CA1320408C

CA1320408C - Infant cardiopulmonary board

Info

Publication number: CA1320408C
Application number: CA000572263A
Authority: CA
Inventors: Gerald Wayne Clark
Original assignee: Individual
Current assignee: Individual
Priority date: 1986-11-07
Filing date: 1988-07-18
Publication date: 1993-07-20
Anticipated expiration: 2010-07-20
Also published as: US4757811A

Abstract

ABSTRACT

The invention is a self contained infant restraining device (10) used for performing cardiopulmonary resuscitation or other emergency treatment on a patient up to 2 years old. The device (10) has 2 sections (12 and 14) which are normally attached together by use of latches (16). Top section (12) is used to carry and restrain the infant's body.
Bottom section (14) contains 2 drawers (52) which are used to carry drugs, medical supplies and instruments for treatment of the infant patient. The top section (12) may be quickly released from bottom section (14) if the user wants to make top section (12) lighter and more portable. The infant's body is placed in indentation (36) of the top surface (28) and securely restrained by a plurality of straps (44) using hook and pile fasteners (46). The infant's head is restrained in head indentation (26) which is equipped with two small sand bag pillows (32) attached to indentation (26) by hook and pile fasteners (33) and (34). Provisions are also made for attachment of a Bashaw Cervical Immobilizer (30) in indentation (26) for stabilizing of the infant's body.

Description

1320~08 INFANT CARDIOPULMONARY BOARD

TECHNICAL FIELD
The pre~ent ln~entlon relate~ to equlpment de~igned for cardlopulmonary tre~tmont of patiento and more S particularly relsteQ to a board deslgned to accommodate nnd rupport an lnfant up to a8e two who requlres ~ergency cartlopulmonary treatment.

