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1. 发明申请

WO2003017887A1 ADJUSTABLE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：可调节装置和处理卡波管隧道综合征的方法
公开(公告)号：WO2003017887A1
公开(公告)日：2003-03-06
申请号：PCT/US2002/027125
申请日：2002-08-27
申请人： M.D. Brothers, Inc. , PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. Various embodiments of the inventive apparatus commonly include a housing for receiving the hypothenar portion of the patient's hand with an open side portion adapted and configured to contact and retain the hypothenar region of the patient's hand, with an edge of the housing extending along a central longitudinal dorsal portion of the hand, while a flexible resilient strap is wrapped around the thenar portion of the hand (i.e. around the thumb area) in such a manner as to pull the thenar portion of the hand upward with the edge of the housing serving as a fulcrum around which the thenar and hypothenar portions of the hand are bent. The strap is then secured to itself or to the housing to keep the thenar and hypothenar portions pulled apart during the course of treatment. The bending of the thenar and hypothenar regions of the hand around the 20 fulcrum cause the carpal ligament and the flexor retinaculum to stretch expanding the carpal tunnel and relieving pressure on the median nerve.
摘要翻译：本发明的装置在患者或保健专业人员的精确控制下以安全的方式伸展腕韧带和屈肌视网膜以及手的表面结构和肌肉。本发明的装置的各种实施例通常包括用于接收患者手的短小部分的壳体，其具有适于并构造成接触和保持患者手的海膜区域的开口侧部分，其中壳体的边缘沿着中心纵向延伸手的背部，而柔软的弹性带缠绕在手的稍后部分（即，在拇指区周围），以便将手的后部部分向上拉，其中壳体的边缘用作手指的手指部分和臀部部分弯曲的支点。然后将带固定到自身或壳体上，以在治疗过程中保持肛门和小海绵部分分开。手指围绕20个支点弯曲的手指和小背部区域导致腕骨韧带和屈肌视网膜伸展扩张腕管并缓解正中神经的压力。

2. 发明申请

WO2003017884A1 NON-INVASIVE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：非侵入式装置和处理卡波管隧道综合征的方法
公开(公告)号：WO2003017884A1
公开(公告)日：2003-03-06
申请号：PCT/US2002/027121
申请日：2002-08-27
申请人： M.D. BROTHERS, INC. , PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01
CPC分类号： A61F5/0118 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. Various embodiments of the inventive apparatus include a housing for receiving the patient's hand with an open top portion and with two internal regions adapted and configured to contact the thenar and hypothenar regions of the patient's palm, while a closeable cover, that fits over the open top region of the housing, includes a pressure element positioned and configured to apply pressure to the dorsal portion of the hand when the cover is depressed and/or closed such that opposing forces of the internal regions pressing on the thenal and hypothenar regions of the palm while the pressure element is pressing on the dorsal portion of the hand cause the carpal ligament and the flexor retinaculum to stretch expanding the carpal tunnel and relieving pressure on the median nerve.
摘要翻译：本发明的装置在患者或保健专业人员的精确控制下以安全的方式伸展腕韧带和屈肌视网膜以及手的表面结构和肌肉。本发明装置的各种实施例包括用于接收具有开放顶部部分的患者手的壳体，并且两个内部区域适于和构造成接触患者手掌的臀部和小血管区域，而可封闭的盖子适合于开口顶部壳体的区域包括压力元件，其定位和构造成当盖被压下和/或关闭时向手的背部施加压力，使得内部区域的相对的力压在手掌的浅层和浅薄区域上，压力元件压在手的背部，使腕骨韧带和屈肌视网膜伸展扩张腕管并缓解正中神经的压力。

