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EP 2 005 928 B1 |
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EUROPEAN PATENT SPECIFICATION |
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Mention of the grant of the patent: |
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01.02.2012 Bulletin 2012/05 |
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Date of filing: 18.06.2008 |
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International Patent Classification (IPC):
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Backboard with integrated head immobilizer
Rückenstütze mit integrierter Kopfhalterung
Planche dorsale avec immobilisateur de tête intégré
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Designated Contracting States: |
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AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MT NL NO PL
PT RO SE SI SK TR |
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Priority: |
20.06.2007 IT PR20070043
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Date of publication of application: |
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24.12.2008 Bulletin 2008/52 |
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Proprietor: Spencer Italia S.R.L. |
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43044 Collecchio (PR) (IT) |
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Inventor: |
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- Pizzi Spadoni, Luigi Cesare
43044, Collecchio (Parma) (IT)
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Representative: Leone, Mario et al |
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Ing. Dallaglio S.r.l.
Via Mazzini 2 43121 Parma 43121 Parma (IT) |
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References cited: :
US-A- 5 154 186 US-A1- 2006 288 484
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US-A1- 2003 159 216
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| Note: Within nine months from the publication of the mention of the grant of the European
patent, any person may give notice to the European Patent Office of opposition to
the European patent
granted. Notice of opposition shall be filed in a written reasoned statement. It shall
not be deemed to
have been filed until the opposition fee has been paid. (Art. 99(1) European Patent
Convention).
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[0001] The present invention relates to a backboard with an integrated head immobilizer,
to be used for rescuing and transporting patients with suspected spine and/or cranial-cervical
injuries, requiring full-body immobilization with head restraint.
[0002] Usually, the patient's head is immobilized by laterally fixing two semi-rigid blocks
that are held against the base of the board by Velcro systems (trade name and registered
trademark); then, the head is locked in position with the help of straps introduced
through special slots formed within the board.
[0003] A number of different solutions have been further proposed, which are of little use
due to the drawbacks that will be described below.
[0004] Certain patent documents disclose the use of a pair of movable partitions that are
designed to be lifted from the base of the board and are arranged substantially orthogonal
thereto for head restraint: examples from the art are those disclosed in patents such
as
US 6,327,723,
US2003/0159216,
US5154186,
WO2005077315.
[0005] Substantially all the above documents include, as mentioned hereinbefore, an immobilization
system with lateral partitions adapted to move from a rest position - in which they
are concealably received in the board - to an operating position in which they project
out of the board to lock the kinetic components of the head: the concealed position
of these head immobilizers allows the support surface of the associated backboard
to have a seamless nature.
[0006] The drawbacks of prior art substantially concern the system for positioning the head
immobilizer namely the system that is used for rotating it up into its operating condition,
because this system always coincides with the line along which the head passes, sometimes
even near or under the head position.
[0007] In
US 5,154,186, the system for rotating the partitions (designated by numerals 188) is close to
the head, like in the other prior art.
[0008] In
US 6,327,723, which discloses a kind of pyramidal partitions, the walls fit below and close to
the head of the patient.
[0009] Therefore, a first problem is found when lifting the head immobilizer once the head
has been positioned, whereby such position of the rotation hinges requires the utmost
care to be used by the operating personnel not to inadvertently hit the injured person,
and a second problem concerns exact positioning of the head restraining walls, which
is very complex and inconvenient because it has to be either established beforehand
or adapted to the head of the lying patient, thereby causing difficult handling as
well as some risk.
[0010] A third problem is found when the patient is submitted to X-ray examinations while
he/she lies on the backboard, whereby the mechanisms under the patient's head or the
cervical region cause problems in reading the X-ray plate.
[0011] The object of the present invention is to obviate the above drawbacks by providing
a backboard with an integrated head immobilizer, wherein the head immobilizer has
a lifting arm with a center of rotation located outside, namely above the area over
which the patient's head passes.
[0012] Also, the head immobilizer has such a shape as to allow convenient handling beyond
such area and convenient adaptation to the patient's head; it shall be noted that
the backboard has the head immobilizer integrated therein and level therewith, allowing
the patient to be easily laid thereon, and that the head immobilizer is lifted into
its operating condition and easily adjusted.
[0013] One of the advantages is that the patient will not be hit by the hands of the operator
when the latter measures the distance of the head immobilizers and stabilizes his/her
head.
[0014] Another advantage of the invention is that the head immobilizer also holds the head
restraining straps, such straps being coilable.
[0015] Yet another advantage of the invention is that reduced contact with the parietal
regions of the head enhances examination efficacy and particularly affords improved
otorrhagia detection.
[0016] These objects and advantages are fulfilled by the backboard with integrated head
immobilizer according to the present invention, which is characterized by the annexed
claims.
[0017] This and other features will be more apparent upon reading of the following description
of a few preferred embodiments, which are shown by way of example and without limitation
in the accompanying drawings, in which:
- Figure 1 is a three-dimensional view of a backboard with an integrated head immobilizer
according to the present invention,
- Figure 2 shows the backboard of Figure 1 with the head immobilizer lifted into its
operating position,
- Figure 3 is a top view of the head support area with the device in the rest position,
- Figure 4 is a top view of the head support area with the device in the operating position,
- Figure 5 is a side view of the backboard of Figure 1 with the head immobilizer lifted
into its operating position,
- Figure 6 is a side view of the backboard of Figure 1 with the head immobilizer lifted
into its rest position.
