
- A61F2007/0002—Head or parts thereof
- A61F2007/0009—Throat or neck
- A61F2007/001—Throat only
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/10—Cooling bags, e.g. ice-bags
- A61F7/106—Cooling bags, e.g. ice-bags self-cooling, e.g. using a chemical reaction
Abstract
An apparatus, kit and method for cooling the carotid arteries including cervical immobilization collar which includes a substantially annular support structure having an extended axial length, at least two cheek support structures having an extended vertical length, and an anterior opening that may be covered with a door. The door has a body-facing surface on which a pressure member may be secured and an outward-facing surface. The kit and method also includes a cooling element that may be disposed within the anterior opening and can be secured to the substantially annular support structure by placing the cooling element between the anterior portion of a patient's neck and the pressure member located on the door.
Description
The divisional application that the present invention is international filing date is on October 27th, 2011, international application no is PCT/US2011/058090, China national application number is 201180061671.3, denomination of invention is the application for a patent for invention of " cervical region with tremulous pulse cooling element fixes necklace and using method thereof ".
Technical field
The present invention is integrated to be fixed with cervical region and induces relevant technology with the treatment of slight cerebral hypothermia, and the treatment induction of this is slight cerebral hypothermia is undertaken by the percutaneous cooling flowing through carotid oxygenated blood fluid.
Background technology
Cervical region fixes necklace usually by the first respondent, as EMT, is used for, after wound occurs, stablizing the cervical region of patient, head and spinal column immediately.Although this process can prevent further damage in general effectively, it is advantageous that started the wound for the treatment of patient before arrival hospital.A kind of method for the treatment of can comprise the brain of cooling patient.Brain cools, and reduces by one or two degree Celsius a little by brain temperature, produces the Neuroprotective effect of the harmful response of defence, and these harmful responses are associated with brain injury.This slight cerebral hypothermia forbids the release of nerve stimulation aminoacid (such as, aspartic acid and glutamine), interrupts the cascading effect of inflammatory responses thus.If implement brain cooling after damage as quickly as possible, then Neuroprotective effect is the most remarkable.
Agreement for the first respondent does not generally comprise the effective procedure for starting brain cooling.Such as, it is known that cold bag to be applied to the health of patient, groin, head and oxter is applied to.But what such cooling applied is systematic cooling, instead of optionally cools, and effectively can not reduce the temperature of patient's brain.
Summary of the invention
One is used for cooling carotid tackling and comprises cervical region and fix necklace and cooling element.Cervical region is fixed necklace and is comprised: general toroidal supporting construction, has the axial length of extension; At least two buccal supporting constructions, have the vertical extension of extension; And front opening, it can cover with door.Door has body-facing surface dough-making powder exterior surface, at this body-facing on the surface, and can fixation pressure parts.Tackling also comprises cooling element, and this cooling element can be arranged in front opening, and by between the front part that cooling element is placed on user cervical region and the press member being arranged on door, and be fixed in general toroidal supporting construction.
In another embodiment, cooling element covers with lining at least in part.Cooling element can comprise heat-absorbing material, and this heat-absorbing material is activated by distortion.In another embodiment, press member comprises at least two foam inserts, described at least two foam inserts are arranged in the body-facing of door on the surface, and described at least two foam inserts are used for being applied on cooling element by pressure in the carotid position relative to user.
In another embodiment, door and front opening comprise the first marginal portion and second edge portion.Door can at the first edge part office hinged joint of front opening in front support structure.Similarly, the second edge portion of door can at the second edge portion place of front opening and front support structure conjoint.
In another embodiment, door and front opening have the shape roughly similar to the shape of cooling element.In another embodiment, general toroidal supporting construction can comprise rear aperture.
Accompanying drawing explanation
Fig. 1 is the axonometric chart that cervical region fixes necklace.
Fig. 2 is the top view that cervical region fixes necklace.
Fig. 3 is the front view that cervical region fixes necklace.
Fig. 4 is used in the top view that cervical region fixes the cooling element in necklace.
Fig. 5 was represented by the diagram activating the temperature that cooling element obtains relative to the time.
Fig. 6 is the top view of the cooling element for neckband.
Fig. 7 is the rearview that cervical region fixes necklace.
