WO2008142186A1 - Axillary and/or thoracic compression system - Google Patents

Axillary and/or thoracic compression system Download PDF

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Publication number
WO2008142186A1
WO2008142186A1 PCT/ES2008/000349 ES2008000349W WO2008142186A1 WO 2008142186 A1 WO2008142186 A1 WO 2008142186A1 ES 2008000349 W ES2008000349 W ES 2008000349W WO 2008142186 A1 WO2008142186 A1 WO 2008142186A1
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WIPO (PCT)
Prior art keywords
axillary
thoracic
surgical
belt
viscoelastic
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PCT/ES2008/000349
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Spanish (es)
French (fr)
Inventor
Juan-Dámaso PARDO MARTINEZ
Amparo Sotos Portales
Original Assignee
Pardo Martinez Juan-Damaso
Amparo Sotos Portales
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Application filed by Pardo Martinez Juan-Damaso, Amparo Sotos Portales filed Critical Pardo Martinez Juan-Damaso
Publication of WO2008142186A1 publication Critical patent/WO2008142186A1/en

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Classifications

    • 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
    • A61F5/03—Corsets or bandages for abdomen, teat or breast support, with or without pads

Definitions

  • the invention is part of the orthotic biosanitary sector, as this is a system formed by a harness, an element that will be placed on an anatomical segment, in this case for preventive and protective purposes. It will be framed in the group of orthotic devices for the trunk, more specifically in devices for the control of post-surgical seromas and hematomas of axillary and breast surgery. It could also be used in other pathologies that require surgical interventions on the axilla or the anterior chest wall.
  • SUBSTITUTE SHEET (RULE 26) Blood cells are usually controlled with periodic aspiration punctures. In the most persistent cases, they may require surgical drainage, leaving non-aspiration evacuation systems very uncomfortable for patients. In extreme cases, suture dehiscences may occur, which require cures by second intention for prolonged periods of time. In other cases infections of accumulated biological fluids occur, with the consequent need for surgical drainage and cures by second intention. In these cases, the appearance of axillary or chest wall fistulas that require another surgical intervention is common.
  • the present invention and innovation focuses on an axillary compression system that physically reduces the expansion capacity of the accumulated volume of liquids within the virtual space of the surgical bed of axillary lymphadenectomy and / or mastectomy.
  • the present invention focuses on increasing the pressure at the level of the axillary, breast and / or thoracic surgical wound, favoring the absorption of biological fluids by the body through a local pressure system on the surgical wounds .
  • Figure 1 Anterior view of axillary harness.
  • Figure 2 Rear view of axillary harness.
  • Figure 8 Oblique lateral view of the axillary and thoracic harness of the healthy side.
  • the present invention relates to an axillary and / or thoracic compression system for use in the short and medium term postoperative period in breast carcinoma, and other surgical pathologies that require surgical interventions on the axillary ganglia and / or the chest wall.
  • the new orthotic product is an adjustable system that forms a harness that attaches a physical volume adaptable to the axillary and / or thoracic surgical beds to increase the pressure at said levels.
  • the device presented (Fig. 1 to 8), which is an innovation in the post-surgical treatment of breast cancer, is composed of a thoracic belt (1) type shoulder strap (2) with padded pressure plates in axillary hollow ( 3) and / or anterior chest wall (4) (Fig. 1 to 4).
  • the belt as such, will surround the patient's trunk around its perimeter, being located in the upper third of the same at the axillary level.
  • the part of the belt or thoracic band located in the intervened axilla will be provided with an oval shaped extension with dimensions around 10 x 15 centimeters because these are the ones that adapt to a greater number of patients, not ruling out the possibility of special measures for specific cases that so require.
  • a flap pocket with flap has been created, within
  • SUBSTITUTE SHEET (RULE 26) which will introduce the pad of viscoelastic and adaptable material that with different dimensions, will provide the desired compression.
  • Said pad must be covered with hypoallergenic tissue and contain a flexible and elastic material inside, which adapts to the shape of the axillary hollow both during the abduction of the arm, and when it hangs in an anatomical position; In this way, the absence of pressure-free gaps in which an accumulation of liquid content of different nature could develop will be avoided. That is why the material used in principle by us in the design of the content of the compression pad is silicone, in its different varieties, composites and combinations with other materials, although other materials with similar characteristics could be used.
  • this will be provided with a strap as a shoulder strap (2), which will be placed above the shoulder and on the same side where the pressure pad is placed. In this way, the pressure is ensured on the entire surface of the axillary hollow by the forces applied from the thoracic belt and through the pad, which is maintained in the desired position by the shape adopted by the straps that make up the harness.
  • this harness can be modified by adding a plate of material semi-rigid the choice of the material must be made according to each specific case and precise stiffness, so that placed within a retracted extension of the thoracic belt itself and similar to how the axillary pad was introduced, create an area of pressure on the area of the required hemithorax.
  • This coated plate must contact flat on the thorax creating a pressure in the anterior posterior direction and can act in isolation or in conjunction with the axillary pad.
  • the whole set is easy to install and its fastening to the trunk to exert an effective function, they are secured by the closure system on the straps, sailboat type (6), which can be easily managed to allow quick and precise adjustments with total simplicity .
  • the closures will be placed in the front part of the belt, which facilitates the placement and removal of the harness by the patient as well as the periodic regulation of the pressure, as its regulation is easily accessible.
  • the two compression devices described can be used independently or together.
  • the belt as well as the rest of the straps will have a width around 4 to 7 centimeters .
  • the material used in its preparation will be based on hypoallergenic tissues, avoiding any type of seam or edge that exerts direct pressure on the surgical wound that could produce friction or unpleasant and undesirable contact.
  • the specific location of the thoracic harness can be observed on the patient as well as the elements with compressive function, which will vary its position to the right or left depending on the breast and / or armpit intervened ( Fig. 1 to 8).
  • This orthotic device can be carried out with the preparation with pre-established patterns with the textile fabrics and viscoelastic materials described above.