3. 发明申请

WO2003007804A2 APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：用于治疗贲门隧道综合征的装置和方法
公开(公告)号：WO2003007804A2
公开(公告)日：2003-01-30
申请号：PCT/US2002/023154
申请日：2002-06-19
申请人： M.D. BROTHERS, INC.
发明人： PORRATA, Humberto, L. , PORRATA, Alejandro, A.
IPC分类号： A61B
CPC分类号： A61F5/0118 , A61F5/012 , A61F2007/0035
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. The inventive apparatus includes a bilateral housing for receiving the patient's right or left hand with two bottom capture regions for capturing and retaining the thenar and hypothenar regions of the patient's hand. The housing also includes a top portion with a pressure element adapted and configured to contact at least a portion of the central longitudinal dorsal region of the patient's hand. The pressure element is connected to active pressure source, such that when the hand is inserted into the housing, the pressure element may be activated to exert pressure on the respective central dorsal region of the hand while the hypothenar and thenar regions of the hand are disposed within and retained by the first and second capture regions, thus exerting forces opposite to the pressure exerted by the pressure element. This forces the thenar and hypothenar regions apart, thus, advantageously transversely stretching the carpal ligament, the flexor retinaculum, and superficial structures and muscles of the hand. An optional pressure monitor is connected to the pressure element to enable the patient or medical practitioner to monitor the use of the inventive apparatus. One or more heating elements may optionally be utilized in the housing to improve muscle elasticity during treatment. To effectuate treatment, the pressure caused by the pressure element is maintained at a constant or varying level for a predetermined period of time.
摘要翻译：本发明的装置在患者或医疗保健专业人员的精确控制下以安全的方式拉伸腕部韧带和屈肌支持带，以及手的浅表结构和肌肉。本发明的装置包括双侧壳体，用于接收患者右手或左手，具有两个底部捕捉区域，用于捕捉和保持患者手的鱼际和小鱼际区域。壳体还包括具有压力元件的顶部部分，压力元件适于并构造成接触患者手的中央纵向背部区域的至少一部分。压力元件连接到主动压力源，使得当手插入外壳中时，可以启动压力元件以在手的小指骨和拇指区域布置时在手的相应中央背部区域上施加压力在第一和第二捕获区域内并由其保持，由此施加与由压力元件施加的压力相反的力。这迫使鱼际和小鱼际区域分开，从而有利地横向拉伸腕部韧带，屈肌支持带，以及手的浅表结构和肌肉。可选的压力监测器连接到压力元件，以使患者或执业医师能够监测本发明装置的使用。一个或多个加热元件可以可选地用于壳体中以改善治疗期间的肌肉弹性。为了实现治疗，由压力元件引起的压力在预定时间段内保持恒定或变化的水平。

4. 发明申请

WO2003017886A1 ADAPTABLE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：适应装置和处理卡波管隧道综合征的方法
公开(公告)号：WO2003017886A1
公开(公告)日：2003-03-06
申请号：PCT/US2002/027124
申请日：2002-08-27
申请人： M.D. BROTHERS, INC. , PORRATA, Humberto, Luis , PORRATA, Alejandro, Alberto
发明人： PORRATA, Humberto, Luis , PORRATA, Alejandro, Alberto
IPC分类号： A61F5/01
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus includes a first housing with an open side adapted and configured to contact and retain the hypothenar region of the patient's hand , with a first edge of the first housing extending along a central longitudinal dorsal portion of the hand ,and a second housing with an open side portion adapted and configuredto contact and retain the thenar region of the of the patient's hand ,with a second edge of the second housing also extending along a central longitudinal dorsal portion of the hand.A flexibleresilient strap is secured to the first housing , and then wrapped around the second housing encompassing the thenar portion of the hand. The strap is then secured to itself or to the first and/or the second housing to keep the hypothenar and thenar portionspulled apart during the course of treatment.n of the hand) upward with the first and the second edges of the respective first and second housings serving as a fulcrum around which the hypothenar and thenar portions of the hand are bent. The strap is then secured to itself or to the first and/or the second housing to keep the hypothenar and thenar portions pulled apart during the course of treatment.
摘要翻译：该装置包括：第一壳体，其具有适于并构造成接触并保持患者手的海膜区域的开口侧，第一壳体的第一边缘沿着手的中心纵向背部延伸，第二壳体具有开口侧部分适于并构造成接触并保持患者手的肛门区域，第二壳体的第二边缘还沿着手的中央纵向背部部分延伸。柔性弹性带固定到第一壳体，然后缠绕在包围手部的稍微部分的第二壳体周围。然后将带固定到自身或第一和/或第二壳体上，以在治疗过程中保持小海绵和臀部分开。 n的手）向上，相应的第一和第二壳体的第一和第二边缘用作支点，手的短边和后部弯曲。然后将带固定到自身或第一和/或第二壳体上，以在治疗过程中保持小海绵和臀部分开。

