WO2018083356A1 - Integrated multifunction device for fibrolysis - Google Patents

Abstract

A device for fibrolysis, which allows releasing superficial restrictions of the musculoskeletal system by eliminating fibrous adhesions and/or fibrous corpuscles produced by calcium deposits in deep tissues, comprises at least three components: A handle, consisting of a main cylindrical element open on one end and having an opening on the side that allows exchanging longitudinal elements by a springed clip mechanism. Longitudinal couplings that have a common cylindrical part that is introduced into the handle through the open end of same with coincidence of their longitudinal axes, and having a clip system for fastening and exchanging said parts. The couplings may be hooks, pointers or spatulas. A grip surrounding the handle, with an ergonomic shape and an opening adapted to the longitudinal coupling clip.

Description

 DESCRIPTION

 Device for integrated multifunction fibrolysis.

Technical sector

 The present invention belongs to the Area of Physical Medicine, Physiotherapy and Rehabilitation. The object of the present invention is an analgesic material that allows the release of superficial restrictions at the level of the skeletal muscle system.

 Background of the invention

 Fibroiisis with hooks is an adaptation to the XXS century of the technique developed by Kurí Ekman for the release of soft tissues acting, with the help of a hook, the small fibrous corpuscules that form between different tissues making it possible to make the correct sliding between them and , consequently, limiting their mobility. As in many other techniques, progressively it has been possible not only to improve its application but to extend its field of action to other pathologies and improve the design of! own hook to be as effective as possible and cause less rejection in the patient. The main objective of diacutaneous fibrolysis is to identify, diagnose and treat adhesions and irritating interponeurotic and myo-aponeurotic corpuscles. The fibriolysis hook allows us to penetrate more precisely and effectively between the muscle fascicles, to selectively mobilize different muscle groups or perform the hook in areas of insertion of gaments and tendons.

 Kart Ekman developed the fibrolysis hook to solve the main problems of the Cyriax deep transverse friction procedure (stressful technique for the erapeuta, very painful for the patient, and with physical limitations of access to deep muscular ejidos, very small spaces or very tissue) fine using manual erapia). On the basis of the latter, the Swedish Hook is developed, which after the first attempts at manufacturing with brass, bone or wood, the current hook consists of a body of steel, aluminum, plastic, and resin, with one or two heads {The hook itself has two heads) which are made of stainless steel and non-deformable.

 Hook therapy receives many names. Diacutaneous fibrolysis, percutaneous fibrolysis, myofascial instrumental release, instrumental myofasciai relaxation, fascio-myo-neurai crochetage, etc. Ekman's two main disciples, Jean Bruñóte and Pierre Duby, gave different approaches to the use of the hook and created schools, names and patents. Since a "hook" is simply a "hook" and the term cannot be patented, what they recorded was its use. The native of the existence of certain denominations is that there is still a commercial battle over patents, denominations, and who can use it. Currently, this type of physical therapy is widely used in Belgium, South America, Sweden and Denmark, however, the hook has not It has been patented as an instrument, but several authors are attributed to the development of the technique according to their therapeutic approach.

 Currently there is no registered information in the World Intellectual Property Organization

(http: //vvww.wipo. int / 'patentscope / en / priorify documenfs / offices.htmí), or at the Patent Office of Sweden and Denmark (http: //www.oepm. es / es / sobre_oepm / noticias / 201 1/201 1 _1 0_17_DocumentosPrior ^' idadO MPi .himl).

 The main copyrighted records of the different methods of use and therapeutic application of the hooks in diacutaneous diaphibrolysis are:

 Jérórne P6ggi (Jero.rne.Poggi@hsc.fr) Copyright Hervé Schauer Consultants 2000- 2006 - Reproduction interdite in:

 hítp: //www.hsc.fr/ressources/presentations/crochetage_2006/Ciusif.Nov.2006. original

.pdf

 Le MIT, crochetage guide for Emrnanuei Faure Copyriqht © La Quincaillerie de rUrfaex.

 Fihrolís! Diacutanea Kurt Ekmarr Corso and in 6 giornate che sana divise per motivi dídattici in due modulus of 3 gg eiascuna. 2018 © Formazione Salute srl Tutti i diritti riservati.

* Burnotte J, Duby P. Fibrolyse Diacutane ^' and et aigies de l'appareii iocomoteur.