Detailed description of the invention
Cervical region fixes necklace 10 can be used for stablizing immediately the spinal column of patient, cervical region and head after wound.As shown in figs. 1-3 and 7, cervical region for cooling element fixes necklace 10 generally can comprise general toroidal supporting construction 12, this general toroidal supporting construction 12 has front part 16 and rear portion 18, this front part 16 is around the front portion of patient's cervical region parcel, and this rear portion 18 wraps up around the back of patient's cervical region.Front part 16 and rear portion 18 can be formed by from one piece.Can select in embodiment at one, front part 16 and rear portion 18 can be resolution elements, these resolution elements on the one or both sides of cervical region by engaging or being connected by the connect mechanism of such as hook or loop fastener and so on.General toroidal supporting construction 12 can be formed by various material (preferably by cast or injection-molding), and these various materials comprise plastics, polymer or carbon or poly-to diphenyl-p-phenylenediamine fiber.In one embodiment, annular supporting structure 12 comprises
high density polyethylene (HDPE), should
high density polyethylene (HDPE) is manufactured by NOVA chemicals, and this NOVA chemicals is supplied by EntecPolymers.
With reference to Fig. 2 and 3, hook and loop-type fastener band 20 (as shown in Figure 3) extend from the distal end 22 of rear portion 18, be used for engaging releasedly the fastening sticking patch (not shown) of " hook-loop " formula of coupling, should be arranged in the proximal end 24 of the front part 16 of general toroidal supporting construction 12 by the fastening sticking patch of " hook-loop " formula.
The front part 16 of general toroidal supporting construction 12 can comprise buccal supporting construction 26.Buccal supporting construction 26 generally vertically can extend from the either side of chin bracket 14, and is configured to cover the region be generally associated with the buccal of patient.Buccal supporting construction 26 can be used for preventing remarkable rotation or the transverse movement of patients head.Buccal supporting construction 26 can form as a part for general toroidal supporting construction 12, as illustrated, or can be formed discretely and be installed in general toroidal supporting construction 12 with suitable binding agent or connect mechanism.(not shown) in another embodiment, annular supporting structure 12 can not comprise buccal support member.
Refer again to Fig. 1, cervical region is fixed necklace 10 and also comprise front opening 28 in the front part 16 of general toroidal supporting construction 12.Front opening 28 is limited by the framework of general toroidal supporting construction 12.Conventional neck pillar can comprise opening before pillar, but opening is general, and only large must to be enough to provide when blocking air flue for patient airway close.Selectively, the front opening 28 of fixing in necklace 10 at cervical region is designed to, and crosses the front portion of patient's cervical region, exposes two of patient's carotid artery region, instead of only exposes trachea area.
As shown in Figure 2, cervical region is fixed necklace 10 and is also comprised door 30, and this door 30 covers front opening 28.In this embodiment, the first marginal portion of door 30, around an end of front opening 28 or the first edge part office or its, is attached on the framework of general toroidal supporting construction 12 with hinge 32 or other suitable retention mechanism.As illustrated in fig. 1 and 2, in one embodiment, two-part hinge can be used.In this embodiment, the Part I 34 of hinge can be formed integrally as the part of the framework of general toroidal supporting construction 12.Specifically, the Part I 34 of hinge can comprise from one, and preferably three elastically deformable flanges.The Part II 36 of hinge can be formed integrally as the part of the first marginal portion of door 30.The Part II 36 of hinge can engage or be placed on by making lip deforms in the Part I 34 of hinge.Once be engaging in place, the Part II 36 of hinge is exactly rotating in the flange of the Part I 34 of hinge, thus door 30 can open and close relative to the framework of general toroidal supporting construction 12.In another embodiment, hinge 32 can be loose-joint butt (not shown), and this loose-joint butt is formed between the first marginal portion of door 30 and the framework of annular supporting structure 12.
The second edge portion of door 30 can at the second edge portion place of front opening 28 with the second hook and loop-type fastener band 38 (shown in Figure 3) and the fastening sticking patch (not shown) of " hook-loop " formula that mates, be fastened on the framework of general toroidal supporting construction 12, this second hook and loop-type fastener band 38 extend from the second edge portion of door 30, should the fastening sticking patch of " hook-loop " formula the second edge portion place of front opening 28 or be arranged on general toroidal supporting construction 12 near it framework on or around it.Closed snap-fit mechanism, press fit mechanism, button, lock bolt, binding agent or other the suitable retention mechanism also can used realizes.