B~CRGROVND OF TH~ IN ENTION
The appllcant haJ long been Bware~ durlng his experlenco a~ a parsmetlc ant a~ an ambulance crew me~ber, th~t there ha~ been a need for e~uip~ent whlch would mnke lt po~lbl~ to provide better treatment ~or lnfant~ who are in c~rdlopulmonary dl~treJa or haYe experl~nced trau~a. More ~peciflcally, there has been a lS neet for a device whlch can flr~ly ~upport an lnfant up to two y~ar~ old, csn hold th~ pstient ln 8 very stable condltlon, can allsw the patient's hesd to be pivoted bsckwart for certeln kind~ of treatment, lo a convenlent ehape fos oa~ handling, and cen be uood together with exlctlng t~pea of equlp0ent. Several lnfant reJtralnlng board~ are alroady a~ilable, but nono of them have all the capabllltlee montloned aboYe as belng necessary for cuch cartlopulmonary treatment of lnfant patients '~' U S. Patent 3,650,523 to DARBY, JR., di~clooe~ an lnfant restralnlng board whlch appear~ to provlde ~ecure reatraln~ for an lnfant lt uae9 re~tralnlng boart~ to hold the lnfant's torso, lego, and arm~ and haJ an ad~uetable head restralnt However, thls devlce does not provide for tiltlng the patient's head bsckward;
Moreover, lt 14 an lnconvenlent ~hape, wlth srm support~
atlcking out at 90 degrees to tho patlent' 9 body, and protrudlng leg upport~, ~ach of which ~tlck~ out from th- patl-Qt~o bod~ at an acuta angle of about 20 tegrees wlth the patient'- boty. The~- appurtenances would make lt qulte dlfficult for medical peraonnal to c~rry a b~by ln the devlce whlle walking and simultaneouslr perform cartiopulmonary reauscitatlon lS U. S Patent 3,306,287 to ARP di~clo~es an infant ~upportlng opparatus havlng dlf$erent structure than the preaent lnvention and deolgned for a dlfferent purpose, na~ely, to eupport an lnfant during therapeusls, ~uch a8 resplratory augmentctlon Thlo tevlce 1~ a perfectly fl-t panel which u~eo a number of up~tandlng barrlers to ~upport and conflne the body and head of an lnfant One embod~ment of the lnvenelon has a head cup whlch hold~
the head of an lnfant up ln an elevnted po~ltlon However, the ~tructure of thl~ lnventlon does not provlte for ~nd doe8 not contemplate the poaslbllity of lowerlng the head of an lnfant or tlltlng the lnfant's h~ad backvard ln order to treat the lnf~nt when 1320~08 ~ 1 ~ 7 ~
car~iopulmonary problems are lndicated. Moreover, thls dev~ce i5 not porta~le, but instead ls intended for statiorary use in a hospital or other medlcal treatment facllity.
Stlll another infant restraining devlce ls shown ~n U.S. Patent 2,751,268 (Re 24,377) to CREELMAN. Thls device ls a flat surg~cal operatlng table havlng a full boc~y cavity ln the top surface of the table for holdlng and supportlng an lnfant ln the dorsal recumbent posltlon. Four large p~votlng metal arms, wlth a clamp mounted on the end of each arm, hold the lnfant on the table. Thls device appears useful for mlnor surglcal operatlons not requlrlng anesthesla, such as clrcum-clslons, but lts deslgn does not make lt appear to ~e useful for emergency llfe support treatment, such as cardlopulmonary dlstress or trauma. Although thls devlce is descrlbed ln the patent as belng portable, several appurtenances ln the form of the four restralnt arms and clamps descrlbed above would make lt dlfflcult to carry easlly. It would be partlcularly dlffl-cult for a paramedlc to carry the devlce on hls hlp and con-tlnue cardlopulmonary resuscltatlon to an lnfant whlle walklng.
Other infant restralnt devlces, both of whlch are qulte dlfferent from the present devlce, are shown ln the U.S.
Patents 3,892,399 to CA~ANSAG and 4,515,155 to WAGEMANN. The devlce shown ln the former patent ls an lnfant seat for lmmo-blllzlng lnfants durlng the taklng of X-rays. The latter patent shows a restralnt vest for holdlng a very small lnfant 4 1320408 11~7'~
and keeping tlle c~ild warm while various medical procedures are performed on the chlld.
Sever-al devlces deslgned prlmarlly ror spinal re--stralnt o~ accident vlctims are shown ln U.S. patents 4,024,861 to VINC~NT, 4,034,748 to WINNER, and 4,51'~,106 to ~ANDQUISI'.
These patents all show devices for supportlng only the head and upper torso of adult vlctlms. The patent to VINCEN1' shows a spine support device ln the form of an inflatable bag somewhat similar to an alr mattress. The devlce contains several longl-tudlnal reinforcing ribs. The two latter patents to WINNER andSANDQUIST show substantlally flat boards wlth restralnlng straps. The patent to WINNER also shows a device havlng a head restraint wlth inflatable upstandlng sides positioned on elther side of a pad which serves as a pillow. However, these devlces are not deslgned for use ln cardiopulmonary treatment and do not have the features mentloned above whlch make it posslble to treat that condltion.
In vlew of the foregoing dlscusslon, lt will be apparent that the prlor art devlces do not provide the advan-tages found ln the present lnventlon.
It ls therefore an ob~ect of the present lnventlon toprovlde an lnfant restralnlng devlce whlch is deslgned partlcu-larly for the proper treatment of cardlopulmonary dlstress and trauma.

l, 132~ 108 11379-~
It ~s another ob~ect of the present inventlon to pro-vlde an infal1t restrainlng device which ls llghtwelght, port-able, and of a convenient shape for easy handling.
It is still another ob~ect of the present inventlon to provide an lnfant restraining devlce whlch does not have flxed pro~ections or appurtenances attached to it.
It is yet another ob~ect of thls lr1ventlon to provlde an lnfant restralning device whlch ls easy for a paramedlc to carry under hls arm wlth the end of the devlce restlng on his hip, while he continues cardlopulmonary resuscitation (CPR) whlle walklng.
It is still another o~iect of the present inventlon to provlde an lnfant restralnlng devlce whlch ls deslgned to hold an lnfant flrmly and securely ln posltion on the devlce whlle the patlent's head may be tilted backward or flexed ln order to provlde lntubatlon to the patlent.
It ls yet another ob~ect of the inventlon to provlde an infant restralnlng devlce whlch ls deslgned for qulck and easy lnstallatlon of a commerclally avallable Bashaw Cervlcal Immoblllzer for use on a trauma case or alternatively, to qulckly and easlly lnstall custom-made head stablllzlng equlp-ment.