Kine ^' sithe ^' rapie Scientifique 1988; 271: 16-18.

 ~ Tricás JM, Lucha O, García B et al. Diacutaneous FibróliSis: theoretical and practical basis. Terap Man Venezolana 1998; 1: 17-21.

 Colombo I, Ekman K. Diacutaneous fibrolisi: new diagnostic and therapeutic mezzo in physiatry. Eur Medicophys 1988; 4: 29-36.

Veszely M, Guissard N, Duchateau J. Contribution to i'e ^' etude des effets de la fibrolyse diacutane ^' e sur ie triceps sural. Ann Kine ^' sithe ^' r 2000; 27: 54-59.

Guissard N, Veszely M, Duchateau J. Effets prologue ^' s d'un traiternent of fibrolyse diacutane ^' e. XX. See Congres de la Socie ^' te ^' de Biomecanique. Arch Physiol Biochem 2000; 12: 154.

 Piper S, Shearer HM, Cote P, Wong JJ, Yu H, Varatharajan S, Southerst D, Randhawa KA, Suttcn DA, Stupar M, Nordsn MC, Mior SA, van der Veide GM, Taylor-Vaisey AL. The effectiveness of soft-tissue therapy for the management of musculoskeleta! disorders and injuries of the upper and lower extremitíes: A systematic review by the Ontario Protoco! for Traffic injury management (OPTiMa) coliaboration. Man Ther. 2016 Feb; 21: 18-34. doi: 1 0.1 016 / j. math. 2015.08.01 1,

Barra López ME, López de Celis C, Fernández Jentsch G, Raya de Cárdenas L, Lucha López MO, Tricás Moreno JM. Effectiveness of Díacuíaneous Fíbroiysis for the treatmení of subacromiai impingemenf syndrome: a randomized controlled trial. Man

Ther. 201 Oct 3; 18 (5): 418-24. doi; 1 0.1016 / j.math. 2013.02.006.

 Barra ME, López C, Fernández G, Murilio E, Villar E, Raya L. The immediate effects of diacutaneous fibrolysis on pain and mobility in patients suffering frorn palnful shoulder: a randomized piacebo-controlled piiot study. Cíin Rehabii. 201 1 Apr;

25 {4): 339-48. doi: 10.1 177/026921 5510385480.

At the moment the hooks of diafsbrólisis have been eaten in the market as a set with the following characteristics: Set of 1 Individual Hook! of Diacutaneous Fibrolysis and Trigger Point: Made of stainless steel with a medium angle and a trigger point of 21 cm long, 2.5 cm wide, and 1 00 gr in weight. https://www.Qsteosalut.com/gancho-d6-fibroiisis- diacutanea-y-punto-ati! lo /? gciid = CPHX7bW6kswCFdMVOwod MLgB__A

Sef of two Stainless Steel Diacutaneous Fibrolysis Hooks: E! Hook A has a medium angle and trigger points 21 cm long, 2.5 crn wide, with a weight of 1 GGgr. Hook B consists of a large and a small angle of 23 cm long, 2.5 cm wide and 90 gr in weight, http://tienda.fisaude.com/ganchos- fibroíisis-diacutanea-cd-informativo-estuch8 -p7306.htm!? utm ___ source ^: = googl8 & utm_ medium = shopping & utmjcampaign ~ Hooks +

 + informative +% 2B + case & gc! id = CKudrNa5kswCFY8yOwodb20BLQ

 The trigger pin for trigger points is sold individually with two heads of different thickness and spherical shape. This hook is used for therapeutic treatment of trigger points. http: //www.fisloforrriaclon.Gorn

 The main limitations of current diacutaneous fibrolysis hooks are mainly:

 one . Its size, which makes maneuvering difficult for access to structures from the extreme.

 Difficulty in addressing body structures due to their size.

 3. Control of the device is more difficult with a short handle.

 4. Difficulty for a selective approach to the muscular partitions to be treated.

5. Ischemic pressure is hindered because it would require a greater weight of the device to make it more optimal.

 8. Difficulty in performing pressure on the longitudinal mechanical axis of the forearm at the level of the radial bone.

 Explanation of the invention.

 The present invention describes the Device for Integrated Muliifunction Fibrolysis.

