RS20161146A1 - Cotton patiens with inflatable segment for prevention of hip dysplasia development in infants and for facilitation of corect finishing of development of insufficiently developed hip socket in the moment of birth of all newborn children - Google Patents

Abstract

The invention relates to inflatable panties for the prevention of hip dysplasia in infants. The panties (J) are anatomically shaped with regular half-arched sections on the long, lateral sides. An elastic band (6) is inserted in the front and back edges of the panties (J), as well as in the semi-arched sides, along the edge. In the middle part, on the inside of the panties (J), there is a pocket (10) with a lid (l1), in which an inflatable segment (12a) is mounted, whose non-return valve (12) is drawn through a vertical hole (7). on the front of the panties. On the back straight edge of the pants (J) are attached the locks (3) crossed with a rod (4). The lockers (3) have one sliding regulator (2) each, and at the ends the loop (l) is closed with a clamp (8). A pair of buckles (8) are mounted on the front upper edge of the panties (J) to fasten the jib (3) and below them six pairs of buckles (5), three on each side of the axis of symmetry, while on the back, left and right of the jog (3), two pairs of buckles (5) are placed along one lateral edge and one pair of buckles (5) along the other lateral edge. This patent application has two other dependent claims.

Description

geography

SHORTS WITH INFLATABLE SEGMENT

FOR THE PREVENTION OF HIP DYSPLASIA IN NEWBORN CHILDREN

Technical field

The invention belongs to the field of current life needs, more precisely to medical or veterinary science in general, that is, to the field of orthopedic devices for conservative (non-surgical) treatment of bones or joints.

According to the International Patent Classification (IPC), the invention is classified under class A 61F 5/01, which defines orthopedic devices, e.g. adjustable devices for long-term immobilization or pressure in order to treat deformed bones. The invention can also be classified in class A 61F 5/34, which defines pressure pads or compresses filled with air or liquid, or in class A 61F 5/37, which defines devices for weighting the body or parts of the body.

Technical problem

The technical problem to be solved by this invention consists in how to constructively solve panties with an inflatable segment for the prevention of hip dysplasia in newborns and, by using cloth panties that have elastic bands sewn on the edges, clips for closing the panties and clips for suspenders are attached to the narrow part, which on the wider part, at the ends, have clips for closing the panties, and in the middle, they have cross stitched suspenders, with a length regulator in the middle of the span and with a loop and a buckle at the end of the suspenders, which panties have in the middle part, on the inside, a sewn-on pocket with a cover, and on the outside a hemmed hole for the passage of the non-return valve of the inflatable segment, which is placed inside the pocket, and using a pump with a pressure gauge, a hose and a valve, made it possible to inflate the segment inside the panties, which expands the lower extremities of the newborn and thereby overcomes all shapes contracture to abduction position of the lower extremities of about 60 degrees from the center line, in which way the prevention of hip dysplasia is achieved.

State of the art

In the state of the art, several solutions for the construction of devices used for the treatment of congenital anomalies in newborns are known today. There are congenital anomalies that are evident immediately at birth, such as crooked foot, crooked neck, extension contractures of the knees and other joints of the extremities, and those that are discovered later. The problem with congenital anomalies is that there is no sensation of pain regardless of the degree of the anomaly. There are several state-of-the-art devices that are used according to the aforementioned requirements, if the neonatal pediatrician diagnosed hip instability in the first 72 hours with the Palmen and Ortolani tests. Barlow-left splint made of two strips of aluminum sheet 0.5 mm thick, about 3 cm wide and about 60 cm long, crossed and connected with one niter, covered with thin gauze and placed in the shape of the letter .. "X". The lower arms should be wrapped around the newborn's thighs in the desired position of abduction and slight flexion, while the upper arms should be folded over the newborn's shoulders in the upper part. After folding, we cover the chest of the newborn with a cotton band in the upper part. With this splint, there is a great danger of the "scissors" phenomenon - when the child tries to straighten the lower extremities, the upper ends come closer like scissors, encompassing the child's neck. Another similar splint is Fonrosen's which is in the shape of the letter "H" and the procedure is identical. The disadvantage of these mentioned splints is that they fix the lower extremities and do not allow movements that are essentially the assumption of the correct side of the joint, furthermore, as the placed splints are not removed for two to three months, they make hygiene difficult and allow the appearance of frequent decubitus wounds, which is why parents remove the splint and stop further treatment. In the state of the art in this area, the construction solutions of devices in the form of Waikert panties and Niva panties, which have a soft and hard insole, are also known. The disadvantage of these panties is that in severe dysplasia there is an abduction contracture (stiffness of the receiver muscles) and after fitting these panties it is necessary to place an insole with a solid insert, but such a solid insole is difficult for the child to accept. Due to the pain caused by forced abduction and greater pressure on the inner thighs, the child cries, refuses food and loses sleep, after which the parents usually stop trying to treat it. A similar device is the Putti pillow, with also a hard insole, but in addition to the aforementioned problems of limited expansion of the lower extremities, it often moves under the child's effort to relieve pain, and the effect of any therapy is also lost. The next device is the Hilgen-Reiner apparatus in the form of a steel ring which rests on the child's waist with lateral outlets to which are attached skin pellets to place the lower extremities in abduction which is now excessive and exceeds that already required