As discussed above, front opening 28 strides across the major part extension of the front part 16 of general toroidal supporting construction 12 generally.But, cervical region fix necklace 10 must be firm be enough to support patient cervical region and prevent from bending or chin to the motion of the reduction of chest.In conventional neck pillar, this intensity is provided by the structural material between chin bracket and the bottom of pillar.But, lacking of huge front opening 28 and the structural material between chin bracket 14 and the bottom of necklace 10, the intensity and support that are provided by fixing necklace 10 may be sacrificed, particularly in vertical plane.Thus, even if patient is when wearing necklace 10, also may be able to move up and down its head.In order to provide the support of needs and thus stop patient to move up and down the ability of its head significantly, support component is built in general toroidal supporting construction 12.
As shown in Figure 1, level is given prominence to edge 40 and vertically can be extended from the bottom margin 42 of the front part of annular supporting structure 12.In one embodiment, edge 40 can be formed integrally as the part of annular supporting structure 12, and the whole front part 16 that preferably can stride across the framework of general toroidal supporting construction 12 extends.Similarly, door 30 can comprise shelf 44, and this shelf 44 is from the top of door 30, and as shown in Figure 1, inwardly patient body vertically extends.Shelf 44 can be formed integrally as the part of door 30.Shelf 44 also can comprise gap 46, and these gaps 46 allow to bend during use as the shelf 44 of the part of door 30.
When closedown door 30, as shown in Figure 3, and when patient attempts to move downward its head, the adjacent side, bottom 48 of door 30 is along 40.Similarly, the shelf 44 (illustrating in fig 1 and 2) on door 30 is by the bottom of adjacent chin bracket 14, and prevention moves downward, and effectively door 30 is used as the structural material between chin bracket 14 and the bottom of necklace 10.
Also cross rib 50a and 50b can be comprised, support structure to be added on the front part of annular supporting structure 12.As shown in Figures 2 and 3, cross rib 50a and 50b is formed on the outer surface of annular supporting structure 12, and from the summit downward-extension of buccal supporting construction 26 and adjacent side along 40.As shown in Figure 3, cross rib 50b can be formed by two separation members, and first summit from buccal supporting construction 26 extends, and second upwards extends from edge 40, to adapt to hook on door 30 and loop fastener.
Cervical region is fixed necklace 10 and can be used together with cooling element 52.Cooling element 52 in the diagram can have the shape roughly similar or slightly larger to the shape of front opening 28, although shape can take other form.Cooling element 52 can comprise the outside panel (not shown) of body-facing panel 54 dough-making powder, and the outside panel of this body-facing panel 54 dough-making powder is fixed with heat-activated adhesive sealing member or other suitable sealing mechanism in their edge.In one embodiment, the outside panel of body-facing panel 54 dough-making powder can be formed by one block of sheet material or two boards material, and this block of sheet material divides half-lap, and in the sealing of its open edge place, this two boards material is along whole sealings at their edge.Cooling element 52 can comprise coolant, the glue freezed in advance or have other material of the capacity absorbing heat, and this coolant produces endothermic reaction.Once the composition mixing of heat absorption bag or otherwise activate, just preferably cooling element 52 is dropped into and uses immediately.
In one embodiment, panel can comprise lining, and this lining covers at least body-facing panel 54 of cooling element 52, this at least body-facing panel 54 contact with patient's cervical region.In one embodiment, lining covers the body-facing panel 54 of cooling element 52 substantially.In another embodiment, two panels of cooling element 52 all cover with lining.Lining can be made up of fabric, such as, be made up of non-woven material, and generally can be used to provide comfortableness, and prevents skin irritation, skin degeneration and potential cold injury.Lining can be adhered on panel, or can be removable.
In one embodiment, the panel of cooling element comprises lining, and this lining comprises non-woven material, this non-woven material be adhered to one of panel or both on.Panel can comprise film material.In one example in which, 0.007mm non-woven lining is laminated to layer by layer on 2.5mm linea low density white polyethylene film, to form two panels of cooling element 52.The water penetration of panel can be 0.41grams (gram)/100sqin (square inch)/24hrs (hour), and Oxygen permeability can be less than 9.0cc (cubic centimetre)/100sqin/24hrs.
In this embodiment, cooling element 52 can be approximate 10 to about 12 inches long, and can comprise about 90 to about 110 grams of carbamide, about 45 to about 55 grams of Carbamakool
tM, and water.In another embodiment, cooling element 52 can be about 10 inches long, and comprises about 100 grams of carbamide, about 50 grams of Carbamakool
tM, and water.In another embodiment, cooling element 36 can be about 11 inches long, and comprises about 110 grams of carbamide, about 55 grams of Carbamakool
tM, and water.In these embodiments, lenticular carbamide and Carbamakool
tMmix, and between each panel being sealed in cooling element 52.In this embodiment, cooling element 52 also comprises the frangible bag (not shown) by liquid filling, and this liquid is preferably water.Also between each panel being sealed in cooling element 52 with the bag of liquid filling.In order to activate cooling element 52, pressure is applied on cooling element 52 by user, and bag is broken, this moistening carbamide and Carbamakool
tM.Then user shakes cooling element 52, to mix each composition and to start the endothermic reaction.