5. 发明申请

WO2003017885A1 AUTOMATIC APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：自动装置及处理地下隧道综合征的方法
公开(公告)号：WO2003017885A1
公开(公告)日：2003-03-06
申请号：PCT/US2002/027123
申请日：2002-08-27
申请人： M.D. BROTHERS, INC. , PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. A first embodiment of the inventive apparatus includes a housing for receiving the patient's hand with pressure elements in contact with the hypothenar, thenar and central longitudinal dorsal portions of the patient's hand. Active pressure sources are provided for the pressure elements and connected to an automatic control unit. The control unit causes the inventive apparatus to delivered therapeutic treatment to the hand by selectively activating the active pressure sources causing the thenar and hypothenar regions of the hand to be pulled apart and upward around the dorsally positioned pressure element in accordance with program instructions indicative of a treatment plan. The inventive apparatus may include a variety of optional devices, such as a memory for storing program instructions and patient data, a display device for displaying operational parameters of the apparatus, and an output device for providing a record of the treatment.
摘要翻译：本发明的装置在患者或保健专业人员的精确控制下以安全的方式伸展腕韧带和屈肌视网膜以及手的表面结构和肌肉。本发明的装置的第一实施例包括用于接收患者手的压力元件的壳体，该压力元件与患者的手的小眼膜，臀部和中央纵向背部接触。为压力元件提供主动压力源，并连接到自动控制单元。控制单元使得本发明的装置通过选择性地激活主动压力源来对手进行治疗处理，所述活动压力源根据指示a的程序指令，使得手指的腰部和小背部区域围绕背部位置的压力元件被拉开并向上治疗计划。本发明的装置可以包括各种可选装置，例如用于存储程序指令和患者数据的存储器，用于显示装置的操作参数的显示装置，以及用于提供治疗记录的输出装置。

6. 发明公开

EP1469801A1 NON-INVASIVE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：无创设备和方法腕管综合征的治疗
公开(公告)号：EP1469801A1
公开(公告)日：2004-10-27
申请号：EP02778199.6
申请日：2002-08-27
申请人： M.D. Brothers, Inc.
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01 , A61B18/20
CPC分类号： A61F5/0118 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. Various embodiments of the inventive apparatus include a housing for receiving the patient's hand with an open top portion and with two internal regions adapted and configured to contact the thenar and hypothenar regions of the patient's palm, while a closeable cover, that fits over the open top region of the housing, includes a pressure element positioned and configured to apply pressure to the dorsal portion of the hand when the cover is depressed and/or closed such that opposing forces of the internal regions pressing on the thenal and hypothenar regions of the palm while the pressure element is pressing on the dorsal portion of the hand cause the carpal ligament and the flexor retinaculum to stretch expanding the carpal tunnel and relieving pressure on the median nerve.

7. 发明公开

EP1448122A2 APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：装置和方法腕管综合征的治疗
公开(公告)号：EP1448122A2
公开(公告)日：2004-08-25
申请号：EP02759164.3
申请日：2002-06-19
申请人： M.D. Brothers, Inc.
发明人： PORRATA, Humberto, L. , PORRATA, Alejandro, A.
IPC分类号： A61F5/00
CPC分类号： A61F5/0118 , A61F5/012 , A61F2007/0035
摘要： The inventive apparatus includes a bilateral housing (10) for receiving the patient's right or left hand (40) with two bottom capture regions (12, 14) for capturing and retaining the thenar and hypothenar regions of the patient's hand. The housing also includes a top portion (16) with a pressure element (24) adapted and configured to contact at least a portion of the central longitudinal dorsal region of the patient's hand. The pressure element is connected to an active pressure source (26), such that when the hand is inserted into the housing, the pressure element may be activated to exert pressure on the respective central dorsal region of the hand while the hypothenar and thenar regions of the hand are disposed within and retained by the first and second captures region, thus exertiing forces opposite to the pressure exerted by the pressure element. This forces the thenar and hypothenar regions apart, thus, advantageously transversely stretching the carpal ligament, the flexor retinaculum, superficial structures and muscles of the hand.