Abstract

The invention relates to an orthetic device which reduces the volume of seroma formation following surgery involving a partial, simple or radical mastectomy and an axillary lymphadenectomy as a result of a benign or neoplastic pathology. The invention comprises a system of bands which form a harness coupled to a volume that can be fitted to the axillary and/or thoracic surgical beds in order to secure the axilla and/or the thoracic wall. The device compresses the postsurgical virtual space between the skin and the deep bed of the axillary lymphadenectomy and/or mastectomy. The device prevents the postoperative accumulation of body fluids in the short and medium term after surgical pathologies such as: breast cancer, melanoma of the trunk and upper extremities, lymphomas that require diagnostic surgery, and other pathologies that require surgery on axillary ganglia and/or the thoracic wall. The alternatives to the above axillary compression system are postoperative compression bandages and surgical or suction drainage.

Description

Sistema de compresión axilar y/o torácico Axillary and / or thoracic compression system
Sector de Ia técnica.Technical sector.
La invención se encuadra en el sector biosanitario ortesico, al ser este un sistema formado por un arnés, un elemento que irá colocado sobre un segmento anatómico, en este caso con fines preventivos y protectores. Estará encuadrado en el grupo de dispositivos ortésicos para el tronco, más concretamente en dispositivos para el control de los seromas y hematomas posquirúrgicos de Ia cirugía axilar y mamaria. También se podría utilizar en otras patologías que requieran intervenciones quirúrgicas sobre Ia axila o Ia pared torácica anterior.The invention is part of the orthotic biosanitary sector, as this is a system formed by a harness, an element that will be placed on an anatomical segment, in this case for preventive and protective purposes. It will be framed in the group of orthotic devices for the trunk, more specifically in devices for the control of post-surgical seromas and hematomas of axillary and breast surgery. It could also be used in other pathologies that require surgical interventions on the axilla or the anterior chest wall.
Estado de Ia técnica.State of the art.
Actualmente el tratamiento de los seromas y hematomas posquirúrgicos en axila y mama ha adquirido una relevancia especial por el aumento de incidencia del cáncer de mama en nuestro entorno. La producción de seromas y hematomas es inherente a Ia actividad quirúrgica por Ia sección de vasos de calibre mínimo, no visibles, de tipo linfático, venoso o arterial, que aportan líquidos al lecho posquirúrgico. El control de los seromas y hematomas posquirúrgicos supone un aumento de las consultas a las que deben acudir los pacientes para vigilancia de estos y su eventual drenaje.Currently, the treatment of post-surgical seromas and hematomas in the armpit and breast has acquired a special relevance due to the increased incidence of breast cancer in our environment. The production of seromas and bruises is inherent to the surgical activity by the section of vessels of minimum caliber, not visible, of lymphatic, venous or arterial type, which provide liquids to the post-surgical bed. The control of post-surgical seromas and hematomas supposes an increase in the consultations to which patients should go for surveillance of these and their eventual drainage.
El manejo habitual de los seromas y hematomas ha consistido en drenajes aspirativos en el postoperatorio inmediato, acompañados de vendajes compresivos incómodos para las pacientes y que impiden ver Ia evolución de las heridas quirúrgicas. La retirada de los drenajes aspirativos conlleva en Ia mayoría de los casos un acumulo de líquidos biológicos en el espacio virtual del lecho quirúrgico. El tratamiento de estos líquidos serosos, serohemáticos oThe usual management of seromas and bruises has consisted of aspiration drains in the immediate postoperative period, accompanied by uncomfortable compression bandages for patients and that prevent seeing the evolution of surgical wounds. The removal of the aspiration drains in most cases involves an accumulation of biological fluids in the virtual space of the surgical bed. The treatment of these serous, serohematic or