1320~08 71379-2 SUMMARY OF THE INVENTION
According to one aspect, the present invention provides an infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having first and second indentations for accommodating the head and body of an infant, and a plurality of slots in said top surface located near said two sides; strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device; and a rectangular bottom section comprising:
four sides, one of said sides having two cavities opening out of it; a bottom panel attached to said sides; and two drawers, each said drawer being mounted in one of said two cavities; said rectangular bottom section being attached to said rectangular board for carrying drugs, supplies and instruments needed to treat an infant patient.
According to another aspect, the present invention provides an infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having first and second indentations for accommodating the head and body of an infant,and a plurality of slots in said top surface located near said two sides; strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device; a rectangular bottom section comprising four sides and a bottom panel attached to said sides, said rectangular bottom section being attached to said rectangular board for 1320408 7l37g-2 carrying drugs, supplies and instru~ents needed to treat an infant patient; mating latch means mounted on both said rectangular board and said bottom section for latching said rectangular board and said bottom section together; and vertical guide dowels mounted on said bottom section and mating with holes in said bottom surface of said rectangular board for guiding said rectangular board and said bottom section together during assembly and holding said rectangular board and said bottom section together in the proper position when assembled.
According to yet another aspect, the invention provides an infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having a rectangular first indentation opening out of said head end of said rectangular board, for accommodating the head of an infant, a second oval-shaped indentation for accommodating the torso and limbs of an infant, and a plurality of slots in said top surface located near said two sides; and strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device.
BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1 is an exploded perspective view of the invention showing the top section and the bottom section separated.
Fig. 2 is an exploded perspective view of the invention showing the top section and the bottom section attached together and the insert for the top section and a Bashaw Cervical Immobilizer both shown exploded from the top section.

6a Fig. ~ is a plan view of the top section of the infant cardiopulmonary device.

6b ! 1320408 71~7~
Flg. 4 ls a slde vlew of the devlse as shown ln Flgure 3.
Flg. 5 ls an end view of the top sectlon of the device as shown in Flgure 3.
Fig. 6 is a plan view of the ~ottom sectlon of the infant cardiopulmonary device~
Fi~. 7 ls a side view of the bottom sectlon of the device as shown in Flg. 6.
Flg. 8 is an end view of the bottom section of the device as shown ln Flg. 6.