The Device for Integrated Multitunction Fibronsis, hereinafter the device of the invention, comprises an element characterized by at least three components: i) Component A or handle; It is composed of a main cylindrical element with a series of characteristics, described below, which allows the various longitudinal couplings to be introduced (Figure 2).

ii) Component B or longitudinal couplings; composed of a total of eight of them, a pointer, a palette and six hooks, which differ some laughs in the dimensions of the latter. These couplings have a common cylindrical part that is inserted into the handle assembly by open end of the latter, coinciding with its longitudinal axes, and have a clip system for fixing and exchange (figures 6, 7 and 8). iií) Component C or handle; It is the component that wraps around the handle assembly and transfers ergonomic grip qualities to the user's hand (Figure 9).

Brief description of fas figures

 Figure 1, Component A or handle. Exploded view of the handle.

 one . Main body! of mango

2. A ^l ojamiento in ei handle for longitudinal coupling.

 3. Drill in handle for the clip! longitudinal coupling.

4. Cover of 'mango.

 Figure 2. Component B or longitudinal couplings. Assembled twill.

Figure 3. Exploded view of a Songitisdínal-hook coupling.

 5. Spring.

 6. Clip.

7. Simple back cover of the longitudinal coupling.

 S. Drill in longitudinal coupling for clip housing.

 9. Longitudinal coupling body.

 10. Front cover with accessory of the longitudinal coupling, hook.

 eleven . Useful hook longitudinal coupling.

Figure 4. Exploded view of a longitudinal-pointer coupling.

 12. Useful longitudinal coupling pointer

 Figure S. Exploded view of a longitudinal coupling-vane,

 1 3. Useful longitudinal coupling blade

 Figure 0. Longitüdínal coupling assembled pointer.

Figure 7. Longitudinal coupling assembled vane.

 Figure 8. Example of a longitudinal coupling hook assembled.

Figure 9. Component C or Handle.

 14. Handle.

15. Accommodation for the handle. 18. Drill in handle for the clip of the longitudinal coupling,

Figure 10. Example set sewn pointer coupling sewn,

17. Handle-handle set.

 18. Longitudinal pointer coupling.

 Figure 1 1. Final assembly with a pointer longitudinal coupling.

 Figure 12. Joint example with removed vane coupling.

 19. Longitudinal blade coupling.

Figure 13. Final assembly with a pallet longitudinal coupling.

Figure 14. Joint example with hook attachment removed.

 20. Coupling longitudinal hook.

 Figure 15. Final assembly with a longitudinal hook hook.

 Preferred Embodiment of the Invention

Next, and in a non-limiting manner, at least one embodiment of the invention is set forth in detail.

 First, we explain in detail the characteristics of each of the sets: 1. The handle or Component A (figures 1 and 2) consists of a smooth cylindrical surface open at one end and closed at the other by a cover (ref 4). The open part (ref, 2) is where the longitudinal coupling The lateral surface consists of a hole (ref. 3) in which the clip of said coupling is fitted (ref.

6).

 2. The longitudinal couplings or Components B (figures 6. 7 and 8), is a set consisting of eight couplings that differ from each other in the typology of 'useful; pointer (figures 4 and 6), palette (figures 5 and 7) and hook (figures 3 and 8) and, within the hooks, there are six different depending on the dimensions of these. They consist of a common tubular part (ref. 9), closed at both ends with covers (ref. 7 and 10) and with a hole in its side wall (ref. 8), in which the clip is housed (ref. 6) and the spring (ref. 5) and which are introduced by one of the ends of the main body before it is closed by the covers, This cylindrical part is ia that acts as a male when inserted into the handle and fixed by the clip . As for the covers that close the main body! it differs from one another in that the one that is farthest from the clip is the one that carries the corresponding tool (ref. 1 1. 12 or 1 3).

3. The handle or Component C (figure 9), of etiivenilacetate, has flexible properties that allow it to adjust to the diameter and length of the handle through its inner cavity (ref. 15), allowing it to be coated to offer greater comfort and support when working with the product, an ergonomic support. A perforation (ref. 18) has been performed so as not to interfere with the clip of the longitudinal coupling (ref. 6). As a synthesis, e! Model provides an ergonomic handle with a system for exchanging hooks, pointer and paddle. This modification allows the ergonomic support of the device to be more comfortable and efficient in the elimination of the fibrous adhesions and / or fibrous corpuscles produced by calcium deposits in the deep tissue planes, developing a more effective therapeutic approach mainly of the algias of the apparatus locomotor. In addition, the transport of the devices is facilitated and the manufacturing costs are reduced by being able to make the couplings of the different devices on a common handle.