HOJA DE SUSTITUCIÓN (REGLA 26) hemáticos se controla habitualmente con punciones aspirativas periódicas. En los casos más persistentes, pueden precisar drenaje quirúrgico dejando sistemas de evacuación no aspirativos muy incómodos para las pacientes. En casos extremos pueden producirse dehiscencias de suturas, que requieren curas por segunda intención durante periodos prolongados de tiempo. En otros casos se producen infecciones de los líquidos biológicos acumulados, con Ia consiguiente necesidad de drenaje quirúrgico y curas por segunda intención. En estos casos es habitual Ia aparición de fístulas axilares o de pared torácica que requieren de otra intervención quirúrgica.SUBSTITUTE SHEET (RULE 26) Blood cells are usually controlled with periodic aspiration punctures. In the most persistent cases, they may require surgical drainage, leaving non-aspiration evacuation systems very uncomfortable for patients. In extreme cases, suture dehiscences may occur, which require cures by second intention for prolonged periods of time. In other cases infections of accumulated biological fluids occur, with the consequent need for surgical drainage and cures by second intention. In these cases, the appearance of axillary or chest wall fistulas that require another surgical intervention is common.
En estos momentos no existe un sistema efectivo que reduzca Ia morbilidad de los seromas y hematomas, ni reduzca su prolongación en el tiempo, ni prevenga las complicaciones de estos.At this time there is no effective system that reduces the morbidity of seromas and bruises, nor reduces their prolongation over time, nor prevents their complications.
Explicación.Explanation.
Seria por tanto deseable el desarrollo de un sistema que minimizara las consecuencias habituales de los seromas y hematomas, tanto en su prevalecía, como en su duración y en sus complicaciones. Para ello, Ia presente invención e innovación se centra en un sistema de compresión axilar que reduce físicamente Ia capacidad de expansión del volumen acumulado de líquidos dentro del espacio virtual del lecho quirúrgico de Ia linfadenectomia axilar y/o de Ia mastectomia. Para ello, Ia presente invención se centra en el aumento de Ia presión a nivel de Ia herida quirúrgica axilar, mamaria y/o torácica, favoreciendo Ia absorción de líquidos biológicos por parte del organismo a través de un sistema de presión local sobre las heridas quirúrgicas.It would therefore be desirable to develop a system that minimizes the usual consequences of seromas and bruises, both in their prevalence, in their duration and in their complications. For this, the present invention and innovation focuses on an axillary compression system that physically reduces the expansion capacity of the accumulated volume of liquids within the virtual space of the surgical bed of axillary lymphadenectomy and / or mastectomy. For this, the present invention focuses on increasing the pressure at the level of the axillary, breast and / or thoracic surgical wound, favoring the absorption of biological fluids by the body through a local pressure system on the surgical wounds .
Breve explicación de los dibujos.Brief explanation of the drawings.
Figura 1 ; Visión anterior del arnés axilar. Figura 2; Visión posterior del arnés axilar.Figure 1 ; Anterior view of axillary harness. Figure 2; Rear view of axillary harness.
HOJA DE SUSTITUCIÓN (REGLA 26) Figura 3; Visión lateral del arnés axilar del lado intervenido. Figura 4; Visión lateral oblicua del arnés axilar del lado sano. Figura 5; Visión anterior arnés axilar y torácico. Figura 6; Visión posterior oblicua del arnés axilar y torácico. Figura 7; Visión lateral del arnés axilar y torácico del lado intervenido.SUBSTITUTE SHEET (RULE 26) Figure 3; Lateral view of the axillary harness on the operated side. Figure 4; Oblique lateral view of the axillary harness from the healthy side. Figure 5; Anterior vision axillary and thoracic harness. Figure 6; Oblique posterior view of axillary and thoracic harness. Figure 7; Lateral view of the axillary and thoracic harness on the operated side.