[0018] Referring to Figures 1, 2, 3, 4, 5 and 6, numeral 1 generally designates the backboard
with integrated head immobilizer according to the invention.
[0019] Two head immobilizers 3 and 4 can be seen at the top of the board, above the area
that supports the head of the injured person.
[0020] Nonetheless, the head of the patient, although the latter may lie at the center of
the board 1, is known to interfere with a large area of the board as it is laid thereon,
which area is indicated by the hatched area designated by S1.
[0021] By suitably forming the head immobilizers 3 and 4 with an L-shape, each head immobilizer
3 and 4 may be rotated from a position coplanar with the plane of the board 1 to a
lifted operating position, adapted to form an angle α with the other head immobilizer,
for holding and immobilizing the patient's head.
[0022] Therefore, each head immobilizer 3 and 4 is defined by:
- an arm or handlebar 3b or 4b oriented substantially transverse to the board 1, i.e.
along its short side 1b for easy grasp and handling by the operator,
- a stop arm 3a or 4a, oriented parallel to the board, namely along its sides 1a, which
will be moved against the head of the patient upon rotation of the handlebar, and
then lifted out of the board 1.
[0023] Each free end of the handlebar 3b and 4b is attached to the backboard 1, namely by
means of hinges F1, F2, to define axes of rotation A1 and A2, substantially parallel
to the longer longitudinal axis of the board 1.
[0024] It will be understood from the above that, as the head immobilizers 3 and 4 are lifted
by being rotated about hinges or fulcrum points F1 and F2, they will move towards
each other to immobilize the head of the injured person that has been laid on the
board 1.
[0025] By positioning the handlebars 3b and 4b for lifting the head immobilizers above the
area S1 over which the head passes and is stabilized, an operational advantage is
achieved, in that:
- operation in the area S1 is much easier, because the stop arms 3a and 4a will be hidden
in the thickness of the board 1, below the surface plane P1,
- the head immobilizers may be much more easily adjusted from an area remote from, here
above, the area S1 and the handlebars 3b, 4b may be more easily handled to place the
respective arms 3a, 4a towards the center of the board 1 and the head.
[0026] The board 1 with the integrated head immobilizer also has a pair of straps 7 coiled
on both head immobilizers 3 and 4, for restraining the patient's head.
[0027] The straps 7 may be automatically or manually coilable around said arms 3a and 4a
of the respective head immobilizers.
[0028] While reference is made in this example to arms 3a and 4a of circular section, any
other section may be obviously provided.
1. A blackboard (1) with an integrated head immobilizer (3, 4) adapted to operate from
a rest position in which it is concealably received in the thickness of the backboard
(1) to an operating position in which it projects out of it by being rotated and lifted
therefrom, characterized in that said rotation of the head immobilizer (3, 4) is performed about hinges or fulcrum
points (F1, F2) defining axes of rotation (A1, A2), said hinges or fulcrum points
being located above the area (S1) of the backboard over which the patient's head passes
or is positioned.
2. A backboard (1) as claimed in claim 1, characterized in that said axes of rotation (A1, A2) are defined by corresponding hinges (F1, F2) formed
at the free end of each handlebar (3b, 4b) of the head immobilizer (3, 4); said free
end being attached to the backboard (1).
3. A backboard (1) as claimed in claim 1, characterized in that said axes (A1, A2) are substantially parallel to the longer longitudinal axis of
the board (1).
4. A backboard (1) as claimed in claims 1 and 2, characterized in that head immobilizing arms (3a, 3b) extend substantially orthogonal from said handlebars
(3b, 4b) and parallel to the sides (1a) of the board (1), towards the area over which
the head passes and is positioned (S1), said arms (3a, 4a) being adapted to be received
in the thickness of the board (1) below its surface plane (P1).
5. A backboard (1) as claimed in claim 1, characterized in that as each head immobilizer (3, 4) is lifted by being rotated about the hinge or fulcrum
points (F1) and (F2), it moves towards the other to immobilize the head of the injured
person that has been laid on the board (1).
6. A backboard (1) as claimed in claim 1, characterized in that each head immobilizer (3, 4) has head restraint straps (7) coiled around the stop
arms (3a, 4a).
7. A backboard (1) as claimed in claim 6, characterized in that said straps (7) may be automatically or manually coiled around said arms (3a) and
(4a) of the respective head immobilizers.
1. Tragbahre (1) mit einer integrierten Kopfwegfahrtsperre (3, 4), die so angepasst ist,
dass sie aus einer Ruheposition, in der sie versenkbar in der Dicke der Tragbahre
aufgenommen wird, in eine Arbeitsposition bewegt zu werden, in der sie aus der ragt,
wenn sie daraus gedreht und angehoben wird, dadurch gekennzeichnet, dass die besagte Drehung der Kopfwegfahrtsperre (3, 4) um Scharniere oder Stützpunkte
(F1, F2) erfolgt, die Drehachsen (A1, A2) definieren, wobei die besagten Scharniere
oder Stützpunkte über dem Bereich (S1) der Tragbahre angeordnet sind, auf dem der
Kopf des Patienten geht oder positioniert ist.