abduction of about 60 degrees from the midline and also fully fixes both hips. It is used for advanced pathology and the child's age is more than four months, which is contraindicated because it causes the appearance of osteochondritis (avascular decay of the femoral head) in relation to 73% of all treated children (world statistics). Pavlik straps are still in use, but they are also unacceptable for a newborn due to their roughness. They are used in children with evident pathology and several months of age, which also reduces the therapeutic effect. Plaster immobilizations according to Lorenz and Dennis Brown were abandoned for the same reasons of limited movement in the hips. Some colleagues try to achieve repositioning (adjustment) of the hips in the joint cups with the help of "zenith traction". The child is fixed to the bed on the back with a firm belt, and above it there is a semicircular frame on which hooks are placed to gradually spread the child's legs, and both are in a vertical position with weights that perform constant extension. months where, due to the long absence of the head in the acetabular area, it is filled with pulvinar (connective and fatty tissue), which prevents the free placement of the head in the area of the cup. As the dysplasia (shallow cup) is already fixed, such a pathology must be treated later, after the second year of life. In the state of the art, the author of this patent (P 49823 B) is protected by a patent. The invention refers to "Pneumatic treatment panties congenital dysplasia, hip dislocations in newborns". This patent had to be rejected and the production program suspended for the following reasons: it is planned that the panties will be made from the so-called "baby" film that completely closed the diaper that was placed in which all the secretions of the newborn enter. Due to the impossibility of normal air flow, bad breath occurs, then, due to the burning of the maceration of the newborn's skin, the creation of the so-called "goosebumps" with the accompanying appearance of papules and blisters that complicate further therapeutic treatment. The inflatable segment, which according to the project is made of plastic panties, is filled with air at the discretion of the parents. As all newborn children have a slightly limited possibility of abduction (expansion of the lower limbs) and in the mother's womb they never occupied such a position with the lower limbs, with pronounced dysplasia there is already a contracture (stiffness of the abductor muscles which, due to the constant engagement of preventing the migration of the head of the femur, also falls into muscle fever due to the deposition of lactic acid in their body). The ability to expand the lower extremities is limited, and forcing it causes pain. By inflating the inflatable segments without control, parents may cause discomfort in the newborn, which will be reflected in food refusal and sleep disturbance, and will stop the treatment. Therefore, a dosed filling of the segment with air, controlled by a manometer with marked fields, must be introduced. The construction of the panties itself has also been changed. Now they are sewn from pure cotton, and the inflatable segment is placed in a special pocket provided for it.

In the state of the art, there are other solutions to the subject of the invention in this field, of which we mention:

Hip abduction device with regulator from patent application P-920/79

Device for restoring the mobility of the pelvic-femoral joint from the patent application submitted by the Soviet organization Central Scientific Research Institute of Traumatology and Orthopedics named after NN Piorova.

Abduction walking device "atlanta" for the treatment of residual hip dysplasia from patent application P-11374/85

Prosthesis for the treatment of dislocated and dislocated hips from application P-760/82.

However, none of the listed patent and non-patent solutions fully solves the technical problem posed by this patent application, especially with regard to comfort and efficiency in treating infants.