Coolant in cooling element preferably reaches 20 °F to 45 °F, the hopefully temperature of 25 °F to 35 °F in activation in one minute, and maintains this temperature about 10 to about 30 minutes, the preferably period of from about 15 to about 20 minutes.Suitable coolant for cooling element 52 can be buied from NortechLabs, 125SherwoodAvenueFarmingdale, NY11735.
Different from known cold bag (instruction that these known cold bags have indicates user and cold bag directly can not be placed on patient skin), the cooling element 52 drawing together the fabric lining be laminated on panel allows user directly to place on the skin of the patient this cooling element 52 until 20 to 30 minutes.In addition, by stacked for fabric lining or otherwise be adhered to the panel membrane cervical region of being taken in against patient use time, prevent cooling element 52 from skidding off position and to slip away carotid artery.
By carbamide, Carbamakool
tM, and water mixture produce reduction temperature measure on the outer surface of cooling element 52.In other words, the temperature contacted with patient is measured, to assess the heat extraction amount realized by cooling element 52.But, use fabric lining to make cooling element 52 heat insulation, and the therefore internal capacity of cooling element 52 and the carbamide wherein used and Carbamakool
tMamount be important, with suitably from patient's carotid artery extract heat.
Example
Test a collection of cooling element 52, sample A-E.Each sample is 10 inches long, and comprises 100 grams of carbamide and 50 grams of Carbamakool
tM.Two panels of sample A-E comprise 0.007mm nonwoven lining, and this 0.007mm non-woven lining is laminated on 2.5mm linea low density white polyethylene film layer by layer.
By extruding sample, to make, water-filling frangible bag breaks, and then shakes each sample ten (10) secondary, and activates sample, this water-fill frangible bag to be sealed in panel.Sample is folded and is inserted in 16ozStyrofoam cup.Record ambient temperature 68.7 °F, and thermocouple is placed in the fold of each cooling element, from about one inch, the bottom of cup.Temperature reading one minute record once, carries out after making to be lastly recorded in 30 minutes.Each cooling element shook after time in the past again at two minutes.Result represents in Table I below:
Table I
| Time (minute) | Sample A | Sample B | Sample C | Sample D | Sample E |
| 1 | 68.7 | 68.7 | 68.7 | 68.7 | 68.7 |
| 2 | 42.0 | 27.3 | 30.0 | 30.7 | 27.3 |
| 3 | 35.0 | 24.8 | 28.5 | 27.0 | 24.6 |
| 4 | 34.9 | 24.0 | 27.1 | 35.7 | 24.1 |
| 5 | 35.1 | 23.8 | 26.9 | 25.6 | 24.3 |
| 6 | 35.3 | 23.7 | 26.9 | 25.8 | 24.5 |
| 7 | 35.5 | 23.8 | 29.9 | 25.4 | 24.7 |
| 8 | 35.7 | 24.0 | 27.2 | 25.5 | 25.2 |
| 9 | 35.9 | 24.2 | 27.3 | 26.1 | 24.1 |
| 10 | 36.1 | 24.5 | 27.9 | 25.9 | 24.4 |
| 11 | 36.2 | 24.9 | 28.1 | 25.0 | 24.9 |
| 12 | 36.4 | 25.2 | 28.5 | 26.2 | 25.0 |
| 13 | 36.6 | 25.5 | 29.9 | 26.7 | 25.3 |