8. 发明公开

EP1469803A1 ADAPTABLE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：可调器件与方法研究治疗腕管综合征
公开(公告)号：EP1469803A1
公开(公告)日：2004-10-27
申请号：EP02796430.3
申请日：2002-08-27
申请人： M.D. Brothers, Inc. , Porrata, Humberto Luis
发明人： PORRATA, Humberto, Luis , PORRATA, Alejandro, Alberto
IPC分类号： A61F5/01 , A61B18/20
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus includes a first housing with an open side adapted and configured to contact and retain the hypothenar region of the patient's hand , with a first edge of the first housing extending along a central longitudinal dorsal portion of the hand ,and a second housing with an open side portion adapted and configured to contact and retain the thenar region of the of the patient's hand ,with a second edge of the second housing also extending along a central longitudinal dorsal portion of the hand.A flexible resilient strap is secured to the first housing , and then wrapped around the second housing encompassing the thenar portion of the hand. The strap is then secured to itself or to the first and/or the second housing to keep the hypothenar and thenar portions pulled apart during the course of treatment. n of the hand) upward with the first and the second edges of the respective first and second housings serving as a fulcrum around which the hypothenar and thenar portions of the hand are bent. The strap is then secured to itself or to the first and/or the second housing to keep the hypothenar and thenar portions pulled apart during the course of treatment.

9. 发明公开

EP1465561A1 CONFIGURABLE APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：配置装置和方法腕管综合征的治疗
公开(公告)号：EP1465561A1
公开(公告)日：2004-10-13
申请号：EP02773251.0
申请日：2002-08-27
申请人： M.D. Brothers, Inc.
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01 , A61B18/20
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. A first embodiment of the inventive apparatus includes a housing for receiving the patient's hand with a bottom portion having a first pressure element positioned to contact the hypothenar region of the patient's hand and a second pressure element positioned to contact the thenar region of the patient's hand, and a top portion having a central longitudinal pressure element positioned to contact the central longitudinal dorsal region of the patient's hand. The first and second pressure elements are connected to active pressure sources (or source), such that when the hand is inserted into the housing, the first and second pressure elements are activated and exert pressure on the respective hypothenar and thenar regions of the hand while the central dorsal portion of the hand presses against the third pressure element. This forces the thenar and hypothenar regions apart thus advantageously stretching the carpal ligament, the flexor retinaculum, and superficial structures and muscles of the hand. In another embodiment of the present invention, the third pressure element is also connected to an active pressure source, such that active pressure is applied to the central dorsal region of the hand, while the first and second pressure elements apply pressure to the hypothenar and thenar regions of the hand.

10. 发明公开

EP1469802A1 AUTOMATIC APPARATUS AND METHOD FOR TREATING CARPAL TUNNEL SYNDROME 审中-公开
标题翻译：的自动装置用于治疗腕管综合征
公开(公告)号：EP1469802A1
公开(公告)日：2004-10-27
申请号：EP02796429.5
申请日：2002-08-27
申请人： M.D. Brothers, Inc.
发明人： PORRATA, Humberto, Luis , PORRATO, Alejandro, Alberto
IPC分类号： A61F5/01 , A61B18/20
CPC分类号： A61F5/0118 , A61B18/20 , A61B90/02
摘要： The apparatus of the present invention stretches the carpal ligament and the flexor retinaculum, as well as the superficial structures and muscles of the hand, in a safe manner under precise control of the patient or a healthcare professional. A first embodiment of the inventive apparatus includes a housing for receiving the patient's hand with pressure elements in contact with the hypothenar, thenar and central longitudinal dorsal portions of the patient's hand. Active pressure sources are provided for the pressure elements and connected to an automatic control unit. The control unit causes the inventive apparatus to delivered therapeutic treatment to the hand by selectively activating the active pressure sources causing the thenar and hypothenar regions of the hand to be pulled apart and upward around the dorsally positioned pressure element in accordance with program instructions indicative of a treatment plan. The inventive apparatus may include a variety of optional devices, such as a memory for storing program instructions and patient data, a display device for displaying operational parameters of the apparatus, and an output device for providing a record of the treatment.

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