Presentation of the essence of the invention

The defined technical problem has been successfully solved by the construction of briefs with an inflatable segment for the prevention of hip dysplasia in newborns and, according to the present invention. Underpants, cloth, preferably cotton, are anatomically shaped and open (developed form), and they close in the form of underpants only in the case of a newborn. The panties have elastic bands sewn on the edges, for a slight tightening around the waist and lower limbs. On the narrower part of the panties (in the developed form), clips for closing the panties and clips for holding suspenders are attached, and on the wider part, at the ends, clips for closing the panties are attached. Crossed suspenders are sewn in the middle of the wider part, with a length regulator in the middle of the span and with a loop and buckle at the end. In the middle part of the shorts, on the inside, a pocket with a cover is sewn, and on the outside there is a hemmed hole for the passage of the non-return valve of the inflatable segment. The inflatable segment is placed inside the pocket, and is inflated using a pump with a manometer hose and valve, only when the panties are fixed on the baby.

The advantage of this invention is reflected in the fact that it solves a technical problem with the construction of a device that, along with the obligatory placement of panties from the first day after birth on every newborn, will prevent the development of a shallow cup (dysplasia) and the late, depending on the depth of the cup, developmental anomaly of dislocation of the hips that occurs after a few weeks or months. The ideal period for prevention and treatment of already existing dysplasia is the first days and months after birth. Man is not born with dislocated hips, but only with a shallow cup. It is the privilege of man alone. A person is born with an insufficiently well-developed joint cup for upright posture and walking due to the change in the position of the pelvis from horizontal during quadripodia (four-legged stance), now to a vertical position in upright posture. The upper part of the cup in the supine position of the pelvis is the most developed in all mammals, including humans. All mammals walk within a few hours of birth, while humans take about a year to complete the development of the hip sockets for new weight-bearing relationships. As the most developed part of the cup and bearing the entire load is now placed at the back and is completely excluded from the load and load bearing of the upper body, in general the request to take that role goes to the front upper part. This explains why it takes a person about a year to prepare and complete the development of a new support zone in the cups of the hip joints. This process occurs completely in all newborn children, which is in children with predisposition and congenital inheritance of recessive type of dysplasia (shallow palm) in different stages of development. Since we are not able to immediately determine the exact degree of dysplasia at birth, it is necessary to put panties on every newborn without fear of the harmful effects of the panties on a supposedly healthy newborn, because all newborns have the same problem - an insufficiently developed part of the cup of the hip joint. Harmful effects of the use of such a device have not been recorded even after many years of testing, and it helps every newborn to complete the development of part of the hip socket, children with dysplasia are prevented from further development of the pathology. As the ultrasound examination and diagnosis can only be done after a few months after birth, the placement of panties from the first day after birth is extremely important, so that we do not waste part of the most precious time for the initiation or development of the anterior upper part of the cup or the treatment of an already existing anomaly at birth.

Dysplasia (shallow hip socket) can be detected in the first 72 hours after birth by tests done by a neonatal pediatrician and recorded in the "Newborn chart". Those newborns are prioritized for early treatment. By preventing the development of dysplasia and completing the hip socket development, we help our newborns to complete their development

the front upper part of the cup, which is not well built enough to take on the role of the bearer of everything

loads in an upright position and walking. Hips in a newborn in the period of walking (9 to 12

months from birth) must have only one grade, which is excellent. Some of the doctors give the grade lightly

that the hip is very good or even good, which is not correct. How is the load on the head of the femur in

in an upright position proportionally in a man from birth to old age the same and amounts to 165.5 kg per

square centimeter, in cases where the head of the femur is less covered, degenerative occurs

changes due to increased pressure on the part of the head located in the cup and the creation of arthrosis of the hip joint

which ends with the installation of an artificial hip sooner or later, depending on the degree of residual (retarded)

dysplasia. The prevalence of this problem is reflected in the fact that today only in the developed part

in the world without China and India, 69,000,000 artificial hips walk. Based on many years of experience of all

orthopedic surgeons and doctors dealing with the treatment of this anomaly concluded that every newborn

must have help in terms of placing the lower extremities in the abduction position of the lower extremities

limbs 60 degrees from the center line, "human position", strictly making sure that the hips

newborns must be free for all movements, and never fixed in that position, because that's when it happens

damage to the head of the femur (osteochondrifitis coxae), i.e. decay of the head of the femur. (Years

In 1981, Prof. Dr. Dragiša Rakić, director of the Children's Surgical Clinic, suggests that the government implement it, which

did not happen due to lack of funds.)

