# US 11,439,529 B2 · Medical protective and exercise restraint methods

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- Number: US 11,439,529 B2
- Document ID: US11439529B2
- Status: Granted
- Kind: B2
- Application number: 16/860,934
- Filed: 2020-04-28
- Published: 2020-08-13
- Granted: 2022-09-13
- Earliest claimed: 2015-08-14
- Applicants: Marie Pavini
- Inventors: Marie Pavini
- Web page: https://patentgrep.com/patent/US11439529B2

## CPC

- A61F 5/373: {for restricting the movement of the arm at the elbow}
- A63B 21/0004: {Exercising devices moving as a whole during exercise (bar bells or dumb bells A63B21/072; on wheels A63B22/20)}
- A63B 21/028: {made of material having high internal friction, e.g. rubber, steel wool, intended to be compressed (resistance provided by plastic deformable materials A63B21/00189)}
- A63B 21/0442: {Anchored at one end only, the other end being manipulated by the user}
- A63B 21/0552: {Elastic ropes or bands}
- A63B 21/4005: {to the shoulder}
- A63B 21/4017: {to the upper limbs}
- A63B 21/4019: {to the hand}
- A63B 21/4023: {the user operating the resistance directly, without additional interface (A63B21/072 takes precedence)}
- A63B 21/4033: {Handles, pedals, bars or platforms}
- A63B 23/03508: {For a single arm or leg, (A63B21/0726 takes precedence)}
- A63B 23/1245: {Primarily by articulating the shoulder joint (A63B23/129 takes precedence)}
- A63B 23/16: for hands or fingers {(for teaching typing G09B13/00)}
- A63B 2022/0094: {for active rehabilitation, e.g. slow motion devices}
- A63B 2071/0072: {Limiting the applied force, torque, movement or speed}
- A63B 2225/09: Adjustable dimensions
- A63B 2230/30: blood pressure (A63B2230/04 takes precedence)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A63B: APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT (apparatus for passive exercising, massage A61H)

## Abstract

Intended to prevent self-extubation of nasal or oral tubes of an awake patient who may reflexively attempt removal of such and allow the early mobilization and exercise necessary for preservation of as much muscle strength as possible, promotion of diaphragmatic motion necessary for liberation from a ventilator, reduction of patient stress allowing for sedation minimization and improved cognition for reduction of delirium and post-intensive care syndrome, and relief of medical staff and healthcare dollars to focus more on healthcare rather than on protection from self-harm.

## Claims

### Claim 1

A method of using a medical protective and exercise restraint system including a rigid restraining structure, a hand strap attached to the restraining structure, and a shoulder strap attached to the restraining structure, the method comprising:
wrapping the hand strap around a patient's hand or wrist;
wrapping the shoulder strap around the patient's arm or axilla; and
positioning the restraining structure along the patient's arm such that:
the restraining structure extends from the patient's hand to above the patient's shoulder;
the restraining structure does not contact the patient; and
the patient is unable to touch their hand to their face.

### Claim 2 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, wherein the restraint system further includes a thumb strap attached to the restraining structure and the method further comprises wrapping the thumb strap around the patient's thumb and attaching the thumb strap to the hand strap along the volar aspect of the patient's wrist or hand.

### Claim 3 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, wherein the restraint system further includes an inflexible tie attached to the restraining structure and the method further comprises affixing the inflexible tie to a patient support structure.

### Claim 4 (depends on 3)

A method of using a medical protective and exercise restraint system according to claim 3, further comprising loosening or removing the inflexible tie so that the patient can exercise and tightening or reattaching the inflexible tie to selectively increase patient restraint.

### Claim 5 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, wherein the restraint system further includes a resistance band attached to the restraining structure and the method further comprises affixing the resistance band to a patient support structure.

### Claim 6 (depends on 4)

A method of using a medical protective and exercise restraint system according to claim 4, further comprising loosening or removing the resistance band so that the patient can exercise with reduced restraint and tightening the resistance band for resistive exercising or if the patient requires increased restraint.

### Claim 7 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, wherein the restraint system further includes a shoulder pad attached to the restraining structure or the shoulder strap and the method further comprises positioning the restraint system such that neither the restraining structure nor the shoulder pad contact the patient.

### Claim 8 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, wherein the restraining structure includes a telescoping mechanism and the method further comprises adjusting the telescoping mechanism to change the length of the restraining structure.

### Claim 9 (depends on 1)

A method of using a medical protective and exercise restraint system according to claim 1, further comprising positioning the restraining structure along the patient's arm while the patient is lying at rest on a bed with their arms alongside their body on the surface of the bed such that at least half of the restraining structure is positioned vertically above a horizontal plane passing through the patient's arm.