Figura 8; Visión lateral oblicua del arnés axilar y torácico del lado sano.Figure 8; Oblique lateral view of the axillary and thoracic harness of the healthy side.
Leyenda: 1 cinturón torácico; 2 bandolera; 3 Hueco axilar; 4 pared torácica anterior; 5 doble cinturón torácico; 6 cierres del arnés.Legend: 1 thoracic belt; 2 shoulder bag; 3 Axillary hollow; 4 anterior chest wall; 5 double thoracic belt; 6 harness closures.
Descripción técnica de Ia invención.Technical description of the invention.
La presente invención se refiere a un sistema de compresión axilar y/o torácica para utilizar en el postoperatorio a corto y medio plazo en el carcinoma de mama, y otras patologías quirúrgicas que requieran intervenciones quirúrgicas sobre los ganglios axilares y/o Ia pared torácica.The present invention relates to an axillary and / or thoracic compression system for use in the short and medium term postoperative period in breast carcinoma, and other surgical pathologies that require surgical interventions on the axillary ganglia and / or the chest wall.
El nuevo producto ortesico es un sistema ajustable que forma un arnés que acopla un volumen físico adaptable a los lechos quirúrgicos axilares y/o torácicos para aumentar Ia presión a dichos niveles.The new orthotic product is an adjustable system that forms a harness that attaches a physical volume adaptable to the axillary and / or thoracic surgical beds to increase the pressure at said levels.
El dispositivo que se presenta (Fig.1 a 8), el cual supone una innovación en el tratamiento posquirúrgico del cáncer de mama, está compuesto por un cinturón torácico (1) tipo bandolera (2) con placas almohadilladas de presión en hueco axilar (3) y/o pared torácica anterior (4) (Fig. 1 a 4). El cinturón como tal, rodeará en todo su perímetro el tronco de Ia paciente situándose en el tercio superior del mismo a nivel axilar. La parte del cinturón o banda torácica situada en Ia axila intervenida, irá provista de una prolongación configurada en forma oval con unas dimensiones alrededor de 10 x 15 centímetros por ser estas las que se adaptan a un mayor número de pacientes, no descartando Ia posibilidad de medidas especiales para casos concretos que así Io precisen. En dicha prolongación se ha creado un bolsillo escamoteado con solapa, dentro deThe device presented (Fig. 1 to 8), which is an innovation in the post-surgical treatment of breast cancer, is composed of a thoracic belt (1) type shoulder strap (2) with padded pressure plates in axillary hollow ( 3) and / or anterior chest wall (4) (Fig. 1 to 4). The belt as such, will surround the patient's trunk around its perimeter, being located in the upper third of the same at the axillary level. The part of the belt or thoracic band located in the intervened axilla, will be provided with an oval shaped extension with dimensions around 10 x 15 centimeters because these are the ones that adapt to a greater number of patients, not ruling out the possibility of special measures for specific cases that so require. In this extension, a flap pocket with flap has been created, within
HOJA DE SUSTITUCIÓN (REGLA 26) cual introduciremos Ia almohadilla de material viscoelástico y adaptable que con diferentes dimensiones, aportará Ia compresión deseada. Dicha almohadilla debe estar recubierta de un tejido hipoalérgico y contener en su interior un material flexible y elástico, el cual se adapte a Ia forma del hueco axilar tanto durante Ia abducción del brazo, como cuando este cuelgue en posición anatómica; de esta forma se evitará el que queden huecos libres de presión en los cuales podría desarrollarse una acumulación de contenido líquido de diferente naturaleza. Es por ello que el material utilizado en principio por nosotros en el diseño del contenido de Ia almohadilla de compresión es Ia silicona, en sus distintas variedades, composites y combinaciones con otros materiales, aunque se podría recurrir a otros materiales de características similares. Para evitar el descenso del arnés en Ia axila afectada y con