| 14 | 36.8 | 25.8 | 29.4 | 27.0 | 25.9 |
| 15 | 37.0 | 26.2 | 29.7 | 27.3 | 25.0 |
| 16 | 37.1 | 26.5 | 30.0 | 27.7 | 26.3 |
| 17 | 37.3 | 26.0 | 30.5 | 28.1 | 26.5 |
| 18 | 37.5 | 27.1 | 30.8 | 28.5 | 26.8 |
| 19 | 37.7 | 27.5 | 31.3 | 28.9 | 27.1 |
| 20 | 37.9 | 27.8 | 31.6 | 29.3 | 27.2 |
| 21 | 38.1 | 28.1 | 31.9 | 29.6 | 27.5 |
| 22 | 38.3 | 28.5 | 32.3 | 30.0 | 27.9 |
| 23 | 38.6 | 28.7 | 32.7 | 30.5 | 28.4 |
| 24 | 38.8 | 29.1 | 32.9 | 30.6 | 28.7 |
| 25 | 39.0 | 29.5 | 33.3 | 30.8 | 28.9 |
| 26 | 39.2 | 29.8 | 33.5 | 31.2 | 29.1 |
| 27 | 39.4 | 30.1 | 34.1 | 31.5 | 29.5 |
| 28 | 39.5 | 30.5 | 34.4 | 31.7 | 29.8 |
| 29 | 39.8 | 30.8 | 37.7 | 32.0 | 30.0 |
| 30 | 40.0 | 31.1 | 35.1 | 32.3 | 30.1 |
Sample A-E and the linerless inner cold bag can buied from MedlogixInc., P.O.Box2157, Chester, VA23831 (product code 10-01) (standard component A-E) are compared.Much commercially available linerless inner cold handbag draws together carbamide and water.Then standard component A-E is shaken 10 times by extruding and activates.Standard component is folded and is inserted in 16ozStyrofoam cup.Record ambient temperature 68.7 °F, and thermocouple is placed in the fold of each standard component, from about one inch, the bottom of cup.Temperature reading one minute record once, carries out after making to be lastly recorded in 30 minutes.Each standard component shook after time in the past again at two minutes.Result represents in Table II below:
Table II
| Time (minute) | Standard component A | Standard component B | Standard component C | Standard component D | Standard component E |
| 1 | 67.8 | 67.8 | 67.8 | 67.8 | 67.8 |
| 2 | 53.3 | 54.3 | 55.9 | 50.2 | 57.5 |
| 3 | 52.9 | 53.4 | 54.5 | 49.1 | 53.2 |
| 4 | 52.3 | 44.9 | 51.3 | 48.4 | 42.4 |
| 5 | 45.1 | 44.5 | 50.7 | 52.2 | 38.1 |
| 6 | 41.7 | 44.7 | 51.2 | 52.6 | 37.7 |
| 7 | 41.2 | 45.3 | 51.1 | 52.7 | 37.7 |
| 8 | 41.5 | 45.3 | 51.3 | 52.9 | 38.0 |
| 9 | 42.5 | 45.4 | 51.7 | 52.3 | 38.2 |
| 10 | 42.5 | 45.4 | 51.1 | 52.0 | 38.5 |
| 11 | 43.3 | 45.6 | 51.3 | 52.1 | 38.8 |
| 12 | 45.2 | 45.7 | 51.5 | 52.3 | 38.9 |
| 13 | 46.1 | 45.7 | 51.6 | 51.7 | 39.2 |
| 14 | 46.5 | 45.7 | 51.6 | 51.3 | 39.5 |
| 15 | 47.0 | 46.1 | 51.6 | 51.4 | 39.9 |
| 16 | 47.8 | 46.0 | 51.6 | 51.7 | 40.1 |
| 17 | 47.8 | 46.1 | 51.5 | 51.9 | 40.3 |
| 18 | 47.7 | 46.7 | 51.0 | 51.7 | 40.3 |
| 19 | 47.1 | 46.7 | 50.3 | 51.7 | 40.5 |
| 20 | 47.3 | 46.7 | 50.9 | 51.5 | 40.9 |
| 21 | 47.3 | 46.7 | 50.4 | 51.7 | 41.1 |
| 22 | 47.2 | 46.8 | 51.3 | 51.7 | 41.3 |
| 23 | 47.5 | 47.4 | 51.3 | 51.8 | 41.4 |
| 24 | 47.6 | 47.5 | 51.8 | 52.0 | 41.7 |
| 25 | 47.7 | 47.6 | 52.0 | 52.1 | 42.4 |
| 26 | 47.9 | 47.7 | 52.1 | 52.1 | 42.3 |
| 27 | 48.1 | 47.9 | 52.1 | 52.3 | 42.3 |
| 28 | 48.1 | 48.0 | 52.3 | 52.1 | 42.9 |
| 29 | 48.4 | 48.1 | 52.3 | 52.5 | 43.1 |
| 30 | 48.6 | 48.5 | 52.4 | 51.9 | 43.3 |
By comparing mean temperature, by standard component compared with cooling element in each time.Result represents in Table III below.