Brief description of the draft images<'>

The invention is described in detail with the help of attached drawings on which:

Fig. 1 shows the outside of the panty according to the present invention

Fig. 2 shows the inside of the same panties

Fig.3 shows the section A-B from Fig.1 and Fig.2

Fig. 4 shows the panties fitted on the newborn

Fig.5 shows an inflatable segment made of plastic material with a check valve Fig. 6 shows a pump for filling an inflatable segment with air, with a pressure gauge necessary to control the gradual filling of the segment with air.

Detailed description of the invention

Briefs with an inflatable segment for the prevention of hip dysplasia in newborns and,

according to the present invention, are explained in detail with the help of the accompanying drawings.

Briefs J (pictures 1-3) are anatomically shaped with regular half-arch cutouts on the longer sides. In their front and rear edges, as well as in the semi-arched sides, along the edge, an elastic band 6 is inserted. In the middle part of the panties, on the inside, there is a pocket 10 with a cover 11, in which the inflatable segment 12a is placed and covered with a cover 11. The non-return valve 12 of the segment 12a is inserted through the vertical hole 7 made on the front part of the panties. On the back straight edge of the panties, suspenders 3 are attached - sewn on, crossed with a step 4, approximately in the lower third to the edge of the panties. The suspenders 3 have, in approximately the upper third of their length, one sliding regulator 2, and at the ends a loop 1 closed with a buckle (dricker) 8, which is used to fasten the suspenders with a buckle 8 on the front of the panties. A pair of buckles 8 for fastening suspenders 3 is placed on the front upper edge of the panties and six pairs of buckles 5 below them, three on each side of the symmetry axis of the panties. On the back side of the panties, to the left and right of the suspenders 3, two pairs of clips 5 are placed along one side edge, and one pair of clips 5 along the other side edge. Clips 5 on the front of the panties and clips (drickers) 5 on the left and right edges of the back are used for closing and fastening the panties around newborns, with the possibility of adjustment according to the size and depending on the age of the newborn.

The inflatable segment 12a is made of two parts, with a semicircular front part in the center of which the non-return valve 12 is placed and a trapezoidal rear part. The front semicircular part and the rear trapezoidal part are partitioned by a permeable partition 14.

And

The rubber pump 15 is connected to the manometer 16 whose scale is divided into three fields marked with Roman numerals I, II and III. Pump 15 and pressure gauge 16 are connected via rubber hose 17 to valve 18. Valve 18 serves to connect pump 15 to non-return valve 12 of inflatable segment 12a, for the purpose of inflating it. Control of the degree of inflation of segment 12a, i.e. pressure in it is done via the manometer 16, i.e. divisions I, II and III on its scale, which pre-defined the required pressure according to the age of the newborn, i.e. the time of application (as already explained), so the user cannot make a mistake.

The method of application of the briefs with an inflatable segment for the prevention of hip dysplasia in infants, according to the present invention, has already been explained and explained in detail in the "best method for industrial use".

The best way for industrial use

The inflatable segment is filled gradually according to the fields marked on the mana ether indicated by the Roman numerals I, II and III. The fields are of uneven surface and strictly determine the required air pressure. The degree of air filling is divided into three phases: the first phase lasting two weeks (marked with Roman numeral I), the second phase also lasting two weeks, but with increased pressure compared to the first phase (marked with Roman numeral II) and the third phase (marked with Roman numeral III) which will last as long as the child is wrapped in these panties.

The panties are made of pure cotton, safe from any effects on the children's skin, regardless of whether they are dry or moistened with secretions. By placing the inflatable segment in the provided pocket and pushing the non-return valve through the hole on the outside of the panty, the panty is ready to be placed on the newborn. All the buckles are undone and the panties are fully open. Any type of diaper, cloth or commercial (Pampers, Pufies, etc.) is placed on the newborn. Then the panties are closed and the first row of buckles on the sides is used, accepting that the first row is from the center line, where the male-female parts of the buckles are placed, if the placement is on a newborn of the size of the first days after birth. The suspenders are placed and fastened to the buckles on the front-upper edge of the panties, designed to hold the suspenders. Adjusters on the suspenders adjust the desired length according to the size of the newborn. After that, the non-return valve of the segment is connected to the valve of the pump and the filling with air begins. The segment is filled with air, in the first two weeks of life, to the end of the first field on the manometer marked with the Roman numeral I. All newborns tolerate this pressure well in the segment. Any existing abduction contractures of the lower extremities in the hips, caused intrauterinely, will be gradually overcome. At the beginning of the next two weeks, the pressure in the segment increases to the second division on the manometer (marked with the Roman numeral II) and this pressure is maintained for the next two weeks. Four weeks is a sufficient period to master all forms of contractures up to the position of abduction of the lower extremities of about 60 degrees from the center line. From the fourth week until the end of the child's swaddling (four months or more), the pressure is maintained so that the needle of the manometer passes the last third of the field (marked with Roman numeral III) on the manometer. Then we achieved the desired position of the lower limbs, when the spread of the lower limbs from the center line is 60 degrees. The newborn moves the lower limbs in all the desired directions without restrictions, which is the most important effect of this invention - constant correct feeding of the femoral head. Also the effect that is achieved during the newborn's sleep when complete relaxation occurs and when the lower