él, Ia disminución o cese de Ia presión adecuada sobre Ia zona intervenida, este irá provisto de una cincha a modo de bandolera (2), Ia cual se situará por encima del hombro y en el mismo lado donde vaya colocada Ia almohadilla de presión. De este modo Ia presión queda asegurada en toda Ia superficie del hueco axilar por las fuerzas aplicadas desde el cinturón torácico y a través de Ia almohadilla, Ia cual es mantenida en Ia posición deseada por Ia forma que adoptan las cinchas que conforman el arnés.SUBSTITUTE SHEET (RULE 26) which will introduce the pad of viscoelastic and adaptable material that with different dimensions, will provide the desired compression. Said pad must be covered with hypoallergenic tissue and contain a flexible and elastic material inside, which adapts to the shape of the axillary hollow both during the abduction of the arm, and when it hangs in an anatomical position; In this way, the absence of pressure-free gaps in which an accumulation of liquid content of different nature could develop will be avoided. That is why the material used in principle by us in the design of the content of the compression pad is silicone, in its different varieties, composites and combinations with other materials, although other materials with similar characteristics could be used. To prevent the harness from descending in the affected axilla and with it, the decrease or cessation of adequate pressure on the intervened area, this will be provided with a strap as a shoulder strap (2), which will be placed above the shoulder and on the same side where the pressure pad is placed. In this way, the pressure is ensured on the entire surface of the axillary hollow by the forces applied from the thoracic belt and through the pad, which is maintained in the desired position by the shape adopted by the straps that make up the harness.
En el caso de precisarse Ia aplicación de presión sobre Ia cara anterior del tórax, lugar donde se localizará Ia cicatriz resultante de Ia práctica quirúrgica en casos de mastectomía radical (Fig. 5 a 8), este arnés puede ir modificado añadiéndole una placa de material semirígido Ia elección del material deberá realizarse en función de cada caso concreto y rigidez precisada, de manera que colocada dentro de una extensión escamoteada del propio cinturón torácico y de forma similar a como iba introducida Ia almohadilla axilar, cree un área de presión sobre Ia zona del hemitórax requerida. Esta placa recubierta deberá contactar en plano sobre el tórax creando una presión en sentido antero posterior y pudiendo actuar de forma aislada o conjuntamente con Ia almohadilla axilar.If the application of pressure on the front face of the thorax is required, where the scar resulting from the surgical practice will be located in cases of radical mastectomy (Fig. 5 to 8), this harness can be modified by adding a plate of material semi-rigid the choice of the material must be made according to each specific case and precise stiffness, so that placed within a retracted extension of the thoracic belt itself and similar to how the axillary pad was introduced, create an area of pressure on the area of the required hemithorax. This coated plate must contact flat on the thorax creating a pressure in the anterior posterior direction and can act in isolation or in conjunction with the axillary pad.
HOJA DE SUSTITUCIÓN (REGLA 26) Cuando se opte por Ia variante del arnés con placa torácica (Fig. 5 a 8), este modificará su diseño en cuanto al cinturón torácico el cual se bifurcará en dos cinchas paralelas en su cara anterior, las cuales se fijarán a Ia placa de tórax en sus extremos superior e inferior asegurando de esta forma, un contacto plano sobre Ia parrilla costal y una presión uniforme sobre todo el lecho quirúrgico (5).SUBSTITUTE SHEET (RULE 26) When the harness variant with a thoracic plate is chosen (Fig. 5 to 8), it will modify its design in terms of the thoracic belt which will fork into two parallel straps on its anterior face, which will be fixed to the thorax plate at its upper and lower ends thus ensuring a flat contact on the rib cage and a uniform pressure on the entire surgical bed (5).
