Device for assisting in the selection of a compressive orthosis by simulating its effects upon the hemodynamics of the venous return
A device determines and displays compression values to be exerted by an orthosis upon the surface of a member and produces digital simulation ( 10 ) for simulating the action of the compression on the hemodynamics of venous return furnishing values of blood flow and/or of intravenous pressure at a number of points of a digital model representing the venous network of the leg of the member, which display is a value oriented graph containing a number of interconnected arcs, with each arc assigned a corresponding value of blood flow and/or intravenous pressure, and which compression values are furnished by simulation software based on morphological characteristics of the member and on dimensional and rheological characteristics of the orthosis.
1. A device for aiding the selection of a compressive restraint orthosis made of elastic or inelastic material and for evaluating a therapeutic effect upon venous return of the orthosis, and adaptation of the orthosis to morphological characteristic of a limb for which the orthosis is intended, the device comprising
means for establishing a first file of data representative of the morphological characteristics of the limb,
means for establishing a second file of data representative of the dimensional and rheological characteristics of the orthosis,
restraint pressure mapping calculation means adapted to determine, on the basis of the data of the first and second files, restraint pressure values to be exerted by the orthosis at a surface of the limb at a corresponding plurality of predetermined points,
means for numerically simulating action of the restraint on hemodynamics of the venous return, adapted to (i) receive as input restraint pressures computed by the mapping calculation means and (ii) deliver values of blood flow rate and/or intravenous pressure at a plurality of points of a numerical model representative of a sural venous network of a limb, and
means for presenting the values of blood flow rate and/or intravenous pressure determined by the numerically simulating means,
whereby the device evaluates depth-wise therapeutic effect produced by the orthosis upon the venous return.
2. The device of claim 1 , where the numerically simulating means are also able to receive as input a posture parameter and to select or adapt the numerical model of the sural venous network as a function of the posture parameter.
3. The device of claim 1 , where the means for presenting the value of blood flow rate and/or intravenous pressure comprise means for displaying a weighted directed graph comprising a plurality of interconnected arcs each representative of a vessel segment of the sural venous network, the display means being able to associate with each arc of the graph a corresponding value of blood flow rate and/or intravenous pressure calculated by the numerically simulating means.
4. The device of claim 3 , where the display means are able to apply locally to each arc of the graph a color coding representative of the corresponding value of blood flow rate and/or intravenous pressure.
5. The device of claim 3 , where the display means comprise means able to produce a plane representation of the graph.
6. The device of claim 3 , where the display means comprise means able to produce, in overlay, a three-dimensional representation of the graph and a three-dimensional representation of the surface of the limb.