Table III
As shown in Figure 5, cooling element 52 (being designated series 1) in a minute of being activated (as shown in Figure 5, at minute 2 places) of lining is with to reach the mean temperature of 31.46 °F surprisingly.Cooling element continued to be cooled on average low to 27.14 °F in 4 minutes that activate, and maintenance at least 30 minutes 35 °F below.On the contrary, the cold bag of control (Fig. 5, series 2) of Medlogix, even without lining, did not reach yet and wishes mean temperature in one minute that activates.Notably, the cold bag of Medlogix represented in series 2 does not reach desired temperature, but remains on the meansigma methods place between 45 °F and 50 °F.
When not having head and neck injury situation, cooling element 52 also can, when not cooling necklace 10, be used for treating pain or cooling through carotid artery that imparts selective brain.In this embodiment, as shown in Figure 6, cooling element can be used in neckstrap structure, and this neckstrap structure comprises cooling element 52 and left wing plate 62 and right wing plate 64, and this left wing plate 62 and right wing plate 64 are attached on each end of cooling element.Cooling bag 52 can activate, and is placed on the carotid artery of patient, makes wing plate 62,64 can use suitable connect mechanism, as hook and ring fastener (not shown), connected to each other in the cervical region parcel of patient and the rear portion at cervical region.
In another embodiment, cooling element 52 can comprise one or more heat absorption bag, as comprise by can rupturable diaphragm be separated ammonium nitrate and water chamber those bag.In this embodiment, cooling element 52 is out of shape thus differential pressure to be applied between each chamber or otherwise barrier film is disconnected, such cooling element 52 can be activated.
In use, cervical region is fixed necklace 10 and place around the cervical region of patient, and cooling element 52 is activated and is placed in front opening 28.Then door 30 is closed on cooling element 52, cooling element 52 is fixed between door 30 and the cervical region of patient.Cooling element 52 generally will be laid on the carotid artery of patient's cervical region, and plays heat extraction device, and this heat extraction device is used for from flowing through the carotid blood draw heat of patient.Preferably, cooling element 52 conforms to the particularity of each patient's cervical region, makes contact skin area maximize thus, more efficiently to extract heat from the neck tissue adjacent with carotid artery.In one embodiment, cooling element 52 conforms to patient's cervical region by using press member 56, and this press member 56 is arranged on the body-facing of door 30 on the surface.
Specifically, as shown in Figure 7, door 30 has body-facing surface dough-making powder exterior surface (shown in Figure 2).As illustrated, body-facing surface comprises the press member 56 of two isolated, pyramids, and these two press members 56 extend to user.Press member 56 can be formed by other shape, comprise block, pipe, maybe when closing door 30 to other suitable shape any of patient's neck extension.Press member 56 is placed on the such position on body-facing surface: make when necklace 10 in use time pressure can be applied on cooling element 52 to make the contact skin in carotid artery region maximize.Press member 56 can form with the body-facing surface of door 30, or can be attached to the body-facing of door 30 on the surface by suitable means, and these suitable means comprise binding agent.Selectively, press member 56 can form with door 30.Press member 56 can be made up of foam, plastics or other suitable material.In one embodiment, press member 56 can be made up of 2.8lb. density open cell urethane foam.Press member 56 should be formed to make the pressure be applied on patient's carotid artery can not block the air flue of patient.
As shown in Figure 7, froth bed 58 gives the body-facing surface lining of general toroidal supporting construction 12, coordinates with the better of patient's cervical region to provide.Froth bed can be formed by perforate or closed-cell foam or other suitable material.In this embodiment, general toroidal supporting construction 12 and froth bed 58 be included in rear portion 18 rear portion, the opening 60 of rectangle, with when there being the needs for other medical procedure, provide for patient's cervical region rear portion close to approach.Can select in embodiment at one, in the rear portion 18 of device, there is no opening.
Also it is expected that, cervical region fixes necklace can comprise sensor (not shown), this sensor is arranged near one of patient's carotid triangle district, is used for monitoring one or more loop parameter, as saturated in arterial oxygen, heartbeat rate, blood pressure and blood heat.In order to become directly to contact with patient skin by sensor localization, a part for cooling element may need again to be shaped or to move.Recording equipment (not shown) can be arranged in the other places in or beyond necklace, is used for recording the information by sensor collection.Other sensor also can be arranged on the other places in necklace, is used for monitoring each body parameter-comprise body temperature, or is used for monitoring the performance of fixing necklace itself.Such as, thermometer-as thermotape, can be used to the temperature monitoring necklace or cooling element.