DETAILED DESCRIPTION OF THE INVENTIQN
The lnventlon ls a self-contalned infant restrainlng devlce used for performing cardlopulmonary resuscltatlon on a patlent up to 2 years old. The devlce, as shown ln Flg. l, ls deslgnated generally by numeral l0. Flg. l shows the rectangu-lar board (or top sectlon) 12 and bottom section 14 separated but capable of belng attached together by a palr of latches 16 posltloned at opposlte ends of the lnfant restralning device l0. Top section 12 of the devlce l0 has a right side 18, a left side 20, a head end 22, and a foot end 24.
At one end of the devlce l0 ls a generally rectangu-lar cut-out or indentatlon 26 ln the top surface 28 of the devlce l0. The head lndentatlon 26 allows the head of an 1320~08 lnfallt patlent to be tllted backward below the level of the body lnto a sllghtly flexed position for ln~ubatlon. The ~ead lndentation 26 also permlts the installatlon of a commercially available ~ashaw Cervical Immobllizer 30 (see Flg. 2) for use on a trauma case. When the ~3ashaw Cervlcal Immobllizer 30 is not used, small sand bags 32 (see Fig. 2) havlng hook and plle fasteners 33 can be afflxed to hook and plle type fasteners 34 in the head indentatlon 26 to stablllze the lnfant's head.
A large oval-shaped lndentatlon 36 ln the top surface 28 of top sectlon 12 ls provlded to enhance patlent stablllty.
Beveled sldes 38 are provlded around the edges of lndentatlon 36 for the safety and comfort of the lnfant patlent. Hook and plle fasteners 40 are attached to the beveled sldes 38 of oval-shaped lndentatlon 36 to secure an oval-shaped insert 42 (see Flg. 2) used to flll lndentatlon 36 when deslred. A plurallty of safety belts 44 havlng hook and plle type fasteners 46 are attached to top surface 28 by means of slots 50. One or more llmb lmmoblllzers 48 may be attached to belts 44 to hold the lnfant's arms or legs ln posltlon.
The exploded perspectlve vlew of Fig. 2 shows the devlce 10 comprislnq the top sectlon 12, the oval-shaped lnsert 42, whlch flts lnto oval-shaped lndentation 36, and the bottom sectlon 14 wlth two drawers 52. Insert 42 may be posltloned and attached lnto lndentatlon 36 wlth the ald of hook and plle 1320qO8 `~ 71~ 7'~ - 2 fasteners 90 on tlle beveled sldes 38 of lndentatlon 36 and hook and pile fasteners 41 on the underslde of lnSert 42. The infant restralnlng board 10 ls generally used wlthout lnsert 42 when the board 10 ls belng used for cardlopulmonary resuscl-tatlon. In this mode, the patlent's torso and legs are stabl-llzed and yet head lndentation 26, whlch ls at a lower level than lndentatlon 36 for the body, allows room for the patlent's head to be tilted backward for lntubatlon (insertlon of an oxygen supply tube). If needed, two small sand bags 32 havlng attached hook and plle fasteners 33 may be posltloned and attached to hook and plle fasteners 34 located ln head lndenta-tlon 26 to stabilize an infant patlent's head.
The perspectlve view of Fig. 2 also lllustrates how an alternatlve arrangement of the lnventlon may be used when cardlopulmonary treatment is not belng undertaken. In such a case, lnsert 42 ls positloned and used in lndentation 36.
Thus, lt is posslble to use the present lnventlon wlth a flush surface ln the mlddle and at the foot end 24 of top surface 28 of the devlce 10, for example, when stabilizatlon of an lnfant' 5 splne ls necessary. Flg. 2 also shows a Bashaw Cervlcal Immoblllzer 30 installed ln the head indentatlon 26 over the top of sand bags ~2. The Bashaw Immobllizer 30 is equlpped wlth two elastlc straps 56, each strap 56 havlng two attached hooks 58. Wlth the use of the strap 56 and attached , (! 1 3 2 0 4 0 8 7 ~
hooks 58, the "~ashaw" 30 attaches to the lnfant restralnlng device lG. Two hoo~s 58 fit lnto each one of a pair of grooves 54, whlch are located in the top sectlon 12 of the devlce, one groove 54 beln~ located on elther slde of top sectlon 12. W~en the Bashaw Immobllizer ls not belng used, lt may be secured on a storage hook (not shown) by use of lts hanging strap loop 74.
Thls commerclally avallable devlce, whlch ls used to lmmoblllze an lnfant's head, ls manufactured by Bashaw Medlcal, Inc., of Pensacola, Florlda 32506.
Two drawers 52 are mounted ln one slde of bottom sec-tlon 14. The two drawers ln the devlce 10 are deslgned to house all the drugs, supplles, and lnstruments necessary to support treatment of an lnfant during an emergency. As may be seen best ln Flgure 7, drawers 52 are equlpped wlth a drawer lock pin 60 whlch holds the drawers 52 in the closed posltlon when the drawers 52 are not in use. Looklng back at Flgure 2, each drawer S2 has a long horlzontal groove 62 cut lnto one of lts sldes. Thls drawer gulde and stop groove 62 ls for the purpose of guldlng the drawer when it ls moved ln or out.
Groove 62 also accommodates drawer gulde and stop pln 64 (Flg.
7) and prevents drawers 52 from being pulled all the way out and thereby spllllng thelr contents.
Flgure 3 ls a plan vlew showing the detalls of top sectlon 12. Flgure 4, whlch ls a side view of the top section , I 1 3 2 0 4 0 8 , ~
12, illustrates how head lndentatlGn 26 ls cut somewhat deeper than oval-shaped lndentatlon 36 ln order to allow an lnfant's head to be tllted well-back for lntubatlon of an oxygen supply tube. Figure 5, whlch is a slde view of top section 12, also illustrates the difference between the depths of head indenta-tlon 26 and oval-shaped body indentatlon 36.
Figure 6 ls a plan vlew of bottom sectlon 14 of the lnfant restrainlng device 10. It should be noted that bottom sectlon 14 ls open on top and on one slde to accommodate the drawers 52, slnce the bottom 13 of top sectlon 12 ls in effect the top of bottom sectlon 14 when the top section 12 and the bottom sectlon 14 are attached. As may be seen best ln Flgures 6-8, the top of bottom sectlon 14 ls equlpped with a plurallty of upper sectlon gulde dowels 66 extendlng upward from the top of bottom sectlon 14 to gulde top sectlon 12 and bottom sectlon 14 together durlng assembly and to hold them together ln the proper posltion when assembled. Bottom sectlon 14 also has a vertlcal center wall 68, whlch dlvldes the bottom sectlon lnto two compartments 70. A horlzontal drawer holder member 72 ls attached to the top of center wall 68 to help hold drawers 52 ln posltlon. Figures 7 and 8 are a slde vlew and end vlew, respectlvely, of the bottom sectlon 14 of the lnfant restraln-lng devlce 10, as shown in Flgure 6.