Todo el conjunto es de fácil colocación y su sujeción al tronco para ejercer una función eficaz, están aseguradas por el sistema de cierre en las cinchas, tipo velero (6), el cual puede ser fácilmente manejado para permitir ajustes rápidos y precisos con total sencillez. No obstante esto no implica que en algún momento recurramos a cierres de hebillas, corchetes u otras variantes. Los cierres irán colocados en Ia parte anterior del cinturón con Io cual facilitamos Ia colocación y retirada del arnés por parte de Ia paciente así como Ia regulación periódica de Ia presión, al ser su regulación de fácil acceso. Los dos dispositivos de compresión descritos pueden ser utilizados independientemente o conjuntamente. Dado que debemos buscar en todo momento el confort de Ia paciente durante el uso del arnés, se evitarán bandas estrechas que podrían llegar a clavarse o crear rozaduras, para ello el cinturón así como el resto de cinchas tendrá un ancho alrededor de 4 a 7 centímetros. Así mismo el material utilizado en su confección tendrá como base tejidos hipoalergénicos debiéndose evitar cualquier tipo de costura o borde que ejerzan presión directa sobre Ia herida quirúrgica que pudieran producir roces o contactos desagradables, y no deseables. En los esquemas adjuntos que acompañan a esta descripción técnica, puede observarse Ia ubicación concreta del arnés torácico sobre Ia paciente así como los elementos con función compresiva, los cuales variarán su posición a derecha o izquierda según cual sea Ia mama y/o axila intervenida (Fig. 1 a 8).The whole set is easy to install and its fastening to the trunk to exert an effective function, they are secured by the closure system on the straps, sailboat type (6), which can be easily managed to allow quick and precise adjustments with total simplicity . However, this does not imply that at any time we resort to clasps of buckles, square brackets or other variants. The closures will be placed in the front part of the belt, which facilitates the placement and removal of the harness by the patient as well as the periodic regulation of the pressure, as its regulation is easily accessible. The two compression devices described can be used independently or together. Since we must seek at all times the comfort of the patient during the use of the harness, narrow bands that could get nailed or create chafing will be avoided, for this the belt as well as the rest of the straps will have a width around 4 to 7 centimeters . Likewise, the material used in its preparation will be based on hypoallergenic tissues, avoiding any type of seam or edge that exerts direct pressure on the surgical wound that could produce friction or unpleasant and undesirable contact. In the accompanying diagrams that accompany this technical description, the specific location of the thoracic harness can be observed on the patient as well as the elements with compressive function, which will vary its position to the right or left depending on the breast and / or armpit intervened ( Fig. 1 to 8).
HOJA DE SUSTITUCIÓN (REGLA 26) Modo de realizaciónSUBSTITUTE SHEET (RULE 26) Embodiment
La realización de este dispositivo ortesico puede llevarse a cabo con Ia confección con patrones preestablecidos con los tejidos textiles y materiales viscoelásticos antes reseñados.The realization of this orthotic device can be carried out with the preparation with pre-established patterns with the textile fabrics and viscoelastic materials described above.
Aplicación industrialIndustrial application
La confección de este dispositivo ortesico en el ámbito industrial puede llegar a ser un producto con un mercado potencial alto, debido a Ia incidencia elevada de cáncer de mama en nuestro entorno y Ia necesidad de mejorar Ia calidad de vida de las pacientes en esta situación.The preparation of this orthotic device in the industrial field can become a product with a high potential market, due to the high incidence of breast cancer in our environment and the need to improve the quality of life of patients in this situation.
HOJA DE SUSTITUCIÓN (REGLA 26) SUBSTITUTE SHEET (RULE 26)

