US1399606A - Surgical appaliance - Google Patents

Description

S. FERRAGAMO. SURGICAL APPLIANCE.

- APPLICATION FILED 056.2, 1920. 1,399,606, Patented D60. 6, 1921.

2 SHEETS-SHEET 1.

- S. FERRAGAMO.

SURGICAL APPLIANCE. APPLICATION FILED DEC.2. I920.

Patenied Dec. 6, 1921.

2 SHEETS-SHEET 2- STATES sanvn'ronn rnnnnennto, or SANTA BARBARA, canrronivra.

SURGICAL AIEPLIANGE.

neeaeoe.

lPatented ne a, rear.

Application filed December 2, 1920. Serial No. 427,740.

T all whom may concern:

plates a novel leg produce areadily attached stretch Be it known that I, SnLvAronn FERRA- eAMo, a citizen of Italy, residmg at Santa Barbara, in the county of Santa Barbara and ldtate of California, have invented certain new and useful lmprovementsin Sur- A ing and more especially the parallel binddevice, the said frame being arranged and ing members or strips, whereby a direct" and more effective pull 1s exerted upon the Another object of this invention is the production of a surgical stretching device in which a novel frame is interconnected between the surgical dressing and a pulling adapted to slidinglysupport a suitable foot form oi' orthopedic shoe for more positloning the Another object of this invention is to produce a readily removable and comfortably constructed foot support or shoe, the sa' l shoe being provided with novel means for adjustably attaching the same to the stretching frame, and arranged to move' thereon independently of the movement imparted to the leg by the pulling device,

'With these and otherbbjects inview the invention further consists in the comparatively simple construction of the several parts to be more fully hereinafter described and pointed out inthe appended claims.-

"In the accompanying drawings illustrating an embodiment views:

proved apparatus shown? in. associated position with a surgicalleg ClTBSS1I1g;.

view on the line 2--2 of Fig. '1;

effectively injured portion of the ,leg and foot, therebymaterially adding to the comfort of the patient;

" dressing of my invention, and .according in which similar reference characters desig- "nate corresponding parts ll l the several through turnbuckle pulling device on the line 3-3 of Fig. 2;

Fig. 4: is an enlarged sectional view through the foot support or orthopedic t F 5 is a detached perspective view of the insole or foot supporting pad;

Fig. 6 is a similar v ew of the bar inserted within afpocket ofthe insole for stiffening the footsupport;

Fig. 7 is a detail View of the body p0rtion of the shoe in a developed position and prior toits attachment tothe base of the shoe;

Fig. 8 is a detail view of a modified form of turnbuckle utilized to effect the stretching of the leg; and

Fig. 9 is a view of still another modified form of the pull exerting means, including a chain adapted to be twisted by an" ordinary bar or rod, l

The present invention has been designed with a view to materiallyincreasing the comfort of the patient, and at the same time more effectively impart the necessary pullingor stretching force to the injured limb. This is accomplished by utilizing certain portions of the surgical. dressing and preferably the longitudinal or parallelbinding strips upon either side of the leg. 1 @uitable connecting devices or rings are provided on these binding strips and it "is to these rings that thestretching frame is attached. The pulling means is directly connected to the stretching frame, but as shown the foot supportis independently movable with re-' lation to the movement of the stretching frame,

This construction has beenfound to per- "mit of a more accurate andbeneficial adjustment of the apparatus and permit of its adaptation to a greatervariety of fractures,.spra1ns and other njuriesto the leg j or foot.

Referring to the. drawings, the surgical 1 may be of ordinary conformation to the character of the injury, andincludes the binding members or strips 2,;si1itably bound upon either side of the leg by a wrappingfi. This wrappingcon- Figure 1 is perspectiveview of my imsists preferably of. anadhesive material, and

likewise the strips may also be of thesame material. Fig; 2 is an enlarged horlzontal sectional Connectinp; devices t are secured to the as. e t ei t in a as o ar the form of triangular ring members se shield 17 is also ranged within the and forming the side walls thereof are similarly padded surfaces particularly the toes.

:tively associated i theshoe. A pocket 21 serted, for increasing the port and otherwise stiffening theextending portion's'jof the insole.

cured to the strips by rivets or stitching, or in any other approved manner. The arrangement of the triangular ring is such as to permit of one of its sides being secured" to the strips 2, thereby allowing the eye 6, adapted to be connected with the triangular. ringt." A ring? is swiveled in the cross bar of the frame Sand has connected therewith one end of a turnbuckle 8. The opposite end of theturnbuckle is connected to any suitable support such for example as theend of a bed as shown, or it may be desirable to utilize some other means of relatively fixed support. An operating device 9 in the'form of a ring 10 provided with radial arms ll is preferably secured to the frame of the turnbuckle to facilitate its easy operation.