Display (not shown) can be placed on same cervical region and fix on the outer surface of the front part of necklace.Display can be used to monitor the loop-around data by sensor collection and other data by other sensor collection, and these other sensors are arranged in necklace.COM1 (not shown) also can be formed in necklace, is used for data to be sent to external device (ED) from one or more sensor.
Cervical region fixes necklace, and to make for treating the New Deal of trauma patient be possible, and these trauma patients comprise the patient suffering head trauma, heart attack, ischemic stroke, headache, epilepsy, heatstroke, shake wound or similar state.It is expected that agreement can adopt by EMT or in hospital, and for domestic use, by athletic training, personnel adopt, etc.Treatment concentrates on installs cervical region around patient's cervical region and fixes necklace, and this cervical region is fixed necklace and had following probability: be used for limiting the rotation of patients with cervical and deflation; And use cooling element by means of necklace, to give the selectivity cooling of brain through carotid artery.Agreement uses the carotid vasodilation of patient, to cause the brain cooling of selectivity center and mild hypothermia, cools contrary with the systematicness of health.Contrary with the comparatively vasculum of health (these when refrigeration being applied on skin comparatively vasculum react by shrinking), the larger vascular of health seems and to react by expanding, and allows to increase cooling blood and is recycled to brain from carotid artery.
Agreement comprises the size determining necklace 10 (this necklace 10 of needs of patients).Available size comprises achoanitic, short formula, formal style and high cervical region formula and fixes necklace.Then necklace 10 is applied to it patient, and opens door 30.Then by breaking liquid filling bag and shaking cooling element 52 about 15 to about 20 seconds, and cooling element 52 is activated.Then cooling element 52 is placed in the front opening 28 in the framework of general toroidal supporting construction 12, and is fixed on the cervical region of patient by closing door 30.Cooling element 52 is communicated with patient's at least one heat conduction percutaneous carotid by the front part of patient's cervical region, thus start from one or more carotid artery by the front part of the patient's cervical region heat flow to cooling element, and reduce the temperature of patient's brain, and can not inducible system low temperature.
Cooling element 52 should stay original position approximate 20 minutes, but is not more than 30 minutes, at this moment, should remove the first cooling element, and is activated by new cooling element and be placed in necklace, as described above.This agreement can repeat as required.
Agreement also can comprise by one or more sensor monitoring one or more parameter relevant to the cycle performance of patient, and one or more sensor described carries by fixing necklace.Monitored parameter can comprise oxygen saturation, pulse rate, blood pressure or blood heat.Sensor also can be used to the hot property monitoring cooling element.Claimed agreement also can comprise: by cooling element being moved apart the opening in the necklace in patient's carotid triangle district, manually measure the pulse rate of patient.
Although embodiment has described the present invention about limited quantity, lecture and scope according to entirety of the present invention, multiple more evolutions it will be apparent to those of skill in the art.Such as, cooling element can be arranged on cervical region and fix in the front and rear part of necklace, extracts heat with the greater part from patient's cervical region.Two carotid coolings are generally preferred, but cooling element also can be made into only one for cooling in each carotid artery, leaves another carotid artery and is exposed to other object.
Claims (17)
1. a cooling element, described cooling element comprises:
Body-facing panel, described body-facing panel is attached to body-facing on the surface,
Towards outer panels, wherein, described body-facing panel and described towards outer panels formed end;
Coolant, this coolant is arranged in described body-facing panel and described towards between outer panels, wherein, when measuring on the surface at the body-facing of described body-facing panel, described coolant can reach the temperature of 20 °F to 35 °F at ambient temperature in one minute in activation, and wherein, described coolant comprises water, carbamide and heat absorption composition; And
Neckband, described neckband is linked to described end and is configured to around patient's cervical region and wraps up.
2. cooling element according to claim 1, wherein, described neckband comprises the wing plate extended from described end.
3. cooling element according to claim 2, wherein, described wing plate comprises connect mechanism.
4. cooling element according to claim 3, wherein, described connect mechanism is hook and loop fastener.
5. cooling element according to claim 1, wherein:
Wherein, described body-facing panel and described towards outer panels limit the second end;
Described neckband comprises the first wing plate extended from described end and the second wing plate extended from described the second end; And
Described first wing plate and described second wing plate interconnected.
6. cooling element according to claim 1, wherein, by mass, the amount of the carbamide included by described coolant is greater than the amount of included heat absorption composition.
7. cooling element according to claim 1, wherein, described coolant comprises at least 45 grams of heat absorption compositions.