Claims

Reivindicaciones Claims
1. Sistema de compresión axilar y torácico apropiado para intervenciones quirúrgicas que requieran linfadenectomía axilar, formado por un arnés, de confección textil o materiales adaptables, tipo cinturón con bandolera, con bolsillo acoplado para introducir materiales viscoelásticos de compresión a nivel axilar, que comprende:1. Axillary and thoracic compression system appropriate for surgical interventions that require axillary lymphadenectomy, consisting of a harness, made of textile or adaptable materials, belt type with shoulder strap, with pocket attached to introduce viscoelastic compression materials at axillary level, comprising:
- Un cinturón ajustable a nivel torácico,- An adjustable thoracic belt,
- Una bandolera ajustable a nivel del hombro, - Un bolsillo a nivel axilar dentro del cinturón torácico, relleno de material viscoelástico.- An adjustable shoulder strap, - An axillary pocket inside the thoracic belt, filled with viscoelastic material.
2. Sistema de compresión axilar y torácico, según reivindicación 1, para intervenciones quirúrgicas que requieran linfadenectomía axilar y mastectomía, formado por un arnés, de confección textil o materiales adaptables, tipo cinturón doble con bandolera, con bolsillos acoplados para introducir materiales viscoelásticos de compresión a nivel axilar y torácico, que comprende:2. Axillary and thoracic compression system, according to claim 1, for surgical interventions that require axillary lymphadenectomy and mastectomy, consisting of a harness, of textile construction or adaptable materials, double belt type with shoulder strap, with pockets coupled to introduce viscoelastic compression materials at the axillary and thoracic level, which includes:
- Un cinturón doble ajustable a nivel torácico,- A thoracic adjustable double belt,
- Una bandolera ajustable a nivel del hombro, - Un bolsillo a nivel axilar dentro del cinturón torácico, relleno de material viscoelástico.- An adjustable shoulder strap, - An axillary pocket inside the thoracic belt, filled with viscoelastic material.
- Un bolsillo a nivel torácico anterior y lateral dentro del cinturón torácico, relleno de material viscoelástico o semirigido.- An anterior and lateral thoracic pocket inside the thoracic belt, filled with viscoelastic or semi-rigid material.
3. Sistema de compresión axilar y torácico, según reivindicación 1 para intervenciones quirúrgicas que requieran mastectomía, formado por un arnés, de confección textil o materiales adaptables tipo cinturón doble con bandolera, con bolsillo acoplado para introducir materiales viscoelásticos a nivel torácico, que comprende:3. Axillary and thoracic compression system, according to claim 1 for surgical interventions that require mastectomy, consisting of a harness, of textile construction or adaptable materials double belt type with shoulder strap, with pocket attached to introduce viscoelastic materials at thoracic level, comprising:
- Un cinturón doble ajustable a nivel torácico, - Una bandolera ajustable a nivel del hombro,- A thoracic adjustable double belt, - An adjustable shoulder strap,
- Un bolsillo a nivel torácico anterior y lateral dentro del cinturón torácico, relleno de material viscoelástico o semirigido.- An anterior and lateral thoracic pocket inside the thoracic belt, filled with viscoelastic or semi-rigid material.
HOJA DE SUSTITUCIÓN (REGLA 26) ResumenSUBSTITUTE SHEET (RULE 26) Summary
Sistema de compresión axilar y/o torácico. Objeto invención:Axillary and / or thoracic compression system. Invention object:
Búsqueda de un dispositivo ortesico que disminuya el volumen de los seromas después de Ia intervención quirúrgica de linfadenectomia axilar y mastectomia parcial, simple o radical por patología benigna o neoplásica.Search for an orthotic device that reduces the volume of seromas after the surgical intervention of axillary lymphadenectomy and partial, simple or radical mastectomy due to benign or neoplastic pathology.
Descripción: Sistema de cintas formando un arnés que lleva acoplado un volumen adaptable a los lechos quirúrgicos axilares y/o torácicos para fijar Ia axila y/o pared torácica.Description: Tape system forming a harness that has a volume adaptable to the axillary and / or thoracic surgical beds to fix the armpit and / or chest wall.
Aplicaciones:Applications:
El dispositivo comprime el espacio virtual posquirúrgico entre Ia piel y el lecho profundo de Ia linfadenectomia axilar y/o mastectomia. Se previeneThe device compresses the post-surgical virtual space between the skin and the deep bed of axillary lymphadenectomy and / or mastectomy. It is prevented
Ia acumulación de líquidos biológicos en el postoperatorio a corto y medio plazo de patologías quirúrgicas como:Ia accumulation of biological fluids in the short and medium term postoperative surgical pathologies such as:
- Carcinoma mama.- Breast carcinoma.
- Melanoma del tronco y miembro superior. - Linfomas que requieran intervención quirúrgica diagnostica.- Melanoma of the trunk and upper limb. - Lymphomas that require diagnostic surgical intervention.
- Otras patologías que requieran cirugía sobre ganglios axilares y/o pared torácica.- Other pathologies that require surgery on axillary ganglia and / or chest wall.
Alternativas:Alternatives:
La alternativa a este sistema de compresión axilar son los vendajes compresivos postoperatorios y el drenaje aspirativo o quirúrgico.The alternative to this axillary compression system is the postoperative compression bandages and the aspiration or surgical drainage.
HOJA DE SUSTITUCIÓN (REGLA 26) SUBSTITUTE SHEET (RULE 26)
PCT/ES2008/000349 2007-05-17 2008-05-17 Axillary and/or thoracic compression system WO2008142186A1 (en)