l 1320408 ln vperation, an infant ln cardlopuimonary dlstress or trauma from other causes may be Attached to the device 10 while cardiopulmonary resuscltatlon or other emergency llfe-saving medical procedures are being undertaken. The lnfant's torso ls placed ln oval-shaped indentation 36 and the child ls securely fastened to the dev1ce 10 by use of a ~lurallt~ of straps 44 ~laving attached hook and plle fasteners 46. The infant's head ls placed upon two small sand bags whlch are attache~ by use of hook and pile fasteners 33 and 34 in head lndentatlon 26. Alternatlvely, the lnfant's head may be re-strained and stablllzed by use of a Bashaw Cervical Immobilizer 30 which ls lnstalled by use of straps 56 and hooks 58 over the top of sand bags 32 in head lndentation 26. In case of splnal ln~ury, the infant ls not placed in lndentatlon 36 but, in-stead, lnsert 42 ls lnstalled ln lndentatlon 36 so that the top of lnsert 42 ls flush wlth the top surface 28 of top sectlon 12. Two drawers 52 are used to convenlently carry all drugs, medlcal supplies and lnstruments needed to treat the lnfant patient.
From the above, lt may be seen that the appllcant has provlded an infant restralnlng devlce whlch facllltates the prompt and efflclent treatment of cardlopulmonary dlstress ln lnfants up to age 2. The device ls self-contalned ln that lt provldes drawers to house all drugs, supplles and lnstruments necessary to support treatment durlng an emergency. The devlce provldes structure whlch makes lt posslble to securely hold the lnfant's body ln posltlon and, at the same tlme, allows the lnfant patlent's head to be tllted or flexed backward for intu-batlon of oxygen equlpment. The devlce may be used wlth elther small sand bags or a ~ashaw ~ervlcal Immoblllzer for stablli-zlng the lnfant's head. The devlce ls llghtwelght and portable and ls deslgned ln a convenlent shape wlthout stlff pro~ectlons or appurtenances so that an lnfant can be carrled wlth the end of the devlce restlng on the hlp of the medlc. Thls makes lt posslble to contlnue cardlopulmonary resuscltatlon whlle the patlent ls belng carrled. The entlre unlt when fully equlpped ls stlll small enough to easlly carry to the scene of an accl-dent wlth other emergency equlpment, and lt can be stored ln any compartment of an ambulance or rescue vehlcle.
It wlll be understood thst the lnventlon may be embodled ln other speclflc forms wlthout departlng from the splrlt or central characterlstlcs thereof. The present examples and embodlments, therefore, are to be consldered ln all respects as lllustratlve and not restrictlve, and the lnventlon ls not to be llmlted to the detalls glven hereln but may be modlfled wlthin the scope of the appended clalms.

Claims

1. An infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having first and second indentations for accommodating the head and body of an infant, and a plurality of slots in said top surface located near said two sides; strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device; and a rectangular bottom section comprising:
four sides, one of said sides having two cavities opening out of it; a bottom panel attached to said sides; and two drawers, each said drawer being mounted in one of said two cavities; said rectangular bottom section being attached to said rectangular board for carrying drugs, supplies and instruments needed to treat an infant patient.

2. The infant restraining device of claim 1 wherein said bottom section comprises latch means to hold each of said drawers in closed position.

3. The infant restraining device of claim 1 wherein each of said drawers is configured with a horizontal groove along one of its sides and said bottom section comprises a stop pin for preventing each of said drawers from being pulled completely out of its said cavity and thereby preventing spillage of the contents of said drawers.

4. An infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having first and second indentations for accommodating the head and body of an infant,and a plurality of slots in said top surface located near said two sides; strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device; a rectangular bottom section comprising four sides and a bottom panel attached to said sides, said rectangular bottom section being attached to said rectangular board for carrying drugs, supplies and instruments needed to treat an infant patient; mating latch means mounted on both said rectangular board and said bottom section for latching said rectangular board and said bottom section together; and vertical guide dowels mounted on said bottom section and mating with holes in said bottom surface of said rectangular board for guiding said rectangular board and said bottom section together during assembly and holding said rectangular board and said bottom section together in the proper position when assembled.

5. An infant restraining device comprising: a rectangular board comprising a top surface, a bottom surface, two sides, a head end and a foot end, said top surface having a rectangular first indentation opening out of said head end of said rectangular board, for accommodating the head of an infant, a second oval-shaped indentation for accommodating the torso and limbs of an infant, and a plurality of slots in said top surface located near said two sides; and strap means attached to said rectangular board and running out said slots for holding the body of an infant to said restraining device.

6. The infant restraining device of claim 5 wherein said oval-shaped indentation has beveled sides for the comfort and safety of an infant patient being restrained in said device.