The foot supporting'or orthopedic shoe 12 consists of a base 7 binding strip 15 may be used to hold the body portion in place. The body portion of the shoe may be composed of leather, rubber, or other suitable material, and isprovided with fastening straps andbuckles. 16. An underlying 7 provided, the same being either attached to or formed'integralwith thebody portion of the shoe. Beneath the shield l? a relatively soft pad or pillow 18 maybe inserted as will be understood. Ar-

body portion of the-shoe 19,the same being either attached to .or removably positioned within the shoe. These padded surfaces or pillows 19 are provided upon both side walls of the/shoe andalso at the rear thereof for the easy resting of the heel as will .beunderstood. 'A detachable insole 20 is cooperav with-the shoe and serves to add to the support of the foot. and more This insole is relatively large andextends beyond the base of isformed in the insole-and into this pocket a bar 22may be inrigidity of thesup- In some cases it is desirablefto insert thislbar and maintain the d foot and toes in substantially a fixed or nonmovable position, and then again the bar may I be removed. for permitting 'a certain amount ofmovement or flexing of the insole. In some casesthe msole may be entirely re- The hooks 1 turnbuckle shown in 7 board l3 to which is se-' cured the body portion 14. A

shortening the length of the frame.

dependently of moved and the forward portion of the foot and toes permitted to freely move. The shoe is supported upon the frame 5 by means of connecting devices in the form of screw hooks a3, adjustably positioned within the holes 2 1 arranged upon each side of the shoe. are preferably screw threaded at one end and are provided with relatively long arms adapted to extend over the U- frame as shown. By this construction it will be seen that the shoe is independently movable uponthe frame 5, thereby permitting of such slight longitudinal movements of the foot as may be deemed advisable for the comfort of the patient. Likewise it will be noted that the vertical position of the shoe canbe adjusted, thereby further permitting of a more accurate positioning of the foot with respect to the injury. The regulations of the several supporting and stretching de vices are apparent from the foregoing construction, and its simplicity of construction and application permit of its adoption with attending minimum expense. In the form of Fig. 8 the radial arms 11 are pivotaly secured to the ring member 10 thereby permitting of their collapse. Lips 11 are formed on the arm 11 as shown andv limit the movement of the arm in a vertical position when operating the turnbuckle. 95 This form of turnbuckle may be used where it, is desirable toreduce the number of pro truding parts of the device. In Fig. 9 another form of pulling means is disclosed wherein a chain 1O" is interconnected be 100 tween the swiveled ring 7 and a suitable support 10 rod or bar 10 is inserted through link of said chain and twisted, thereby chain and ereating a pulling action upon the stretching 1 This simple form may be adopted. where it is desirable to give a temporary pull to the leg. From the foregoing it will be obvious that a comparatively inexpensive and at the same time highly efl'ective stretching device has'been provided capable of hen v eficial and substantially painless adaptation associatedwith said frame, means for vertically adjusting the position of said shoe with respect to the frame, said means also serving to support the shoe upon the frame, and 1 2 means'for moving said stretching frame inthe shoe supported thereon. 2. In asurgical supporting and stretching apparatus, the combination with a surgical ressing involving binding members arranged upon each side of said dressing, of a movable stretching frame secured to each of said binding members, a stretching means interconnected with said frame and a relatively fixed support, and a supporting shoe provided with connecting devices slidingly positioned upon said frame whereby independent longitudinal movement between said fframe and shoe may be effected, said constrips,oi"' a movable U-shaped frame having side arms connected to each of said strips, a swivel connectlon provlded in said frame,

and means including a screw interconnected with said swivel and a relatively fixed sup port formovmg the aforesald frame.

4.1a surgical appliance comprising a stretching frame having longitudinally disposed side arms and a supporting shoe movably mounted upon said arms, the said shoe being'provided with an adjustable connecting device for regulating the height of said shoe and including a removable insole having a detachable stiffening member.

5. A surgical appliance comprising a leg stretching lt'rame, a supporting shoe slidingly mounted upon said frame having openings therein, and devices including pins adj ustably positioned in the said openings provided in the shoe, said pins being adapted to rest upon the frame for slidingly supporting the shoe thereon.

In testimony whereof I afiix my signature, in presence of two subscribin witnesses.

SALVATORE FE RAGAMO.

Witnesses 'DUKE STONE,

RALPH W. CLINTON.

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