Applications Claiming Priority (2)

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ES200701405A ES2324578B1 (en) 2007-05-17 2007-05-17 AXILAR AND / OR TORACICO COMPRESSION SYSTEM.
ESES200701405 2007-05-17

Publications (1)

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WO2008142186A1 true WO2008142186A1 (en) 2008-11-27

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WO (1) WO2008142186A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2929863A1 (en) * 2014-04-07 2015-10-14 Ulrich Östreicher Compression bandage
RU2617258C1 (en) * 2016-01-27 2017-04-24 Общество с ограниченной ответственностью "Центр восстановительной медицины и реабилитации "ПАРАЦЕЛЬС" Method of rehabilitation after radical mastectomy
RU178650U1 (en) * 2017-07-07 2018-04-16 Александр Николаевич Лищук POSTOPERATIVE BREAST BANDAGE ON THE BREAST AREA

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3561442A (en) * 1968-11-15 1971-02-09 John T Goswitz Mastectomy compression bandage
US3628539A (en) * 1970-02-24 1971-12-21 Simon Fredricks Mammary support
US5891070A (en) * 1995-11-09 1999-04-06 Sumitomo Rubber Industries, Ltd. Breast presser belt
US5968003A (en) * 1995-08-01 1999-10-19 Isaacs-Sisson Enterprises, Ltd. Compression bandage
US6086450A (en) * 1998-08-13 2000-07-11 Mankovitz; Roy J. Brassieres which facilitate the drainage of lymphatic fluid from the breast area of the human female

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3561442A (en) * 1968-11-15 1971-02-09 John T Goswitz Mastectomy compression bandage
US3628539A (en) * 1970-02-24 1971-12-21 Simon Fredricks Mammary support
US5968003A (en) * 1995-08-01 1999-10-19 Isaacs-Sisson Enterprises, Ltd. Compression bandage
US5891070A (en) * 1995-11-09 1999-04-06 Sumitomo Rubber Industries, Ltd. Breast presser belt
US6086450A (en) * 1998-08-13 2000-07-11 Mankovitz; Roy J. Brassieres which facilitate the drainage of lymphatic fluid from the breast area of the human female

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2929863A1 (en) * 2014-04-07 2015-10-14 Ulrich Östreicher Compression bandage
RU2617258C1 (en) * 2016-01-27 2017-04-24 Общество с ограниченной ответственностью "Центр восстановительной медицины и реабилитации "ПАРАЦЕЛЬС" Method of rehabilitation after radical mastectomy
RU178650U1 (en) * 2017-07-07 2018-04-16 Александр Николаевич Лищук POSTOPERATIVE BREAST BANDAGE ON THE BREAST AREA

Also Published As

Publication number Publication date
ES2324578B1 (en) 2010-05-26
ES2324578A1 (en) 2009-08-10

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