the extremities take the desired position of abduction, the so-called "human position". All the movements that the child makes and the position during sleep have the therapeutic effect of the pressure of the head of the femur on the bottom of the cup, which according to Delpesch's law causes atrophy, "melting" of the bone mass at the place of increased pressure, and proliferation (swelling) of the bone mass on the verge of the end of the pressure effect. The total mass of every bone in the human body is "recorded" in the central nervous system and it is immutable, and that is in this in the case of the deepening of the cup of the hip joint and the formation of the marginal parts that are necessary for us because they are not phylogenetically foreseen at birth, but it is left to man to do it independently during the first year of life, which is why he walks then. With this invention, we help every newborn to complete the development of their hips, where due to the change in the human posture and the desire to walk upright, the person has changed the place of the greatest support on the cup of the hip joint, because in this change and verticalization of the pelvis, the most developed part of the cup (which is the most developed in all mammals) due to the change of attitude "placed" it at the back and completely excluded it from the zone of support and now "requires" the front-upper wall of the cup to accept all the obligations of support and the loading of the entire upper part of the body, which is not phylogenetically designed for this task. This is the main reason why all mammals walk immediately after birth, because, unlike humans, they have not changed their position from the phylogenetically intended one, so the support of the femur head is on the part of the cup, which is still best developed intrauterinely in all mammals (quadripods).

The material from which the panties with the inflatable segment are made is pure cotton. The inflatable segment is made of "baby foil" that has been tested and does not cause allergic reactions, but despite this it is not in contact with the child's skin, but is located in a special pocket with a cover on the inside of the panties, made of the same material as the panties themselves (pure cotton).

Due to the growth of the child in the first months after birth, there are clips on the panties to adjust the most suitable size. Suspenders also have a regulator for adjusting the length depending on the growth of the child. The briefs fulfill the entire intended program for the first months of a newborn's life, in that way the size correction is enabled by the clips installed on the sides of the briefs.

Claims (3)

dr. Ljubomir Georgijević P-2016/1146 Patent application 1. Briefs with an inflatable segment for the prevention of hip dysplasia in newborns, characterized by the fact that the briefs (J) are anatomically shaped with regular semi-arched cuts on the long sides and in the front and rear edges, as well as in the semi-arched sides, along the edge, an elastic band (6) is inserted, which in the middle part, on the inside, is a pocket (10) with a cover ( 11 ), in which an inflatable segment (12a) is placed, whose non-return valve (12) is pushed through a vertical hole (7) made on the front part of the panties, which is attached to the rear flat edge of the panties with suspenders (3) crossed with a clip (4), which suspenders (3) each have one sliding regulator (2), and at the ends a loop (1) closed with a buckle (8), which is on the upper front the edge of the panties placed a pair of buckles (8) and below them six pairs of buckles (5), three on each side of the axis of symmetry, while on the back side, to the left and right of the brace (3), two pairs of buckles (5) are placed along one side edge, and one pair of buckles (5) along the other side edge. 2. Briefs with an inflatable segment for the prevention of hip dysplasia in newborns, according to claim 1, characterized in that the inflatable segment (12a) is made with a front semicircular part in the center of which is placed a non-returnable valve (12) and trapezoidal rear part, where the front and rear parts are separated by a permeable partition (14). 3. Panties with an inflatable segment for the prevention of hip dysplasia in newborns, according to claim 1, characterized by the fact that the rubber pump (15) is connected to the manometer (16) whose scale is divided into three fields marked with Roman numerals I, II and III, and that it is connected via the hose (17) to the valve (18) which serves to connect to the non-return valve (12) of the inflatable segment (12a).