8. cooling element according to claim 1, wherein, described coolant comprises at least about 90 grams of carbamide.
9. cooling element according to claim 1, wherein, described heat absorption composition is Carbamakool
tM.
10. cooling element according to claim 9, wherein, described coolant comprises 90 to 110 grams of carbamide and 45 to 55 grams of Carbamakool
tM.
11. cooling elements according to claim 9, wherein, described coolant comprises 100 grams of carbamide and about 50 grams of Carbamakool
tM.
12. cooling elements according to claim 9, wherein, described coolant comprises 110 grams of carbamide and about 55 grams of Carbamakool
tM.
13. cooling elements according to claim 1, wherein, the period of described coolant holding temperature is 15 to 30 minutes.
14. cooling elements according to claim 1, wherein, described body-facing panel is attached on lining on the surface at described body-facing.
15. cooling elements according to claim 14, wherein, described lining comprises non-woven material.
16. cooling elements according to claim 15, wherein, described lining substantially cover described body-facing panel body-facing surface and described towards outer panels towards outer surface.
17. cooling elements according to claim 14, wherein, described body-facing panel binding agent is attached on described lining.
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/913,287 | 2010-10-27 | ||
| US12/913,215 US8262597B2 (en) | 2005-09-28 | 2010-10-27 | Cervical immobilization collar with arterial cooling elements and method of using the same |
| US12/913,287 US8267877B2 (en) | 2005-09-28 | 2010-10-27 | Cervical immobilization collar with arterial cooling elements |
| US12/913,412 | 2010-10-27 | ||
| US12/913,412 US8267878B2 (en) | 2005-09-28 | 2010-10-27 | Arterial cooling elements for use with a cervical immobilization collar |
| US12/913,215 | 2010-10-27 | ||
| CN201180061671.3A CN103429198B (en) | 2010-10-27 | 2011-10-27 | The cervical region with tremulous pulse cooling element fixes necklace and using method thereof |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201180061671.3A Division CN103429198B (en) | 2010-10-27 | 2011-10-27 | The cervical region with tremulous pulse cooling element fixes necklace and using method thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105326597A true CN105326597A (en) | 2016-02-17 |
| CN105326597B CN105326597B (en) | 2018-05-22 |
Family
ID=45994757
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201180061671.3A Expired - Fee Related CN103429198B (en) | 2010-10-27 | 2011-10-27 | The cervical region with tremulous pulse cooling element fixes necklace and using method thereof |
| CN201510666221.7A Expired - Fee Related CN105326597B (en) | 2010-10-27 | 2011-10-27 | Neck with artery cooling element fixes necklace and its application method |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201180061671.3A Expired - Fee Related CN103429198B (en) | 2010-10-27 | 2011-10-27 | The cervical region with tremulous pulse cooling element fixes necklace and using method thereof |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP2632395A4 (en) |
| JP (2) | JP5931891B2 (en) |
| CN (2) | CN103429198B (en) |
| BR (1) | BR112013010389A2 (en) |
| CA (2) | CA2995041A1 (en) |
| WO (1) | WO2012058427A2 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109568005A (en) * | 2019-01-30 | 2019-04-05 | 江苏省人民医院 | L thyroxine tab hemostasis Special ice bag |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2014039788A1 (en) * | 2012-09-07 | 2014-03-13 | Cryothermic Systems, Inc. | Cervical immobilization collar with arterial cooling elements and method of using the same |
| ITMO20120246A1 (en) * | 2012-10-10 | 2014-04-11 | Enrico Giuliani | THERAPEUTIC COLLAR |
| KR101883055B1 (en) * | 2016-08-01 | 2018-07-27 | 김보배 | A cervical collar |
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Also Published As
| Publication number | Publication date |
|---|---|
| JP5931891B2 (en) | 2016-06-08 |
| JP2016073697A (en) | 2016-05-12 |
| BR112013010389A2 (en) | 2017-10-31 |
| EP2632395A2 (en) | 2013-09-04 |
| CN103429198A (en) | 2013-12-04 |
| CA2995041A1 (en) | 2012-05-03 |
| CA2816451A1 (en) | 2012-05-03 |
| EP2632395A4 (en) | 2017-11-15 |
| CN103429198B (en) | 2015-11-25 |
| WO2012058427A3 (en) | 2012-06-21 |
| CN105326597B (en) | 2018-05-22 |
| JP6203242B2 (en) | 2017-09-27 |
| JP2013540566A (en) | 2013-11-07 |
| WO2012058427A2 (en) | 2012-05-03 |
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