 Below we show a possible manufacturing process, with its corresponding raw materials, for the Device,

 Raw Materials.

 For manufacturing we have; stainless steel pipe in 25 [mm] of external diameter and 1.5 of wall and in 22 [mm] of outer diameter and wall of 1.5 [mm]; circular covers 22 and 25 fmm] in diameter and 3 [mm] thick, several steel 5 and 8 [mmj; 14 [mm] stainless steel bar and 49 [mm] diameter and 2 thick caps.

 Mango manufacturing

 With 25 [mm] tube:

 one . Cut with the measure of 1 17 [mm] and file the impurities of the ends resulting from the cut

 2. The clip housing is drilled with a 8 [mm] drill at a distance of 45 [mm] from one end.

 3. On the other end, the furthest from the clip hole, a cover with a diameter of 25 [mm] is welded.

 4. Through the open part of the handle, the inside of the tube is turned with a depth of 66 [mm] to 22 [mm] in diameter to clean impurities from the tube's own manufacture. Thus improving the fit of the couplings.

 5. File the welds of the lid and the edge of the hole to achieve a smooth surface.

 8. Finally, the handle is polished externally to give it a bright and chrome look.

 Manufacture of the acopies,

 With the 22 [mm] tube:

 one . Cut the tube with a length of 60 [mm] and file impurities from the cut.

 2. At one end the lid is welded with the corresponding utensil.

At 45 {mmj of the lid with the utensil, and in line with it, drill with 8-mm [mmj] brace and file impurities. 4. Inside the tube the clip is inserted in the previous hole and the corresponding spring is installed.

 5. A 22 {mm] cap is welded on the open end.

 6. File the excess material of the welds.

 7. Polish the outer surface.

Hooks

 Variety of 8 [mm]

 one . The rod is cut with the total length! of the hook and the tip.

 2, A raw hook tip is created with an emery stone.

3. The variation with the tip preform is introduced into the lathe. In the volume the diameter of the rod is reduced progressively, according to the pianos of the hook, to achieve a cone trunk shape.

 4. Outside the lathe, heat is applied to the rod with a torch and curves.

 5. The final shape and angulation are given to the tip.

 6. PuHr the outer surface.

7. The hook is welded to the lid in the correct position and inclination.

Pointer

 14 {mm] bar

 one . The bar is cut at about 69 {mm] and the edge of one end is rounded.

 2. The non-rounded end is welded in the center of the 49 [mmj.

3. Polish the outer surface.

 Palette

 5 [mm] rod

 one . Bend the rod with the shape given in piano.

 2, Surplus material is cut.

3. The two ends of the variiía, already molded, are welded to the lid of 49 [mm] equidistant from the center of it.

 4. Polish the outer surface.

Claims

 one . Device for integrated muitifunction fibrolysis comprising an element characterized by at least three components: i. Component A or Handle, composed of a main cylindrical element open at one end, also has a hole in its lateral surface that allows the interchangeability of longitudinal elements thanks to a spring clip mechanism. ii. Component B or Longitudinal Acopies, composed of an otaí of eight, these couplings have a common cylindrical part that is introduced into the handle assembly by the open end of the latter, coinciding with its longitudinal axes, and have a clip system for fixing and exchange, iii. Component C or Handle that surrounds component A or handle, is characterized by being ergonomically shaped and having a hole to fit the clip of component B or longitudinal couplings. 2. Device for integrated muitifunction fibrolysis according to claim 1, wherein a longitudinal coupling is in the form of a pointer.  3. Device for integrated muitifunction fibrolysis according to claim 1 and 2, wherein a longitudinal coupling is shaped like a vane (designed with a wired section to achieve weight reduction).  4. Device for integrated muitifunction fibrolysis according to claim 1, 2 and 3, wherein six of the longitudinal couplings are hook-shaped with an internal radius opening range from 6 mm to 16 mm and their lengths ranging from 60 mm to 122 mm  5. Device according to any of claims 1 -4, wherein component B (longitudinal couplings, pointer, vane and hooks) is fitted by means of a clip to the perforation of component A (handle) and component C (ergonomic handle).