2. Tragbahre nach Anspruch 1, dadurch gekennzeichnet, dass die besagten Drehachsen (A1, A2) durch entsprechende Scharniere (F1, F2) definiert
sind, die bei dem freien Ende jedes Handgriffs (3b, 4b) der Kopfwegfahrsperre (3,
4) geformt sind; wobei das besagte freie Ende mit der Tragbahre verbunden ist.
3. Tragbahre (1) nach Anspruch 1, dadurch gekennzeichnet, dass die besagten Achsen (A1, A2) im Wesentlichen parallel zu der längeren Längsachse
der Tragbahre (1).
4. Tragbahre (1) nach Anspruch 1 und 2, dadurch gekennzeichnet, dass Kopfwegfahrsperrarme (3a, 3b) sich im Wesentlichen senkrecht aus dem besagten Handgriff
(3b, 4b) und parallel zu den Seiten (1a) der Tragbahre (1) gegen den Bereich erstrecken,
über den der Kopf geht und so positioniert sind, dass die besagten Arme (3a, 4a) so
angepasst sind, dass sie in der Dicke der Tragbahre (1) unterhalb ihrer Oberflächenebene
(P1) empfangen werden.
5. Tragbahre (1) nach Anspruch 1, dadurch gekennzeichnet, dass wenn jede Kopfwegfahrtsperre (3, 4) so angehoben wird, dass sie um das Scharnier
oder um Stützpunkte (F1) und (F2) gedreht wird, sie gegen die andere so bewegt wird,
dass sie den Kopf der verletzten Person immobilisiert, der auf der Tragbahre (1) gelegt
wurde.
6. Tragbahre (1) nach Anspruch 1, dadurch gekennzeichnet, dass jede Kopfwegfahrtsperre (3, 4) Streifen (7) als Kopfstütze aufweist, die um die Haltearme
(3a, 4a) aufgewickelt werden.
7. Tragbahre (1) nach Anspruch 6, dadurch gekennzeichnet, dass jeder Streifen (7) automatisch oder manuell um die besagten Arme (3a) und (4a) der
entsprechenden Kopfwegfahrtsperren aufgewickelt werden kann.
1. Brancard (1) avec une immobilisation (3, 4) intégrée de la tête adaptée pour opérer
à partir d'une position d'appui dans laquelle il est logé en manière dissimulable
dans l'épaisseur du brancard (1) à une position de fonctionnement dans laquelle il
fait saillie hors de lui en étant tourné and soulevé de lui, caractérisé en ce que ladite rotation de l'immobilisation de la tête (3, 4) est faite autour de charnières
ou points de pivot (F1, F2) qui définissent des axes de rotation (A1, A2), lesdites
charnières ou points de pivot étant situés au dessus de la région (S1) du brancard,
au dessus duquel la tête du patient passe ou est positionnée.
2. Brancard selon la revendication 1, caractérisé en ce que lesdits axes de rotation (A1, A2) sont définis par des correspondantes charnières
(F1, F2) formées à l'extrémité libre de chaque poignée (3b, 4b) d'immobilisation de
la tête (3, 4) ; ladite extrémité étant fixée au brancard (1).
3. Brancard (1) selon la revendication 1, caractérisé en ce que lesdits axes (A1, A2) sont sensiblement parallèles à l'axe longitudinal le plus long
du brancard (1).
4. Brancard (1) selon les revendications 1 et 2, caractérisé en ce que chaque bras (3a, 3b) d'immobilisation de la tête s'étend sensiblement orthogonal
desdites poignées (3b, 4b) et parallèle au côtés (1a) du brancard (1), vers la région
sur laquelle la tête passe et est positionnée (S1), lesdits bras (3a, 3b) étant adaptés
pour être reçus dans l'épaisseur du brancard (1) au dessous de sa surface plane (P1).
5. Brancard (1) selon la revendication 1, caractérisé en ce que chaque immobilisation (3, 4) de la tête est soulevée en étant tournée autour la charnière
ou des points de pivot (F1) et (F2), et il se déplace vers l'autre en manière d'immobiliser
la tête de la personne blessée qui a été déposée sur le brancard (1).
6. Brancard (1) selon la revendication 1, caractérisé en ce que chaque immobilisation de la tête (3, 4) a des bandes de retenue (7) enveloppées autour
des bras d'arrêt (3a, 4a).
7. Brancard (1) selon la revendication 6, caractérisé en ce que lesdites bandes (7) peuvent être enveloppées automatiquement ou manuellement autour
desdits bras (3a) et (4a) des respectives immobilisations de la tête.
REFERENCES CITED IN THE DESCRIPTION
This list of references cited by the applicant is for the reader's convenience only.
It does not form part of the European patent document. Even though great care has
been taken in compiling the references, errors or omissions cannot be excluded and
the EPO disclaims all liability in this regard.
Patent documents cited in the description